GIT Module

Final Year MBBS

KMU (IHPER)- Central Curriculum Committee 1

 Table of Contents

Khyber Medical University (KMU) Vision: .....................................................................................................................................................3

Khyber Medical University (KMU) Mission: ...................................................................................................................................................3

Institute of Health Professions Education & Research (IHPER) Mission: ............................................................................................3

Themes ....................................................................................................................................... 4

Learning Objectives ........................................................................................................................ 5

Specific Learning Objectives .............................................................................................................. 6

KMU (IHPER)- Central Curriculum Committee 2

 Khyber Medical University (KMU) Vision:
Khyber Medical University will be the global leader in health sciences academics and
research for efficient and compassionate health care.

Khyber Medical University (KMU) Mission:

Khyber Medical University aims to promote professional competence through
learning and innovation for providing comprehensive quality health care to the nation.

Institute of Health Professions Education & Research (IHPER) Mission:

To produce leaders, innovators and researchers in health professions education who
can apply global knowledge to resolve local issues.

KMU (IHPER)- Central Curriculum Committee 3

 Themes
Table 1: Thematic Distribution
S. No Themes Duration in Hours

1 Difficulty in swallowing and Epigastric Pain 4

2 Yellow discoloration of the sclera 5

3 Diarrhea and Pain Abdomen 8

4 Constipation and bleeding per rectum 6

*A minimum of 4 hours daily apart from above hours, must be allocated for clinical teaching and training at the bedside
in different units.

KMU (IHPER)- Central Curriculum Committee 4

 Learning Objectives
By the end of GIT Module, Final year MBBS students will be able to:

1) Discuss the approach to the management of a patient with dysphagia and upper GI bleed.

2) Explain the approach to the management of a patient with pain epigastrium.

3) Discuss the management of a patient with acute and chronic hepatitis, liver cirrhosis, and encephalopathy.

4) Explain the management of a patient with acute and chronic diarrheas.

5) Discuss the management of a patient with peritonitis and intestinal obstruction.

6) Explain the management of a patient with constipation and lower GI bleeding.

7) Take history and perform a physical examination of a patient with GI diseases.

8) Counsel patients and their families with common GI diseases.

KMU (IHPER)- Central Curriculum Committee 5

 Specific Learning Objectives
Table 3: Theme Wise Learning objectives
Theme-1: Difficulty in swallowing and epigastric pain
Subject Topic Hours S. No Domain of Learning objectives
learning

Surgery Dysphagia 1 1 Cognitive Explain the diagnostic workup and management of a

patient with dysphagia.
Medicine Upper GI bleeding 1 2 Cognitive Explain the diagnostic workup and management and
complications of a patient with Upper GI bleeding
3 Psychomotor Take history and perform a physical examination of a
patient with an upper GI bleed.
4 Psychomotor Observe upper GI endoscopy.
5 Psychomotor Observe NG tube insertion.
Pediatrics Vomiting 1 6 Cognitive Explain the diagnostic and therapeutic approach to a
neonate and infant with persistent vomiting.
Gynaecology Hyperemesis 1 7 Cognitive Discuss the management of a patient with vomiting of
gravidarum pregnancy.
8 Affective Counsel a patient with hyperemesis gravidarum.

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 Theme-2: Yellow discoloration of the sclera
Subject Topic Hours S. No Domain of Learning objectives
learning

Medicine Investigations of 1 9 Cognitive Elaborate on the investigations used for the diagnosis of
liver diseases hepatobiliary disorders and their interpretations.
10 Psychomotor Take history and perform physical examination of a
patient with liver cirrhosis.
11 Psychomotor Observe Ascitic fluid paracentesis.
12 Psychomotor Interpret Ascitic fluid report.
13 Affective Counsel a patient with Liver cirrhosis due to Hepatitis
B/C.
Acute fulminant 1 14 Cognitive Discuss the diagnostic approach and management of a
hepatitis and acute patient with suspected acute fulminant hepatitis/acute
liver failure liver failure.
Hepatic 15 Cognitive Explain the grading system, etiology, diagnostic
encephalopathy approach, management, and prevention of hepatic
encephalopathy.
16 Psychomotor Elicit Asterixis/ hepatic flap.
Surgery Obstructive 1 17 Cognitive Discuss the diagnostic approach and management of a
jaundice patient with suspected obstructive jaundice.
18 Affective counsel a standardized patient with newly diagnosed
Carcinoma head of the Pancreas.
Pediatrics Hyperbilirubinemias 1 19 Cognitive Discuss the diagnostic approach and management of a
neonate and infant with jaundice.
20 Psychomotor Take history and perform physical examination of a child
with jaundice.
21 Affective Counsel a child and his parents with Gilbert syndrome.

KMU (IHPER)- Central Curriculum Committee 7

Gynaecology Obstetrics 1 Cognitive Discuss the management of cholestasis in pregnancy and
cholestasis in fatty liver in pregnancy
pregnancy/fatty
liver
Theme-3: Pain Abdomen and Diarrhea
Subject Topic Hours S. No Domain of Learning objectives
learning
Surgery Acute appendicitis 1 22 Cognitive Discuss the diagnostic approach and management of a
patient with pain in the right iliac fossa due to suspected
appendicitis.
Pain abdomen 23 Cognitive Discuss the diagnostic approach and management of a
patient with pain in the abdomen of acute onset and
chronic onset.
24 Psychomotor Illicit signs of acute appendicitis in a child.
25 Affective Counsel the parents of a child with acute appendicitis
Intestinal 1 26 Cognitive Discuss the etiology, diagnostic approach, and
obstruction management of a patient with suspected intestinal
obstruction.
Intestinal 1 27 Cognitive Discuss the etiology, diagnostic approach, and
perforation management of a patient with suspected intestinal
perforation/peritonitis.
Hernias 1 28 Cognitive Discuss the etiology, anatomical concepts, management,
and complications of a patient with inguinal hernias .
29 Psychomotor Perform transillumination test for inguinal hernias.
Pediatrics Malabsorption and 1 30 Cognitive Explain the diagnostic workup and management of a
celiac disease patient with Malabsorption due to celiac disease.
31 Affective Counsel a child and his/her parents regarding dietary
advice regarding celiac disease
Acute diarrhea 1 32 Cognitive Explain the diagnostic workup and management of a
patient acute watery diarrhea
33 Psychomotor Assess the state of hydration in a child with acute
diarrhea

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 Chronic diarrhea 1 34 Cognitive Explain the diagnostic workup and management of a
patient with chronic diarrhea.
Family Approach to a 1 35 Cognitive Explain the approach, differential diagnosis,
medicine/ patient with investigations, initial management, and indications for
Medicine Abdominal Pain in a referral of a patient with Abdominal Pain in a primary
primary health care health care setting.
Theme-4: Constipation and bleeding per rectum
Subject Topic Hours S. No Domain of Learning objectives
learning
Medicine Approach to a 1 36 Cognitive Discuss the diagnostic workup and management
patient bleeding approach for a patient with bleeding per rectum.
Per rectum

Surgery Constipation 1 37 Cognitive Discuss the diagnostic workup and management

approach for a patient with constipation
Ulcerative colitis 1 38 Cognitive Discuss the approach to the management of a patient
with ulcerative colitis, its short and long-term
complications, and the role of surveillance
colonoscopies in the prevention of colorectal
malignancies.
Crohn’s Disease 1 39 Cognitive Discuss the approach to the management of a patient
with Crohn`s disease, its short and long-term
complications, and extra intestinal manifestations.
Colorectal cancer 1 40 Cognitive Discuss the approach to the management of a patient
with suspected colorectal cancer and its staging

Pediatrics Hirschsprung’s 1 41 Cognitive Explain the etiology, clinical features, investigations,

surgery disease treatment of a child with Hirschsprung’s disease.

KMU (IHPER)- Central Curriculum Committee 9