Computer Compose: Mohammad Tohidul Islam, CME The… · The present HT curriculum with its...

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Cover Design : Nizam Khan Graphic Artist

CME

Computer Compose: Mohammad Tohidul Islam, CME

Rahima Akhter, CME

Kohinoor Akhter, CME

Rezaul Karim Swapan, CME

Md. Nazmul Alam, CME

Md. Afzal Hoque, CME

Secretarial Support:

Shankar Kumar Majumder, CME

Md. Abu Sufian, CME

Narayan Chandra Mollick, CME

Md. Jahangir Alam, CME

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Foreword

With increasing public expectations about the health care services, the quality of care itself is

under scrutiny all over the world. Therefore a positive change is needed in the role of Medical

Technologists. The role of teachers and students in teaching and learning to bring in positive

changes in paramedics and auxiliaries education also needs to be reviewed and further

developed.

This revised Health Technology (HT) curriculum has been developed and scientifically

designed, making it responsive to the needs of the learners and focussed towards the need of

consumers. The present HT curriculum with its assessment methods is expected to effectively

judge competencies acquired with those required to cater the health needs of our people. It is

gratifying to note that all concerned in the promotion of paramedic health science in the country

have involved themselves in the planning and formulation of this need-based HT curriculum.

Contents like basic computer science, communicative English, ethics, communication skills,

behavioural science, primary health care, environment and sanitation have been given the

required emphasis in this document. Though the curriculum is not the sole determinant of the

outcome, yet it is very important as it guides the faculty in preparing their instruction, tells the

students where to go, what to do and what knowledge, skills and attitude they are expected to

develop.

In conclusion, I would like to state that, the curriculum planning process should be continuous,

dynamic and never-ending. If it is to serve best, the needs of the individual students, educational

institutions and the expectations of client community to whom we are ultimately accountable,

are required to be evaluated and given due attention.

I congratulate all who were involved in designing and developing the curriculum, particularly

the Director, Medical Education & HMPD, DGHS, Director, CME, Secretary, SMFB, members

of the working group and the faculty members of Centre for Medical Education (CME). I offer

my special thanks to RTM International and Swisscontact-KATALYST for their technical and

financial support.

Professor M A Faiz

Director General of Health Services

DGHS, Mohakhali, Dhaka-1212

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Message

Curriculum planning and designing is not a static process, rather a continuous process done

regularly through a system. The curriculum was developed a few years back but it was needed to

be updated to make it more technology oriented and competency based.

Initially there were four meetings of the Curriculum Working Group of different disciplines

from Institute of Health Technologies (IHT) to prepare a draft curriculum. Subsequently, in

order to develop a consensus, decision was taken to hold Review Workshops through active

participation of different groups of faculty members. A taskforce group examined the revised

curriculum for the different courses of HT to give it a final shape with the financial support by

RTM International & Swisscontact-KATALYST.

The revised Curriculum for Health Technology (HT) is expected to be implemented for the

newly admitted students of the next session. The success of this curriculum, which is made more

competence based and need-based, depends on its proper implementation with active leadership

of the teachers and interactive participation of students.

It is expected that this curriculum will serve as present day guideline for the students of IHT and

its faculty members. In order to ensure further improvement, this curriculum needs constant

review and revision with time to time updating.

My sincere thanks to Dr. Mainuddin Ahmed Chowdhury, Director, Centre for Medical

Education (CME) for his supports. The technical team of the Centre for Medical Education

(CME) deserves special appreciation.

I like to thank Dr. Md. Humayun Kabir Talukder, Associate Professor, CME, Co-ordinator of

Working Group, Member Secretary, HT Curriculum Development Committee for his continuous

technical assistance and co-ordination to prepare this curriculum. My special thanks to RTM

International and Swisscontact-KATALYST for their technical and financial support.

Lastly, I would like to extend my deep and sincere gratitude to all teachers of different IHT

faculty members and others computer and secretarial support staff of CME who shared their

expertise and worked hard to produce this valuable document.

Prof. Dr. Khondhaker Md. Shefyetullah

Director, Medical Education & HMPD

DGHS, Mohakhali, Dhaka-1212

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Acknowledgement

This is indeed a pleasant responsibility to bring out this curriculum on Health Technology

course, which has been developed through a participatory approach by a team of teachers of

IHTs and medical educationists. It aims to review and update the Health Technology (HT)

curriculum.

I would like to express my deep gratitude to Prof. M A Faiz, Director General of Health

Services, Prof. Dr. Khondhaker Md. Shefyetullah, Director of Medical Education and HMPD,

DGHS, under the leadership of whom the plan of reviewing and updating the HT curriculum has

been materialized, and who provided immense support and encouragement to finish the work.

My sincere thanks are extended to RTM International and Swisscontact-KATALYST for their

financial support which enabled us to do the job.

I am grateful to all the resource persons from different institutes, specially the faculty of Center

for Medical Education (CME), who devoted their immense effort, time and hard work to

develop this curriculum. My special thanks to Dr. Md. Humayun Kabir Talukder, Associate

Professor, Teaching Methodology, CME, Co-ordinator of Working Group, Member Secretary,

HT Curriculum Development Committee for his continuous efforts without which it would not

have been possible to complete this work.

My thanks to all others of CME, who were involved directly or indirectly in the preparation of

this curriculum.

Dr. Md. Abdul Jabbar Mollick

Secretary

The State Medical Faculty of Bangladesh

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List of contributors of HT Curriculum

Sl No Name, Designation, Discipline, Institute

1. Prof. M A Faiz, Director General, DGHS

2. Prof. Dr. Khondhaker Md. Shefyetullah, Director, Medical Education & HMPD & Chairman, HT Curriculum Development Committee

3. Dr. Mainuddin Ahmed Chowdhury, Director, CME & Member, HT Curriculum Development Committee

4. Dr. Md. Abdul Jabbar Mollick, Secretary, State Medical Faculty of Bangladesh & Member, HT Curriculum Development Committee

5. Prof. Shamsun Nahar Begum, Professor, Teaching Methodology, CME

6. Prof. Dr. Md. Zakir Hossain, Principal, Dhaka Dental College, Member, HT Curriculum Development Committee

7. Prof. Dr. Mahmuda Begum, Professor, curriculum Dev. & Evaluation, CME

8. Dr. AKM Moazzem Hossain, Principal, HT Dhaka, Member, HT Curriculum Development Committee

9. Dr. Anuar Hossain, Principal, HT, Rajshahi, & Member, HT Curriculum Development Committee

10. Dr. Md. Jashim Uddin, Principal, HT, Bogra & Member, HT Curriculum Development Committee

11. Dr. Md. Saizuddin, Deputy Director (MA), DGHS & Member, HT Curriculum Development Committee

12. Prof. Dr. M A Malek, Principal, IMT, Mirpur, Dhaka & Member, HT Curriculum Development Committee

13. Dr. Nazrul Islam, PhD, Coordinator – Private Sector Health, RTM International & Member, HT Curriculum Development Committee

14. Dr. Md. Humayun Kabir Talukder, Associate Professor, Teaching Methodology, CME, Co-ordinator of Working Group, Member Secretary, HT Curriculum Development Committee

15. Dr. AKM Asaduzzaman, Assistant Professor, CME

16. Dr. Ashraf Uddin Ahmed, Assistant Professor, CME

17. Dr. Tahmina Nargis, Research Associate, CME

18. Dr. Tabassum Ferdous Khan, Lecturer, CME

19. Dr. Kazi Khairul Alam, Lecturer, CME

20. Dr. Md. Habibur Rahman, Asstt. Professor and Course co-ordinator, (Pharmacy) IHT, Mohakhali Dhaka.

21. Dr. Kazi Monjur Kader, Associate Professor, Radiation Oncology, NICRH

22. Dr. Kamal Ahmed, Assot. Prof. Course co-ordinator (DMLT) IHT, Mohakhali Dhaka..

23. Dr. Anima Rani Sarker, Coarse Co-Ordinator, SIT, Associate Professor, IHT, Dhaka

24. Dr. Md. Zahidur Rahman. Asstt. Prof. Course co-ordinator, (1st.year) IHT, Mohakhali

25. Dr. Md. Zahidur Rahman, Asstt. Professor, Coarse Co-Ordinator, (Dental) IHT, Dhaka

26. Dr. Nazrul Islam, Asstt.Prof.. Course co-ordinator, (1st. year) IHT, Mohakhali Dhaka.

27. Dr. Md. Rahmat Ullah Khan, Associate Professor, IHT, Dhaka

28. Md. Anisur Rahman, Lecturer ( DMLT), IHT, Dhaka

29. Md. Zahurul Alam, Asstt.Prof. Course co-ordinator, (Pharmacy) IHT, Mohakhali Dhaka.

30. Md. Sultan Ahmed Siddique, Lecturer IHT, Mohakhali Dhaka.

31. Shaikh Abdul Aziz, Guest Lecturer, Biology, IHT, Dhaka

32. Md.. Almas Ali Khan, Lecturer, IHT, Mohakhali, Dhaka

33. Mr. Mojibur Rahman, Lecturer, IHT, Dhaka

34. Md. Shams -Ud-Doha, Medical Technologist (Pharmacy) IHT, Dhaka

35. Md. Sultan Ahmed Siddique, Lecturer, IHT, Dhaka

36. Md. Shahjahan, Medical Technologist (Dental), Dhaka dental College & Hospital

37. Debnath Mondol, Medical Technologist (Radiology), NICRH

38. Gazi Mostofa Altaf Arif, Medical Technologist (Laboratory), IPH

39. Md. Julker Nayan, Lecturer, Dept. of Occupational Therapy, BHPI, CRP

40. Bijan Kumar Saha, Lecturer, Dept. of Occupational Therapy, BHPI, CRP

41. Md. Mofazzal Hossain, Radiological Technologist, ICDDRB-Dhaka

42. Md. Ruhul Amin, Honorary Lecturer of Physiotherapy, IHT, Dhaka

43. Md. Altab Hossain, Medical Technologist (physiotherapy) Shahid Shohrawardy Hospital, Dhaka

N.B. Not according to warrant of Precedence

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TABLE OF CONTENTS

Title Page

Foreword

Message

Acknowledgement

Contributors

Course overview 1

1st Year

I. English 10

II. Physics 13

III. Chemistry 15

IV. Basic Human Anatomy 17

V. Basic Human Physiology 19

VI. Basic Community Medicine 21

VII. Basic Microbiology & Parasitology 24

2nd Year

Paper I- Basic Occupational Therapy 26

Paper II Occupational Therapy in Neurology 29

Paper III Occupational Therapy in Paediatrics and Psychiatry 31

Paper IV Medical & Surgical Conditions 33

Paper V Basic Computer Science 35

3rd Year

Paper I Adaptation & Design 38

Paper II Occupational Therapy in management 40

Paper III Professional Ethics 42

Clinical Placement 43

Bibliography 44

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Course Overview

A. COURSE OBJECTIVES:

To provide a framework that allows for the development of core skills in Occupational

Therapy to a basic grade level.

To develop the skills of problem solving and holistic thinking required to enable students

to practice Occupational Therapy with available resources and supervision.

To provide opportunity for the development of clinical and reasoning skills that will

enable qualified occupational therapists to practice safely and effectively within a

working environment.

To encourage questioning creativity and critical thinking that will enable qualified to

develop self reliance and become constructive contributors' within multi-disciplinary

teams.

To develop a sense a responsibility to the provision and promotion of Occupational

Therapy services in Bangladesh.

B. JOB DESCRIPTION OF MEDICAL TECHNOLOGISTS IN OCCUPATIONAL THERAPY

A. Job Title: Diploma Occupational Therapist (DOT)

B. General Job Description:

1. Medical Technologists in Occupational Therapy (OT) have to work under Occupational

Therapy department or physical medicine department assigned by the controlling authority.

2. Maintenance of therapeutic activities, equipments and accessories for the treatment:

a) Assessment tools b) Sensory kits c) Purposeful activities d) Wax bath e)Hand therapy

equipments f) Cognitive retraining activities and so on.

3. Commitment to the patients:

a) Should be well behaved to the patients and attendants.

b) Explain procedures and consequences to the patients and their attendants.

c) Motivation and counselling where and needed.

d) Consent of the patient where needed.

e) Maintain confidentiality strictly and follow professional ethics.

f) Handle the critically ill patient with due care and sympathy.

g) Should have enough knowledge to provide treatment (OT) clients like as Spinal Cord

Injury (Tetraplegia / Paraplegia), Stroke, Neuropathy, Cerebral Palsy, Autism,

Affective Disorder etc.

4. Reception and Advice to patient:

a) Patient’s initial interview should be detail as a part of baseline assessment (Medical

history, present condition, patient’s perspective etc.)

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b) Refer patients for appropriate Occupational Therapist (Paediatric OT, Neuro OT,

Hand Therapist, Psychiatric OT, etc.)

c) Prepare patient according to their physical and mental condition.

5. Maintain records/ documentation:

a) Departmental records.

b) Patients record with name, age, sex, Occupation and H/O previous operation

c) Treatment plan

d) Progress notes

e) Discharge summary

6. Prepare indent books and proper maintenance of indent record with the expenditure records

of therapeutic equipment

7. Help and face general audit

8. Assure proper safety measures for use of any instruments for OT, patients and attendants.

9. Supervision and training of junior colleagues as per departmental rules.

10. Sent periodic reports to the higher authorities as per organisational rules.

A. Specific Job Description:

1. Clinical

The qualified diploma Occupational Therapists will work along with multidisciplinary team

(doctors, physiotherapist, nurse, social worker etc).

Diploma occupational therapists should be able to do full assessment and treatment plan but

is suggested to do the assessment and treatment plan under the supervision of BSc.

occupational therapist.

Diploma occupational therapists can run the treatment session independently

Diploma therapists may wish to discuss with the BSc qualified therapist regarding patient

treatment

2. Managerial skill

Diploma occupational therapists should not be involved in managerial job

Maintain medical documentation concerning treatment.

Manage caseload

3. Professional Development

Diploma Therapists should ensure the quality of treatment and shows responsibility towards

patients

Therapists should respect patient’s interest and maintain patient’s confidentiality

Keep professional relationship with patient

Show an awareness of safety for self and others.

Demonstrate questioning creativity, critical thinking and self-reliance and become

constructive contributors within multi-disciplinary teams.

Demonstrate a sense of responsibility to the provision and promotion of occupational

therapy services in Bangladesh

4. Assessment :

Therapist should be able to assess patients / clients independently. Assessment should cover all

the performance component (motor, sensory, cognitive, interpersonal, intrapersonal)

performance context (environment), and performance areas (self care productivity and leisure).

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5. Treatment planning:

Therapist should be able to implement the plan using different modalities, activities, equipment

and environmental and physical adaptation.

11. Treatment Implementation:

Therapist should be able to implement the plan using different modalities, activities, equipments

and environmental and physical adaptation.

12. Evaluation:

Therapist should be able to evaluate the treatment, progress and prognosis of the client.

13. Activity Analysis:

Should be able to analyse all the daily living and purposeful activities.

14. Techniques:

During treatment therapist should be able to apply the following techniques according to their

client group:

Rood Techniques

Sensory Integrative Technique

Brunstrom techniques

Neurodevelopmental Therapy (NDT).

Energy conservation techniques

Rehabilitative approach etc.

A. At the teaching institutes:

At the teaching institute (upto diploma level) the diploma OT will be able to provide service as-

a) Teacher:

b) Demonstrator /Instructor

A) Teacher:

Usually the BSc/MSc therapists’ take/conduct classes, but diploma occupational therapist will

have opportunities to take/conduct classes after certain clinical experiences (3 to 5 years)

B) Demonstrator/Instructor:

They will perform tutorial and demonstration classes relevant to practical items.

Ensure and guide the students to prepare practical note books.

Demonstrate elaborately procedures and methods of the practical works in the demonstration

room and follow students’ performance in the practical classes.

Supervise practical classes as a ‘Team leader’.

Responsible for demonstration room setup and maintenance of registers, records and all

instruments and activities under guidance of supervisors

Responsible for the safety and security of the demonstration room.

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C. COURSE DESCRIPTION:

A. Course Title: Diploma in Occupational Therapy

B. Course philosophy and rationale:

This course has been devised in order to produce qualified Diploma Occupational Therapists

(OT) who are able to apply their academic knowledge and clinical skills to serve the disable

people in Bangladesh. The course will enable the diploma occupational therapists to enhance the

basic principle of the profession.

The diploma course aims to create Occupational Therapists (OT) who are: -

Clinicians and are able to manage their own caseload.

Flexible in order to provide a relevant service to their patients in the content of a developing

country and a changing profession.

Holistic practitioners

Marketable

The learning experience that the course provides will help to facilitate the development of the

ability of the students to transfer skills, share ideas and may seeking supervision from BSc

qualified occupational therapist to become competent throughout their professional lives.

C. Conditions for entrance: 1. Qualifications & prerequisite:

(i) SSC Science or equivalent with Science with Physics & Chemistry.

(ii) Candidate has to secure 2nd division or GPA 2.5 in the SSC examination.

Candidate passed S.S.C. exam current year or previous three years or as decided

by the authority for each year of admission.

2. Examinations for Entrance/Admission Test:

All candidates are to sit for admission tests of 100 marks through proscribed rules and

examination method as specified in the advertisement. Selection of the candidates will be

done on merit basis as based on aggregate marks obtained in the admission test and 10% of

the total marks secured in the SSC examinations.

Full Marks:

A. Admission test = Written (MCQs) =100

B. SSC marks = 100 (10% of full SSC marks)

......................................................

Total = 200

Despite the general merit in consideration for selection the reserved quota for different groups of

applicants as specified in the advertisement shall be maintained on the ment basis for the

respective reserved quota as well. Candidates selected for admission will have to appear before

the Medical Boards as organised by the respective Institute of Health/Medical Technology.

D. COURSE STRUCTURE AND DURATION :

The Occupational Therapy (OT) Diploma course consists of three years undergraduate training

In each year there will be 40 weeks of (Teaching/Learning hours: 900-1300 hours/years, average

5 hours per day) of teaching and learning at the end of which there will be an year final

examination. Supplementary examinations will be held after 6 months of the year final of faculty

examination. There will be also 1000 hours of clinical placement and one year full time

internship at the CRP. The total period is divided into 3 parts –1st year, 2nd year and 3rd year.

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1st Year: Pre clinical skills exploring the psychosocial individual including and introduction to

the theory of OT and an overview of clinical condition.

2nd Year: A direct application of specialized areas of OT service.

3rd Year: Theoretical and practical basis for skills necessary to provide a professional service to

the wider community through group facilitation, management and health promotion.

Year Institutional

teaching Clinical placement Revision & exam

1st Year 34 weeks 02 weeks 04 weeks

2nd Year 24 weeks 12 weeks 04 weeks

3rd Year 20 weeks 16 weeks 04 weeks

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E. Setting of the papers & distribution of teaching /learning hours year wise:

1st Year

Papers Subjects Theory Tutorial Practical /

Demon

Total

Hours

I English 75 25 - 100

II Physics 50 50 100

III Chemistry 80 20 100

IV Basic Human Anatomy 70 60 70 200

V Basic Human Physiology 75 60 65 200

VI Basic Community Medicine 150 50 200

VII Basic Microbiology &

Parasitology

40 30 70

Total 540 145 285 970

2nd Year

Paper Subjects Theory Practical/

Demons

Clinical

Placements

Total

Hours

I Basic Occupational Therapy

A. Kinesiology 35 15 20 70

B. Therapeutic Skills 35 35 40 110

C. Occupational Therapy Theory 70 20 30 120

140 70 90 300

II Occupational Therapy in Neurology

A. Neuroscience 70 20 20 110

B. Occupational Therapy in

Neurological Conditions 70 50 70 190

140 70 90 300

III Occupational Therapy Pediatrics and Psychiatry

A. Basic Human Development 20 0 5 25

B. OT in Pediatrics 80 40 40 160

C. Psychology 10 0 5 15

D. OT in Psychiatry 50 10 40 100

160 50 90 300

IV Medical and Surgical Conditions

A. Pathology 20 0 5 25

B. OT and Upper Limb 60 30 45 135

C. OT in Physical Dysfunction 70 30 40 140

150 60 90 300

V Basic Computer Science 25 75 0 100

Total 1300

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3rd Year

Paper Subjects Theory Practical/

Demons

Clinical

Placements

Total

Hours

I Adaptation and Design

A. Adaptation 70 50 80 200

B. Ergonomics 70 50 80 200

140 100 160 400

II OT in Management

A. Program Planning 60 30 60 150

B. Community Culture and

Disability 75 25 60 160

C. Management 40 10 40 90

175 65 160 400

III Professional Ethics

A. Professional Development 70 70 80 220

B. Professional Ethics 60 40 80 180

130 110 160 200

Total 1200

F. TEACHING & LEARNING METHODS The following teaching and learning methods will be followed:

1. Large Group Teaching Lecture aided by –

Chalk board

OHP/ Slide projector

Handouts

Multimedia projector

Clip board

2. Small Group Teaching-

Tutorial/ Demonstration

Students interaction

3. Practical session-

Use of practical manual Chalk board

Performing the task/examination by the student

Writing the practical note book

4. Clinical Placement-

In small groups for performing clinical skills by the student

themselves under the guidance of the qualified Occupational

Therapist. The students shall be placed in the following

institutes besides IHT for clinical classes: CRP, BSMMU,

DMCH, NITOR), IDCH, NICVD, BIRDEM, SPP, CBR,

Dhaka Shishu Hospital and NICHR DHAKA and NIMH &

Mental Hospital, Pabna.

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G. ASSESSMENT METHODS, GRADING AND PASS MARKS

Assessment Methods:

A. There will be in-course (card/ item) and end-course (terminal) assessment for the students in

each part (1st, 2nd & 3rd year) of the course i.e. formative and year final examination.

B. There will be year final examinations at the end of each academic years and one

supplementary examination 6 months after each regular year-final examination.

C. Formative assessment will be done through items and card ending exam.

D. In the year-final examination marks allocation will be as follows:

20% from the formative examinations (Card final examination/Item marks).

80% from year-final examination

E. Eligibility for appearing in the year-final examination:

Certificate from the respective head of the department or course co-ordinator regarding

students obtaining at least 75% attendance in all aspects (theory, practical, tutorial,

residential field practice) during one academic year.

Obtaining at least 50% marks in the formative examinations.

No student shall be allowed to appear in the Year II & Year III Final examinations unless

the student passes in all the subjects of 1st and 2nd year Final examinations respectively.

All though a student failed after appearing specific year final or supplementary

examination, he/she can attend the classes of next year only.(Carry On)

I. Medium of Language: Bangla / English

Grading Pass Marks

1. Grade A+: 75% and above Written Exam – 50%

2. Grade A: 60% - 74% Practical - 50%

3. Grade B: 45% - 59% Oral - 50%

Formative - 50%

Students have to pass separately each paper of the examination.

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H. Examinations & distribution of marks:

1st Year Examination

Paper Subjects Written

Exam

Oral

Exam

Practical

Exam

Formative

Exam

Total

Marks

I English 100 - - - 100

II Physics 75 10 15 - 100

III Chemistry 75 10 15 - 100

IV Basic Human Anatomy 100 40 40 20 200

V Basic Human Physiology 100 40 40 20 200

VI Basic Community Medicine 100 40 40 20 200

VII Basic Microbiology &

Parasitology

100 40 40 20 200

TOTAL 650 180 190 80 1100

2nd Year Examination


Exam

Oral

Exam

Practical

Exam

Formative

Exam

Total

Marks

I Basic Occupational Therapy 100 40 40 20 200

II Occupational Therapy in

Neurology

100 40 40 20 200

III Occupational Therapy in

Peadiatrics & Psychiatry

100 40 40 20 200

IV Medical & Surgical

Condition

100 40 40 20 200

V Basic Computer Science 50 20 20 10 100

VI Clinical Placement Through placement evaluation forms 200

Total 400 160 160 80 1100

3rd Year Examination


Exam

Oral

Exam

Practical

Exam

Formative

Exam

Total

Marks

I Adaptation & Design 100 40 40 20 200

II Occupational Therapy in

Management

100 40 40 20 200

III Professional in Ethics 100 40 40 20 200

IV Clinical Placement Through placement evaluation forms 200

Total 300 120 120 60 800

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Paper I: Subject - English

Total hours: 100 hour Total marks-50+50

Lecture: 66 hour (Lt No = 66) Written-50+25

Practical / Tutorial: 34 hours (Pract No = 34) Oral & practical- 25

Objectives: At the end of the course the students will be able to: -

1. Read & write any story in English and attain HSC level English proficiency

2. Write letters in English (private, Official etc).

3. Translate & retranslate in English

4. Read and write essays on different topics in English

5. Develops listening skills in English

6. Communicate with each other in English

Course Contents of English (Part -I) Marks = 50

Sl. No Topics/Lessons Teaching/learning Hours

Theory Practical

1. Text book: English for Today-Published by N.C.T.B.

(Intermediate)

Unit- Three:Learning English.

1. Learning a language

2. Why learn English

3. How to learn English

4. Different learners, different ways

5. Dealing with grammar

6. Integrated skills development

7. How well do I know my dictionary?

Unit-Six: Our Environment.

1. The environment and the ecosystem

2. How the environment is polluted.

3. The world is getting warmer.

4. Let’s not be cruel to them.

5. Beware of pollution.

6. Forests should stay.

7. How to manage waste.

Unit-Twenty-four: People, People Everywhere

1. What’s the problem?

2. Kalim Majhee’s boat.

3. The rootless.

4. Why is there discrimination?

5-7. The Revenge.

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Theory Practical

2. Grammar:

Articles :

Indefinite & definite articles

Tense:

Present, Past & Future tense

Voice :

Active voice

Passive voice

Voice change

Speeches:

Direct speeches

Indirect speeches

Linkers

In addition

Besides

Moreover

However

Because

Either or neither, nor

Idioms & Phrases :

22

Paragraph writing :

Letter writing:

Application writing:

Report writing :

10

Telegrams & E-mail: 2

Total 50

18

Course Contents of English (Part -II) Marks = 25+25


Theory Practical

Communicative English :

Reading skill

Writing skill

Listening skill

Conversations skill

4

4

4

4

8

8

8

10

Total 16 34

Teaching Methods:

Lecture

Practical/ Tutorial/Communication

Media:

Multi media,

Laptop,

OHP,

White Board,

Marker,

Wall chart

VCD, DVD, CD

Assessment:

Written - SAQ (50% + 25%)

Reading, Listening & conversation 25%

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Paper II : Subject - Physics

Learning Objectives: At the end of the course, the students will be able to-

Define Physics and state the importance of Physics in the Health Care System.

Understand the different systems of measurement and weights.

Demonstrate basic knowledge on measurement of density and specific gravity of a

substance.

Demonstrate basic knowledge on fundamental aspects of heat and temperature, sound,

light, electricity and magnetism.

Course contents of Physics

Sl.No Topic/Lessons

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Teaching/Learning Hours

Theory Practical

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4| Av‡jvK t

†Mvjxq c„‡ô cÖwZdjb|

mgZj I †Mvjxq c„‡ô cÖwZdjb| m¤c~Y© cÖwZdjb,

cÖwZmivsK, wcÖRg cÖwZmviY|

‡jÝt DËj I AeZj †jÝ| †j‡Ýi kw³ I weea©b †jÝ

ms‡hvRb| †Pv‡Li ÎæwU mg~n I cÖwZKvi|

Av‡jvK hš¿-gvB‡µv‡¯‹vc|

6 N›Uv

5| Pz¤^K t

Py¤^K‡bi wewfbœ c×wZt Pz¤‡Ki gZev` Pz¤^‡Ki †¶Î I

cÖevj¨| wecixZ eMx©q m~Î cÖvšÍg~Lx I cÖ ’g~Lx Ae¯’v‡b

Py¤^‡Ki cÖvej¨| we‡¶cx Pz¤^Kgvb hš¿ I Bnvi e¨envi|

fzPz¤^KZ¡|

4 N›Uv

Total Hours: 100 Total Marks: 100

Lecture 60 Written : 60

Tutorial/ Practical 40 Oral + practical 15+25

20

Sl.No Topic/Lessons Teaching/Learning Hours

Theory Practical

6| Zwor t

w¯’i Zwir, Pv‡R©i Aw¯ÍZ¡ I cÖK…wZ wbY©q| ê`y¨wZK Av‡ek, Kzj‡¤î

m~Î, aviKZ¡, Zwor wefe| mgvšÍivj cvZ aviK|

we`y¨r †Kvl, Zv‡ì †K†› ª Drcbœ Pz¤K‡¶Î| we`y¨r cÖevn I Pv‡R©i

GKK|

¸n‡gi m~Î, wefe êl‡gï GKK| †iva I Av‡cw¶K †iva, †iv‡ai

GKK, †iva ms‡hvRb, GwgUvi, †fvë wgUvi|

ê`y¨wZK cwigvc, ûBU †÷vg weªR, wgUvi weªR, †cv÷ Awdm e· I

cv‡Ub wkI wgUvi|

Zwor cÖevn I DËvc, Ry‡ji m~Î, ê`y¨wZK c×wZ‡Z wbY©q|

Zwor cÖev‡n ivmvqwbK wµqv, Zwor we‡klY, m~Î I Bnv‡ì cÖgvY|

Zwor Pz¤^Kxq Av‡ek|

20 N›Uv

eënvwiK

1| ¯vBW K¨vwjcvm©, ¯ŒyR I †¯c‡ivwgUv‡ii eënvi wk¶v|

2| cvwb A‡c¶v nvjKv/fvwi Zij I KwVb c`v‡_©i nvB‡Wv-‡÷wUK

e¨v‡jÝ, wbKjmb nvB‡WªwgUvi I Avt nvB‡Wªv †evZ‡ji mvnv‡h¨

Av‡cw¶K ¸i“Z¡ wbY©q|

3| mij †`vj‡Ki mvnv‡h¨ wR Gi gvb wbY©q|

4| GKwU K¨vjwiwgUv†ii mvnv‡h¨ cvwbmg wbY©q|

5| KwVb I Zi‡ji Av‡cw¶K Zvc wbY©q|

6| AeZj `c©‡bi †dvKvm yiZ¡ wbY©q|

7| c¨vivjv· c×wZ‡Z DËj †jÝ †dvKvm `yiZ¡ wbY©q|

8| GKLvbv KvP dj‡Ki cÖwZmivsK wbY©q|

9| In‡gi m~‡Îi mZ¨Zv wbY©q|

10| ‡h †Kvb ˆ`‡N©i Zv‡i Av‡cw¶K †iva wbY©q|

11| bvj c×wZ‡Z yBLvbv `Ê Pz¤^‡Ki †PŠ¤K åvg‡Ki Zzjbv|

3 N›Uv

6 N›Uv

3 N›Uv

3 N›Uv

5 N›Uv

3 N›Uv

3 N›Uv

3 N›Uv

3 N›Uv

3 N›Uv

5 N›Uv

†gvU t 100 N›Uv 60 40

gvb e›Ub t ZZ¡xq = 60

1| c`v‡_©i mvaviY ag©, Av‡jvK I Zwort cÖwZwU kvLv †_‡K 8 b¤‡ii `ywU I 4 b¤‡ii 2wU K‡i †gvU (6wU + 6wU)=

12wU cÖkœ AvKv‡i| Zb¥‡a¨ 8 b¤^‡ii 1wU K‡i 3 kvLvq 3wU I 4 b¤^‡ii 1wU K‡i 3 kvLvi 3 wU A_©vr †gvU 6wU

cÖ‡kœi DËi w`‡Z n‡e|

8 x 1x 3 = 24

4 x 1x 3 = 12

2| kã I Zvc I Pz¤^KZZ¡t cÖwZwU kvLv †_‡K 4 b¤‡ii 4wU K‡i †gvU 12wU cÖkœ _vK‡e| †m¸‡jvi g‡a¨ †_‡K 2wU K‡i

†gvU 6wU cÖ‡kœi DËi w`‡Z n‡e|

4 x 2x 3 = 24

`ªóe¨t ejwe`¨v I c`v‡_©i ag© †_‡K I Ab¨ †h †Kvb kvLv †_‡K 1wU cix¶Y Ki‡Z n‡e|

eënvwiKt K¬vm †iKW© 9+1 bs I 2bs cix¶Y 8 K‡i = 25

†gŠwLK = 15

†gvU t ZZ¡xq+eënvwiK+†gŠwLK = 100

21

Paper III : Subject - Chemistry

Leaning Objectives: At the end of the course, the students should be able to:

Describe fundamentals in physical chemistry.

Narrate common laboratory process.

Identify organic and inorganic chemical compounds.

Explain the different aspects of metals, non-metal and gaseous substances.

Course contents of Chemistry

Sl.No Topic/Lessons

Teaching/Learning

Hours

Theory Practical

MÖ“c-K †fŠZ imvqb

1| †fŠZ I ivmvqwbK cwieZ©b I G‡ì g‡a¨ cv_©K¨|

2| c`v‡_©i MVbt AYy I cigvby-AYyi msÁv, AvšÍtAvYweK yiZ¡, AvšÍtAvYweK,

KwVb, Zij, M¨vm, cigvby, cvigvbweK I AvbweK IRb|

3| mvaviY cix¶vMvi cÖYvjxt ªeY, AwfmªeY, cwimªveY, m¤c³, Am¤c³, I

AwZc„³ `ªeY, ªve¨Zv, ev¯cxfeb, cvZb, AvswkK cvZb, DaŸ©cvZb,

†Kjvmb|

4| cÖZxK, ms‡KZt cÖZxK, AvbweK ms‡KZ, †hvR¨Zv, †iwWK¨vj Ges Zv‡ì

†hvRbx, †hvRbx †_‡K AvbweK ms‡KZ wbY©q, MvVwbK ms‡KZ|

5| ivmvqwbK wewµqvt wewfbœ cÖKv‡ii ivmvqwK wµqv, ivmvqwbK wewµqv NUv‡bvi

Dcvq mg~n|

6| Aí, ¶viK I jeb|

7| M¨v‡mi ag©-e‡q‡ji m~Î, Pvj©‡mi m~Î|

8| †gŠ‡ji ivmvqwbK Zzj¨vsK ev †hvRb fvi|

9| cigvbyi MVb Ges †hvR¨Zvi B‡jKUªbxq gZev`|

wewfbœ ivmvqwbK eÜb|

10| K) G‡fvM¨v‡Wª m~Î L) fiwµqv m~Î|

11| ivmvqwbK ms‡hvM wewat

K) f‡ii wbZ¨Zv m~Î| L) wbw`©ó AbycvZ m~Î|

M) ¸bvbycvZ wewa| N) wecixZ AbycvZ m~Î|

O) M¨vm AvqZb m~Î|

1 N›Uv

6 N›Uv

5 N›Uv

4 N›Uv

4 N›Uv

2 N›Uv

2 N›Uv

2 N›Uv

4 N›Uv

2 N›Uv

6 N›Uv

MÖ“c -L AavZz t

1| wb‡gœv³ c`v_© ¸‡jvi Drm, cÖ¯‘wZ, ag© Ges eënvit

K) Aw·‡Rb, I‡Rvb, cvwb I nvB‡Wªv‡Rb cvi A·vBW|

L) †nvjv‡Rb mg~n t †K¬vwib, †ivwgb, Av‡qvwWb I nvB‡Wªv †K¬vwiK GwmW|

M) bvB‡Uªv‡Rb, nvB‡Wªv‡Rb mvjdvBU, mvjdvi WvBA·vBW, mvjwdDwiK

GwmW|

N) mvjdvi, nvB‡Wªv‡Rb mvjdvBU, mvjdvi WvBA·vBW, mvjwdDwiK GwmW|

O) dmdivm P) Rvib-weRvibt RviK I weRviK c`v_©

2| avZzt wb‡gœv³ c`v_© ¸‡jvi Drm, cÖ¯‘wZ, ag© Ges eënvit

K) ‡mvwWqvg-†mvwWqvg nvB‡WªvA·vBW, ‡mvwWqvg Kve©‡bU, †mvwWqvg †K¬vivBW|

L) K¨vjwmqvg-K¨vjwmqvg Kve©‡bU, K¨vjwmqvg †d¬vivBW, K¨vjwmqvg mvj‡dU,

wewPs cvDWvi|

3| Kcvi -Kcvi A·vBW, Kcvi mvj‡dU, Kcvi †d¬vivBW

4| wRsK - wRsK A·vBW, wRsK †d¬vivBW, wRsK mvj‡dU|

10 N›Uv

8 N›Uv

1 N›Uv

1 N›Uv


Lecture 80 Written : 60

Tutorial/ Practical 20 Oral + practical 15+25

22

Sl.No Topic/Lessons

Teaching/ Learning

Hours

Theory Practical

5| Gjywgwbqvg - Gjywgwbqvg †d¬vivBW, Gjywbqvg mvj‡dU|

6| Avqib - Avqib mvj‡dU|

7| †jW - †jW A·vBW|

8| wmjfvi - wmjfvi bvB‡UªU|

1 N›Uv

1 N›Uv

1 N›Uv

1 N›Uv

MÖ“c - M ˆRe imvqb

1| ˆRe imvq‡bi msÁv, ˆRe I A‰Re †hŠ‡Mi g‡a¨ cv_©K¨ ˆRe †hŠ‡Mi MVb,

†kªYx wefvM, Kvh©Kix ev wµqvkxj g~jK|

2| ˆRe †hŠ‡Mi wb®‹vkb I weï×KiY

3| m¤c„³ I Am¤c„³ nvB‡WªvKve©bt cÖ ‘Z cÖYvjx, ag© Ges eënvi -wg‡_b,

B‡_b, Bw_wjb, GwmUvBwjb|

4| Gj‡Kvnj n¨v‡jv‡Rb RvZKt wg_vBj †d¬vivBW, †K¬v‡ivdg© Gi cÖ ‘wZ, ag© I

eënvi|

5| Gj‡Kvnjt †kªYx wefvM, wg_vBj Gj‡Kvnj, B_vbj Gj‡Kvnj I wMmvwi‡bi

cÖ ‘wZ, ag© I eënvi|

6| WvB-B_vBj B_vit cÖ¯‘wZ, ag© I eënvi|

7| GjwWnvBW I wK‡Uvj mg~nt wbæwjwLZ †hŠMmg~‡ni cÖ¯‘wZ, ag© I eënvi,

digvjwWªnvBW, GwmUvjwWnvBW I Gwm‡Uvb|

8| Kve©wjK GwmWt G‡mwUK GwmW I mvB‡UªK Gwm‡mWi cÖ ‘wZ, ag© I eënvi|

9| Gj‡Kvnj G¨vgvBbt G¨vgvB‡bi †kªYx wefvM, wg_vBj G¨vgvBb I B_vBj

G¨vgvB‡bi cÖ¯‘wZ, ag© I eënvi|

10| G¨v‡iv‡gwUK †hŠMt wbgœwjwLZ †hŠMmg~‡ni cÖ ‘wZ, ag© I eënvi| †ebwRb,

UjyBb, †d¬v‡iv‡ewRb bvB‡Uªv‡ewRb, A¨vwbwjb, Kve©wjK GwmW,

†ebRvjwWnvBW, †eb‡RvwqK GwmW I m¨vwjmvBwjK GwmW|

4 N›Uv

1 N›Uv

2 N›Uv

4 N›Uv

2 N›Uv

1 N›Uv

3 N›Uv

3 N›Uv

2 N›Uv

5 N›Uv

eënvwiK t

1| A¤ I ¶v‡ii gvÎv wbY©q|

2| nvB‡Wªv‡Rb I Aw·‡R‡bi cÖ¯‘wZ|

3| mnR ˆRe I A‰Re †hŠ‡Mi Avw½K we‡klY|

20 N›Uv

†gvU t 100 N›Uv 80 N›Uv 20 N›Uv

gvb e›Ub t ZZ¡xq - 60

eënvwiK - 15

†gŠwLK -10

MÖ“c - K - 20 b¤i

MÖ“c - L - 20 b¤i

MÖ“c - M - 20 b¤i

MÖ“c-K †_‡K 3wU, MÖ“c -L †_‡K 3wU Ges MÖ“c -M †_‡K 3wU †gvU 9wU cÖkœ _vK‡e| Zb¥‡a¨ cÖ‡Z¨vK MÖ“c †_‡K Aš—

Ztc‡¶ 2 wU K‡i †gvU 6wU cÖ‡kœi DËi w`‡Z n‡e|

23

Paper IV : Subject - Basic Human Anatomy

Learning Objectives: At the end of the course the students will be able to -

Demonstrate a comprehensive knowledge base above the major anatomical system and

structure of human body

Identify major anatomical system and structure of human body

Identify the specific structures and organs and application of such knowledge in studying

their individual disciplines.

Do surface marking of important organ of human body.

Course Contents of Basic Human Anatomy

Introductory Anatomy :

a) Anatomical Terminologies :

Definition of Anatomy

Anterior, Posterior, superior, inferior, medial, lateral & median plane.

b) Systems of Human body

Human cell: structure and classification.

Cell division: types. Phases of mitosis

Tissue: Types of tissues.

c) Musculoskeletal system:

component

Types of bones short description of important bones

d) Cardio-vascular system.

Location & Basic structure of cardiovascular system

Short description of heart, major arteries, capillaries/veins

e) Respiratory system

Basic structure of respiratory system

Description of larynx, trachea, bronchi, bronchioles and alveoli Gross Anatomy of lung

f) Gastro-intestinal and Hepatobiliary system:

Short description of the different parts of alimentary system: mouth, tongue, oesophagus,

stomach, small and large intestine, rectum & anal canal anatomy of salivary glands,

pancreas, liver, gall bladder


Lectures: 70 (Lt No = 70) Written : 100

Practical/Demons: 70 (Prac. No = 35) Oral & Practical: 80

Tutorial: 60 (Lt No. = 60) Formative: 20

24

g) Genito –urinary system:

Anatomy of urinary system

Male genital system & Female genital system

h) Nervous system and Endocrine system.

Basic structure of nervous system

Parts of nervous system and short description of brain,, spinal cord, cranial nerves,

peripheral nerves

Autonomic nervous system and short description of sense organs-eye, ear, nose, tongue

and skin

Important endocrine glands & hormones secreted by them

i) Lymphatic System:

Anatomy of lymph nodes and vessels

Teaching Methods: Lecture

Tutorial

Practical/ Demonstration

Media: Multi media,

Computer

Laptop,

OHP,

White Board,

Marker,

Skeleton

Wall chart

Assessment: Written - SAQ (50%)

Practical (20%), Oral (20%) & Formative (10%)

25

Paper V : Subject - Basic Human Physiology

Learning Objectives: At the end of the course the students will be able to-

Demonstrate a comprehensive knowledge on functional aspects of different important

systems, components and organs of human body.

Apply the practical knowledge of human physiology in studying and performing the

allotted tasks in their individual disciples.

Course Contents of Basic Human Physiology

Introductory Physiology:

Physiological terminologies

Basic structure and organizations of human body

Cell physiology and metabolism/multiplication of living cells

General functions of different systems of the body: Musculoskeletal/ Respiratory/

Circulatory/ Digestive/ Urinary/Nervous/Endocrine/Immune/Reproductive

Musculoskeletal system:

Physiological components of musculoskeletal system

Functions of important muscles, bones & joints of human body

Movements of joints

Cardiovascular System:

Functions of circulatory system

Functions of blood and blood cells

Conductive system of heart & Cardiac cycle

Physiology of Blood Pressure

Respiratory system:

Functions of respiratory system

Mechanism of breathing

Digestive and hepatobiliary system:

Definition of digestion, absorption, metabolism

Digestion, absorption & metabolism of carbohydrate, fat protein

Nutrition and deficiency disorders : anaemia, iodine deficiency, vitamin deficiencies

Functions of liver, pancreas and gall bladder

Composition & functions of different digestive juices & bile


Lectures: 75 (Lt No = 75) Written : 100

Practical/Demons: 66 (Prac. No = 33) Oral & Practical: 80

Tutorial 59 (Lt No. = 59) Formative: 20

26

Genitourinary system:

Functions of nephron

Renal threshold/GFR

Formation, appearance and composition of urine

Functions of reproductive organs of both sexes: uterus/ovary/fallopian tube/vagina/

penis/ testes/ scrotum/ vas deferens/prostate

Nervous system, organs of special sense:

Functions of motor, sympathetic & parasympathetic nervous system

Functions of cranial nerves

Cerebrospinal fluid formation, composition & function

Functions of special sense organs-eye, ear, nose, tongue and skin

Functions of the endocrine glands & hormones secreted by them: Pituitary / thyroid /

parathyroid / adrenal /gonads/pancreas/placenta

Immune System:

Definition/classification and components of immune system

Cells and tissues of immune system & their functions

Lymphatic System:

Composition & functions of lymph nodes and vessels


Tutorial


Media: Multi media,

Laptop,

OHP,

White Board,

Marker,

Wall chart

Lab. Reagent & Apparatus



27

Paper VI : Subject – Basic Community Medicine

Learning Objectives: At the end of the course the students will be able to-

Describe the general aspects of community medicine

Narrate the basic concepts of epidemiology

Explain the concept of primary health care

Define organisations of health services and major health programmes in Bangladesh

Carry on elementary bio-statistics

Describe the concept of demography and Family Planning

Define Maternal and Child Health (MCH), describe its objectives and explain the

importance of ante-natal and post-natal care for mother and children

Define food and nutrition and be aware of nutritional problems in Bangladesh

Be aware of occupational health hazards and their preventive and protective measures

Describe the principles of health education and their application in the community

Be aware of environmental pollution and methods of prevention and control of pollution

Describe the basic concept of Essential Service Package (ESP)

Course Contents of Basic Community Medicine

Introductory community medicine:

Definition of Community Medicine

Concept of health : Definition / Dimensions / Determinants / Indicators

Concept of general principles for prevention and control of communicable and Non-

communicable diseases

Concept of health promotion: Definition / Interventions

Primary health care:

Definition/Elements/ Principles/Scope

Health care services and organization:

Primary/Secondary/Tertiary Health Care services WHO/UNDP/UNICEF/CARE/

International Red Crescent / BIRDEM / ICDDR,B

Basic Epidemiology:

Definition /Aims/Methods/Scope

Definition of epidemiological terms eg. Epidemic/Endemic/Pandemic/ Sporadic/

Zoonotic disease/ Incubation period/ period of communicability/ Epidemiological

Triad/Infection/ Contamination/ Infestation/ Isolation/ Quarentaine etc.

Major health programmes in Bangladesh

Medical Information system (MIS)


Lectures: 150 Written : 100

Practical/ Tutorial: 50 Oral & Practical: 80

Formative: 20

28

Basic Bio-statistics:

Definition /Scope/Functions/Importance and uses of Biostatistics, Medical statistics,

Health statistics, Vital statistics

Definition of vital events

Definition/types/characteristics/functions/importance/sources/collection and presentation

of data

Morbidity/Mortality/Fertility statistics

Demography and family planning:

Demography: Definition/Focus/Process/Stages/Cycle and how to conduct census

Family Planning: Definition/Objectives/Scope/Health aspects/Benefits

Contraceptive methods: Short description /Advantages/ Disadvantages/ Indication/

Contra indication/ Complications

Maternal and Child Health Care (MCH):

Introduction/Definition/Aims & Objectives / Components of MCH

Maternal health care: Antenatal/Intra natal/Postnatal

Care of the New-born/Under 5 children

Indicators of MCH care: MMR, IMR etc

Food and nutrition:

Food: Definition/Functions/Classification

Sources/types/function/daily requirements and deficiency of protein, fat, carbohydrate,

vitamins and mineral

Definition of nutrition /Balanced Diet

Malnutrition: Definition/Forms/Causes and prevention

Common nutritional problems of Bangladesh: low Birth Weight/Protein Energy

Malnutrition/ Nutritional Blindness/ Nutritional Anaemia/ Lathyrism

Occupational Health:

Occupational health : Definition /Objectives

Occupational Hazards: Introduction /Types

Occupational disease: Definition/Classification/Prevention and control

Health education behavioral science and Ethics:

Health Education: Definition/Importance / Objectives / Components/

Principles/Methods/Media of

Communication Skills: Definition/Key elements /Barriers

Behavioral Science : Introduction & concept

Ethics: Introduction and concept

29

Environment and sanitation:

Definition of pollution, environment, sanitation and environmental sanitation

Water: Safe wholesome water/Source of water/water pollution/Hazards of water

pollution /water borne diseases/Hardness of water/ Purification of water

Air : Definition/Composition

Air pollution : Sources, pollutants, indicators, health & other effects, prevention &

control

Ventilation: Definition/Standards/ Types/Criteria of good ventilation/effects of good

ventilation

Solid waste: Definition/Types/Sources/Health hazards

Disposal of solid waste: Dumping/Controlled tipping or sanitary land fill/

incineration/composting/Manure pits/Burial

Excreta or night soil: Public health importance/Health hazards/how disease occurs from

it/Sanitation Barrier/ Methods of excreta disposal (Unsewered area/Sewered area)

First Aid:

Definition / Principles of First Aid

First Aid Box-List of contents and their uses

First Aid of : Cuts, bleeding, burn, shock, dog bite, snake bite


Tutorial


Media: Multi media,

Laptop,

OHP,

White Board,

Marker,

Wall chart

Models & Samples



30

Paper VII : Subject - Basic Microbiology & Parasitology

Learning Objectives: At the end of the course the students will be able to -

Demonstrate basic knowledge about general aspects of different micro-organisams

including classification and general characteristics of protozoa, bacteria, virus & fungus.

Perform common methods of identification of different micro-ogranisms particularly

bacteria & fungus of medical importance.

Perform the technique of cleaning, disinfectin, decontamination & sterilization in

neutron to destruction of micro-orgnisms in laboratory practices.

Course Contents of Basic Microbiology & Parasitology

Introduction to microorganisms:

Definition and classification of microorganisms

Microbiological terminology

Characteristics of Eukaryotic prokaryotic & sub cellular groups of microorganisms

Microbiological articles, equipment's apparatus

Microscope: Different parts of microscope, & maintenance of microscope

Destruction of microorganism:

Cleaning, Washing, decontamination disinfection & procedures

Sterilization of different laboratory articles, instruments, glass wares etc.

Bacteria:

Anatomy of Bacteria, chemical composition of different structures of bacteria

Bacterial Spore: Definition & function spores, Spores bearing bacteria of medical

importance

Bacterial toxin: Definition & types of bacterial toxin, characteristics of endotoxin &

exotoxin, Toxin producing organism of medical importance, use of bacterial toxins in

diseases prevention

Biology of bacteria: Growth & multiplication of bacteria, bacteria growth curve, bacteria

growth requirements. Definition & classification of culture media

Classifying bacteria in terms of morphology, staining, spore, flagella, capsule &

Pathogenecity

Staining bacteria: Gram's staining, AFB staining, Albert staining



Practical/ Tutorial: 40 (Prac. No = 20) Oral & Practical: 80

Formative: 20

31

Virus:

General characters of virus

Morphology & classification of virus

List of viruses of medical importance & diseases produced by them

Fungus: General character, Morphology and classification of fungus

List of fungus list medical important and the diseases produced by them

Parasite:

Definition /Classification of parasite

Helminth:

General characteristics of helminths

Classification /Morphology of helminths

Protozoa:

General characteristics of protozoa

Definition /Classification of protozoze


Tutorial


Media: Multi media,

Laptop,

OHP,

White Board,

Marker,

Wall chart

Models & Samples



32

2nd Year

Paper I : Subject - Basic Occupational Therapy



Practical/Demons: 70 Oral: 40

Clinical Placement: 90 Practical: 40

Formative/ Course work: 20

Learning Objectives: On completion of this subject, students will be able to-

Ddefine the term occupational roles, and describe the qualities of roles.

Explain the use of a variety of treatment approaches in occupational therapy intervention.

Use the terms from the uniform terminology appropriately.

Describe the four parameters of performance areas, and the levels of assistance used by

occupational therapists.

Differentiate between different assessment methods.

Explain frames of references and describe the biomechanical and the rehabilitation frame of

reference.

Identify different methods of documentation, and describe the components of documentation

methods.

Describe the role of leisure in people’s lives.

Briefly describe the biomechanics involved in movement

Identify the essential features of the following everyday movements: - rolling over and

sitting up, standing up from sitting, walking, reaching, and manipulation

Explain the basic principles of body mechanics.

Describe the types of posture and be able to demonstrate the ability to identify the essential

components of standing and sitting postures in a systemic way; recognise abnormal postures

and discuss treatment solutions

Demonstrate the ways in which muscles interact to produce purposeful movement

Course Contents of Basic Occupational Therapy

A. Kinesiology:

1. Planes mechanics of movement

2. Muscles and joints classification and movement

3. Mechanical principles of motions

4. Posture and movement (normal and abnormal)

5. Human motion control and learning

6. Manual muscle testing

7. Measure joint range of motions

8. Exercise: Function and application in rehabilitation

9. Client mobility

33

B. Therapeutic Skills:

1. Activity analysis

2. Uniform terminology according to the activity

3. Performance components

4. Role according to activity and purposeful activity

5. Grading activity

6. Wheelchair skills

7. Handling techniques transfer and lifting

8. Bed mobility (Rolling, supine, prone, push up, push back etc.)

9. Dressing practice

C. Occupational Therapy Theory

1. Philosophy and history (Define OT, fundamental beliefs, OT and medicine)

2. OT process (Assessment, treatment planning, treatment implementation and evaluation)

3. Activity analysis

Relationship of activity of every day life

Define activity analysis

Why activity analysis

Activity and treatment analysis

4. Multidisciplinary team (Role of team, overlap between OT and other members)

5. Disability and ability (Define disability, attitudes towards disability, promotion of health

and wellbeing)

6. Frames of references

Physiological,

Behavioral,

Cognitive,

Psychodynamic and

Humanist

7. Models of practice

Problem based model and documentations

OT models- Model of Human Occupation, Adaptation through Occupation,

Adaptive skills

8. Occupational Therapy Skills

Self-care

Productivity and

Leisure

34


Demonstration/Practical /Small group teaching

Course work/ Assignment

Media: Laptop

Multimedia

Over Head Projector (OHP)

White Board and Marker

Black Board and Chalk

Practical Room

Skeleton

Dummy

Clinical Ward

Wheelchair

Bed and Chair

Assessment: Written-50% (SAQ-50%) + Oral-20% + Practical/ Objective Structured Practical Examination

(OSPE)-20% + Formative/Course work-10%

35

Paper II : Subject - Occupational Therapy in Neurology


Lectures: 140 Written: 100




Learning Objectives: On completion of this subject, students will be able to-

Describe the movement control systems, including motor and sensory control, tone and

reflexes, and the difference between upper and lower motor neurone function

Explain neurons, action potentials, excitation and inhibition, synapses and chemical

transmission, neuroglia and connective tissue

Describe the anatomy and functions of different lobes of the brain, and identify the

functional problems related to specific brain damage.

Demonstrate safe transfers of and appropriate positioning of hemiplegic patients (lying

sitting, sitting standing, chair wheelchair, bathroom transfers).

Demonstrate neurological assessments used by occupational therapists.

Prepare documentation using the problem orientated medical records system, including

the soap format (subjective, objective, analysis, plan)

Describe the etiology, pathophysiology, clinical features, complications, management

and prognosis of the neurological conditions.

Course Contents of Occupational Therapy in Neurology

A. Neuroscience

1. Basis of excitation and inhibition

2. Synapses and chemical transmission

3. Plasticity and nerve injury response

4. Sensory systems

5. Motor systems, muscles and muscle receptors

6. Reticular formation

7. Muscle tone

8. Reflex activity

9. Formation and degeneration of nervous system

10. Theories of acute and chronic pain

B. OT in Neurological conditions

1. Cerebrovascular accident

2. Spinal cord injury

3. Head injury

4. Perkinsons disease

5. Cerebellar dysfunction

6. Motor neuron disease

7. Peripheral neuropathy

8. Assessment

9. Treatment approaches (NDT, Roods, PNF, Movement therapy)

10. Documentation

36

Teaching Methods:

Lecture

Demonstration / Practical / Small group teaching


Media: Bed and Chair

Dummy

Clinical Ward

Laptop

Multimedia




Practical Room

Assessment: Written-50% (SAQ-50%) + Oral-20% + Practical/ Objective Structured Practical

Examination (OSPE)-20% + Formative/Course work-10%

37

Paper III : Subject - Occupational Therapy in Peadiatrics and Psychiatry

Learning Objectives: Students will able to-

Define and identify the male and female reproductive systems.

Demonstrate the knowledge of the mentioned condition's- definition, cause of disease

/condition, sign symptoms &' abnormal reflex, able to find- out problems, design to

treatment according to the problems, clarify treatment outcomes and prognosis.

Describe/demonstration adaptation procedure, types of equipment for adl, role of to in

providing /prescribing adaptive equipment for independent living

Demonstrate knowledge on the mention condition, psychology (basic) of human being,

various theoretical frameworks, relation of theory to occupational therapy

intervention.

Course Contents of Occupational Therapy in Peadiatrics and Psychiatry

A. Basic Human Development

1. Male and female reproductive systems

2. Conception &' foetal development

3. Childbirth &' associated complications

4. Normal development through neonate to old age.

5. Gross &' primitive reflexes

6. fine motor

7. Sensory integrative

8. Cognitive

9. Socio-emotional

10. Language development

B. OT Pediatrics

1. Cerebral Palsy

2. Definition, cause sign symptom, Problems, OT intervention & Prognosis.

3. Learning disabilities

4. Physical and Orthopedic disabilities

5. Epilepsy

6. Emotional & behavioral disorder

7. Communication impairment, visual and hearing impairment.

8. Mental handicap

9. Assessment and screening procedures

10. Hand function

11. Self. maintenance

12. Play and Recreation

13. School work and vocational training,

14. Adaptation and equipment for independent living






38

C. Psychology

1. Psychology theoretical frame works

2. Social psychology

3. Personality motivation & socialisation

4. Learning, memory and cognition

D. OT in Psychiatry

1. Mental illness

2. Classification, diagnosis and prognosis

3. Aetiology of neurosis, psychosis, schisophrenia and substance abuse

4. Drug use in mental health treatment and contraindication

5. Electro convulsive therapy.

6. Group work(models/clients /types of group)

7. Anxiety problems or phobias.

8. Treatment methods: cognitive/creative/life skills/Income generation.


Demonstration / Practical / Small group teaching / Bed site teaching



Dummy / simulated patients

Clinical Ward

Laptop

Multimedia




Practical Room

Toys / Mannequins


Examination-20% + Formative/Course work-10%

39

Paper IV : Subject - Medical and Surgical Conditions

Learning Objectives: At the end of the subject students will be able to

Demonstrate knowledge on the following areas- causes and definition of various disease,

sign and symptom, extent of damage.

Definition & causes, sign & symptoms & factors influencing inflammation.

Describe –pathology, healing process, potential complications, functional deficits, basic

medical management, specific occupational therapy treatment.

Demonstrate ability to conduct upper limb assessments using various standardized &

non-standardize tools.

Mention variety of treatment approach and their implementation.

Describe /demonstrate- disease conditions, use of variety of assessment tools, functional

impact, occupational therapy assessment & intervention.

Course Contents of Medical and Surgical Conditions

A. Pathology

1. Introduction to causes of disease :

2. Acquired /Inherited/

3. Damage to tissue cell

4. Inflammation & repair

5. Infection & Immunity

6. Orthopedics disorder

7. Circulatory disturbances

8. Respiratory diseases

1. Gastrointestinal diseases

B. Occupational Therapy and Upper Limb

1. Review of anatomy and function of the upper limb.

2. Assessment & treatment of upper limb injuries

3. Fractures

4. Nerve injuries & related palsies

5. Tendon injuries

6. Carpal tunnel syndrome

7. Dupytrens contracture

8. Burns

9. Soft tissue injuries

10. Tenosynovities

11. Tennis Elbow

12. Rheumatoid arthritis

13. Amputation & crush injuries






40

B. Occupational Therapy in Physical Dysfunction:

1. Orthopedic condition

2. Degenerative conditions

3. Cancer

4. Cardio-vascular condition

5. Back pain


Demonstration/Practical



Dummy

Clinical Ward

Laptop

Multimedia




Practical Room

Therapeutic modalities

Splint model

Video clip



41

Paper V : Subject - Basic Computer Science

Learning Objectives: At the end of this subject students will be able to-

Acquainted with the modern computer technology

Develop skills in MS Word, MS-Excel, Power Point, Internet

Prepare reports of various investigations

Collect latest information through internet

Course Contents of Basic Computer Science

Relevant Instruction for Practical

Information Technology -its concept and scope

Computers for information storage, information seeking, information processing and

information transmission

Elements of computer system computer hardware and software: data -numeric data,

alpha numeric data; contents of program, processing

Computer organization, block diagram of a computer, CPU, memory

Input devices; keyboard, mouse etc; output devices; VDU and Printer, scanner, Plotter

Electrical requirements, inter-connections between units, connectors and cables

Secondary storage; magnetic disks-tracks and sectors, optical disk (CD and DVD

Memory), primary and secondary memory: RAM ROM, PROM etc.

Capacity; device controllers, serial port, parallet port system bus 47

Exercises on file opening and closing; memory management; device management; device

management and input-output (I/O) management with respect of windows

Installation concept and precautions to be observed while installing the system and

software

Introduction about Operating systems such as MS-DOS and Windows

Special features, various commands of MS word and MS- Excel, Power -point

About the internet-server types, connectivity (TCOP/IP, shell); applications of internet

like: e-mail and browsing

Various Browsers like WWW (World wide web); hyperlinks; HTTP (Hyper Text

Transfer Protocol); FTP (File Transfer Protocol)

Basic of Networking -LAN, WAN, Topologies

Give a PC, name its various components and list their functions

Identification of various parts of a computer and peripherals

Practice in installing a computer system by giving connection and loading the system

software and application software

Installation of DOS and simple exercises on TYPE, REN, DEL, CD, MD, COPY, TREE,

BACKUP commands

Exercises on entering text and data (Typing Practice)

Installation of Windows 98 or 2000 etc.

Features of windows as an operating system

Start



Practical/Demons: 75 Oral& Practical: 40

Formative: 10

42

Shutdown and restore

Creating and operating on the icons

Opening closing and sizing the windows

Using elementary job commands like-creating, saving, modifying, finding and deleting a

file

Creating and operating on a folder

Changing setting like, date, time color (back ground and fore ground)

Using short cuts

Using on line help

MS-WORD 1. File Management: Opening, creating and saving a document, locating files, copying

contents in some different file (s), protecting files, Giving password protection for a file

2. Page set up : Setting margins, tab setting, ruler, indenting

3. Editing a document : Entering text, Cut, copy, paste using tool-bars

4. Formatting a document : Using different fonts, changing font size and colour, changing

the appearance through bold/italic/underlines, highlighting a text, changing case, using

subscript and superscript using different underline methods

5. Aligning of text in document, justification of document, Inserting bullets and

numbering

6. Formatting paragraph, inserting page breaks and column breaks

7. Use of headers footers: Inserting footnote, end note, use of comments

8. Inserting date, time, special symbols, importing graphic images, drawing tolls

9. Tables and Borders: Creating a table, formatting cells, use of different border styles,

shading in tables, merging of cells, partition of cells, inserting and deleting row in a

table

10. Print preview, zoom, page set up, printing options

11. Using Find, Replace options

12. Using Tools like: Spell checker, help, use of macros, mail merge, thesaurus word

content and statistics, printing envelops and lables

13. Using shapes and drawing toolbar

14. Working with more than one window in MS Word,

15. How to change the version of the document from one window OS to another

16. Conversion between different text editors, software and MS word

MS -Excel

1. Starting excel, open worksheet, enter, edit, data, formulas to calculate values, format

data, create chart, printing chart, save worksheet, switching from another spread sheet

2. Menu Commands :

3. Create, format charts, organise, manage data, solving problem by analyzing data,

exchange with other applications. Programming with MS Excel, getting information

while working

4. Work Books :

5. Managing workbooks (create, open, close, save) working in work books, selecting the

cells, choosing commands, data entry techniques, formula creation and links,

controlling calculations, working with arrays

6. Editing a worksheet, copying, moving cells, pasting, inserting, deletion cells, rows,

columns, find and replace text, numbers of cells, formatting worksheet :

7. Creating a chart :

43

8. Working with chart types, changing data in chart, formatting a chart, use chart to

analyze data

9. Using a list to organize data, sorting and filtering data in list

10. Retrieve data with MS -Query: Create a pivot table, customising a pivot table.

Statistical analysis of data.

11. Customise MS-Excel:

12. How to change view of worksheet, outlining a worksheet, customise workspace, using

templates to create default workbooks, protecting work

13. Exchange data with other application: linking and embedding, embedding objects,

linking to other applications, import, export document

Power Point :

1. Making Slide

2. Slide Projection

Internet and its Applications

1. Log -in to internet

2. Navigation for information seeking on internet

3. Browsing and down loading of information from internet

4. Sending and receiving e-mail

5. Creating a message

6. Creating and address book

7. Attaching a file with e-mail message

8. Receiving a message

9. Deleting message

Teaching Methods:

Lecture

Practical

Media:

Computer

Multi media

Computer Lab.

Internet connection

White Board

Marker

Assessment:

Written - SAQ (50%)

Oral and Practical - (40%) and

Formative- (10%)

44

3rd Year

Paper I : Subject - Adaptation and Design

Learning Objectives: At the end of this subject students will be able to-

Mention various environmental factors and their affect/impact on an individual's function

State the concepts of accessibility in relation to building design, spatial layout & physical

environment

Describe appropriate structural dimensions of a wheelchair accessible building

Demonstrate the role of an occupational therapist in home visits

Describe/demonstrate current work practice and legislation, with a focus on work

opportunities for the disabled

Identify various environmental factors and aspects of work place and heir impact on the

individual's employment

Identify areas to assess regarding individual's work capacity work site and job analysis.

Identify areas to assess regarding individual's work capacity, work site and job analysis.

Course Contents of Adaptation and Design

A. Adaptation

1. Environmental factors affecting function

2. Building design & accessibility

3. Home visits

4. Pressure care

5. Equipment design and fabrication in ADL & DADL

6. Functional mobility assessment

7. Ambulation aids

8. Wheelchair technology

9. Wheelchair design & prescription & training

10. Home modifications






45

C. Ergonomics

1. Social and Industrial Legislation

2. Occupational Health and Safety.

3. Job analysis

4. Work opportunities for the disabled

5. Workplace adaptation

6. Income generation and Occupational Therapy

7. Role of OT & the work rehabilitation process

8. Factors affecting employment

Teaching Methods:

Lecture



Media:

Bed and Chair

Laptop

Multimedia




Practical Room

Splint model

Wheelchair

Special Seat

Assistive devise

Video clip



46

Paper II : Subject - Occupational Therapy in Management

Learning Objectives: At the end of this module students will be able to-

Describe the principles and application of community based rehabilitation both in

Bangladesh and other countries.

Identify and assess needs of communities, individuals and groups

Conduct appropriate and relevant community surveys taking into account the ethical

considerations of data gathering methods

Investigate resources available and an understanding of the need for resources to be

advertised and retired between community groups and relevant organizations.

Describe what is social anthropology

Describe the importance and interest the in the study of culture, society and change and

it's impact on provision of occupational therapy services.

Describe the variety of elements which are affected by a person's culture including

marriage & family structures.

Describe the organizational structure of health care system within Bangladesh.

State what is needs assessment identify the needs for occupational therapy service in any

organisation

Identify the relation between occupational therapy and other health professions

Communicate with the various health care system

Course Contents of Occupational Therapy in Management

A. Program Planning

1. Principles of Community based Rehabilitation

2. Identification of needs

3. Community Survey

4. Availability of resource

5. Programme planning cycle

6. Implementation

7. Health promotion

B. Community Culture and Disability

1. Social Anthropology

2. Culture society and change

3. Marriage and family structure






47

4. Sex and sexuality

5. Traditional beliefs in Bangladesh

6. Impact on beliefs on behavior, health, family & community

7. Adolescents & adults with disability

8. Mental, physical & psychiatric disorder in the community, prevention & health problem

9. The role of care giver in treatment

10. Educating, motivating & care giver as facilitators.

C. Management

1. Bangladesh Health Service Organisation

2. Needs assessment

3. Working with other professionals

4. Methods of communication

Teaching Methods:

Lecture



Media:

Bed and Chair

Laptop

Multimedia




Practical Room

Video clip



48

Paper III : Subject - Professional Ethics

Learning Objectives: At the end of this module students will be able to-

State the importance of maintenance of code of ethics.

State the patients right & privilege & how to ensure it.

Describe/ demonstrate how to maintain patients confidentiality & privacy

Describe how to behave with other health professionals

Course Contents of Professional Ethics

A. Professional Development

1. Professional skills

2. Caseload management

3. Working in a team

4. Patient advocacy

5. Presentation skill

6. Career development

7. Future training

8. Professional Ethics

B. Professional Ethics

1. Code of Ethics

2. Patients right and Privilege

3. Confidentiality/ privacy of the patient

4. Attitude and approach towards physician and other multidiscipline




Media: Laptop

Multimedia




Practical Room

Video clip

Role play


Examination (OSPE) -20% + Formative / Course work-10%






49

CLINICAL PLACEMENTS

Year Clinical Duration

1st Year Observation 50 hours (2 weeks)

2nd Year Basement Placement 300 hours(12 weeks)

3rd year Specialised areas 640 hours (16 weeks)

Objectives: At the end of the course, students able to-

Assess physical and psychosocial factors of client need

synthesize knowledge and assessment findings in order to identify therapeutic objectives

Plan realistic therapeutic programme for individual clients which permits achievement of

therapeutic objectives

Implement a therapeutic programme safely, effectively, efficiently and with sensitivity,

with an emphatic and caring approach to patients and their carers

Utilize information from patients medical records and, where available, verbal

correspondence, to complete the assessment

Evaluate the effectiveness of interventions and to vary treatment programmes accordingly

Communicate in a professional manner with clients, carers and colleagues, and the

capacity to contribute to multidisciplinary discussions

Respect values consistent with high standards of ethical and professional conduct

Good written communication skills and an ability to keep accurate client records with

awareness of legal and ethical problems

Differentiate between subjective and objective findings from the assessment and appreciate

the importance of objective data for research applications

Prioritize problems and differentiate between those that may be helped by occupational

therapy, and those that require referral to other services

Maintain a clear and accurate record of patient assessment, treatment and progress, and be

aware of the need for confidentiality

Execute occupational therapy techniques safely, accurately and effectively, selecting

correct frequency and duration of procedures chosen

Give a reasoned account of the criteria for selection or non-selection of relevant

occupational therapy techniques

Teach appropriate home care and/or preventative techniques to patients and/or their carers

Explain the importance of continual updating of knowledge and awareness of research

findings in physiotherapy to practice

50

BIBLIOGRAPHY:

Hocking, C (2002), Revised Minimum Standards for the Education of Occupational

Therapists 2002, World Federation of Occupational Therapists (WFOT).

State Medical Faculty of Bangladesh (March, 2004) Curriculum for Diploma in Medical

Technology of Occupational Therapy Course (Draft), Dhaka.

State Medical Faculty of Bangladesh (July, 2001) Curriculum for Diploma in Medical

Technology of Occupational Therapy Course, Dhaka.

Certificate Course in Paramedical Subjects by Para Medical Education Board Bangalore,

India.

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