Subject name – Surgery

Subject code- HomUG -Sur -I

Index

S.No Description Page Number

1. Preamble 2

2. Course Outcomes (CO) 2-3

3. Learning Objectives (LO) 3

4. Course Content and Term –wise Distribution 4

5. Teaching Hours 5-7

6. Content Mapping 7-48

7. Teaching Learning Methods 49

8. Details of Assessment 49-52

9. List of Recommended Books 51

10. List of Contributors 51

1
1. Preamble
Surgery involves addressing acute or chronic injuries, deformities, or diseases through physical intervention such as removal, repair, or
reconstruction of a specific part or organ. Specialized fields like ENT, Ophthalmology, Dentistry, and Orthopedics, as well as super
specialties like cardiac, neuro, and oncosurgery, have gained prominence.

Homoeopathy has proven to play a significant role in preventing several surgical interventions, provided that the physician can diagnose
the condition early and administer the appropriate treatment while also considering supplementary measures. Therefore, a homoeopathic
physician should possess a solid understanding of surgery. A student of homoeopathy should be able to diagnose clinical conditions to
effectively address the scope and limitations of homoeopathy in surgical cases. It is essential for students to learn the Hahnemannian
concept of surgical diseases, chronic diseases, and susceptibility for the effective management of surgical conditions.

The management of surgical cases according to both modern medicine and Organon is a crucial part of the education and training of
homoeopathic students. A comprehensive understanding and application of Homoeopathic principles, along with the correct knowledge
of Homoeopathic medicines, can extend the use of Homoeopathy to a range of acute and chronic surgical conditions that were previously
considered beyond its scope. Understanding surgical conditions enables students to provide continuity of care, particularly when patients
transition between surgical interventions and homeopathic management. Equipping homeopathic students with knowledge of surgical
conditions allows them to make informed decisions and recommend suitable treatment options, whether surgical or non-surgical. By
studying surgical conditions, homeopathic students can offer comprehensive and integrated healthcare to their patients, leading to
improved health outcomes and patient satisfaction.

2. Course outcomes

At the end of BHMS course, the student shall be able to-

i) Diagnose common surgical conditions.
ii) Understand the role of Homoeopathic treatment in pseudo-surgical and true surgical diseases.
iii) Record the surgical case history that is complete and relevant to disease identification, help to find the correct Homoeopathic
medicine that can be used for treating the condition.

2
 iv) Understand the fundamentals of examination of a patient with surgical problems.
v) Demonstrate the ability to perform the bedside clinical procedures and the physical examination that is relevant for diagnosis
and management of the disease.
vi) Demonstrate ability to advise appropriate diagnostic tests (including radio-diagnosis) and interpretation of the test in the
individual surgical case.

vii) Perform basic management procedures of general surgery like wound dressing, ABC management, suturing, transport of the
injured and fluid therapy etc.

viii) Discuss causation, manifestations, management and prognosis of surgical conditions.

ix) Understand the miasmatic background of surgical disorders, wherever applicable.
x) Apply Materia medica (therapeutics) and posology in common surgical conditions.
xi) Understand the use of repertory in Homoeopathic prescriptions for surgical conditions.

3. Learning objectives (to be edited according to the II BHMS content)

At the end of II BHMS course, the learner shall be able to-

i. Understand surgical case taking.

ii. Understand common surgical symptomatology and its differential approach.
iii. Demonstrate the basic management procedures of general surgery. Eg. dressing, ABC management and fluid therapy
iv. Describe the concepts required to diagnose surgical clinical conditions taught in II BHMS.
v. Understand the role of examination and investigation in diagnosing surgical disorders.
vi. Identify referral criteria for medical emergencies and surgical conditions.
vii. Classify symptoms and integration with repertory.
viii. Understand applied Materia Medica and posology in common surgical conditions ( taught in II BHMS) which can
be managed with Homoeopathy.

3
 4. Course content and its term-wise distribution

Sl. No. Topic

Term I
1. Introduction to surgery, Scope and limitations of Homoeopathy in surgical conditions, Surgical diseases explained in relation to
organon of medicine
2. Trauma/Injury; different types of injuries- head injury; road traffic accident; injury to chest and abdomen
3. Wound and wound healing; scars and keloids
4. Haemorrhage and blood transfusion
5. Shock; various types of shock
6. Fluid, electrolyte and acid- base balance
7. Burns and Skin grafting
8. Nutrition
9. Common surgical infections
Term II
10. Special infections
11. Tumours and Cysts (Swellings)
12. Hernia
13. Ulcers
14. Sinus and fistula

4
 5. Teaching hours
5.1. Gross division of teaching hours

Surgery

Year Teaching hours- Lectures Teaching hours- Non-lectures

II BHMS 92 24

5.2. Teaching hours theory

Sl. No. Topic Teaching hours

1. Introduction to surgery, Scope and limitations of Homoeopathy in surgical conditions 3
2. Injury – types 10
Head injury;
Road traffic accident; injury to chest, abdomen
3. Wound & wound healing; 5
Scar, keloid
4. Haemorrhage 4
Blood transfusion
5. Shock 6
6. Fluid, electrolytes and acid-base balance 6
7. Burn, skin grafting 7
8. Nutrition – consequents of malnutrition in surgical patients, nutritional requirement in 3
surgical patients and methods of providing nutritional support
9. Common surgical infections- 8
Boil, Carbuncle, Abscess, Cellulitis, and erysipelas, Hidradenitis suppurativa, septicaemia,
pyaemia
10. Special infections- 8

5
 Tuberculosis, syphilis, acquired immunodeficiency syndrome, actinomycosis, leprosy,
tetanus, infective gangrene
11. Concept of swellings- 12
Tumours: Benign-Lipoma, fibroma, adenoma, neuroma, Neurilemmoma, Neurofibroma,
Haemangioma
Malignant-Carcinoma, sarcoma, fibrosarcoma; naevus, melanoma
Cysts – Classification
12. Hernia - Aetiology, General Classification, Abdominal hernias- Basic anatomy, Types, 10
clinical features, management
13. Ulcers 8
14. Sinus and fistula 2
Total
92

5.3. Teaching hours Non-lecture

Sl No Clinical Hours
1 Case taking of surgical case 2

2 Examination of Trauma case, Transport of the injured 2

3 Examination of head injury case 2

4 Examination of wound, suture technique 1
5 Examination of haemorrhagic case 1
6 Examination of shock 1
7 Fluid, electrolytes and acid base balance - Clinical Examination and evaluation 1
8 Burns - Clinical Examination 1
9 Common surgical infections - Clinical Examination 2
10 Special infections - Clinical examination 2
11 Examination of swelling- cysts and tumours 2
12 Examination of hernia 2

6
 13 Examination of ulcer 2
14 Examination of sinus, fistula 1
15 ABC management, wound dressing, fluid therapy 2
Total 24

6. Content mapping (competencies tables)

6.1. Introduction to Surgery, scope and limitations of Homoeopathy in surgical conditions and surgical case taking -
Sl. Domain Miller Content SLO Bloom/ Priority TL MM Assessment Integration
No. of Guilbert F S
Competen
cy
Hom HO KH Introduction to Describe C/2 Must know Lecture Viva MCQ Organon
UG- surgery surgical Small SAQ
Sur-I disease group
1.1 according to discussion
Hahnemann.

Explain the
importance of
knowledge of
surgical
diseases for
Homoeopathic
practice
Hom HO KH Scope and Explain scope C/2 Must know Lecture Viva SAQ Organon
UG- limitations of and limitations Small
Sur-I Homoeopathy of group
1.2 in surgical Homoeopathy discussion
conditions in surgical
conditions

7
Hom HO KH Homoeopathic Classification C/2 Must know Lecture Viva LAQ Organon
UG- perspective of of Disease
Sur-I surgical Hahnemmania
1.3 diseases n:
Surgical
disease
Hom HO KH Homoeopathic Explain the C/2 Must know Lecture Viva LAQ Organon
UG- perspective of nature and
Sur-I surgical significance of
1.4 diseases surgical
disease on the
basis of
organon of
medicine

Hom KS KH Case taking of Discuss the C/2 Must know Lecture, Viva -- Organon
UG- surgical cases steps of case small Repertory
Sur-I taking in group and case
1.5 surgical discussion taking
conditions
Hom PC SH Case taking of Observe P/1 Must know Observatio DOPS --
UG- surgical case surgical case n
Sur-I taking in Small
1.6 clinical set up group
discussion

8
 6.2. Trauma/ Injury and examination of trauma case-

Sl. Domain Miller Content SLO Bloom/ Priority TL MM Assessment Integratio

No. of Guilbert F S n
Competen
cy
Hom KS KH Types of injury Classify C/2 Must know Lecture Viva MCQ FMT
UG- different types Audiovisual SAQ
Sur-I of injury/ mode
2.1 trauma
according to
causation and
be effects
Hom HO KH Homoeopathic List C/1 Must know Lecture Viva SAQ Materia
UG- therapeutics of homeopathic Small group Medica
Sur-I injury remedies that discussion
2.2 are commonly
used for
specific types
of injuries

Hom KS KH Principles in Describe the C/2 Must know Lecture/ Viva SAQ --
UG- the components of small group OSCE LAQ
Sur-I management of primary survey discussion
2.3 road traffic in victims of
accident road traffic
accidents

9
 Describe the C/2 Must know Lecture/
components of small group
Secondary discussion
survey in
victims of road
traffic
accidents
Hom PBL SH Resuscitation Demonstrate P/2 Must know Skill lab DOPS DOP ---
UG- in trauma cases the steps of training Viva S
Sur-I Basic life Audio
2.4 support - visual aids
Initiation of DOPS
resuscitation
Opening of
airway
Defibrillation
High quality
CPR
Ventilation-
compression
ratio
Vascular
access
Termination of
CPR
Hom KS KH Resuscitation Discuss the C/2 Must know Skill lab Viva MCQ --
UG- of trauma case principles of training DOPS SAQ
Sur-I ATLS – Audio LAQ
2.5 advance visual aids DOP
trauma care Small group S
management discussion
DOPS

10
Hom KS KH Management Discuss the C/2 Must know Skill lab Viva MCQ --
UG- of trauma case principles of training OSCE SAQ
Sur-I pre-hospital Audio LAQ
2.6 care and visual aids
causality Small group
management of discussion
a trauma victim Small
including project
principles of
triage
Hom PBL SH Resuscitation Demonstrate P/2 Must know Skill lab Viva OSC ---
UG- in trauma cases the steps of training OSCE E
Sur-I Basic life Audiovisual Small
2.7 support aid project
DOPS

Hom PBL SH Management Demonstrate P/2 Desirable to Skill lab OSCE OSC
UG- of trauma – the transport of know training E
Sur-I Transport of the injured in Audiovisual
2.8 injured simulated aid
setting

11
 6.3. Head injury; Examination of head injury case-

Sl. No. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integratio
Competen Guilbert F S n
cy
Hom KS K Head injury State the Monro C/1 Nice to Lecture Viva SAQ --
UG- and Kellie doctrine know
Sur-I intracranial about
3.1 pressure intracranial
pressure

Enumerate the C/2 Lecture SAQ

causes of raised Must
intracranial know
pressure
Hom KS KH Head injury Describe C/2 Must Lecture Viva MCQ
UG- pathophysiol Pathophysiology know Audiovisu Clinical SAQ
Sur-I ogy, types of head injuries al aid simulation
3.2 Small
Explain different group
types of head C/2 discussion
injuries like Must Case based
concussion, know discussion
skull fracture,
intracranial
haemorrhage
and diffuse
axonal injuries
Hom KS KH Assessment Describe C/1 Must Lecture/ Viva MCQ
UG- of head injury Glasgow coma know small OSCE SAQ
Sur-I scale group Mini-CEX LAQ
3.3 discussion

12
 Discuss the Audiovisu
neurological C/2 al mode
assessment of a Must Clinical
patient with know simulation
head injuries
Hom KS KH Investigations Enumerate the C/2 Must Lecture/ Viva LAQ Radiology
UG- and appropriate know small Audiovisual
Sur-I management investigationsto group aids
3.4 of head injury done in case of discussion
head injury Audio
visual aid
HO KH Homoeopathi Discuss the C/1 Must SAQ Materia
c therapeutics Homoeopathic know Medica
for head therapeutics for
injury head injuries

13
 6.4. Injury to chest and abdomen; Examination of chest and abdominal injury -

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competenc Guilbert F S
y
Hom KS KH Clinical Describe the C/2 Must Lecture Viva SAQ
UG- features, clinical features of know Audiovisu OSCE LAQ
Sur-I investigation chest injuries al aid
4.1 s and Case
management List the appropriate C/2 Must based
of chest investigations know studies
injuries required in a case of
chest injury

Discuss the C/2 Desirable

management of to know
chest injury
Hom KS KH Chest injuries Define flail chest C/1 Must Lecture Viva MCQ
UG- - flail chest know Audiovisu SAQ
Sur-I and stove-in Explain the clinical al aid
4.2 chest features of flail C/2 Must
chest know

Discuss the
management of flail C/2 Desirable
chest to know

Explain stove-in C/2 Nice to

chest know

14
Hom KS KH Chest injuries Define tension C/1 Must Lecture Viva SAQ
UG- -tension pneumothorax know Small OSCE LAQ
Sur-I pneumothora group MCQ
4.3 x Enumerate the C/2 Must discussion
cause of tension know Audiovisu
pneumothorax al aid
Skill lab
Discuss the clinical C/2 Must simulation
features of tension know
pneumothorax

Discuss the
management of C/2 Must
tension know
pneumothorax
Hom KS KH Chest injury - Enumerate the C/2 Desirable Lecture Viva SAQ
UG- Thoracotomy indications for to know
Sur-I Emergency
4.4 thoracotomy
Hom KS KH Abdominal Explain the clinical C/2 Must Lecture Viva MCQ
UG- injury - presentations of know Audiovisu OSCE SAQ
Sur-I Clinical blunt abdominal al aid LAQ
4.5 features, trauma Small
investigation group
s and Enumerate the discussion
management relevant C/2 Must
of abdominal investigations to be know
injuries advised in a case of
blunt abdominal
trauma

15
 Discuss the surgical C/2 Desirable
management of to know
blunt abdominal
trauma
Hom KS KH Abdominal Describe the C/2 Must Lecture Viva MCQ
UG- injuries- clinical presentation know Audio OSCE SAQ
Sur-I splenic of splenic trauma visual aid LAQ
4.6 trauma Small
Discuss the group
diagnosis of splenic C/2 Must discussion
trauma know

Discuss the
management of C/2 Desirable
splenic trauma to know
Hom KS KH Abdominal Describe the C/2 Must Lecture Viva MCQ
UG- injuries- clinical presentation know Audiovisu SAQ
Sur-I Hepatic of Hepatic trauma al aid LAQ
4.7 trauma Small
Discuss the group
diagnosis of C/2 Must discussion
Hepatic trauma know

Discuss the
management of
Hepatic trauma C/2 Desirable
to know
Hom KS KH Abdominal Describe the C/2 Must Lecture Viva MCQ
UG- injuries- clinical presentation know Audiovisu SAQ
Sur-I pancreaticod of al aid LAQ
4.8 uodenal pancreaticoduodena
trauma l trauma

16
 Discuss the C/2 Desirable Small
diagnosis of to know group
pancreaticoduodena discussion
l trauma

Discuss the Nice to

management of C/2 know
pancreaticoduodena
l trauma
Hom KS KH Abdominal Explain the clinical C/2 Must Lecture Viva MCQ
UG- injuries- presentations of know Audiovisu SAQ
Sur-I Renal trauma renal trauma al aid LAQ
4.9 Small
Discuss the C/2 Desirable group
diagnosis of renal to know discussion
trauma

Discuss the
management of C/2 Nice to
renal trauma know

17
 6.5. Wounds and wound healing; Scar and keloid; Examination of wounds-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integratio

No. Competency Guilbert F S n
Hom KS K Types of Discuss C/1 Must Lecture Viva MCQ FMT
UG- wounds various types know Small group SAQ
Sur-I of closed discussion
5.1 wounds

Discuss
various types Must
of open know
wounds
Hom KS KH Wound Discuss the C/1 Must Lecture Viva SAQ Pathology
UG- healing various stages know Audiovisual MCQ
Sur-I process of wound aid
5.2 and its healing Small project
types

Discuss the C/2 Desirable

factors to know
affecting the
wound healing

Discuss the C/2 Must

types of wound know
healing
Hom PBL SH Examinati Demonstrate P/2 Must Audiovisual Viva
UG- on of the evaluation know aid Clinical
Sur-I wound and assessment Case based performanc
5.3 of wound discussion e
DOPS OSCE

18
Hom KS KH Wound Describe the C/2 Must Lecture Viva SAQ --
UG- manageme principles know Audio-video
Sur-I nt acute wound mode
5.4 management Skill lab
simulation
Clinical Clinical
PBL SH Demonstrate P/2 Demonstration performanc
cleaning and Wound e
dressing of dressing OSCE
wound Audiovisual
aid
Small group
discussion
DOPS
Small project
Hom KS K Surgical Classify C/1 Must Lecture MCQ Pathology
UG- site surgical site know Audiovisual Viva SAQ
Sur-I infections infections. aid LAQ
5.5 Small group

Enumerate the Must

KH risk factors of C/2 know
surgical site
infections

Discuss the Must

KH clinical know
presentation of C/ 2
surgical site
infections

19
 HO KH Homeopat Discuss the Must
hic scope of C/1 know
manageme Homoeopathy
nt of in surgical site
surgical infections.
site
infections Discuss the Must
Homeopathic C/1 know
therapeutics
for surgical site
infections
Hom HO KH Wound Discuss the C/2 Must Lecture Viva SAQ Materia
UG- manageme homoeopathic know Medica
Sur-I nt therapeutics Repertory
5.6 for various
types of
injuries
Hom PBL K Wound Enumerate C/2 Desirable Tutorial Viva SAQ
UG- manageme different types to know Small project
Sur-I nt of
5.7 Suture
materials

Demonstrate Skill lab

SH different types P/2 Nice to simulation
of Suture / know Audiovisual
knotting aid
techniques DOAP

Discuss the Tutorial

Principles of C/2 Nice to Audiovisual
KH anastomosis know aid

20
Hom KS KH Scars and Describe C/2 Must Lecture Viva SAQ
UG- keloid hypertrophic know
Sur-I scar and keloid
5.8

HO Discuss the C/2 Must Lecture Viva SAQ Materia

management of know Medica
Scars and
Keloid along
with
Homoeopathic
Therapeutics

6.6. Haemorrhage, blood transfusion; Examination of a haemorrhagic case -

Sl. No. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration
Competency Guilbe F S
rt
Hom KS K Types of Enumerate types C/2 Must Lecture Viva MCQ
UG- haemorrha of haemorrhage know SAQ
Sur-I ge
6.1
Hom KS KH Manageme Explain the basic C/1 Nice to Lecture Viva SAQ Physiology
UG- nt of concepts of know Audiovisual LAQ
Sur-I haemorrha hemostasis and aid
6.2 ge mechanism of
Haemostasis
Hom HO KH Management Discuss C/2 Must Lecture Viva SAQ Materia
UG- of homoeopathic know Medica
haemorrhage
Sur-I with
therapeutics for Repertory
6.3 homoeopathy haemorrhage

21
Hom KS KH Blood Enumerate the C/1 Must Lecture Viva SAQ Pathology
UG- transfusion Indications for know Small group
Sur-I and blood blood discussion
6.4 products transfusion OSCE
Small project
Explain the
complications of
blood C/2 Must Viva MCQ
transfusion know SAQ

Describe various
blood products C/2 Desirable
and appropriate to know
indications for
their use
Hom KS KH Examinatio Discuss the C/1 Must Audiovisual Viva SAQ
UG- n of assessment of know aid OSCE
Sur-I haemorrha patient with Clinical
6.5 gic case haemorrhage demonstration
Small group
PBL SH Demonstrate P/2 discussion
examination of a DOPS
haemorrhagic
case
Hom PBL S Blood Observe blood P/1 Nice to Observing Logbook -- --
UG- transfusion transfusion know blood
Sur-I procedure procedure transfusion
6.6 procedure

22
 6.7. Shock; Examination of shock -

Sl. Domain of Miller Content SLO Bloom Priority TL MM Assessment Integration

No. Competency / F S
Guilb
ert
Hom KS KH Shock types, Define shock C/1 Must know Lecture Viva MCQ Pathology
UG- pathophysiol SAQ Physiology
Sur-I ogy LAQ
7.1 Enumerate the C/2 Must know Lecture
various types
of shock

Explain the C/2 Desirable Lecture

pathophysiolo to know Audiovisual
gy of shock aid
Hom KS KH Clinical Explain the C/2 Must know Lecture Viva MCQ Pathology
UG- features, clinical Audiovisual OSCE SAQ Practice of
Sur-I investigation features of aid LAQ Medicine
7.2 s and shock Small group
management discussion
of shock

Discuss the C/2 Must know

diagnosis of
various types
of shock

Explain the
complications Must know
of shock. C/2

23
 Discuss the
management Must know
of shock C/2
Hom HO KH Homeopathic Discuss the C/1 Must know Lecture Viva SAQ Materia
UG- therapeutics homoeopathic Small group Medica
Sur-I for shock therapeutics discussion
7.3 for shock

6.8. Fluid, electrolyte and acid base balance; Clinical examination and evaluation-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency Guilbert F S
Hom KH K Fluid, Describe the C/1 Desirable Tutorial Viva MCQ Pathology
UG- electrolyte fluid to know SAQ Physiology
Sur-I and acid compartments
8.1 base of the body
balance
Hom KH KH Fluid, Identify the C/2 Must Lecture Viva SAQ Biochemistry
UG- electrolyte indications of know Small OSCE
Sur-I and acid fluid group
8.2 base replacement discussion
balance Small
project
Discuss the
methods of C/2 Desirable
estimation and to know
replacement
the Fluid and
electrolyte in
the surgical
patient

24
Hom KH KH Acid base Enumerate the C/2 Must Lecture Viva MCQ Biochemistry
UG- balance causes of know Small SAQ Pathology
Sur-I metabolic group
8.3 acidosis discussion

Describe the C/2 Must

clinical know
features and
laboratory
findings of
metabolic
acidosis
C/2 Must
Discuss the know
management of
metabolic
acidosis
Hom KH KH Acid base Enumerate the C/2 Must Lecture Viva MCQ Biochemistry
UG- balance causes of know Small SAQ Pathology
Sur-I metabolic group
8.4 alkalosis discussion
Describe the
C/2 Must
clinical features
and laboratory know
findings of
metabolic
alkalosis

Discuss the
management of Must
metabolic C/2 know
alkalosis

25
Hom KS KH Acid base Enumerate the C/2 Must Lecture Viva MCQ Biochemistry
UG- balance causes of know Small SAQ Pathology
Sur-I respiratory group
acidosis discussion
8.5
Describe the C/2 Must
clinical know
features and
laboratory
findings of
respiratory
acidosis

Discuss the C/2 Must

management of know
respiratory
acidosis
Hom KS KH Acid base Enumerate the C/2 Must Lecture Viva MCQ Biochemistry
UG- balance causes of know Audiovisu SAQ Pathology
Sur-I respiratory al aid
alkalosis
8.6
Describe the
C/2 Must
clinical features
and laboratory know
findings of
respiratory
alkalosis

Discuss the
management of
respiratory Must
alkalosis C/2 know

26
Hom KS KH Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Small Practice of
Sur-I Potassium Hyperkalemia group Medicine
8.7 discussion

Describe the
clinical C/2
features and Must
diagnosis of know
hyperkalemia

Discuss the Must

management of C/2 know
Hyperkalemia
Hom KS KH Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Small Practice of
Sur-I Potassium Hypokalemia group Medicine
8.8 discussion

Describe the
clinical C/2 Must
features and know
diagnosis of
hypokalemia
C/2 Must
Discuss the know
management of
Hypokalemia
Hom KS KH Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Practice of
Sur-I Sodium Hypernatremia Medicine

27
8.9 Describe the Small
clinical Must group
features and C/2 know discussion
diagnosis of
hypernatremia

Discuss the C/2 Must

management of know
Hypernatremia
Hom KS KH Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Small Practice of
Sur-I Sodium Hyponatremia group Medicine
8.10 discussion

Describe the
clinical C/2 Must
features and know
diagnosis of
hyponatremia

Discuss the Must

management of C/2 know
Hyponatremia
Hom KS K Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Small Practice of
Sur-I Calcium Hypercalcemia group Medicine
8.11 discussion

Describe the
clinical C/2 Desirable
features and to know

28
 diagnosis of
hypercalcemia
C/2 Nice to
Discuss the know
management of
Hypercalcemia
Hom KS K Electrolyte Enumerate C/2 Must Lecture Viva SAQ Biochemistry
UG- balance – causes of know Practice of
Sur-I Calcium Hypocalcemia Medicine

8.12
Describe the
clinical C/2 Desirable
features and to know
diagnosis of
hypocalcemia

Discuss the C/2 Nice to

management of know
Hypocalcemia

29
Hom PBL KH Fluid, Describe the P/2 Must Case Clinical ----
UG- electrolyte assessment of know demonstrat performanc
Sur-I and acid fluid, ion e
base electrolyte and Case based
8.13 balance acid base discussion
balance in a Assignment
surgical case s
----
SH Fluid P/2 Skill lab,
replacement Simulation
therapy Clinical
bedside
training
DOPS

6.9. Burns, skin grafting; Clinical examination-

SL Competency Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No Guilbe F S
rt
Hom KS K Burns and Describe the C/2 Must Lecture Viva MCQ Physiology
UG- skin grafting pathophysiolo know Audiovisual OSCE SAQ
Sur-I gy of burns aid LAQ
9.1 Skill lab
KH Discuss the C/2 Must simulation
assessment of know
burn wound.
Assessing
size and depth
of burns

30
 Explain the C/2 Desirable
principles of to know
fluid
resuscitation
in burns cases

Discuss the C/2 Must

management know
of burn
wound
Hom HO KH Burns and Discuss the C/2 Must Lecture Viva SAQ Materia
UG- skin grafting scope of know small group Medica
Sur-I Homoeopathy discussion Repertory
9.2 in the
management
of burns

Discuss the
homoeopathic
therapeutics
for burns
Hom PBL SH Burns and Examination P/2 Desirable Simulation Logbook -- --
UG- skin grafting of case of to know and skill lab OSCE
Sur-I burns training
9.3 DOPS
Assessment
of burn
wound

31
Hom KS K Burns and Enumerate C/2 Desirable Lecture Viva SAQ
UG- skin grafting the to know Audiovisual
Sur-I indications aid
9.4 for skin
grafting

Describe the
various types
of skin
grafting

6.10. Nutrition-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency Guilbert F S
Hom KS KH Nutrition Enumerate the causes of C/1 Must Lecture Viva SAQ Physiology
UG- malnutrition in surgical know Small group
Sur-I patients discussion
10.1
Discuss the
consequences of
malnutrition in surgical
patient. C/2 Viva SAQ
Desirable
to know

Hom KS KH Nutrition Discuss the nutritional C/2 Must Lecture Viva SAQ Physiology
UG- requirements of know Audiovisual
Sur-I surgical patients aid
10.2

32
 Explain the methods of Skill lab
providing nutritional simulation
support.
Hom PBL SH Nutrition Demonstrate various P/2 Desirable Simulation Viva
UG- types artificial to know skill lab OSCE
Sur-I nutritional support in Small project DOPS
10.3 surgical patients DOPS

6.11. Common surgical infections; Examination of common surgical infections-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency Guilbert F S
Hom KS K Boil Define boil C/1 Must know Lecture Viva MCQ Pathology
UG- SAQ
Sur-I
11.1 KH Discuss C/2
clinical
features
complication
s of boil
Hom KS KH Carbuncle Define C/1 Must know Lecture Viva MCQ Pathology
UG- carbuncle Audiovisual SAQ
Sur-I mode
11.2 Describe the C/2 Must know
pathology of
carbuncle

Discuss the
clinical C/2 Must know
features
complications
of carbuncle

33
Hom KS KH Abscess Define C/1 Must know Lecture Viva MCQ Pathology
UG- abscess Audiovisual SAQ
Sur-I aid
11.3 Enumerate
the various C/2
types of
abscesses
Explain
clinical
features of C/2
abscess

Discuss the
management C/2
of abscess
Hom KS KH Cellulitis Define C/1 Must know Lecture Viva SAQ Pathology
UG- and cellulitis Audiovisual MCQ
Sur-I erysipelas aid
11.4 Explain
clinical C/2 Must know
features of
cellulitis

Define C/1 Must know

erysipelas

Explain the
clinical
features of C/2 Must know
erysipelas

34
 Discuss the
difference C/2 Must know
between
cellulitis and
erysipelas
Hom KS KH Hidradeniti Discuss the C/2 Must know Lecture Viva SAQ Pathology
UG- s pathology of MCQ
Sur-I suppurativa Hidradenitis
11.5 suppurativa
Must know
Explain the
clinical C/2
features of
Hidradenitis
suppurativa
Hom KS K Septicaemi Define C/1 Must know Lecture Viva LAQ Pathology
UG- a and septicaemia. Small group SAQ
Sur-I pyaemia discussion MCQ
11.6 Enumerate Must know
the causes of C/2
septicemia
discuss the
clinical
features of
septicaemia
Hom KS K Systemic Define C/1 Must know Lecture Viva LAQ Pathology
UG- inflammato systemic Audiovisual SAQ
Sur-I ry response inflammator aid MCQ
11.7 syndrome y response
syndrome
(SIRS)

35
 KH Discuss the
pathophysiol C/2 Desirable to
ogy of SIRS know
Hom PBL SH Common Demonstrate P/2 Must know Small group Viva Case
UG- surgical the discussion OSCE based
Sur-I infections examination Clinical DOPS discussio
11.8 of a case of demonstrati n
common on Log
surgical DOPS book
infections
like boil,
carbuncle,
cellulitis,
erysipelas,
hydradenitis
suppurativa
etc
Hom HO K Common Discuss the C/2 Must know Lecture Viva SAQ Materia
UG- surgical therapeutics MCQ Medica
Sur-I infections with specific Repertory
11.9 indications
for common
surgical
infections
like boil,
carbuncle,
cellulitis,
erysipelas
and
hidradenitis
suppurativa

36
Hom HO KH Common Discuss the C/2 Must know Lecture Viva SAQ Materia
UG- surgical role of Small group Medica
Sur-I infections Homoeopath discussion Repertory
11.10 Septicaemi y in
a and septicaemia
pyaemia and pyaemia

Discuss the
homoeopathi
c
therapeutics
forsepticaem
ia and
pyaemia

6.12. Special infections; Clinical examination-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency Gilbert F S
Hom KS KH Tuberculosis Describe the C/1 Desirable Lecture Viva LAQ Pathology
UG- pathology of to know Audiovisual aid SAQ Practice of
Sur-I tuberculosis Small group MCQ Medicine
12.1 discussion
Explain the C/2 Must
clinicalfeature know
s of
tuberculosis

C/2 Must
know

37
 Discuss the
diagnosis of
tuberculosis
Hom KS KH Syphilis Describe the C/1 Desirable Lecture Viva LAQ Pathology
UG- pathology of to know Audiovisual aid SAQ Practice of
syphilis
Sur-I MCQ Medicine
12.2 Explain the types
and clinical C/2 Must
features of know
Syphilis
Hom KS KH AIDS Discuss the C/1 Desirable Lecture Viva LAQ Pathology
UG- pathogenesis to know SAQ Practice of
Sur-I of AIDS MCQ Medicine
12.3
Explain the Must
clinical C/2 know
features of
AIDS
Hom KS KH Actinomycosi Discuss the C/2 Desirable Lecture Viva LAQ Pathology
UG- s pathogenesis to know SAQ Practice of
Sur-I of MCQ Medicine
12.4 Actinomycosis

Describe the
clinical Must
features of C/2 know
Actinomycosis
Hom KS KH Leprosy Discuss the C/1 Desirable Lecture Viva LAQ Pathology
UG- pathogenesis to know SAQ Practice of
Sur-I of leprosy MCQ Medicine
12.5

38
 Explain the C/2 Must
types and know
clinical
features of
leprosy
Hom KS KH Tetanus Discuss the C/1 Desirable Lecture Viva LAQ Pathology
UG- pathogenesis to know SAQ Practice of
Sur-I of Tetanus MCQ Medicine
12.6
Explain the C/2 Must
clinical know
features of
Tetanus
Hom KS KH Infective Define C/1 Must Lecture Viva LAQ Pathology
UG- gangrene gangrene. know Audiovisual aid SAQ Practice of
Sur-I Small group MCQ Medicine
12.7 Enumerate C/2 Must discussion
the causes of know Case based
gangrene discussion

Discuss the C/2 Must

clinical types know
of gangrene.

Describe the Must

clinical C/2 know
features

Discuss the Must

management C/2 know
of gangrene

39
Hom HO K Special Discuss the C/2 Must Lecture/ small Viva SAQ Materia
UG- infections homoeopathic know group MCQ Medica
Sur-I therapeutics for discussion Repertory
12.8 special
infections like
Tuberculosis,
Syphilis,
AIDS,
Actinomycosis,
Leprosy and
tetanus
Hom HO KH Special Discuss the C/1 Must Lecture/ small Viva SAQ Materia
UG- infections – Homoeopathi know group MCQ Medica
Sur-I gangrene c therapeutics discussion Repertory
12.9 for Gangrene
Hom PBL SH Special Demonstrate P/2 Must Clinical Case OSCE
UG- infections – the know demonstration based
Sur-I gangrene Examination Audiovisual aid discussio
12.1 of case of Skill lab n
0 gangrene training OCSE

6.13. Concept of swelling- Tumours and Cysts; Clinical examination of swelling-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency
Guilbert F S
Hom KS K Swelling Define Tumour C/1 Must Know Lecture Viva MCQ Pathology
UG- concept
Sur-I
13.1

40
Hom KS KH Tumours Discuss the C/2 Must Know Lecture Viva SAQ Pathology
UG- differences between
benign and malignant Audiovi LAQ
Sur-I
tumours sual aid
13.2
Differentiate
different tumours like
sarcoma,
Fibrosarcoma,
Naevus, Melanoma
etc

Hom HO K Tumours Discuss C/2 Must Know Lecture Viva MCQ Pathology
UG- Homoeopathic SAQ
Organon:
Sur-I Therapeutics of
Miasm
13.3 Tumour
Materia
Medica
Hom KS K Cyst Define Cyst C/1 Must Know Lecture Viva MCQ Pathology
UG-
Sur-I
13.4
Hom KS KH Cyst Explain Types of C/2 Must Know Lecture Viva SAQ Pathology
UG- Cyst LAQ
Audiovi
Sur-I
sual aid
13.5

41
Hom HO K Cyst Discuss the C/2 Must Know Lecture Viva MCQ Pathology
UG- homoeopathic SAQ Organon:
Sur-I therapeutics for Miasm
13.6 Cyst Materia
Medica
Hom KS KH Lipoma, Explain Lipoma, C/2 Must Know Lecture Viva SAQ Pathology
UG- Fibroma, Fibroma, LAQ
Adenoma, Audiovi
Sur-I Adenoma, MCQ
Neuroma, sual aid
13.7 Neuroma,
Neurofibro
Neurofibroma,
ma,
Haemangioma
Haemangio
ma

Hom HO KH of Discuss the C/2 Must Know Lecture Viva MCQ Pathology
UG- Lipoma, Homoeopathic
Small SAQ Organon:
Sur-I Fibroma, therapeutics of
group Miasm
13.8 Adenoma, Lipoma, Fibroma, LAQ
discussi
Neuroma, Adenoma, Materia
on
Neurofibr Neuroma, Medica
oma, Neurofibroma,
Haemangi Haemangioma
oma
Hom PBL SH Tumour & Demonstrate P/2 Must Know Clinical OSCE Mini-
demonstra
UG- Swelling examination of cex
tion
Sur-I Tumour and
DOPS OSCE
13.9 swelling of
different types Small
group
discussion

42
 6.14. Hernia - Abdominal hernias, Basic Anatomy, Types causes, Clinical features Complications, Management; Examination of hernia
case-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integrati

No. Competenc Guilbert on
y
F S

Hom KS K Hernia Define Hernia C/1 Must Lecture Viva MCQ Anatomy
UG- Know ,
Enumerate the C/2 Audiovisual aids SAQ
Sur-I Patholog
causes of hernia
14.1 KH Small group discussion LAQ y
Discuss the Must know
C/2
clinical
classification of
hernias Must know
Discuss the
principles of C/2
management of Desirable
hernias to know
C/2
Discuss the
operative
approaches to
hernias Nice to
know
Hom KS KH Inguinal Describe the C/1 Must know Lecture Viva MCQ Anatomy
UG- hernia basic anatomy of
Audiovisual aid SAQ
Sur-I inguinal canal
14.2 Small group discussion LAQ

43
 Discuss the Must know
types, clinical
C/2
presentation and
diagnosis of
inguinal hernia

Discuss the
surgical C/2 Nice to
management of know
inguinal hernia
Hom KS KH Femoral Describe the C/1 Must know Lecture Viva MCQ Anatomy
UG- hernia basic anatomy of
Audiovisual aids SAQ
Sur-I femoral canal
14.3 Must know Small group discussion LAQ
Discuss the
clinical features C/2
and diagnosis of
femoral hernia
Discuss the
surgical C/2 Nice to
management of know
Femoral hernia
Hom KS KH Umbilica Describe the C/2 Must know Lecture Viva MCQ
UG- l hernia various types of
umbilical hernia Audiovisual aids SAQ
Sur-I
14.4 Discuss the LAQ
clinicalfeatures
and diagnosis C/2 Must know
Umbilical hernia

44
Hom KS KH Epigastri Explain the C/2 Must know Lecture Viva MCQ
UG- c hernia pathology of
Audiovisual aids SAQ
Sur-I epigastric hernia
14.5 LAQ
Describe the
clinical features C/2 Must know
of epigastric
hernia
Hom KS KH Incisiona Describe C/2 Must know Lecture Viva MCQ
UG- l hernia etiology of
Audiovisual aids SAQ
Sur-I incisional hernia
14.6 Must know LAQ
Discuss the
clinical features C/2
of incisional
hernia Nice to
know
Discuss the
management of C/2
incisional hernia
Hom KS KH Spigelian Explain spigelian C/2 Desirable Lecture Viva MCQ
UG- hernia hernia to know Audiovisual aids
SAQ
Sur-I
14.7

Hom KS KH Lumbar Explain lumbar C/2 Desirable Lecture Viva MCQ

UG- hernia hernia to know
Audiovisual aids SAQ
Sur-I
14.8

45
Hom KS KH Traumati Explain C/2 Desirable Lecture Viva MCQ
UG- c hernia traumatic hernia to know
Audiovisual aids SAQ
Sur-I
14.9

Hom KS KH Obturator Explain obturator C/2 Desirable Lecture Viva MCQ

UG- hernia hernia to know
Audiovisual aids SAQ
Sur-I
14.10

Hom HO KH Hernia Discuss the C/2 Must Lecture Viva MCQ/ Patholog
UG- Homoeopathic Know SAQ/ y
Small group discussion
Sur-I Therapeutics for LAQ
Organon:
14.11 Hernia
Miasm
Materia
Medica
Hom PBL SH Hernia Demonstrate P/2 Must Clinical demonstration OSCE Mini-
UG- examination of Know cex
DOPS Mini-
Sur-I hernia
cex
14.12 Small group discussion

46
 6.15. Ulcers; Clinical examination of ulcer-

Sl. No. Domain Miller Content SLO Bloo Priorit TL MM Assessment Integration
of m/Gu y
Compete ilbert
ncy F S

Hom KS K Ulcer Define Ulcer C/1 Must Lecture Viva MCQ Pathology
UG- Know
Organon:
Sur-I
Miasm
15.1
Materia
Medica
Hom KS KH Ulcer Describe C/2 Must lecture Viva MCQ Pathology
UG- different Know
SAQ
Sur-I classification
15.2 of Ulcer LAQ
Hom HO KH Ulcer Explain C/1 Must Lecture/ Small Viva MCQ/SAQ/LA Pathology
UG- therapeutics Know group discussion Q
Organon:
Sur-I of ulcer
Miasm
15.3
Materia
Medica
Hom PBL SH Ulcer Demonstrate P/2 Must Clinical OSC OSCE
UG- examination Know demonstration E
DOPS Mini-cex
Sur-I of ulcer
OSCE Mini-
15.4
Small group cex
discussion

47
 6.16. Sinus and Fistula; Clinical examination of Sinus and Fistula-

Sl. Domain of Miller Content SLO Bloom/ Priority TL MM Assessment Integration

No. Competency Guilbert
F S
Hom KS K Sinus and Define sinus C/1 Must Know Lecture Viva MCQ Pathology
UG- Fistula and fistula
Sur-I
16.1
Hom KS KH Sinus and Explain C/2 Must Know Lecture Viva MCQ Pathology
UG- Fistula sinus and
SAQ Organon:
Sur-I fistula
Miasm
16.2 LAQ
Materia
Medica
Hom PBL SH Sinus and Demonstrate P/2 Must Know Clinical OSCE OSCE
UG- Fistula examination demonstration
Sur-I of sinus and
DOPS
16.3 fistula
Small group
discussion
Hom HO K Sinus and Explain C/1 Must Know Lecture Viva MCQ Organon:
UG- Fistula therapeutics Miasm
Small group SAQ
Sur-I of sinus and
discussion Materia
16.4 fistula LAQ
Medica

48
 7. Teaching learning methods

Lectures (Theory) Non-lectures (Practical/Demonstrative)

Lectures Clinical demonstration

Small group discussion Problem based discussion

Integrated lectures Case based learning

Assignments

Library reference

Self-learning

8. Details of assessment
Note- The assessment in II BHMS shall be done only as Internal Assessment (IA) in terms of Periodical Assessments ( PA) and
Term Tests (TT) as detailed below. There shall not be any Final University Examination (FUE) at this level. The marks obtained in
IA during II BHMS will be added to the marks of IA in the III BHMS University Examination.

Overall Scheme of Internal Assessment (IA)*

Professional Course/ Term I (1-6 Months) Term II (7-12 Months)

Subject

II BHMS/ PA I (end of 3 TT I (end of 6 months) PA II (end of 9 TT II (end of 12 months)

months) months)

49
Surgery 20 Marks Viva- 100 Marks Clinical/Practical and Viva 20 Marks Viva- B 100 Marks Clinical/Practical and Viva - F
A -E
i) Viva voce -50 marks
i) Viva voce -50 marks ii) Clinical/practical- 50
ii) Clinical/practical- 50 Surgical case taking and
Surgical Case taking - 25marks
(Mandatory); Examination of surgical case –
15+15=30 marks;
Examination of
wound/Cleaning and dressing
Surgical case file (5 cases)-20
of wound/Demonstration of
marks
Steps of Basic life
support/Transport of the
injured /Demonstration of
suturing technique.
(Demonstration of any one of
the procedures mentioned) –
25 marks

*Method of Calculation of Internal Assessment Marks in II BHMS for Final University Examination to be held in III BHMS:

Periodical Assessment Final Internal

Marks of PA I Terminal Test Average
Marks of PA II Average Assessment
Marks of TT I Marks of TT II TT I + TT II / 200 x 20
PA I+ PA II /2 Marks

A B D E F G D+G/2

50
9. List of recommended text/reference books
 Williams, N., O’Connell, P. R., & McCaskie, A. (2018).
 Bailey and Love’s Short Practice of Surgery, 27th Edition: the Collector’s Edition. Chapman and Hall/CRC.
 Sriram Bhat. (2019). SRB’s manual of surgery. Jaypee Brothers.
 A concise text book of surgery, 11th edition – S Das
 Das, S. (2024). A Manual on Clinical Surgery. Jaypee Brothers Medical Publishers Pvt Limited.
 Sriram, B. M. (2019). SRB’s clinical methods in surgery. Jaypee Brothers Medical Publishers.
 Kulkarni, S. (2002). Surgery Therapeutics. B. Jain Publishers.
 Lilienthal, S. Homoeopathic Therapeutics.
 Willis Alonzo Dewey. (2018). Practical Homeopathic Therapeutics. B. Jain Publishers.

10. List of Contributors:

I. Dr. Thankaraj B
Professor & HOD Department of Surgery
Nehru Homoeopathic Medical College & Hospital
New Delhi

II. Dr. Jigar Shah

Professor in Department of Surgery
Smt. Malini Kishore Sanghvi Homoeopathic Medical College & Hospital
Karjan, Dist: Vadodara, Gujarat

51