Undergraduates
MBBS ACTIVITIES IN THE DEPARTMENT OF ENT-HNS
The Institute of Medicine (IOM) started Bachelor of Medicine and Bachelor of Surgery (MBBS) programme in 1978. The course is community oriented and problem based.
In the Department of ENT-HNS, MBBS students are involved in the teaching learning activities as much as possible. Prior to recent revision of curriculum students used to have clinical posting in the ENTDepartments 4 weeks in 4th year and as a junior intern for 2 weeks in the final year. They used to appear in exit exams at the end of 5th year and then 2 weeks internship after final exam.
From 2009, the 29th batch they are having only 4 weeks posting in the Department during 4th year (3rd phase) and they appear in final exams at the end of 4th year. However,the distribution of marks in theory and practical exams is still same as before ie. 50 marks each. Duration of Internship is also same.
The schedule of clinical posting is as follows:
8 -9 am | Teaching learning activities of PG residents (Seminar, Journal club and Case presentation). |
9-10 am | Ward round. |
10-12 noon | Case workout or OPD observation |
2 -4 pm | Case discussion in Special clinic |
Actually, after the ward round the students are taught by the one of faculties about the history taking and ENT examination for the first four days. From the 5th day onward they are divided into two groups. One group attend OPD whereas another group works up case in the ward and present infront of the faculty. They also attend operation theatre for 4 days during their posting, once a week in each unit of the Department. Similarly, students also attend Audiology and Speech Pathology unit every Friday after the ward round.
In the end of every posting , faculty conduct ward leaving exams which is consider as a internal assessment.
During internship, interns have following duties and responsibilities:
8 -9 am | Teaching learning activities of PG residents (Seminar, Journal club and Case presentation). |
9-10 am | Ward round. |
10-12 noon | OPD/ Procedure room |
2 -4 pm | Case discussion in Special clinic |
Interns are posted in one of the units. Aftertheward round they attend operation theatre of respective unit. They have to do at least 2 night duties during their posting.
Students and interns have to get the attendance sheet signed which is provided by the Department.
FINAL MBBS CLINICAL AND ORAL EXAMINATION FORMAT
Final examination is divided into two parts:
1 |
Theory | 40 + 10* 50 Marks |
2 |
Clinical and Oral | 50 Marks |
Clinical and Oral section consists of:
- 1. Viva 20 Mark
i | Questions from Ear | 3 Marks |
ii | Questions from Nose | 3 Marks |
iii | Questions from Throat | 3 Marks |
iv | Paediatric & emergency | 3 Marks |
v | Operative procedure | 3 Marks |
vi | Operative Instrument | 2 Marks |
vii | X-rays & other investigations | 2 Marks |
viii | Attitude | 1 Mark |
2. Long Case – 1 15 Marks
i | History taking and presentation | 5 Marks |
ii | Findings and interpretation | 5 Marks |
iii | Diagnosis and Management | 5 Marks |
3. Short Cases – 2 (2×5) = 10 Marks
i | Examination preparation | 0.5×2=1 Marks |
ii | Handling of Instruments | 1.5×2=3 Marks |
iii | Examination Skills | 1.5×2=3 Marks |
iv | Findings and Interpretation | 1.5×2=3 Marks |
4. OSCE=5 Stations (1×5) = 5 Marks
i | Station 1=Audiology (Audiogram/ Tympanogram | 1 |
ii | Station 2= Clinical Photographs | 1 |
iii | Station 3= OPD Instrument | 1 |
iv | Station 4= Medication | 1 |
v | Station 5= Model | 1 |
* 10 marks from internal assessment.
List of X-rays:
(Mention indications, type, sites, view, normal landmarks,
Pathological findings and differential diagnosis of the findings)
i | X-ray Mastoids Towne’s View |
ii | X-ray Mastoids Lateral Oblique view |
iii | X-ray Soft tissues Nasopharynx lateral view |
iv | X-ray Soft tissues Neck lateral view |
v | X-ray Soft tissues Neck AP view |
vi | X-ray Soft tissues Nasal Spine Lateral view |
vii | X-ray PNS OM view |
List of Models:
i | Model of Larynx |
ii | Temporal bone |
iii | Human Skull |
List of Medications:
i | BIPP |
ii | Chromic acid |
iii | Silver Nitrate |
iv | Oxymetazoline |
v | Xylometazoline |
vi | Xylocaine (injectable |
vii | Adrenaline |
viii | Grommet (ventilation tube) |
ix | Gel-foam |
List of Operative Procedures:
1 | Anterior nasal packing |
2 | Posterior nasal packing |
3 | Antral wash out |
4 | I & D of Peritonsillar abscess |
Septal abscess | |
Retropharyngeal abscess | |
Parapharyngeal abscess | |
Mastoid abscess | |
Ludwig’s angina | |
5 | Sistrunk’s Operation |
6 | Submandibular Salivary gland excision |
7 | Thyroidectomy |
8 | Tonsillectomy |
9 | Adenoidectomy |
10 | Tracheostomy |
11 | Cricothyroidotomy |
12 | FB Oesophagus |
13 | FB Bronchus |
14 | Myringotomy |
15 | myringoplasty |
16 | Mastoidectomy |
17 | Septoplasty |
18 | Submucous Resection (SMR) |
19 | Nasal polyp avulsion |
20 | Microlaryngoscopy (MLS) |
21 | Removal of Foreign body Ear, Nose and Throat |
List of Instruments:
Nose | Throat | |||
1 | Nasal speculum (OPD) | 1 | Laryngeal mirror (OPD) | |
2 | Antral cannula (OPD) | 2 | Post nasal mirror (OPD) | |
3 | Nasal dressing forceps (OPD) | 3 | Tongue depressor (OPD) | |
4 | Septal elevator | 4 | Quinsy forceps (OPD) | |
5 | Nasal gouze | 5 | Tonsil dissector with anterior pillar retractor | |
6 | Nasal hammer | 6 | Boyle’s Davis mouth gag with tongue depressor | |
7 | Luc’s Forceps | 7 | Rigid laryngoscope | |
8 | Rigid bronchoscope | |||
9 | Rigid oesophagoscope | |||
10 | Tracheostomy Tube (metal/portex | |||
11 | Adenoid Currette | |||
Ear | ||||
1 | Ear speculum (OPD) | |||
2 | Otoscope (OPD) | |||
3 | Tuning forks (OPD) | |||
4 | Jobson horn probe with ring currette (OPD) | |||
5 | Ear syringe (OPD) | |||
6 | Myringotomy knife | |||
7 | Self retaining haemostatic mastoid retractor | |||