A

INTERMEDIATE MODULEIN

MED IC INE & A L L I ED

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REQUIREMENTS FOR TRAINING & EXAMINATION

2010

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Contact Details:College of Physicians and Surgeons, Pakistan.7th Central Street, Phase II, D.H.A. Karachi - 75500.Phone: 99207100-10, UAN 111-606-606Facsimile: 99266450Website: www.cpsp.edu.pk

CONTENTS

INTRODUCTION

TRAINING AND EXAMINATION

ASSESSMENT

COURSE FOR BASIC SURGICAL TRAINING

USEFUL ADDRESSES AND TELEPHONE NUMBERS

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The College was established in 1962 through an ordinance of the

Federal Government. The objectives and functions of the College

include: promotion of specialist practice by securing improvement

of teaching and training; arranging postgraduate medical, surgical

and other specialist training; holding and conducting examinations

for awarding College diplomas and admission to the Fellowships of

the College; and promotion of research.

Since its inception the College has actively pursued improvements

in postgraduate medical education in Pakistan. Currently, the

College offers Fellowships in fifty three disciplines compared to the

initial few in Medicine, Surgery, Paediatrics and Obstetrics and

Gynecology in 1963. Structured training programs have been

developed, criteria for recognition of training institutes have been

laid down, and format of examinations has been improved with

unbiased objective, reliable and candidate friendly methods of

assessment. Fellowship training can be undertaken in over 130

accredited medical institutions throughout the country and 106

accredited institutions abroad. Over 2000 supervisors are involved

in the CPSP training programs.

The College has established 12 Regional Centers including five

Provincial Headquarter Centres in the country to coordinate the

training and examination, and facilitate the candidates of these areas.

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INTRODUCTION

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Constant efforts are made to improve the standards of examinations

and make them relevant, transparent, objective and fair to the

candidates. In its endeavor to decrease inter-rater variability, and

increase fairness and transparency, the College has introduced the

use of assessment forms for scoring of all the components of clinical

and oral examinations. Another step in this direction is the

introduction of Task Oriented Assessment of Clinical Skills (TOACS)

in the FCPS II Clinical Examinations in a number of disciplines from

September 2001.

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INTERMEDIATE MODULE

To ensure better training, the CPSP introduced an Intermediate

Module Examination in several disciplines in 2001. This mid-training

assessment strengthens the monitoring and in-training assessment

systems by providing trainees with an estimate of mid-training

competence. It also serves as a diagnostic tool for trainees and

supervisors, provides a curricular link between basic and advanced

training, and an opportunity for sampling a wider domain of

knowledge and skills.

Vide Notification No. 6-1 / Exam-04 / CPS / 1438 S and R, the

Intermediate Module (IMM) examination is mandatory eligibility

requirement for all FCPS II examination as from September 2007.

Trainees who passed FCPS I in 2001 and onwards are required to

complete two years training in basic medicine and take the

Intermediate Module (IMM) examination.

In case of failure in the Intermediate Module examination, the trainees

are permitted to continue their training in the chosen specialty but

must pass the Intermediate Module examination prior to appearing in

the final FCPS II examination.

GENERAL REGULATIONS

Candidate will be admitted to the examination in the name (surname

and other names) as given in the MBBS degree and PMDC certificate.

CPSP will not entertain any application for change of name on the

basis of marriage / divorce /deed.

REGISTRATION AND SUPERVISION

All trainings must be supervised, and trainees are required to register

with the Research and Training Monitoring Cell (RTMC) within 30 days

of starting their training for the Intermediate Module. In case of delay

in registration, the start of training will be considered from the date of

receipt of application by the RTMC. Registration forms are available in

RTMC and in the Regional Centers. They can also be downloaded

from the CPSP Website. Training is compulsorily monitored by an

approved supervisor who is a CPSP fellow or a specialist with relevant

postgraduate qualifications registered at the RTMC.

APPROVED TRAINING CENTRES

Training must be undertaken in units, departments and institutions

approved by the College. A current list of approved institutions is

available from the College and its Regional Centres as well as on the

College website: www.cpsp.edu.pk

TRAINING ANDEXAMINATION

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BASIC MEDICAL TRAININGPROGRAM FOR INTERMEDIATEMODULE

DURATION

The duration of training for the Intermediate Module (IMM) is

two (2) years; the Intermediate Module examination is taken on

completion of the basic training.

● Rotation for 2 months each in any three of the following:

- Cardiology

- Nephrology

- Neurology

- Pulmonology

- Psychiatry

- Oncology

- Gastroenterology

- Endocrinology

COMPONENTS OF TRAINING

Mandatory Workshops

It is mandatory for all trainees to attend the following three

CPSP certified workshops in the first year of training:

1. Introduction to Computer and Internet

2. Research Methodology and Dissertation Writing

3. Communication Skills

Any other workshop/s as may be introduced by the CPSP.

Logbook

Trainees are required to maintain a logbook in which entries ofacademic/ professional work done during the period of training shouldbe made on a daily basis, and signed by the supervisor. Completedand duly certified logbook will form a part of the application forappearing in IMM examination.

E-logbook

The CPSP council has decided to introduce E-logbook system for alltrainees in FCPS from January 2009. Upon registration with RTMCeach trainee is allotted a registration number and a password to log onto the e-logbook on the CPSP website. The trainee is required to enterall work performed and the academic activities undertaken in thelogbook on daily basis. The concerned supervisor is required to verifythe entries made by the trainee. This system ensures timely entries bythe trainee and prompt verification by the supervisor. It also helps inmonitoring the progress of trainees and vigilance of supervisors.

Research (Dissertation / Two Papers)

One of the training requirements for fellowship trainees is adissertation or two research papers on a topic related to the fieldof specialization. For trainee in Surgery the dissertation synopsisor abstracts of the research papers must be approved by theResearch and Evaluation Unit (REU) in the first year of theIntermediate Module. Trainee going to subspecialty must get thesynopsis approved in first year of training of the subspecialty(i.e 3rd year of FCPS training).

General Requirements

Training should incorporate the principle of gradualy increasingresponsibility, and provide each trainee with a sufficient scope, volumeand variety of experience in a range of settings that include inpatients,outpatients, emergency and intensive care.

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Instructional Methodology

Teaching occurs using several methods that range from formaldidactic lectures to planned clinical experiences. Aspectscovered will include knowledge, skills and practices relevant tothe discipline in order to achieve specific learning outcomes andcompetencies. The theoretical part of the curriculum presents thecurrent body of knowledge necessary for practice. This can beimparted using lectures, grand teaching rounds, clinico-pathologicalmeetings, morbidity/mortality review meetings, literature reviewsand presentations, journal clubs, self directed learning, conferencesand seminars. Clinical learning is organized to provideappropriate expertise and competence necessary to evaluateand manage common clinical problems. Demonstration inoutpatient clinics and wards and procedural skill training onsimulators, manikins and patients are all practical trainingmodalities.

Eligible disciplines after IMM Medicine & Allied

● Cardiology

● Chemical Pathology

● Community Medicine

● Dermatology

● Gastroenterology

● Hematology

● Medicine

● Nephrology

● Neurology

● Pulmonology

ASSESSMENT

ELIGIBILITY REQUIREMENTS

For appearing in Intermediate Module examination a candidate shouldhave:

● Passed FCPS I in Medicine and Allied or granted exemption.

● Registered with the Research and Training Monitoring Cell

(RTMC).

● Completed two years of training under an approved supervisor in

an institution recognized by the CPSP. A certificate of completion of

training must be submitted.

● Submitted a complete and attested logbook.

● Submitted certificates of attendance of mandatory workshops.

● Should have submitted synopsis of dissertation or abstract of

research articles.

EXAMINATION SCHEDULE

● The Intermediate Module theory examination will be held twice a

year.

● English shall be the medium of all examinations for theory and

TOACS.

● Theory examinations are held in various cities of the country

usually at Abbottabad, Bahawalpur, Faisalabad, Hyderabad,

Islamabad, Karachi, Nawabshah, Larkana, Lahore, Multan,

Peshawar and Quetta centres. The College shall decide where to

hold TOACS examinations depending on the number of candidates

in a city and shall inform the candidates accordingly.

● The College will notify of any change in the centres, the dates and

format of the examination.

● A competent authority appointed by the College has the power to

debar any candidate from any examination if it is satisfied that the

candidate has indulged in unfair practices in College examination,

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EXAMINATION FEES

■ Fee deposited for a particular examination shall not becarried over to the next examination in case of withdrawal,absence or exclusion.

■ Applications along with the prescribed examination fee andrequired documents must be submitted by the last datenotified for this purpose before each examination.

■ The details of examination fee and fee for change of centre,subject, etc shall be notified before each examination.

FORMAT OF EXAMINATION

Intermediate Module examination consists of theory and TOACSexamination. Details are given below:

● Theory examination:

Theory examination consists of: Paper IPaper II

● Clinical examination:

To test basic clinical skills, the clinical examination consists of:TOACS (Task Oriented Assessment of Clinical Skills)

TOACS

TOACS will comprise of 12 to 20 stations with a task to becompleted in a specified time. The stations may have an examiner,a patient or both. Structured clinical tasks will be set at eachstation. The examiners will assess the performance of eachcandidate on a rating scale. At stations where no examiner ispresent the candidates will have to submit written responses toshort answer questions/MCQs on a response sheet.

There will be two types of stations: static and interactive. At staticstations the candidate will be presented with patient data, a clinicalproblem or a research study and will be asked to give writtenresponses to the questions asked.

} 100 One best type of MCQs in each paper.

At the interactive stations the candidate will have to perform aprocedure, for example, taking history, performing a clinicalexamination, counseling, assembling an instrument, etc. Oneexaminer will be present at each interactive station and will either ratethe performance of the candidate or ask questions testing reasoningand problem-solving skills.

Pass/Fail Criteria

Candidates have to pass the theory to be eligible to sit the TOACSexamination.

COURSE FOR BASIC MEDICALTRAINING

GENERAL OBJECTIVESUpon completion of specified training in the chosen discipline, a

resident must acquire the knowledge, skills and attitudes required for

practice of the discipline, including its foundations in the basic medical

sciences and research scholarship in order to:

● Provide appropriate and cost-effective care to patients at all levels.

● Promote health and prevent disease in patients, families and

communities.

● Practice continuing professional development.

To attain competency the trainee must achieve:

● Knowledge and expertise in clinical and procedural management of

relevant diseases.

● Basics of relevant skills.

● Effective clinical judgment and decision making in dealing with

health problems using evidence based medicine.

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CURRICULUM INTERMEDIATE MODULE IN MEDICINE

AIM

The overall aim of training for FCPS II is to facilitate thedevelopment of a physician who is capable of functioning as anindependent consultant in General Medicine.

TRAINING FOR INTERMEDIATE MODULEThe curriculum of first two years in medicine involves balanced andobjective integration of basic medical sciences and essential coreclinical knowledge in medicine. The trainee should be able todiagnose and manage uncomplicated conditions prevalent in theregion and recognize, stabilize and refer complicated cases toappropriate place / person. If a trainee has compeleted theminimum number of required competencies by second year oftraining he/she can submit the logbook before Intermidiate Moduleexamination.

The coverage that each discipline receives below is not indicativeof the relative importance placed on each discipline in the trainingprogram, or in the examination. These are guidelines and notcomprehensive definitive lists. Only minimum levels of expectedcompetence have been identified but sufficient scope, volume andvariety of experience are desirable.

CORE COMPETENCIESCompetencies are an individual's observable behavioural acts thatrequire a combination of knowledge, skills and abilities. Corecompetencies expected of a trainee by the end of two years oftraining and before appearing in Intermediate Module Examinationin Medicine are:

History Taking■ Understand the Symptomatology and recognize Alarm

symptoms■ Take history in problem situations as when patient's language is

different from trainee’s language or when confronted withconfused and deaf patients.

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■ Formulate a differential diagnosis after analysis and synthesis ofidentified problems

■ Recognize psychological and social issues developing due todisease or infirmity

■ Show empathy with the patient

Examination■ Take permission to examine and explain the procedure ■ Elicit signs and use instruments with maximum care ■ Comprehend the ethics of privacy and confidentiality and apply it

for individual cases■ Recognize the role of and seek help of attendants / relatives

where required

Medical record keeping ■ Record accurately patient’s history, examination, differential

diagnosis, investigations and management plan ■ Fill in all the required hospital record forms accurately and

honestly■ Maintain records with dates and sign each entry ■ Ensure that notes are accessible to all members of the team and

patients /relatives (if required)■ Use latest technology for the benefit of patient e.g. fax, email etc

Time Management ■ Set priorities for tasks( clinical and others) to be accomplished■ Plan line of action while keeping realistic expectations of tasks to

be completed by self and others

Decision Making ■ Analyze and synthesize clinical problems■ Recognize the role of and consult other members of the health

care team■ Approach tasks with flexibility

Basic Life Support■ Examine and assess a collapsed patient■ Maintain adequate airway and perform effective cardiopulmonary

resuscitation■ Control ones own emotions and enable others to keep calmC

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Communication Skills■ Use open ended questions for gaining information ■ Communicate effectively with patient’s taking care of their level

of understanding ■ Encourage questions from the patient’s and relatives■ Avoid technical terms ■ Use interpreters where necessary■ Provide information to patient’s in simple and precise language ■ Give due respect to patients and their relatives and share

information when appropriate■ While counseling give choices and help the patient in decision

making ■ Show empathy and concern during breaking bad news ■ Avoid conveying unrealistic optimism■ Discuss ethics, medical procedure & legal implications related

to organ donation with the patient and relatives when required

Life Long Learning ■ Pursue professional development activities/ programs■ Understand the role of appraisal and of assessment■ Recognize and make full use of learning opportunities■ Make effort to learn from seniors, colleagues and others■ Demonstrate proficiency in the use of information technology

Practice Evidence Based Medicine ■ Show competence in use of all sources of information e.g

databases as Medline, library and the internet■ Use evidence to support patient care effectively■ Critically evaluate medical evidence using principles of EBM

Clinical Audit, Guidelines■ Recognize the relevance of audit to benefit patient care■ Participate in clinical audits ■ Comprehends the problems and benefits of existing guidelines■ Use local guidelines where applied■ Take care of individual patient needs when using guidelines

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Ethical and Legal issues■ Recognize the importance of Informed consent and practice it in a

manner that the patient is able to understand it fully■ Respect the right to confidentiality ■ Maintain patients confidentiality ■ Use and share all information with the patient and relatives as and

where appropriate ■ Partake legal responsibilities of writing Death certificate, mental

health certificate

Professional Behavior ■ Show responsibility in maintaining continuity of care ■ Ensure satisfactory completion of delegated tasks by the end of

the shift/day with appropriate handover ■ Display non discriminatory attitude towards all the patients ■ Refrain from giving unnecessary personal comments ■ Exercise care in managing inappropriate behaviour e.g.

aggression, violence, sexual harassment in patients ■ Recognize own limitations and accept constructive criticism■ Act as a responsible member of health care team

Patient Education ■ Educate patients about: Disease, Investigations, Therapy,■ Possible alternatives /choices, rehabilitation etc.■ Counsel patients, explaining individual treatment plans and the

actions to be taken if the condition deteriorates or improves ■ Encourage patients to access further information / patient support

groups

Disease Prevention ■ Identify role of environmental and lifestyle risk factors, such as

Diet, Exercise, Social deprivation, Occupation and Substanceabuse in disease causation

■ Comprehends the Epidemiology and screening procedures for riskfactors

■ Provide support and advice on quitting the use of tobacco/alcoholetc.

■ Assess individual patient's risk factors■ Encourage participation in appropriate disease prevention or

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Teaching and Training ■ Communicate and share information with all members of health

care team■ Adopt Learner-centered approach while teaching/training■ Demonstrate willingness, enthusiasm and patience to teach■ Seek feedback from peers as well as from juniors■ Make best use of all teaching opportunities ■ Develop effective Presentation skills ■ Use effectively multiple audio-visual aids for presentation

Safe Management while on Call ■ Recognize medical indications for urgent investigations and

therapy■ Identify skills and competencies of other members of the 'on-

call ' team■ Prioritize the tasks to be carried out■ Call for help and refer the case whenever required■ Effectively interact with other health care professionals■ Keep patients and relatives informed ■ Hand over all the information to the proceeding team staff safely

Discharge Planning ■ Recognize the impact of unnecessary hospitalization■ Educate the patient and relatives regarding impact of physical

problems on daily activities ■ Liaise and communicate with patient, family and primary care

services■ Write reports for appropriate bodies

Resuscitation and Advanced Cardiac Life Support ■ Recognize critically ill patients.■ Practice Advanced cardiac life support algorithms■ Recognize cardiac arrhythmias■ Manage patients on commonly used antiarrhythmic

and cardiac support drugs■ Perform emergency defibrillation C

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■ Lead a cardiac arrest team■ Understand Legal and ethical considerations regarding■ Do not resuscitate orders (DNR)■ Act with empathy and sensitivity while dealing with patients and

families

Nutrition■ Identify impact of Disease on nutritional status and malnutrition on

clinical outcomes■ Assess nutritional status of patients■ Recognize cultural and religious issues■ Utilize proper routes of nutrition support■ Refer cases to nutritionist when required

CLINICAL COMPETENCIES

The clinical competencies, a specialist must have, are varied and complex. A complete list of the skills necessary for trainees and trainers is given below. The level of competence to be achieved each year is specified according to the key, as follows:

1. Observer status2. Assistant status3. Performed under supervision4. Performed under indirect supervision5. Performed independently

Note: Levels 4 and 5 for practical purposes are almost synonymous

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ROTATIONAL TRAINING

Thromvolysis in acute MI 1,2,3 6

Management of Arrythmias - Drug / Defibrillation 1,2,3 4

ECG recordings and reporting 1,2,3 6

ETT 1,2 2

ECHO 1 4

CPR 1,2 2

Pleural Aspiration 1,2,3 3

Pleural Biopsy 1 1

Chest intubation 1 1

Broncoscopy 1 2

Pulmonary function test 1 2

Blood gases interpertation 1,2 2

CT Scan 1,2,3 4

MRI 1,2,3 2

EEG 1 1

EMG 1 1

Peritonial Aspiration 1,2,3 3

Liver Biopsy 1 2

Upper GI Endoscopy 1 2

Colonoscopy / sigmoidoscopy 1 2

Variceal banding / Sclerothrepy 1 2

Level Cases

ROTATIONS(Main features of rotations)

CARDIOLOGY (two month rotation)

PULMONOLGY (two month rotation)

NEUROLOGY (two month rotation)

GASTROENTEROLOGY (two month rotation)

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Chemeotherapy 1,2 4

Radiotherapy 1 2

Tyroid scan Iodin treatment 1 2

interpertation of MRI pituitary

1 1

Haemodialysis 1,2,3 4

Renal Biopsy 1 2

Insertion of double lumen catheter 1 2

Psychotherapy 1 2

ECT 1 2

Psychometry 1,2 2

Level Cases

ROTATIONS(Main features of rotations)

ONCOLOGY (two month rotation)

ENDOCRINOLOGY (two month rotation)

NEPHROLOGY (two month rotation)

PSYCHIATRY (two month rotation)

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SYLLABUS FOR MEDICINE

By the end of second year of training in Medicine the traineeshould be able to:a) Assess symptoms and signsb) Formulate a differential diagnosisc) Select appropriate investigations and accurately interpret

investigation reportsd) Communicate the diagnosis and prognosise) Institute appropriate treatment recognizing indications,

contraindications and side effects of the following clinicalconditions:

Multi disciplinary Clinical Scenarios

■ Breathlessness■ Lethargy■ Weight gain/loss ■ Nausea/Vomiting■ Pressure sores etc

Cardiology

■ Preventive Cardiology■ Coronary Heart Disease■ Acute Rheumatic Fever ■ Rheumatic Heart Disease■ Valvular Heart disease■ Infective Endocarditis■ Dizziness/ Syncope and Palpitation■ Arrythmias■ Haemodynamic disturbances ■ Hypotension and shock■ CPR, Basic Life Support, ■ Advanced Cardiac Life Support ■ Heart Failure■ Myocardiditis Cardiomyopathies■ Pericarditis■ Hypertension

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Pulmonology

■ Prevention of Respiratory diseases

■ Cough, Haemoptysis, Dyspnoea

■ Pneumonias, Lung abscess

■ Bronchiectasis

■ Bronchial Asthma

■ COPD

■ Pulmonary Tuberculosis

■ Pleural Effusion

■ Pneumothorax

■ Lung Cancer

■ Interstitial Lung disease and fibrosis

■ DVT/ Pulmonary embolism

■ Oxygen therapy

■ Assisted ventilation

Hematology and Medical Oncology

■ Anemias

■ Haemoglobinopathies

■ Neutropenia, Neutropenic sepsis

■ Bone Marrow failure

■ Transfusion of blood products

■ Leukemia

■ Lymphomas other myeloproliferative disorders

■ Multiple myeloma

■ Disorders of Hemostasis

■ Platelet disorders, DIC

■ Bleeding disorders

■ Hypercoagilable state

■ Anticoagulation

■ Prevention of cancer, staging of cancer

■ Oncological emergencies

■ Hypercalcemia

■ Malignant effusions

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GI tract and Liver

■ Nausea, vomiting ■ Hiccup, Dyspepsia ■ GERD, Dysphagia ■ Upper GI bleed ■ Oesophageal varices ■ Gastritis, NSAID Gastritis■ Peptic ulcer disease ■ Diarrhea, Malabsorption syndrome ■ Coelic disease ■ Irritable bowel disease ■ Inflammatory bowel disease ■ Constipation■ Antibiotic associated colitis ■ Lower GI and rectal bleed ■ Abdominal distension■ Jaundice, Acute Hepatitis ■ Chronic Hepatitis, Chronic liver disease ■ Portal Hypertension ■ Decompensated Cirrhosis ■ Encephlopathy ■ Fulminant liver failure

Neurology

■ Headache, Facial pain ■ Meningitis, Encephalitis ■ Brain abscess, Epilepsy ■ Intracranial space occupying lesions ■ Benign intracranial hypertension ■ Raised intracranial pressure ■ TIAs, Stroke, weakness and paralysis ■ Sub-archnoid haemorrhage ■ Coma ■ Parkinsonism, other movement disorders ■ Spasticity ■ Dementia, Multiple sclerosis■ Polyneuropathy ■ Motor neuron diseases ■ Subacute combined degeneration of spinal cord ■ Disorders of neuromuscular transmission ■ Myopathies, Periodic paralysis

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Infections, Disorders due to Physical agents andEnvironment

■ Fever of unknown origin

■ Sepsis syndrome

■ Infections in immunocompromised host

■ Nosocomial infections

■ Infections due to resistant organisms, MRSA, Mycobacterium

■ HIV, AIDS

■ Sexually transmitted diseases

■ Infections in drug users

■ Food poisoning

■ Acute Infectious diarrhoea

■ Bacillary dysentery

■ Typhoid and Paratyphoid fevers

■ Malaria

■ Giardiasis

■ Amebiasis

■ Leishmaniasis

■ Toxoplasmosis

■ Helminthic infections

■ Viral diseases

■ Rabies

■ Ricketsial diseases

■ Fungal diseases

■ Bacterial diseases

■ Chlamydial and spirochetal diseases

■ Antibiotics, antiviral drugs, anti fungal drugs,

Anti tuberculous drugs, Drug reaction, Desensitisation

■ Disorders due to Physical agents and environment

■ Effects of heat and cold

■ Electric shock

■ Drowning

■ Insect bite, snake bite

■ Carbon monooxide

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Nephrology

■ Acute Renal Failure ■ Chronic Renal Failure ■ Glomerulopathies ■ Nephrotic Syndrome, Proteinuria ■ Haematuria■ Urinary infections ■ Cystic diseases of kidney■ Tubulointerstitial diseases■ Multisystem diseases with kidney involvement■ Renal replacement therapy ■ Hypertension and kidney

Fluid, Electrolytes, Acid Base Disorders and Poisioning

■ Hypo and hyper natremia■ Hypo and hyper kalemia■ Hypo and hyper calcemia■ Acid Base Disorders■ Hyperosmolar Disorders ■ Anion gap ■ Fluid management■ Poisoning: Salicylates, Tricyclics ■ Benzodiazepam, Narcotics ■ Paracetamol ■ Organophosphorous compounds

Endocrinology, Diabetes Mellitus, Lipid Disorders

■ Diabetes Mellitus ■ Diabetic Coma ■ The hypoglycemic state■ Diseases of Hypothalmus, Pituitary gland■ Disorders of thyroid and parathyroid glands■ Adrenocortical deficiency ■ Cushing Syndrome ■ Clinical uses of corticosteroids■ Dyslipidemias ■ Metabolic bone disease

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Musculoskeletal, Allergic and Immunological Disorders

■ Degenerative and crystal induced arthopathies

■ Osteoporosis

■ Osteoarthritis

■ Autoimmune diseases

- SLE

- Scleroderma

- Polymyositis, Dermatomyositis

- Polymyalgia Rheumatica

■ Monoarthritis, Infective arthritis, Polyarthritis

■ Seronegative spondyloarthritides

■ Rheumatoid Arthritis and its variants

■ Atopic disorders

■ Anaphylaxis, urticaria, angioedema

■ Immunodeficiency disorders

■ Immunosupressives / immunomodulating therapies

Suggested Reading List:

Standard text book of Medicine such as:

■ Haslett C, Chilvers ER, Bom NA eds. Davidson's

Principles and Practice of Medicine. 19th ed. Edinburgh:

Churchill Livingstone 2002.

■ Carpenter CCJ, Griggs RC, Loscalzo J eds. Cecil

Essentials of Medicine.6th ed. Philadelphia: Saunders,

2004.

■ Kumar P, Clark M eds. Kumar and Clark Clinical

Medicine. 5th ed. Edinburgh: WB Saunders, 2002.

■ Munro JF, Campbell IW eds. McLeod's Clinical

Examination. 10th ed. Edinburgh: Churchill Livingstone

2000.

■ Swash M. Hutchison's Clinical Methods.21st ed. London.

Saunders, 2002.

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Reference Books:

■ Weather DJ. Oxford Text book of Medicine. OxfordUniversity Press.

■ Goldman L. Cecil's Text Book of Medicine.22nd ed.Philadelphia: Saunders 2004.

■ Braunwald E. Harrison's Principles of Internal Medicine.2 vols. 15th ed. New York: McGraw Hill 2004.

Suggested Medical Journals:

1. BMJ (British Medical Journal)2. NEJM (New England Journal of Medicine)3. JAMA (Journal of the American Medical Association)4. The Lancet5. JCPSP (Journal of College of Physicians and Surgeons

Pakistan)

Medical Website:

www.medscape.com

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USEFUL ADDRESSESAND TELEPHONENUMBERS

1. Regional Offices of the CPSP

MUZAFFARABADCMH MuzaffarabadAzad Kashmir TEL: 058810 - 43307FAX: 058810 - 43902Email: ssgr-brehman@cpsp.edu.pk

ABBOTTABAD

Ayub Hospital ComplexAbbottabadTEL: 0992-383330Email: rc_abbottabad@cpsp.edu.pk

PESHAWARHayatabad Medical ComplexPhase IV, Hayatabad,PeshawarUAN: 091-111-666-666TEL: 091-9217011, 091-9217320-1FAX: 091-9217062Email: rc_peshawar@cpsp.edu.pk

ISLAMABADP.I.M.S, Ravi Road, Sector G- 8/ 3Islamabad. UAN: 051-111-666-666TEL: 051-9262590-1, FAX: 051-9262592Email: rc_islamabad@cpsp.edu.pk

FAISALABADPunjab Medical CollegeFaisalabadUAN: 041-111-666-666TEL: 041-9210131, 9210366-8FAX: 041-9210224il:rc_faisalabad@cpsp.edu.pk

LAHORE

Next to INMOL, HospitalNew Muslim Town, Block-DLahore. UAN: 042-111-666-666TEL: 042- 9231320-8 FAX: 042- 9231327Email: rc_lahore@cpsp.edu.pk

MULTAN

Nishtar Medical College,Distt. Jail Road, Opp Circuit House, Multan. UAN: 061-111-666-666TEL: 061-9200946, 9200952Email: rc_multan@cpsp.edu.pk

BAHAWALPUR

Quaid-e-Azam Medical CollegeBahawalpurTEL: 062- 9250461Email: rc_bahawalpur@cpsp.edu.pk

NAWABSHAH

Peoples Medical College for GirlsNawabshahTEL: 0244-9370271, 9370479FAX: 0244-9370478Email: rc_nawabshah@cpsp.edu.pk

LARKANA

Chandka Medical CollegeLarkanaTEL: 074 – 9410726Email: rc_larkana@cpsp.edu.pk

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HYDERABAD

Liaquat University Hospital, Jamshoro

Hyderabad

TEL: 022-3877393

Email: rc_hyderabad@cpsp.edu.pk

KARACHI

2.

UAN – 021-111-606-606

● Examination (FCPS Part I)9207100 -10 Ext: 311

● Examination (FCPS Part II)9207100 -10 Ext: 215

● Department of Medical Education9207100 -10 Ext: 305

● Registration, Training & Monitoring Cell9207100 -10 Ext: 320

For further Information visit theCollege website at:www.cpsp.edu.pk

QUETTA

CPSP Bolan Medical College

Sandeman Civil Hospital

TEL: 081- 9202424Email: rc_quetta@cpsp.edu.pk

3. Saudi ArabiaRIYADH Saudi Commission for HealthSpecialities,Diplomatic Quarter, P.O. Box 94656Riyadh -11614, KSA.TEL: 966-1-4822415 Ext: 156/141

966-2-6401000 Ext: 25843Email: medexam5@scfhs.org

4. NepalKATHMANDUT.U. Institute of MedicineMaharajganj, Kathmandu, NepalTEL: 977-1- 416224Email: cpsp@iomdit.org.np

Departments of CPSP Karachi OVERSEAS CPSP CENTRES