Crac👑KING MD Community Medicine
with Mentor Dr. Surya B. Parajuli

An initiative of Prof. (Assoc.) Dr. Surya B. Parajuli

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👩‍⚕️👨‍⚕️ Dear MD Residents of Community Medicine,

🎉 Welcome to your dedicated learning platform designed to help you crack MD (Doctor of Medicine) in Community Medicine with confidence!

📚 From conceptual clarity to exam-oriented preparation,
🧠 from theory to spotters, viva, and MCQs,
🚀 this platform is your one-stop companion for academic excellence and success.

✨ Learn smart. Practice right. Crack MD Community Medicine. 💪📖

🩺 MD Community Medicine – Program Overview (KU)

📘 Doctor of Medicine (MD) in Community Medicine is a 3-year postgraduate residency program under Kathmandu University, designed to develop competent Community Physicians, Public Health Managers, Epidemiologists, Researchers, and Teachers.

🏥 The program is conducted in KU-affiliated and NMC-recognized training centers, with a strong emphasis on community-based primary health care, fieldwork, and integration of preventive and clinical medicine.

⏳ Duration & Structure of Training

🗓️ Total Duration: Minimum 3 years (including examination period)

🎓 Nature of Training:

• Competency-based & self-directed learning

• Blend of theory, field exposure, clinical work, and research

• Continuous formative + summative assessment

📌 Mandatory Components:

• 📄 Thesis (compulsory)

• 🧪 Fieldwork & outbreak investigations

• 🧑‍⚕️ Functioning as a Primary Care & Family Physician

• 🧠 Skill courses: CPR, PTC, Research Methodology, Communication Skills

🧩 Core Academic Domains

🔬 Basic Sciences in Community Medicine

📊 Epidemiology & Biostatistics
📈 Demography & Vital Statistics
🌍 Environmental Health
🐜 Medical Entomology
🍎 Nutrition
🧠 Behavioral Sciences
🧪 Research Methodology
🧾 Screening & Health Indicators
⚖️ Medical Ethics

🩺 Clinical Sciences in Community Medicine

🦠 Communicable Diseases
❤️ Non-Communicable Diseases
👷 Occupational Health
🚑 Injuries, Violence & Rehabilitation
👶 Reproductive, Maternal, Newborn, Child & Adolescent Health
🧓 Geriatrics & Ageing
🧑‍👩‍👧 Family Health & Primary Health Care
🧠 Community Mental Health
🏫 School Health

🚀 Subspecialties & Recent Advances

🧬 Genetics in Public Health
📋 Health Administration & Management
📊 Health Economics
🌍 International Health
🚨 Disaster Management
🏛️ National Health Policies & Acts
🎯 Sustainable Development Goals (SDGs)
👑 Public Health Leadership

🏥 Field Postings & Practical Exposure

🌾 Urban & Rural Health Centers
🏫 Schools, Orphanages & Rehabilitation Centers
💧 Water & Sewage Treatment Plants
🧫 Public Health & Clinical Laboratories
🏥 TB, Leprosy, Infectious Disease & Specialty Hospitals
🏛️ MoHP, DoHS, EDCD, WHO/UNICEF

🩺 Residents independently run:

• OPD

• Under-five clinics

• Antenatal clinics

📝 Evaluation System

📘 Formative Assessment: Continuous (Logbook, seminars, skills, professionalism)
📕 Summative Assessment:

🧠 Theory (300 marks):

• Paper I: Basic Sciences

• Paper II: Clinical Sciences

• Paper III: Subspecialties & Recent Advances

🩺 Practical / OSCE / Viva (300 marks)
📄 Thesis: Mandatory & must be approved

🎯 Expected Outcomes

🎓 At the end of the program, the MD graduate will be able to:
✅ Diagnose community health problems
✅ Plan, implement & evaluate public health programs
✅ Manage epidemics & disasters
✅ Conduct and publish research
✅ Teach & train health professionals
✅ Lead health systems at local, provincial & national levels

🩺 MD Community Medicine

📍 3-Year Academic & Career Roadmap

🟢 YEAR 1 – Foundations & Core Skills

🎯 Focus

Build strong conceptual clarity in basic sciences of Community Medicine and acquire essential public health skills.

📚 Academic Priorities

🔬 Concept of Health & Public Health
📊 Epidemiology (Basic + Measures of Disease)
📈 Biostatistics (Descriptive & Inferential)
🌍 Environmental Health
🐜 Medical Entomology
🍎 Public Health Nutrition
🧠 Behavioral Sciences
⚖️ Medical Ethics

🩺 Clinical & Field Exposure

🏥 Functioning as a Primary Care Physician (OPD, ANC, Under-5 clinics)
🌾 Family & Community Health Studies
🧫 Public Health Laboratory exposure
📋 Clinico-social & Medico-social case studies

🧠 Skill Development

🫀 CPR & Primary Trauma Care (PTC)
📊 Data handling & basic statistical software (SPSS/Epi Info)
🗣️ Communication & teaching skills
📑 Seminar presentations & journal clubs

📄 Research Milestones

🧪 Topic selection & literature review
📝 Thesis protocol development & approval

🧠 Exam Strategy

📌 Master Paper I: Basic Sciences
📌 Start building short notes + viva points

🟡 YEAR 2 – Clinical Application & Research

🎯 Focus

Apply epidemiological principles to real-world health problems and strengthen research competence.

📚 Academic Priorities

🦠 Epidemiology of Communicable Diseases
❤️ Epidemiology of Non-Communicable Diseases
👶 RMNCAH (Reproductive, Maternal, Newborn, Child & Adolescent Health)
👷 Occupational Health
🚑 Injury Prevention & Rehabilitation
🧠 Community Mental Health
🏫 School & Family Health

🏥 Field Postings & Institutional Exposure

🏛️ MoHP, DoHS, EDCD
🌍 WHO / UNICEF
🧫 National & Regional Public Health Laboratories
🏥 TB, Leprosy & Infectious Disease Centers

📄 Research Milestones

📊 Data collection & field implementation
📈 Interim analysis & progress presentations

🧠 Teaching & Leadership

🎓 Undergraduate teaching & demonstrations
🧭 Community surveys & outbreak investigations
👥 Team leadership in field activities

🧠 Exam Strategy

📌 Focus on Paper II: Clinical Sciences
📌 Practice long cases, OSCE & viva scenarios

🔵 YEAR 3 – Leadership, Policy & Exam Readiness

🎯 Focus

Develop leadership, policy insight, and exam mastery while transitioning into an independent public health professional.

📚 Academic Priorities

📋 Health Administration & Management
📊 Health Economics
🏛️ National Health Policies & Acts
🚨 Disaster Management
🌍 International Health
🎯 Sustainable Development Goals (SDGs)
🧬 Genetics in Public Health
🚀 Recent Advances in Community Medicine

🏥 Advanced Field & Administrative Exposure

🏛️ Health Planning & Program Management Units
📊 Monitoring & Evaluation divisions
🧾 Budgeting, logistics & HMIS
🚑 Disaster preparedness & response units

📄 Research & Publication

📝 Thesis writing & submission
📄 Manuscript submission / publication (mandatory)
🎤 Thesis presentation

🧠 Exam & Career Readiness

📌 Full syllabus revision (Paper I–III)
📌 Mock theory, OSCE & viva sessions
📌 Career orientation:

• Public Health Specialist

• Academic Faculty

• Health Administrator

• Researcher / Epidemiologist

🎯 End Outcome of the 3-Year Journey

🎓 A confident MD Community Medicine specialist who can:

✅ Manage community & primary care health problems
✅ Lead public health programs & health systems
✅ Investigate outbreaks & manage disasters
✅ Conduct and publish quality research
✅ Teach, train & mentor future doctors

🩺 MD Community Medicine

📘 Year-wise Examination Blueprint (Paper I–III)

🟢 YEAR 1 – PAPER I BLUEPRINT

🔬 Basic Sciences in Community Medicine

🎯 Exam Goal: Build strong conceptual foundations for theory, viva, OSCE, and long cases.

📚 Core Subjects (HIGH-YIELD)

📊 Epidemiology

• Concept & uses

• Natural history of disease

• Levels of prevention

• Measures of frequency (Incidence, Prevalence)

• Health indicators

• Epidemiological transition

📈 Biostatistics

• Types of data & variables

• Measures of central tendency & dispersion

• Probability & distributions

• Correlation & regression

• Hypothesis testing

• Sample size & confidence intervals

📈 Demography & Vital Statistics

• Demographic cycle (Nepal focus)

• Fertility, mortality & morbidity indicators

• Life tables

• Standardization of rates

🌍 Environmental Health

• Water, air, waste & housing standards

• Sanitation & sewage disposal

• Climate change & health

• EHIA

🐜 Medical Entomology

• Disease vectors & life cycle

• Vector control methods

• Insecticides & resistance

🍎 Nutrition

• Life-cycle approach

• Nutritional assessment

• Deficiency disorders

• National nutrition programs

🧠 Behavioral Sciences

• Sociology & psychology

• KAP, health behavior theories

• IEC & BCC

• Doctor–patient relationship

🧪 Research Methodology

• Study designs

• Bias & confounding

• Quantitative & qualitative research

• Ethics in research

⚖️ Medical Ethics

• Principles of ethics

• Research ethics

• Professional conduct

🎯 Paper I Exam Focus

• MCQs → Definitions, formulas, concepts

• SAQs → Diagrams, indicators, comparisons

• Viva → Indicators, epidemiology logic, stats

🟡 YEAR 2 – PAPER II BLUEPRINT

🩺 Clinical Sciences in Community Medicine

🎯 Exam Goal: Apply epidemiology to real-world health problems & long cases.

📚 Core Subjects (LONG CASE–ORIENTED)

🦠 Communicable Diseases

• Epidemiology & natural history

• Agent–host–environment

• Prevention & control

• Surveillance

• National programs

• Outbreak investigation

❤️ Non-Communicable Diseases

• Risk factors & causation

• Screening & prevention

• National & global initiatives (PEN, WHO)

👶 RMNCAH

• Safe motherhood

• Newborn & child health

• Immunization (cold chain, newer vaccines)

• Adolescent health

• National programs (CB-IMNCI, CB-NCP)

👷 Occupational Health

• Occupational hazards

• Diseases & prevention

• Legislations & ILO

🚑 Injuries & Rehabilitation

• Injury epidemiology

• Road traffic injuries

• Violence & abuse

• Community-based rehabilitation

🧠 Mental Health

• Community mental health

• Mental health programs & policy

🏫 School & Family Health

• School health services

• Role of family physician

• FCHV & PHC/ORC

🎯 Paper II Exam Focus

• Long case → Clinico-epidemiological approach

• SAQs → National programs, prevention strategies

• Viva → Outbreak steps, screening logic

🔵 YEAR 3 – PAPER III BLUEPRINT

🚀 Subspecialties & Recent Advances

🎯 Exam Goal: Demonstrate leadership, policy understanding & systems thinking.

📚 Core Subjects (DECISION-MAKER LEVEL)

📋 Health Administration & Management

• Health system structure (Federal Nepal)

• Planning, budgeting & logistics

• HMIS

• Monitoring & Evaluation

📊 Health Economics

• Equity & UHC

• Cost-effectiveness, DALY, QALY

• Health financing & insurance

🏛️ Health Policies & Acts

• National Health Policy

• Policy formulation & analysis

🚨 Disaster Management

• Preparedness, mitigation, response

• National disaster management plan

🌍 International Health

• WHO & UN agencies

• International Health Regulations

• Global health challenges

🎯 SDGs

• Health-related SDGs

• Critical review

🧬 Genetics in Public Health

• Genetic counseling

• Prevention & screening

🚀 Recent Advances

• New vaccines

• Emerging diseases

• Innovations in public health

🎯 Paper III Exam Focus

• SAQs → Policy, management & economics

• Viva → Leadership, planning & real scenarios

• OSCE → HMIS, budgeting, disaster drills

🏁 FINAL EXAM STRATEGY SUMMARY

📌 Paper I → Concepts & calculations
📌 Paper II → Long cases & programs
📌 Paper III → Policy, leadership & systems

🎓 Clinical/Practical (300 marks):

• Medico-social case

• Clinico-epidemiological case

• OSCE/OSPE

• Thesis presentation

🧠 Daily Study & Revision Planner

MD Community Medicine (Year 1–3)

📘 Aligned with KU Curriculum & Exam Pattern

⏰ IDEAL DAILY TIME ALLOCATION (6–7 Hours)

🌅 MORNING SESSION (Fresh Brain)

⏱️ 6:00 – 8:30 AM

📚 CORE STUDY (HIGH-YIELD)

📌 Read one core topic only
📘 Reference priority:
1️⃣ Park’s PSM
2️⃣ KU MD Curriculum
3️⃣ Class notes

🧠 Focus on:

• Definitions

• Diagrams

• Flowcharts

• National program components

✍️ Output:

• 1–2 pages exam-ready notes

🌤️ MIDDAY SESSION

⏱️ 11:00 – 12:00 PM

📝 SMART NOTE-MAKING

✔️ Convert reading into:

• Tables

• Algorithms

• Headings for SAQs

• Viva bullet points

📌 Use one notebook per paper
🟢 Paper I | 🟡 Paper II | 🔵 Paper III

🌇 EVENING SESSION

⏱️ 5:00 – 6:30 PM

🔁 REVISION + INTEGRATION

🔄 Revise:

• Yesterday’s topic

• Link with clinical/community application

🧠 Ask:

• “How will this come in long case?”

• “Which national program fits here?”

📌 Use:

• Mind maps

• Sticky notes

• Flash cards

🌙 NIGHT SESSION

⏱️ 8:00 – 9:00 PM

📊 MCQs • SAQs • VIVA

✔️ 20 MCQs
✔️ 2 SAQs
✔️ 1 Viva question (speak aloud)

🎯 Focus:

• Epidemiological logic

• Screening criteria

• Program objectives

🧠 RAPID RECALL (Before Sleep)

⏱️ 9:30 – 10:00 PM

🔑 Recall without book:

• 5 definitions

• 3 indicators

• 1 diagram

📌 If you can recall without seeing, you’re exam-ready.

📅 WEEKLY STRUCTURE (SMART RULE)

🟢 Mon–Fri: New topics
🟡 Saturday:

• Full revision of week

• MCQ + SAQ practice

🔵 Sunday:

• Long case discussion

• Thesis / research focus

• Light reading only

🎯 YEAR-WISE DAILY EMPHASIS

🟢 Year 1

• 60% theory

• 20% numericals

• 20% revision

📌 Focus: Paper I mastery

🟡 Year 2

• 40% theory

• 40% case-based learning

• 20% revision

📌 Focus: Long cases & programs

🔵 Year 3

• 30% theory

• 30% revision

• 40% exams, policies & viva

📌 Focus: Paper III + Final exam

🚀 EXAM GOLDEN RULES

✅ Read less, revise more
✅ Write answers daily
✅ Speak viva answers aloud
✅ One topic = epidemiology + program + prevention