COMPETENCY Do Lev Core(Y/N Suggested Suggested Numb Vertic Horizo

The student should be able to mai el(K ) Learning Assessment methods er al ntal
n /KH methods requir Integr Integra
(K/ /SH/ ed to ation tion
S/A P) certify
/C) (P)
IM9.1 Define, describe and K KH Y Lecture,Small Written/Viva voce Pathol
classify anemia based on group ogy
red blood cell size and discussions
reticulocyte count

Sub IM9.1.1. K KH Y Lecture class Written-short Pathol

compet At the end of the session essay/Viva voce ogy
ency/SL the 2nd year (3rd
O term)MBBS student must
be able to 1. Define anemia
2. Define reticulocyte count
IM9.1.2 K KH Y Lecture class Written-short Pathol
At the end of the session essay/Viva voce ogy
the 2nd MBBS student must
be able to 1. Classify
anemia on size of RBC as
microcytic , normocytic
and macrocytic. 2. Classify
anemia on the basis of low,
normal and high
reticulocytic count
IM9.2 Describe and discuss the K KH Y Lecture,Small Written/Viva voce Pathol
morphological group ogy
characteristics, etiology discussions
and prevalence of each of
 the causes of anemia
Sub IM9.2.1 K KH Y Lecture,Small Written-short Pathol
compet At the end of lecture group notes/Viva voce/MCQ ogy
ency/SL class,2nd MBBS(3rd term) discussions
O student must be able to
discuss and describe the
types of anemias on the
basis of etiology.
IM9.2.2 K KH Y Lecture,Small Written-short Pathol
At the end of lecture session, group notes/Viva voce/MCQ ogy
2nd MBBS(3rd term) discussions
student must be able to List
the prevalence and the
causes of anemia of each
type

IM9.3 Elicit document and S SH Y Bed side Skill assessment

present a medical history clinic, DOAP
that includes symptoms, session
risk factors including GI
bleeding, prior history,
medications, menstrual
history, and family history
Sub IM9.3.1 S SH Y Bed side Skill assessment
compet At the end of lecture clinic, DOAP
ency/SL session,2nd MBBS(3rd session. As a
O term) student must be able to short case
present medical history of discussion
anemia that includes including
symptoms , risk factors , identifying
prior history , medications , anemia
 menstrual history and family clinically
history.
IM9.3.2 S SH Y Bed side Skill assessment
At the end of lecture clinic, DOAP
session,2nd MBBS(3rd session. As a
term) student must be able to short case.
Record / Document case
history of anemia

IM9.4 Perform a systematic S SH Y Bedside Skill assessment

examination that includes : clinic, DOAP
general examination for session
pallor, oral examination,
DOAP session of hyper
dynamic circulation, lymph
node and splenic
examination

Sub IM9.4.1 S SH Y Bedside Skill assessment

compet At the end of session, 2nd clinic, DOAP
ency/SL MBBS student must be able session. As a
O to perform independently short case
systemic examination discussion
including general
examination of pallor , oral
examination.
IM9.4.2 S SH Y Bedside Skill assessment
At the end of the session, clinic, DOAP
 final MBBS student must be session based
able to present DOAP on a clinical
session hyperdynamic scenario given
circulation .
IM9.4.3 S SH Y Bedside Skill assessment
At the end of the session, clinic, DOAP
final MBBS student must be session
able Perform independently
Lymph node , spleen
examination

IM9.5 Generate a differential S SH Y Bedside Skill Pathol

diagnosis and prioritise clinic, DOAP assessment/Written ogy
based on clinical features session
that suggest a specific
aetiology

Sub IM9.5.1 S SH Y Bedside Skill Pathol

compet At the end of the session,3rd clinic, DOAP assessment/Written ogy
ency/SL year MBBS(5th term) student session
O must be able to present
differential diagnosis of
anemia

IM9.5.2 S SH Y Bedside Skill Pathol

At the end of the session,3rd clinic, DOAP assessment/Written ogy
MBBS(5th term) student session
must be able to identify
 specific etiology based on
clinical features.
.
IM9.6 Describe the appropriate S SH Y Bedside Skill Pathol
diagnostic work up based clinic/DOAP assessment/Written ogy
on the presumed aetiology session

Sub IM12.6.1 S SH Y Bedside Skill Pathol

compet At the end of the session, clinic/DOAP assessment/Written ogy
ency/SL final MBBS(8th and 9th session
O term) student must be able to
document the diagnostic
workup based on presumed
etiology . (FLOW CHART )

IM 9.7 Describe and discuss the K KH Y Lecture, Written/ Viva voce/ Pathol
meaning and utility of Small group Skill assessment ogy
various components of the discussion
hemogram

Sub IM 9.7.1 K KH Y Lecture, Written/ Viva voce/ Pathol

compet At the end of the session, Small group Skill assessment ogy
ency/SL 2nd MBBS(3rd term) discussion
O student must be able to
Describe the meaning of
hemogram
 IM9.7.2 K KH Y Lecture, Written/ Viva voce/ Pathol
At the end of the session, Small group Skill assessment ogy
2nd MBBS(3rd term) discussion
student must be able to
Describe the component of
hemogram
IM9.7.3 K KH Y Lecture, Written/ Viva voce/ Pathol
At the end of the session, Small group Skill assessment ogy
2nd MBBS(3rd term) discussion
student must be able to
Discuss the utility of various
component of hemogram

IM 9.8 Describe and discuss the K KH Y Lecture, Written/ Viva voce/ Pathol
various tests for iron Small group Skill assessment ogy
Deficiency discussion

Sub IM 9.8.1 K KH Y Lecture, Written/ Viva voce/ Pathol

compet At the end of the session, Small group Skill assessment ogy
ency/SL 2nd MBBS(3rd term) discussion
O student must be able to
discuss the various tests for
iron deficiency
IM 9.9 Order and interpret tests S SH Y Bedside Skill Pathol
for anemia including clinic/DOAP assessment/Written ogy
hemogram, red cell session
indices, reticulocyte count,
iron studies, B12 and folate
Sub IM 9.9.1 S SH Y Bedside Skill Pathol
compet At the end of the session, clinic/DOAP assessment/Written ogy
ency/SL final MBBS(8th &9th term) session
O must be able to order test for
anemia including
hemogram, red cell indices,
reticulocyte count,
iron studies, B12 and folate.
IM 9.9.2 S SH Y Bedside Skill assessment-short Pathol
At the end of the session, clinic/DOAP case/long case ogy
final MBBS(8th &9th term) session Give a clinical case or
student must be able to case scenario with
interpret the diagnostic tests results and assess the
ordered including severity of the disease
hemogram, red cell indices, according to the
reticulocyte count, results.
iron studies, B12 and folate
accurately.
IM 9.10 Describe, perform and S SH Y Bedside Skill Pathol
interpret a peripheral clinic/DOAP assessment/Written ogy
smear and stool occult session
blood

Sub IM 9.10.1 S SH Y Bedside Skill Pathol

compet At the end of the session, clinic/DOAP assessment/Written ogy
ency/SL 2nd MBBS(3rd term) session
O student must be able to
Perform under supervision
peripheral blood smear

IM 9.10.2 S SH Y Bedside Skill Pathol

 At the end of the session, clinic/DOAP assessment/Written ogy
2nd MBBS(3rd term) session
student must be able to
Interpret peripheral blood
smear
IM 9.10.3 S SH Y Bedside Skill Pathol
At the end of the session, clinic/DOAP assessment/Written ogy
2nd MBBS(3rd term) session
student must be able to
interpret stool for occult
blood
IM 9.11 Describe the indications K KH Y Lecture/Small Written/Viva Pathol
and interpret the results group voce/Skill assessment ogy
of a bone marrow discussion
aspirations and biopsy

Sub IM 9.11.1 K KH Y Lecture/Small Written/Viva Pathol

compet At the end of the session, group voce/Skill assessment ogy
ency/SL 2nd MBBS(3rd term) discussion
O student must be able to
1.Describe the indication of
bone marrow aspiration
2. Describe the indications
of bone marrow biopsy
 IM9.11.2 K KH Y Lecture/Small Written/Viva Pathol
At the end of the session, group voce/Skill assessment ogy
final MBBS student must be discussion
able to
1.Interpret the results of
bone marrow aspiration
2. Interpret the results of
bone marrow biopsy.
accurately.
IM 9.12 Describe, develop a K KH Y Lecture/Small Written/Viva Pathol
diagnostic plan to group voce/Skill assessment ogy
determine the aetiology of discussion
anemia

Sub IM 9.12.1 K KH Y Lecture/Small Written/Viva Pathol

compet At the end of session, final group voce/Skill assessment ogy
ency/SL MBBS student should be discussion
O able to develop a diagnostic
plan to determine the
etiology of anemia
.
IM 9.13 Prescribe replacement S SH Y Bedside Skill Pharm
therapy with iron, B12, clinic/DOAP assessment/Written acolog
Folate session y
Sub IM 9.13.1 S SH Y Bedside Skill Pharm
compet At the end of the session, clinic/DOAP assessment/Written acolog
ency/SL 3rd MBBS(5th term) student session y
O must be able to Perform
under supervision
replacement therapy with
iron , B12
, Folate.

IM 9.14 Describe the national K KH Y Lecture, Written/Viva voce Pharm

programs for anemia Small group acolog
Prevention Discussion y/Com
munity
Medici
ne
Sub IM 9.14.1 K KH Y Lecture, Written/Viva voce Comm
compet At the end of the session, Small group unity
ency/SL 3rd MBBS(5th term) student Discussion Medici
O must be able to describe the ne
national program for anemia
prevention
IM 9.15 Communicate the C SH Y DOPA Skill Assessment
diagnosis and the Session
treatment
appropriately to patients

Sub IM 12.15.1 C SH Y DOPA Skill Assessment

compet At the end of the session, Session
ency/SL final MBBS(8th &9th term)
O student must be able to
communicate the diagnosis
appropriately to patients.

IM 12.15.2 C SH Y DOPA Skill Assessment

At the end of the session, Session
final MBBS(8th &9th term)
student must be able to
communicate the treatment
appropriately to patients.
IM9.16 Incorporate patient C SH Y DOPA Skill Assessment
preferences in the Session
management of anemia

Sub IM 9.16.1 C SH Y DOPA Skill Assessment

compet At the end of the session, Session
ency/SL final MBBS(8th &9th term)
O student must be able to
council the patient
preferences in the
management of
anemia.
IM9.17 Describe the indications K KH Y Lecture, Written/Viva Pathol
for blood transfusion Small group voce/Skill Assessment ogy
and the appropriate use of Discussion
blood components

Sub IM9.17.1 K KH Y Lecture, Written/Viva Pathol

compet At the end of the session, Small group voce/Skill Assessment ogy
ency/SL 2nd MBBS(5th term) student Discussion
O must be able to describe the
indications for blood
transfusion

IM9.17.2 K KH Y Lecture, Written/Viva Pathol

At the end of the session, Small group voce/Skill Assessment ogy
final MBBS(8th &9th term) Discussion
student must be able to
choose the appropriate use
of blood components
IM9.18 Describe the precautions K KH Y Lecture, Written/Viva
required necessary Small group voce/Skill Assessment
when performing a blood Discussion
transfusion

Sub IM9.18.1 K KH Y Lecture, Written/Viva

compet At the end of the session, Small group voce/Skill Assessment
ency/SL final MBBS(8th &9th term) Discussion
O student must be able to
Describe the precautions
required necessary when
performing a blood
transfusion
IM9.19 Assist in a blood S SH Y Bedside Document in logbook
transfusion Clinic

Sub IM9.19.1 S SH Y Bedside Document in logbook

compet At the end of the session, Clinic
ency/SL final MBBS(8th &9th term)
O student must be able to
perform ,under supervision,
blood transfusion
IM9.20 Communicate and counsel C SH Y DOAP Skill Assessment
patients with Session
methods to prevent
nutritional anemia

Sub IM9.20.1 C SH Y DOAP Skill Assessment

compet At the end of the session, Session
ency/SL final MBBS(8th &9th term)
O student must be able to
1.Communicate the patients
with the methods to prevent
nutritional anemia.
2. Counsel the patients with
the methods to prevent
nutritional anemia
IM9.21 Determine the need for K KH Y Lecture, Written
specialist consultation Small Group
Discussion

Sub IM9.21.1 K KH Y Lecture, Written

compet At the end of the session, Small Group
ency/SL final MBBS(8th &9th term) Discussion
O student must be able to
Describe the need for
specialist consultation.