Textbook of Community Medicine, 1e

Compe-tency No.Competency
1.Concept of Health and Disease (10 competencies)

1.1Define and describe the concept of Public Health

1.2Define health; describe the concept of holistic health including concept of spiritual health and the relativeness & determinants of health

1.3Describe the characteristics of agent, host and environmental factors in health and disease and the multi factorial etiology of disease

1.4Describe and discuss the natural history of disease

1.5Describe the application of interventions at various levels of prevention

1.6Describe and discuss the concepts, the principles of Health promotion and Education, IEC and Behavioral change communication (BCC)

1.7Enumerate and describe health indicators

1.8Describe the Demographic profile of India and discuss its impact on health

1.9Demonstrate the role of effective Communication skills in health in a simulated environment

1.10Demonstrate the important aspects of the doctor patient relationship in a simulated environment
2.Relationship of social and behavioural oooto health and disease (5 competencies)

2.1Describe the steps and perform clinico socio-cultural and demographic assessment of the individual, family and community

2.2Describe the socio-cultural factors, family (types), its role in health and disease & demonstrate in a simulated environment the correct assessment of socio-economic status

2.3Describe and demonstrate in a simulated environment the assessment of barriers to good health and health seeking behavior

2.4Describe social psychology, community behaviour and community relationship and their impact on health and disease

2.5Describe poverty and social security measures and its relationship to health and disease
3.Environmental Health Problems (8 competencies)

3.1Describe the health hazards of air, water, noise, radiation and pollution

3.2Describe concepts of safe and wholesome water, sanitary sources of water, water purification processes, water quality standards, concepts of water conservation and rainwater harvesting

3.3Describe the aetiology and basis of water borne diseases
/jaundice/hepatitis/ diarrheal diseases

3.4Describe the concept of solid waste, human excreta and sewage disposal

3.5Describe the standards of housing and the effect of housing on health

3.6Describe the role of vectors in the causation of diseases. Also discuss National Vector Borne disease Control Program

3.7Identify and describe the identifying features and life cycles of vectors of Public Health importance and their control measures

3.8Describe the mode of action, application cycle of commonly used insecticides and rodenticides
4.Principles of health promotion and education (3 competencies)

4.1Describe various methods of health education with their advantages and limitations

4.2Describe the methods of organizing health promotion and education and counselling activities at individual family and community settings

4.3Demonstrate and describe the steps in evaluation of health promotion and education program
5.Nutrition (8 competencies)

5.1Describe the common sources of various nutrients and special nutritional requirements according to age, sex, activity, physiological conditions

5.2Describe and demonstrate the correct method of performing a nutritional assessment of individuals, families and the community by using the appropriate method

5.3Define and describe common nutrition related health disorders (including macro-PEM, Micro-iron, Zn, iodine, Vit. A), their control and management

5.4Plan and recommend a suitable diet for the individuals and families based on local availability of foods and economic status, etc in a simulated environment

5.5Describe the methods of nutritional surveillance, principles of nutritional education and rehabilitation in the context of socio- cultural factors.

5.6Enumerate and discuss the National Nutrition Policy, important national nutritional Programs including the Integrated Child Development Services Scheme (ICDS) etc

5.7Describe food hygiene

5.8Describe and discuss the importance and methods of food fortification and effects of additives and adulteration
6.Basic statistics and its applications (4 competencies)

6.1Formulate a research question for a study

6.2Describe and discuss the principles and demonstrate the methods of collection, classification, analysis, interpretation and presentation of statistical data

6.3Describe, discuss and demonstrate the application of elementary statistical methods including test of significance in various study designs

6.4Enumerate, discuss and demonstrate Common sampling techniques, simple statistical methods, frequency distribution, measures of central tendency and dispersion
7. Epidemiology (9 competencies)

7.1Define Epidemiology and describe and enumerate the principles, concepts and uses

7.2Enumerate, describe and discuss the modes of transmission and measures for prevention and control of communicable and non- communicable diseases

7.3Enumerate, describe and discuss the sources of epidemiological data

7.4Define, calculate and interpret morbidity and mortality indicators based on given set of data

7.5Enumerate, define, describe and discuss epidemiological study designs

7.6Enumerate and evaluate the need of screening tests

7.7Describe and demonstrate the steps in the Investigation of an epidemic of communicable disease and describe the principles of control measures

7.8Describe the principles of association, causation and biases in epidemiological studies

7.9Describe and demonstrate the application of computers in epidemiology
8. Epidemiology of communicable and non- communicable diseases (7 competencies)

8.1Describe and discuss the epidemiological and control measures including the use of essential laboratory tests at the primary care level for communicable diseases

8.2Describe and discuss the epidemiological and control measures including the use of essential laboratory tests at the primary care level for Non Communicable diseases (diabetes, Hypertension, Stroke, obesity and cancer etc.)

8.3Enumerate and describe disease specific National Health Programs including their prevention and treatment of a case

8.4Describe the principles and enumerate the measures to control a disease epidemic

8.5Describe and discuss the principles of planning, implementing and evaluating control measures for disease at community level bearing in mind the public health importance of the disease

8.6Educate and train health workers in disease surveillance, control & treatment and health education

8.7Describe the principles of management of information systems
9. Demography and vital statistics (7 competencies)

9.1Define and describe the principles of Demography, Demographic cycle, Vital statistics

9.2Define, calculate and interpret demographic indices including birth rate, death rate, fertility rates

9.3Enumerate and describe the causes of declining sex ratio and its social and health implications

9.4Enumerate and describe the causes and consequences of population explosion and population dynamics of India.

9.5Describe the methods of population control

9.6Describe the National Population Policy

9.7Enumerate the sources of vital statistics including census, SRS, NFHS, NSSO etc
10. Reproductive maternal and child health (9 competencies)

10.1Describe the current status of Reproductive, maternal, newborn and Child Health

10.2Enumerate and describe the methods of screening high risk groups and common health problems

10.3Describe local customs and practices during pregnancy, childbirth, lactation and child feeding practices

10.4Describe the reproductive, maternal, newborn & child health (RMCH); child survival and safe motherhood interventions

10.5Describe Universal Immunization Program; Integrated Management of Neonatal and Childhood Illness (IMNCI) and other existing Programs.

10.6Enumerate and describe various family planning methods, their advantages and shortcomings

10.7Enumerate and describe the basis and principles of the Family Welfare Program including the organization, technical and operational aspects

10.8Describe the physiology, clinical management and principles of adolescent health including ARSH

10.9Describe and discuss gender issues and women empowerment
11. Occupational Health (5 competencies)

11.1Enumerate and describe the presenting features of patients with occupational illness including agriculture

11.2Describe the role, benefits and functioning of the employees state insurance scheme

11.3Enumerate and describe specific occupational health hazards, their risk factors and preventive measures

11.4Describe the principles of ergonomics in health preservation

11.5Describe occupational disorders of health professionals and their prevention & management
12. Geriatric services (4 competencies)

12.1Define and describe the concept of Geriatric services

12.2Describe health problems of aged population

12.3Describe the prevention of health problems of aged population

12.4Describe National program for elderly
13. Disaster Management (4 competencies)

13.1Define and describe the concept of Disaster management

13.2Describe disaster management cycle

13.3Describe man-made disasters in the world and in India

13.4Describe the details of the National Disaster management Authority
14. Hospital waste management (3 competencies)

14.1Define and classify hospital waste

14.2Describe various methods of treatment of hospital waste

14.3Describe laws related to hospital waste management
15.Mental Health (3 competencies)

15.1Define and describe the concept of mental Health

15.2Describe warning signals of mental health disorder

15.3Describe National Mental Health program
16. Health planning and management (4 competencies)

16.1Define and describe the concept of Health planning

16.2Describe planning cycle

16.3Describe Health management techniques

16.4Describe health planning in India and National policies related to health and health planning
17. Health care of the community (4 competencies)

17.1Define and describe the concept of health care to community

17.2Describe community diagnosis

17.3Describe primary health care, its components and principles

17.4Describe National policies related to health and health planning and millennium development goals

17.5Describe health care delivery in India
18.International Health (2 competencies)

18.1Define and describe the concept of International health

18.2Describe roles of various international health agencies
19. Essential Medicine (3 competencies)

19.1Define and describe the concept of Essential Medicine List (EML)

19.2Describe roles of essential medicine in primary health care

19.3Describe counterfeit medicine and its prevention
20. Recent advances in Community Medicine (4 competencies)

20.1List important public health events of last five years

20.2Describe various issues during outbreaks and their prevention

20.3Describe any event important to Health of the Community

20.4Demonstrate awareness about laws pertaining to practice of medicine such as Clinical establishment Act and Human Organ Transplantation Act and its implications