The first two academic years,
focuses on the basic medical
sciences with interdepartmental
integration and clinical and
community correlation. A holistic
approach to health and health
care system in Nepal, supplemented
with student-patient rapport
building and community diagnosis,
encourages students to get
exposure to patients in Nepal
Medical College Teaching Hospital
and allows them also to familiarize
with the health care delivery
system at community settings
in Nepal. Clinical subjects,
community medicine and forensic
medicine have been arranged
to be studied during the next
one and a half year from the
third academic year onwards,
while all the clinical subjects
along with management in health,
community field experience
and junior clinical clerkship
continue until the end of
the four and a half year of
the MBBS curriculum of Kathmandu
University.
Additional Courses
incorporated in the MBBS program
at NMC
The emerging socioeconomic
changes, epidemiological transition,
alternations in the nature
of responsibilities of the
medical professional and changes
brought about by the effects
of the electronic technologies
into the working system of
individual practitioner, must
also determine the nature
of program of medical education
in all medical colleges/schools
all over the world. If these
aspects are forgotten to be
taken an account of, prior
to starting the program, medical
graduates would undoubtedly
be handicapped, while performing
their professional jobs in
future. With this in mind
a new course has been designed
in medical informatics and
is included in the MBBS curriculum
of Kathmandu University third
version – 2001 and the
subsequent versions.
Elective Study
In keeping with the philosophy
of adopting the “SPICES”
concept of curriculum by Kathmandu
University for its MBBS curriculum,
the provision of Elective
study in the MBBS curriculum,
is praiseworthy. In the Student-centered,
Problem-based, Integrated,
Community-based, Elective-oriented
and Systematically followed,
as the “SPICES”
concept refers to, the inclusion
of Elective Study to complete
the model of SPICES in terms
of student learning, is of
paramount importance.
Elective study provides good
opportunity for a student
to undertake an independent
study. A student needs to
sign a contract with his/her
guide for a certain period
of time in a specific topic
related to elective study.
In most of the medical colleges/schools
between four to twelve weeks
time period is allotted by
universities, as the duration
for elective study. A student
must make a project proposal
for undertaking the elective
study which usually has placement
towards the end of the MBBS
programme. The areas of elective
study vary from student to
student and depend on the
areas of personal interest
of an individual student.
The trend of foreign medical
students coming for elective
study to Nepal, especially
at valley group of hospitals
including NMCTH is on the
rise. Likewise, medical students
going outside Nepal on exchange
programs has begun. The elective
study provides opportunity
to undertake small individual
project independently which
allows individuals to work
on one’s own project
during a period when he/she
is not engaged in other Teaching/Learning
activities. That enables him/her
to draw inferences from own
project results. Through such
elective study, the seed of
doing research is sown in
the young mind of medical
students which favours the
culture of undertaking research
activities during the medical
profession. Thus, elective
study provides a great opportunity
to a medical student to acquire
ability to make own decisions
which is considered the most
important professional competencies
of a medical graduate. It
allows the medical graduate
to perform competencies of
a medical practitioner by
demonstrating own capabilities
while working independently.
A four week period has been
proposed for the Elective
study at NMC.
Community Field Experience
The undergraduate medical
education program prepares
a person to be able to perform
the responsibilities of a
medical graduate on completion
of the MBBS program. The inclusion
of the places identified for
future work during the time
of learning, enhances understanding,
makes learning meaningful
and motivates student learning
on the whole. Community field
experience, in the form of
community-oriented/community-based
learning has been incorporated
in the MBBS curriculum and
includes community diagnosis
and district health management
orientation program. Experts
in the field of health management
are utilized for imparting
knowledge on health management
during the orientation program.
The Goal of Medical
Education at NMC
The ultimate aim of the MBBS
program at NMC is not only
to enable medical graduates
acquire competencies related
to knowledge, skill and attitude
required of a medical graduate
on completion of undergraduate
medical education, but also
to provide sufficient opportunity
to them to become familiar
with the know how of medical
informatics that would ultimately
help them work efficiently.
In addition, with the experience
gained through sufficient
community and clinical exposures
and elective study, the medical
practitioners would be able
to analyze health problems
critically and solve them
with independent decision
making.
MARKS DISTRIBUTION
Subject |
Paper
(3hrs) |
Theory |
Th.Int.
Asst. |
Viva |
Practical/
Clinical |
Pr./Cl.
Int Asst |
| I
MBBS University Examination:
|
| Community
Medicine |
I |
70 |
15 |
15 |
40 |
10 |
| Anatomy |
I |
70 |
15 |
15 |
40 |
10 |
| Physiology |
I |
70 |
15 |
15 |
40 |
10 |
| Biochemistry |
I |
70 |
15 |
15 |
40 |
10 |
| Pathology |
I |
70 |
15 |
15 |
40 |
10 |
| Pharmacology |
I |
70 |
15 |
15 |
40 |
10 |
| Microbiology |
I |
70 |
15 |
15 |
40 |
10 |
| II
MBBS University Examination:
|
| Anatomy |
II |
70 |
15 |
15 |
40 |
10 |
| Physiology |
II |
70 |
15 |
15 |
40 |
10 |
| Biochemistry |
II |
70 |
15 |
15 |
40 |
10 |
| Pathology |
II |
70 |
15 |
15 |
40 |
10 |
| Pharmacology |
II |
70 |
15 |
15 |
40 |
10 |
| Microbiology |
II |
70 |
15 |
15 |
40 |
10 |
| III
MBBS University Examination:
|
| Community
Medicine |
II |
70 |
15 |
15 |
40 |
10 |
| Forensic
Medicine |
|
70 |
15 |
15 |
40 |
10 |
| Opthalmology |
|
70 |
15 |
15 |
40 |
10 |
| Otorhinolaryngology |
|
70 |
15 |
15 |
40 |
10 |
| Final
MBBS University Examination:
|
| Medicine |
I |
70 |
30 |
30 |
80 |
20 |
| Medicine |
II |
70 |
| Surgery |
I |
70 |
30
|
30
|
80
|
20
|
| Surgery |
II |
70 |
| Obstetrics
& Gynaecology |
|
70 |
15 |
15 |
40 |
10 |
| Paediatrics |
|
70 |
15 |
15 |
40 |
10 |
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