Implementation of cbme curriculum in pharmacology

1. IMPLEMENTATION OF
CBME CURRICULUM IN
PHARMACOLOGY
Dr. Soni
Assistant Professor
Department of Pharmacology

2. Pharmacology current emphasis on
• Integrated curriculum – Horizontal & Vertical and alignment
• Interactive teaching methods
• Shift from animal experiments/ dispensing pharmacy curriculum “applied”
approach
• Communication

3. Topic No. of
competencies
(85)
No. of
competencies
require skill
No. of skill
that require
certification
K Pharmacology 64 4 NIL
S Clinical
pharmacy
4 4 NIL
S Clinical
pharmacology
8 8 4
S Experimental
pharmacology
2 2 NIL
C Communication
pharmacology
7 5 NIL
Pharmacology UG Curriculum

4. Skills that require certification
Number COMPETENCY NUMBER
REQUIREDTO
CERTIFY P
VERTICAL
INTEGRATION
HORIZONTAL
INTEGRATION
ASSESSMENT
METHOD
PH3.1 Write a rational, correct and legible
generic prescription for a given
condition and communicate the
same to the patient
5 General
Medicine
------- Skill station
PH3.2 Perform and interpret a critical
appraisal (audit) of a given
prescription
3 --------- log book
PH3.3 Perform a critical evaluation of the
drug promotional literature
3 General
Medicine
--------- log book/
Skill station
PH3.5 To prepare and explain a list of P-
drugs for a given case/condition
3 General
Medicine
--------- log book

5. Log book
1 2 3 4 5 6 7 8
Competenc
y no.
addressed
Name of
activity
Date
completed:
dd-mmyyyy
Attempt
at
activity
First or
Only (F)
Repeat
(R)
Remedial
(Re)
Rating
Below (B)
expectations
Meets (M)
expectations
Exceeds (E)
expectations
OR
Numerical
Score
Decision
of faculty
Completed
(C)
Repeat
(R)
Remedial
(Re)
Initial
of
faculty
and
date
Feedback
Received
Initial of
learner
Prepared by faculty as per MCI guidelines
(competency, attendance, assessment)

6. Subject Vertical integration Horizontal integration
1. Physiology 1
2. Microbiology 4
3. Community medicine 1 3
4. Forensic Medicine and Toxicology 15 10
5. Dermatology, Venereology and leprosy 12
6. Anesthesiology 8
7. Psychiatry 18
8. General Medicine 61
9. Pediatrics 9
10. General Surgery 1
11.Physical Medicine and Rehabilitation 2
12. Respiratory Medicine 4
13. Orthopaedics 1

7. Subjects
Lecture
hours
Small group teaching /
tutorials / integrated
learning / practical (hours)
Clinical
Posting
s
Self
directe
d
learnin
g
(hours)
Total
(hours)
Pathology 80 138 - 12 230
Pharmacology 80 138 - 12 230
Microbiology 70 110 - 10 190
Community Medicine 20 30 - 10 60
Forensic Medicineand
Toxicology
15 30 - 5 50
Clinical Subjects 75** - 540*** 615
Attitude, Ethics &
Communication
module
(AETCOM)***
- 29 - 8 37
Sports and extracurricular
activities
- - - 28 28
Total - - - - 1440
Second professional teachinghours
*At least 3 hours of clinical instruction each week must be allotted to training in clinical and
procedural skill laboratories hours maybe distributed weekly or as a block in each posting
based on institutional logistics.
***The clinical postings in the second professional shall be 15 hours per week (3 hrs per day
from Monday to Friday ).

8. Major difference
OLD NEW
Teaching - Theory 120 80
Practical 144
138
Integration 36
SDL 12
Duration 1 ½ year 11 months
IA Min 3, 35% eligibility
60 T & 20 P
MIn 3, 50% to pass –
60T & 20P
SA 2*100 –
Theory 40 –
Viva
Practical - 80
2*100 –
Theory Viva
– 40
Practical – 80
Curriculum Theory, Practical
and integration
Theory, SGT,
Integration, Skills,
Communication and
SDL

9. Internal Assessment
3rd semester 1st block End block examination
(Theory + Practical)
+
MCQ, Viva, OSPE will be
taken frequently after each
major system completion
2nd block
4th semester 1st block
2nd block
5th semester 1st block
2nd block

10. Non core competencies in Theory
Number Competency Integration
PH1.30 Describe the mechanisms of action,
types, doses, side effects,
indications and contraindications of the
antiarrhythmics
General Medicine
PH1.53 Describe heavy metal poisoning and
chelating agents
PH1.60 Describe and discuss
Pharmacogenomics and
Pharmacoeconomics
PH1.61 Describe and discuss dietary
supplements and nutraceuticals
Non core competencies in clinical pharmacology
Number Competency Integration
PH3.6 Demonstrate how to optimize
interaction with pharmaceutical
representative to get authentic
information on drugs

11. Skill requiring DOAP sessions
Number Competency
PH2.1 Demonstrate understanding of the use of various dosage forms
(oral/local/parenteral; solid/liquid)
PH2.2 Prepare oral rehydration solution from ORS packet and explain its
use
PH2.3 Demonstrate the appropriate setting up of an intravenous drip in a
simulated environment
PH2.4 Demonstrate the correct method of calculation of drug dosage in
patients including those used in special situations
PH4.1 Administer drugs through various routes in a simulated
environment using mannequins

12. Skill competency requiring skill lab/skill station
Number Competencies
PH3.1 Write a rational, correct and legible generic prescription for a given
condition and communicate the same to the patient
PH3.2 Perform and interpret a critical appraisal (audit) of a given
prescription
PH3.3 Perform a critical evaluation of the drug promotional literature
PH3.4 To recognize and report an adverse drug reaction
PH3.5 To prepare and explain a list of P-drugs for a given case/condition
PH3.6 Demonstrate how to optimize interaction with pharmaceutical
representative to get authentic information on drugs
PH3.7 Prepare a list of essential medicines for a healthcare facility
PH3.8 Communicate effectively with a patient on the proper use of
prescribed medication
PH4.2 Demonstrate the effects of drugs on blood pressure (vasopressor
and vaso-depressors with appropriate blockers) using computer
aided learning

13. Skill competency requiring SGD
No. Competencies
PH5.1 Communicate with the patient with empathy and ethics on all aspects of drug use
PH5.2 Communicate with the patient regarding optimal use of a) drug therapy, b) devices and c)
storage of medicines
PH5.3 Motivate patients with chronic diseases to adhere to the prescribed management by the health
care provider
PH5.4 Explain to the patient the relationship between cost of treatment and patient compliance
PH5.5 Demonstrate an understanding of the caution in prescribing drugs likely to produce dependence
and recommend the line of management
PH5.6 Demonstrate ability to educate public & patients about various aspects of drug use including
drug dependence and OTC drugs
PH5.7 Demonstrate an understanding of the legal and ethical aspects of prescribing drugs

14. AETCOM Module
No. competencies Hours
2.1 The foundations of communication - 2 5
2.2 The foundations of bioethics 2
2.3 Health care as a right 2
2.4 Working in a health care team 6
2.5 Bioethics continued – Case studies on patient
autonomy and decision making
6
2.6 Bioethics continued: Case studies on autonomy
and decision making
5
2.7 Bioethics continued: Case studies on autonomy
and decision making
5
2.8 What does it mean to be family member of
a sick patient?
6

15. Suggested topics for integration
1. Diabetes mellitus
2. Hypertension
3. Malaria
4. Tuberculosis
5. Anaemia
6. HIV

16. TaskAhead
• Training of faculties –firstPriority
• Formation of SLOs for each competency???
• Modules matching the competencyespecially for skills???
• Fittingthe content from 300 hrs to 230 hrs
• Rapport with clinical department
• Uniformity of all to match thenational standards

17. THANKYOU