NBE Releases DNB Physiology Curriculum

New Delhi:The National Board of Examinations (NBE) has released the Curriculum for DNB Physiology. DNB aka Diplomate of the National Board, is a 3-year Post Graduation level program equivalent to that of the Post-Graduate or Post-Doctoral programs in the medicine field.

The DNB program is divided into two categories which are DNB Super Specialists and DNB in Broad Specialities. The course is aimed at monitoring and evaluating the skills of the students before turning up as Professional Doctors specialized in different medical domains.

DNB admissions are usually done based on the entrance exams such as DNB-CET or CET-NBE followed by counselling sessions.

Candidates can go through the following article to know the curriculum, programme goal and objectives of the DNB Physiology programme.

Mostly, the DNB syllabus focuses on shows, discussions, workshops, teaching tutorial sessions, seminars, case studies, analysis projects, and thesis generation. The assorted topics within the coaching embrace OPD coaching, birth prevention clinics, surgical management, etc.

I. Programme Goal And Objectives:

DNB Physiology Goal

One of the primary goal of the DNB Physiology programme is to enable a medical graduate to be:

A competent Physiologist.
A good medical teacher in Physiology practicing the required skills of teaching.

DNB Physiology Objectives

Upon the successful completion of the DNB Physiology programme, the course participants should be able to:

Demonstrate that you have a thorough understanding of both systemic and general physiology.
Recognize and appreciate the physiological underpinnings of health and illness impacting different organ systems.
Choose and implement the right instructional methods and materials.
Analyse published journal articles critically and utilise library resources, such as computer, CD-ROM, and satellite search, efficiently.
Conduct pertinent research.
Be a productive team player on a research or teaching team.
Respect the national health policy and act in accordance with professional requirements.

II. DNB Physiology Syllabus:

Primary (Part-I)

Paper I be titled as "General Physiology including history of Physiology"
Final (Part II) Paper III "Systemic Physiology (iii) including recent advances.

Under the Head of Syllabus (Part I) against Paper I at the end add –"History of Physiology".

Against Paper II at the end add

"Comparative Physiology"

Under the Caption Part II Final: against Paper II add "E titled "Behavioral Physiology with Yoga, Meditation"

Practical Training

Animal Experiment
Amphibian	Mammalian
• Free load and after load. • Effect of continuous repeated stimulation (study of phenomena of Fatigue). • Length of tension diagrams. • Properties of cardiac muscle – Long refractory period, All or None Law. • Extrasystole and compensatory pause, Beneficial effect. • Regulation of Heart, Vagus dissection and effect of vagal stimulation. • Actions of acetyl chlorine, adrenaline and nicotine on heart. • Perfusion of isolated frogs heart-role of sodium, potassium, calcium ions.	• General management of Mammalian experiments. • Recording of Blood pleasure and respiration on dogs and also the effects of various factors. • Recording of effect of stimulation of vagus nerve on blood pressure and respiration in the dog. • Stimulation of central and peripheral end of vagus on arterial pressure after vagotomy. • Effect of drug-adrenaline and acetylcholine on blood pressure and respiration in the dog. • Intestinal movement and tone. • Effect of adrenaline on intestinal movement and tone. • Occlusion of carotid arteries on blood pressure and respiration. • Stimulation of splanchnic nerve (distal end) on arterial pressure

DNB Physiology Curriculum: Human Physiology

Clinical Physiology	• Elementary principles of clinical examination. • Methods of Inspection/Palpation/Percussion/auscultation. • Plan of conduction and scheme of recording. • General examination.
Cardiovascular system	• Clinical examination of circulatory system. • Examination of pulse, blood vessels and measurements of blood pressure.
Respiratory system	• Clinical examination of the respiratory system.
Abdominal system	• Clinical examination of Abdomen
Central Nervous system	• Clinical examination of the nervous system and its physiological basis. • Examination of higher mental functions. • Clinical examinations of the special senses including cranial nerves. • Tests of Hearing and Deafness. • Motor functions. • Reflex functions. • Sensory functions.
Ophthalmology	• Clinical examination of the eye and papillary reflex. • Visual acuity. • Perimetery. • Accommodation. • Color vision and color blindness. • Fundoscopy.

DNB Physiology Curriculum: Laboratory Procedures

Haematology	•Haemocytometer. • Determination of reticulocyte count, platelet count WBC count, RBC count, Eosinophil count in normal and diseased state. • Differential count of WBC. • Blood grouping and Cross matching. • Determination of Beeding time and Clotting time. • Haemolysis and Fragility tests.
Cardiovascular system	Electrocardiography – ECG and its interpretation.
Respiratory system	• Spirometry • Assessment of ventilator functions. • Alveolar air, breath holding and endurance tests. • Recording of lung functions tests by computerized or electronic spirometer. • Stethograph.
Reproductive system	• Methods to determine ovulation time by Basal body temperature chart,cervical smear and vaginal smear. • Pregnancy diagnostic tests Immunological test. • Sperm count.
Nerve muscle physiology	• Ergography • Recording of EMG – nerve conduction both sensory and motor.
Others	• Construction of dietary chart for growing children, hypertensive patients, Diabetic mellitus patients. • Test for physical fitness Lab Harvard step test. • Bicycle Ergometry Treadmill protocols leading to determination of vo 2 max. Cardio respiratory response to whole body exercise.

DNB Physiology Curriculum: Clinical Biochemistry

1	Estimation of normal and abnormal constituents of urine.
2	Estimation of Blood sugar.
3	Estimation of Serum calcium
4	Kidney function test.
5	Liver function test.
6	Gastric function tests (excluding fractional test meal).
7	Glucose tolerance test

III. Recommended Text Books And Journals

Under the caption recommending reading the following be added:

Text Books:

Keele, Samson and Wright's Applied Physiology.
Best and Taylor – Physiological basis for medical practice.
Guyton – Text book of Medical Physiology.
Ganong – Review of Medical Physiology.
Cambeell, Clinical Physiology.
P F Backer – Recent advances in Physiology.
Vernon – B Mount Castle, Medical Physiology Vol I and II.
Carl J wiggers – Physiology in Health and Disease.
Williams Text of Endocrinology.
West and Todd Text Book of Biochemistry and Physiology.
Harper's Biochemistry.
Duncon – Disease of Metabolism.
John Field H W Magou – Hand Book of NeuroPhysiology.
Carpenter, Neurophysiology
Wallance O Fen Handbook of Respiratory Physiology.
Prosser – Experimental Physiology.
Prosser – Comparative Animal Physiology, Mannual.
Wintrobe's – Clinical Haematology.
Kelmen – Applied Cardiovascular Physiology.
Brown, Cell signaling, Biology and Medicine of Signal transudation.
Byrne – Introduction of Memberane Transport and Bioelectricity.
Sudarasky – Patho physiology of the nervous system.

Journals:

By American Physiological Society – Journal of Applied Physiology, Physiological Reviews, Annual Review of Physiology, Advances in Physiological Education and Recent advances in Physiology.
British Publication – Journal of Physiology.
Association of Physiologists and Pharmacologists of India – Indian Journal of Physiologists.
Indian Council of Medical Research – Indian Journal of Medical Research

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