Overview
- Change in title of Section-9 Vol-II
- Deletion of PS9.2
- Changes in PY9.1, PE6.4
- Disability Competency under review
- Heterosexual term is not used in CBME guidelines
Key Updates and Changes
- Psychiatry
Section 9 of Volume II, originally titled “Psychosexual disorders,” has been updated to “Psychosexual disorders and Sexual orientation, gender identity and expression.”
Competency PS 9.2 :- Enumerate, elicit, describe and document clinical features in patients with stress related disorders has been deleted. - Physiology
Competency PY 9.1 in Volume I now reads: “Explain sex determination, sex differentiation, and their physiological alterations, and discuss the effects of removal of gonads on physiological
functions.” Earlier it was – Describe and discuss sex determination; sex differentiation and their abnormities and outline psychiatry and practical implication of sex determination. - Pediatrics
Competency PE 6.4 in Volume II has been revised to: “Describe adolescent sexuality, diversity in sexual orientation, and gender identity.” Earlier it was – Describe adolescent sexuality and
common problems related to it. - Clinical History-Taking
Emphasis on non-judgmental approaches to elicit information on gender, sexual orientation, and behaviour remains a crucial part of the guidelines. This competency has been part of the CBME guidelines since 2019. It is defined under heading 3.1.6 which is- Demonstrate ability to elicit
and record from the patient, and other relevant sources, including relatives and caregivers, a history that is contextual to gender, age, vulnerability, social and economic status, patient preferences, beliefs and values. - Disability Competencies–
These are currently under review by an expert committee and will be notified in due course. - Gynaecological services–
It is critical to understand that not all patients seeking gynecological care identify as heterosexual cis-women. This assumption can result in insufficient treatment for persons who do not fit the criteria, such as LGBTQ+ people.
In the context of the Competency-Based Medical Education (CBME) document, the term “heterosexual” is not used and the principles of inclusivity and non-discrimination should still be applied. This means that healthcare workers should be trained to provide professional and
appropriate treatment to all people, regardless of sexual orientation or gender identity.
Topics such as homosexuality, bisexuality, gender incongruence, and dysphoria are seen to be properly covered in schools, hence they are not included in the MBBS curriculum.
The NMC’s progressive approach to amending the CBME rules demonstrates its commitment to further enhancing medical education in India, keeping it in line with worldwide standards and sensitive to shifts in society.
Also Read – Supreme Court Paves Way for Inclusive Medical Education
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