CURRICULUM FOR MBBS

1. Every student shall undergo a certified study extending over 4 ½ academic years divided
into 9 semesters (of 6 months each) from the date of commencement of his date of
completion of examination and followed by one year compulsory rotating internship.
Each semester will consist of 120 teaching days of 8 hrs each college working time
including one hour of lunch.
2. The period of 4 ½ (9 semester) years is divided into 3 phases as follows:
a) Phase I Anatomy (650 hrs Teaching) 1st Professional
(2 semester) Physiology including Biophysics (480 hrs) Exam Examination
1 year in Physiology,
teaching
Biochemistry,
Biochemistry (240 hrs Teaching) Anatomy during 2nd
Introduction to Community Medicine (60 hrs Semester
Teaching)
b) Phase II Pathology (300 hrs Teaching) 2nd Professional
(3 Semester) Exam Examination
Pharmacology (300 hrs teaching)
1 ½ Year in Pathology,
Microbiology (250 hrs teaching) Pharmacology,
Forensic Medicine including Toxicology (100 Microbiology,
hrs teaching) F.M.T., during 5th
semester.
Community Medicine (200 hrs teaching)
(including 8 weeks posting of 3 hrs each)
(Teaching of Para Clinical subjects shall be of 4
hrs per day in 3rd Semester and 3 hrs per day in
4th & 5th semester)
and Clinical subjects mentioned in Phase III
c) Phase III General Medicine (300 hrs teaching) Infectious 3rd Prof. Exam
(4 semester) disease Part I during 7th
2 years Semester
Paediatric (100 hrs teaching)
Examination in
Tuberculosis and chest diseases (20hrs ophthalmology,
teaching) otorhinolaryngology
Skin & STD (30 hrs teaching) & community
medicine
Psychiatry (20 hrs teaching
Radio Diagnosis & Radio Therapy (20 hrs
teaching
General Surgery (300 hrs teaching)
Orthopaedic Surgery including Physiotherapy
and Rehabilitation (100 hrs teaching) 3rd Prof. Exam
Part II during 9
Ophthalmology (100 hrs teaching)
semester
Otorhinolarygology (70 hrs teaching) Examination in
Anaesthesia (20 hrs teaching) Medicine, Surgery,
Obst & Gynae and
Dentistry (10 hrs teaching) Paediatric
Obstetrics and Gynaecology, Family Medicine,
Family Welfare Planning (300 hrs teaching)
Community Medicine (50 hrs teaching)
During third to ninth semesters, clinical postings of three hours duration daily as specified in the
table below is suggested for various departments, after introductory course in Clinical methods in
Medicine and surgery of two weeks each for the whole classes.

Total 3rdsem 4th sem 5th sem 6th sem 7th sem 8th sem 9th sem
Total
Subjects ester ester ester ester ester ester ester
weeks
weeks weeks weeks weeks weeks weeks weeks
Gen. Medicine 6 -- 4 -- 4 6 6 26

Paediatrics -- 2 -- 2 2 4 -- 10

T.B. & Chest -- 2 -- -- -- -- -- 02

Skin & STD -- 2 -- 2 -- 2 -- 06

Psychiatry -- -- 2 -- -- -- -- 02

Radiology -- -- -- -- 2 -- -- 02

Gen. Surgery 6 -- 4 -- 4 6 6 26

Orthopaedics -- -- 4 4 -- -- 2 10

Ophthalmology -- 4 -- 4 -- -- 2 10

ENT -- 4 -- 4 -- -- -- 08

Obst. & Gynae 2 4 4 -- 4 4 6 24

Comm. Medicine 4 4 -- 4 -- -- -- 12

Casualty -- -- -- 2 -- -- -- 02

Dentistry -- -- -- -- 2 -- -- 02

Total in Weeks 18 22 18 22 18 22 22 142

 Distribution of Marks to various Disciplines
Theory Prac/ Int. Assessment Tot M
Subjects Oral Remarks
P I P II Tot Clin. The Pra Tot in sub
One applied
1st Professional Exam
question of 10
Anatomy 50 50 100 20 40 20 20 40 200 marks in each
Physiology 50 50 100 20 40 20 20 40 200 “
Biochemistry 50 50 100 20 40 20 20 40 200 “

2nd Professional Exam

Pathology 40 40 80 15 25 15 15 30 150 “
Microbiology 40 40 80 15 25 15 15 30 150 “
Pharmacology 40 40 80 15 25 15 15 30 150 One question
on clinical
Forensic Medicine 40 -- 40 10 30 10 10 20 100 therapeutics
One question
3rd Professional Exam Part 1 on pre & para
clinical aspect
Ophthalmology 40 -- 40 10 30 10 10 20 100 of 10 marks
Otorhinolarygo 40 -- 40 10 30 10 10 20 100 “
Comm.. Medicine 60 60 120 10 30 20 20 40 200 --
Paper I Gen.
Med., Paper II
Gen. Med.
3rd Professional Exam Part 1 including
Psychiatry Skin
& STD one
question on
basic & applied
Medicine 60 60 120 20 100 30 30 60 300… subject
Paper I-Sect. A
Gen. Surg.
Sect. B Ortho,
Paper II
[Link] incl.
Anaesthesia
Dental disease
& Radiology,
one quest. On
basic & allied
Surgery 60 60 120 20 100 30 30 60 300… subject
Paper I obst.
Incl. Social
obst. Paper II
Gynae. Family
Welfare and
demography,
one quest. On
basic & allied
Obst. & Gynae 40 40 80 30 30 20 20 40 200… subject
Shall contain –
one question on
basic & allied
Paediatrics 40 -- 40 10 30 10 10 20 100… subject
Pass – In each of the subjects a candidate must obtain 50% in aggregate with a minimum of 50%
in Theory including orals and minimum of 50% in Practical/Clinical.

1. No student shall be permitted to join the Phase II (Para-clinical) group of subjects until he
has passed in all Phase I (Pre-Clinical) subjects for which he will be permitted not more
than four chances (actual examination), provided four chances are completed in three
years from the date of enrollment.
2. After passing pre-clinical subjects, 1 ½ years (3 semesters) shall be devoted to para-
clinical subjects.
Phase II will be devoted to para-clinical and clinical subjects, along with clinical
postings. During clinical phase (Phase III) pre-clinical and para-clinical teaching will be
integrated into the teaching of clinical subjects where relevant.
3. Didactic lectures should not exceed one third of the time schedule, two third schedule
should include practicals, clinicals or/and group discussions. Learning process should
include living experiences, problem oriented approach, case studies and community
health care activities.
4. Universities shall organise admission timings and admission process in such a way that
teaching in first semester starts by 1st of August each year.
5. Supplementary examination may be conducted within 6 months so that the students who
pass can join the main batch and the failed students will have to appear in the subsequent
year.
6. Passing in 1st Professional is compulsory before proceeding to phase II training.
7. A student who fails in the 2nd Professional examination, shall not be allowed to appear in
3rd Professional Part I examination unless he passes all subjects of 2nd Professional
examination.
8. Passing in 3rd Professional (Part I) examination is not compulsory before entering for 8th
and 9th semester training, however passing of 3rd professional (Part I) is compulsory for
being eligible for 3rd Professional (Part II) examination.

EXAMINATION REGULATIONS

1. Attendance:
75% of attendance in a subject for appearing in the examination is compulsory provided
he/she has 80% attendance in non lecture teaching, i.e. seminars, group discussions,
tutorials, demonstrations, practical, Hospital (Tertiary, Secondary, Primary) postings and
bed side clinics, etc.
2. Internal Assessment:
(i) It shall be based on day-to-day assessment (see note), evaluation of student
assignment, preparation for seminar, clinical case presentation etc.
(ii) Regular periodical examinations shall be conducted throughout the course.
The question of number of examinations is left to the institution.
(iii) Day-today records should be given importance during internal assessment.
(iv) Weightage for the internal assessment shall be 20% of the total marks in each
subject.
(v) Students must secure at least 50% marks of the total marks fixed for internal
assessment in a particular subject in order to be eligible to appear in final
university examination of that subject.
NOTE : Internal assessment shall relate to different ways in which students participation
in learning process during semesters is evaluated.
 Some examples are as follows:

(i) Preparation of subject for students seminar.

(ii) Preparation of a clinical case for discussion.
(iii) Clinical case study/problem solving exercise.
(iv) Participation in Project for health care in the community (Planning state to
evaluation)
(v) Proficiency in carrying out a practical or a skill in small research project.
(vi) Multiple choice questions (MCQ) test after completion of a system/teaching.
Each item tested shall be objectively assessed and recorded. Some of the items can be
assigned as Home work/Vacation work.
3. University Examinations:
Theory papers will be prepared by the examiners as prescribed. Nature of
questions will be short answer type/objective type and marks for each part indicated
separately.
Practicals/clinicals will be conducted in the laboratories or hospital wards.
Objective will be to assess proficiency in skills, conduct of experiment, interpretation of
data and logical conclusion. Clinical cases should preferably include common diseases
not esoteric syndromes or rare disorders. Emphasis should be on candidate’s capability in
eliciting Physical signs and their interpretation.
Viva/oral includes evaluation of management approach and handling of
emergencies. Candidate’s skill in interpretation of common investigative data, x-rays,
identification of specimens, ECG, etc. also is to be evaluated.
The examinations are to be designed with a view to ascertain whether the
candidate has acquired the necessary for knowledge, minimum skills alongwith clear
concepts of the fundamentals which are competently. Evaluation will be carried out on an
objective basis.
Question papers should preferably be of short structure/objective type.
Clinical cases/practicals shall take into account common diseases which the
students is likely to come in contact in practice. Rare cases/obscure syndromes, long
cases of neurology shall not be put for final examination.
There shall be one main examination in a year and a supplementary to be held not
later than 6 months after the publication of its results.
Note : Results of all university examinations shall be declared before the start of teaching
for next semester.
 SYLLABUS
Biochemistry

Distribution of Marks:
Written paper - 100 Marks
(Paper I - 50, Paper II - 50)
Oral - 20 Marks
Practical - 40 Marks
Internal Assessment - 40 Marks
(Written - 20 , Practical - 20)
Total : 200 Marks
Written Paper - Two
Time allowed - 3 hours (for each Paper)
Full Marks - 100 - (50 for each paper)
All questions for both the papers are to be set by a single external examiner preferably from
outside the State.
Examiners :
There shall be four examiners- Two external from outside the state preferably and two
internal from within the State.
A candidate will be declared to have passed the examination in the subject provided he or she
secures 50 % in aggregate with a minimum of 50% of the total marks in written and oral, and
50% in practical.
A candidate will be declared to have passed the subject with honours provided he or she
secures 75% or more marks of the total.
Questions should be objective type and short notes. Descriptive questions would be preferably
avoided.
i) Paper I shall contain questions from the following topics –

Cell Structure & membrane, Principles of Solution, Colloids, surface tension adsorption,
hydrogen ion concentration, basic concept of radio active isotopes, Enzymes, chemistry
of carbohydrates, lipids, proteins and nucleic acid, chemistry of blood and plasma, bile,
milk, lymph, cerebrospinal fluids, urine, faeces, sweat, composition of tissues, biological
oxidation reduction, acid-base balance, electrolytes, and water balance Vitamins.
Immuno Chemistry Immunology & Auto immune diseases.
ii) Paper II shall contain questions from the following topics :-

Hormones, Digestion of food, metabolism of carbohydrates, proteins, lipids, nucleic acid

and porphyrins; mineral metabolism, energy metabolism, detoxication, biochemical
genetics and Inborn error of metabolism, liver function test, kidneu function test, gastric
function test, principals of nutrition and Malnutrition, Balance diets and diet in
Pathological conditions, cancer and carcinogenesis, Biochemical investigations and their
interpretation in health & Disease.
Books Recommended:
Theory :-
1. Review of Physiological Chemistry by H. A. Harper.
2. Text Book of Biochemistry by A. S. Saini
3. Text Book of Biochemistry by A.V. S. S. Rama Rao
4. Agrawal’s Text Book of Biochemistry

Practical /Clinical :-
1. Practical Manual of Biochemistry by S. P. Singh
2. Viva & Practical by A. C. Deb
3. Manual of Practical Biochemistry by K. P. Sinha
 Anatomy

Distribution of Marks:
Written paper - 100 Marks
(Paper I - 50, Paper II - 50)
Oral - 20 Marks
Practical - 40 Marks
Internal Assessment - 40 Marks
(Written - 20 , Practical - 20)
Total : 200 Marks
Written Paper - Two
Time allowed - 3 hours (for each Paper)
Full Marks - 100 - (50 for each paper)
All questions for both the papers are to be set by a single external examiner preferably from
outside the State.
Examiners :
There shall be four examiners- Two external from outside the state preferably and two
internal from within the State.
A candidate will be declared to have passed the examination in the subject provided he or she
secures 50 % in aggregate with a minimum of 50% of the total marks in written and oral, and
50% in practical and internal assessment.
A candidate will be declared to have passed the subject with honours provided he or she
secures 75% or more marks.
Questions should be objective type and short notes. Descriptive questions would be preferably
avoided.
(i) Paper I shall contain questions from the following topics –

Head and neck, Central nervous system, Thorax, Superior extremity.

(ii) Paper II shall contain questions from the following topics :-

Abdomen and Pelvis including perineum, Inferiro Extermity, Biaphragm.

1. A course of human anatomy including embryology, neurology, histology and applied

anatomy of not less than 50 lectures.
2. A course of lecture cum demonstration in osteology, arthrology, mycology, angiology,
splanchology, dectless glands, neurology, sense organs, surface anatomy, radiology and
living anatomy consisting of 75 lectures.
3. A course of dissection of all the parts of the body (Head, Neck, Brain, Thorax, Abdomen,
Pelvis, Perineum superior extremity and inferior extremity) consisting of not less than
200 hrs covered in at least 100 working days.
4. A course of practical histology covering not less than 60 periods. It will include:
(a) Histological techniques.
(b) Staining and examination of elementary tissue.
(c) Examination of sections of different parts of the body.
5. In the section of gross anatomy stress would be on clinically relevant relationships;
functional and cross sectional anatomy of different parts of the body.
6. In histology section, emphasis will be on correlation of the structure with the function as
a pre-requisite for understanding the altered state in various disease processes.
7. In the central nervous system, importance to be given on the analysis of the integrative
and regulative function of the organs and localization of site of gross lesions according to
the deficits encountered.
8. In embryology emphasis will be on critical stages of development and effect of common
teratogens, genetic mutations and environmental hazards. Explanation of developmental
basis of major variations and abnormalities.

9. Principles of karyotypeing and identification of gross congenital anomalies.

 10. Principals of water-imaging techniques and interpretation of computerized Tomography
(CT) Scan, Sonogram etc.
11. Clinical basis of some clinical procedures i.e. intramuscular and intravenous injection,
lumber puncture kidney biopsy, liver biopsy etc.
12. The process of teaching in gross anatomy should be done by students by dissection of the
human body or by demonstration of the dissected parts, by models any by charts.
13. Stress shall be laid on the fundamental and basic principles of the subject and details shall
be avoided. Student should be able to co-relate the structure with the function and in all
sections, importance to be given to the applied aspect.

Books Recommended:
(a) Gray’s anatomy
(b) Embryology by Alngman
(c) Hewer’s Text Book of Histology
(d) Text book of Anatomy – regional and applied by R. J. Last
(e) Snell’s Clinical anatomy
(f) Snell’s Clinical newcoanatomy
(g) Grant’s method of anatomy
(h) Neuroanatomu by carpenter.

Practical /Clinical :-
1.
2.
3.
 Physiology

Distribution of Marks:
Written paper - 100 Marks
(Paper I - 50, Paper II - 50)
Oral - 20 Marks
Practical - 40 Marks
Internal Assessment - 40 Marks
(Written - 20 , Practical - 20)
Total : 200 Marks
Written Paper - Two
Time allowed - 3 hours (for each Paper)
Full Marks - 100 - (50 for each paper)
All questions for both the papers are to be set by a single external examiner preferably from
outside the State.
Examiners :
There shall be four examiners- Two external from outside the State preferably and two
internal from within the State.
A candidate will be declared to have passed the examination in the subject provided he or she
secures 50 % in aggregate with a minimum of 50% of the total marks in written and oral, and
50% in practical.
A candidate will be declared to have passed the subject with honours provided he or she
secures 75% or more marks of the total.
Questions should be objective type and short notes. Descriptive questions would be preferably
avoided.
(i) Physiology Paper I –

Introduction of human Physiology detailed outline of relevant applied aspects of the

following:-
Cell and its structures, blood and Tissue Fluid, Gastro Intestinal System, Excretion and Kidney,
Muscle and Nerve, Endocrine, Reproduction and Family Planning, Temperature regulation and
Skin, Stress and its affect on normal Physiology.

(ii) Physiology Paper II:-

Shall consist of detailed study and applied aspect of Cardiovascular System, Respiration,
Biophysics related to these system and Autonomic nervous system, Central nervous system and
special senses. This will also include Biophysics related to it.

Books Recommended for Physiology:

Theory :-
1. Medical Physiology by Gytone
2. B. D. S. Text Book of Physiology and Biochemistry by Bell, Davidson and Scarborough
3. Wright’s Physiology by Erio Neil
4.

Practical /Clinical :-
1.
2.
3.