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 examination is divided into two parts:


Theory 40 + 10* 50 Marks


Clinical and Oral 50 Marks


Clinical and Oral section consists of:

  1. 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:

 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
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