BOTT: Year 2
Advanced Anaesthesia Technology
Time Theory -100 Hours
Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
I | Anaesthesia | Explain History of anaesthesia, Evolution of modern anaesthesia. -Dye allergies, -Monitoring, Equipment options in the MRI -General anaesthesia/sedation techniques -Local anaesthesia techniques. -Peripheral pulse – locations -Methods of BP measurement |
Cover to History of anesthesia, Introduction of modern anaesthesia, Evolution of modern anaesthesia. -Dye allergies -Monitoring, Equipment options in the MRI (magnetic resonance imaging) suite. -General anaesthesia/sedation techniques and local anaesthesia techniques. -Types of anaesthesia -Premedication -Phases of Anaesthesia : Induction, intubation, maintenance, recovery -Preop check list |
Didactic Lecture through power point projection
Group discussion on Monitoring Equipments |
6 hr
4 hr
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II | Anesthesia Gadgets
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Explain Different type of laryngoscope and blades Description of plain and cuffed endotracheal tubes, -Indication, Method of insertion, -Sterilization -complications -Other type of Endotracheal tubes, Latex armored tubes, Ring, Adair and Elwyn tube (RAE), Micro laryngeal tubes, – LMA, Ambu bag, Tracheotomy tubes. -Protocol for tracheotomy decannulation |
Cover to Different type of laryngoscope and blades, Description of plain and cuffed endotracheal tubes, -Other type of Endotracheal tubes, Latex, armored tubes, Ring, Adair and elwyn tube (RAE), Micro laryngeal tubes, -Introduction to double lumen tubes -LMA, other SADs – Ambu bag, -Bougie (GEB), Airway exchange catheter (CAEC) -Sizes of Guedels airways and method of insertion -Tracheotomy tubes. Protocol for tracheotomy decannulation |
Didactic Lecture through power point projection
Group discussion on Different type of laryngoscope and blades, |
5 hr
5 hr
|
III | Anesthesia Monitoring | Enumerate Monitoring during anesthesia. -Multi parameter monitor – Arterial blood pressure – NIBP, IBP, Manual BP monitoring, – Electrocardiogram -SpO2, EtCO2 – Neuromuscular monitoring |
Cover to Monitoring during anesthesia. -Importance of clinuical monitoring -Intraop Patient monitoring -Monitoring in PACU – Five vital signs -Multiparameter monitor -Capnography -Plethysmography -Special monitoring techniques -Monitoring during sedation and MAC |
Didactic Lecture through power point projection
Group discussion on Monitoring during anesthesia, Arterial blood pressure monitoring, Electrocardiogram, Neuromuscular monitoring etc.
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5 hr
4 hr |
IV | Suction Apparatus | Explain Foot operated, electrically operated suction apparatus, its General Principal, uses and care -Central pipeline suction, colour coding |
Cover to Foot operated, electrically operated suction apparatus, its General Principal, uses and care -Benefits of central suctioning unit -Suction catheters – sizes colour coding -Endotracheal suction – procedure and precautions, pressure required for ETT suction |
Didactic Lecture through power point projection
Group discussion on Foot operated, electrically operated suction apparatus, its General Principal, uses and care. Demonstration of various type Suction Apparatus their uses and care. |
3 hr
3 hr
2 hr |
V | Medical Ethics
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Explain Medical ethics. -Relevant medico legal aspects. -Responsibilities and duties. -Ethical behavior and conduct. -Medico legal aspects and relation to consumer protection act. |
Cover to Medical ethics. -Relevant medico legal aspects. -Responsibilities and duties. -Ethical behavior and conduct. -Medico legal aspects and relation to consumer protection act. -Consent , Informed consent – Documentation |
Didactic Lecture through power point projection
Group discussion on Medical ethics.
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4 hr
3 hr
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VI | Anaesthetic Drugs | Explain Different route of drug administration. -Drugs used during General anaesthesia and Regional anaesthesia, -Intravenous anaesthetic agents uses and complications. -Pre- medication indication, Type of drugs used for premedication, Doses and side effects. – Narcotic agents -Anticholinesterase drugs – Vasopressors -, Antiarrhythmic, -Hypotensive, -Anticoagulant drugs. |
Cover to Different route of drug administration. -Introduction to General anaesthesia and Regional anesthesia, -Labeling of drugs -Intravenous anesthetics -Inhalational anaesthetics -Drugs used in premedication – Narcotic agents, -Reversal agents -Vasopressor , Antiarrhythmic, Hypotensive, and Anticoagulant drugs -Hypoglycaemic drugs |
Didactic Lecture through power point projection
Group discussion on Different route of drug administration. |
10 hr
6 hr |
VII | Blood Transfusion
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Explain Various types of blood and blood products -Pre transfusion Checks -Transfusion reactions |
Cover to Various types of blood and blood products (Packed red blood cells, Platelet Rich Plasma, Fresh Frozen Plasma) -Pre transfusion Checks and Transfusion reactions -Blood grouping , cross matching -Blood administration set |
Didactic Lecture through power point projection
Group discussion on Various types of blood and blood products |
4 hr
3 hr |
VIII | Mental Sickness and Cardiology | Explain Electroconvulsive shock therapy, drug effects on seizure duration -Hemodynamic responses and appropriate treatment -Various ECG leads, their placement and normal ECG. -Circulatory shock and its management. |
Cover to Electroconvulsive shock therapy (ECT), Pre operative technique and drug effects on seizure duration -Hemodynamic responses and appropriate treatment -Anaesthesia for cardiac catheterization -Various ECG leads, their placement -Circulatory shock and its management. -Introduction to CABG -Angiography |
Didactic Lecture through power point projection
Group discussion on Various Electroconvulsive shock therapy, drug effects on seizure duration |
5 hr
4 hr |
IX | Artificial Ventilation and Related Equipment | Discuss Operation room Ventilators and ICU ventilators -Complication in patients on Ventilators -General care of patient on Ventilator -Disinfection and sterilization of ventilators |
Cover to Operation room Ventilators and other type ventilators (HFJV,NIV, PSV, CMV, etc) -Complication in patients on Ventilators -General care of patient on Ventilator -Airway exchange catheter (CAEC) -AMBU / manual resuscitator -Suction procedure for endotracheal suction |
Didactic Lecture through power point projection
Group discussion on Complication in patients on Ventilators and General care of patient on Ventilator Demonstration of working and maintenance of different ventilators |
3 hr
2 hr
2 hr |
X | Anesthesia techniques | Explain General Anaesthesia Technique -Regional / Local Anaesthesia Technique -Topical Anaesthesia Technique -TIVA -Inhalational Anaesthesia -MAC |
– General Anaesthesia Techniques -Local Anaesthesia Techniques -Regional Anaesthesia Techniques -Conscious sedation, Monitored Anaesthesia Care (MAC) -Monitoring during sedation and MAC -Intubation equipments and preparation |
Didactic Lecture through power point projection
Group discussion on General, Regional / Local,Topical Anaesthesia Techniques Demonstration of different anaesthesia techniques |
5 hr
3 hr
9 hr |
BOTT : Year 2
INTRODUCTION TO OPERATION THEATRE TECHNOLOGY, SURGICAL EQUIPMENTS & MACHINARY
Time Theory -100 Hours
Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time | |
I | OT Techniques | Explain Cleaning, Carbolization and Maintenance of OT. -Scrubbing Techniques. -Handling sterilized articles in operation theatre. -Types of Operation Lights and other sources of lights their care and handling. -Setting and use of Image intensifier -O.T. environment and storing in OT. |
Cover to Cleaning, Carbonization and Maintenance of OT. -Theatre clothes including lead apron and Goggles. -Scrubbing Techniques. -Handling sterilized articles in operation theatre -Types of Operation Lights and other sources of lights their care and handling. -Setting and use of Image intensifier – Control of infection, -O.T. environment and storing in OT. – Universal Precautions , PPE |
Didactic Lecture through power point projection
Demonstration on Cleaning, Carbonization and Maintenance of OT, Scrubbing Techniques, Handling sterilized articles in operation theatre, Operation Lights care and handling, Setting of Image intensifier, storing in OT. |
8 hr
6 hr |
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II | Sterilization and CSSD | -Explain Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner. -Lubrication and inspection of instruments. -Care of micro surgical and titanium instruments. -Principal of sterilization and disinfection -Different methods of sterilization -Precaution to be taken during sterilization -Recent advances in the methods of sterilization -Methods of check for efficiency of sterilization. -Recent amendment in EPA(Environmental Protection Agency) with reference to waste disposable. -CSSD |
Cover to Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner. Lubrication and inspection of instruments. Care of micro surgical and titanium instruments. Principal of sterilization and disinfection Methods of sterilization A. Dry sterilization B.Wet sterilization C.Gaseous sterilization D.Chemical sterilization E.Sterilization by radiation(gamma rays, ultraviolet rays) -Techniques of sterilization of rubber articles, fiber optic bronchoscope, endoscopic instruments and orthopedic power surgical instruments. -Technique of sterilization of carbonized articles -Hazards of sterilization -Prevention of hazards of sterilization -Precaution to be taken during sterilization -Recent advances in the methods of sterilization -Methods of check for efficiency of sterilization. -Recent amendment in EPA(Environmental Protection Agency) with reference to waste disposable. |
Didactic Lecture through power point projection
Group discussion on Different Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner.
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5 hr
10 hr |
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III | Introduction of surgery | Explain basic principal of surgery.
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Cover Introduction of surgery and basic principal of surgery. -Laying of instrument trolleys |
Didactic Lecture through power point projection
Demonstration of various surgeries |
2 hr
12 hr |
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IV | Wound Management | Discuss Different types of bandages. -Surgical Needle & Needle holders. -Types of suture material. -Techniques of stitching and removal of stitches. |
Cover to Different types of bandages. -Different type of Surgical Needles & Needle holders. -Different Types of suture material. -Various Techniques of stitching and removal of stitches. |
Didactic Lecture through power point projection
Group discussion on Different types of bandages, surgical Needles & Needle holders, suture material and Various Techniques of stitching.
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9 hr
4 hr |
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V | Surgical Instruments
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Explain Instruments used for cleaning and draping for a surgical procedure. -Classification of General surgical instruments. -Urological surgery Instruments -Orthopedic surgery instruments -Obstetrics and Gynecological surgery instruments -Reconstructive surgery instruments Laparoscopic instruments used for Cholycystectomy and Laparoscopic gynecology procedures |
Cover to Instruments used for cleaning and draping for a surgical procedure. -Classification of General surgical instruments. -Urological surgery Instruments -Orthopedic surgery instruments -Obstetrics and Gynecological surgery instruments -Reconstructive surgery instruments Laparoscopic instruments used for Cholycystectomy and Laparoscopic gynecology procedures |
Didactic Lecture through power point projection
Demonstration of |
10 hr
5 hr |
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VI | Applied Surgery | Enumerate Intra-operative & postoperative problems and complications of general surgery. -Management of emergency caesarean section. -Laparoscopic gynecology procedures. -Surgical Consideration in TURP and PCNL -Surgical management in major burns. -Surgical management of Fracture, Joint replacement and arthroscopy. -Surgical management of endoscopies, laryngectomy and cochlear implant. -Management of PPV and perforating eye injury. -Care and maintenance of Para surgical equipment (Cautery, OT lights, OT Table) -Esmarch bandage, simple tourniquet, pneumatic tourniquet uses, care and maintenance -Major abdominal incision. -Positioning of patient for different operation. |
Cover to Intra-operative & postoperative problems and complications of general surgery. -Management of emergency caesarean section. -Laparoscopic gynaecology procedures. -Surgical Consideration in TURP ( transurethral resection of prostate) and PCNL (percutaneous nephrolithotomy ) -Surgical management in major burns. -Surgical management of Fracture, Joint replacement and arthroscopy. -Surgical management of endoscopies, laryngectomy and cochlear implant. -Management of PPV (photorefractive keratectomy) and perforating eye injury. -Care and maintenance of Para surgical equipment (Cautery, OT lights, OT Table) -Esmarch bandage, simple tourniquet, pneumatic tourniquet uses, care and maintenance. -Major abdominal incision. -Positioning of patient for different operation. |
Didactic Lecture through power point projection
Group discussion on Intra-operative & postoperative problems and complications of general surgery, Management of emergency caesarean section, |
14 hr
15 hr |
BOTT : Year 2
Basic Anaesthesia Technology
Time Theory -100 Hours
Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time |
I | Medical Gas | Explain compressed gas cylinders -Colour coding different gas cylinder and pipe line system -Cylinder storage space and things to remember while empty and full cylinder storing. -Diameter index safety system -Medical gas pipe line system and station outlets. -Air compressor -Oxygen concentrator working principal their uses and care. -Alarms and safety devices in pipe line gas supply. |
Cover to Medical gas supply -Introduction to compressed gas cylinders -Colour coding different gas cylinder and pipe line system -Introduction to cylinder and cylinder valve -Cylinder storage space and things to remember while empty and full cylinder storing. -Diameter index safety system -Medical gas pipe line system and station outlets. -Air compressor -Oxygen concentrator working principal their uses and care. -Alarms and safety devices in pipe line gas supply. |
Didactic Lecture through power point projection
Group discussion on compressed gas cylinders, Colour coding different gas cylinder and pipe line system, Diameter index safety system Demonstration of Medical gas pipe line system and station outlets. |
3 hr
3 hr
2 hr |
II | Gas administration devices | Enumerate Simple oxygen administration devices -Flow meters -Gas Regulators -Flow restrictors |
Cover to Simple oxygen administration devices -Methods of controlling gas flow reducing valve -Flow meters -Gas Regulators -Flow restrictors |
Didactic Lecture through power point projection
Demonstration of Medical gas pipe line system and station outlets. |
4 hr
4 hr |
III | Oxygen Therapy | Explain Definition, causes and responses to hypoxemia. -Clinical signs of hypoxemia. -Goals of oxygen therapy. -Evolution of patients receiving oxygen therapy -Hazards of oxygen therapy. |
Cover to Definition, causes and responses to hypoxemia. -Clinical signs of hypoxemia. -Goals of oxygen therapy. -Evolution of patients receiving oxygen therapy -Hazards of oxygen therapy. |
Didactic Lecture through power point projection
Group discussion on causes and responses to hypoxemia.
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4 hr
4 hr |
IV | Anaesthesia Machine | Explain Boyles Machine and its function. -Modern anesthesia machine. -Hanger and Yoke system -Cylinder pressure gauge -Pin index -Pressure regulator -Flow meter assembly -Vaporizers- TYPES, Hazards, Maintenance, Filling and drainage. |
Cover to Boyles Machine and its function. -Modern anesthesia machine. -Hanger and Yoke system -Cylinder pressure gauge -Pin index -Pressure regulator -Flow meter assembly -Vaporizers- TYPES, Hazards, Maintenance, Filling and drainage. |
Didactic Lecture through power point projection
Demonstration of Boyles Machine and its function, Modern anesthesia machine, Vaporizers Maintenance, Filling and drainage Group discussion on Boyles Machine and its function, Modern anesthesia machine.
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4 hr
3 hr
4 hr |
V | Breathing System | Explain Open, Semi closed and Closed Circuits, Classification of breathing system -Mapleson breathing system ventilation -Jackson and Rees system -Bain circuit -Non rebreathing valves- Ambu valves |
Cover to General consideration and introduction to breathing system -Classification of breathing system -Mapleson breathing system ventilation -Jackson and Rees system -Bain circuit -Non rebreathing valves- Ambu valves , others |
Didactic Lecture through power point projection
Group discussion on Classification of breathing system |
5 hr
4 hr |
VI | Injection Techniques | Explain Intra muscular and insertion of Intra Venous channels. -Handling of sterilized syringes and needles.
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Cover to Intra muscular and insertion of intra venous channels. -Handling of sterilized syringes and needles. |
Didactic Lecture through power point projection
Demonstration of I.M. and I.V. insertion, handling of sterilized syringe and needles |
3 hr
4 hr |
VII | Fluids and Electrolytes | Explain Type of fluid (Crystalloids & Colloids) -Steps to prepare I.V. drip -Indication of specific fluid and their complication |
Cover to Type of fluid (Crystalloids & Colloids) -Steps to prepare I.V. drip -Indication of specific fluid and their complication |
Didactic Lecture through power point projection
Group discussion on Type of fluid and Indication of specific fluid and their complication. |
4 hr
3 hr |
VIII | Gas Analyzers | Explain Pulse oxymeter -Oxygen Analyser / sensor -CO2 Monitor / Capnography -Transcutaneous oxygen monitor |
Cover to Pulse oxymeter -Oxygen Analyser / sensor -CO2 Monitor / Capnography -Transcutaneous oxygen monitor |
Didactic Lecture through power point projection
Demonstration of oxymeter
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4 hr
4 hr |
IX | Resuscitation Techniques | Explain Basic life support (Airway, Breathing, and Circulation) and equipment utilized for it, Drugs used in CPR, Defibrillation | Cover to Basic life support (Airway, Breathing, and Circulation) and equipment utilized for it, Drugs used in CPR, Defibrillation | Didactic Lecture through power point projection
Demonstration of Basic life support equipment and their use
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4 hr
4 hr |
X | Artificial Air Ways | Explain Parts of airway (nasal/oral) and features, Types, Sizes and methods of insertion -Indication for use -Face mask- Types, sizes and its uses. |
Cover to Parts of airway (nasal/oral) and features, Types, Sizes and methods of insertion -Indication for use -Face mask- Types, sizes and its uses. |
Didactic Lecture through power point projection
Demonstration of Parts of airway and features, Types, Sizes and methods of insertion |
4 hr
4 hr |
XI | Minimum Standards of Anesthesia | Discuss how to Check the drugs and equipments before anaesthesia and how to keep the airway clear -Pre operative preparation of patient. -Management of pre operative and post operative rooms. -Transportation Techniques of patient in conscious, semi conscious and unconscious patient to and from operation theatre. |
Cover to requirement of drugs and equipments before anaesthesia and methods of keeping airway clear. -Pre operative preparation of patient. -Management of pre operative and post operative rooms. -Transportation Techniques of patient in conscious, semi conscious and unconscious patient to and from operation theatre. |
Didactic Lecture through power point projection
Group discussion on requirement of drugs and equipments before anaesthesia and methods of keeping airway clear. Management of pre operative and post operative rooms. |
6 hr
4 hr |
XII | Anesthesia Equipment Maintenance | Explain Method of cleaning and sterilization of anesthetic equipments.
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Cover to Methods of cleaning of different anesthesia equipments. – Disinfection / sterilization -Methods of sterilization of different anesthesia equipments. |
Didactic Lecture through power point projection
Demonstration of Methods of cleaning of different anesthesia equipments. Methods of sterilization of different anesthesia equipments.
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4 hr
4 hr |
BOTT : Year 2
MEDICINE RELEVANT TO OPERATION THEATRE
Time Theory -50 Hours
Unit | Topic | Learning Objectives(At the end of the session the students should be able to) | Teaching Guidelines | Methodology | Time | |
I | Diabetes Mellitus | Explain Signs and symptoms Diabetes Mellitus – Causes- Type- 1, Type -2 – Gestational diabetes, -Other types -Prevention -Management -Lifestyle, Medications, Surgery, Support -Diabetic emergencies -Complications, |
Cover Signs and symptoms Diabetes Mellitus – – Causes- Type 1, Type 2, -Gestational diabetes, Other types -Pathophysiology -Diagnosis – HbA1C, GTT -Prevention -Management 1Lifestyle 2Medications 3Surgery 4Support -Diabetic emergencies -Complications, |
Didactic Lecture through power point projection
Discussion on |
4 hr
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II | Hypertension |
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Didactic Lecture through power point projection
Discussion on |
4 hr | |
III | Ischemic heart disease |
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Didactic Lecture through power point projection
Discussion on |
4 hr | |
IV | Obesity |
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Didactic Lecture through power point projection
Discussion on |
4 hr | |
V | Elderly patient | Explain -Differences between adult and geriatric medicine -Pharmacology -Practical concerns -Aging-associated diseases |
Cover to -Differences between adult and geriatric medicine -Physiological changes -Practical concerns -Common geriatric diseases -Geriatric nursing
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Didactic Lecture through power point projection
Discussion on |
4 hr |
VI | Pregnancy shock | Explain Shock -Types and Causes of pregnancy shock -Clinical Picture of various Shocks -Managements of various types of shocks
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Cover Types and Causes of pregnancy shock – Haemorrhagic shock Neurogenic shock Cardiogenic shock Endotoxic shock: Anaphylactic shock Management of shock |
Didactic Lecture through power point projection
Discussion on |
4 hr |
VII | COPD |
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Didactic Lecture through power point projection
Discussion on |
4 hr |
VIII | Anemia |
-Treatments
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Didactic Lecture through power point projection
Discussion on |
4 hr |
IX | Chronic renal failure |
-Causes
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Didactic Lecture through power point projection
Discussion on
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4 hr |
X | Chronic liver disease/failure |
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Didactic Lecture through power point projection
Discussion on |
3 hr |
XI | Paediatric patient infant/neonate |
-Potential diseases of neonatal period |
-Potential diseases of neonatal period |
Didactic Lecture through power point projection
Discussion on
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4 hr |
XII | Epilepsy |
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Didactic Lecture through power point projection
Discussion on |
4 hr |
XIII | CVA |
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Didactic Lecture through power point projection
Discussion on |
3 hr |