GENERAL MEDICINE (HA)

Introduction:

General Medicine is one of the prominent and popular disciplines within the health profession in Nepal. The Health Science (general medicine) profession has been helping the world for the all-round development of health and it has also been creating salary base employment and self-employment opportunities in public and private sectors. This curriculum is designed with the purpose of producing middle level technical medical workforce equipped with knowledge and skills related to the field of general medicine so as to meet the demand of such workforce in the country to contribute in the national economic development of Nepal. The knowledge and skills incorporated in this curriculum will be helpful to deliver the individual needs as well as national needs in the field of health profession especially in general medicine sector.

Nepal Government has adopted a national policy for the attainment of "Health for All beyond the Year 2000 A.D" through the use of the primary health care approach. As a result CTEVT got the mandate to produce middle level trained workforce through CTEVT as well as CTEVT affiliated institutions.

Curriculum Title:

Proficiency Certificate Level in Health Science (General Medicine)

Program Objectives:

The course aims to produce middle level medical personnel with sound academic knowledge equipped with perfect technical skills that can be faced in real life situation at the level they are aimed at:

Plan indoor and community health program.
Administer medication and treatment.
Assess patient, make provisional diagnosis and manage from available resources.
Identify referral cases and refer.
Counsel patient for follow up, care and related health problem.
Perform routine and special medical investigations independently.
Perform minor medical and surgical procedure for patient management.
Identify and manage common emergency cases.
Provide maternal, child health, nutrition and family planning services through primary health care center (PHCC) and health post (HP).
Implement Priority national health programs through PHCC and HP.
Handle administrative task.
Maintain medical records.
Practice quality control system in hospitals/ health posts.
Supervise subordinates and prepare reports.
Create self-employment opportunities.

Program Description:

This course is based on the academic requirements to enter bachelor in health sciences as well as to provide general health services as a middle level human health worker. After completion of the course the graduate is expected to perform the duty of health post assistant as per assigned by Nepal Health Professional council independently in different health institutions in Nepal and abroad. The program is of three academic years' duration. The first year course focuses on basic science and foundational subjects, the second year course focuses on basic medical subject theory/practical simultaneously and the third year is given to the application of learned skills and knowledge within the comprehensive practical settings, in hospitals or health posts.

The foundational subjects like English, Nepali, Physics, Chemistry, and Mathematics (offered in diffusion model of curricular programmer) are applicable in the medical field. The disciplinary subjects of medical field are included in all three years. This curricular programmer also makes the provision of project works as well as real world of work practices in the specific medical areas. The curriculum structure and the subject wise content reflect the details of this curriculum. In brief, this curriculum will guide to its implementers to produce competent and highly employable middle level technical workforces in the field of medicine.

Duration:

The total duration of this curricular program is three years. The program is based on yearly system. Moreover, one academic year consists of 40 academic weeks and one academic week consists up to 40 hours excluding evaluation period.

Group Size:

The group size will be maximum of 40 (Forty) in a batch.

Target Location:

The target location will be all over Nepal.

Entry Criteria:

SLC Pass or SLC with GPA 2.00 plus minimum C grade in Compulsory Mathematics, English & Science.
TSLC in CMA with minimum 66.68%.
Should pass entrance examination as administered by CTEVT.

Selection:

Applicants fulfilling the entry criteria will be selected for admission on the basis of merit.

Medium of Instruction:

The medium of instruction will be in English and/or Nepali.

Pattern of Attendance:

Minimum of 90% attendance in each subject is required to appear in the respective final examination.

Teacher and Student Ratio

Overall ratio of teacher and student must be 1:10 (at the institution level)
For theory: As per the nature of the course
For practical/demonstration: 1:10

Program Coordinator, Teachers and Demonstrators:

The program coordinator should be a master's degree holder in the related area or as per minimum requirements of NHPC & CTEVT.
The disciplinary subject related teacher should be a bachelor’s degree holder in the related area or as per minimum requirements of NHPC & CTEVT.
The demonstrators should be bachelor’s degree holder in the related area with two years experiences in training activities or as per minimum requirements of NHPC & CTEVT.
The foundational subject related teacher should be master degree holder in the related area.

Instructional Media and Materials:

The following instructional media and materials are suggested for the effective instruction and demonstration.

Printed Media Materials (assignment sheets, case studies, handouts, information sheets, individual training packets, procedure sheets, performance checklists, textbooks etc.).
Non-projected Media Materials (display, models, flip chart, poster, writing board etc.).
Projected Media Materials (opaque projections, overhead transparencies, slides etc.).
Audio-Visual Materials (audiotapes, films, slide-tape programmes, videodiscs, videotapes etc.).
Computer-Based Instructional Materials (computer-based training, interactive video etc.).

Teaching Learning Methodologies:

The methods of teachings for this curricular programme will be a combination of several approaches (not limited to as mentioned here) such as illustrated lecture, tutorial, group discussion, demonstration, simulation, guided practice, practical experiences, fieldwork, report writing, term paper presentation, community campaign, case analysis, role-playing, heuristic, project work and other independent learning.

Theory: Lecture, discussion, seminar, interaction, assignment, group work.

Practical: Demonstration, observation, guided practice, self-practice, project work, clinical practice etc.

Mode of Education:

There will be inductive and deductive mode of education.

Examination and Marking Scheme:

The subject teacher will internally assess the students’ achievement in each subject during the course followed by a final examination at the end of each year.
A weightage of 20% for the internal assessment and 80% for the annual examination will be allocated for theoretical components of a subject.
The final examinations of all theory part will be administered through written tests.
For theory exam, short and long questions will be asked covering all units of subjects as far as possible.
The method of continuous assessment will be adopted for practical components. Final practicum evaluation will be based on:

Institutional practicum attendance - 10%
Logbook/Practicum book maintenance - 10%
Spot performance (assigned task/practicum performance/identification/arrangement preparation/measurement) - 40%
Viva voce : Internal examiner - 20%

External examiner - 20%

Student who fails in the internal assessment of any subject will not be allowed to sit in the final examination of that subject.

Provision of Back Paper:

There will be the provision of back paper but a student must pass all the subjects of all year within six years from the enrollment date, however there should be provision of chance exam for final year students as per CTEVT rules.

Disciplinary and Ethical Requirements:

Intoxication, insubordination or rudeness to peers will result in immediate suspension followed by the review of the disciplinary review committee of the institute.
Dishonesty in academic or practical activities will result in immediate suspension followed by administrative review, with possible expulsion.
Illicit drug use, bearing arms in institute, threats or assaults to peers, faculty or staff will result in immediate suspension, followed by administrative review with possible expulsion.

Pass Marks:

The students must secure minimum of 40% marks in theory and 50% marks in practical (clinic). Moreover, the students must secure minimum pass marks in the internal assessment and final examination of each subject of theory and practical separately to pass all subjects offered.

Grading System:

The overall achievement of each student will be measured by a final aggregate percentage of all final semester examinations and graded as follow: -

Marks division:

Distinction : > or =80 %
First division : 65 % to < 80 %
Second division : 50 % to < 65 %
Pass : 40 % to < 50 %

Certification and Degree Awards:

Students who have passed all the components of all subjects of all 3 years are considered to have successfully completed the course.
Students who have successfully completed the course will be awarded with a degree of "Proficiency Certificate Level in General Medicine".

Career Opportunity:

The graduates will be eligible for the position equivalent to Non-gazette 1st class (technical) as Health Assistant or as prescribed by the Public Service Commission of Nepal and other related agencies. The graduate will be eligible for registration with the related Council in the grade as provisioned in the related Council Act (if any).