Psychiatry syllabus for MBBS in India (Competency based Education/CBME 2019)
Topics & competencies in Psychiatry as per the CBME
Topic | Competencies | Practicals | Procedures for certification | Integrations |
1. Doctor patient relationship | 4 | 3 | Nil | NIL |
2. Mental health | 5 | NIL | Nil | NIL |
3. Introduction to psychiatry | 12 | 4 | Nil | V-0 / H-2 |
4. Psychotic disorders | 7 | 3 | Nil | V-3 / H-5 |
5. Psychotic disorders | 6 | 2 | Nil | V-2 / H-0 |
6. Depression | 7 | 3 | Nil | V-2 / H-0 |
7. Bipolar disorders | 7 | 3 | Nil | V-2 / H-0 |
8. Anxiety disorders | 7 | 3 | Nil | V-2 / H-0 |
9. Stress related disorders | 7 | 3 | Nil | NIL |
10. Somatoform disorders | 7 | 3 | Nil | V-2 / H-5 |
11. Personality disorders | 7 | 3 | Nil | V-2 / H-0 |
12. Psychosomatic disorders | 7 | 3 | Nil | V-2 / H-4 |
13. Psychosexual and gender identity disorders | 7 | 3 | Nil | V-1 / H-0 |
14. Psychiatric disorders in childhood and adolescence | 6 | 2 | Nil | V-5 / H-0 |
15. Mental retardation | 4 | 1 | Nil | V-4 / H-0 |
16. Psychiatric disorders in the elderly | 5 | 1 | Nil | V-3 / H-0 |
17. Psychiatric emergencies | 3 | NIL | Nil | NIL |
18. Therapeutics | 3 | NIL | Nil | V-1 / H-0 |
19. Miscellaneous | 6 | NIL | Nil | V-5 / H-0 |
Total: 19 | 117 | 40 | NIL | V-36 / H-16 |
Sample of the detailed description of the competencies:
No | Competency | DLC | Teaching | Assessment | V/H |
PS12.1 | Enumerate and describe the magnitude and etiology of psychosomatic disorders | K-KH-Y | Lecture, Small group discussion | Written/ Viva voce | H: General Medicine |
PS12.2 | Enumerate, elicit, describe and document clinical features in patients with magnitude and etiology of psychosomatic disorders | S-SH-Y | Bedside clinic, DOAP session | Skill assessment | H: General Medicine |
PS12.3 | Enumerate and describe the indications and interpret laboratory and other tests of psychosomatic disorders | S-SH-Y | Bedside clinic, DOAP session | Skill assessment | H: General Medicine |
- Abbreviations & details:
- No & Competencies: No – serial number of the competency with subject/topic coding, & Competencies – description of competencies
- Domain/level-Core (DLC):
- Domain (Identifies the domain): K- Knowledge, S – Skill, A – Attitude/professionalism, C- Communication.
- Level (Identifies the level of competency): K – Knows, KH – Knows How, SH – Shows how, P- performs independently.
- 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 Psychiatry for MBBS
- Objectives (Knowledge): Student will be able to
-
- Understand human behaviour and its application in patient care.
- Understand the concept of motivation, its impact on human behaviour and illness related behaviour.
- Understand different types of emotions and their impact on health of the individual.
- Define learning, comprehend different types of learning and conditioning. State methods of effective learning and demonstrate application of learning in treatment.
- Understand different cognitive processes, comprehend memory process, describe short term memory and differentiate with long term memory., list causes of forgetting, and illustrate methods of improving memory.
- Comprehend concept of thinking and its application to health care.
- Understand nature of intelligence, explain growth of intelligence, compare role of heredity and environment in intellectual development. Method of assessment of intelligence.
- Define personality, list determinants of personality, understand different theories of personality and learn methods of personality assessment.
Teaching and learning methodology in Psychiatry as per the CBME
- Details of the competencies, lectures, practicals & skills to be acquired are mentioned in the table given above.
- Teaching Learning Method:
- Learner centric didactic lectures with Vertical/horizontal integrations (CBME).
- Tutorial & Seminars
- Problem-based Learning (PBL) & Small group discussions (especially focus on practical & clinical implications of the knowledge through cases)
- Conventional Practical classes & DOAP session (Demonstrate, Observe, Assess, Perform),
- Self-directed learning +/- multimedia aids (Audiovisual presentations).
- Seminars, symposia & quizzes.
Distribution of approximate teaching hours in Psychiatry 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.
- Total number of teaching hours: approximately 150 hrs (teaching hours & distribution might differ slightly per university).
- Theory & Practicals:
Topic | Hours | |
1 | Introduction and classification of Psychiatric disorders, Concept of psychiatric disorders; need for classification; types of classification e.g. atheoretical, symptom – based; introducing the International Classification of Diseases ((ICD) and the Diagnostic and Statistical Manual (DSM); major categories of psychiatric disorders; diagnosis of organic disorders. | 1 hour |
2 | Schizophrenia: Epidemiology, clinical features, subtypes, diagnosis, overview of aetiology, course, treatment –pharmacological, role of ECT. | 1 hr |
3 | Bipolar disorders: Epidemiology, clinical features, diagnosis, overview of aetiology, course, treatment – pharmacological. | 1 hr |
4 | Depression: Epidemiology, clinical features, diagnosis, overview of aetiology, co-morbidity with organic disorders, course, treatment – pharmacological. | 1 hr |
5 | Anxiety neurosis, phobia and OCD: Types of anxiety disorders; phobia, OCD, clinical features and epidemiology; diagnosis, differential diagnosis; overview of aetiology; course; treatment – pharmacological and non-pharmacological. | 1 hr |
6 | Hysterical neurosis (Conversion and Dissociative disorders) Epidemiology, clinical picture, diagnosis, differential diagnosis, aetiology, prognosis, treatment. | 1 hr |
7 | Somatoform disorders: Type of somatoform disorders, clinical features, diagnosis, differential diagnosis, treatment, prognosis | 1 hr |
8 | Drug and Alcohol dependence: Concept of abuse and dependence, epidemiology of alcohol and opiate dependence; clinical features, withdrawal symptoms including complicated withdrawal, psychosocial complications, aetiology, outcome, treatment | 1 hr |
9 | Personality disorders: Concept of personality disorders, epidemiology, classification, assessment, overview of clinical features, aetiology, and prognosis. | 1 hr |
10 | Psychiatric disorders of childhood and adolescence, Classification of childhood psychiatric disorders, epidemiology, clinical features, aetiology, assessment. | |
11 | Counselling and psychological therapies Counselling process, skills, different counseling approaches, behaviour therapy, cognitive therapy and its applications. | 1 r |
12 | Psychological testing What are psychological tests, standardization, reliability, validity, intelligence test, personality test, application. | 1 hr |
13 | Psycho-sexual disorders. | 1 hr |
14 | Psychiatric emergencies including suicide. | 1 hr |
15 | Organic mental disorder like delirium | 1 hr |
16 | Learning (different types) memory (Types of memory, cause of forgetting etc.) | 1 hr |
17 | Psychiatric interventions like ECT, rTMS, | 1 hr |
18 | Psychotropics drugs | 1 hr |
19 | History of Psychiatry and issue of stigmas regarding mental illnesses | 1 hr |
20 | Difference between normal and abnormal behaviour. Doctor-Patient relationship and communication skills | 1 hr |
Examination pattern & marks distribution in Psychiatry for MBBS
- Exam pattern:
- 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.
- 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 exam.
- Should secure 50 % in theory and practical to pass in university examinations
- The formative or internal assessment will not be added to the university examination marks.
- Formative Assessment:
- Theoretical assessment: clickers, one-minute papers, and muddiest point
- Practical/clinical assessment: one-minute preceptor (OMP) and/or viva voce.
- 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
- Theory: Written tests, should have essay questions, short notes, and creative writing.
- Practical / Clinical: practical/clinical tests, Objective Structured Clinica/Objective Structured Practical Examination (OSPE) and/or viva voce.
- 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
- Suggested combination of various types of question:
- Structured essays (Long Answer Questions – LAQ)
- Short Answers Questions (SAQ)
- Objective type questions (Various type of MCQs: < 20% weightage)
- Distribution of the competencies: The examiner must sample the contents appropriately from competencies.
- Suggested combination of various types of question:
- Practicals for 100 marks:
- Application-oriented exercises (Should not be simple tests of knowledge).
- 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:
- Theory Papers: 2 papers for 200 marks
List of recommended books in Psychiatry for MBBS
- Niraj Ahuja’s Text-book on Psychiatry
- Oxford Psychiatry
Also watch:
- Lecturer in Psychiatry for MBBS: