REGULATIONS  FOR  MBBS DEGREE  COURSE

                        These  regulations  shall be called THE REVISED REGULATIONS  FOR  THE MBBS  COURSE  OF THE  NTR  UNIVERSITY   OF   HEALTH    SCIENCES, VIJAYAWADA.

                        These  regulations  are applicable  to  the  students  who  are admitted  to the Course  from  the  Academic Year  1998-99  onwards.

1.                  GENERAL  CONSIDERATIONS AND  TEACHING  APPROACH

1.Graduate  medical  curriculum  is oriented towards  training students to undertake  the responsibilities  of a physician  of  first  contact who  is capable of  looking  after  the preventive, promotive, curative  and rehabilitative  aspects of medical  care.

2.With  a wide  range  of career  opportunities  available today a graduate  has a wide  choice  of  career  opportunities.   The  training,  though  broad  based  and flexible,  should  aim to provide an  educational  experience  of  the  essentials   required   for   health  care  in  our  company.

3.To  undertake  the  responsibilities  of various  service  situations.  It  is  essential to provide adequate  placement training tailored  to  the needs  of  such  services.  To  avail of  opportunities  and  to  engage  in  professional  activities  the  graduate  shall endeavour  to acquire  basic training in different  aspects  of medical care.

4.The importance  of the community aspects  of  health  care and  rural  health care services is to be emphasised.  This aspect  of education  and  training  of  graduates should be adequately  recognised  in the prescribed  curriculum.  Adequate  exposure to such  experience should be availabe in all the three phases  of graduate  medical education  and training.  This has  to be further intensified  by providing  exposure  to  field practice  areas  and training during  the internship period,  the aim of the period of rural training  during  internship is to enable to fresh graduates  to function  effectively under such settings.

5.The training should emphasize  health and community orientation  instead of concentrating only on disease and  hospital  orientation or being concentrated on curative aspects.  As  such  all the basic concepts  of modern scientific  medical education  are  to be  adequately  dealt  with.

6.Enough  opportunity  must  be provided  for self  learning.  The  methods and  techniques  that  would  ensure this must become a  part of the teaching-learning process.

7.The medical  graduate of modern scientific  medicine  should be capable of functioning independently  in both urban  and  rural  environment.  He /she shall

endeavor  to  master the fundamental aspects  of the subjects  taught  and all common problems  of  health  and disease avoiding  unnecessary  details of specialization.

8.The  importance  of  social  factors  in relation to the problems  of  health and disease should receive  proper emphasis through  out the  course.  To  achieve  this purpose the educational process should also be community  based rather than only hospital   base.  The  importance  of  population  control  and family welfare  planning  with the importance  of  health  and development  duly emphasized.

9.Adequate  emphasis  is  to  be  placed  on cultivating  logical  and scientific  habits  of  thought,  clarify  of  expression and independence  of judgement, ability  to  collect  and analysis information  and  to  correlate  the  facts.

10.The  educational  process  should be  placed  in  a historical  background  as an  evolving  process  and not merely as  an  ecquisition of a large  number of disjoined  facts  without  a proper perspective.  The  history of  Medicine  with  referece  to  the  evolution  of  medical   knowledge  both  in this country  and  int the rest of the world should form a part of this  process.

11.Lectures  alone are generally not  adequate  as a method  of  training and a means  of  transferring  information  and are even less efffective  at  skill  development  and  in generating  the appropriate attitudes.   Every  effort should be made to encourage  the use of active methods related  to demonstation  and first  hand experience.  Students  shall be encouraged  to  learn  in small  groups  through  sheer  interactions so as to gain maximal  experience through  contact  with patients  and the communities  in which the patients  live.   While  the curriulum  objectives  often  refer  to  areas of knowledge  or sciences,  they are  best  taught  in  a  setting  of clinical relevance  with  hands on  experience  for  the students  to  assimilate and make  this  knwoledge  a  part of  their  own  working skills.

12.The graduate  medical  education  in clinical subjects  should be based primiarily on teaching in out-patient  and emergency departments and within  the  community  including  peripheral  health care  institutions.  The out-patients departments  should be suitably  planned  to  provide  training to  graduates in small  groups.

13.Clinics  should be  organized  in small groups  of  preferably not more  than  10 students  so that a teacher  can give personal attention  to each  student  with  a view  to imptoving   his skill  and competence  in  handling  of  patients.

14.Proper  records of the work should  be  maintained  which will  form a basis for  the student’s  internal  assessment.  They  should be available  to  the inspectors  at  the  time of  inspection  of  the  college  by the  Medical Council of India.

15.Maximal  efforts  have  to be made to encourage integrated  teaching amidst  traditional  subjects areas using  a  problem based learning  approach  starting with clinical or  community  cases  and  exploring  the  relevance  of various  preclinical  disciplines  in both  understanding  and resolving  a  problem.   Every  attempt must be  made  to avoid  compartmentalisation  of  discipline  so  as  to  achieve  both  horizontal  and vertical  integration in difference  phases.

15.Every  attempt  is to be made to encourage  students  to participate in group discussions and seminars  to  enable  them  to  develop  personality, character, expression and other  facutlties which are  necessary  for a medical  graduate  to function  either in solo practice or as a team member/leader when he begins his independent  career.    A  discussion group  should not  have  more  than  20  students.

17.Faculty members  should avail of modern educational technology while  teaching  the students.  To attain  this objective Medical Education  Units/Departments  should be established  in all medical colleges  for  faculty development  and for providing  learning  resource material  to  teachers.

18.To implement this  revised  curriculum  the vacation  period  of   students  in one calendar  year should not exceed  one month during the 4 ½ years Bachelor  of Medicine  and Bachelor  of Surgery(MBBS) course.

II.ELIGIBILITY

No  candidate  shall be admitted to the Bachleor   of Medicine and Bachelor  of Surgery (MBBS) course  unitl  he/she has completed  the age of 17 years on  or before the first  day  of  July  of  the academic year  in which  the  candidate  is seeking  admission.

No  candidate shall  be  admited to the first  Bachelor  of  Medicione and  Bachelor of Surgery(MBBS)  course unitl he/she has passed a  qualifying  examinatiion as  under.

a)Two  years  Intermediate examination of Board of Intermediate  Education,  Andhra  Pradesh under 10 + 2  pattern with Physics, Chemistry, Botany, Zoology  or  Bilology  as  optional  which  shall  include  a  practical  test in  each  subject.

                                                                        OR

b)Any other examination  (of 10+2 pattern)  recognised  by the  University  in Andhra Pradesh or  Board  of  intermediate  Education, Andhra Pradesh  with Physics, Chemistry and Biology as optional  subjects  which  shall  include  a  practical  test  in each of  these  subjects.

Note : Candidate possessing qualification of the University/Board of

An  institution outside the State should produce  a  certific  of  equivalence from  the Registrar  NTR Univesity of  Health  Sciences, A.P. Vijayawada.

c)The pre-professional/premedical  examination  with Physics, Chemistry  and  Biology, after passsing  either  the higher secondary school  examination or  the  pre-University  or  an equivalent examination.  The pre-professional /pre-medical  examination  shall include  a  practical   test in Physices, Chemistry & Biology and also  English  as  a  compulsory subject.

(OR)

d)The  first  year of three years degree course  of a recognized  University, with Physics, Chemistry and Biology including practical  test in these subjects  provided  the examination  is  a  University Examination  and  candidate  has  passed  10 + 2  with English  at a level  not less than  a  core  course.

e)B.Sc  Examination of an Indian University, provided that he/she has  passed  the  B.Sc  examination  with not less than two of the following subjects-Physics, Chemistry, Biology(Botany, Zoology)and further  that he/she  has  passed the earlier  qualifying  examination  with the  following  subjects-Physics, Chemistry, Biology and English.

f)Any  other  examination  which  in scope and standard  is  found  to be equivalent  to  the intermediate science examination of an Indian University /Board, taking  Phsyics, Chemistry and Biology including  a  practial test in each of these subjects  and English.

Note:I)The pre-medical course maybe conducted  eithger in a Medical College  or  a  Science  College.

            ii)The marks  obtained  in  Mathematics are not to be considered for  admission  to MBBS  Course.

III. SELECTION OF STUDENTS :

The  selection of  students   to   medical  colleges shall be passed solely on  the merit of  the  candidates and for determination  of  merit the following  criteria  be adopted.

i)In a  state having more than one Board/examining  body conducting the qualifying examination or where there is more than  one medical college under the administrative control  of one authority  a  competitive  entrance  examination  should be  held.

ii)To be  eligible  for competitive  entrance  examination,  the  candidate must  have  passed  any  of the  qualifying  examinations as enumerated  above  at  II.

iii)A  candidate  for  admission  to medical  course must  have obtained  not  less  than  50%  marks  in English  and  50% marks  in  Physics, Chemistry and Biology  taken  together, both  at  qualifying  and  competitive  examinations.

However,  in  respect  of  candidates  belonging  to scheduled  castes/Scheduled Tribes  and  other  Backward Classes(OBC) thequalifying  marks should be  40%  instead  of  50%.

IV.              REGISTRATION:

A  candidate  admitted  to the course  in  any of  the  affiliated colleges  shall apply  for  registation  with this University in  the  prescribed  form  within  one month  from  the date of joing the college.   The  application  for  registration  in  the  prescribed  form  along with  the  fee  prescribed  should  be  submitted  to  the  University  through  the Head of  the College,  The University  in  turn  will  allot  an identification   number   that  will  be  valid till the student  completes  this course.   Without  this identification  number,  the student  will not  be  considered  as  a  bonafied  students  of  the university  and  his application  for the university  exam  will  not accepted.

V.                DURATION OF THE COURSE :

The duration of the certified  studyof  the Bachelor of Medicine and Bachelor of Surgery  course  shall  be  4 ½  Academic  Years  followed  by one  year  compulsory  rotating  internship.  Normally  the MBBS  course shall  commence  on  the 1^st  July  of  an  Academic  Year.

The periodof 4 ½  years  is  divided  into ( 9 semesters  each semisters of  6 months)  three phases  as  follows ;

A)Phase – I (1^st MBBS ) (one  year  two  semesters) consists of preclinical  subjects (Human Anatomy, Physiology including Bio-Physics  Bio-Chemistry and  introduction  to Community Medicine including  Humanities).  Besides  60  hours  for introduction  to Community  Medicine  including  Humaniities  rest of the time shall be somewhat  equally divided  between  Anatomy and Physiologyplus Bio-chemistry  combined.  Thetime shared  between the latter  two  will  be in  the  ratio of    2:1

B)Phase – II (II MBBS) 1 ½  years – three  semesters0  consists of  para clinical/clinical  subjects.

During  this phase  teaching of  para – clinical  and  clinical  subjects  shall  bedone   concurrently.

The para-clinical  subjects  shall  consists of Pathology, Pharmacology,Microbiology,Forensic Medicine including  Toxicology  and  part  of Community  Medicine.

The  clinical  subjects  shall  consist  of  all those  detailed  below in Phase – III.

Of  the  time of Para-clinical  teaching  approximately  equal  time  shall  be  alloted  to Pathology,Pharmacology,  Microbiology and  Forensic  Medicine  &  Community  Medicine combined ( 1/3  Forensic  Medicine   and  2/3  community  Medicine).

C)Phase-III (III MBBS)  (Two years  - four  semesters )Continuation of  study  of clinical  subjects  from  phase- II.

The  clinical  subjects  to  be  taught  during  phase – II and III are  Medicine  and it’s allied  specialities  including  paediatrics,  Surgery  and its  allied  specialities  including  Orthopaedics,  Obstetrics  and  Gynaecology  and  Community Medicine.

Besides  clinical  postings  the rest of the teaching  hours  should be devided  between  didactic  lectureers,  demonstrations,  seminars, group  discussions  etc., in various  subjects.

The  training  in  Medicine  and  its  allied  speciaities  will  include General  Medicine, Paediatrics, Tuberculosis and  Chest  diseases, Skin and  Sexually  Transmitted  diseases,  Psychiatry, Radio-diagnosis, infectious diseases  etc.  The training  in Surgery  and  its allied  specialities  will  include  General  Surgery,  Orthopaedics including Physiotherapy and  Rehabilitation, Orhthalmology , Oto-Rhinolaryngology, Anaesthesia, Dentistry, Radio-therapy  etc.   The obstetrics & Gynaecology training  will  include  family medicine, family  welfare,  planning  etc.,

DIVISION  OF  SYLLABUS PAPERWISE

MICROBIOLOGY

PAPER – 1                        :  General  bacteriology, Immunology, Systemic

                                        Bacteriology.

PAPER – 11                        :  Parasitology,  Virology and  Mycology.

PATHOLOGY

PAPER – 1                        :   General  Pathology including  Hematology

PAPER – 11                        :   Systemic  Pathology.

PHARMACOLOGY :

PAPER – 1                        :   General  Pharmacology, ANS, CNS, CVS  and

                                         Drugs acting  on  Renal  System

PAPER – 11                        :   Chemotherapy, Hormones, GIT,

                                        Blood  Drugs  acting  on  Uterus,

                                        Heavy  metal  poisons, Drugs for  Respiratory

                                        Diseases.

VI) CANCELLATION  OF  ADMISSION:

Student  will  be permitted toclear  phase  I subjects  and to enter phase  II  a  minimum  of four chances within a period  of  3  years from the  date of enrolement  failling  which   his admission  shall be cancelled.

VII.           MEDIUM  OF INSTRUCTION

English shall  be  the  medium  of  instruction  for sudy  and  examinations  of  the  Bachelor  of Medicine  &  Bachelor  of  Surgery  course.

VIII.         ATTENDENCE :

VII.           INTERNAL  ASSESSMENT  :

A)    I ST  MBBS  ;

A  student  must  secure  at  least  50% marks  of the maximum marks fixed  for  internal  assessment  in  a  particular  subject  to  be  eligible   to  appear  for  the  final university  exam of  that  subject.  Regual,  Periodical  notified  examinations  with, notified  syllabus  shall be conducted.   Minimum  number of internal assessment  exams  shall  be  4 in each  subject  out of which atleast  one  will  be in  Practicale  / Clinicals. After  ignoring  the  marks  of  the examination  in  which  the  candidate  got the  least  marks,  the average marks  of  the   remaining  examinations  will  be  counted  and  computed  for the  overall  internall  assessment  marks  in  the subject.

If only  one practical  examination  is  conducted,  those  marks   are mandatory  for considering  the internal  assessment marks.  If the candidate  is  absent for  any  of  the exams,  the marks in that exam shall  be  taken as zero.

The  internal  assessment  marks  shall  be displayed  in the  notice board  and  shall  be  despatched  to  the  university  soon  after each  internal   assessment  examination.   The  last  internal  assessment  exam should  be  completed  3 months  before  the University  examinations  and  the computed  internal  assessment  marks  should  be sent  to the University   one and half  months before.

While  forwarding  the examination application  forms of the students,  the Principles  should check  the  attendence and  internal  assessment  marks  and should send the application  forms of only eligible  students.

The internal assessment  marks  will  be  used by  the  University  for calculating  aggregate marks only.

The internal  assessment  examination for the  referred/failed students  may  be  conducted  twice before  he/she  appears  for the  examination and  the better  one   of   the two will  be  taken  as  internal   assessment  marks.

The  internal  assessment  marks  of  student  at the  time  of  first appearance  will  be compared  with  the marks obtained  as  a referred at  present  appearance  and the higher  of  the  two will be taken  as his/her internal  assessment  marks.

B)     II nd  MBBS

Pathology,  Microbiology  and Pharmacology subjects  are alloted  30 marks each  while Forensic  Medicine  subject  is  allotted 20 marks for internal  assessment.

Two  Theory  internal  Assessment   examinations should be conducted  at the end of  3 rd  and 4^th semesters  and one theor and one practical  internal  assessment examinations  will  be  conducted  at t he  end of  5^th  semester.

C)FINAL  MBBS

A  minimum  of Two  Theory  internal  Assessment  examinations  and  two clinical  internal  assessment  examinations  will  be  conducted  for  all  the   subjects of  Final MBBS.  The  aggregate of  all  these  four internal  assessment  examinations  will  be  taken  as internal  assessment  marks and should be reduced  to the level  of internal  assessment marks.  ENT, Opthalmology  and Paediatrics have  each  20 marks  while  Obst +  Gynace  30  and  Medicine and Surgery  each  has  60 intenal   assessment  marks.

X. RE-ADMISSION  AFTER  DISCONTINUATION/BREAK OF

            STUDY :

Every  student shall  attend  his/her classes  (Theory, Practical and  Clinical ) on  all  working  days unless  he/she is granted  leave  of  absesnce  by the  principal.  If  a student   absents  continuously  for a  period  of  9 days  or  more and  seeks permission to attend  the course  before one year after discontinuation, his/her application shall  be   forwarded  to Registrar  with  the recommendations of the principal. If the  Vice-Chancellor  is satisfied  of  the  reasons,  he may grant leave  of absence attaching  such conditions  as he may deem necessary.  Candidates  who are absent  for continous  period of one year  or  more  without  permission  shall  be deemed  to  have forfeited  the  admission  into the  course  and his/her studentship shall   stand  cancelled  with  out  any  further  notice.

VIII.         MIGRATION/TRANSFER OF  CANDIATES :

1)Migration  from  one medical  college  to  another  is  not  a   right of   a  student.    However  migration  of  students from  one medical college  to another   medical  college  within   india  may be  considered  by the  Medical  Council of India  only  in  exceptional cases  on  extreme   compassionate  grounds,  provided  the following  criteria  are fulfilled. (Routine migrations  on other  grounds shall  not be  permitted).

i)Both the colleges are  recognised  by  the Medical  Council of India.

ii)The applicant  should  have passed  first professional  MBBS  examinations.

iii)The  application  for migration, complete in all respects  is submitted to all authorities  concerned  within a  period  of one month of passing  the first professional Bachelor f Medicine and Bachelor of Surgery (MBBS) examination,  the  period  being  counted  from  the date  of  declaration  of  results.

iv)The  applicant  must submit  an affidavit  stating  that he/she will pursue  18 months  of prescribed study  before  appearing  for  the  II professional Bachelor of Medicine and  Bachelor  of  Surgery  (MBBS) examination  at  the  transferee  Medical College.   The  afffidavit  should be  duly  certifed  by the Dean  of  the College concerned  and the Registrar  of  the Concerned  University to which  transfer   is  sought.

2)Further  provided  that

i)Migration  during  clinical  course of study  will not be considered  by the  University.

ii)All  applications  for  migration  will be  referred  to Medical Council of  India   by  college authorities.   The  University  will  not consider  request  for  migrations  without the  approval  of the Medical   Council  of India.

iii)The number of students  migrating/transferring  from one medical college to another medical college during one year will be ke[pt to the minimum so that the training  of the regular students of  that college is not adversely affected.

The  number  of students  migrating/transferred  from  or  to any one  medical  college  shall  not  exceed  the limit  of  5 % of  its sanctioned    intake in one year.

iv)All  Migrations/Transfers  are  subject to the  approval  of the Vice-Chancellor   of  this  University.

v)The  following  compassionate  grounds shall  be considered  for the  purpose  of  Migration.

i)Death  of Supporting  guardian.

ii)illness  of  the candidate  causing  disability.

iii)Disturbed  conditions  as declared  by Government  in the Medical College  area.

IX.              VACATION :

The  Heads  of   institution  shall  declare   one  month  vacation  in  an  academic year  to the  students.   The  period(s)  of  vacation  can be  decided by the Head  of  the Institution.

X.                COMPULSORY INTERNSHIP:

A.      DURATION  :

Every candidate  will be requried after passig  the  Final MBBS  examination to undergo  12 months compulsory  rotational internship to the satisfaction  of the college  authorities and  NTR University  of  Health  Sciences so  as  to  be  eligible  for the  award of degree  of   Bachelor of  Medicine  and Bachelor  of  Surgery (MBBS) and  full  registration.

B.       TIME  DISTRIBUTION 

Compulsory  Subjects :

Community Medicine               3  months

Medicine                    2 months

Surgery  including Orthopaedics     2 months

Obst. 7 Gynae. Including

Family Welfare  Planning          2 months

Pediatrics                    15 days

Opthalmology                    15 days

Otothinolaryngology                15days

Casualty                         15days

Elective postings               One month

Elective Subjects:

Elective posting will include two of the following for 15days in each subject.

i)      Dermatology and Sexually Transmitte Deseases.

ii)    Psychiatry

iii)  Tuberculosis and Repiratory Diseases

iv)  Anaesthesia

v)    Radio-dialgnosis

vi)  Physical Medicine and Rehabilitation

vii)              Forensic Medicine and Toxicology

viii)            Blood bank and Transfusion Department.

All parts of the intership shall be done as for as possitble in the teaching hospitals attached to institution where the candiadate studied MBBS degree course. He /she has to do the Intership in the Hoslpitals specified by the Univesity. In case  of any difficulties the matter will be referred to Medical council of India on induvidual merit.

The University shall issue a provisional MBBS pass certifcate on passing fthe final examination.

The state medical council will grant provisiona registration tothe candidate on production of the provisional MBBS pass certificate. The provisional registration will be for a period of one year. In the event of shortage the appropriate authorities may suitably extend o unsatisfactory work, the period of provisional registration and the compulsory totaing internship.

            The term shall be entrusted with clinical responsibilities underdirect supervision of senior medical officer. They shall not be working independently.

            Interns will not issue a medical certificate of a death certificate or a medicolegal document under their signature. 

In  recognition  of the importance of hands-on experience, full responsibility  for  patient   care  and  skill  acquisition,  internship should be increasingly scheduled  to  utilize clinical  facilities  available in  Distrcit Hospital,Taluka  Hospital, Community Health centre and primary  health centre, in addition to teaching hospital.  A  critical element of internship will be the acquisition   experience  and  skill  as listed in major.

Provided that where an intern is posted to District/Sub-divisional  Hosipital for training there  shall be a committee consisting  of  representatives  of college/university, the State Government  and  the District administration, who shall regulater the training of such trainee.

Futher, such trainee shall obtain a certificate of satisdfactory completion of training from the relevqant administrative  authorities and countersigned  by the Principal/Dean of college.

Adjustment  to enable a candidate to obtain  training  in elective clinical subjects may be  made. 

Each  medical  college  shall  establish  links  with one entire district  extendiong  out-reach activies.  Similarly, Reorientation of Medical  Education (ROME) scheme  may be suitably modified to assure teachingh  activities  at  each level of district health  system which will be co-ordinated by the Dean/Principal of the medical college.

Out of one year, 6 months  shall  be devoted to learning  tertiary care being  rendered  in  teaching   hospital/district  hospital suitably  staffed with well qualified  staff, 3 months of secondary   care in small dist5rict  of  or  Taluk  Hospital/community  health  centre and  3 months in primary  health  care  out of which two months and should be in  Primary  Health centre  with  full attention to the  implementation  of  Natural Health  Centre with  full  attention  to the impelementaion  of Natioal Health Programme at the community   level.   One  month of Primary  care  training  may be under  the  prescestorship  of  a  practising family physician  or voluntary  agency  or  other   primary  health  care  provider.

One  year’s  approved  service in the  Armed Force  Medical  Services after passing  the  final MBBS examination  shall  be  considered  as equivalent  to the pre-registration training  detailed above.   Such  training  as  far  as  possible,  be at  the Base/General  Hospital.

C.       Isssue of  Internship  completion  certificate ;

The  heads  of  insitutions  shall  issue  a certificate  of successfulcompletion  of  internship  to  each   candidate  after  satisfying  that  the  candidate  has  complated the  training  programme and has  acquired  the skills  to  function  independently.

XIV.AWARD  OF  DEGREE :

The  degree  shall  be  awarded  by theUniversity only  satisfactory completion  of  the  compulsory  internship.

XV.          RETOTALLING  OF  ANSWER  PAPERS OF  FAILED

CANDIDATES:

                        As  per the regulations  prescribed  for  retotalling of  answer  papers                         by  NTR  University  of Helath Sciences,  Andhra  Pradesh  in force                and  as  amended  from  to time.

XVI.        CLASSIFICATION  OF  RESULTS

1.                  A candidate  is  declared as passed in  second class  if he/she  secures  50% in  theory  plus orals  and 50% in  practicals  in that subject.   A candidate  securing  less  marks  is failed.

2.                  A  candidate  is declared to  have  passed with distinction in a subject if he/she  secures 75% or   above of  the markls  in the aggregate (wherein internal  marks are also counted) in the first regular  appearance.

3.                  First class  in  a particular [hase may  be  awarded  to  a  candidate  who  secures   60% to 74%  of  aggregate  marks in all the subjects  of  the phase and  passes all the subjects in the first appeareance.

4.                  First  class  with  distinction  in a phase may be awarded to a candidate who secures  75% of  aggregate  marks  and above  in all  the  subjects  and passes  all the subjects in the first  appearance.

XVII.     SCHEME  OF UNIVERSITY EXAMINATIONS :

1.                  There  shall  be one main and one supplementary  examination  in  a  year and the supplementary  exam  to be held  not later  than  6 months after the publication of results  of main  examination.

A)              FIRST   PROFESSIONAL EXAMINATION :

            (Preclinical subjects – Biochemistry, Anatomy & Physiology):_

            The  1^st MBBS  examination  shall  be  conducted after completion  of  12 months  study  including   vacation.

            The  scheme of examination  is as  follows :

1.                  Theory

No.of  Papers                        _            2 papers in  each  subject    

                                                            Held  on 2  consecutive days.

Duration of  exam                        _            2 ½  Hours

Maximum Marks                        _            50 marks  per each  paper

Minimu  marks prescribed  for  a pass in theoyr  including  orals is –  50% of  marks.

2.                  Aggregate  Marks :

Theory (2 x 50)                        -            100

Orals                                                -              20

Practicals                                    -              40

Internal  assessment            -                40

            Total                                                200

5.                  SCHEME  OF  PRACTICALS

i.            BIO –CHEMISTRY                        -            Total  marks  40

            a) Qualitative                                    -            15 marks

            b)Quantitative                                    -            15 marks

            c)Interpretation of Lab.data            -              5 marks

            d)Spotters  and  charts                        -              5 marks

                        Total                                                -               40marks

ii.            ANATOMY -  Total marks            -              40

            PRACTICAL – 1

            a)Major  exercise – Dissected  parts  from head  and  Neck,

               Abdomen, Pelvis and  Thorax            -                                    10

            b)Minor   exercise – Dissected  parts  from

                        Extremities                                    -                                      5

            c)Surface  marking /clinically

                        oriented  question                        -                                      5

                                                Total                                                            20

PRACTICAL –2  HISTOLOGY

A)            Spotters                                                -            5

b)            Stained slide for discussion            -            10

(2      slides )

c)            Genetic  Exercise                                    -              5

            Total                                                            -            20

ORALS

a)              Soft  parts                                                -              5

b)            Osteology                                                -              5

c)            Radiology                                                -              5

d)            Embrology                                                -             

            Total                                                            -            20

III.PHYSIOLOGY -  Total  marks              -             40

            Practical            -   1

            a)Haematology Long

                        Experiment

              (eg. RBC.,WBC.,

                Hemoglobin etc.,)                        -            10

            b) Identification  of  graphs –

                  problems and  Calculations             -              5

            c)Short  experiment(eg. Blood

                        group,BT,CT                        -              5

                 Reflexes Cranial Nerves )

                 TOTAL                                                -            0

PRACTICAL – II

a)      Long  Experiment  -

Clinical  examination of  a  specific

      System in  given  individual             -      10

                        b)Amphibian Muscle/Nerve/Heat graph            -             5

                        c)Spotters clinical  cases and charts              -             5

                                    Total                                                               -            20

B.     SECOND  PROFESSIONAL  EXAMINATION – (Paraclinicals subjects : Pathology, Mircobiology, Pharmacology and Forensic Medicine)

The  second   MBBS  examination  shall  be  conducted after completion  of 18 months study i.e. at  the end 5 th semester. 

The  scheme  of  examination is  as  follows :

i.                    Theory

No.of  papers  :  2 papers  in  each  subject expect in Forensic medicine  to be held  on two consecutive   days.

Only one   paper of 2  hrs. duration in Forensic  medicine.

2.a PATHOLOGY, MICROBIOLOGY AND PHARMACOLOGY

            Theory                                    -                        80

            Orals                                                -                        15

            Practical                                    -                        25

            Internal  assessment            -                        30

                        Total                                    -                        150

2.b FORENSIC  MEDICINE

            Theory                                    -                          40

             Orals                                                -                          10

            Practicals                                    -                          30

            Internal assessment            -                          20

                        Total                                    -                        100

ii.                  Scheme of  Practicals

a.       PATHOLOGY :

Spotters -  slide                  -            4 marks

Instrument                  -            1 mark

Gross specimens(Morbid

      Anatomy) 2speciments – 4

      Short blood  exercises

Haemoglobin / blood group        _      4

Abnormal  periphral smear        _      6

Urine  examination              _      6

      Total                          _      25

b.      MICROBIOLOGY

i)Spotters                                                -              5 marks

ii)Grams  starining                                    -            5 marks

iii)Special  Staining                                    -            5 marks

iv0Parasitology examination            -            5 marks

v)Applied  Microbiology

            exercise                                    -            5 marks

            Total                                                -            30 marks

c.       FORENSIC MEDICINE

1.  Autopsy                                                -            7 marks

2. Spotters                                                -            8 marks

3.Clinical  Case                                    -            7 marks

4.  Age  estimation                                    -            8 marks

            Total                                                -            30marks

d.  PHARMACOLOGY           

i)Experimental Pharmacology                        -            8 marks

ii)Clinical  Pharmacology exercise            -            5 marks

iii)Prescription  writing                                    -            4 marks

iv)Criticism  writing                                    -            4 marks

v) spotters  identification                                    -            4 marks

            Total                                                            -            25 marks

A)    THIRD  PROFESSIONAL PART-I (ENT, Opthamology  and community  medicine)

i.                    Theory

Part – I  to  be conducted during  the  end  period  of  vii  semester.

There  will  be single paper  of  two hours  duration  carrying to  marks for  each  of  the  subjects of ENT  and  Opthamology.    Community  Medicine   including  Humanities  will have  two  papers  of  60 marks  each.

a)      OPTHAMOLOGY :

Theory -  one paper                  -      40 marks

(should contain  one  question on  preclinical  and paraclinicalas  aspects ,  of 10  marks)

Oral  (viva)                        -      10 marks

Clinical                              -      30 marks

Internal assessment                  -      20 marks

      Total                              -      100  marks

b)     OTO-RHINO-LARYNGOLOGY (ENT)

Theory – one paper                  -      40 marks

(should contain  on  question  on  pre-clinical  and para clinical aspects   of  10  marks)

Oral (viva)                        -      10  marks

Clinical                              -      30 marks

Internal assessment                  -      20 marks

      Total                              -      100  marks

c)      COMMUNITY MEDICINE including  Humanities.

Theory :   Two  papers  of  60 marks and  3 hours  each – 120 marks

Includes  problem solving, applied aspects of  management  at primary  level  including  essential  drugs,  occupational (agro  based) diseases,  rehabilitation  and  social  aspects of  community)

Oral  (viva)                                                            -            30  marks

Practical/project evaluation                        -            10  marks

Internal assesssment                                    -            40 marks

            Total                                                            -            200 marks

PASS:  In  each  of  the subjects , candidate must obtain 50% in aggregate  with  a  minimum  of  50% in  practicals  / clinicals.

THIRD  PROFESSIONAL Part – II LMedicine, Surgery,Obstetrics and  Gynaeocology   and Paediatrics)

a)      Medicine  :

Theory – Two  papers  of  60 marks  and  3 hours  each –1 20 marks

Paper – 1 : General Medicine

Paper –II : General  Medicine (including  Psychiatry, Dermatology and  STD)

Oral  (viva)                        -      20  marks

Clinicial(Bed-side)                  -      100 marks

Internal  assessment                  -      60   marks

      Total                              _      300 marks

b)Surgery  :

Theory   -  Two  papers of 60  marks and 3 hours each – 120 marks Paper – I(Section – A) – General  Surgery(Section-B)Orthopaedics Paper-II General Surgery including Anaesthesiology,Dentistry and Radiology,(shall contain  one question  on basic  sciences  and  allied subjects )

Oral                        -      20  marks

Clinical (Bed side)            -      100 marks

(Internal  assessment)            -        60 marks

      Total                        _      300 marks

c)Obst. &  Gynaecology :

Theory – Two  papers of 40  marks  and 2  hours each – 80 marks Paper – I obstetrics including  social obstetrics.

Paper –II – Gynaecology, Family welfate  and Demography.

Oral  (Viva) includng  record

Of  delivery cases (20 + 10)      -      30 marks

Clicnical                        -      50 marks

(Internal assessment)            -      40 marks

      Total                        -      200 marks

d)Paediatrics :

(including  Neonatology)      -      40 marks

Oral (Viva)                  -      10 marks

Clinical                        -      30 marks

Internal assessment            -      20 marks

      Total                        -      100marks

Pass: In  each  of the subjects a candidate must obtain  50% in aggregate  with  a  minimum  of 50% in Theory  including Orals and minimum  of 50% in practicals/clinicals.

b)SCHEME  OF PRACTICALS/CLINICALS – IIIRD  PROFESSIONAL PART  - I

ENT, OPHTHALMOLOGY AND  COMMUNITY  MEDICINE.

I.ENT

i)Two  cases  will be given  each  carrying 15 marks.  Duration of  the  clinical examination  will  be  20 minutes for  each of the 2  cases.

ii) A  candidate  has to secure  a minimum of  15 marks out of 30 marks for  passing  the clinical  examination.

II. OPHTHAMOLOGY

Each set  of  examiners  comprises one   internal  examiner  and one external  examiner.    Each   candidate  examines  4  cases, each set  of examiners  examines  the  candidate  for  two cases.  A  candidate should record the diagonosis & management of the case.

III. COMMUNITY  MEDICINE

i)Clinical  social case  study      :            10 marks

ii)Problem solving

      epidemiological exercise      :            10 marks

iii)Statistical  exercises            :            10 marks

Oral  examination  shall be conducted  by two  sets  of examiners (internal and External) and each  set  will carry 5  marks.

SCHEME  OF PRACTICAL/CLINICALS – IIIRD  PROFESSIONAL  PART – II MEDICINE,  SURGERY, OBST.  &  GYNAECOLOGY, PAEDIATRICS(INCLUDING NEONATOLOGY):

i)        MEDICICINE :

1.  Max. marks for clinicals                  :      100 marks

2.The  clinical marks  are distributed as

      follows                              :     

      a)Long case                              :        50 marks

         B)Short  Case                        :        30 marks

       c)Spotters                              :        20 marks

3.                  The  candidate should write  detailed case sheet for the long case which is carrying  50 marks.           

4.                  The  candidate should  write the points in favour  for  short case  which is carrying  30  marks.

5.                  Details of Orals :

a) Max. marks of  orals                                    :            20 marks

b)The oral  marks are distributed

            as below                                                :

i)Discussion           

ii)Insttuments, ECG, S-ray.etc                        :            10 marks

                    ii)SURGERY :

1. One  long  case  of  30 minutes            :      50

2. Three short cases of 10mintes             :      50

      (carrying 15, 15 and 20 marks sepetately)

     The short cases should – 50 contain

             brief notes.

                                    Total                                                ;            100

NOTE:  Out  of long/short cases 25% of the marks are alloted for Orthopaedic   cases.

                        iii) OBSTETRICS AND GYNAECOLOGY :

                        one  case of  obstetrics                                            -            25 marks

                        one  case  of  Gynaecology                           -            25 marks

                        Total                                                                           -            50 marks

                        (Candidate should  write thedetailed  case  sheet.  The  distribution                 of  marks  for  each of the case will be – History taking – 5marks +                 examination  10 +  Discussion – 10  =  Total – 25 )

                        Scheme  of  Orals  :

                        Record (of atleast  10  delivery cases )              -            10 marks

                        Gynaec  & Family Planning                                  -            10 marks

                        Obstetries                                                                  -            10 makrs

                                    TOTAL                                                          -            30 marks

                        (In  obstetrics  plevis and  Foetal  skull – 5 marks

                                    Specimens and instruments  - 5 marks )

                        iv.  PAEDIATRICS :

                        1. Long  Case                                                      -            15 marks

                        2.Short  Case                                                                -            10 marks

                        3. Spotters                                                                      -             5 marks

NOTE:  In  the long  case  student  should write the case sheet in detail.              For  short  case only  diagnosis  and sailent  features are to be

Written.

For  spotters only diagnosis  to be   written.

XXV.    PATTERN OF QUESTION PAPERS :

a)      1^st MBBS :-  ANATOMY, PHYSIOLOGY  &  BIOCHEMISTRY

There  will  be two  papers  each carrying  50 marks

                        Each paper  -  Time – 2 ½ Hours               Max. Marks – 50

                        1. One structured  question                                  10 marks

                        2.One -  applied  question                                              10 marks

                        3.5 short answer type questions 5x4                  20 marks

                        4.5 brief answer type  questions 5 x 2                      10 marks

                                    TOTAL                                                          50 marks

b) IInd MBBS :-            PATHOLOGY, MICROBIOLOGY,PHARMCOLOGY &  FORENSIC MEDICINE

There  will be one  paper in  Forensic  Medicine and two papers in each of the test, each paer  carries 40 marks and  consists of

                                                                        Time  2 Hrs

1.One structured  question                                                10 marks

2.5 short answer type questions  5 x 4                                    20 marks

3.5 breif  answer type questions 5 x 2                                    10 marks

                        Total                                                                        40 marks

c)Final  MBBS :- ENT, OPHTHAMOLOGY, PAEDIATRICS AND OBST & GYNAECOLOGY

ENT, Opythalmalogy and  Paediatrics have one paper each while Gynace & obst has two papers  each  of 40 marks  and consists of :

                                                                        Time 2 Hrs

1.One structured  questions                                                10 marks

            2.5 short answer type  questions  5 x 4                                  20 marks

            3.5 brief answer  type  questions 5 x  2                                  10 marks

                                    Total                                                               40 marks

            Medicine, Surgery  and  Community  medicine  each have  2 papers -              Each paper has  60  marks

                                                                                    Time  3 Hrs

            Each  paper  has 2  sections

            Each  section consists  of

            1. One  structured  question                                              10 marks

            2.Five  short answer questions  4x4                         20 marks

                                    Total                                                               30 marks

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STANDING ORDERS ON PUNISHMENT FOR USE OF UNFAIR MEANS  

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