Topics & competencies of Physical Medicine as per the CBME

Topic	Competencies	Practicals	Procedures for certification	Integrations
1. Introduction to Physical Medicine	4	NIL	NIL	V-0 / H-3
2. Cerebrovascular accident	4	NIL	NIL	V-1 / H-4
3. Cerebral Palsy	7	2	NIL	V-2 / H-7
4. Musculoskeletal system	5	2	NIL	V-0 / H-4
5. Amputation	4	2	NIL	V-0 / H-4
6. Lower motor neruon lesion	4	NIL	NIL	V-0 / H-4
7. Spinal injury	9	2	NIL	V-1 / H-9
8. Traumatic brain injury (TBI)	5	NIL	NIL	V-0 / H-5
9. Geriatrics	1	NIL	NIL	V-0 / H-1
Total: 9	43	8	NIL	V-4 / H-41

Sample of the detailed description of the competencies:

No	Competency	DLC	Teaching	Assessment	V/H
PM3.1	Describe and discuss the clinical features, types, evaluation, diagnosis and management of cerebral palsy	K-KH-Y	Lecture, Small group discussion	Written/ Viva voce	V: Human Anatomy H: Pediatrics
PM3.2	Recognize, Describe and discuss the spectrum of multiple disability: cognitive, motor, visual and hearing in cerebral palsy	K-KH-Y	Lecture, Small group discussion	Written/ Viva voce	H: Pediatrics
PM3.3	Recognize describe and discuss the role of special education in children with learning disabilities	K-K-Y	Lecture, Small group discussion	Written/ Viva voce	H: Pediatrics

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.

Teaching and learning methodology in Physical Medicine for MBBS

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 Physical Medicine for MBBS

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.

Examination pattern & marks distribution in Physical Medicine 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: