CCMAS Course Search

Practical teaching according to the contents of ANA 201 to 205.

Organisation of PHC services in a selected rural area. Primary health care clinics, operations and facilities available. Visits to LGA health department. Vaccine stores. Motherless and handicapped children. Leprosarium. Remand homes. School health services. Adequate supervision by the staff of the department. Monitoring and evaluation of students activities.

Clerking in orthopaedics, examination where appley’s principles of look, feel and move are emphasised. Management of multiply injured patient. Management details, both field and hospital management, ATLS protocol of resuscitation and then a good secondary survey to outline the various injuries which aid planning of definitive management. Management is multi-disciplinary. Fracture management. Missile and blast injuries. A list of injuries according to systems is given. Management highlights triaging patient in mass casualty situations and then following ATLS protocol for resuscitation. Principles of amputation. Diagnosis of the patient disease, resuscitation and preparation for surgery with emphasis on consent taking. A highlight of other pre-op, intra-op and op management is given as well as complications and how to prevent or manage them. Preventive measures on amputation. Spinal injured patient. Acute and chronic osteomyelitis, acute osteomyelitis. Chronic osteomyelitis. Bone metabolism especially the role of vitamin D, parathyroid hormones, calcitonin among others, the various diseases affecting these processes such as rickets, osteomalacia are discussed. Tuberculous arthritis and Pott’s disease. Hand infections. Hand injuries. The anatomy and functions of the hand. Prosthesis are all discussed. Compartment syndrome and VIC. Various causes like tight splint, close fractures and even open fractures. Congenital talipes equinovarus (idiopathic vs syndromic). Treatment or early referral at birth or soon afterwards to commence serial manipulation and casting which is the mainstay of treatment. Congenital hand abnormalities. Bone tumours.

Family medicine tools. Comprehensive and coordinated care. Patient centered approach. Primary care management. Community oriented care. Biopsychosocial dimensions of holistic care Communication and interview skills. Interrelation of curative and preventive care. The place of the family physician in the national health system. Family health beliefs and practices. Two-way referral system. The NHIS cost of health care to the family. Home visits.

The structure of medical services. Voluntary agencies. Private organisations and their inter- related nature. Medical administration in hospitals and other health services. Private practice management. Budgeting, accounting, and health financing. Personnel management, the “health team”. Medical records, health I family life cycle transitions. Computers in primary care. Medical problem solving algorithm. The family in different cultural contexts. Palliative care service available in Nigeria and abroad. Alternative medical practice, a critical review. Attachment to an accredited GP. Medico-legal matters and code of ethics.

History of health services administration in Nigeria. Nigeria health system and organisation of health services. Concepts, principles and functions of management. Comparative analysis of health care systems in different countries. The health team. The health planning Process. Management of human, materials and financial resources. Population policies and poverty, Evaluation of Health Services, National health policy/national health Act. National health strategy. Healthcare financing. Introduction to healthcare financing. Demand for healthcare and services. Healthcare as a commodity. The economics of healthcare. Options of healthcare financing. Health insurance. The NHIS. Community based insurance.

Public health nutrition definition. Relationship between diet and nutrition. Nutritional values of common Nigeria foodstuff. Food supply and distribution. Food chain and food security. Nutritional education. Problems associated with unbalanced diet. Nutrition and health. Infection and nutrition. Epidemiology and control of common nutritional disorders in Nigeria 94 (common eating habits, family feeding pattern and others). Food policy, hygiene and toxicology. Assessment of nutritional status (of a child and others). Exclusive breastfeeding, complimentary feeding in children. Rehabilitation, introduction to rehabilitative medicine. The underprivileged members of the society, classifications and causes of handicaps, critical appraisal for the case of the handicapped, provision of the underprivileged members of the community. Disaster relief. Comparison of social welfare services in Nigeria and other countries.

Respiratory tract infections. Bacterial-pneumonias. Tuberculosis (pulmonary and extrapulmonary). Viral respiratory tract infections. Chronic obstructive lung diseases. Bronchial Asthma. Respiratory failure. Carcinoma of the lungs. Cryptogenic fibrosing alveolitis. The pneumoconiosis.

Practical basis of some basic radiographic procedures, barium meal and follow through. Barium enema, IVU, HSG, MCUG, RUG. The common features of peptic ulcers affecting the duodenum, gastric ulcers and tumours. Chest radiographs with a view for identifying common lesions, consolidations, pleural fluid collections, pneumothorax, mediastinal shift. Ultrasound features of diseases of some of the organs in the body such as liver, pancreas, gall balder, appendix, colonic tumours. The indications and some basic technique of some of the systems of the body, the technique of HSG, IVU, RUG, MCUG, barium meal and follow through, barium enema, barium swallow, the indications and interpretations of some common neurological disorders, head injury. Different types of skull fractures and intra cranial hematoma. Mass effect on CT scan images. Cystic lesions from solid lesions on ultrasound scan. Some instruments used in interventional radiology, the cannula, guide wires, stents, coils. The basic technique for ultrasound guided biopsies and drainage procedures.

Human eye as an optical system. Emmetropia. Principles of common refractive errors and corrections, myopia, hypermetropia, astigmatism, presbyopia. Physiology of accommodation. Low vision rehabilitation.