Goal: The broad goal of the teaching of undergraduate students in Community Medicine is to prepare them to function as community andfirst level physicians as per CBME to create Indian Medical Graduate (IMG).
Objectives: During the training, students should acquire following competencies, knowledge and skills so that they can practicecommunity medicine after graduation.
Competencies: The undergraduate must demonstrate
· Understanding ofthe concept of health and disease
· Understanding of demography,population dynamics and disease burden in National and global context
· Comprehension of principles of health economics and hospital management
· Understanding of interventions to promote health and prevent diseases as envisioned in National and State Health Programmes.
· Understanding of physical,social, psychological, economic and environmental determinants of health and disease.
· Ability to recognize and manage common health problems including physical, emotional and social aspects at individual family and community level in the context of National Health Programmes.
· Ability to Implement and monitor National Health Programmes in the primary care setting, General knowledge about Organ and Tissue donation.
· Knowledge of maternal and child wellness as they apply to national health care priorities and programmes
· Ability to recognize,investigate, report, plan arrange community health problems including malnutrition and emergencies.
Knowledge: At the end of the course the student shall be able
· Explain the principles of sociology including demographic population dynamics.
· Identify social factors related to health, disease and disability in the context of urban and rural societies.
· Appreciate the impact of urbanization on health and disease.
· Observe and interpret the dynamic of community behaviours
· Describe the elements of normal psychology and social psychology.
· Observe the principles of practice of medicine in hospital and community settings.
· Describe the health care delivery systems including rehabilitation of the disabled in the country.
· Describe the National Health Programmes with particular emphasis on maternal and child health programmes,family welfare planning and population control.
· Describe the epidemiological methods and techniques.
· Outline the demographic pattern of the country and appreciate the roles of the individuals,family,community and socio-cultural milieu in health and disease.
· Describe the health information systems.
· Acquire,understand, integrate,apply and manage information in context to health care problems and health care delivery system in various communities, health care settings and hospitals.
· Describe the principles and components of primary health care, National Rural Health Mission and the national health policies to achieve the goal of "Health for all" with regards to identify the environmental, bio-waste and occupational hazards and their control.
· Describe the importance of water and sanitation in human health.
· Describe the principles of health economics, health administration, and health education in relation to community.
· Critically analyse the problem(s) and apply his/her knowledge to solve the problem in holistic manner.
· Describe and apply principles of prevention, promotion and maintenance of health.
Skills: At the end of the course, the student shall be able to –
· Use the principles and practice of medicine in hospital and community settings and familiarization with elementary practices.
· Use the Art of communication with patients including history taking and medico social work.
· Use epidemiology as a scientific tool to make rational decisions relevant to community and individual patient intervention.
· Organize healthcare services for vulnerable and disadvantages groups.
· Organize healthcare services in case of calamities.
· Collect, analyse,interpret and present simple community and hospital base data.
· Diagnose and manage common health problems (including communicable and non-communicable diseases) and emergencies at the individual,family and community levels keeping in mind the existing health care resources and in the context of the prevailing socio-culture beliefs.
· Diagnose and manage common nutritional problems at the individual and community level.
· Plan, implement and evaluate a health education Programme with skill to use simple audio-visual aids.
· Interact with other members of the health care team and participate in the organization of health care services, health advocacy and implementation of national health programmes.
· Perform Administrative functions at health centres
· Observe the principles of medical ethics in the practice of his profession.
Integration:
Department shall adopt an integrated approach towards other clinical disciplines, public health services, NGOs, environmental sciences, social sciences, management, hospital administration, research,etc.to impart training to enable the graduate to work at all levels of healthcare.The teaching should be aligned and integrated horizontally and vertically in order to allow the learner to understand the impact of environment, society and national health priorities as they relate to the promotion of health and prevention and cure of disease.
Teaching:
Teaching in Community Medicine during I professional year, II professional year & III professional year phase I as below:
Professional year |
Lectures |
SGL |
Clinical Postings |
SDL |
FAP |
Total hours |
I (I MBBS) |
20 |
20 |
- |
-
|
27 |
67 |
II (II MBBS) |
15 |
0 |
4 Weeks |
10
|
30 |
55 |
III Phase I
(III MBBS part I) |
55 |
70 |
4 Weeks |
20 +
10 (logbook submission) |
21 |
176 |
Department: It is located on the 3rd floor in main college building and equipped with 2 demonstration rooms, 1 museum, 1 departmental library, both UG & PG research labs and office space for all teaching and non-teaching staff. Department has 3 PHCs namely Rancharda, Saijand Mokasan (all in district Gandhinagar) and UHC Ognaj (in Ahmedabad City)identified for training of medical students. Of these, Rancharda PHC has been identified and developed as RHTC. Department is also committed to improving the quality of health services in these Centres with the help of its staff including a dedicated LMO and paramedical staff, posted at RHTC and UHTC.3 CHC’s (Kalol, Dingucha & Thol) have been identified for internship training.
Training in the subject is imparted through lectures, field visits, tutorials, Small Group Learning (SGL), Self-Directed Learning (SDL),practical and demonstrations. In addition to this, department undertakes 2 community/clinical-postings (of total 8 weeks duration) during II and III Professional years phase I; where in rapid community survey, FAP visits,family/case study, IMNCI training, Problem Solving for Better Health (PSBH)projects, visits to various social, medical and health institutions, visits to PHC (RHTC), UHTC and their allied agencies are conducted, among other things. Interns posted for 12 weeks internship posting in community medicine (3 weekseach CHCs and 3 weeks inRHTC/UHTC).
Family Adoption Programme (FAP):
During the Medical UG training program, the learner should be able to:
· Have the orientation towards primary health care
· Create health related awareness within the community
· Function as a first point of contact for any health issues within the community
· Act as a conduit between the population and relevant health care facility
· Generate and analyse data for improving health outcomes and Evidence based clinical practices.
This is being introduced with the aim of village outreach program for MBBS students. Every students have been adopted 3 (three) families.
Numberof visits and hours of entire Family adoptionprogramme
Year |
No. of visits |
Hours |
1st Prof |
9 visits |
27 hours |
2nd Prof |
10 visits |
30 hours |
3rd Prof |
7 visits |
16 hours + 5 hours in last visit |
Total |
26 visits |
|
Evaluation: Department has a robust system of formative and summative evaluation, which is in accordance to the National Medical Commission(NMC) and the Gujarat University. University examination will be held at the end of III professional year phase 1 along with the subjects of Forensic Medicine (from admission batch 2021 onwards). Internal evaluations are done regularly during I, II, III phase 1 Professional years; their marks are added to the marks obtained by students during university examinations as internal marks. Further we do share the feedback of these examinations with parents(especially forthose who are poorly performing).
Activities: Various activities such as observance of important public health days, multi specialties OPD, family surveys with follow up visits and other operational research; are being carried out in these centres. Department organized the State level conference for 2015 & 2022 and had active participation in hosting the Annual National Conference held in Gandhinagar in January 2016. Medical quiz for the UG students is held every year on the occasion of World Health day. We also encourage the students to apply forresearch projects under agencies like ICMR-STS.