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Infectious disease module Study Guide

A Course Title INFECTIOUS DISEAESES MODULE

B Course Coordinator: Dr. Irfan Ashraf

C Course Committee Dr. Irfan Ashraf, Dr. Ali Haider, Dr. Syeda Zarreen Raza, Dr. Rubia Kashif

D Objectives of Study

Guide

1. To inform the students how students-learning program has been organized for

the course of Infectious diseases Module (1st Module of semester V). 2. To communicate about the process of implementation of redesign module. 3. To help students to organize and manage their study skills throughout the

program.

E

Introduction

This is a 5 week module to develop knowledge skills and attitudes of the students on

infections and infectious diseases and their prevention and control. Furthermore, the module will emphasize on educating the community and especially guiding them in

prevention of infectious diseases

F Context

The students of semester V having background knowledge of basic sciences will learn

to relate it with clinical problems of the infectious diseases.

G Target Students Semester V Third year MBBS

H Duration 5 WEEKS

I Rationale Infectious diseases remain a leading cause of morbidity and mortality worldwide, with HIV, tuberculosis and malaria estimated to cause 10% of all deaths each year – This part of world faces much more financial burden than rest of the world because of these

preventable diseases. The skills and knowledge imparted in this module will help the students in understanding the etiology, epidemiology of infectious diseases and will

help them in identifying and treating the patients with infectious diseases.

J Learning Outcomes

At the end of this MODULE students will be able to:

1. develop knowledge skills and attitudes on infectious diseases, their prevention and control. 2. State the dynamics of transmission of communicable diseases.

3. describe the principle routes of disease transmission. 4. discuss the epidemiology of some common communicable diseases and their control

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measures. 5. define the role of vectors and their control measures.

6. recognize the effects of immunization and programs for its delivery. 7 .identify the steps and the rationale for the investigation of disease outbreaks.

K

Teaching strategies 1. Bed Side Teaching 2. Lectures 3. Small group discussion (PBL) 4. Practical session 5. Tutorials 6. Seminar 7. Presentations 8. Skills lab

9. Self-study 10. eLearning

L Departments

Clinical Faculty

Anatomy Biochemistry

Community Medicine Physiology Pathology

Pharmacology Forensic medicine

DEPARTMENT/SUBJECT

LEARNING OBJECTIVES

At the end of the week, the students should be able to:

TOPICS/METHOD OF TEACHING

Week 1

FORENSIC MEDICINE

Describe the basic principles of Forensic Medicine in relation to medico/legal cases.

Discuss the general principles of toxicology, treatment of poisons and

antidotal therapy Describe the relevant legal/court

procedures applicable to medico/legal practice

Understand the role of forensic

medicine in crime detection and

Introduction of Forensic Medicine & its branches

(Lecture)

- Basics of Forensic Medicine and Toxicology.

- Various branches of Forensic Sciences and their importance and

utility in civilized society.

- Basics of Legal system in Pakistan

- Role of Forensic Medicine in crime

detection and other medical, legal

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ethical issues. Discuss the responsibility and power

of courts in Pakistan Define a poison.

Differentiate between poison and a medicine.

Describe the routes of administration of poisons, excretion of poisons. Identify the factors modifying action of

poisons Diagnose a case of poisoning in living &

dead. Outline the Duties of a doctor in a case of suspected poisoning. Restate the General principles of treatment

of poisoning. Explain the procedure of Gastric lavage

and the Antidote therapy

and ethical issues

- Courts in Pakistan and their Powers

Introduction of Toxicology, classification

of poisons (practical)

MEDICINE

Recognize the signs and symptoms

of different infectious diseases on the basis of history, clinical examination

Review the core infectious disease information essential for recognizing

the significant attributes of different signs and symptoms

Describe the clinical features,

differential diagnoses, management and complications of malaria

Presenting problem in infectious diseases (lecture)

Clinical examination of Infectious diseases

(lecture)

Bacterial infection

(Mumps, influenza, infectious, mononucleases, CMV)

(lecture)

Clinical Features, diagnosis, management and complication of malaria(lecture)

PEDIATRICS

Discuss the importance of integrated management of neonate and child

Fever with rash and IMNCI : EPI, MMR (lecture)

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with fever and rash State the aims and objectives of EPI

program

MICROBIOLOGY

Describe the microorganisms of common infectious diseases.

Explain the pathophysiology of inflammation

Discuss the pathogenesis, and microbiology of malaria

Perform stool DR, urine DR, culture

interpret stool DR, urine DR,

culture,PCR, serology reports

Overview of infectious disease module(lecture)

Acute & chronic inflammation(lecture)

Pathology & microbiology of

malaria(lecture)

How to perform & interpret stool DR,

urine DR, culture,PCR,

serology(practical)

PHARMACOLOGY

Explain the major action and effects of

drugs used to treat infectious diseases

Identify criteria, used to select an effective antimicrobial agent

Antimicrobials(lecture)

COMMUNITY MEDICINE

review communicable diseases of public health importance;

Introduction & Definition of

communicable and infectious disease (lecture)

Week 2 At the end of the week, the students should be able to:

PATHOLOGY

Describe the basic pathophysiology of typhoid fever with emphasis on

laboratory investigations.

Typhoid Fever(practical )

MICROBIOLOGY

Describe the microbiology of

Dengue,VHF and typhoid fever and STDs.

Typhoid & Para Typhoid(lecture

VHF & Dengue(lecture)

Micro-organisms causing STDs(lecture)

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MEDICINE

Recognize the presentation and relevant diagnostic tests of typhoid

fever and Dengue Identify the appropriate treatment

and complication of typhoid fever ,

Dengue and VHF

Clinical features diagnosis and

management and complications of Typhoid fever(lecture)

VHF & Dengue(lecture)

PBL

DERMATOLOGY

State the clinical presentation of common skin infections.

Discuss management plan of common bacterial and fungal skin infections

Describe cutaneous manifestations, diagnosis, and treatment of sexually

transmitted diseases

Skin infection (lecture

Clinical features, diagnosis, management

and complications of STDs(lecture

PHARMACOLOGY

Describe the effects, dosage ,

adverse effects of different anti malarial drugs

Discuss the drug treatment of

typhoid fever and STDs Review the effects, side effects of

medications for management of typhoid and STD

Anti-malarial Drugs(lecture)

Treatment of typhoid fever(SGD)

Drug used for typhoid Fever(lecture)

Drug management of STD’s (lecture)

COMMUNITY MEDICINE

Discuss epidemiology and prevention of infectious diseases with special emphasis on measles .

Measles and prevention(lecture) Measles and prevention (practical)

discuss the basic principles for communicable disease control

discuss simple but effective ways of preventing outbreaks of

communicable diseases

Control of infection and communicable

diseases(lecture)

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FORENSIC MEDICINE

Define the terms(summons, warrant, perjury, deposition, exhibit, offence, cognizable offence, non

cognizable offence, oath, conduct money, summons case, warrant

case, bail, FIR) Discuss the types of medical

evidence , documents prepared by

medical man, Dying declaration, Dying deposition

Explain the importance of legal

procedures related to medical man.

Discuss the types of witnesses, examination in courts.

Legal Procedures- I - Important legal terms such as

Summons, warrant, perjury,

deposition, exhibit, offence, cognizable offence, non cognizable

offence, oath, conduct money, summons case, warrant case, bail, FIR

- Medical evidence, types of evidence (oral, documentary,

hearsay, circumstantial) - Documents prepared by a medical

man(Post mortem Reports, Medico

Legal Reports, Certificates such as birth certificates, death

certificates, sickness certificates, certificates of unsoundness of mind)

- Dying declaration, - Dying deposition (lecture)

Legal Procedures – II (lecture) - Types of witnesses

- Types of examination in the court - Doctor in the witness box - Procedure of court attendance &

recording evidence - Volunteering of a statement by the

doctor in court of law - Professional secrecy - Privileged communication

Week 3 At the end of the week, the students should be able to:

MEDICINE

Discuss the presenting features, relevant investigations and

Fungal infection (lecture)

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management of fungal infections

SURGERY

Develop a diagnostic approach to

the patient with sepsis and SIRS

Clinical Features, diagnosis management

and Complications of Sepsis/ SIRS(lecture)

PATHOLOGY

interpret the investigations relevant to infectious diseases

explain the pathophysiology of sepsis and SIRS

Discuss acute and chronic

inflammation Describe the structure and

pathogenesis of HIV List the specific lab tests of HIV to

make proper diagnosis

Diagnosis of pathogens on blood culture(PRACTICAL)

Acute & Chronic inflammation (lecture) Pathophysiology of

Sepsis/ SIRS (lecture) HIV structure and pathogenesis (lecture)

Specific lab tests of HIV

MICROBIOLOGY

Discuss clostridia and its clinical

application

Describe leprosy, its types and

microorganisms

Tetanus and Clostridial

Infections(lecture)

Leprosy(lecture)

COMMUNITY MEDICINE

Describe routes of transmission of organism causing diarrhea & its prevention

prevention of acute diarrheal diseases and different worms’ infestation

Discuss epidemiology and prevention of infectious diseases

Counsel the patient and attendant

about measles and scabies

Acute Diarrheal disease & its prevention (lecture)

Worm infestation and its prevention

(lecture)

Scabies & its prevention (lecture)

PHARMACOLOGY

Discuss the effects, dosage ,

adverse effects of drugs used for leprosy

Drug used for Leprosy(lecture)

Leprosy (tutorial)

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Review the classification of Antipyretics & Anti-inflammatory

drugs Describe the drug treatment of HIV

Antipyretics & Anti-inflammatory drugs(lecture)

Drug management of HIV (lecture)

FORENSIC

MEDICINE

Recognize importance of forensic medicine, toxicology and its application

Diagnose a case of poisoning in living & dead

Restate the General principles of treatment of poisoning.

Diagnoses of poisoning in living & dead, general treatment of poisoning (practical)

Week 4

MEDICINE

Diagnose HIV and council the

patients about its management and complications

Develop a diagnostic approach and management

plan of a patient with diarrhea

Clinical features, diagnosis, management and

complications of HIV( lecture)

Acute Diarrhea in adults (lecture)

PAEDIATRICS

Classify a sick child with

Diarrhea, dysentery and worm infestation according to the protocols of IMNCI

Assess a sick child with Diarrhea, dysentery and

worm infestation according to the protocols of IMNCI

Recognize the importance of integrated management plan of a sick child with Diarrhea,

dysentery and worm infestation

Assess and Classification of the sick child and

management with Diarrhea, dysentery and worm infestation (lecture)

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PHARMACOLOGY

Restate all the steps in the treatment of diarrhea according to the protocols of IMNCI

Discuss the pharmacological effects of anti-diarrheals and anti-microbial drugs and their complications

Drugs treatment of diarrhea(TUTORIAL)

Anti-diarrheal and anti-microbial drugs (lecture)

PATHOLOGY

Emphasize the importance of specific lab tests eg. bacterial culture, PCR, Serology and stool D/R

Interpret the results of bacterial culture, PCR and stool D/R with relation to specific diseases.

Bacteriology culture techniques PCR, Serology (P-1) / Stool D/R(Practical)

FORENSIC MEDICINE

Discuss importance of legal procedures and law related to medical man

Discuss the criminal justice system in Pakistan

Discuss the duties of a doctor In a

case of suspected poisoning Apply the forensic knowledge for

diagnosis and detection of poisons

Practice the principles of treatment of poisons and their antidotal therapy

Legal Procedures III- IV (lecture)

Criminal Justice system in Pakistan, - Pakistan Penal Code - Criminal Procedure Code

- Its execution and Delivery - General presumptions of law - General exemptions of law

Duties of a doctor In a case of suspected poisoning

General Treatment of poisoning, gastric lavage, antidote therapy(practical

General Toxicology

MICROBIOLOGY

Classify the organisms causing diarrhea and dysentery

Discuss in detail classes and pathogenesis of of different worms infesting humans.

Diarrhea and dysentery: Agents causing diarrhea Bacterial Parasitic and viruses(lecture) Worm infestation (lecture)

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COMMUNITY MEDICINE

Describe routes of transmission of organism causing diarrhea

Describe zoonoses and other health risks associated with pet ownership and its prevention

Acute diarrheal diseases II

Zoonotic disease & its prevention

Week 5

MEDICINE

List the clinically important parasites that infest humans

Describe mode of transmission and pathogenesis of diseases caused by worm

Describe diagnostic lab tests relevant to worms infestation

Discuss the management plan in worm infestation

Analyze the clinical features and investigations to reach diagnosis for different worms’ infestations

Discuss the management plan of in worm infestation

Nematodes (round

worms) clinical features,

diagnosis,

investigations,

Trematodes (flukes) clinical features,

diagnosis,

investigations,

management

Cestodes (tape worms) clinical features, diagnosis, investigations, management

COMMUNITY MEDICINE

Develop ways to improve communication with patients regarding health risks from pets

Describe cholera and its routes of spread.

identify the correct course of action for treatment and referral of people with watery diarrhea.

Demonstrate cholera prevention practices.

Emerging & re-emerging disease & its prevention

Epidemiology and prevention of Diarrheal diseases (PRACTICAL)

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Cholera & its prevention

Acute Diarrheal disease

FORENSIC MEDICINE

outline the duties of doctors as advised by international code of medical ethics Identify obligations of a registered medical practitioner, professional misconduct Recognize the role of consent in medical examination and procedures, types of consent, criteria of valid consent. Express the understanding of Medical negligence, its types and punishments for medical negligence. Summarize core concept of Transplantation of Human Organs and Tissues along With euthanasia and its ethical aspects.

Law in relation to

medical man II , III & IV

PHARMACOLOGY

Explain the pharmacology of antidiarrhoeal drugs; exploring the classes of drugs used in the typical management strategies of this common condition

Diarrhea, Dysentery in Adults

PEDIATRICS

State the integrated case management of the most common childhood problems( designed for the management of sick children aged from birth up to five years)

IMNCI

MICROBIOLOGY

classify the rhabdoviruses Discuss about the structure and replication of these negative strand RNA viruses explain the pathology of rabies

Rabies

N E-Learning A wealth of learning material in the form of presentations and PDF lectures outline are

available at JSMU e-Learning website. Follow the link from JSMU website.

O WORKSHOPS: Department of medical education will offer optional workshops to improve learning

capabilities.

P

Formative assessment

Formative assessment will be available in digital lab as well as online. This will help in self-assessment of students.

Q Mode of Internal Evaluation:

(Continuous Assessment): Continuous monitoring of attendance and practical assessment in short groups.

It will be help in the form of BCQs, assignments, stages/sub-stages, projects, quiz or OSPE.

Internal evaluation carries 20% weightage in summative semester examination.

R Schedule Of ??????????????

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Examination/s:

S

Mode of terminal Examination: MCQs + EMQs and OSPE (observed + un observed).

T Course Monitoring: Through the Department of Medical Education and Quality Enhancement Cell.

U Evaluation of the course:

Through students and faculty feedback and by the analysis of the results.

V Course Summary:

Through a combination of lectures, ward visits and practical classes this five weeks module will provide a broad overview including an introduction to the global burden and distribution of infectious diseases, approaches to prevention and control of diseases with respect to our community.

W End Note

This document is prepared by professional development centre and clinical coordination cell in consultation with department of medical education. Some parts of the study guide are tentative and may be modified. Any modification will be displayed on website. We need your regular feedback. The hard copies of feedback will be available in your lecture halls. The soft copy is on website http://www.jsmu.edu.pk/feedback

X Correspondence m.irfan@jsmu.edu.pk

Y Message of Vice Chancellor ???????????

Z Published On 1-9-2015