DNB Family Medicine

 

DNB Family
Medicine or Diplomate of National Board in Family Medicine also known as DNB in
Family Medicine is a Postgraduate level course for doctors in India
that is done by them after completion of their MBBS. The duration of this
postgraduate course is 3 years, and it focuses on the study of various concepts related
to the field of holistic well-being of each family member with emphasis on preventive diagnosis and treatment, including lifestyle modifications.

The course is a full-time course pursued at various accredited
institutes/hospitals across the country. Some of the top accredited
institutes/hospitals offering this course are- Apollomedics
Superspeciality Hospital
– Lucknow, Artemis Health Institute- Gurgaon, Bangalore Baptist Hospital- Banglore, and more.

Admission to this course is done through the NEET PG Entrance exam
conducted by the National Board of Examinations, followed by counselling based
on the scores of the exam that is conducted by DGHS/MCC/State
Authorities.

The
fee for pursuing DNB (Family Medicine) from accredited institutes/hospitals is Rs. 1,25,000 to Rs 2,40,000 per
year.

After completion of their respective course, doctors can either join the
job market or pursue a super-specialization course where DNB Family Medicine
is a feeder qualification. Candidates can take reputed jobs at positions as
Senior residents, Junior Consultants, Consultants etc. with an approximate salary
range of Rs. 7,00,000 – Rs. 18,00,000 per year.

DNB is
equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical
super specialties. The list of recognized qualifications awarded
by the Board in various broad and super specialties as approved by the
Government of India are included in the first schedule of the Indian Medical
Council Act, 1956.

The Diplomate
of National Board in broad-specialty qualifications and super specialty
qualifications when granted in a medical institution with the attached hospital
or in a hospital with the strength of five hundred or more beds, by the
National Board of Examinations, shall be equivalent in all respects to the
corresponding postgraduate qualification and the super-specialty qualification
granted under the Act, but in all other cases, senior residency in a medical
college for an additional period of one year shall be required for such
qualification to be equivalent for the purposes of teaching also.

What is DNB in Family Medicine?

Diplomate of National Board in Family
Medicine, also known as DNB (Family Medicine) or DNB in Family Medicine is a three-year postgraduate
programme that candidates can pursue after completing MBBS.

Family Medicine is the branch of medical science which
is devoted to comprehensive health care for people of all ages and provides continuing and comprehensive health care
for the individual and family across all ages, genders, diseases, and parts of
the body.

The National
Board of Examinations (NBE) has released a curriculum for DNB in Family
Medicine.

The curriculum governs the education and training of DNBs in Family Medicine.

PG education intends to create
specialists who can contribute to high-quality health care and advances in
science through research and training.

The required training done by a
postgraduate specialist in the field of Family
Medicine would help the specialist recognize the community’s health needs.
The student should be competent to handle medical problems effectively and
should be aware of the recent advances in their speciality.

The candidate should be a highly
competent specialist in Family
Medicine possessing a broad range of skills
that will enable her/him to practice Family
Medicine independently. The PG candidate should also acquire the basic
skills in the teaching medical/para-medical students.

The candidate is also expected to
know the principles of research methodology and modes of the consulting
library. The candidate should regularly attend conferences, workshops, and CMEs
to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DNB in Family Medicine

Name of Course DNB in Family Medicine
Level Postgraduate
Duration of Course Three years
Course Mode Full Time
Minimum Academic Requirement MBBS degree obtained from any
college/university recognized by the Medical Council of India (now NMC)
Admission Process / Entrance Process /
Entrance Modalities
Entrance Exam (NEET PG)
Course Fees Rs. 1,25,000 to Rs 2,40,000 per year
Average Salary Rs. 7,00,000 – Rs. 18,00,000 per year

Eligibility Criteria

The eligibility criteria for DNB in Family Medicine are defined as
the set of rules or minimum prerequisites that aspirants must meet in order to
be eligible for admission, which includes:

Candidates must be in possession of an
undergraduate MBBS degree from any college/university recognized by the Medical
Council of India (MCI) now NMC.

Candidates should have done a compulsory rotating internship of one year
in a teaching institution or other institution which is recognized by the
Medical Council of India (MCI) now NMC.

The candidate must have obtained permanent registration of any State
Medical Council to be eligible for admission.

The
medical college’s recognition cut-off dates for the MBBS Degree courses and
compulsory rotatory Internship shall be as prescribed by the Medical Council of
India (now NMC).

Candidates
who have passed the final examination, leading to the award of a Post Graduate
Degree (MD/MS) from an Indian University, which is duly recognized as per
provisions of the National Medical Commission (NMC) Act, 2019 and the first
schedule of the IMC Act can apply for the DNB Final examination in the same
broad specialty.

Admission
Process

The admission process contains a few steps to
be followed in order by the candidates for admission to DNB in Family Medicine. Candidates can view the complete admission
process for DNB in Family Medicine
mentioned below:

  • The NEET PG or National Eligibility Entrance Test for Post
    Graduate is a national-level master’s level examination conducted by the NBE
    for admission to MD/MS/PG Diploma Courses.
  • The requirement of
    eligibility criteria for participation in counselling towards PG seat allotment
    conducted by the concerned counselling authority shall be in lieu of the Post
    Graduate Medical Education Regulations (as per the latest amendment) notified
    by the MCI (now NMC) with prior approval of MoHFW.
S.No. Category Eligibility Criteria
1. General 50th Percentile
2. SC/ST/OBC (Including PWD of SC/ST/OBC) 40th Percentile
3. UR PWD 45th Percentile

Fees Structure

The fee structure for DNB in Family Medicine varies from
accredited institute/hospital to hospital. The fee is generally less for
Government Institutes and more for private institutes. The average fee structure for DNB in Family Medicine is Rs. 1,25,000 to Rs 2,40,000 per year.

Colleges offering DNB in Family Medicine

Various
accredited institutes/hospitals across India offer courses for pursuing DNB (Family Medicine).

As per the
National Board of Examinations website, the following accredited
institutes/hospitals are offering DNB (Family
Medicine) courses for the academic year 2022-23.

Hospital/Institute Specialty No. of Accredited Seat(s)
(Broad/Super/Fellowship)
Apollomedics Superspeciality Hospital
Sector B, Bargawan, LDA Colony , Lucknow Uttar Pradesh
Uttar Pradesh-226012
Family Medicine 2
Artemis Health Institute
Sector 51, Gurgaon
Haryana-122001
Family Medicine 2
Bangalore Baptist Hospital
Bellary Road, Hebbal, Bangalore
Karnataka-560024
Family Medicine 4
C.S.I. Kalyani General Hospital,
15,Dr.Radhakrishnan Salai Mylapore, Chennai,
Tamil Nadu-600004
Family Medicine 4
Christian Fellowship Hospital
Palani Main Road, Oddanchatram DINDIGUL DIST
Tamil Nadu-624619
Family Medicine 4
Christian Institute of Health Sciences and Research
4th Mile Central Jail Road, Dimapur
Nagaland-797115
Family Medicine 2
Down Town Hospital
G S Road, Dispur GUWAHATI
Assam-781006
Family Medicine 2
Dr. Kamakshi Memorial Hospital
(Dr. Kamakshi Institute of Medical Sciences and Research)
No.1, Radial Road, Pallikaranai, Chennai
Tamil Nadu-600100
Family Medicine 4
Fortis Hospital
B-22, Sector-62, Noida
Uttar Pradesh-201301
Family Medicine 2
Government District General Hospital
Noonepalle, Nandyal, Kurnool District
Andhra Pradesh-518502
Family Medicine 2
Govt. R. D. B. P. Jaipuria Hospital
(Attached with RUHS College of Medical Sciences), Milap Nagar,
Tonk Road, Jaipur,
Rajasthan-302018
Family Medicine 2
Holy Spirit Hospital
Mahakali Road, Andheri (East), Mumbai
Maharashtra-400093
Family Medicine 3
Jai Prakash District Government Hospital
1250 Quarters, Tulsi Nagar, Bhopal
Madhya Pradesh-462003
Family Medicine 2
Jehangir Hospital
32, Sassoon Road, Pune
Maharashtra-411001
Family Medicine 4
K.G. Hospital and PG Medical Institute
No.5, Arts College Rd, COIMBATORE
Tamil Nadu-641018
Family Medicine 4
Kamineni Hospital
L. B. Nagar, Hyderabad
Telangana-500068
Family Medicine 4
Kerala Institute of Medical Sciences
P B No.1, Anayara P O, Trivandrum
Kerala-695029
Family Medicine 4
Lakeshore Hospital and Research Centre Ltd.
Maradu, Nettoor P.O. Kochi, Ernakulam, Kerala
Kerala-682040
Family Medicine 2
Lourdes Hospital
Pachalam, Ernakulam, Cochin
Kerala-682012
Family Medicine 4
M.G.M. Muthoot Hospital
Ring Road, PATHANMTHITTA
Kerala-689645
Family Medicine 4
Maharaja Agrasen Hospital
Rohtak Road, West Punjabi Bagh New Delhi
Delhi-110026
Family Medicine 4
Malabar Institute of Medical Sciences
Mini Bye Pass, Govindapuram, Calicut
Kerala-673016
Family Medicine 2
Max Super Specialty Hospital
1,2, Press Enclave Road, Saket,
Delhi-110017
Family Medicine 4
Medical Trust Hospital
M G Road, Kochi
Kerala-682016
Family Medicine 4
Meenakshi Mission Hospital and Research Centre
Lake Area, Melur Road, MADURAI
Tamil Nadu-625107
Family Medicine 4
Muthoot Health Care
College Road, Kozhencherry PO, Pathanamthitta District
Kerala-689641
Family Medicine 2
Narayana Hrudayalaya Hospital
(NH-Narayana Health City, Bangalore) #258/A, Bommasandra
Industrial Area, Anekal Taluk, Bangalore
Karnataka-560099
Family Medicine 2
Rangadore Memorial Hospital
1st Cross, Shankarapuram, basavanagudi, Bangalore
Karnataka-560004
Family Medicine 4
Rural Development Trust Hospital
Kadiri Road, Bathalapalli, ANANTAPUR
Andhra Pradesh-515661
Family Medicine 2
Sagar Hospital – DSI
Shavige Malleshwara Hills, Kumaraswamy Layout, Banashankari,
Bangalore
Karnataka-560078
Family Medicine 2
Sir Ganga Ram Hospital
Rajinder Nagar, New Delhi
Delhi-110060
Family Medicine 4
Sri Sathya Sai General Hospital
Prashanthi Nilayam, Puttaparthy, Ananthapur
Andhra Pradesh-515134
Family Medicine 2
St. Philomena`s Hospital
No. 4, Campbell Road, Viveknagar PO, Bangalore
Karnataka-560047
Family Medicine 2
St. Stephen`s Hospital
Tees Hazari, New Delhi
Delhi-110054
Family Medicine 6
Sterling Hospital
Off. Gurukul Road Behind Drive-In Cinema, Ahmedabad
Gujarat-380052
Family Medicine 4

Syllabus

A DNB
in Family Medicine is a three years specialization course which
provides training in the stream of Family
Medicine.

The
course content for DNB in Family Medicine is given in the NBE Curriculum released by National Board of Examinations, which can
be assessed through the link mentioned below:

DNB Family Medicine in India: Check out NBE released curriculum

A syllabus serves as an outline and summary of topics that are to be covered in the course. The curriculum implies the knowledge, skills, and competencies a scholar should learn during the training program. The curriculum provides the details about the objectives, lessons, and academic content and the methodologies to be adopted for the successful transfer of the knowledge and competencies to the trainees. The learning modules have been modelled around the core concepts of (a) Whole person care, (b) Life stages care, (c) Medical generalist. Apart from developing medical expertise, the focus is also on overall development as a professional. Core professional capabilities and competencies for family medicine from an Indian perspective have been defined. Contemporary concepts of medical education and family medicine training have also been incorporated.

1. Broad topics to be covered under three-year training

Syllabus: Body of knowledge for family medicine disciplineFor clinical topics approach, evaluation, diagnosis, and management of common clinical conditions is implied, depending upon the morbidity profile and demography of the population. Focus should be on learning the current standard clinical guidelines and their application to practice within the context and setting of Family Medicine Specialty.
FM1 Family medicine specialty a. Who is a Family Physician?

b. What is Family Medicine?

c. The history and development of Family Medicine

d. The philosophy of Family Medicine

e. The principles of Family Medicine

f. Career-options in Family Medicine

FM2 The principles of Family Medicine The nine principles of Family Medicine, described by Dr. Ian McWhinnie, are:

a. The family physician is committed to the person rather than to a particular body of knowledge, group of diseases, or distinctive technique.

b. The family physician seeks to understand the context of illness

c. The family physician sees every contact with his/her patient as an opportunity for prevention or health education.

d. The family physician views his practice as a population at risk.

e. The family physician sees himself as part of a community-wide network of supportive and health care networks.

f. The family physician shares the same habitat as his patients.

g. The family physician sees patients at the clinic, at home, and in the hospital.

h. The family physician attaches importance to the subjective aspects of medicine.

i. The family physician is a manager of resources.

FM3 Physician competency framework a. Medical Expert

b. Communicator

c. Collaborator

d. Leader

e. Health advocate

f. Scholar

g. Professional

FM4 Core family physician competencies a. Attitudes and behavior of a good doctor

b. Ethical approach

c. Communication and consultation

d. Data gathering and interpretation

e. Clinical examination and procedural skills

f. Decision making

g. Clinical management

h. Managing medical complexity

i. Working within teams

j. Continuous improvement of quality of care

FM5 Foundational concepts a. First contact care

b. Whole person care

c. Person-centered care

d. Family-centered care

e. Community-oriented care

f. Life cycle care

g. Ecology of care

h. Continuity of care

i. Comprehensive care

j. Epidemiology of illness

k. Medical generalist

l. Managing complexity

m. Care of multimorbidity

n. Long term care

o. Clinical prevention

p. Home Care

FM6 Consultation & counseling in family medicine a. Conducting a collaborative consultation

b. Communication skills in the consultation including listening skills

c. Facilitation skills in the consultation

d. Competently communicating bad news and dealing with conflicting situations

e. Principles and practice of effective education, reliable reassurance, competent counseling, and gentle guidance

FM7 Approach to patient care: distinction of family medicine a. Patient centeredness

b. Managing common undifferentiated medical problems

c. Dealing with early presentations of involved health problems

d. Whole person care

e. The holistic, comprehensive, three-stage assessment (clinical, individual and contextual) and care of patients

f. Prevention, promotion and relevant screening

g. Promotion of a healthy lifestyle and practice of lifestyle medicine

h. Managing Different forms of difficult patients

i. Application of current clinical practice guidelines

j. Rational prescribing and prescription writing

k. Managing personal and professional boundaries

l. Facilitating of multidisciplinary and multi- professional team care of patients

m. The rights and responsibilities of patients

n. The doctor-patient relationship in the community setting

o. Responsible referring

FM8 Family care a. What is a family?

b. Family types

c. The family life cycle

d. What are the functions of a family?

e. Family health – what is a healthy family?

f. Family structure assessment (genogram and extended genogram, Etc.)

g. Family function assessment (family APGAR, family circle, family eco-map, Etc.)

h. Family resources assessment (“SCREEMS” eco- map, as above)

i. Family dynamics – ideal and abnormal or dysfunctiona

l j. Family-oriented primary care

k. The “family-at-risk.”

l. The family in the Three-stage assessment m. Involving the family as a team in the diagnoses, therapeutic planning, and management of disease and dis-ease

n. Caring for and with a family with a differently- abled child or adult

o. How to conduct a family conference

p. How to do family therapy

q. Sexual health and counseling

r. Pre-marital and marital counseling

s. Home-based care

t. Care of carer (family member)

FM9 Role of family physicians in public health a. Population based health management

b. Concept of health and disease, primary health care, and its implementation, principles of Epidemiology, and epidemiological methods.

c. Epidemiology of communicable diseases, hospital-acquired infections, emerging and reemerging infectious diseases, epidemiology of chronic non-communicable diseases and conditions.

d. Environment and health, basic principles of household waste management, sanitation, safety, and availability of drinking water.

e. Health care of the community, health services at the center, state and district levels National health programs and policies

f. Demography and family planning

g. Health information and basic medical statistics, health education

h. Principles of health education and methods

i. National Health insurance schemes and other private schemes

j. School health programs

k. Management of epidemics and national disasters

l. Ayushman Bharat Program

m. Health and Wellness Centers

n. Health policy development in India

FM10 National Health Programs Reproductive, Maternal, Neonatal, Child and Adolescent Healtha.

a.Janani Shishu Suraksha Karyakaram (JSSK)

b. RashtriyaKishorSwasthyaKaryakram(RKSK)

c. Rashtriya Bal SwasthyaKaryakram (RBSK)

d. Universal ImmunisationProgramme

e. Mission Indradhanush / Intensified Misson Indradhanush

f. Janani Suraksha Yojana (JSY)

g. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

h. Navjaat Shishu Suraksha Karyakram (NSSK)

National Nutritional Program

a. National Programme for Family planning National Iodine Deficiency Disorders Control Programme

b. MAA (Mothers’ Absolute Affection) Programme for Infant and Young Child Feeding

c. National Programme for Prevention and Control of Fluorosis (NPPCF)

d. National Iron Plus Initiative for Anaemia Control

e. National Vitamin a Prophylaxis Program

f. Integrated Child Development Services (ICDS)

g. Mid-Day Meal Programme

Communicable Diseases

a. Integrated Disease Surveillance Programme (IDSP)

b. Revised National Tuberculosis Control Programme (RNTCP)

c. National Leprosy Eradication Programme (NLEP)

d. National Vector Borne Disease Control Programme

e. National AIDS Control Programme (NACP)

f. Pulse Polio Programme

g. National Viral Hepatitis Control Program

h. National Rabies Control Programme

i. National Programme on Containment of Anti- Microbial Resistance (AMR)Non-Communicable Diseasesa. National Tobacco Control Programme (NTCP)

b. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)

c. National Programme for Control Treatment of Occupational Diseases

d. National Programme for Prevention and Control of Deafness (NPPCD)

e. National Mental Health Programme

f. National Programme for Control of Blindness& Visual Impairment

g. Pradhan Mantri National Dialysis Programme

h. National Programme for the Health Care for the Elderly (NPHCE)

i. National Programme for Prevention & Management of Burn Injuries (NPPMBI)

j. National Oral Health program

Health System Strengthening Programs

a. Ayushman Bharat Yojana

b. Pradhan MantriSwasthya Suraksha Yojana (PMSSY)

c. LaQshya’ program (Labor Room Quality Improvement Initiative)

d. National Health Mission

National Health Programs Reproductive, Maternal, Neonatal, Child and Adolescent Health

a. Janani Shishu Suraksha Karyakaram (JSSK)

b. RashtriyaKishorSwasthyaKaryakram(RKSK)

c. Rashtriya Bal SwasthyaKaryakram (RBSK)

d. Universal ImmunisationProgramme

e. Mission Indradhanush / Intensified Misson Indradhanush f. Janani Suraksha Yojana (JSY)

g. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

h. Navjaat Shishu Suraksha Karyakram (NSSK)

National Nutritional Program

a. National Iodine Deficiency Disorders Control Programme

b. MAA (Mothers’ Absolute Affection) Programme for Infant and Young Child Feeding

c. National Programme for Prevention and Control of Fluorosis (NPPCF)

d. National Iron Plus Initiative for Anaemia Control

e. National Vitamin a Prophylaxis Program

f. Integrated Child Development Services (ICDS)

g. Mid-Day Meal Programme

Communicable Diseases

a. Integrated Disease Surveillance Programme (IDSP)

b. Revised National Tuberculosis Control Programme (RNTCP)

c. National Leprosy Eradication Programme (NLEP)

d. National Vector Borne Disease Control Programme

e. National AIDS Control Programme (NACP)

f. Pulse Polio Programme

g. National Viral Hepatitis Control Program

h. National Rabies Control Programme

i. National Programme on Containment of Anti- Microbial Resistance (AMR)

Non-Communicable Diseasesa.

a. National Tobacco Control Programme (NTCP)

b. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)

c. National Programme for Control Treatment of Occupational Diseases

d. National Programme for Prevention and Control of Deafness (NPPCD)

e. National Mental Health Programme

f. National Programme for Control of Blindness& Visual Impairment

g. Pradhan Mantri National Dialysis Programme

h. National Programme for the Health Care for the Elderly (NPHCE)

FM11 Primary care and Universal Health Coverage a. Family medicine and primary care

b. Historical evolution of primary health care

c. Health care teams in primary care

d. Universal Health Coverage

e. Health Insurance and Healthcare financing

f. Alma Ata Declaration 1978

g. 2018 Asthana Declaration on Primary Health Care

h. WHO and Global Health?

i. SDG – Sustainable Development Goals 2030

j. Global Health and International Healthcare Delivery Models – UK, USA, Brazil, South Africa, Sri Lanka, Cuba, Thailand, Nepal

k. Indian Healthcare Delivery Models -Best practices fromstates

l. Comprehensive Vs. Selective Primary Care

m. Principles of Community Oriented Primary Care (COPC)

FM12 Rural Generalist a. Expert medical care in rural contexts (Multidisciplinary competent skills practice and care)

b. The provision of comprehensive primary care to the rural population.

c. Provision of secondary care to the rural population

d. Response to medical emergencies in rural and remote locations.

e. Population-based approach

f. Care provision to culturally diverse communities

g. The practice of medicine within an ethical, intellectual, and professional framework

h. Safe medical care in geographical and professional isolation

i. EmOC & LSAS (Community Setting – longitudinal integration)

FM13 Personal care a. Person of the Physician

b. Personal Life Goals

c. Personal Management

d. Personal growth and development

e. Continuous professional development

f. Personal wholeness and health and well-being

g. Management of tress

h. Preventing and dealing with burn-out

i. The family physician’s family health and wholeness

j. The family physician’s lifestyle to be healthy

k. Personal finance management and financial success

FM14 Leadership and Primary Care Teams a. Family physician as a leader

b. Leadership principles and practices (styles)

c. Principles of teamwork

d. Team formation and functioning and facilitating

e. Conflict management

f. Working as a team (with/at the PHC and with/at the CHC and with the ward-based outreach teams and with the home-care teams)

g. Multidisciplinary, multi-professional approach to healthcare, including with government and non-governmental agencies

h. Working with other agencies

i. Teaching and training the team for optimal, effective and efficient service

j. Management principles and methods, including the management cycle (of doing a situational analysis, setting objectives, assessing, planning, implementing, evaluating, recording) – applied to the team and the services rendered, Etc.

k. Stewardship and mutual accountability and productivity

l. Continuous training and support of and working with community health workers (like the ANM/VHN/ASHA workers, and others)

m. Facilitating continuous, mutual education and learning with other healthcare workers and professionals

n. How to conduct morbidity and mortality (M+M) meetings

o. How to deal with a medical mistake or unethical behavior of a colleague or healthcare worker or with an impaired health practitioner

p. Relevant healthcare legislation

FM15 Practice Management a. Management principles (broad and applied)

b. Establishing a new practice or clinical facility

c. Managing a busy clinic – strategies

d. Record-keeping

e. Cost-effective care and management

f. Medicolegal aspects of family medicine

g. Quality, standards, and accreditation

h. Quality Improvement Cycle

i. Quality assurance (QA)/ Quality improvement (QI)

j. Audit (clinical and practice and financial)

k. Legal framework compliances of practice

l. How to maintain and aesthetically beautify the physical facilities (inside and outside) and the physical and ambient surroundings (e.g., flower- garden, vegetable garden, birdbaths, trees, Etc.)

m. Budgeting and financial management

n. How to do a stock inventory at CHC level

o. How to manage human resources (people), material (equipment and information), minutes (time), money, meetings, medicines, myself, my family, Etc.

p. Data interpretation of what is being reported by the Data Entry Officer (DEO)

q. How to stimulate and facilitate organizational development (both on health service and health facility levels)

FM16 Digital healthcare and Information Technology a. Electronic Health Record

b. Telemedicine and digital health

c. Use of electronic devices for practice support and enhancement

d. Professional use of social media

e. Electronic communication

f. Information technology and health promotion

g. Big data and population health

h. Healthcare automation

i. Artificial Intelligence

FM17 Family medicine and allied sciences a. Basic human anthropology, psychology, pneumatology, and sociology within the context of healthcare
FM18 Wellness: Prevention, Diet, Nutrition, and Exercise a. Concept of wellness

b. Concept of Prevention

c. Health screening

d. Preventive health checkup

e. Immunization

f. Chemoprophylaxis

g. Age-specific prevention guidelines

h. Injury prevention

i. Principles of nutrition

j. Calorie calculation

k. Diet advises during sickness

l. Diet for chronic diseases

m. Human physiology and principles of exercise

n. Types of exercise

o. Exercise prescription

p. Prevention and treatment of Malnutrition

q. Obesity and weight management

r. Smoking cessation

s. Alcohol dependence management

FM19 Care of New born a. Screening for high-risk neonates

b. Neonatal Resuscitation

c. Newborn Care

d. Common neonatal problems

e. Dealing with congenital anomalies

f. Breastfeeding and weaning

g. Well baby clinic

h. Immunization

i. Normal development, Developmental Delay

FM20 Care of Child a. Growth Monitoring and malnutrition

b. Optimal use of the Road-To-Health-Card (RTHC)

c. Vitamin deficiency diseases

d. Common pediatric illnesses like infectious diseases, asthma, Etc.

e. Behavioral disorders, mental retardation, learning disabilities, child abuse issues,

f. Sudden infant death syndrome (SIDS),

g. Genetic disorders,

h. School health program

i. National Immunization Program.

j. Integrated Management of Childhood and Neonatal Illnesses (IMNCI) Guidelines

k. Common Pediatric emergencies

FM21 Adolescent Health a. Consultation with adolescent

b. Puberty and adolescence: male & female

c. Adolescent and the law

d. Behavior problems /stress/psychosocial problems/nutrition and exercise

e. Diagnosis and management of substance abuse

f. Eating disorder

g. Reproductive and sexual health

h. Immunization in adolescents

i. Gadget addiction

j. Adolescent contraception

k. Menstrual hygiene

l. Early marriage

m. Gender identity issues

FM22 Women’s Health a. Physiology of menstruation and its deviations

b. Menstrual problems: Premenstrual syndrome, Dysmenorrhea, Abnormal uterine bleeding, post-coital bleeding, and intermenstrual bleeding; primary and secondary Amenorrhea

c. Common disorders of uterus and ovary including fibroid uterus, genital prolapse, ovarian tumors, polycystic ovarian disease

d. Vaginal discharge, Pelvic infection, Sexually Transmitted Diseases Infections

e. Pelvic mass, screening and early detection of genital tract malignancy,

f. Preconception counseling, Contraception, Infertility

g. Approach to: Breast pain, breast lumps, Galactorrhea and nipple discharge, Hirsutism, Dyspareunia, Pelvic pain

h. Menopause, Complications of menopause, Hormone Replacement therapy, post- menopausal bleeding, Incontinence, Vaginal prolapse

i. Medically Unexplained Symptoms

j. Domestic & intimate partner violence and abuse

k. Gender identity issues

FM23 Pregnancy and Maternal Health a. Preconception counseling

b. Physiological changes in pregnancy, Antenatal Care, normal labor & postnatal care

c. Medications during pregnancy

d. Abortion

e. Common problems during pregnancy including hyperemesis gravidarum, urinary tract infections, low backache

f. Basic Antenatal care including health education, nutritional guidance, immunization

g. SBA – Skill Birth Attendant competencies

h. High-risk pregnancy & medical diseases in pregnancy: identification, management, and appropriate referrals

i. EmOC: Emergency Obstetrical Skills

(a) Basic EmOC

(b) Comprehensive EmOC (longitudinal integration)

j. LSAS: Life Saving Anesthesia Skills for EmOC (longitudinal integration)

k. Counseling the mother and the family

l. Postnatal care and puerperal problems

m. Breastfeeding

n. Medicolegal issues related to women’s health

FM24 General Medical Care a. Initial management of all symptoms/health problems

b. Undifferentiated presentations,

c. Recognition, assessment, management, follow- up of common medical conditions in an adult man/woman in the community,

d. Prevention and health promotion, knowledge of Diagnostic methods, interpretation of results and Referral criteria

FM25 Infectious Diseases Tropical diseases and common infections

a. Including viral, bacterial, rickettsia, mycobacterial, protozoal, Etc.

b. Example malaria, filariasis, rabies, leptospirosis, dengue fever, enteric fever, hepatitis, poliomyelitis, meningitis, encephalitis, HIV/AIDS, sexually transmitted infections, common fungal infections, skin infections,

varicella, herpes zoster, rickettsia, measles, mumps, tetanus, Chikungunya fever, newer emerging infections (avian influenza and Zika virus) c. Sepsis, tuberculosis, HIV / AIDS, malaria, enteric fever, UTI, leptospirosis, rickettsia fevers, tetanus, STDs, leprosy, kala-azar, fever of unknown origin, infective endocarditis

FM26 Common Cardiovascular Problems a. Approach to a patient presenting with chest pain (ischemic heart disease, ACS, post-myocardial infarction management/rehabilitation)

b. Approach to a patient presenting with syncope

c. Approach to a patient presenting with palpitations (dysrhythmias)

d. Approach to a patient with breathlessness (cardiac failure, acute pulmonary edema)

e. Approach to a patient with edema

f. Approach to a patient with hypertension and dyslipidemia g. Common congenital heart diseases

h. Others: acute rheumatic fever, rheumatic heart disease, infective endocarditis, cardiomyopathy, peripheral vascular disease

FM27 Common Respiratory Problems a. Approach to cough

b. Approach to a patient with a running nose – allergic disorders

c. Approach to a patient presenting with difficulty in breathing (asthma, pneumonia, COPD, management of acute exacerbation of bronchial asthma and COPD, interstitial lung disease, sarcoidosis

d. Approach to a patient presenting with tuberculosis and other infections (empyema, bronchiectasis, lung abscess, pleural effusion)

e. Approach to a patient presenting with occupational lung diseases

f. Approach to a patient presenting with sleep apnoea

g. Diagnostic methods in pulmonary medicine, principles of the pulmonary function tests

h. Bronchodilators and steroids in respiratory medicine i. Malignancies in lung j. Smoking cessation

FM28 Common Gastrointestinal Problems a. Approach to a patient presenting with dyspepsia, GERD, diarrhea, irritable bowel syndrome,

b. Approach to a patient presenting with acute and chronic abdominal pain: cholecystitis, pancreatitis, peptic ulcer disease, non-ulcer dyspepsia, gastritis

c. Approach to a patient presenting with jaundice

d. Hepatitis, liver failure, cirrhosis of the liver, hepatic encephalopathy

e. Approach to a patient presenting with diarrhea: Infective causes, inflammatory bowel disease, irritable bowel syndrome, malabsorption, food poisoning, parasitology including amebiasis/ giardiasis/worm infestations, and investigations in gastrointestinal diseases)

f. Approach to a patient presenting with constipation

g. Approach to a patient presenting with ascites – tuberculous abdomen and various other etiologies

h. Patient presenting with hematemesis – Variceal and non-variceal bleeding i. When to refer for investigations – GI scopies, USG

FM29 Common Neurological Problems a. Approach to a patient presenting with a neurological deficit (Cerebrovascular accidents, stroke, TIA, paraplegia, quadriplegia)

b. Approach to a patient presenting with headache (primary and secondary causes – meningitis, encephalitis, ICSOLs)

c. Approach to a patient presenting with seizures

d. Approach to a patient presenting with movement disorders – Parkinsonism other disorders presenting with tremors

e. Approach to a patient presenting with peripheral neuropathy, cranial neuropathy

f. Approach to a patient presenting with muscle disorders – myopathies

g. Approach to a patient with memory loss h. Patient presenting with dizziness

FM30 Poisoning and Bites a. Poisoning (general emergency measures, poisoning caused by paracetamol, organophosphorus compounds, alcohol, kerosene, barbiturates, corrosives, insecticides, organophosphorus compounds, carbon monoxide, sedatives, phosphide) b. Bites: snakebite, scorpion sting, and other insect and animal bites)
FM31 Common Hematological Problems a. Approach to a patient with anemia (iron deficiency, B12 deficiency, folic acid Hemoglobinopathies, and others; geographical differentiation)

b. Approach to a patient with polycythemia

c. Approach to a patient with thrombocytopenia

d. Approach to a patient with bleeding disorders Hemophilia and others

e. Approach to a patient with hematological malignancies

f. Interpretation of lab investigations

g. Principles of anticoagulation

FM32 Common cancers a. Cancer screening

b. Cervical

c. Breast

d. Prostate

e. Lung

f. Hematological

g. Gastro-intestinal

h. Head and neck

FM33 Common Connective Tissue Disorders a. Approach to a young patient presenting with joint pain: SLE, polymyalgia rheumatica, polymyositis, inflammatory arthritis, mixed connective tissue disorders), rheumatoid arthritis, mono-arthritis, ankylosing spondylitis, vasculitis, reactive arthritis.”

b. Approach to joint pain in the elderly: osteoarthritis

c. Approach to a patient with back pain – ankylosing spondylitis

FM34 Common Renal Problems a. Approach to a patient presenting with dysuria (urinary tract infections, pyelonephritis, genitourinary infections)

b. Approach to a patient presenting with hematuria (glomerulonephritis, calculi, and others)

c. Approach to a patient presenting with edema (acute renal failure, chronic renal failure, nephrotic syndrome, nephrotic syndrome)

d. Interpretation and management of electrolyte imbalances

e. Renal replacement therapy

f. Diabetic nephropathy

FM35 Metabolic and Endocrine Diseases a. Diabetes

b. Thyroid diseases

c. Growth and developmen

t d. Metabolic Syndrome

e. Dyslipidemia

f. Obesity

g. Osteoporosis

h. Vitamin D deficiency

i. Common endocrine diseases related to pancreas, pituitary and adrenal glands

FM36 Skin Related Problems a. Diagnosis of Infectious skin conditions and management: Viral infections: molluscum contagiosum, viral warts, pityriasis rosea, herpes zoster, herpes simplex, viral exanthems, hand-foot and mouth disease, recognition of viral hemorrhagic fevers and danger signs, Varicella, Measles

b. Bacterial: Impetigo, TB, Leprosy, Cellulitis, Infestation: scabies, lice, insect bites

c. Fungal and yeast infections: Candida, pityriasis versicolor, tinea skin diseases associated with HIV infections

d. Diagnosis of Non-Infectious skin conditions and management: Acute contact dermatitis, Psoriasis, Chronic leg ulcers, Generalized pruritus, Angioedema / Anaphylaxis, Acne, Alopecia, Vitiligo, Eczema

e. Diagnosis of Nutritional disorders causing skin lesions and management

f. Skin tumors: Premalignant lesions in the skin: like solar keratosis, Bowen’s disease

g. Malignant lesions like basal cell cancer, squamous cell cancer, Malignant melanoma

FM37 Occupational Health a. Medical fitness

b. Pre-employment health checkup

c. Sickness certification

d. High-risk occupations and medical fitness certification

e. Sports fitness certification

f. Basic ergonomics and office health

g. Stress Management

h. Factory Health

i. Legislations related to occupational health

FM38 Mental Health a. Recognition, management and appropriate referral of depression and anxiety states

b. Recognition, Basic Management and appropriate referral of patients with psychosis

c. Follow-up care of patients with psychosis

d. Care of patients with unexplained symptoms without an organic basis

e. Care of patients undergoing bereavement, social and family stress

f. Assessment of suicide risk

g. Diagnosis, detoxification and team-based management of patients with substance abuse

h. Recognition and management of patients in delirium

i. Recognition, referral and follow up of patients with dementia

j. Recognition, referral and follow up of patients with developmental disorders

k. Recognition, basic management and appropriate referral of patients with personality disorders, eating disorders and behavioral disorders in children and adolescents,

l. Basic principles of psychotherapy, rational use of psychotherapeutic medication)

FM39 Emergency & Urgent Care a. Knowledge for lifesaving procedures: Medical, Obstetric, Pediatric, including neonatal resuscitation, Surgical, and trauma

b. Acutely dyspneic patient

c. Shock

d. Cardiac arrest

e. Loss of consciousness

f. Seizures

g. Epistaxis

h. Acute gastrointestinal emergencies

i. Trauma and poly-trauma, including road traffic accidents, sexual assault, victims of violence, mass casualty, drowning, and near-drowning.

j. Hemoptysis

k. Acute burns

l. Acute musculoskeletal disorders including fractures, sprains, dislocations and compartment syndromes

m. Life-Saving Anesthesia Care (LSAS) for EmOC (Emergency setting- (longitudinal integration)

n. Common poisonings, animal bites, and stings,

o. Environmental disasters (floods, earthquakes, Etc.)

p. Acute urinary system disorders including retention and anuria,

q. Psychiatric emergencies

r. Disaster management

FM40 General Surgical Care a. Diagnosis and initial management of Common Surgical problems

b. Experience and expertise should be gained in recognizing and appropriate evaluation and initial management of the following common conditions. · Head Injury · Burns and wounds, ulcers, bedsores · Lumps in neck, breast, groin, abscess and small bumps elsewhere in the body · Upper GI bleed, rectal bleed, hematemesis, and Malena, · Abdominal pain · Dysphagia, nausea, vomiting · Peptic ulcer, GOERD, gastritis · Disorders of gall bladder and pancreas · Intestinal obstruction, specific and nonspecific infections · Abdominal mass · Leg Ulcers, varicose veins, · Diabetic foot

· In-growing toenails · Perianal problems, pilonidal abscess/sinus, phimosis, paraphimosis, · Rectal pain, rectal prolapse · Hernia, inguinoscrotal swellings, hydrocoele, · Diseases of breast, Breast infections, hematoma, abscess, lumps, mastalgia, and cellulitis · Peripheral vascular disease · Prostate disease, renal and genitor-urinary tract disorders; LUTS, Management of obstructive uropathy

c. Red flags – identification stabilization and treatment and referral of shock, electrolyte and fluid requirements, blood transfusion,

d. Suture methods and materials, universal precautions.

e. Life-Saving Anesthesia Care (LSAS) for EmOC (OT setting- longitudinal integration)

FM41 Oro Dental Care a. Recognition, assessment, management, follow- up of common oral dental conditions
FM42 Care of Ear Nose and Throat a. The algorithmic approach of ENT problems: Epistaxis, ear pain, ear discharge, hearing loss, vertigo, nasal discharge, loss of smell, hoarse of voice, Tinnitus, Dysphagia, Aphthous Ulcer. To identify and refer if red flags are present.

b. Recognition, assessment, management, appropriate referral and follow-up of common ENT conditions: Acute bacterial pharyngitis, Acute & Chronic Rhinitis, Acute & Chronic Sinusitis,

c. Acute & Chronic Tonsillitis, Quinsy

d. Adenoiditis/adenoid hypertrophy with eustachian tube dysfunction/OMe, Acute Otitis Media, Chronic (safe and unsafe) otitis media, Otitis externa, Fungal infections of the ear,

e. Mastoiditis, Otitis externa, Fungal /bacterial infections of the ear, – perichondritis/ seroma/hematoma of the pinna. Mastoiditis, Nasal Polyps

f. Tuning fork tests

g. Management of Bell’s palsy

h. Nasal polyps

i. Deviated nasal septum

j. Emergency tracheostomy kit

FM43 Care of Eye a. The algorithmic approach of Eye problems: Red Eye, Itchy Eye, Swelling of Eye, Watering of Eye, Diminished vision. To identify and refer if red flags

b. Recognition, assessment, management, appropriate referral, and follow-up of common Eye conditions:

c. Redeye (Conjunctivitis, Corneal abrasions/ulcers, Uveitis, Glaucoma)

d. Decreased vision (Refractiveory error, Cataract, Diabetic retinopathy, Retinal Detachment, optic neuritis,

e. Lid disorders, Chalazion, Stye, Lagophthalmos

f. Bitot’s spots, Xerophthalmia,

g. Pterygium, Phlycten, Episcleritis, Scleritis

h. Diabetic retinopathy

i. Foreign body in the eye

j. Panophthalmitis/ Orbital Cellulitis

k. Color blindness, Squint

l. Congenital eye problem

m. First-line management and referral protocols of eye emergencies

n. Identification and referral of malignancies o. A national program for control of blindness and visual impairment (NPCBVI)

FM44 Care of Bones and Joints and Rehabilitative Care a. Basic principles of physical and rehabilitative therapy

b. Acute and Chronic joint pains – small joints, large joints, Arthroscopy

c. Acute and Chronic backache

d. Acute/Chronic neck pain

e. Shoulder pain

f. Myofascial pain syndrome

g. Fractures and dislocations – early management and referral

h. Arthritis: Osteoarthritis, RA, Gout, Periarthritis of the shoulder, Etc.

i. Infections: septic Arthritis, osteomyelitis, Tuberculosis

j. Synovitis, fasciitis, tendinopathies

k. Sports injuries

l. Bony tumors m. Management of ganglion

n. Congenital deformities

o. Assessment and management of patients with disabilities

p. Principles of Community based rehabilitation

q. Pressure ulcers prevention and management

r. Disability terminology- Impairment, activity limitation and participation restriction

s. Legislation and rights of people with disabilities

FM45 Pain and Anesthesia Care a. Overview of anesthesia:

b. Equipment’s

c. Pre-anesthetic assessment of patient- (risk assessment asa grade 1-5 classify according to grades 1-3 can be done by a family physician)

d. Types of Anesthesia and details on each modality- local anesthesia,

e. Regional anesthesia including field, digital, ankle, wrist and penile block, endotracheal intubation Intravenous sedation,

f. Monitoring patient while under anesthesia care and follow up, red flags for referral, adverse events in anesthesia, Awake analgesics

g. Life-Saving Anesthesia Care (LSAS) for EmOC (longitudinal integration)

FM46 Care of the Elderly a. Common health problems and diseases in the old age & their management e.g., vascular, musculoskeletal, oncological, psychological, neurological, hearing and vision problems

b. Comprehensive assessment of elderly

c. General principles of elder care

d. Geriatric syndromes – falls & fractures incontinence, constipation, delirium, dementia, aches, and pains in elderly

e. Prescribing in elderly

f. Palliation & management of terminally ill patients g. Rehabilitation in elderly

h. Communication skills in bereavement, problems of the family after the death

i. Caregiver support,

j. Care of elderly, social and psychological problems in the elderly

FM47 Palliative Care a. Principles of palliative care

b. Physical care

c. Essential palliative care medications & Psychosocial and spiritual care

d. Terminal illness and end-of-life care

e. Nursing care communication

f. Ethical aspects of care

g. Integrated care and network with other healthcare providers

h. Teamwork

i. Selfcare

j. Recognition, assessment, management, follow- up of common medical conditions in a terminally ill patient

k. Home-based care

l. Stroke rehabilitation

m. Cardiovascular rehabilitation

n. Post-trauma rehabilitation

o. Musculoskeletal diseases

p. Pain management

Career Options

After
completing a DNB in Family Medicine,
candidates will get employment opportunities in Government as well as in the
Private sector.

In the Government sector, candidates have various options to
choose from, including Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector the
options include Resident Doctor, Consultant, Visiting Consultant (Family Medicine), Junior Consultant, Senior
Consultant (Family Medicine), Consultant Family
Medicine Specialist, etc.

Courses
After DNB in Family Medicine Course

DNB in Family Medicine is a specialization course that can be pursued after
finishing MBBS. After pursuing a specialization in DNB (Family Medicine), a candidate could also pursue super
specialization courses recognized by NMC, where DNB (Family Medicine) is a feeder qualification.

Frequently Asked Questions (FAQs) – DNB in Family Medicine Course

Question: What is a DNB in Family Medicine?

Answer: DNB Family Medicine or
Diplomate of National Board in Family Medicine also known as DNB in Family
Medicine is a Postgraduate level
course for doctors in India that is done by them after completion of their
MBBS.

Question: Is DNB in Family Medicine equivalent to MD in Family
Medicine?

Answer: DNB in Family Medicine is equivalent to MD in Family Medicine,
the list of recognized qualifications
awarded by NBE in various broad and super specialties as approved by the
Government of India are included in the first schedule of the Indian Medical
Council Act, 1956.

Question: What is the duration of a DNB in Family Medicine?

Answer: DNB in Family Medicine is a
postgraduate programme of three years.

Question: What is the eligibility of a DNB in Family Medicine?

Answer: Candidates must be in possession of an undergraduate
MBBS degree from any college/university recognized by the Medical Council of
India (now NMC).

Question: What is the scope of a DNB in Family Medicine?

Answer: DNB in Family
Medicine offers candidates various employment opportunities and career
prospects.

Question: What is the average salary for a DNB in Family Medicine postgraduate
candidate?

Answer: The DNB in Family Medicine candidate’s average salary is between Rs. 7,00,000 – Rs. 18,00,000 per year depending on the experience.

Question: Are DNB Family Medicine and MD Family Medicine
equivalent for pursuing teaching jobs?

Answer: The Diplomate of National Board in broad-speciality
qualifications and super speciality qualifications when granted in a medical
institution with attached hospital or in a hospital with the strength of five
hundred or more beds, by the National Board of Examinations, shall be
equivalent in all respects to the corresponding postgraduate qualification and
the super-speciality qualification granted under the Act, but in all other cases,
senior residency in a medical college for an additional period of one year
shall be required for such qualification to be equivalent for the purposes of
teaching also.

Question: Is DNB
Family Medicine Recognised by MCI?

Answer: DNB
family medicine, awarded by the National Board of Examination (NBE) is a MCI
recognized qualification since 1983, the year; NBE came into existence through an
amendment in the MCI act.

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