Doctors Revision

Home Year 3

DCM: Year Three

A final advanced year of clinical practice that explores and focuses on the management of major medical and surgical conditions across different specialities.

DCM 3101: Medicine-Infectious Diseases - Detailed Curriculum

DCM 3101: Medicine-Infectious Diseases

Contact Hours: 75 Credit Units: 5

This module shall enable the learners acquire knowledge, attitude and skills to manage infectious medical conditions.

By the end of this module unit, the learner shall be able to:

  • Know the infectious diseases in internal medicine
  • Understand the pathophysiology of the diseases
  • Make diagnosis of the infectious disease conditions
  • Manage infectious disease conditions

LWA 1

Introduction to Infectious Diseases in Internal Medicine

Sub-topic 1.1: Concepts in Internal Medicine

LWA 2 - 7

Specific Infectious Diseases

Protozoal, Fungal, Helminthic, and Sexually Transmitted Diseases

  1. Stuart et al (2018). Davidson’s principles and practice of medicine, 23rd edition, Elsevier health sciences
  2. Fauci et al (2008). Harrison’s principles of internal medicine, 17th edition, McGraw Hill’s access medicine.
  3. Kumar and Clark (2008). Clinical medicine, 6th edition, Elsevier health sciences.
  4. Uganda Clinical Guidelines (2016)
  5. Muyinda Nathan (2010). Precise guide to management of common medical conditions
  6. Michael Swash and Michael Glynn (2007). Hutchison’s Clinical Methods-An integrated approach to clinical practice 22nd Edition.
  7. Charles D. Forbes and William F. Jackson (2003). Color Atlas and Text of Clinical Medicine 3rd Edition
DCM 3102: Paediatric – Neonatal Health - Detailed Curriculum

DCM 3102: Paediatric – Neonatal Health

Contact Hours: 60 Credit Units: 4

This module unit covers important aspects of care for the new born baby, identification of signs of illness in a new born and management of the sick new born baby.

By the end of this module unit, the learner shall be able to:

  • Differentiate between a normal new born baby and an abnormal new born baby.
  • Identify signs and symptoms of illness in a new born baby.
  • Provide care for the normal new born baby.
  • Manage the sick new born baby.

LWA 3

Disorders/Abnormalities of the Newborn

Sub-topic 3.1: Physiological disorders of the new born

Sub-topic 3.2: Birth Trauma

Sub-topic 3.3-3.5: Congenital Abnormalities

  1. Nelson Neonatology-18th Edition
  2. Essential Paediatrics
  3. Nelson textbook of Paediatrics 21st Edition
  4. IMNCI-ICATT training guides
  5. MOH (2016). Uganda Clinical Guidelines
  6. WHO (2005). Pocket Book of Hospital care for children. Guidelines for the Management Of Common Illnesses With Limited Resources
  7. Child Health. A Manual for Medical and Health Workers in Health centers and Rural Hospitals (2005).
DCM 3103: Surgery Non-Traumatic Conditions - Detailed Curriculum

DCM 3103: Surgery Non-Traumatic Conditions

Contact Hours: 60 Credit Units: 4

This module unit shall enable the learner to get knowledge and skills to manage surgical conditions.

By the end of this module unit, the learner shall be able to:

  • Examine surgical patients
  • Make a diagnosis
  • Perform minor surgical operations

LWA 1

Introduction to Surgery

Sub-topic 1.1: Concepts of Surgery

  • Definition and classification of surgeryNotes coming soon
  • Specific investigations and treatments in surgeryNotes coming soon
  • Pre and post-operative careNotes coming soon

Sub-topic 1.2 & 1.3: Patient Assessment

  • Taking a surgical historyNotes coming soon
  • Performing general, systemic and local examination of a surgical patientNotes coming soon

LWA 2

Inflammatory & Infective Surgical Conditions

Sub-topic 2.1: Acute Inflammations

  • Diagnosis and management of: Abscess, Furuncle, Carbuncle, CellulitisNotes coming soon
  • Diagnosis and management of: Osteomyelitis, Pyomyositis, Mastitis, Hand infectionsNotes coming soon

Sub-topic 2.2: Tetanus, Gangrene and Anthrax

  • Definition, causes, signs, symptoms, complications, management and preventionNotes coming soon

Sub-topic 2.3: Chronic Inflammation

  • Diagnosis and management of: Tuberculosis (Pulmonary and Extrapulmonary)Notes coming soon

LWA 3

Resuscitation

Sub-topic 3.1-3.4: Emergency Management

  • General concepts and procedure of resuscitation (Primary and Secondary survey)Notes coming soon
  • Equipment used in emergency surgical unitNotes coming soon
  • Identification and management of shockNotes coming soon
  • Management of the unconscious patientNotes coming soon

LWA 4 - 6

Specific Surgical Conditions by Region

Abdominal, Anal-Rectal, and Uro-Genital Conditions

  • Management of Hernia, Intestinal obstruction, Peptic ulcers, PeritonitisNotes coming soon
  • Management of Hemorrhoids, Fissure in-ano, Rectal prolapseNotes coming soon
  • Management of Haematuria, Retention of urine, Scrotal swellingsNotes coming soon

Tumors (Non-Traumatic)

  • Diagnosis and management of tumors of the skin, breast, and neckNotes coming soon
  • Diagnosis and management of urogenital, gastrointestinal, and bone tumorsNotes coming soon

Congenital Abnormalities

  • Management of CNS congenital abnormalities (Spina Bifida, Hydrocephalus)Notes coming soon
  • Management of GIT, oral facial, skeletal, and urogenital abnormalitiesNotes coming soon
  1. SRB’s Manual of Surgery 4th Edition by Jaypee Brothers (2013).
  2. Surgery. A Manual for rural health workers (2003) 2nd Edition by Peter Bewes
  3. Clinical surgery by Kumar and Clark (2001) 2nd Edition
  4. Primary Surgery (Volume two), by Maurice King and Peter Bewes (1987).
  5. Uganda Clinical Guide lines (2016).
DCM 3104: Obstetrics - Detailed Curriculum

DCM 3104: Obstetrics

Duration: 75 hours Credit Units: [Not Specified]

This module will enable a learner to acquire the knowledge, attitude and skills to provide obstetric care to mothers and their newly born baby.

By the end of this module unit, the learner shall be able to provide quality obstetric care to mothers.

LWA 1

Introduction to Obstetrics

Sub-topic 1.1 & 1.2: Foundations

  • Definition, purpose, and key terms of ObstetricsNotes coming soon
  • Review of the Anatomy and physiology of the female reproductive systemsNotes coming soon

Sub-topic 1.3 & 1.4: Female Anatomy & Physiology

  • Pelvimetry: Features, types, and variations of the female pelvisNotes coming soon
  • Physiology of Female Reproductive System (Menstrual and Ovarian cycles)Notes coming soon
  • History taking, physical examination and ordering relevant investigations in ObstetricsNotes coming soon

LWA 3 & 4

Conditions & Complications in Pregnancy

Medical Conditions in Pregnancy

  • Management of common conditions (Malaria, Diabetes, Hypertension, HIV/AIDS)Notes coming soon

Complications in Pregnancy

  • Disorders of amniotic fluid and membranesNotes coming soon
  • Multiple gestationNotes coming soon
  • Abnormalities of early pregnancy (Abortions, Ectopic pregnancy)Notes coming soon
  • Abnormalities of Late pregnancy (Ante partum Haemorrhage)Notes coming soon

LWA 5 - 8

Labour, Emergencies, & Postnatal Care

Normal Labour

  • Physiology of the first, second, third and fourth stages of labourNotes coming soon
  • Management of the stages of labourNotes coming soon

Complications of Labour & Obstetric Emergencies

  • Post-partum haemorrhageNotes coming soon
  • Mal-presentations and Mal-positionsNotes coming soon
  • Management of Umbilical cord accidents, Ruptured uterus, and Amniotic fluid embolismNotes coming soon

Postnatal Care of the Mother

  • Normal Puerperium: Physiological changes and examinationNotes coming soon
  • Management of Low Birth BabiesNotes coming soon
  • Management of Puerperal disorders (fever, infections, sepsis)Notes coming soon
  1. Hiralal K. & Dutta DC (2013). DC Dutta’s Textbook of Obstetrics: 7th edition, JAYPEE Brothers Medical Publishers (P) Ltd; New Delhi, London, Philadelphia, Panama.
  2. Cunningham, Leveno, Bloom, Hauth, Rouse, Spong (2010). Williams Obstetrics, 23rd edition: McGraw-Hill
  3. Gibbs, Ronald S.; Karlan, Beth Y.; Haney, Arthur F.; Nygaard, Ingrid E (2008). Danforth's Obstetrics and Gynecology, 10th Edition: Lippincott Williams & Wilkins
  4. Miller A.W.F & Hanretty K.P. (1998). Obstetrics Illustrated 5th Edition: Churchill Livingstone: London
  5. Obstetrics by ten teachers
  6. MOH (2016). Uganda Clinical Guidelines
  7. Myles Textbook for Midwives 7th Edition by Jayne Marshall and Maureen Raynor (2014).
DCM 3105: Health Service Management and Leadership - Detailed Curriculum

DCM 3105: Health Service Management and Leadership

Contact Hours: 45 Credit Units: 3

This module aims at empowering clinical officer trainees with basic knowledge, positive attitude and skills to sufficiently manage health care resources in an efficient and effective manner. After completing this module, they should be able to use appropriate managerial interventions to enable them use generated health data in the day today decisions affecting Health care service delivery.

By the end of this module unit, the learner shall be able to:

  • Generate health and health related data in the day today activities that will be used for making Health care decisions on matters affecting the majority of the population in the community.
  • Manage the resources at various levels of Health service delivery in Uganda.

LWA 1 & 2

Leadership, Management, & Human Resources

Leadership and Management in Health services

  • Definition of key terms: leadership, management, leader and managerNotes coming soon
  • Management concepts and principlesNotes coming soon
  • Organization of Health Services in Uganda & functions of a Health Services ManagerNotes coming soon

Human Resource Management

  • Process of human resource managementNotes coming soon
  • Staffing: recruitment, retention, rewards, training, and conflict resolutionNotes coming soon
  • Staff motivation, supervision, and team buildingNotes coming soon

LWA 3, 4 & 5

Resource Management

Financial management

  • Preparing budget estimates and requisitionsNotes coming soon
  • Introduction to Costing of health services/budgetingNotes coming soon
  • Procurement of supplies and equipmentNotes coming soon

Management of Physical Infrastructures

  • Physical infrastructure management (land, compounds, space, buildings)Notes coming soon
  • Management of medical waste (placenta pits, rubbish pits, latrines)Notes coming soon
  • Space management including the 5s strategyNotes coming soon

Management of Medicines and other Medical Supplies

  • Rational medicine use concept and medicine quantificationNotes coming soon
  • Stock management/control and inventory managementNotes coming soon
  • Management of vaccines and their storage (cold chain management)Notes coming soon

LWA 6 - 9

Systems and Approaches

Time Management

  • Principles and practices of time managementNotes coming soon
  • Tools for time management (Timetable, Work schedule, Duty roster)Notes coming soon

Health Information Management system (HMIS)

  • Use and dissemination of HMIS records/reportsNotes coming soon
  • Health information and report writingNotes coming soon

Gender sensitive approaches to Health care interventions

  • Role of men and women in Health care deliveryNotes coming soon
  • Impact of Culture, Gender, Sex on health service delivery in UgandaNotes coming soon

Health center Management placement

  • Reporting on Health center experiences and activitiesNotes coming soon
  • Description of activities performed at a health centerNotes coming soon

No specific references are listed for this course unit in the provided curriculum. Recommended reading materials will be provided by the course instructor.

Semester II

DCM 3201: Medicine – Non-Infectious Diseases - Detailed Curriculum

DCM 3201: Medicine – Non-Infectious Diseases

Contact Hours: 75 Credit Units: 5

This module will help learners to acquire knowledge, attitude and skills to manage patients with non-infectious disease conditions.

By the end of this module unit, the learner shall be able to:

  • Identify the non-infectious diseases in internal medicine
  • Understand the pathophysiology of the different non-infectious diseases
  • Make diagnosis of the non-infectious disease conditions
  • Manage patients with non-infectious disease conditions

LWA 1 & 2

Introduction & The Respiratory System

Concepts in Internal & Non-Infectious Diseases

  • Review of clerkship: History taking, Physical examination, Diagnosis and managementNotes coming soon
  • Definition of terms (Non-communicable, Lifestyle modification, Chronic conditions)Notes coming soon

Non-Infectious Diseases of the Respiratory System

  • Risk factors and list of non-infectious respiratory conditionsNotes coming soon
  • Management of upper respiratory tract conditions (Common cold, Rhinitis, Sinusitis)Notes coming soon
  • Management of lower respiratory tract conditions (Asthma, Bronchitis, COPD, Emphysema)Notes coming soon

LWA 3 & 4

Cardiovascular & Nervous Systems

Non-Infectious Diseases of the Cardiovascular System and Blood

  • Management of: Systemic hypertension, Heart failure, Pulmonary oedema, Ischaemic heart diseasesNotes coming soon
  • Management of: Rheumatic & Valvular heart disease, Infective endocarditis, MyocarditisNotes coming soon
  • Management of blood disorders: Anaemias, Sickle cell disease, CoagulopathiesNotes coming soon

Non-Infectious Diseases of the Nervous System

  • Management of: Cerebral vascular accident (stroke), migraine headacheNotes coming soon
  • Management of: Epilepsy, syncope, Meniere’s diseaseNotes coming soon
  • Management of degenerative neurologic conditions (Parkinson’s, Myasthenia gravis, Alzheimer’s)Notes coming soon

LWA 5 - 10

Other Systems & Conditions

Digestive, Genito-Urinary, and Musculoskeletal Systems

  • Digestive System: Peptic ulcer disease, GERD, Liver cirrhosis, PancreatitisNotes coming soon
  • Genito-urinary System: UTIs, Glomerulonephritis, Renal failure, Benign prostatic hypertrophyNotes coming soon
  • Musculoskeletal System: Arthritis (Gout, Rheumatoid), Osteoporosis, MyositisNotes coming soon

Endocrine, Metabolic, Integumentary Systems and Poisoning

  • Endocrine & Metabolic Disorders: Diabetes mellitus, Thyroid disorders, Cushing’s syndromeNotes coming soon
  • Integumentary System: Allergic dermatitis, Eczema, PsoriasisNotes coming soon
  • Poisoning: Food poisoning, Drug poisoning, Organophosphate poisoningNotes coming soon
  1. Stuart et al (2018), Davidson’s principles and practice of medicine, 23rd edition, Elsevier health sciences
  2. Fauci et al (2008), Harrison’s principles of internal medicine, 17th edition, McGraw Hill’s access medicine.
  3. Kumar and Clark (2008), Clinical medicine, 6th edition, Elsevier health sciences.
  4. Jean etal (2017), Dermatology, 4th Edition, Elsevier health sciences.
DCM 3202: Paediatric – Child Health - Detailed Curriculum

DCM 3202: Paediatric – Child Health

Contact Hours: 75 Credit Units: 5

This module covers important aspects of child growth, development and management of common illnesses in a child, with the overall goal of equipping the student with knowledge and skills to reduce child mortality significantly.

By the end of this module unit, the learner shall be able to:

  • Differentiate normal from abnormal growth and development in a child.
  • To manage common childhood illnesses.
  • To make a diagnosis of congenital abnormality in a child.
  • To be able to track a child’s immunization status and offer missing vaccines.
  • To be able to give first aid to children after home accidents.

LWA 1

Growth and Development

Sub-topic 1.1: Monitoring Child Growth and Development

  • Definition of key terms; growth, development, growth monitoringNotes coming soon
  • Theories and stages of growth and developmentNotes coming soon
  • Using the Child Health Card and interpreting growth curvesNotes coming soon

Sub-topic 1.2: Immunisation

  • The current National Immunization ScheduleNotes coming soon
  • Maintaining a cold chain and planning an immunization sessionNotes coming soon
  • Adverse events reporting and surveillance systemsNotes coming soon

Sub-topic 1.3: Nutrition and Nutritional Disorders

  • Magnitude, causes and consequences of over and undernutritionNotes coming soon
  • Nutritional assessment (Dietary history, clinical, laboratory, anthropometrical)Notes coming soon
  • Infant and young child feeding recommendationsNotes coming soon

LWA 2

Childhood Illnesses

Respiratory & ENT Illnesses

  • Diagnosis and Management of Pneumonia, Pharyngitis, Bronchiolitis, Asthma, CroupNotes coming soon

GIT, GUT, CVS and CNS Illnesses

  • GIT: Diarrheal diseases, malabsorption syndromeNotes coming soon
  • GUT: Nephrotic syndrome, acute glomerulonephritis, UTINotes coming soon
  • CVS: Pericarditis, rheumatic heart diseases, infective endocarditisNotes coming soon
  • CNS: Meningitis, encephalitis, epilepsy, cerebral palsyNotes coming soon

Skin, Musculo-skeletal, Haematological Illnesses & Tumors

  • Skin: Measles, Chicken pox, Herpes, Scabies, Fungal infectionsNotes coming soon
  • Musculo-skeletal: Osteomyelitis, Juvenile arthritisNotes coming soon
  • Haematological: Malaria, Anaemias, Bleeding disordersNotes coming soon
  • Tumors in Children: Hodgkin’s and non-Hodgkin’s, Wilm’s tumor, RetinoblastomaNotes coming soon

LWA 3 & 4

Accidents, Trauma, Abuse & IMNCI

Home accidents, Trauma, and Childhood Abuse

  • Identification and Management/referral of home accidents (Falls, Poisoning, Burns, Choking)Notes coming soon
  • Management of trauma (Physical, Psychosocial, Spiritual)Notes coming soon
  • Identification and management of child abuse (Sexual, Physical, Psychosocial, Neglect)Notes coming soon

Integrated Management of Neonatal and Childhood Illness (IMNCI)

  • Assessing and classifying neonatal and childhood illnesses using the IMNCI approachNotes coming soon
  • Treatment of neonatal and childhood illnesses in IMNCINotes coming soon
  1. Nelson Neonatology-18th Edition
  2. Essential Paediatrics
  3. Nelson textbook of Paediatrics 21st Edition
  4. IMNCI-ICATT training guides
  5. MOH (2016). Uganda Clinical Guidelines
  6. WHO (2005). Pocket Book of Hospital care for children. Guidelines for the Management Of Common Illnesses With Limited Resources
  7. Child Health. A Manual for Medical and Health Workers in Health centers and Rural Hospitals (2005).
DCM 3203: Surgery-Traumatic Conditions - Detailed Curriculum

DCM 3203: Surgery-Traumatic Conditions

Contact Hours: 75 Credit Units: 5

This module unit shall enable the learner to acquire knowledge and skill to manage traumatic surgical conditions.

By the end of this module unit, the learner shall be able to diagnose and treat traumatic surgical conditions.

LWA 1

Surgical Procedures Under Local Anesthesia

Sub-topic 1.1: Anesthesia

  • Description, types, and methods of giving anesthesiaNotes coming soon
  • Complications of anesthesiaNotes coming soon

Sub-topic 1.2: Minor Surgical Procedures

  • Identification and use of surgical instrumentsNotes coming soon
  • Carrying out procedures: Circumcision, Bouginage, Excision of small lipoma, Incision and drainageNotes coming soon

LWA 2 & 3

Soft Tissue Injuries & Skin Ulcers

Soft Tissue Injuries

  • Classification, aetiology, and management of soft tissue injuriesNotes coming soon
  • Wounds: Classification, healing, suturing techniques, and managementNotes coming soon
  • Burns: Classification, pathophysiology, and treatmentNotes coming soon
  • Bites and Stings: Diagnosis and managementNotes coming soon

Skin Ulcers

  • Classification, examination, and factors promoting/delaying healingNotes coming soon
  • Management of specific ulcers (Tropical, Buruli, Diabetic, Decubitus, etc.)Notes coming soon

LWA 4

Fractures and Dislocations

General Description and Management

  • Definition, causes, and classification of fracturesNotes coming soon
  • Treatment, complications, and prevention of fracturesNotes coming soon
  • Diagnosis and management of specific fractures (upper limbs, lower limbs, pelvis)Notes coming soon
  • Diagnosis and management of specific dislocations (hip, jaw, elbow, shoulder)Notes coming soon
  • Diagnosis and management of strains and sprainsNotes coming soon

LWA 5 & 6

Injuries to Specific Regions & Medico-Legal Issues

Injuries to Specific Regions of the Body

  • Head Injury: Classification, grading, and managementNotes coming soon
  • Spinal Injuries: Types, treatment, and complicationsNotes coming soon
  • Abdominal Injuries: Management of crash injuries and internal organ ruptureNotes coming soon
  • Thoracic Injuries: Management of fracture ribs and penetrating chest injuriesNotes coming soon

Medical Legal Conditions and Issues

  • Management of Assault, Poisoning, Rape, DefilementNotes coming soon
  • Handling medical legal issues: Consent, Confidentiality, Police forms, Court appearanceNotes coming soon
  1. SRB’s Manual of Surgery 4th Edition by Jaypee Brothers (2013).
  2. Surgery. A Manual for rural health workers (2003) 2nd Edition by Peter Bewes
  3. Clinical surgery by Kumar and Clark (2001) 2nd Edition
  4. Primary Surgery (Volume two), by Maurice King and Peter Bewes (1987).
  5. Uganda Clinical Guide lines (2016).
DCM 3204: Gynaecology - Detailed Curriculum

DCM 3204: Gynaecology

Duration: 60 hours Credit units: 4

This module will enable a learner to acquire the knowledge, attitude and skills to provide of clinical relevance of Gynecological care to clients.

By the end of this module unit, the learner shall be able to provide quality gynaecological care to clients.

LWA 1

Introduction to Gynaecology

Core Concepts & Physiology

  • Concepts of Gynaecology & Puberty (normal and abnormal)Notes coming soon
  • Review of Physiology of female reproductive system (H-P-O Axis)Notes coming soon
  • Physiology of Menstruation and MenopauseNotes coming soon
  • Examination of a Gynaecological PatientNotes coming soon

LWA 2 - 5

Gynaecological Disorders

Menstrual Cycle Disorders

  • Dysmenorrhea, Premenstrual SyndromeNotes coming soon
  • Abnormal Uterine Bleeding (Menorrhagia, Polymenorrhea, etc.)Notes coming soon
  • Dysfunctional Uterine BleedingNotes coming soon
  • Amenorrhea (Primary and Secondary)Notes coming soon

Pelvic Infections & Endometrial Abnormalities

  • Defense of genital tract & Acute Pelvic Infection (PID)Notes coming soon
  • Chronic Pelvic Infection, Toxic Shock Syndrome, Cervicitis, EndometritisNotes coming soon
  • Endometriosis and AdenomyosisNotes coming soon

Displacement of the Uterus

  • RetroversionNotes coming soon
  • Pelvic organ Prolapse (POP)Notes coming soon

LWA 6 - 11

Tumors, Malignancies, Fistulas & Infertility

Benign Tumors

  • Tumours and cysts of the vulva (Bartholin's cyst)Notes coming soon
  • Cervical cysts, Fibroids, PolypsNotes coming soon
  • Ovarian Non-Neoplasms and Benign Ovarian NeoplasmsNotes coming soon

Genital Malignancy & Fistulas

  • Vulva carcinoma, Endometrial carcinoma, Cancer of the cervixNotes coming soon
  • Genital Urinary Fistula (Vesico-Vaginal & Recto-Vaginal)Notes coming soon

Infertility & Special Conditions

  • Male and Female Infertility: Causes, investigation, and managementNotes coming soon
  • Vaginismus and DyspareuniaNotes coming soon
  • Minor gynaecological disorders and Gynaecological Procedures (Evacuation, PAP smear)Notes coming soon
  1. MOH (2016). Uganda Clinical Guidelines
  2. WHO Family Planning Cornerstone (2011). Family Planning. A Global Handbook for providers
  3. Gynaecology by Ten Teachers 20th edition
  4. A.W.F. Miller and K.P Hanretty (1998). Obstetrics Illustrated 5th edition
  5. David McKay and Jane Norman (2000). Gynaecology Illustrated 4th edition
  6. Myles Textbook for Midwives 7th Edition by Jayne Marshall and Maureen Raynor (2014).
Scroll to Top