SyllabusMBBSattheAllMSAll India Institute of Medical SciencesAnsariNagar,NewDelhi-110029
All India Institute of Medical Sciences Ansari Nagar, New Delhi- 110029 Syllabus MBBS at the AIIMS
vSYLLABUS-COMMITTEE1.Dr.KusumVermaChairpersonProf.&Head,Department of Pathology2.MemberHead of theDepartmentof Anatomy3.MemberHead of theDepartmentof Biochemistry4.MemberHead of the Department of Physiology5.MemberHead of theDepartment of Microbiology6.MemberHead of theDepartmentof Forensic Medicine7.MemberHead of the Department of Pharmacology8.MemberHead of theDepartment of Medicine9.MemberHead oftheDepartmentof PaediatricsMember10.Head of the Department of Surgery11.MemberHead oftheDepartment of Obst.&GynaeMember12.Head of theDepartment of CommunityMedicine13.Head of theDepartmentof PsychiatryMember14.Head of theDepartment of Derma.&VenereoMember15.Head of the Department of OrthopaedicsMemberMember16.Head of theDepartmentof ENTMember17.Head of theDepartment of OphthalmologyMember18.Head of the Department of AnaesthesiologyMember19.Dr. B.V. Adkoli, CMETMember20.Dr.Y.K,Joshi, Sub-Dean (Acad.)21.ShriV.P.Gupta, RegistrarMember-Secretary
v SYLLABUS–COMMITTEE 1. Dr. Kusum Verma Chairperson Prof. & Head, Department of Pathology 2. Head of the Department of Anatomy Member 3. Head of the Department of Biochemistry Member 4. Head of the Department of Physiology Member 5. Head of the Department of Microbiology Member 6. Head of the Department of Forensic Medicine Member 7. Head of the Department of Pharmacology Member 8. Head of the Department of Medicine Member 9. Head of the Department of Paediatrics Member 10. Head of the Department of Surgery Member 11. Head of the Department of Obst. & Gynae. Member 12. Head of the Department of Community Medicine Member 13. Head of the Department of Psychiatry Member 14. Head of the Department of Derma. & Venereo. Member 15. Head of the Department of Orthopaedics Member 16. Head of the Department of ENT Member 17. Head of the Department of Ophthalmology Member 18. Head of the Department of Anaesthesiology Member 19. Dr. B.V. Adkoli, CMET Member 20. Dr. Y.K. Joshi, Sub-Dean (Acad.) Member 21. Shri V.P. Gupta, Registrar Member-Secretary
viPREAMBLETheHealth Survey and Development Committee,popularlyknown as theBhoreCommittee,in itsreportpublishedin1946,recommendedverystronglytheestablishmentofanationalmedicalcenteratDelhiwhichwillconcentrateontrainingofhighlyqualifiedteachersandresearchworkersinorderthatasteadystreamofthesecouldbemaintainedtomeettheneeds oftherapidlyexpandinghealthactivitiesthroughoutthecountry.AftertheattainmentofindependencetheUnionMinistryofHealthproceededtoimplementthischallengingideaandamagnificentgrantofonemillionpoundsbytheGovernmentofNewZealandthroughtheColomboPlanhelpedtotranslatetheideaintoreality.AnactofParliamentin1956establishedtheAll IndiaInstituteofMedical SciencesasanAutonomousInstitutionofNationalimportanceanddefineditsobjectivesandfunctionsTheprimeconcernofthe Institute is todeveloppatterns ofteaching in undergraduateandpostgraduate medical education in all the branches soas todemonstrate a high standardofmedicaleducationtoallmedicalcollegesandotherallied institutions inIndia.ThiseducationalexperienceisimpartedinanatmosphereofresearchBy virtue ofthe Act, the Institute grants its own medical degrees and other academic distinctions.The degrees granted by the Institute under the All India Institute of Medical Sciences Act arerecognized medical qualifications for the purpose of the Indian Medical Council Act and,notwithstanding anything contained therein, are deemed to be included in the first schedule ofthatAct, entitling the holders to the same privileges as those attached to theequivalent awardsfrom therecognizedUniversitiesofIndiarespectivelyThe syllabusforMBBS hasbeen developed in consultation with thefacultyoftheconcerneddepartmentsandfurtherscrutinizedbytheAcademicSectionunderthesupervisionoftheDean(Prof.P.Venugopal)
vi PREAMBLE The Health Survey and Development Committee, popularly known as the Bhore Committee, in its report published in 1946, recommended very strongly the establishment of a national medical center at Delhi which will concentrate on training of highly qualified teachers and research workers in order that a steady stream of these could be maintained to meet the needs of the rapidly expanding health activities throughout the country. After the attainment of independence the Union Ministry of Health proceeded to implement this challenging idea and a magnificent grant of one million pounds by the Government of New Zealand through the Colombo Plan helped to translate the idea into reality. An act of Parliament in 1956 established the All India Institute of Medical Sciences as an Autonomous Institution of National importance and defined its objectives and functions. The prime concern of the Institute is to develop patterns of teaching in undergraduate and postgraduate medical education in all the branches so as to demonstrate a high standard of medical education to all medical colleges and other allied institutions in India. This educational experience is imparted in an atmosphere of research. By virtue of the Act, the Institute grants its own medical degrees and other academic distinctions. The degrees granted by the Institute under the All India Institute of Medical Sciences Act are recognized medical qualifications for the purpose of the Indian Medical Council Act and, notwithstanding anything contained therein, are deemed to be included in the first schedule of that Act, entitling the holders to the same privileges as those attached to the equivalent awards from the recognized Universities of India respectively. The syllabus for MBBS has been developed in consultation with the faculty of the concerned departments and further scrutinized by the Academic Section under the supervision of the Dean (Prof. P. Venugopal)
viiCONTENTSS. No.SubjectPage No.1.Anatomy12..12Biochemistry3..19Physiology4...28Forensic Medicine&Toxicology5.36Microbiology6..49Pathology7.Pharmacology.578.61Anaesthesiology9.64Community Medicine10...86Dermatology&Venereology11...89Medicine..12...105Obstetrics&Gynaecology13.Ophthalmology11214.Orthopaedics.11915.124Otorhinolaryngology16.Paediatrics12817.142Psychiatry18..146Surgery19.157Internship
vii CONTENTS S. No. Subject Page No. 1. Anatomy . 1 2. Biochemistry . 12 3. Physiology . 19 4. Forensic Medicine & Toxicology . 28 5. Microbiology . 36 6. Pathology . 49 7. Pharmacology . 57 8. Anaesthesiology . 61 9. Community Medicine . 64 10. Dermatology & Venereology . 86 11. Medicine . 89 12. Obstetrics & Gynaecology . 105 13. Ophthalmology. 112 14. Orthopaedics. 119 15. Otorhinolaryngology . 124 16. Paediatrics . 128 17. Psychiatry . 142 18. Surgery . 146 19. Internship . 157
viliINTRODUCTIONAll India InstituteofMedical Sciences(AIIMS)was establishedbytheActof Parliament in1956as anautonomous institute to set patterns in Undergraduate and Postgraduate Medical Education inall itsbranches to so as to demonstrate ahigh standard of medical education.This is the onlyinstitute outsidethe jurisdiction of Medical Council of India to encourage experiments in the curriculum.The Courseleadingtothe Degree of MBBShasbeen in existence since1956.Itmainlyfollows a disciplinarystructure.However, since inception, AllMS has been constantly upgrading its course content in tunewith the changing needs.Many alterations have taken place during the lastfifty years,whichhavebeenreflected in the present curriculum document.DurationThe MBBS course comprises four and a half years, followed by compulsory rotatory internship of oneyear.The course follows semester system, each semester consisting of six months.The MBBS courseis divided in to three phases, viz., Pre-clinical, Para-clinical and Clinical Phase, during which followingsubjects areintroduced:PhaseSemestersSubjects coveredPre-clinical1 -2:Two SemestersAnatomy,Bio-chemistry,PhysiologyPara-clinical3-5:ThreeSemestersCommunity Medicine,Forensic MedicinePathology,Pharmacology,Microbiology,Clinicalpostings in wards, OPDs to begin here,Clinical6-9:Four SemestersCommunity Medicine,Medicine and alliedsubjects(Psychiatry,Dermatology);Obst.Gynae., Pediatrics;Surgery and allied subjects (Anesthesiology,E.N.T.,Ophthalmology,Orthopedics),Clinical postings:
viii All India Institute of Medical Sciences (AIIMS) was established by the Act of Parliament in 1956 as an autonomous institute to set patterns in Undergraduate and Postgraduate Medical Education in all its branches to so as to demonstrate a high standard of medical education. This is the only institute outside the jurisdiction of Medical Council of India to encourage experiments in the curriculum. The Course leading to the Degree of MBBS has been in existence since 1956. It mainly follows a disciplinary structure. However, since inception, AIIMS has been constantly upgrading its course content in tune with the changing needs. Many alterations have taken place during the last fifty years, which have been reflected in the present curriculum document. Duration The MBBS course comprises four and a half years, followed by compulsory rotatory internship of one year. The course follows semester system, each semester consisting of six months. The MBBS course is divided in to three phases, viz., Pre-clinical, Para-clinical and Clinical Phase, during which following subjects are introduced: Phase Semesters Subjects covered Pre-clinical 1 – 2 : Two Semesters Anatomy, Bio-chemistry, Physiology Para-clinical 3 – 5 : Three Semesters Community Medicine; Forensic Medicine, Pathology, Pharmacology, Microbiology, Clinical postings in wards, OPDs to begin here; Clinical 6 – 9 : Four Semesters Community Medicine, Medicine and allied subjects (Psychiatry, Dermatology); Obst. Gynae.; Pediatrics; Surgery and allied subjects (Anesthesiology, E.N.T., Ophthalmology, Orthopedics); Clinical postings; INTRODUCTION