01 MMSP Syllabus
01 MMSP Syllabus
01 MMSP Syllabus
2. Mrs. Rekha, 24 years old primigravida comes to OPD with 6 months amenorrhea. This is
her first visit to you.
a. What history will you elicit?( 2 marks)
b. What general physical & systemic examination will you perform?(3 marks)
3. An outbreak of diarrhoeal diseases has occurred in a village.
a. Enlist any two environmental factors you will monitor.( 2 marks)
b. Write any three health educational messages you will like to be passed to the community.( 3
marks)
pg. 1
Format / skeleton of Theory Paper
Topics
pg. 2
6. Environmental health
7. National Health Programs
8. Epidemic investigation
9. Management of public health emergencies
10. Instruments / procedures used in clinical and public health practice .
pg. 3
Orientation Workshop ( one week )
pg. 4
Day Duration Topic Trainer/Facilitator
4.30-5.30 PM RNTCP
pg. 5
Day Duration Topic Trainer/Facilitator
pg. 6
Orientation Programme Assignment
(To be completed during the workshop and certified by Course Coordinator on last day)
pg. 7
Modern Midlevel Service Provider Certificate Course
Curriculum
Paper I: Maternal , child and adolescent health care including family welfare
A. Maternal health and family welfare:
Learning Objectives
After training in Obstetrics and Family Welfare the trainee should be able to:
1. Provide quality antenatal care, intra-partum care, including monitoring of labour with
partograph, active management of third stage of labour and postpartum care.
2. Do ANC examination
3. Detect high risk factors during ANC
4. Identify abnormality of labour
5. Manage (primary management before referral) in case of obstetric complication
6. Make referral of complicated cases after initial management and stablization.
7. Provide quality care and counseling to the woman during antenatal, labour and postpartum
period.
8. Identify danger signs during pregnancy, labour, delivery and postpartum period along with
the danger signs in newborn; provide supportive care prior to referral.
9. Assess eligible couple and advice appropriate family planning methods.
Syllabus
pg. 8
19 MCH related records and reports
20 Contraceptive methods and family welfare programme
Teaching Methodology
Trainees should be posted at Ante natal OPD/ Labour Room/ Post natal Ward or any other Relevant
facility in the hospital / health centre in rotation for actual hands on training , clinical and administrative
experience. Trainees should be posted in labour rooms and obstetric wards for emergency posting for
24 hours in rotation. Maximum efforts should be taken to give hands on training rather than didactic
lectures. The sessions should be interactive. Field visits of the trainees should be organized at various
health facilities involved in the delivery of relevant services
Learning Objectives
After training in Child and adolescent health the trainee should be able to:
1. Assess immunization status of under five children.
2. Plan and conduct vaccination session.
3. Describe uses of cold chain equipment.
4. Perform anthropometric, clinical and dietary assessment of under five child.
5. Assess newborn child.
6. Identify danger signs in newborn; provide supportive care prior to referral.
7. Provide essential newborn care to all new born and new born resuscitation, if required
8. Identify the epidemiological factors related to PEM, diarrhea and ARI, as important
community health Problem.
9. Assess adolescent health and provide adolescent health care.
10. Plan, implement and evaluate health education programme.
Syllabus
1) Care at birth
2) Examination of new born
3) Neonatal resuscitation – Flow diagram for basic neonatal resuscitation
4) Management of hypothermia
5) Identification of high risk new born and neonatal transport
6) Management of illness in infants aged 0-2 months
7) Management of illness in children aged 2 months to 5 years
a) Pneumonia
b) Dehydration
c) Prevention / identification and management of anaemia
d) Deworming for all age groups
8) Childhood nutrition –
pg. 9
a) Exclusive breast feeding
b) weaning
9) Malnutrition –
a) Types e.g. SAM / MAM
b) Identification
c) Anthropometry
d) Growth chart
10) National immunization schedule
a) Adverse events following immunization
b) Vitamin A schedule
c) Schedule/Doses for Deworming
11) Adolescent health care
a) Information and counselling on sexual reproductive health concerns
b) Promotion of menstrual hygiene amongst adolescent girls
Teaching Methodology
Trainees should be posted at Paediatric / Post-natal Ward / OPDs or any other relevant facility in the
hospital / health centre in rotation for actual hands on training, clinical and administrative experience.
Trainees should be posted in wards for emergency posting for 24 hours in rotation. Maximum efforts
should be taken to give hands on training rather than didactic lectures. The sessions should be
interactive. Field visits of the trainees should be organized at various health facilities involved in the
delivery of relevant services
1 NHM Health and Wellness Centres Induction Training Module for MO HWC, Govt. of MS
1. Trainers’ Guide for Training of Medical Officers, in Pregnancy Care and Management of Common
Obstetric Complications ,Maternal Health Division, Department of Family Welfare, Ministry of
Health & Family Welfare ,Government of India ,August, 2009
2. Facility Based IMNCI (F-IMNCI) Facilitators Guide, Ministry of Health & Family Welfare
,Government of India ,August, 2009
3. Daksh Skills Lab for RMNCH+A Services Training Manual for Facilitators, Ministry of Health &
Family Welfare ,Government of India
pg. 10
Paper II : Medical , surgical and clinical services
Learning objectives
After training in Medicine, TB, Skin VD the trainee should be able to:
Cognitive Skills
Psychomotor Skills
1. General exam
2. Pallor, Icterus, cyanosis, clubbing, edema,
3. Pulse, BP, respiration rate, JVP,
4. Inspection, palpation, percussion, auscultation,
5. Monitoring, airway breathing
6. Circulation
7. State of consciousness
8. Pleural Aspiration
9. Ascitic Tapping
10. Peripheral IV lines
11. Airway application
12. Intubation
Affective/Communication Skills
pg. 11
Syllabus
1) General examination
2) Hypertension
3) Diabetes mellitus
4) Chest pain
5) ECG
6) Stroke
7) Fever of unknown origin
8) Malaria
9) Typhoid
10) Tuberculosis
11) HIV
12) Pain in abdomen
13) Diarrhea/Dysentry
14) Anemia
15) URTI / LRTI
16) Pneumonia
17) Pulm. Asthma
18) COPD
19) Shock
20) Headache
21) Migraine
22) Fatiguability
23) Faintness
24) Snake bite
25) Scorpion bite
26) Dog bite
27) Leprosy
28) Arthritis
29) Unexplained lumps
30) Cancer
31) Oral health
32) Leuko / erythro plakia
33) Nutritional assessment
34) Seizures
35) Acute gastroenteritis
36) Swine flu
37) Viral fever
pg. 12
38) Knowledge of endemic and
39) Epidemic disease / outcome
40) Nephrotic / Nephritic syndrome
41) ARF
42) Bleeding disorders
43) Clinical assessment
44) Anthropometric assessment
45) Sexually transmitted disease
46) Adult immunization
Psychiatry
Learning Objectives:
Psychomotor Skill:-
1. Empathetic communication
2. Involvement in family counselling of relatives
3. Able to communicate about etiology and treatment need to patient and relative
4. Compliance to treatment and follow up need explanation
Topic and subtopic:-
pg. 13
7. Anxiety disorder
8. OCD
9. Bipolar mood disorder
10. Child psychiatry –
a) ADHD
b) Intellectual disability
c) Child behavioural issues
11. Substance use disorder
a) Alcohol
b) Tobacco
c) Cannabis
d) Opioid
e) Prescription drugs
12. Dementia and Geriatric psychiatry
13. Basic knowledge about psychopharmacology
14. Basic knowledge about mental health care act (MHCA 2017)
15. Basic knowledge about DMHP
16. Suicide prevention and emergency in psychiatry
Teaching Methodology
Trainees should be posted at Medicine/ TB/ Psychiatry/ Skin VD Wards / OPDs or any other relevant
facility in the hospital / health centre in rotation for actual hands on training, clinical and administrative
experience. Trainees should be posted in wards for emergency posting for 24 hours in rotation.
Maximum efforts should be taken to give hands on training rather than didactic lectures. The sessions
should be interactive. Field visits of the trainees should be organized at various health facilities involved
in the delivery of relevant services
pg. 14
B. Surgery , Orthopedics, Ophthalmology , ENT
Surgery
Learning Objective : At the end of posting in Surgery the trainee should be able to
1) History / Examination
2) Basic procedure – RT, catheterization, central lines, I & D, venesection, suturing & suture
removal
3) Basics of dressing materials and their use
4) First aid before referring to higher centre
Surgery –Learning Material
1. Clinical Das
2. Pyes’ Surgical handicraft
Orthopedics
Learning Objective :
At the end of posting in Orthopedics the trainee should be able to
pg. 15
Ophthalmology
Learning Objective :
At the end of posting in Ophthalmology the trainee should be able to
Cognitive/Knowledge skills :-
1) Identify common ophthalmic infective condition – viral and bacterial conjunctivitis, styes and chr
/ ac. Dacryocystitis, corneal ulcers.
2) Differentiate between conjunctival infection and allergy
3) Able to assess visual activity and identify refractive errors
4) Diagnose and stage cataracts
5) Identify serious ocular trauma, sub conjunctival Hemorrhage, perforating ocular injury.
6) Have basic idea about structure and coats of eyeball
7) Known in brief about diabetic, hypertensive retinopathies, retinopathy of prematurity
Psychomotor Skills:-
Assessment
pg. 16
2. Diagnose senile cataract (grossly, distinguish between immature and mature stage)
3. Identify conjunctivitis/corneal ulcer/corneal opacity
4. Prescribe basic antibiotic drops for conjunctivitis / styes / dacryocystitis
Learning Material/Resources
1. Parson’s text book of ophthalmology
2. Textbook of ophthalmology- A K Khurana
3. NHM Health and Wellness Centres Induction Training Module for MO HWC, Govt. of MS
ENT
Cognitive/Knowledge Skills :-
5) Tracheostomy care
Psychomotor skills:-
1) Use of otoscope
2) Hearing ascertainment (tuning fork test, weber’s test, Rinnic test, absolute barre conduction
test)
5) Tracheostomy care
pg. 17
Affective/Communication skills
5) Malignancy of oral cavity, pharynx and larynx – Clinical posting & lecture
Objective (ENT)
1) M. O. should be able to diagnose ASOM / CSOM, acute, chronic, tonsillitis, treat it and identify
its complications.
2) M.O. should be able to examine case of hearing loses / ear wax, give medication (wax dissolvent
/ remove wax)
3) M.O. should be able to examine oral cavity, identify lesion, perform biopsy of lesion and refer
appropriately.
1) Dr. P.L. Dhingra – Diseases of ear, nose and throat and head and neck surgery (7th edition) –
Publisher (Elsevier)
2) Dr. Mohan Bansod - Diseases of ear, nose and throat and head and neck surgery (2nd
edition) – Publisher (J. P. Brothers)
3) Practical ENT by Dr Vikas Sinha (3rd Edition)
4) NHM Health and Wellness Centres Induction Training Module for MO HWC, Govt. of MS
pg. 18
Paper III Public Health
Learning objectives
1. Monitor and implement National Health Programs at the Health and Wellness Centre.
2. Supervise the work of health staff at Health and Wellness Centre.
3. Plan and conduct surveys on small scale in the villages
4. Conduct epidemic investigation and disease control during outbreak situations.
5. Plan and organize health educational activities in the villages.
Syllabus
Teaching Methodology
Trainees should be posted at various public health facilities or any other relevant facility in the hospital
/ health centre in rotation for actual hands on training , clinical and administrative experience..
Maximum efforts should be taken to give hands on training rather than didactic lectures. The sessions
should be interactive. Field visits of the trainees should be organized at various health facilities involved
in the delivery of relevant services
1. NHM Health and Wellness Centres Induction Training Module for MO HWC, Govt. of MS
2. Text Book of Community Medicine by J.E.Park
3. National Health Programmes at the website of National Urban Mission.
pg. 19