Pharmacology (CBME)
Pharmacology (CBME)
Curriculum for
Second M.B.B.S
Pharmacology
List of Lectures
COMPETENCY Lecture Topics Hours
General Pharmacology
PH1.3 Enumerate and identify drug formulations and drug delivery Routes of 1
systems adminis
trations
PH1.11 Describe various routes of drug administration, eg., oral, SC,
IV, IM, SL
PH1.8 Identify and describe the management of drug interactions Drug interactions 1
and
PH1.2 Describe the basis of Evidence based medicine and TDM
Therapeutic drug monitoring
PD-II 1
PH1.63 Describe Drug Regulations, acts and other legal aspects Drug Regulations
1
and Schedules
1
PH1.64 Describe overview of drug development, Phases of clinical
Drug development
trials and Good Clinical Practice
processand GCP
1
Total Hours 11
2
COMPETENCY lecture topics Hours
Beta Blocker 1
Anticholinergics 1
Total Hours 5
Total Hours 5
Total Hours 2
CNS
PH1.18 Describe the mechanism/s of action, types, doses, side General Anesthetics 1
effects, indications and contraindications of general
anaesthetics, and pre- anesthetic medications
PH1.19 Describe the mechanism/s of action, types, doses, side sedatives & hypnotics 1
effects, indications and contraindications of the drugs
which act on CNS, (including anxiolytics, sedatives & anxiolytics 1
hypnotics, anti-psychotic, anti- depressant drugs, anti-
anti-psychotic 1
maniacs, opioid agonists and antagonists, drugs used for
3
neurodegenerative disorders, anti-epileptics drugs) anti- depressant drugs 1
and anti-maniacs
anti-epileptics drugs 1
Total Hours 8
PH1.24 Describe the mechanism/s of action, types, doses, side Diuretics and 1
effects, indications and contraindications of the drugs antidiuretics
affecting renal systems including diuretics,
antidiuretics- vasopressin and analogues
PH1.25 Describe the mechanism/s of action, types, doses, side Coagulants and 1
effects, indications and contraindications of the drugs anticoagulants
acting on blood, like anticoagulants, antiplatelets,
fibrinolytics, plasma expanders Antiplatelets and 1
fibrinolytics
plasma expanders 1
and Rx of shock
PH1.35 Describe the mechanism/s of action, types, doses, side Haematinics and 1
effects, indications and contraindications of drugs Erythropoietin
used in hematological disorders like:
1.D rugs used in anemias
2.Colony Stimulating factors
Total Hours 4
Cardiovascular drugs
4
PH1.29 Describe the mechanisms of action, types, doses, Cardiac 1
side effects, indications and contraindications of glycosides
the drugs used in congestive heart failure
Drugs for Heart 1
failure
Total Hours 7
PH1.32 Describe the mechanism/s of action, types, doses, side Drugs used in bronchial 1
effects, indications and contraindications of drugs used asthma and COPD
in bronchial asthma and COPD
Total Hours 1
Gastrointestinal Drug
PH1.34 Describe the mechanism/s of action, types, doses, side Acid-peptic disease and 1
GERD
effects, indications and contraindications of the drugs
used as below:
1. Acid-peptic disease and GERD
Antiemetics and 1
2. Antiemetics and prokinetics prokinetics
3. Antidiarhoeals 4 .Laxatives
5. Inflammatory Bowel Disease
6. Irritable Bowel Disorders, biliary and pancreatic
diseases
Total Hours 2
PH1.36 Describe the mechanism of action, types, doses, side Thyroid Hormones and 1
effects, indications and contraindications of drugs used Thyroid Inhibitors
in endocrine disorders (diabetes mellitus, thyroid
disorders and osteoporosis) Insulin 1
Oral hypoglycemic 1
agents
PH1.37 Describe the mechanisms of action, types, doses, side Introduction & Anterior 1
effects, indications and contraindications of the drugs Pituitary hormones
used as sex hormones, their analogues and anterior
Pituitary hormones
Estrogens & antagonists 1
Progestins & 1
antagonists
5
PH1.39 Describe mechanism of action, types, doses, side Oral contraceptives & 1
effects, indications and contraindications the drugs Pro-fertility agents
used for contraception
PH1.40 Describe mechanism of action, types, doses, side Androgens and Erectile 1
effects, indications and contraindications of 1. Drugs Dysfunction
used in the treatment of infertility, and 2. Drugs used in
erectile dysfunction
PH1.41 Describe the mechanisms of action, types, doses, side Oxytocin and 1
effects, indications and contraindications of uterine Other Drugs
relaxants and stimulants acting on
Uterus
Total Hours 12
Antimicrobial Drugs
Cephalosporins & 1
other beta lactums
Aminoglycosides 1
Fluoroquinolones 1
Macrolides 1
PH1.44 Describe the first line antitubercular dugs, their Antitubercular drugs 1
mechanisms of action, side effects and doses.
PH1.46 Describe the mechanisms of action, types, doses, side Antileprotic agents 1
effects, indications and contraindications of antileprotic
drugs
PH1.47 Describe the mechanisms of action, types, doses, side Antimalarial agents 2
effects, indications and contraindications of the drugs
used in malaria, KALA-AZAR, amebiasis and Antiameobic & Other 1
intestinal helminthiasis antiprotozoal Drugs
6
Antihelminthics 1
PH1.48 Describe the mechanisms of action, types, doses, side Antifungal agents 1
effects, indications and contraindications of the drugs used
in UTI/ STD and viral diseases including HIV Antiviral agents 1
Pharmacotherapy of 1
STDs
Pharmacotherapy of 1
UTI
PH1.62 Describe and discuss antiseptics and disinfectants
Total Hours 17
Miscellaneous Topics
PH1.50 Describe mechanisms of action, types, doses, side Immunomodulators and 1
effects, indications and contraindications of vaccines
immunomodulators and management of organ
transplant rejection
PH1.56 Describe basic aspects of Geriatric and Pediatric Geriatric and Pediatric 1
pharmacology pharmacology
PH1.57 Describe drugs used in skin disorders Drugs acting on skin and 1
mucous membrane
Total hours 6
Grand Total 80
Teaching hours
7
List of Practical//Tutorials/Integrated Learning /Seminars / Small group teaching
Topics
Practical’s
Clinical Pharmacy
Route of Administration- 2
Oral
Introduction to Pharmacy 6
Pharmacy preparations
(Solution, suspension,
emulsion)
Route of Administration- 2
Topical
Pharmacy preparations 6
(Lotion, Liniment,
Ointment)
Route of Administration- 2
Parental
PH2.2 Prepare oral rehydration solution from ORS Pharmacy preparation (ORS 2
packet and explain its use Powder)
8
PH2.4 Demonstrate the correct method of calculation of PK-I 2
drug dosage in patients including those used in
special situations PK-II 2
Clinical Pharmacology
PH3.1 Write a rational, correct and legible generic Single drug therapy 2
prescription for a given condition and
communicate the same to the patient Multiple drug therapy 4
ADR-II 2
Case study-II 2
Rational Pharmacotherapy II 2
PH3.7 Prepare a list of essential medicines for a National essential drug list 2
healthcare facility
PH3.8 Communicate effectively with a patient on the Skill station: Steps for drug 2
proper use of prescribed medication delivery (Topical and
Inhalational)
9
Experimental Pharmacology
PD-II 2
Total hours: 76
Excretion 1
Kinetics of Elimination 1
10
PH1.49 Describe mechanism of action, classes, side Anticancer Drugs 1
effects, indications and contraindications of
anticancer drugs
Total Hours 11
Seminars
11
PH1.28 Describe the mechanisms of action, types, doses, Angina Pectoris 2
side effects, indications and contraindications of
the drugs used in
PH1.23 Describe the process and mechanism of drug Drug addiction & Over 2
deaddiction Dose Toxicity
12
PH1.39 Describe mechanism of action, types, doses, side Contraception 2
effects, indications and contraindications the
drugs used for contraception
Antidiarrhoeals 4 .Laxatives
7. Inflammatory Bowel Disease
Irritable Bowel Disorders, biliary and pancreatic
diseases
Total Hours 30
Integrated Topics
(Medicine)
13
PH1.22 Describe drugs of abuse (dependence, addiction, CNS stimulants and 1
stimulants, depressants, psychedelics, drugs used Cognition Enhancers
for criminal offences)
(Psychiatry, Medicine)
(Medicine)
(Medicine)
(Respiratory Medicine)
PH1.33 Describe the mechanism of action, types, doses, Drugs for Cough 1
side effects, indications and contraindications of
the drugs used in cough (antitussives,
expectorants/ mucolytics)
(Respiratory Medicine)
PH1.34 Describe the mechanism/s of action, types, doses, Anti diarrhoeals and 1
side effects, indications and contraindications of Inflammatory Bowel Disease
the drugs used as below: Irritable Bowel Disorders,
6. Acid-peptic disease and GERD
biliary and pancreatic
diseases
7. Antiemetics and prokinetics
3.Antidiarrhoeals
Laxatives 1
4 .Laxatives
8. Inflammatory Bowel Disease
14
Irritable Bowel Disorders, biliary and pancreatic
diseases
(Medicine)
(Medicine)
15
PH1.27 Describe the mechanisms of action, types, doses, Hypertension 1
side effects, indications and contraindications of
antihypertensive drugs and drugs used in shock
Total Hours 21
Learning Experience
i. Exploratory and interactive theory session- 1 hour
16
Self-Directed Learning Topics
COMPETENCY/Systems Self Directed Learning Hours
Number Topics
1 Ph. 1.1 General consideration of sympathetic system Introduction to Sympathetic 2
system
2 Ph 1.14 General consideration of parasympathetic Introduction to 2
system parasympathetic system
3 Ph 1.20 Acute and Chronic alcohol intake Acute and Chronic alcohol 2
intake
4 Ph 1.22 Drug abuse Drug abuse 2
17
Resolution No. 3.2.2.1 of BOM-62/2020: Resolved to approve the restructured Formative
and Summative assessment pattern for 2nd MBBS Para-Clinical disciplines (Microbiology,
Pathology, Pharmacology and FMT) which is in line with Competency Based Medical
Education (CBME) curriculum guidelines as mandated by MCI. [Annexure-46A, 46B, 46C,
46D]
Format for Internal assessment examinations
18
Format of question paper
Time – 3 hrs. : _
Each paper –
Section B –
Section C –
19
Format of question paper
Time – 3 hrs. Preliminary &University
Portion:
Paper
1
Paper
2
20
Theory Paper Pattern and Marks Distribution:
(Atleast 1 LAQ
clinical Based)
21
LAQs (1/2)
TOTAL 100
(Atleast 1 LAQ
clinical Based)
(Atleast 1 LAQ
clinical Based) 1X 10 Mks each=10
Mks
TOTAL 100
22
CBME II MBBS Pharmacology
Blue Print of MCQs Topic vise weightage for Preliminary and University Examination
Paper – I
1 General Pharmacology 3
2 ANS 4
3 CVS 4
4 Blood 3
5 Kidney 1
6 GIT 3
Total 20
Paper – II
2 Chemotherapy 7
3 RS 1
4 Endocrines 4
Total 20
23
CBME PATTERN OF PRACTICALS EXAM AND MARKS DISTRIBUTION:
Summative and Formative ( Prelim Exam/University Exam) in Pharmacology for 2nd MBBS
EXERCISE:- 1 – CLINICAL PHARMACY Marks 20
A) Pharmacy preparation and viva Marks 10
B) Clinical Pharmacokinetics Marks 5
C) Dosage form (Dosage form exercises will be
included as One OSPE station) Marks 5
Resolution No. 5.11 of Academic Council (AC-46/2023): Resolved to approve inclusion of OSPE under Clinical
Pharmacy head of 2nd MBBS Pharmacology Formative and Summative assessment [ANNEXURE-15].
EXERCISE: - II – CLINICAL PHARMACOLOGY Marks 30
A) Prescription writing – a) Single drug therapy Marks 4
- b) Complete drug therapy Marks 6
B) Criticism – a) Criticize, Correct and Re-write (CCR) Marks 5
b) Fixed Dose Combination (FDC) Marks 5
C) ADR identification/ADR Reporting/ Marks 10
P Drug list
Resolution No. 5.16 of Academic Council (AC-46/2023):
i) Resolved to approve inclusion of ADR Reporting/Identification and P-Drug list in place of spots under Clinical
pharmacology head of 2nd MBBS pharmacology formative & summative assessment. [ANNEXURE-20]
OSPE
Time: 5 minutes
No of stations: 1 station
Level of assessment: Psychomotor / cognitive / Soft skill
Marks: 10 marks
Individual check list will be used for assessment
24
VIVA – VOCE Marks 30
Viva 1-15 Marks
Viva 2-15 Marks
INTERNAL EXAMS
There will be only one theory paper for both Internal Exams.
2nd Internal Exam: End of April (Theory 100 Mks, Practicals 100Mks)
1. Topics: - General Pharmacology, ANS, Including skeletal muscle relaxants, Autocoids, CVS, Drugs
acting on kidney
25
Prelims:
Paper 1
Paper 2
26
1St and 2nd Internal Exams: (Time 3hrs)
(Atleast 1 LAQ
clinical Based)
(Atleast 1 LAQ
clinical Based) 1X 10 Mks each=10
Mks
TOTAL 100
27
Practicals Pattern and Marks Distribution:
CBME PATTERN OF PRACTICALS EXAM AND MARKS DISTRIBUTION:
Prescription Communication
Ethics-Legal drug storage
Use of devise
Drug adherence-compliance
Drug dependence/OTC
Interaction with Medical representative
OSPE
Time: 5 minutes
No of stations: 1 station
Level of assessment: Psychomotor / cognitive / Soft skill
Marks: 10 marks
Individual check list will be used for assessment
29
Internal assessment calculation
Practical – Total 300 marks of Internal exams including Prelims will be converted to 60
IA 200 Mks
30
Resolution No.3.1.2.3 of BOM-59/2019: The updated list of Text books and Reference books for 2nd
MBBS (Microbiology, Pharmacology, Pathology, FMT) are approved. [Annexure-8]
Recommended books
Text Books
Practicals-
Manual of Practical Pharmacology for MBBS by - Dr. Mukta N Chowta, Dr. Ashok
Shenoy, Dr. Ashwin Kamath, Avichal Publishing Company , New Delhi
Reference Book-
1- Basic and Clinical Pharmacology by- Bertram G Katzung. Mc Graw Hill Education
(India) Private Ltd. Chennai. Latest addition
2- Rang and Dale’s Pharmacology by- H.P. Rang, J.M. Ritter, R.J. Flower, G. Handerson.
Elsevier Health Sciences London
3- Goodman & Gillman’s Pharmacological basis of therapeutics by- Laurence L.
Brunton, Randa Hilal Dandan, Bjorn C. Knollmann. Mc Graw Hill Education New
Delhi.
31
Annexure-21C of AC-44/2022
Annexure 1(c)
New pattern: Day to Day assessment pattern for internal assessment calculations
according to NMC for pathology, Microbiology and Pharmacology
Practical – Total 300 marks of internal exams including Prelims will be converted to 60
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University u/s 3 of UGC Act, 1956)
Grade 'A++' Accredited by NAAC
Sector-01, Kamothe, Navi Mumbai - 410209
Tel 022-27432471, 022-27432994, Fax 022-27431094
E-mail- registrar@mgmuhs.com Website : www.mgmuhs.com