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
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
Sub-topic 1.2: Concepts in Infectious Disease
LWA 2 - 7
Specific Infectious Diseases
Bacterial Infectious Diseases
Viral Infectious Diseases
Protozoal, Fungal, Helminthic, and Sexually Transmitted Diseases
- Stuart et al (2018). Davidson’s principles and practice of medicine, 23rd edition, Elsevier health sciences
- Fauci et al (2008). Harrison’s principles of internal medicine, 17th edition, McGraw Hill’s access medicine.
- Kumar and Clark (2008). Clinical medicine, 6th edition, Elsevier health sciences.
- Uganda Clinical Guidelines (2016)
- Muyinda Nathan (2010). Precise guide to management of common medical conditions
- Michael Swash and Michael Glynn (2007). Hutchison’s Clinical Methods-An integrated approach to clinical practice 22nd Edition.
- Charles D. Forbes and William F. Jackson (2003). Color Atlas and Text of Clinical Medicine 3rd Edition
DCM 3102: Paediatric – Neonatal Health
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 1
General Approach to Management of a Neonate
Sub-topic 1.1: Introduction to Paediatrics
LWA 2
Neonatal Conditions
Sub-topic 2.1: Neonatal assessment
Sub-topic 2.2: Neonatal non-infectious conditions
Sub-topic 2.3: Infectious Neonatal conditions
LWA 3
Disorders/Abnormalities of the Newborn
Sub-topic 3.1: Physiological disorders of the new born
Sub-topic 3.2: Birth Trauma
- Nelson Neonatology-18th Edition
- Essential Paediatrics
- Nelson textbook of Paediatrics 21st Edition
- IMNCI-ICATT training guides
- MOH (2016). Uganda Clinical Guidelines
- WHO (2005). Pocket Book of Hospital care for children. Guidelines for the Management Of Common Illnesses With Limited Resources
- Child Health. A Manual for Medical and Health Workers in Health centers and Rural Hospitals (2005).
DCM 3103: Surgery Non-Traumatic Conditions
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
Sub-topic 1.2 & 1.3: Patient Assessment
LWA 2
Inflammatory & Infective Surgical Conditions
Sub-topic 2.1: Acute Inflammations
Sub-topic 2.2: Tetanus, Gangrene and Anthrax
Sub-topic 2.3: Chronic Inflammation
LWA 3
Resuscitation
LWA 4 - 6
Specific Surgical Conditions by Region
Abdominal, Anal-Rectal, and Uro-Genital Conditions
Tumors (Non-Traumatic)
- SRB’s Manual of Surgery 4th Edition by Jaypee Brothers (2013).
- Surgery. A Manual for rural health workers (2003) 2nd Edition by Peter Bewes
- Clinical surgery by Kumar and Clark (2001) 2nd Edition
- Primary Surgery (Volume two), by Maurice King and Peter Bewes (1987).
- Uganda Clinical Guide lines (2016).
DCM 3104: Obstetrics
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
LWA 3 & 4
Conditions & Complications in Pregnancy
Medical Conditions in Pregnancy
LWA 5 - 8
Labour, Emergencies, & Postnatal Care
Normal Labour
Complications of Labour & Obstetric Emergencies
- Hiralal K. & Dutta DC (2013). DC Dutta’s Textbook of Obstetrics: 7th edition, JAYPEE Brothers Medical Publishers (P) Ltd; New Delhi, London, Philadelphia, Panama.
- Cunningham, Leveno, Bloom, Hauth, Rouse, Spong (2010). Williams Obstetrics, 23rd edition: McGraw-Hill
- Gibbs, Ronald S.; Karlan, Beth Y.; Haney, Arthur F.; Nygaard, Ingrid E (2008). Danforth's Obstetrics and Gynecology, 10th Edition: Lippincott Williams & Wilkins
- Miller A.W.F & Hanretty K.P. (1998). Obstetrics Illustrated 5th Edition: Churchill Livingstone: London
- Obstetrics by ten teachers
- MOH (2016). Uganda Clinical Guidelines
- Myles Textbook for Midwives 7th Edition by Jayne Marshall and Maureen Raynor (2014).
DCM 3105: Health Service Management and Leadership
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
LWA 3, 4 & 5
Resource Management
Financial management
Management of Physical Infrastructures
Management of Medicines and other Medical Supplies
LWA 6 - 9
Systems and Approaches
Time Management
Health Information Management system (HMIS)
Gender sensitive approaches to Health care interventions
Health center Management placement
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
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
LWA 3 & 4
Cardiovascular & Nervous Systems
Non-Infectious Diseases of the Cardiovascular System and Blood
LWA 5 - 10
Other Systems & Conditions
Digestive, Genito-Urinary, and Musculoskeletal Systems
Endocrine, Metabolic, Integumentary Systems and Poisoning
- Stuart et al (2018), Davidson’s principles and practice of medicine, 23rd edition, Elsevier health sciences
- Fauci et al (2008), Harrison’s principles of internal medicine, 17th edition, McGraw Hill’s access medicine.
- Kumar and Clark (2008), Clinical medicine, 6th edition, Elsevier health sciences.
- Jean etal (2017), Dermatology, 4th Edition, Elsevier health sciences.
DCM 3202: Paediatric – Child Health
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
Sub-topic 1.2: Immunisation
Sub-topic 1.3: Nutrition and Nutritional Disorders
LWA 2
Childhood Illnesses
Respiratory & ENT Illnesses
GIT, GUT, CVS and CNS Illnesses
Skin, Musculo-skeletal, Haematological Illnesses & Tumors
LWA 3 & 4
Accidents, Trauma, Abuse & IMNCI
Home accidents, Trauma, and Childhood Abuse
Integrated Management of Neonatal and Childhood Illness (IMNCI)
- Nelson Neonatology-18th Edition
- Essential Paediatrics
- Nelson textbook of Paediatrics 21st Edition
- IMNCI-ICATT training guides
- MOH (2016). Uganda Clinical Guidelines
- WHO (2005). Pocket Book of Hospital care for children. Guidelines for the Management Of Common Illnesses With Limited Resources
- Child Health. A Manual for Medical and Health Workers in Health centers and Rural Hospitals (2005).
DCM 3203: Surgery-Traumatic Conditions
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
Sub-topic 1.2: Minor Surgical Procedures
LWA 2 & 3
Soft Tissue Injuries & Skin Ulcers
Soft Tissue Injuries
LWA 4
Fractures and Dislocations
General Description and Management
- Definition, causes, and classification of fractures
- Treatment, complications, and prevention of fractures
- Diagnosis and management of specific fractures (upper limbs, lower limbs, pelvis)
- Diagnosis and management of specific dislocations (hip, jaw, elbow, shoulder)
- Diagnosis and management of strains and sprains
LWA 5 & 6
Injuries to Specific Regions & Medico-Legal Issues
Injuries to Specific Regions of the Body
Medical Legal Conditions and Issues
- SRB’s Manual of Surgery 4th Edition by Jaypee Brothers (2013).
- Surgery. A Manual for rural health workers (2003) 2nd Edition by Peter Bewes
- Clinical surgery by Kumar and Clark (2001) 2nd Edition
- Primary Surgery (Volume two), by Maurice King and Peter Bewes (1987).
- Uganda Clinical Guide lines (2016).
DCM 3204: Gynaecology
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
LWA 2 - 5
Gynaecological Disorders
Menstrual Cycle Disorders
Pelvic Infections & Endometrial Abnormalities
Displacement of the Uterus
LWA 6 - 11
Tumors, Malignancies, Fistulas & Infertility
Benign Tumors
Genital Malignancy & Fistulas
- MOH (2016). Uganda Clinical Guidelines
- WHO Family Planning Cornerstone (2011). Family Planning. A Global Handbook for providers
- Gynaecology by Ten Teachers 20th edition
- A.W.F. Miller and K.P Hanretty (1998). Obstetrics Illustrated 5th edition
- David McKay and Jane Norman (2000). Gynaecology Illustrated 4th edition
- Myles Textbook for Midwives 7th Edition by Jayne Marshall and Maureen Raynor (2014).
