Dermatology syllabus for MBBS in India (Competency based Education/CBME 2019)

Topics & competencies in Dermatology for MBBS as per the CBME

Topic	Competencies	Practicals	Procedures for certification	Integrations
1. Acne	3	NIL	Nil	NIL
2. Vitiligo	2	NIL	Nil	NIL
3. Papulosquamous disorders	3	NIL	Nil	NIL
4. Lichen Planus	2	NIL	Nil	NIL
5. Scabies	3	NIL	Nil	V-3 / H-1
6. Pediculosis	2	NIL	Nil	V-2 / H-1
7. Fungal Infections	3	1	Nil	V-1 / H-3
8. Viral infections	7	5	Nil	V-1 / H-2
9. Leprosy	7	1	Nil	V-6 / H-5
10. Sexually Transmitted Diseases	11	2	Nil	V-10 / H-6
11. HIV	3	NIL	Nil	V-3 / H-3
12. Dermatitis and Eczema	7	NIL	Nil	V-1 / H-1
13. Vesicubullous Lesions	3	NIL	Nil	NIL
14. Urticaria Angioedema	5	NIL	Nil	V-0 / H-2
15. Pyoderma	4	1	Nil	V-2 / H-2
16. Collagen Vascular disease	2	NIL	Nil	V-2 / H-2
17. Nutritional Deficiencies and Skin	4	NIL	Nil	V-4 / H-0
18. Systemic diseases and the skin	2	NIL	Nil	V-2 / H-0
Total: 18	73	10	NIL	V-37 / H-28

Sample of the detailed description of the competencies:

No	Competency	DLC	Teaching	Assessment	V/H
DR5.1	Describe the etiology, microbiology, pathogenesis, natural history, clinical features, presentations and complications of scabies in adults and children	K-KH-Y	Lecture, Small group discussion	Written/ Viva voce	V: Pediatrics
DR5.2	Identify and differentiate scabies from other lesions in adults and children	S-SH-Y	Bedside clinic	Skill assessment	V: Pediatrics
DR5.3	Enumerate and describe the pharmacology, administration and adverse reaction of pharmacotherapies for scabies	K-KH-Y	Lecture, Small group discussion	Written/ Viva voce	V: Pediatrics H: Pharmacology

Abbreviations & details:
- No & Competencies: No – serial number of the competency with subject/topic coding, & Competencies – description of competencies
- Domain/level-Core (DLC):
  1. Domain (Identifies the domain): K- Knowledge, S – Skill, A – Attitude/professionalism, C- Communication.
  2. Level (Identifies the level of competency): K – Knows, KH – Knows How, SH – Shows how, P- performs independently.
  3. Core: Y – must achieve/compulsory, N – non-core/desirable/optional
- Skills required to certify: P – many procedures must be done independently for certification/ graduation.
- Integration: V – Vertical Integration, H – horizontal integration.

General Objectives of Dermatology for MBBS

Objectives (Knowledge): student should be able to

1. Diagnose and manage common skin diseases, sexually transmitted diseases and leprosy.
2. To diagnose and manage common medical emergencies related to skin diseases, leprosy and sexually transmitted diseases.
3. To familiarize them with the common laboratory diagnostic skills which help in the confirmation of diagnosis.
4. To train them for preventive measures at individual and community levels against communicable skin diseases including sexually transmitted diseases and leprosy.
5. To develop a compassionate attitude towards the patients and their attendants.

Objectives (Skills):

1. History taking in dermatology, sexually transmitted diseases and leprosy.
2. Clinical examination and description of cutaneous findings in a systematic way in dermatology, sexually transmitted diseases and leprosy.
3. To have a broad idea and approach to manage common skin diseases, sexually transmitted diseases and leprosy.
4. Systematic examination in relation to dermatologic diseases.

Teaching and learning methodology in Dermatology for MBBS in India

Details of the competencies, lectures, practicals & skills to be acquired are mentioned in the table given above.
Teaching Learning Method:
1. Learner-centric didactic lectures with Vertical/horizontal integrations (CBME).
2. Tutorial & Seminars
3. Problem-based Learning (PBL) & Small group discussions (especially focus on practical & clinical implications of the knowledge through cases)
4. Conventional Practical classes & DOAP session (Demonstrate, Observe, Assess, Perform),
5. Self-directed learning +/- multimedia aids (Audiovisual presentations).
6. Seminars, symposia & quizzes.

Distribution of approximate teaching hours in Dermatology for MBBS in India

NBE provided the particulars of competencies, teaching methodology, Vertica/.horizontal integrations, AETCOM & Exam methodology however the distribution of hours per class/tutorial & practicals are left for the individual universities to be handled therefore subjected to inter-university variability.

Total number of teaching hours: approximately 150 hrs (teaching hours & distribution might differ slightly per university).
Theory:

	Topic	Hours
1.	Structure & Function of the Skin. Terminology of skin lesions	2
2.	Common Parasitic infections, Scabies, Pediculosis, Others	2
3.	Common Fungal infections, Dermatophytosis, Tinea versicolor, Candida	2
4.	Common Viral infections, Herpes simplex, molluscum contagiosum, Herpes zoster, Warts	2
5.	Common bacterial infections, Impetigo, Ecthyma, Folliculitis, Cutaneous Tuberculosis, Erythrasma	2
6.	Papulosquamous Disorders, Psoriasis, Erythroderma, Lichen planus, Pityriasis rosea	2
7.	Eczema, Ichthyosis	2
8.	Urticaria & Angioedema	1
9.	Pruritus	1
10.	Bullous Disorders, Pemphigus, Pemphigoid, Dermiatitis Herpetiformis	2
11.	Connective Tissue Disease, Lupus Erythematosus, Scleroderma, Dermatomyositis	2
12.	Disorders Related to Weather(Miliaria, Sunburn , Chilblains)	2
13.	Miscellaneous Dermatoses, Acne Vulgaris, Vitiligo, Corns, Callosities, Alopecia, Chloasma/Melasma	2
14.	Adverse Drug Eruptions, Erythema Multiforme, SJS, TEN	2
15.	Syphilis	2
16.	Gonorrhoea & Non Specific Urethritis	2
17.	Chancroid, Granuloma Inguinale, LGV	2
18.	Viral STDs (Herpes genitalis, Condylomata acuminate)	2
19.	HIV infection-Cutaneous manifestations and their management	1
20.	Syndromic Management of STDs	1
21.	Leprosy –Aetiopathogenesis, Clinical Features and Diagnosis	1
22.	Leprosy – Reactions in leprosy	1
23.	Leprosy –Complications and treatment	1

Examination pattern & marks distribution in Dermatology for MBBS

Exam pattern:
1. The formative or internal assessment will not be added to the university examination marks.
  - Should score 50 % & in theory and practical combined to be eligible to sit for university exams.
2. University exam: Each subject will have two papers.
  - 200 marks will be reserved for the theory of two papers.
  - Another 100 will be reserved for either practical, oral, or clinical exams.
  - Should secure 50 % in theory and practical to pass in university examinations

Formative Assessment:
1. Theoretical assessment: clickers, one-minute papers, and muddiest point
2. Practical/clinical assessment: one-minute preceptor (OMP) and/or viva voce.
3. Scheduling: during teaching-learning activities & planned by the teachers on a day-to-day basis and modified depending on the tasks at hand.
Internal assessment
1. Theory: Written tests, should have essay questions, short notes, and creative writing.
2. Practical / Clinical: practical/clinical tests, Objective Structured Clinica/Objective Structured Practical Examination (OSPE) and/or viva voce.
3. Scheduling:
  - Minimum Number of tests during the year: 2
  - Clinical subjects should also be tested at end of each posting (EOP)-Theory and Practical
  - There should be at least one short question from AETCOM in each subject
  - One of the tests in Ophthalmology, Otorhinolaryngology/Forensic Medicine & Toxicology/ Community Medicine should be prelim or pre-university examination
Summative assessment (For Universities)
- Theory Papers: 2 papers for 200 marks
  1. Suggested combination of various types of question:
    1. Structured essays (Long Answer Questions – LAQ)
    2. Short Answers Questions (SAQ)
    3. Objective type questions (Various type of MCQs: < 20% weightage)
  2. Distribution of the competencies: The examiner must sample the contents appropriately from competencies.
- Practicals for 100 marks:
  1. Application-oriented exercises (Should not be simple tests of knowledge).
  2. Objective Structured Practical Examination (OSPE), One- Minute Preceptor (OMP), Directly Observed Procedural Skills (DOPS) etc. can be suitably modified for this purpose and/or viva voce.
- Scheduling: