Overview
The program covers basic and clinical sciences relating to Diabetes Mellitus and Endocrine diseases, including pathophysiology, clinical aspects, laboratory assessment, management & research methodology including basic statistics and audit.
Program Vision
To get recognized worldwide as an institute of excellence of education and research in the field of Diabetes & Endocrinology.
Program Mission
To provide high quality state of the art education, professional training, specialization & consultation in the field of Diabetes & Endocrinology that prepares professionals who can perform jobs in the field of specialization at the highest quality level and who are competitive worldwide.
Semester Wise Credit Hour Distribution
| Semester | Teaching Hours | Clinical Work | Research Work | Total |
|---|---|---|---|---|
| 1st | 5 | 2 | - | 07 |
| 2nd | 5 | 2 | - | 07 |
| 3rd | 5 | 2 | - | 07 |
| 4th | 5 | 2 | 3 | 10 |
| Grand Total (Credit Hours) | 31 | |||
Clinical Rotations
| Department | Months | Placement |
|---|---|---|
| Medicine | 02 | During 1st Semester |
| Peads+Gynae |
01 + 01 (One month in each specialty) |
During 2nd Semester |
| Medical & Allied (Nephrology +Neurology + Ophthalmology + Radiology) |
02 (02 Weeks in each specialty) |
During 3rd Semester |
| Medical & Allied (Cardiology, Ortho, Dermatology & NIDE foot clinic) |
02 (02 Weeks in each specialty) |
During 4th Semester |
Curriculum Overview
|
Semester |
Subject |
Course Code |
|
1 |
Diabetes -I |
MSc. 701 |
|
2
|
Diabetes -II |
MSc. 702 |
|
3 |
Endocrinology -I |
MSc. 703 |
|
4 |
Endocrinology -II + Research Project |
MSc. 704 + MSc 705 |
Syllabus Breakdown in Lectures
|
Semester I |
Lectures |
|
|
Overview of Diabetes |
Management of Diabetic Retinopathy |
|
|
Definition, diagnosis and classification Diabetes. |
Skin Problems in Diabetes Mellitus |
|
|
Normal Insulin Synthesis, Action and Secretion |
Gestational Diabetes |
|
|
Regulation of Pancreatic & Gut Hormones |
Complication of Diabetes in Pregnancy |
|
|
Genetics of Diabetes |
Overview of Diabetic Neuropathy |
|
|
CHO Metabolism |
Management of Diabetic Neuropathy |
|
|
Metabolic Syndrome |
Prevention of Diabetic Foot |
|
|
Investigations & Treatment of Hypertension |
Diabetic Foot Screening & Management of Diabetic Foot |
|
|
Definition, pathogenesis & grading of Hypertension |
|
|
|
Diabetic Nephropathy |
||
|
PREVALENCE AND RISK FACTORS OF CARDIOVASCULAR PROBLEMS IN DIABETES |
||
|
COMMON CARDIOVASCULAR DISORDERS IN DIABETES |
||
|
LIFE STYLE MODIFICATION IN DIABETIC CARDIAC PATIENT |
||
|
MANAGING DIABETIC PATIENT WITH HEART DISEASES |
||
|
Epidemiology & Presentation of Diabetic Retinopathy |
||
|
Semester II |
Lectures |
|
|
Etiology coma diffrential diagnosis & management of Coma in Diabetes Mellitus |
role of Exercise in DM |
|
|
Hypoglycemia in diabetes mellitus |
Diabetes in childhood & management of adolescent with diabetes |
|
|
Hypoglycemia in non diabetic |
Oral hypoglycemic agent in managemet of diabetes mellitus |
|
|
insulinoma |
new therapetic options in OHA |
|
|
Common sexual problem in DM |
Method of insulin administration |
|
|
management of Erectyle dysfunction |
insulin theraphy in diabetes mellitus |
|
|
Nutritional aim, principal & misconception for diabetes diet |
Recent advanced in insulin theraphy |
|
|
Dietary management of DM |
|
|
|
Semester III |
Lectures |
||
|
GENERAL PRINCIPLES OF ENDOCRINOLOGY |
IMAGING TECHNIQUE IN ENDOCRINOLOGY |
Thyroid module |
|
|
TOPOGRAPGY OF ENDOCRINE GLANDS |
PRACTICAL APPLICATION OF DYNAMIC TEST AND INTERPRETATION |
Thyrpod newplasm |
|
|
OVER VIEW OF ANATOMY OF ENDOCRINE GLAND |
HYPOPITUITARISM |
hyperParathyroidism |
|
|
BIOSYNTHESIS,SECRETION AND METABOLISM OF HORMONES |
SHORT STRATURE |
hypoParathyroidism |
|
|
MOLECULAR ASPECTS OF MECHANISM OF HORMONAL ACTION |
ACROMEGALY |
Rickets & OSteomalacia |
|
|
DIFFUSE NEUROENDOCRINE SYSTEM (DNES) |
PROLECTINOMA |
Male Hypogonadism |
|
|
GENETICS & ENDOCORINOLOGY |
PITUTARY TUMORS |
|
|
|
IMMUNOLOGIC BASIS OF ENDOCRINE DISORDERS |
caushing diseases |
|
|
|
HORMONE RESPONSIVE TUMORS |
diabetes insipidus/SIADH |
|
|
|
ROLE HORMONES IN SYSTEMIC DISEASES |
Clinical evaluation of patient with thyroid diseases |
|
|
|
IMMUNOLOGICAL PRINICIPALES OF HORMONAL ASSAYS RELATED TO DIABETES |
Hypothyrodism |
|
|
|
DIFFERENT METHODOLOGY IN DYNAMIC TEST RELATED TO DIABETES |
Thyroidtoxicosis |
|
|
|
PRACTICAL APPLICATION OF PRINCIPLES OF HORMONAL ASSAYS RELATED TO DIABETES |
Thyroditis |
|
|
|
Semester IV |
Lectures |
|
|
Osteoprosis |
PCOS/ hirsutism |
|
|
PAGET’s diseases |
management of ENDOCRINal disorders in PREGNANCY |
|
|
Addision disease |
DISORDERS OF GONADAL DIFFERENTIATION AND SEX CHROMOSOME ABNORMALITIES |
|
|
Causing syndrome |
MALE & FEMALE SEXUAL BEHAVIORS & THEIR DISORDERS |
|
|
conginatal adrenal hyperplesia |
MALE & FEMALE disorers of sexual diffrentiation (DSD) |
|
|
Endocrinola causes of hypertension |
PSYCHIATRIC DISTURBANCES ASSOCIATED WITH ENDOCRINOPATHIES AND HORMONE THERAPY |
|
|
MAle hypogonidism & ANDROGEN replacement theraphy |
Overview Of Dyslipidemia |
|
|
male Infertility |
Management Of Dyslipidemia |
|
|
Delay puberty in male |
overview of OBESITY |
|
|
gynaecomastia |
management of obesity |
|
|
AMEnorrhea (primary & secondary) |
|
|
|
primary & secondary overian failure |
|
|
|
feMAle hypogonidism/ delayed proberty |
|
|
|
Female Infertility |
|
|
Eligibility Criteria
• One Year House Job (6 Months compulsory in Medicine and related subjects)
• Four year post-graduate experience after MBBS.
• Valid PMDC Certificate.
• Sindh Domicile.
Internal Assessment
Internal Assessment consists of:
|
1- Mid Term Exam: Weightage |
|
|
Theory BCQs |
5% |
|
SEQs |
5% |
|
Practical OSCE |
5% |
|
Table Viva |
5% |
|
|
20% Total |
|
2- Continuous Assessment: |
|
|
assignments, quizzes, Oral presentations, |
10% |
|
attitude & behavior. |
|
3- Semester Examination: (70%)
- Theory:
- BCQs 50 (2 marks each)
-
- SEQs 5 (20 marks each)
- Practical:
- OSCE 14 Stations (7.1 marks each)
- Table Viva Two examiner (50 marks each)
Total 100%
Pattern (formative and summative) Criteria for formative assessment:
10 Attenance, 5 Class Participation, 05 BCQs test
Criteria for Summative:
- Midterm 30 weightage
- End of semester 70 weightage
Overall assessment 100 weightage
- Mid Term Evaluation: At the middle of each semester, students will be assessed by:
-
- Theory Paper (100 marks) 2 SEQs + 20 BCQs
- Practical (100 marks) 25 OSCE + 25 Table Viva
- Final Semester Examination: At the end of each semester, students will be assessed by:
-
- Theory Exam (200 marks) 5 SEQs + 50 BCQs
- Practical (200 marks) 100 OSCE + 100 Table Viva
Course Work
FIRST SEMESTER COURSE WORK
Module I : CLASSIFICATION & PATHOGENESIS
AT THE COMPLETION OF THIS SEMESTER, STUDENTS WILL BE ABLE TO UNDERSTAND:
- OVERVIEW OF DIABETES
- DEFINITION & CLINICAL FEATURES OF DIABETES
- NORMAL INSULIN SYNTHESIS, ACTION AND SECRETION
- REGULATION OF PANCREATIC & GUT HORMONES
- ROLE OF DIFFERENT FACTORS IN THE DEVELOPMENT OF DIABETES
- DIAGNOSIS AND CLASSIFICATION
- GENETICS OF DIABETES
Module II : INSULIN RESISTANCE SYNDROME
- METABOLIC SYNDROME
- CARBOHYDRATE METABOLISM
- CELLULAR DEFECTS OF INSULIN ACTION
- FUNCTIONAL ASPECTS OF INSULIN RESISTANCE
- DIAGNOSIS CRITERIA
- PREVENTIVE MEASURES AND TREATMENT OPTIONS
Module III : HYPERTENSION AND NEPHROPATHY IN DIABETES
- INVESTIGATIONS & TREATMENT OF HYPERTENSION
- DEFINITION, PATHOGENESIS & GRADING OF HYPERTENSION
- DIABETIC NEPHROPATHY
- DEFINITION AND PATHOGENESIS & GRADES OF HYPERTENSION
- INVESTIGATIONS & TREATMENT
- DIETARY CHANGES / LIFESTYLE MODIFICATION
- PREVENTIVE MEASURES AND TREATMENT
Module IV : CARDIOVASCULAR RISK
- PREVALENCE AND RISK FACTORS OF CARDIOVASCULAR PROBLEMS IN DIABETES
- COMMON CARDIOVASCULAR DISORDERS IN DIABETES
- LIFE STYLE MODIFICATION IN DIABETIC CARDIAC PATIENT
- MANAGING DIABETIC PATIENT WITH HEART DISEASES
Module V: DIABETIC RETINOPATHY
§
- EPIDEMIOLOGY & PRESENTATION OF DIABETIC RETINOPATHY
- EXAMINATION OF EYE IN DIABETIC PATIENT
- DEFINITION, PATHOGENESES AND GRADE OF RETINOPATHY
- SCREENING AND PREVENTION OF DIABETES RETINOPATHY
- MANAGEMENT OF DIABETIC RETINOPATHY
Module VI: SKIN PROBLEMS IN DIABETIC PATIENTS
- COMMON SKIN COMPLICATION IN DIABETES
- MANAGEMENT OF SKIN COMPLICAITON OF DIABETES
Module VII : GESTATIONAL DIABETES
- DEFINITION, PATHOPHYSIOLOGY AND DIAGNOSTIC CRITERIA OF GDM
- MANAGEMENT AND POST PARTUM FOLLOW UP OF GDM
- PREGNANCY IN PRE-EXISTING DIABETES
- COMPLICATION OF DIABETES IN PREGNANCY
Module VIII : DIABETIC NEUROPATHY / DIABETIC FOOT
- TYPES, PATHOGENESIS AND DIFFERENTIAL DIAGNOSIS OF DIABETIC NEUROPATHY
- EXAMINATION OF FOOT IN DIABETIC PATINET
- CLINICAL EVALUATION & ASSESSMENT OF DIABETES FOOT
- DIABETIC FOOT SCREENING & MANAGEMENT OF DIABETIC FOOT PREVENTION OF DIABETIC FOOT
SECOND SEMESTER COURSE WORK
AT THE COMPLETION OF THIS SEMESTER, STUDENTS WILL BE ABLE TO UNDERSTAND:
Module IX: DIABETIC COMA
- TYPES OF DIABETIC COMA
- AETIOLOGY, PATHOGENESIS AND DIFFERENTIAL DIAGNOSIS
- CLINICAL & LABORATORY EVALUATION OF COMATOUS PATIENT
- MANAGEMENT OF COMA IN DIABETES MELLITUS
Module X : HYPOGLYCEMIA
- HYPOGLYCEMIA IN DIABETICS
- HYPOGLYCEMIA IN NON-DIABETICS
- INSULINOMA
Module XI : SEXUAL HEALTH
- COMMON SEXUAL PROBLEMS IN DIABETES
- ERECTILE DYSFUNCTION
- MANAGEMENT
Module XII : NUTRITIONAL MANAGEMENT IN DIABETES
- NUTRITIONAL AIM AND PRINCIPAL FOR DIABETES
- MISCONCEPTIONS ABOUT FOOD
- NUTRITIONAL MANAGEMENT IN TYPE-I DIABETES
- NUTRITIONAL MANAGEMENT IN TYPE-II DIADETES
Module XIII : ROLE OF PHYSICAL ACTIVITIES
- OVERVIEW OF EXERCISE IN DIABETES MELLITUS
- RECENT STUDIES
- ROLE OF EXERCISE / RECOMMENDATION / FITNESS TARGETS
Module XIV: DIABETES IN CHILDHOOD AND MANAGEMENT OF ADOLESCENTS WITH DIABETES
- DIABETES IN CHILDREN AND ADOLESCENT / INSULIN REQUIREMENT / NUTRITIONAL MANAGEMENT IN GROWING AGE
- PREVENTION OF HYPOGLYCEMIA / PSYCHOSOCIAL ADJUSTMENTS / PARENTS EDUCATIONS
Module XV: APPLIED PHARMACOLOGY AND THERAPEUTICS
- ORAL HYPOGLYCEMIC AGENTS
- PRIMARY & SECONDARY ORAL DRUG FAILURE
- COMBINED THERAPIES / BIDS THERAPIES
- NEW TREATMENT OPTIONS
Module XVI: THEORY AND PRACTICAL INSULIN THERAPY
- UPDATED ON INSULIN THERAPY
- DEMONSTRATE PREPARATION AND ADMINISTRATION OF INSULIN
- MISCONCEPTIONS ABOUT INSULIN USE AND INSULIN PHOBIA
THIRD SEMESTER COURSE WORK
: GENERAL PRINCIPAL OF ENDOCRINOLOGY
AT THE COMPLETION OF THIS SEMESTER, STUDENTS WILL BE ABLE TO UNDERSTAND:
- TOPOGRAPHY OF ENDOCRINE GLANDS
- OVERVIEW OF ANATOMY OF ENDOCRINE GLANDS
- BIOSYNTHESIS,SECRETION AND METABOLISM OF HORMONES
- MOLECULAR ASPECTS OF MECHANISM OF HORMONAL ACTION
- DIFFUSE NEUROENDOCRINE SYSTEM (DNES)
Module XVIII : AUTOIMMMODULEY AND GENETICS
- IMMUNOLOGIC BASIS OF ENDOCRINE DISORDERS
- MECHANISMS INVOLVED IN PRODUCING THE AUTOIMMUNE ENDOCRINOPATHIES
- GENETICS & ENDOCORINOLOGY / GENETIC DISORDERS / GENETIC COUNSELING IN ENDOCRINOLOGY / GENETIC DISORDERS IN SEXUAL DEVELOPMENT
- HORMONE RESPONSIVE TUMORS
- ROLE OF HORMONES IN SYSTEMIC DISEASES
Module XIV : DYNAMIC LABORATORY TESTS AND OTHER ASSESSMENT
- BASIC LABORATORY INVESTIGATIONS(BLOOD GLUCOSE / HBA1C / RFT / LFT
- HORMONAL ASSESSMENT (DYNAMIC TESTS)
- PRACTICAL PPLICATION OF DYNAMIC TEST AND INTERPRETATION
- IMAGING TECHNIQUES IN ENDOCRINOLOGY
- IMMUNOLOGICAL PRINICIPALES OF HORMONAL ASSAYS RELATED TO DIABETES
- PRACTICAL APPLICATION OF PRINCIPLES OF HORMONAL ASSAYS RELATED TO DIABETES
- THYROID IMAGING STUDIES
Module XV : THE ADENOHYPOPHYSIS
- HYPOPITUITARISM
- SHORT STATURE
- ACROMEGALY
- CUSHING DISEAES
- PROLACTINOMA
- PITUTARY TUMORS
- DIABETES INSIPIDUS / SIADH
- SURGICAL ASPECTS OF PITUTRY ADENOMA
Module VVI : THE THYROID GLAND
- CLINICAL EVALUATION OF PATIENT WITH THYROID DISEASE
- THYROTOXICOSIS
- THYROID HORMONE DEFICIENCY
- SIMPLE OR NONTOXIC GOITER: DIFFUSE AND MULTINODULAR
- THYROID NEOPLASMS
- THYROIDITIS
- ROLE OF IMAGING IN THYROID DISORDERS
Module XVII : PARATHYROID HORMONE, CALCITONIN, AND THE CALCIFEROLS
- PRIMARY, SECONDARY AND TERTIARY HYPERPARATHYROIDISM
- HYPOPARATHYROIDISM / HYPOCALCEMIC DISORDERS
- RICKETS AND OSTEOMALACIA
- OSTEOPOROSIS
- MISCELLANEOUS: METABOLIC BONE DISEASES (PAGET’S DISEASES ETC…)
Module XVIII : THE ADRENALS
- ADDISON’S DISEASE
- CUSHING SYNDROME
- ENDOCRINE CAUSES OF HYPERTENSION
FORTH SEMESTER COURSE WORK
Module XIX: THE TESTES
AT THE COMPLETION OF THIS SEMESTER, STUDENTS WILL BE ABLE TO UNDERSTAND:
- MALE HYPOGONADISM & ANDROGEN REPLACEMENT THERAPY
- MALE INFERTILITY
- DELAYER PUBERTY IN MALE
- GYNECOMASTIA
Module XX : THE OVARIES
- AMENORRHEA (PRIMARY AND SECONDARY)
- PRIMARY AND SECONDARY OVARIAN FAILURE
- FEMALE HYPOGONADISM / DELAYER PUBERTY IN FEMALE
- FEMALE INFERTILITY
- PCOS / HIRSUTISM
Module XXI : ENDOCRINOLOGY OF PREGNANCY
- THYROID DISORDERS DURING PREGNANCY
- ADRENAL DISORDERS DURING PREGNANCY
- MISCELLANEOUS: SHEEHAN SYNDROME, PROLACTINOMA
Module XXII : DISORDERS OF SEX DIFFERENTIATION
- DISORDERS OF GONADAL DIFFERENTIATION AND SEX CHROMOSOME ABNORMALITIES
- FEMALE PSEUDOHERMAPHRODITISM
- MALE PSEUDOHERMAPHRODITISM
- MANAGEMENT OF PATIENTS EXHIBITING AMBISEXUAL DEVELOPMENT
Module XXIII : PSYCHOENDOCRINOLOGY
- MALE & FEMALE SEXUAL BEHAVIOR & THEIR DISORDERS
- PSYCHIATRIC DISTURBANCES ASSOCIATED WITH ENDOCRINOPATHIES AND HORMONE THERAPY
- EFFECTS OF PSYCHOTROPIC DRUGS ON ENDOCRINE FUNCTION
Module XXIV : DISORDERS OF LIPID METABOLISM
- OVERVIEW OF DYSLIPIDEMIA
- MANAGEMENT OF DYSLIPIDEMIA
OBESITY
- DEFINITION, MEASUREMENT & CLINICAL TYPES
- PATHOPHYSIOLOGY & DIFFERENTIAL DIAGNOSIS
- MANAGEMENT (LIFE STYLE MODIFICATION, DRUG THERAPY, SURGERY & COUNSELING)
SYLLABUS DIABETES
Syllabus Breakdown
TITLE : DIABETES (I & II)
DURATION : 1 YEAR (32 WEEKS)
DIVISION : 2 SEMESTERS
CREDIT HOURS : 14 HOURS (07 CREDIT HOUR EACH SEMESTER)
SYLLABUS ENDOCRINOLOGY
TITLE : ENDOCRINOLOGY (I & II)
DURATION : 1 YEAR (32 WEEKS)
DIVISION : 2 SEMESTERS
CREDIT HOURS : 17 (07 CREDIT HOUR EACH SEMESTER+ 3 CREDIT HOURS RESEARCH)
Describe the program admission criteria or entry requirements
A- Admission Criteria:
- MBBS
- 1 Year House Job(6 Months compulsory in medicine allied and 6 months in surgical allied)
- Two year post-graduate experience after MBBS
B- Entrance Test:
- Structure 100 BCQs
- Interview By the selection board
Describe policy regarding program / credit transfer
Semester Examination
- Final exam will be conducted by the examination department, DUHS. As per pattern decided by the university.
- Student will have to pass both the internal assessment and semester examination (Obtain minimum of 63% marks in each) in order to pass that course. However student who fails to obtain 63% marks in internal assessment will be re-assessed with the final examination.
Practical / Theory
- The student will have to obtain 63% in aggregate theory and practical. However obtaining minimum of 50% marks in both theory and practical is essential to pass the course.
- Should the student fail to clear theory or practical examination s/he will have to retake only both component in retake exam.
Comprehensive Exam
- After completing the required number of credit hours for a particular degree, and fulfilling the requirement in terms of CGPA, a student shall be given a comprehensive examination covering all the courses studied for the degree.
Retake Examination
Retake examination will be conducted after even semester. Student fails or gets an “F” grade; s/he has to repeat the course, whenever offered. In case a student repeats the course which has already been taken, the old grade will be substituted with the new grade, (for CGPA calculation) but in case a student takes a new course in lieu of the course in which s/he failed, both the grades will reflect on his / her transcript, i.e. old course grade and new course grade.
Fee Structure
As per DUHS policy
M.Sc. Diabetes & Endocrinology Curriculum Approved by:
Professor Dr. Akhtar Ali Baloch
Chairman Board of Studies & Program Director of M.Sc. D&E
National Institute of Diabetes & Endocrinology