1st Year MBBS Foundation Module Study Guide at Avicenna Medical College

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L
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(
C
B
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b
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(
T
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,
 
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Page 
|
 
4
A
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A
 
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?
It 
is an 
aid
 
to:
Inform 
students 
how 
student 
learning 
program 
of 
the 
semester-wise 
module 
has 
been  
organized
Help
 
students
 
organize 
and
 
manage
 
their
 
studies
 
throughout
 
the
 
module
Guide 
students 
on 
assessment 
methods, 
rules 
and
 
regulations
T
H
E
 
S
T
U
D
Y
 
G
U
I
D
E
:
Communicates 
information 
on 
organization 
and management 
of 
the
 
module.
This
 
will
 
help
 
the
 
student
 
to
 
contact
 
the
 
right
 
person
 
in
 
case
 
of
 any
 
difficulty.
Defines
 
the
 
objectives
 
which
 
are
 
expected
 
to
 be
 
achieved
 
at
 
the
 
end
 
of
 
the
 
module.
Identifies 
the 
learning 
strategies 
such 
as 
lectures, 
small 
group 
teachings, 
clinical 
skills,
demonstration, 
tutorial 
and 
case 
based 
learning 
that 
will 
be 
implemented 
to 
achieve 
the  
module
objectives.
Provides 
a 
list 
of 
learning 
resources 
such 
as 
books, 
computer 
assisted 
learning 
programs,  
web-
links,
 
journals,
 
for
 
students
 
to
 
consult
 
in
 
order
 
to
 
maximize 
their
 
learning.
Highlights 
information 
on 
the 
contribution 
of 
continuous 
and semester 
examinations 
on 
the
student’s overall
 
performance.
Includes 
information 
on 
the 
assessment 
methods 
that 
will 
be 
held 
to 
determine 
every 
student’s
achievement 
of
 
objectives.
Focuses 
on 
information 
pertaining 
to
 
examination policy, 
rules 
and 
regulations.
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1
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&
 
2
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d
 
s
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s
.
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x
a
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s
.
Case-based 
discussions, 
computer-based 
assignments, 
early 
exposure 
to 
clinics, wards, 
and 
skills
acquisition
 
in
 
skills
 
lab
 
are
 
characteristics
 
of
 
integrated
 
teaching
 
program.
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
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M
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T
H
O
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O
L
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I
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S
The 
following
 
teaching
 
/
 
learning
 
methods
 
are
 
used
 
to
 
promote
 
better
 
understanding:
Interactive
 
Lectures
Hospital 
/
 
Clinic 
visits
Small 
Group 
Discussion
Case- 
Based
 
Learning
Practicals
Skills
 
session
E-Learning
Self-Directed
 Study
I
N
T
E
R
A
C
T
I
V
E
 
L
E
C
T
U
R
E
S
:
 
I
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l
a
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g
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p
,
 
t
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l
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t
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p
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.
H
O
S
P
I
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A
L
 
V
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I
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S
:
 
I
n
 
s
m
a
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g
r
o
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p
s
,
 
s
t
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n
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p
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p
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h
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p
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a
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o
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l
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a
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s
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t
t
i
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g
s
.
 
T
h
i
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h
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l
p
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s
t
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t
o
 
r
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k
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w
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o
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b
a
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a
n
d
 
c
l
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a
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s
c
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o
f
 
t
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r
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l
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v
a
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t
m
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u
l
e
.
T
E
A
M
-
 
B
A
S
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D
 
L
E
A
R
N
I
N
G
:
 
T
e
a
m
-
B
a
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d
 
L
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a
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,
 
k
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w
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m
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s
,
 
t
h
a
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a
 
t
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s
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p
 
c
y
c
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:
p
r
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p
a
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a
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,
 
(
b
)
 
i
n
-
c
l
a
s
s
 
r
e
a
d
i
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e
s
s
 
a
s
s
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,
 
a
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(
c
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a
p
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-
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x
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c
i
s
e
.
Page 
|
 
5
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
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C
O
L
L
E
G
E
1
Preparation 
before 
class: 
Students 
must complete 
preparatory 
materials 
before 
a 
class 
or 
the start 
of 
the
module. 
Materials 
may 
be 
text, 
visual 
or 
other, 
and 
set 
at 
a 
level 
that 
is 
appropriate 
to 
the 
students 
and
the
 
course.
In-class 
Readiness 
Assurance 
Testing: 
Students 
complete 
an 
individual 
readiness 
assurance 
test 
(IRAT),
consisting 
of 
5 
to 
20 
multiple 
choice 
questions. 
After 
submitting 
their 
individual 
answers, 
and 
they 
take
the 
same 
test, 
the 
team 
RAT 
(TRAT), 
with 
their 
team. 
All 
members 
of 
each 
team 
share 
the 
same
 
TRAT
score, 
and 
both 
IRAT 
and 
TRAT 
scores 
count 
toward the 
students’
 
grades.
Instructor 
Feedback: 
The 
instructor 
reviews 
material 
from 
the 
RAT 
that 
seems 
to 
be 
difficult 
for 
students.
In-class 
application 
focused exercise: 
The 
remainder 
of 
the 
session 
is 
taken up 
with 
exercises 
that 
help
students 
learn how 
to 
apply 
and 
extend 
the 
knowledge 
that 
they 
have 
pre-learned 
and 
tested. 
Teams
are 
given 
an 
appropriate problem 
or 
challenge, 
and 
must 
arrive 
at 
a 
consensus 
to 
choose 
a 
“best”
solution 
out 
of 
options provided. 
Teams 
then 
display 
their 
answer 
choice, 
and 
the 
educator 
facilitates 
a
classroom 
discussion
 
between
 
teams
 
to
 
explore
 
the
 
topic
 
and
 
the
 
possible 
answers
 
to
 
the
 
problem.
Page 
|
 
6
S
M
A
L
L
 
G
R
O
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P
 
 
D
I
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C
U
S
S
I
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(
S
G
D
)
:
 
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f
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C
A
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-
 
B
A
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D
 
L
E
A
R
N
I
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G
:
 
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b
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t
h
 
s
c
i
e
n
c
e
s
 
d
u
r
i
n
g
 
t
h
e
 
m
o
d
u
l
e
.
P
R
A
C
T
I
C
A
L
:
 
B
a
s
i
c
 
s
c
i
e
n
c
e
 
p
r
a
c
t
i
c
a
l
s
 
r
e
l
a
t
e
d
 
t
o
 
a
n
a
t
o
m
y
,
 
b
i
o
c
h
e
m
i
s
t
r
y
,
 
p
a
t
h
o
l
o
g
y
,
 
p
h
a
r
m
a
c
o
l
o
g
y
 
a
n
d
p
h
y
s
i
o
l
o
g
y
 
a
r
e
 
s
c
h
e
d
u
l
e
d
 
f
o
r
 
s
t
u
d
e
n
t
 
l
e
a
r
n
i
n
g
.
S
K
I
L
L
S
 
S
E
S
S
I
O
N
:
 
S
k
i
l
l
s
 
r
e
l
e
v
a
n
t
 
t
o
 
r
e
s
p
e
c
t
i
v
e
 
m
o
d
u
l
e
 
a
r
e
 
o
b
s
e
r
v
e
d
 
a
n
d
 
p
r
a
c
t
i
c
e
d
 
w
h
e
r
e
 
a
p
p
l
i
c
a
b
l
e
 
i
n
 
 
s
k
i
l
l
s
l
a
b
o
r
a
t
o
r
y
 
o
r
 
D
e
p
a
r
t
m
e
n
t
 
o
f
 
P
h
y
s
i
o
t
h
e
r
a
p
y
.
S
E
L
F
 
D
I
R
E
C
T
E
D
 
S
T
U
D
Y
:
 
S
t
u
d
e
n
t
s
 
a
s
s
u
m
e
 
r
e
s
p
o
n
s
i
b
i
l
i
t
i
e
s
 
o
f
 
t
h
e
i
r
 
o
w
n
 
l
e
a
r
n
i
n
g
 
t
h
r
o
u
g
h
 
i
n
d
i
v
i
d
u
a
l
 
s
t
u
d
y
,
s
h
a
r
i
n
g
 
a
n
d
 
d
i
s
c
u
s
s
i
n
g
 
w
i
t
h
 
p
e
e
r
s
,
 
s
e
e
k
i
n
g
 
i
n
f
o
r
m
a
t
i
o
n
 
f
r
o
m
 
L
e
a
r
n
i
n
g
 
R
e
s
o
u
r
c
e
 
C
e
n
t
e
r
,
 
t
e
a
c
h
e
r
s
 
a
n
d
r
e
s
o
u
r
c
e
 
p
e
r
s
o
n
s
 
w
i
t
h
i
n
 
a
n
d
 
o
u
t
s
i
d
e
 
t
h
e
 
c
o
l
l
e
g
e
.
 
S
t
u
d
e
n
t
s
 
c
a
n
 
u
t
i
l
i
z
e
 
t
h
e
 
t
i
m
e
 
w
i
t
h
i
n
 
t
h
e
 
c
o
l
l
e
g
e
s
c
h
e
d
u
l
e
d
 
h
o
u
r
s
 
o
f
 
s
e
l
f
-
s
t
u
d
y
.
E
-
L
E
A
R
N
I
N
G
:
 
E
-
L
e
a
r
n
i
n
g
 
i
s
 
a
 
s
t
r
a
t
e
g
y
 
b
y
 
w
h
i
c
h
 
l
e
a
r
n
i
n
g
 
o
c
c
u
r
s
 
t
h
r
o
u
g
h
 
t
h
e
 
u
t
i
l
i
z
a
t
i
o
n
 
o
f
 
e
l
e
c
t
r
o
n
i
c
m
e
d
i
a
,
 
t
y
p
i
c
a
l
l
y
 
t
h
e
 
I
n
t
e
r
n
e
t
.
 
T
h
e
 
b
a
s
i
c
 
a
s
p
e
c
t
s
 
o
f
 
m
e
d
i
c
a
l
 
p
r
o
f
e
s
s
i
o
n
a
l
i
s
m
 
a
n
d
 
e
t
h
i
c
s
 
w
i
l
l
 
b
e
 
a
d
d
r
e
s
s
e
d
t
h
r
o
u
g
h
 
a
n
 
e
-
l
e
a
r
n
i
n
g
 
c
o
u
r
s
e
.
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
M
O
D
U
L
E
 
1
 
:
 
F
O
U
N
D
A
T
I
O
N
I
N
T
R
O
D
U
C
T
I
O
N
This 
module 
has 
been 
designed 
to 
introduce 
you 
to 
the 
basics 
of 
health 
sciences. 
The 
course 
covers 
the
molecular 
level 
of 
cell 
biology 
including 
genetics and 
its 
role in 
embryology, 
microbiology 
and 
pathology. 
In
community
 
medicine,
 
health
 
issues
 and
 
policies
 
on
 
disease
 
control
 
at
 
the
 
national
 
level
 
will
 
be
 
discussed.
You 
will 
also 
experience 
clinical 
skills 
such 
as 
learning 
to 
communicate 
effectively 
so 
that 
you 
can 
relate 
to
patients
 
and
 
their
 
loved
 
ones
 
with
 
compassion
 
and
 
understanding
 
in
 coming
 
years.
 Through 
working
 
within
teams, 
your 
co-operative 
and 
approachable 
working 
style 
will 
be 
enhanced. Through 
group 
and 
individual
work, 
you 
will 
develop 
problem 
solving 
skills 
to 
apply 
your 
medical knowledge 
to 
practical situations. 
This,
supplemented 
by 
lectures, 
and 
practical 
classes, 
is 
a 
significant component 
of 
the
 
course.
This
 
study
 
guide
 
has
 been
 
developed
 
to
 
help
 
guide
 
you
 
and
 
keep
 
you
 
focused
 
on
 
the
 
objectives
 
for
 
this
module.
Welcome
 
to
 
the
 
field
 
of
 
medicine
 
and
 
hope
 
that
 
the
 
journey
 
ahead
 
will
 
be
 
exciting
 
and
 
fulfilling
 
for
 
you
 
all.
Page 
|
 
7
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
T
O
P
I
C
S
,
 
C
O
U
R
S
E
 
O
B
J
E
C
T
I
V
E
S
 
A
N
D
 
S
T
R
A
T
E
G
I
E
S
At
 
the
 
end
 
of
 
the
 
module
 
the
 
students
 
will
 
be
 able 
to:
2
0
19
Page 
|
 
8
Page 
|
 
9
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
10
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
11
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
12
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
13
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
14
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
15
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
16
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
L
E
A
R
N
I
N
G
 
R
E
S
O
U
R
C
E
S
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
17
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
O
T
H
E
R
 
L
E
A
R
N
I
N
G
 
R
E
S
O
U
R
C
E
S
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
S
E
M
E
S
T
E
R
 
1
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
Page 
|
 
18
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
A
S
S
E
S
S
M
E
N
T
 
M
E
T
H
O
D
S
:
T
h
e
o
r
y
 
(
k
n
o
w
l
e
d
g
e
)
:
 
B
e
s
t
 
C
h
o
i
c
e
 
Q
u
e
s
t
i
o
n
s
 
(
B
C
Q
s
)
 
a
l
s
o
 
k
n
o
w
n
 
a
s
 
M
C
Q
s
 
(
M
u
l
t
i
p
l
e
 
C
h
o
i
c
e
 
Q
u
e
s
t
i
o
n
s
)
 
 
a
r
e
u
s
e
d
 
t
o
 
a
s
s
e
s
 
o
b
j
e
c
t
i
v
e
s
 
c
o
v
e
r
e
d
 
i
n
 
e
a
c
h
 
m
o
d
u
l
e
.
B
C
Q
s
:
A 
BCQ 
has a 
statement 
or 
clinical 
scenario 
followed 
by 
four 
options 
(likely
 
answers).
After 
reading 
the 
statement/scenario 
student 
select 
ONE, 
the 
most 
appropriate 
answer/response
from the 
given 
list 
of
 
options.
C
o
r
r
e
c
t
 
a
n
s
w
e
r
 
c
a
r
r
i
e
s
 
o
n
e
 
m
a
r
k
,
 
a
n
d
 
i
n
c
o
r
r
e
c
t
 
z
e
r
o
 
m
a
r
k
.
 
T
h
e
r
e
 
i
s
 
N
O
 
n
e
g
a
t
i
v
e
 
m
a
r
k
i
n
g
.
Students
 
mark
 
their
 
responses
 
on
 
specified
 
computer-based
 
sheet
 
designed
 
for
 
 AVMC
o
S
a
m
p
l
e
 
B
C
Q
s
:
A
 
25
 
year
 
old
 
patient
 
presented
 
with
 
the
 
complain
 
of
 
productive
 
cough,
 
breathlessness
 and
 
wheezing.
He 
has 
been 
diagnosed 
with
 
chronic 
obstructive 
pulmonary 
disease.
The
 
most
 
common
 
risk
 
factor
 
for
 
the
 disease 
is:
a)
Air
 
pollution
b)
Coal
 
mining
c)
Infection
d)
T
o
b
a
c
c
o
 
s
m
o
k
e
O
S
P
E
:
 
O
b
j
e
c
t
i
v
e
 
S
t
r
u
c
t
u
r
e
d
 
P
r
a
c
t
i
c
a
l
 
E
x
a
m
i
n
a
t
i
o
n
 
(
S
e
e
 
t
h
e
 
p
r
o
p
o
s
e
d
 
p
l
a
n
 
o
f
 
O
S
P
E
)
It 
may 
comprise 
between 
12- 
25
 
stations
.
The 
content 
may 
assess 
application 
of 
knowledge, 
or
 
practical 
skills.
Student
 
will
 
complete
 task
 
in
 
define
 
time
 
at
 
one
 
given
 
station.
All
 
the
 
students
 
are 
assessed
 
on
 
the
 
same
 
content
 
by
 
the
 
same
 
examiner
 
in
 
the
 
same
 
allocated
time.
A 
structured 
examination 
will 
have 
observed, unobserved, 
interactive 
and 
rest
 
stations.
O
b
s
e
r
v
e
d
 
a
n
d
 
i
n
t
e
r
a
c
t
i
v
e
 
s
t
a
t
i
o
n
s
:
They
 
will
 
be
 
assessed
 by
 
internal
 
or
 
external
 
examiners
 
through
 
the
 
task
 
or
 
viva.
U
n
o
b
s
e
r
v
e
d
 
s
t
a
t
i
o
n
:
It 
will 
be 
static 
station 
in 
which 
students 
will 
have 
to 
answer 
the 
questions 
related 
to 
the  
given
pictures, 
models 
or 
specimens 
on 
the 
provided 
response
 
sheet.
R
e
s
t
 
s
t
a
t
i
o
n
:
It
 
is 
a
 
station
 
where
 
no
 task
 
is
 
given,
 
and
 
during
 
this
 
time
 
student
 
can
 
organize
 
his/her
 
thoughts.
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
Page 
|
 
19
1
S
T
 
Y
E
A
R
 
M
B
B
S
,
 
 
F
O
U
N
D
A
T
I
O
N
 
M
O
D
U
L
E
A
V
I
C
E
N
N
A
 
M
E
D
I
C
A
L
 
C
O
L
L
E
G
E
I
n
t
e
r
n
a
l
 
E
v
a
l
u
a
t
i
o
n
Students 
will
 
be
 
assessed
 
to
 
determine
 achievement
 
of
 
module
 
objectives
 
through
 
the
 
following:
o
M
o
d
u
l
e
 
E
x
a
m
i
n
a
t
i
o
n
:
 
w
i
l
l
 
b
e
 
s
c
h
e
d
u
l
e
d
 
o
n
 
c
o
m
p
l
e
t
i
o
n
 
o
f
 
e
a
c
h
 
m
o
d
u
l
e
.
 
T
h
e
 
m
e
t
h
o
d
 
o
f
e
x
a
m
i
n
a
t
i
o
n
 
c
o
m
p
r
i
s
e
s
 
t
h
e
o
r
y
 
e
x
a
m
 
w
h
i
c
h
 
i
n
c
l
u
d
e
s
 
B
C
Q
s
 
a
n
d
 
O
S
P
E
 
(
O
b
j
e
c
t
i
v
e
 
S
t
r
u
c
t
u
r
e
d
P
r
a
c
t
i
c
a
l
 
E
x
a
m
i
n
a
t
i
o
n
)
.
o
G
r
a
d
e
d
 
A
s
s
e
s
s
m
e
n
t
 
o
f
 
s
t
u
d
e
n
t
s
 
b
y
 
I
n
d
i
v
i
d
u
a
l
 
D
e
p
a
r
t
m
e
n
t
:
 
Q
u
i
z
,
 
v
i
v
a
,
 
p
r
a
c
t
i
c
a
l
,
 
a
s
s
i
g
n
m
e
n
t
,
s
m
a
l
l
 
g
r
o
u
p
 
a
c
t
i
v
i
t
i
e
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This study guide provides a comprehensive overview of the foundation module for first-year MBBS students at Avicenna Medical College. It includes information on learning methodologies, objectives, assessment methods, rules, regulations, and curriculum frameworks. Students will experience an integrated curriculum focusing on system-based modules to link basic science knowledge with clinical problems, allowing for a deeper understanding through case-based discussions and skills acquisition.

  • MBBS
  • Medical College
  • Foundation Module
  • Study Guide
  • Avicenna

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  1. STUDYGUIDE EMBRYOLOGY FOUNDATIONMODULE FIRST YEARMBBS CELL & ORGANEL L ES

  2. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE STUDY GUIDE FOR FOUNDATIONMODULE Page No 3 4 5 7 7 8 16 18 22 23 S.No CONTENTS 1 2 3 4 4.1 4.2 5 6 7 8 Overview Introduction to StudyGuide LearningMethodologies Module 1:FOUNDATION Introduction Objectives andstrategies LearningResources AssessmentMethods Modular Examination Rules And Regulations(AVMC) Schedule Page | 2

  3. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE Year:One Duration: 4 weeks Timetable hours: Lectures, Case-Based Learning (CBL), Team based Learning (TBL), Self-Study, Practical, Skills, Demonstrations, Field Visits, Visit to Wards& Laboratory MODULE INTEGRA TEDCOMMITTEE MODULECOORDINATOR: CO-COORDINATORS: Professor Dr. Zubair Ahmad(Biochemistry) Professor Dr. Rubina Hafeez (Pathology) Professor Dr.Rehana Shahid(Anatomy) DEPARTMENTS & RESOURCE PERSONS FACILITA TINGLEARNING BASIC HEALTHSCIENCES CLINICAL AND ANCILLARYDEPARTMENTS FAMILYMEDICINE Professor Dr. Muhammad Luqman ANATOMY Professor Dr.Rehana Shahid BIOCHEMISTRY Professor Dr. Zubair Ahmad MEDICALEDUCATION Professor Dr. Waheed Ahmad COMMUNITYMEDICINE Professor Dr. Rana Muhammad Akhtar Khan INTERNALMEDICINE Dr. Muhammad Usman Amir PATHOLOGY HEMATOOGY Dr. Syeda Ijlal Zehra Zaidi Professor Dr. Rubina Hafeez PHYSIOLOGY Professor Dr. Binyamin Ahmad PHARMACOLOGY Professor Dr. Rana Tariq Mehmood AVMCMANAGEMENT Professor Dr. Gulfreen Waheed, PrincipalAVMC Brig.Dr. Gul e Rana , Director AVMC Dr. Sadia Awan Dr. Muhammad Muzzammil Sadiq Dr. Usama Bin Ishtiaq STUDY GUIDE COMPILEDBY: Department of Health CareEducation Page | 3

  4. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE INTRODUCTION WHAT IS A STUDYGUIDE? It is an aidto: Inform students how student learning program of the semester-wise module has been organized Helpstudentsorganize andmanagetheirstudiesthroughoutthemodule Guide students on assessment methods, rules andregulations THE STUDYGUIDE: Communicates information on organization and management of themodule. Thiswill helpthestudentto contactthe rightpersonin caseof anydifficulty. Definestheobjectiveswhich areexpectedto beachieved at theendof themodule. Identifies the learning strategies such as lectures, small group teachings, clinical skills, demonstration, tutorial and casebasedlearning that will be implemented to achieve the module objectives. Provides a list of learning resources such as books, computer assisted learning programs, web- links,journals,forstudentsto consultin orderto maximize their learning. Highlights information on the contribution of continuous and semester examinations on the student s overallperformance. Includes information on the assessment methods that will be held to determine every student s achievement ofobjectives. Focuses on information pertaining toexamination policy, rules and regulations. CURRICULUMFRAMEWORK Students will experience integrated curriculum of the 1st &2nd semesters. INTEGRATED CURRICULUM comprises system-based modules such as foundation and blood which links basic science knowledge to clinical problems. Integrated teaching means that subjects are presented as a meaningful whole. Students will be able to have better understanding of basic sciences when they repeatedlylearnin relation to clinicalexamples. Case-based discussions, computer-based assignments, early exposure to clinics, wards, and skills acquisitionin skillslabarecharacteristicsof integrated teachingprogram. Page | 4

  5. 1ST YEAR MBBS, FOUNDATIONMODULE A VICENNA MEDICA L COLLEGE LEARNINGMETHODOLOGIES Thefollowing teaching/ learningmethodsareusedto promotebetterunderstanding: InteractiveLectures Hospital / Clinic visits Small Group Discussion Case-BasedLearning Practicals Skillssession E-Learning Self-DirectedStudy INTERACTIVELECTURES:In large group, the lecturer introduces atopic or common clinical conditions and explainsthe underlying phenomenathrough questions, pictures, videosof patients interviews, exercises, etc.Studentsareactively involved in the learningprocess. HOSPITAL VISITS: In small groups, students observe patients with signs and symptoms in hospital or clinical settings. This helps students to relate knowledge of basic and clinical sciences of the relevant module. TEAM-BASED LEARNING: Team-Based Learning is an evidence based collaborative learning teaching strategy designed around units of instruction, known as modules, that are taught ina three-step cycle: preparation, (b) in-class readiness assurance testing, and (c) application-focusedexercise. Page | 5

  6. 1 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE Preparation before class: Students must complete preparatory materials before aclassor the start of the module. Materials may be text, visual or other, and set at a level that is appropriate to the students and thecourse. In-class Readiness Assurance Testing: Students complete an individual readiness assurance test (IRAT), consisting of 5 to 20 multiple choice questions. After submitting their individual answers, and they take the sametest, the teamRAT(TRAT),with their team.All membersof eachteamsharethe sameTRAT score, and both IRAT and TRAT scores count toward the students grades. Instructor Feedback:Theinstructor reviews material from the RATthat seemsto be difficult for students. In-class application focused exercise: The remainder of the session is taken up with exercises that help students learn how to apply and extend the knowledge that they have pre-learned and tested. Teams are given an appropriate problem or challenge, and must arrive at a consensus to choose a best solution out of options provided. Teams then display their answer choice, and the educator facilitates a classroomdiscussionbetween teamsto explorethetopicandthe possible answersto the problem. SMALL GROUP DISCUSSION (SGD): This format helps students to clarify concepts acquire skills or attitudes. Sessions are structured with the help of specific exercises such as patient case, interviews or discussion topics. Students exchange opinions and apply knowledge gained from lectures, tutorials and self study. The facilitator role is to ask probing questions, summarize, or rephrase to help clarify concepts. CASE-BASEDLEARNING: A small group discussion format where learning is focused around a series of questions based on a clinical scenario. Students discuss and answer the questions applying relevant knowledge gainedin clinical andbasichealth sciencesduring themodule. PRACTICAL: Basic science practicals related to anatomy, biochemistry, pathology, pharmacology and physiologyarescheduledfor studentlearning. SKILLSSESSION:Skillsrelevant to respectivemodule areobservedandpracticed where applicablein skills laboratory or DepartmentofPhysiotherapy. SELFDIRECTEDSTUDY:Students assume responsibilities of their own learning through individual study, sharing and discussing with peers, seeking information from Learning Resource Center, teachers and resource persons within and outside the college. Students can utilize the time within the college scheduled hoursofself-study. E-LEARNING: E-Learning is a strategy by which learning occurs through the utilization of electronic media, typically the Internet. The basic aspects of medical professionalism and ethics will be addressed throughane-learningcourse. Page | 6

  7. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE MODULE 1 :FOUNDATION INTRODUCTION This module has been designed to introduce you to the basics of health sciences. The course covers the molecular level of cell biology including genetics and its role in embryology, microbiology and pathology. In community medicine,health issuesandpolicieson diseasecontrolat thenational level will bediscussed. You will also experience clinical skills such as learning to communicate effectively so that you can relate to patientsandtheirlovedoneswith compassionandunderstandingin comingyears.Through working within teams, your co-operative and approachable working style will be enhanced. Through group and individual work, you will develop problem solving skills to apply your medical knowledge to practical situations. This, supplemented by lectures, and practical classes, is a significant component of thecourse. Thisstudyguidehasbeendeveloped to help guideyouandkeepyoufocusedonthe objectivesforthis module. Welcometo the fieldof medicineandhopethatthe journey aheadwill beexcitingandfulfilling for youall. Page | 7

  8. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE TOPICS, COURSE OBJECTIVES ANDSTRA TEGIES At theendof themodulethestudentswill beable to: OBJECTIVES STRATEGIES GENERALHISTOLOGY Explaintheconceptoforganizationof cellsto tissue,tissuesto organandorgansto system InteractiveLecture Describe the parts ofmicroscope Practical Describethe structuralorganizationof cellmembraneanddiscussthe function of the components Describethestructureandfunctions of thefollowing cytoplasmic organelles: i. Golgiapparatus ii. Lysosomes iii. Peroxisomes iv. Smooth endoplasmicreticulum v. Rough endoplasmicreticulum vi. Ribosomes vii. Cellular inclusions viii. Mitochondria ix. Nucleus Interactive Lecture/Skill s Describetheultra structureandfunctionof thecytoskeleton Describe cell junctioncomplex Discuss the following basic tissues of thebody i) Epithelium ii) Connective tissue iii) Muscle iv) Bones v) Cartilage vi) Neuraltissue InteractiveLecture Describethemicroscopicfeaturesof epithelialtissues,explaintheir functional importance and their surfacemodification Withuseof microscopeidentifythefollowing: i. Epithelium ii. Connective tissue Practical 2019 Page | 8

  9. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE Name the basic histologicalstains. Define the followingterms: i. Fixation ii. Embedding iii. Sectioning iv. Staining Practical Describe the microscopic features ofconnective tissues Differentiate between types of connective tissues: loose connective tissue, Adipose connective tissue, reticular connective tissue, dense connective tissue, regularand irregular InteractiveLecture GENERALEMBRYOLOGY Small Group Discussion/Interacti ve lecture Explain the basic terms related toembryology Explain cell cycle, division, abnormal cell division andmutations Discuss the significance of karyo typing and its clinical significance Differentiatebetweenthestagesof mitosisandmeiosis SmallGroup Discussion Discuss male reproductive organs and theirfunctions Discuss female reproductive organs and theirfunctions Describe the process of spermiogenesis, oogenesis andovulation InteractiveLecture Interactive Lecture/Case- Based Learning Describe the phases of female reproductive cycles and theirdisturbance leading to polymenorrhoea, oligomenorrhea andinfertility Correlatethe cyclic changesoccurringin theovarywith that of uteruswith their endocrinecontrol InteractiveLecture Describe the phases offertilization Discuss the results offertilization Discuss artificial reproductive techniques and Describe the stepsinvolved duringin vitro fertilizationandembryotransfer SmallGroup Discussion Describe cleavage and blastocyst formation InteractiveLecture Page | 9

  10. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE Discussthe resultsof implantation atabnormalsite Interactive Lecture/ Case-BasedLearning Describethe eventsof thesecond week of developmentincluding Formationof amniotic cavity, amnion, bilaminar embryonic disc, yolk sac, chorionic sac and primary chorionicvilli Describethefollowing eventsof thethirdweekof development i. Formation of primitive streak andnotochord ii. Gastrulation iii. Formation of neuraltube iv. Formation ofsomites v. Formation of intra embryoniccoelom vi. Formation of blood cells and bloodvessels vii. Formation of secondary and tertiary chorionicvilli InteractiveLecture Describe folding of embryo and itsresults Discuss the derivatives ofgerm layers and neural crest cells Small Group Discussion/Tutorial Describe the structure, development and functions ofplacenta and fetal membranes InteractiveLecture Explainthedevelopmentalprocessduring firstthreeweeksof gestation Interactive Lectures/ Small Group Discussion/Tutorial Discussthe importanteventsof embryonicperiod from4th weekto 8th week and during the organo-geneticperiod Discuss the events of fetalperiod Describe thetypesof twin / multiple pregnancies Interactive Lecture / Small Group Discussion/ Case-BasedLearning Defineteratogenesis. Classify the teratogens. Describe the basic principles ofteratogenesis Discuss the common congenitalanomalies Case-Based Learning/SmallGroup Discussion Small Group Discussion/Tutorial Calculate the expected date of delivery (EDD) and describe various methods used to assess fetalwellbeing Identifytheplacenta,fetalmembranes,umbilical cord,germlayers, stagesof fertilization on a given model, photograph orspecimen Practical Page | 10

  11. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE GENERALANATOMY Discuss the history ofanatomy InteractiveLecture Discuss anatomy including its various branches and state theirpractical application in different fields ofmedicine Discuss the various techniques related to living anatomysuch as: i. Plain and contrastradiographs ii. Radio-opaquemedia iii. Special X-ray techniques like Barium meal and Angiographyetc iv. Ultrasonography v. CT vi. MRI vii. Endoscopy Discusstheintegrationof structuresand functionsof humanbodybyrelating with thearrangementof differentlevels organization Describethetermsof position in relation to anatomicalposition: i. Anterior / Posterior ii. Ventral / Dorsal iii. Superior / Inferior iv. Caudal / Rostral v. Medial / Lateral vi. Proximal / Distal vii. Palmar / plantar viii. Superficial/Deep SmallGroup Discussion Describe the different anatomicalplanes Describe thetermsof movementsatjoints: i. Flexion / Extension ii. Abduction / Adduction iii. Lateral rotation / Medialrotation iv. Pronation / Supination v. Plantar flexion / Dorsal flexion vi. Circumduction vii. Eversion / Inversion Page | 11

  12. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE Introduction to Skeletal system (Bones and Joints) i. Describe the parts of appendicular and axialskeleton ii. Discuss the functions ofbone iii. Classify bones on the basis of shape, development, region and structure iv. Describegeneralconceptsof developmentandossificationof bones v. List the parts of youngbone vi. Explain the blood supply oflong bones vii. Classifyjoint onthe basisof structure,regionsandfunctions. viii. Discuss the characteristics of synovialjoints ix. Classify synovial joints on the basis ofstructure and movement x. Define dislocation, sprain and inflammation ofjoints Introduction to MuscularSystem: i. Classifymuscles ii. Define spasm, paralysis, atrophy andregeneration InteractiveLecture Discuss the following terms: i. Ossification ii. Ligament iii. Aponeurosis iv. Raphe v. Fascia vi. Tendon vii. Synovialsheath viii. Bursa SmallGroup Discussion Discuss the following: i. ii. iii. iv. v. vi. vii. Arteries Arterioles Capillaries Veins Venules Anastomosis Lymphatics Introduction to NervousSystem: Discuss the general organization ofnervous system Classify nervous system on the basis ofstructure and function Discuss the general organization of Autonomic NervousSystem InteractiveLectures Describe reflex arc and list itscomponents Describe gross anatomy of blood vascularsystem Integratethe functionof defencewith thegeneralanatomyof lymphnodes andlymphatics Appreciatethe functionofsupport andprotection by usingthe general anatomy of skin andfascias InteractiveLectures Page | 12

  13. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE BIOCHEMISTRY OBJECTIVES STRATEGIES INTRODUCTION TOBIOCHEMISTRY DefineBiochemistry Discuss its role, importance and applications in medicalpractice Interactive Lectures CELL Explainthecell organelleswith theirbiochemical function Discussthe biochemical composition andfunctionsof the cellmembrane Interactive Lectures WATER &pH Discuss the physicochemical properties of water ( eg surface tension,viscosity, adsorption) Describethemechanismof dissociationof water andmaintenanceof normalpH Discuss Buffers and their role in acid basebalance. CHEMISTRY OFCARBOHYDRATES ClassifyCarbohydrates Explain structure, functions and biochemical importance (in health and disease) of monosaccharides, disaccharides, oligosaccharides andpolysaccharides CHEMISTRY OFLIPIDS ClassifyLipids DefineLipids Explainthechemistry,structureandfunctionsof fattyacids. Describe properties and biological functions of simple lipids (TAG) andcompound lipids (PL) Explain sterols (Cholesterol), their chemistry, structure and biochemical importance in health anddisease CHEMISTRY OFPROTEINS Classify Proteins with their biochemicalimportance Classify Amino Acids on the basis of structure, properties, nutritional significance and their biologicalrole Define peptides,polypeptides Discuss the biomedical importance of peptidesand polypeptides Explain the structure ofproteins Classify protein on the basis of physiochemical properties, functionsand chemical reactions;andrecognize theirimportance in balanceddiet andhealth Explain the primary, secondary and tertiary structure ofprotein ENZYMES: Discussthe mechanismof actionandkineticsof co-enzymes,co-factorsand isoenzymes. Discuss Classificationandproperties of Enzymeactivity. Discuss Factors and inhibitors of Enzymeactivity. Discuss clinical enzymology Interactive Lectures Interactive Lectures Interactive Lectures Interactive Lectures Interactive Lectures Page | 13

  14. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE CHEMISTRY OF NUCLEICACIDS Explain the nucleotide chemistry with theirbiomedical importance Explain DNA and RNA structure andtypes. PRACTICALS: Discuss Lab Protocols and LabHazards Demonstrate Safety measures while working in BiochemistryLab Prepare solutions with differentconcentrations Detect the Carbohydrates (Scheme and Polysaccharides), Carbohydrates (Mono and Disaccharides), Lipid (Solubility, Emulsification, Saponification), Proteins (Scheme and General Tests), Amino acid, Individual Proteins (Albumin, Globulin, Casein) in a givensolution Demonstrate flamephotometry Perform qualitative test for salivaryamylase Interactive Lectures Practical Performance/Skil ls BIOETHICS OBJECTIVES STRATEGIES Describe the desirable attitudes of a medicalprofessional Recognize the importance of respectful behaviour withteachers , staff and colleagues Applyprinciplesof integrity, honesty,truth telling andtrustworthiness in academic situations InteractiveLecture/ Small Group Discussion COMMUNICATIONSKILLS OBJECTIVES STRATEGIES InteractiveLecture/ SmallGroup Discussion Identify basic elements of communicationskills Recognize the impact of effectivecommunication COMMUNITYMEDICINE OBJECTIVES STRATEGIES InteractiveLecture Discuss the concept of health anddiseases HEALTH CA REEDUCATION OBJECTIVES STRATEGIES InteractiveLecture/ SmallGroup Discussion Identify different methods of assessment used in LNMC modularexams Relate to LNMC assessment policies PATHOLOGY OBJECTIVES STRATEGIES InteractiveLecture Discuss the types and pathogenesis ofedema Page | 14

  15. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE PHYSIOLOGY OBJECTIVES STRATEGY INTRODUCTION TO PHYSIOLOGY & FUNCTIONAL ORGANIZATION OF HUMANBODY Recognize the importance ofphysiology in modern medicine InteractiveLecture/ SmallGroup Discussion EXTRACELLULAR FLUID & INTERNALENVIRONMENT Describe functional organization of human body and fluidcompartments InteractiveLecture/ SmallGroup Discussion HOMEOSTASIS AND CONTROL SYSTEM OFBODY Recognizethe role of physiochemicalaspectsforthemaintenanceof homeostasis InteractiveLecture/ SmallGroup Discussion FUNCTIONAL IMPORTANCE OF CELLMEMBRANE Explain composition and basic structure of cell membrane its functional importance and adaptation InteractiveLecture/ SmallGroup Discussion CELLORGANELLES Describethestructureandfunctions of variouscellorganelles InteractiveLecture/ SmallGroup Discussion TRANSPORT ACROSS CELL MEMBRANE (ACTIVE &PASSIVE) Describe membrane transport mechanism types andeffects InteractiveLecture/ SmallGroup Discussion BULK TRANSPORT, ENDOCYTOSIS, EXOCYTOSIS,TRANSCYTOSIS Describe different types oftransport mechanism through cell membrane Describe diffusion and its physicalbasis InteractiveLecture/ SmallGroup Discussion CELL SIGNALLINGMECHANISM Discussthe chemistryof signals,receptorsandimportance of lipid andproteins in membranes. Cell growth andrepair InteractiveLecture/ SmallGroup Discussion PRACTICAL Effects of osmotic variations in ECF oncell Practical RESEARCH & SKILLSLAB OBJECTIVES STRATEGY HANDWASHING Identify the indications ofhand washing Demonstratetheprotocols andstepsof handwashing in sequentialmanner SmallGroup Discussion Page | 15

  16. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE LEARNINGRESOURCES SUBJECT RESOURCES A. GROSSANATOMY 1. K.L. Moore, Clinically OrientedAnatomy 2. Neuro Anatomy by RichardSnell B. HISTOLOGY 1. B. Young J. W. Health Wheather s FunctionalHistology C. EMBRYOLOGY 1. Keith L. Moore. The DevelopingHuman 2. Langman s Medical Embryology ANATOMY A. TEXTBOOKS 1. Harper s IllustratedBiochemistry 2. Lehninger Principle ofBiochemistry 3. Biochemistry byDevlin BIOCHEMISTRY A. TEXTBOOKS 1. Textbook Of Medical Physiology by Guyton AndHall 2. Ganong S Review of MedicalPhysiology 3. Human Physiology by LauraleeSherwood 4. Berne & LevyPhysiology 5. Best & Taylor Physiological Basis of MedicalPractice B. REFERENCEBOOKS 1. Guyton & Hall PhysiologicalReview 2. Essentials Of Medical Physiology byJaypee 3. Textbook Of Medical Physiology byInduKhurana 4. Short Textbook Of Physiology byMrthur 5. NMSPhysiology PHYSIOLOGY Page | 16

  17. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE OTHER LEARNINGRESOURCES Hands-on Activities/PracticalStudents will be involved in Practical sessions and hands-on activitiesthat link with the foundation moduleto enhancethelearning. Utilize thelabto relatethe knowledge to thespecimensandmodels Labs available. A skills lab provides the simulators tolearn the basic skills and SkillLabs procedures. This helps build the confidence to approach thepatients. Video familiarize the student with the proceduresandprotocols to assist Videos patients. To increase the knowledge students should utilize the available internet resources and CDs/DVDs. This will be an additional advantage to increase Computer Lab/CDs/DVDs/Internet learning. Resources: Self Learning is scheduled to search for information to solve cases,read through different resources and discuss among the peers and with the SelfLearning faculty to clarify theconcepts. Page | 17

  18. 1ST YEAR MBBS, SEMESTER 1 FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE ASSESSMENTMETHODS: Theory (knowledge): Best Choice Questions (BCQs) also known as MCQs (Multiple Choice Questions) are used to asses objectives covered in eachmodule. BCQs: A BCQ has a statement or clinical scenario followed by four options (likelyanswers). After reading the statement/scenario student select ONE, the most appropriate answer/response from the given list ofoptions. Correct answer carries one mark, and incorrect zero mark . There is NO negative marking. Studentsmarktheirresponsesonspecifiedcomputer-basedsheetdesignedfor AVMC SampleBCQs: o A25yearoldpatientpresentedwith thecomplainofproductivecough,breathlessnessandwheezing. He has been diagnosed withchronic obstructive pulmonary disease. Themostcommonriskfactorforthedisease is: a) Airpollution b) Coalmining c) Infection d) Tobaccosmoke OSPE: Objective Structured Practical Examination (See the proposed plan ofOSPE) It may comprise between 12-25stations. The content may assess application of knowledge, orpractical skills. Studentwill completetaskin define timeat onegivenstation. All the studentsare assessedonthesamecontentbythesameexaminer in thesameallocated time. A structured examination will have observed, unobserved, interactive and reststations. Observed and interactivestations: Theywill beassessedbyinternal orexternalexaminersthroughthetaskorviva. Unobservedstation: It will be static station in which students will have to answer the questions related to the given pictures, models or specimens on the provided responsesheet. Rest station: It is astationwhere notaskisgiven,andduring thistimestudentcanorganizehis/her thoughts. Page | 18

  19. 1ST YEAR MBBS, FOUNDATIONMODULE A VICENNA MEDICA L COLLEGE Page | 19

  20. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE InternalEvaluation Students will beassessedto determine achievement of moduleobjectivesthroughthe following: Module Examination: will be scheduled on completion of each module. The method of o examination comprises theory exam which includes BCQs and OSPE (Objective Structured PracticalExamination). Graded Assessmentof studentsbyIndividual Department: Quiz, viva, practical, assignment, o small group activities such asCBL,TBL,TOL,online assessment, ward activities, examination, andlogbook. Marksof both modular examination andgradedassessmentwill constitute20%weightage. As per UHS policy, this 20% will be added by UHS to SemesterExamination. Example : Number of Marks allocated for Semester Theory and Internal Evaluation InternalEvaluation (Class tests + Journals + Assignments + Modular Exam) 20% Semester Examination TheoryMarks Total(Theory) Semester 100% 80% FormativeAssessment Individual department may hold quiz or short answer questions to help students assess their own learning. The marks obtained are not included in the internalevaluation More than 75% attendance is needed to sit for the modularand semesterexaminations Page | 20

  21. 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE UHSGradingSystem It will be based on GPA 4system Marks obtained in Percentagerange NumericalGrade AlphabeticalGrade 80-100 75-79 70-74 67-69 63-66 60-62 56-59 50-55 4.0 4.0 3.7 3.3 3.0 2.7 2.3 2.0 0 A+ A A- B+ B B- C+ C U <50 Un-grade-able Page | 21

  22. 1 1ST YEAR MBBS, FOUNDATIONMODULE AVICENNA MEDICAL COLLEGE MODULAR EXAMINATION RULES & REGULATION ) AVMC Studentmustreportto examinationhall/venue, 30 minutesbeforetheexam. Exam will begin sharp at the giventime. No student will be allowed to enter the examination hall after 15 minutes of scheduled examinationtime. Studentsmustsitaccordingto theirroll numbersmentioned ontheseats. Cell phones are strictly not allowed in examinationhall. If anystudentisfoundwith cell phonein anymode(silent, switchedoff oron)he/shewill benot be allowed to continue theirexam. No students will be allowed to sit in exam without University Admit Card, LNMC College ID Card and LabCoat Student must bring the following stationary items for the exam: Pen, Pencil, Eraser, and Sharpener. Indiscipline in the exam hall/venue is not acceptable. Students must not possess any written materialorcommunicatewith theirfellowstudents. Page | 22

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