Curriculum Implementation Support Program

Aligning subject competencies

within a phase and
integration across the phases

© Academic Cell, Medical Council of India. 2019

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Objectives

At the end of the session the participants will be

able to
Comprehend the step wise process in developing and implementing “Integrated” topics
across all three phases
The question in our mind is …………….

How exactly should we integrate ?

What are the steps involved ?
The principles of integration as it is related to the
GMR

Alignment Integration

Temporal Sharing Correlation Nesting

Coordination
Overview of the process to create an aligned integrated
topic
 Lets start …….
PY 2.4 Describe RBC formation (erythropoiesis K KH Y
& its regulation) and its functions

PY 2.5 Describe different types of anemias & K KH Y

Jaundice

Can the competency Yes

be achieved together What strategy for aligning identify topic ( Step 1 )
with similar Choose a method
competencies in other Organ system or Disease based (AIT) Here Anemia
subjects ?
 No. Competencies
Step 2 No. Competencies
List the “Anemia” Physiology Biochemistry
Specific Competencies
from MCI COMPETENCY PY 2.1 Describe the compositionBI 5.2 Describe and
and functions discuss
of blood functions of proteins and structure - function relationships
components
in relevant areas eg Haemoglobin and selected hemoglobinopathies
booklet under each PY 2.2 Discuss the origin, forms, variations and functions of plasma proteins
subject BI 6.11 Describe the functions of haem in the body and describe the processes involved
PY 2.3 in itsand
Describe and discuss the synthesis metabolism
functions and derangements
of Haemoglobin associated
and explain itswith these.
( Phase 1 ) breakdown. Describe variants of haemoglobin

PY 2.4 Describe RBC formation (erythropoiesis & its regulation) and its functions
BI 6.12 Describe the major types of haemoglobin and its derivatives found in the body
PY 2.5 and their
Describe different types of anaemias physiological/ pathological relevance.
& Jaundice

PY 2.6 Describe WBC formation (granulopoiesis) and its regulation

PY 2.7 Describe the formation of platelets, functions and variations.

PY 2.8 Describe the physiologic basis of haemostasis and, anticoagulants. Describe bleeding &
clotting disorders (Haemophilia, purpura)

PY 2.9 Describe different blood groups and discuss the clinical importance of blood grouping,
blood banking and transfusion

PY 2.10 Define and classify different types of immunity. Describe the development of immunity
and its regulation
PY 2.11 Estimate Hb, RBC, TLC, RBC indices, DLC, Blood groups, BT/CT

PY 2.12 Describe tests for ESR, Osmotic fragility, Haematocrit. Note the findings and interpret
the results
PY 2.13 Describe steps for reticulocyte and platelet count
Step 2 No. Competencies
Pathology
List the “Anemia” Specific
PA 13.1 Describe haematopoiesis and extra medullary haematopoiesis
Competencies from MCI PA 13.3 Define and classify and anemia
COMPETENCY booklet PA 13.4 Enumerate and describe the investigations of anemia
under each subject PA 13.5 Identify and describe the peripheral blood picture in anemia
PA 14.1 Describe iron metabolism
( Phase 2 ) PA 14.2 Decribe the etiology investigations and differential diagnosis of microcytic hypochromic anemia
PA 14.3 Identify and describe the the peripheral and smear in hypochromic anmeia
PA 15.1 Describe the metabolism of Vitamin B12 and the etiology and pathogeneisis of B12 deficiency
PA 15.2 Describe the laboratory investigations of macrocytic anemia
PA 15.3 Identify and describe the peripheral blood picture of macrocytic anemia
PA 15.4 Enumerate the differences and describe the etiology and distinguishing features of megaloblastic and non
megaloblastic anemia
PA 16.1 Define and classify hemolytic anemia
PA 16.2 Describe the pathogeneis and clinical features and hematologic indices of hemolytic anemia
PA 16.3 Describe the pathogenesis features, hematologic indices and peripheral blood picture of sickle cell anemia and
thallasemia
PA 16.4 Describe the etiology pathogenesis, hematologic indices and peripheral blood picture of Acquired hemolytic
anemia
PA16.5 Describe the peripheral blood picture in different hemolytic anaemias.
Code No Competency No. Competencies
Pharmacology PA 17.1 Enumerate the etiology, pathogenesis and findings in aplastic anemia
Microbiology
PH 1.35 Description of drugs used in haematological disorders and
PA17.2
discuss mechanism/s Enumerate
of action, the indications
types, doses, side effects,and describe the findings
4 in List
bone marrow
the aspiration
common and
microbial biopsy
agents causing
indications and contraindications, like 1. Drugs used in anemias2. anaemia. Describe the morphology, mode of
Colony Stimulating factors infection and discuss the pathogenesis, clinical
course, diagnosis and prevention of the common
microbial agents causing Anaemia.
Step 2
List the “Anemia” Specific Competencies from MCI COMPETENCY booklet under each subject
( Phase 3 )

No. Competencies Pediatrics

PE 13.1 Discuss the RDA , dietary sources of Iron and their role in Health and
disease
Medicine
PE 13.2 Describe the causes, clinical features, diagnosis and management of Fe
IM 9.1 define describe and classify anaemia based on red blood cell size and Deficiency
reticulocyte count PE 13.3 Identify the clinical features of dietary deficiency of Iron and make a
IM 9.2 describe and discuss the morphological characteristics aetiology and diagnosis
prevalence of each of the causes of anemia PE 13.4 Interpret CBC and Iron Panel
IM 9.3 elicit document and present a medical history that includes symptoms, risk
factors including GI bleeding, prior history, medications, menstrual history, PE 13.5 Propose a management plan for Fe Deficiency Anaemia
and family history
IM 9.4 perform a systematic examination that includes : general examination for PE 13.6 Discuss the National Anaemia control program and their
pallor, oral examination, DOAP session of hyper dynamic circulation, lymph recommendations
node and splenic examination
IM 9.5 generate a differential diagnosis and prioritise based on clinical features
that suggest a specific aetiology
IM 9.6 describe the appropriate diagnostic work up based on the presumed OBSTETRICS AND GYNAECOLOGY
aetiology OG 10.2 Enumerate the indications and describe the appropriate use of blood and blood products, their complications
IM 9.7 describe and discuss the meaning and utility of various components and of
management
the
hemogram
IM 9.8 describe and discuss the various tests for iron deficiency
OG 12.2
Define, classify and describe the etiology, pathophysiology,
diagnosis,
IM 9.9 order and interpret tests for anaemia including hemogram, red cell indices,investigations, adverse effects on the mother and foetus
and the management during pregnancy and labor, and
reticulocyte count, iron studies, B12 and folate. complications of anemia in pregnancy
IM 9.10 describe perform and interpret a peripheral smear and stool occult blood
IM 9.11 describe the indications and interpret the results of a bone marrow
aspirations and biopsy
IM 9.12 describe develop a diagnostic plan to determine the aetiology of anemia
IM 9.13 Prescribe replacement therapy with iron, B12, folate
Alignment is teaching of subject that occurs under a particular organ system /
disease concept from the same phase at the same time

Alignment : is the grouping together in the time table of learning elements from
various subjects in a phase that can be grouped under a specific heading (organ
system or disease) an

Temporal
Coordination Anemia

Phase 1 Comp 1 Comp 1

Comp 2 Comp 2
Comp 3 Comp 3
Alignment is teaching of subject that occurs under a particular organ system /
disease concept from the same phase at the same time

Alignment : is the grouping together in the time table of learning elements from
various subjects in a phase that can be grouped under a specific heading (organ
system or disease) an

We have Chosen the topic to

Temporal teach subject matter in the
Coordination same phase together
Anemia

We have listed all the subject

competencies that fit in the Phase 1 Comp 1 Comp 1
topic (phase wise ) Comp 2 Comp 2
Comp 3 Comp 3
For each phase review the competencies of all subjects and reduce redundancy
Step 2 ALIGN IT Phase ( 1 ) – and sequence it

No. Competencies
Physiology

PY 2.1 Describe the composition and functions of blood components

PY 2.2 Discuss the origin, forms, variations and functions of plasma proteins

BI 5.2 Describe and discuss functions of proteins and structure - function relationships in relevant areas eg
Haemoglobin and selected hemoglobinopathies
BI 6.11 Describe the functions of haem in the body and describe the processes involved in its metabolism and
derangements associated with these.
BI 6.12 Describe the major types of haemoglobin and its derivatives found in the body and their physiological/
pathological relevance.
PY 2.3 Describe and discuss the synthesis and functions of Haemoglobin and explain its breakdown. Describe
variants of haemoglobin
PY 2.4 Describe RBC formation (erythropoiesis & its regulation) and its functions
PY 2.5 Describe different types of anaemias & Jaundice
PY 2.6 Describe WBC formation (granulopoiesis) and its regulation
PY 2.7 Describe the formation of platelets, functions and variations.
PY 2.8 Describe the physiologic basis of haemostasis and, anticoagulants. Describe bleeding & clotting
disorders (Haemophilia, purpura)
 Step 3 a
PY 2.4 DESCRIBE RBC FORMATION (ERYTHROPOIESIS & ITS REGULATION) AND ITS FUNCTIONS
• DEFINE ERYTHROPOIESIS Break each
• DESCRIBE THE FROMATION AND REGULATION OF ERYTHROPOIESIS competency into
• EXPLAIN THE FUNCTIONS OF RBC learning objectives
• DISCUSS CLINICAL RELEVANCE OF ERYTHROPOIESIS

PY 2.3 DESCRIBE AND DISCUSS THE SYNTHESIS AND FUNCTIONS OF HAEMOGLOBIN AND
EXPLAIN ITS BREAKDOWN. DESCRIBE VARIANTS OF HAEMOGLOBIN Anemia
• DESCRIBE HAEMOGLOBIN SYNTHESIS
• EXPLAIN ITS FUNCTIONS
• DESCRIBE THE HEMOGLOBIN VARIANTS AND ITS CLINICAL SIGNIFICANCE
• DESCRIBE THE METABOLISM OF HEMOGLOBIN

BI 5.2 Describe and discuss functions of proteins and structure - function Phase 1 Obj Obj Obj Obj
relationships in relevant areas eg Haemoglobin and selected hemoglobinopathies. Obj Obj Obj Obj
• Describe functional proteins and their structure
Subject 1 Subject 2
• Describe the structure of Haemoglobin
• Discuss the variation and its relationship to hemoglobinopathies Obj Obj Obj Obj
Phase 2
BI 6.11 Describe the functions of haem in the body and describe the processes Obj Obj Obj Obj
involved in its metabolism and derangements associated with these.
• Describe the functions of haem in the body Subject 3 Subject 3
• Describe the metabolism of Haemoglobin and explain derangements
associated
ERYTHROPOIESIS & ITS REGULATION Step 3 a
• DEFINE ERYTHROPOIESIS Lecture Bunch objectives
• DESCRIBE THE FROMATION AND REGULATION OF and create
ERYTHROPOIESIS
/Small Essay / Viva
learning sessions
• EXPLAIN THE FUNCTIONS OF RBC group
• DISCUSS CLINICAL RELEVANCE OF ERYTHROPOIESIS

Hemoglobin functions and metabolism Anemia

• Describe the functions of haem in the body
Lecture Assignment
• Describe the metabolism of Haemoglobin and Phase 1
explain derangements associated

Obj Obj Obj Obj

Obj Obj Obj Obj
Subject 1 Subject 2
 Step 3 a
Integration Sharing Bunch objectives
Review objectives from different subjects of the and create
same phase and see if they can be shared to learning sessions
reduce redundancy and to increase correlation

Anemia
Phase 1

PY 2.3 DESCRIBE AND DISCUSS THE SYNTHESIS AND FUNCTIONS OF HAEMOGLOBIN AND
EXPLAIN ITS BREAKDOWN. DESCRIBE VARIANTS OF HAEMOGLOBIN Obj Obj Obj Obj
• DESCRIBE HAEMOGLOBIN SYNTHESIS
• EXPLAIN ITS FUNCTIONS Obj Obj Obj Obj
• DESCRIBE THE HEMOGLOBIN VARIANTS AND ITS CLINICAL SIGNIFICANCE
• DESCRIBE THE METABOLISM OF HEMOGLOBIN Subject 1 Subject 2

BI 5.2 Describe and discuss functions of proteins and structure - function

relationships in relevant areas eg Haemoglobin and selected hemoglobinopathies.
• Describe functional proteins and their structure
• Describe the structure of Haemoglobin
• Discuss the variation and its relationship to hemoglobinopathies
 Step 3
Integration Sharing Sharing Bunch objectives
Review objectives from different subjects of the and create
same phase and see if they can be shared to learning sessions
reduce redundancy and to increase correlation

Anemia
PY 2.3 DESCRIBE AND DISCUSS THE SYNTHESIS AND FUNCTIONS OF HAEMOGLOBIN AND
EXPLAIN ITS BREAKDOWN. DESCRIBE VARIANTS OF HAEMOGLOBIN Phase 1
BI 5.2 Describe and discuss functions of proteins and structure - function relationships in
relevant areas eg Haemoglobin and selected hemoglobinopathies
• Describe the structure of hemoglobin
• DESCRIBE HAEMOGLOBIN SYNTHESIS Obj Obj Obj Obj
• EXPLAIN ITS FUNCTIONS Obj Obj Obj Obj
• DESCRIBE THE HEMOGLOBIN VARIANTS AND ITS CLINICAL SIGNIFICANCE
Subject 1 Subject 2
Nesting Step 3
Nesting Bunch objectives
and create
Review objectives from other subjects from learning sessions
phases to see if it needs to be added to the
learning sessions to increase correlation
Anemia
Phase 1

Obj Obj Obj Obj

Obj Obj Obj Obj
Subject 1 Subject 2

Obj Obj Obj Obj

Phase 2
Obj Obj Obj Obj

Subject 3 Subject 3
Nesting Step 3
Nesting Bunch objectives
and create
Review objectives from other subjects from learning sessions
phases to see if it needs to be added to the
learning sessions to increase correlation
Anemia
Phase 1
PY 2.5 Describe RBC formation (erythropoiesis & its regulation)
and its functions
• DEFINE ERYTHROPOIESIS
• DESCRIBE THE FROMATION AND REGULATION OF ERYTHROPOIESIS Obj Obj Obj Obj
• EXPLAIN THE FUNCTIONS OF RBC
• DISCUSS CLINICAL RELEVANCE OF ERYTHROPOIESIS Obj Obj Obj Obj
Subject 1 Subject 2
PA 13.I DESCRIBE HAEMATOPOIESIS AND EXTRAMEDULLARY
HAEMATOPOIESIS Obj Obj Obj
a) DESCRIBE NORMAL ERYTHROPOIESIS AND ITS REGULATION Phase 2
b) DESCRIBE EXTRAMEDULLARY ERYTHROPOIESIS AND ITS CLINICAL Obj Obj Obj Obj
SIGNIFICANCE
Subject 3 Subject 3
Nesting Step 3
Nesting Bunch objectives
and create
Review objectives from other subjects from learning sessions
phases to see if it needs to be added to the
learning sessions to increase correlation
Anemia
Phase 1

PY 2.5 Describe RBC formation (erythropoiesis & its

Obj Obj Obj Obj
regulation) and its functions
PA 13.I DESCRIBE HAEMATOPOIESIS AND EXTRAMEDULLARY Obj Obj Obj Obj
HAEMATOPOIESIS MCQ
• DEFINE ERYTHROPOIESIS Lecture/ Subject 1 Subject 2
Essay
• DESCRIBE THE FROMATION AND REGULATION OF ERYTHROPOIESIS Small
Assignm
• EXPLAIN THE FUNCTIONS OF RBC group Phase 2 Obj Obj Obj
• DISCUSS CLINICAL RELEVANCE OF ERYTHROPOIESIS ent
Obj Obj Obj Obj
a) DESCRIBE EXTRAMEDULLARY ERYTHROPOIESIS AND ITS
CLINICAL SIGNIFICANCE
Subject 3 Subject 3
 Step 3
Correlation Correlation Bunch objectives
and create
Choose objectives from a different phase learning sessions
can be used to link the concepts in various
sessions
Anemia

Phase 1

Obj Obj Obj Obj

Obj Obj Obj Obj

Subject 1 Subject 2
 Step 3
Correlation Correlation Bunch objectives
and create
Choose objectives from a different phase learning sessions
can be used to link the concepts in various
sessions
Anemia

Phase 1

Obj Obj Obj Obj

Obj Obj Obj Obj
Linker Case
Subject 1 Subject 2
 Step 3
Correlation Correlation Bunch objectives
and create
Choose objectives from a different phase learning sessions
can be used to link the concepts in various
sessions
PY 2.5 Describe RBC formation (erythrpoiesis & its regulation) and Anemia
its functions
• DEFINE ERYTHROPOIESIS Phase 1
• DESCRIBE THE FROMATION AND REGULATION OF ERYTHROPOIESIS
• EXPLAIN THE FUNCTIONS OF RBC
• DISCUSS CLINICAL RELEVANCE OF ERYTHROPOIESIS Obj Obj Obj Obj

PA 13.I DESCRIBE HAEMATOPOIESIS AND EXTRAMEDULLARY Obj Obj Obj Obj

A child with
HAEMATOPOIESIS hemolytic Linker Case
a) DESCRIBE NORMAL ERYTHROPOIESIS AND ITS REGULATION anaemia
b) DESCRIBE EXTRAMEDULLARY ERYTHROPOIESIS AND ITS CLINICAL Subject 1 Subject 2
SIGNIFICANCE
BI 5.2 Describe and discuss functions of proteins and structure - function
relationships in relevant areas eg Haemoglobin and selected
hemoglobinopathies.
• Describe functional proteins and their structure
• Describe the structure of Haemoglobin
•
Step 3b
a) Now we have a bunch of learning sessions that are put together that addresses the topic
from different subjects in the phase forming an aligned and integrated “ Anemia” Topic

Aligned and integrated sessions for anemia in Phase 1

PY – Physiology sessions
PY BI BI - Biochemistry sessions
Anemia Anemia
Sessions Sessions PA –Pathology sessions
PY PY PA
PY/PA –Physiology session
Anemia Anemia Anemia
with integrated elements
Sessions Sessions sessions
from Pathology (Higher Phase
PY/PA PY/ BI )
Anemia Anemia
Sessions Sessions PY/BI – Physiology sessions
with integrated elements
from Biochemistry ( SHARED )
Step 4 - AIT1 ANEMIA - Review of competencies
a) from next higher phase to be introduced early
b) from previous phase, that will have to be reinforced in the current phase
c) Remove redundancy

Aligned and integrated sessions for anemia in Phase 1

PY – Physiology sessions
PY BI subject sessions of a phase
BI - Biochemistry sessions
Anemia Anemia taught at the same time –
Sessions Sessions alignment PA –Pathology sessions
PY PY PA Subject sessions from
PY/PA –Physiology session
Anemia Anemia Anemia higher phase taught at the
with integrated elements
Sessions Sessions sessions same time - alignment
from Pathology (Higher Phase
PY/PA PY/ BI )
Anemia Anemia
Sessions Sessions PY/BI – Physiology sessions
with integrated elements
Within same session elements of from Biochemistry ( SHARED )
other subjects are taught –
Integration
 Step 5a : By reviewing competencies in a phase redundant ones and those in each subject that
can be taught together without subject demarcation can be identified for horizontal integration

Aligned and integrated Anemia sessions

Phase 1 Phase 2 Phase 3

PA PY/PA PY/ OG
Anemia Anemia
Anemia Anemia Anemia
Sessions Sessions
Sessions Sessions sessions
PY/BI PY PA PA IM IM P
Anemia Anemia Anemia Anemia Anemia Anemia Anemia
Sessions Sessions sessions Sessions Sessions Sessions Sessions
PY / PA P Anemia
Anemia PA /IM
Anemia Anemia PA/PY/IM
Sessions Anemia Sessions
Sessions Sessions Anemia
Step 5 b ANEMIA By reviewing objective / competencies across phases redundant ones and those with
a common thread can be identified for Vertical integration
Aligned and integrated Anemia sessions

Phase 1 Phase 2 Phase 3

. Anemia
Anemia
Sessions 1
Session 4
( Lecture ) Anemia
Anemia
Anemia Sessions
Anemia Anemia
Session 2
Session 5 Session 6
(Practical)
Anemia Anemia Anaemia
Anemia Anemia
Session 3 Session 6
IAnemia Anemia Anemia Anemia

IAnemia Anemia
Step 4 c : The objective writing and session planning should be done by

teachers of all subjects in the AIT - Anemia

Step 4 d : The concept and not necessarily teachers should be integrated

 Step 5 b ANEMIA Consider Adding a Linker ( Aligned and Integrated )

Linker is usually a case

Phase 1 Aligned and integrated Anemia sessions

. Anemia Anemia
Vertically Sessions Session
Common
thread Phase 2
Anemia Anemia Anemia

IAnemia Anemia Anemia

Anemia Phase 3
Sessions
Anaemia

Anemia Anemia
Anemia Anemia

IAnemia Anemia
IAnemia Anemia
HOW TO CREATE LINKER ? WHAT CASES TO LINK ?
Look at the vertically aligned document of “ Anaemia”

What are the common problems that the IMG will have to solve, as a first contact physician in the community with
respect to the disease (Anemia) ?
Anemia in children , Pregnant women , elderly , Poly trauma

To what degree of complexity can they solve the problem ?

Recognition , evaluation , management and referral

Create cases
1. An infant with repeated blood transfusion , anemia and jaundice
2. A pregnant women with iron deficiency anemia
3. An elderly alcoholic with GI bleed
4. A patient with POLY TRAUMA and acute blood loss , pre Operative , Post operative management

Cases should address objectives from the various phases from “ Anemia” topic
Step 6 AIT1 . ANEMIA ( Aligned and Integrated ), teach Non aligned topics simultaneously.
Create Space for SDL and end of block assessment
Linker is usually a case
Phase 1 Aligned and
integrated session Non Aligned Sessions

A
Anemia Anemia Non Non Non s
Sessions Sessions Aligned Aligned Aligned s
e
Non s
Anemia Anemia Anemia SDL
Aligned s
m
Non Non Non e
Anemia n
Anemia Aligned Aligned Aligned
t
Assignments Assignments
STEP 6 – FIND SPACE IN THE CALENDAR
Week 1 Week 2
 Sample Time table for AIT Anemia – Preclinical
Time Day1
8-9 am  Blood and its components by a
Hematologist Linker- Case 1 PY 2.1
Describe the composition and
functions of blood and its
components ( Linker)
9-10 am Blood groups , Principles of Blood
transfusion and banking
PY 2.9 Describe different blood
groups and discuss the clinical
importance of blood grouping, blood
banking and transfusion
10 - 11 am PY 2.9 Group A) Visit to the blood
11-12.00 bank Group B ) PY 2.11 Blood
Grouping cross matching DOAP
session
1-2 pm Plasma Proteins PY 2.2 Discuss the
origin, forms, variations and functions Blood transfusion and banking
of plasma proteins
2-3 pm Non Aligned sessions in Anatomy
3-4 pm
Submissions
Linker here is a case of a child with anemia, repeated blood transfusion and jaundice ( hemolytic anemia ),
Linker gives better integration in student mind if all learning experiences including lectures , practical sessions can provide a discussion correlation with the case ( Correlation, Harden
Day 2
Blood groups , Principles of
Blood transfusion and banking
PY 2.9 Describe different
blood groups and discuss the
clinical importance of blood
grouping, blood banking and
transfusion
PY 2.9 Group B ) Visit to the
blood bank Group A ) PY 2.11
Blood Grouping cross
matching
Blood groups , Principles of
PY 2.1 ,2.2 PY 2.9 Formative
Assessment Reflective
exercise
Upper limb Or lower limb
Assignment for non aligned
topics
Day 3
Linker Part A of case 1
addresses PY 2.1 PY 2.2 PY 2.9
small group discussion +
Formative assessment
SDL
Erythropoiesis – Linker part B
PY 2.5 Describe RBC formation
(erythropoiesis & its
regulation) and its functions
PA 13.I Describe
hematopoiesis and extra
medullary hematopoiesis
Peripheral smear examination
Group A PY 2.1 Describe the
composition and functions of
blood and its components
OBJ A) Identify RBC , WBC and
platelet in normal peripheral
smear B) Discuss their
functions Group B Visit to
Hematology lab / Or ALC
animation
Assignment for non aligned
topics
Day 4
Non Aligned sessions
Role of Iron and Vit A B12 in
Erythropoiesis
PA 14.1 Describe iron
metabolism
PA 15.1 Describe the
metabolism of Vitamin B12
and the etiology and
pathogenesis of B12
deficiency
Physiology practical Group A
PY 2.11 Estimate RBC count
and interpret normal Group
B PY2.11 Estimate Hb, RBC
indices and interpret
PA 13.4 Enumerate and
describe the normal blood
parameters
Assignment for non aligned
topics
Day 5
Heam synthesis and metab
PY2.3 Describe & discuss
synthesis & functions of Hb &
explain its breakdown.
Describe Hb variants
BI 6.11 Describe the functions
of haem in body and describe
the processes involved in its
metabolism and derangements
associated. Porphyrins
Physiology practical Group B
PY 2.11 Estimate RBC count
and interpret normal Group A
PY2.11 Estimate Hb, RBC
indices and interpret PA 13.4
Enumerate and describe the
normal blood parameters
PY 2.5 PA 14.1 PA 15.1
Assignment- 1 on
Erythropoiesis and factors
regulating
Day 6
Types of hemoglobin and
their clinical significance
B1 6.12 Describe the
major types of Hb and its
derivatives found in body
and their physiological/
pathological relevance.
Physiology practicals
Group A PY 2.12
Demonstrate the tests for
ESR, Hematocrit. Note
the findings and interpret
the results Group B PY
2.12 Demonstrate
Osmotic fragility test .
Note the findings and
interpret the results
Radiological ANATOMY
Surgical Anatomy
PY 2.3 BI 6.11BI 6.12
Assignment 2 on
Haem synthesis and
metabolism
Day 7 DAY 8
Written
Assessment
PY 2.5 PA 13.3
For non Aligned
topics also
MCQ
Short essays
Physiology of Hemolysis Linker Part B of
and Anemia case 1 addresses PY
PA 13.3 Define and 2.3 , BI 6.12 ,PY
classify anemia 2.9 , PA 13.3 small
PY 2.5 Describe different group discussion +
types of anemias & Formative
Jaundice assessment
SDL
Physiology practical Skill assessment PY
Group B PY 2.12 2.9, PY 2.11, PY 2.1,
Demonstrate the tests for PA 13.4 ,PY 2.12
ESR, Hematocrit. Note the OSCE ,Direct
findings and interpret the Observation
results Group A PY 2.12 For non Aligned
Demonstrate Osmotic topics also
fragility test Note the
findings and interpret the
results
Feedback-
Osteology Remedial
Surface Anatomy
Alignment and integration
ACTIVITY