DM IN GASTROENTEROLOGYMAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
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DM IN GASTROENTEROLOGY
The aim of the course is to develop human resources and personnel in the field of
Gastroenterology who shall
i) provide the health care to the patients needing diseases of the gastrointestinal tract and
ii) teach and train future undergraduate and postgraduate medical students and
junior doctors in Gastroenterology and Hepatology in Medical Colleges, Institutions and
iii) carry out and guide research to improve the practice of the art and science of
Gastroenterology and Hepatology
iv) have management capabilities to manage personnel and budgets etc. to make
health more cost-effective.
v) organise health teams to provide care during natural or man-made calamities.
Since the students are trained with the aim of practicing as independent gastroenterologists,
this course content will be merely a guideline. They have to manage all types of cases and
situations and seek and provide consultation. The emphasis shall therefore be more on the
practical management of the problem of the individual cases and the community within the
1. Applied basic sciences knowledge relevant to the field of Gastroenterology and
2. Investigative techniques, selection and interpretation of results
3. Pathogenesis of GI and liver diseases.
4. Nutrition in GI diseases
5. Diagnosis and management of diseases of the GI tract (Esophagus, stomach,
duodenum, small intestine, large intestine) and liver
6. Systemic diseases with GI and liver involvement
7. Pancreatic diseases.
8. Acute and chronic liver diseases due to congenital alcohol, viruses, metabolic
problems, toxins and drugs
9. Hepatic failure (diagnosis & management)
10. Principles and practice of, diagnostic and therapeutic endoscopy (upper GI,
11. Liver transplantation
12. Recent advances in Gastroenterology and Hepatology
13. Biostatistics & clinical epidemiology
14. Preventive Gastroenterology and Hepatology
15. Management of GI emergencies like upper and lower GI bleed, Acute pancreatitis,
hepatic encephalopathy and cholangitis
16. Psychological factors in GI diseases.
SECTION - III:
Teaching / Learning Methods And Activities
Throughout the course of training the emphasis shall be on acquiring knowledge, skill and
attitudes through first hand experiences as far as possible.
The emphasis will be on self learning rather than on didactic lectures.
The entire period shall be ‘in service' training programme based on the concept of ‘ learn as
you work' principle.
The teaching learning activities would consist of -
Participating in rounds - patient management
1) Presentation of cases to the faculty with discussion
2) Preparation and presentation of P.G. lectures on allotted topics
3) Journal clubs
4) Clinic pathological exercise by rotation.
However to reinforce the learning the following methods shall be used to acquire
knowledge, skills and attitudes.
1. Lectures prepared and presented by students under supervision.
2. Seminars, symposia, panel discussion of suitable topics, moderated by
3. Journal clubs moderated by teachers
4. Clinicopathogical conferences.
5. Medical audit/fatality case discussion, meetings.
6. Pedagogic training programmes (intramural & extramural)
7. Inter-departmental meetings/discussions of interesting cases
8. Preparation and presentation of a dissertation
9. Patient care work in OPD, wards and dialysis unit.
The students shall be provided facilities to manage cases of higher and greater complexity
by allowing them graded responsibility as the course progresses.
Each P.G would have an opportunity to present at least 5 P.G. lectures per year and 8-10
journal clubs per year in addition to about 20-25 cases during the clinical meetings.
They shall also be allowed to perform procedures under supervision and /or delegated
authority depending on the experience and proficiency gained. The Heads of units and other
consultants and guides shall be in-charge of the supervision and delegation of authority and
responsibility to work.