REPERTORY

IV BHMS

Repertorization is not the end but means to arrive to the simillimum together with Materia Medica based on sound principles of philosophy. Homoeopathic Materia Medica is an encyclopedia of Symptoms. No mind can patronize all the symptoms or all the drugs with their characteristic graduation. The repertory is an index and catalogue of the symptoms of the Materia Medica, nearly arranged in a practical from and also indicating the relative graduation of drugs, and it greatly facilities quick selection of indicated remedy. It is impossible to practice Homoeopathy without the aid of repertories.

Each repertory has been compiled on distinct philosophical base, which determines its structure. In order to exploit full advantage of each repertory it is important to grasp thoroughly its conceptual base and construction. This will help student to learn scope, limitations and adaptability of the repertory.

Case taking :

Difficulties of taking a chronic case. Recording of cases and usefulness of record keeping.

Totality of symptoms, prescribing symptoms : uncommon peculiar and characteristic symptoms. Analysis of the case uncommon and common symptoms. Gradation and evaluation of symptoms. Importance of Mental symptoms. Kinds and sources of general symptoms. Concomitant sysmptoms.

Teaching of repertorisation should not merely be reduced to rubric hunting exercises. Patient is not a bundle of rubrics.

Logic of Repertory, is delivered from Organon of Medicine as such Repertory should not be taught in isolation. Due emphasis should be made to :-

a.    Learning the language of repertory i.e. meaning of rubrics is correlation with Materia Medica and clinical experiences.

b.    Correlation of Repertory with Therapeutics and Materia Medica.

       1.    History and development of repertories till date.

       2.    Types of repertories

       3.    Explanation of terminology's used in various repertories.

       4.    Boenninghausen's therapeutic pocket book and Roger Boennighausen's repertory.

       5.    Kent's repertory.

       6.    Introduction to card repertory

       7.    Special regional repertories ALLEN'S FEVER, BELL'S DIARHOEA with their comparison.

       8.    Brief introduction to puritan group of repertory as Knerr. Gentry, Robert in respect of their Clinic 
              use.

       9.    Introduction to Computer Repertorization.

PRACTICAL :

Students shall repertories :              

1.    10 acute cases on Kent.

2.    5 chronic cases on Kent

3.    5 chronic cases on Boenninghausen.

4.    5 chronic cases on Bogar-Boeinninghausen.

5.    5 cases to be cross checked on computer.

7.    The existing entries in Regulation 7 shall be substituted as under namely :

Admission to examination, scheme of examination etc.:

FIRST BHMS EXAMINATION 

(1)    The student shall be admitted to the First BHMS Examination provided he / she has required attendance as per 
         regulation 13 (iii) to the satisfaction of the head of the Homoeopathic Medical College.    

(2)    The First BHMS examination shall be held at the end of 18th month of admission.

(3)    The minimum number of hours for lecture, demonstration / practical and seminar classes in the subjects shall be as under.

(4)    Examination in Organon of Medicine, Principles of Homoeopathic Philosophy and Psychology shall consist 
        of one theory paper and one oral examination.

(5)    Examination in Anatomy including Histology and Embryology shall consist of two theory papers. 
        Practical includes oral, identification of specimen and histology slides.

(6)    Examination in Physiology including Biochemistry shall consist of two theory papers and one practical 
        including oral.

(7)    The examination in Homoeopathic Pharmacy shall consist of one theory and one practical including oral.

(8)    The examination in Homoeopathic Materia Medica shall consist of one theory and one oral examination.

(9)    Full marks for each subject and the minimum number of marks required for passing First BHMS should be 
        as follows.

8.    regulation 8 shall be substituted as under, namely :

2ND  BHMS 
EXAMINATION

(1)    No candidate shall be admitted to the Second BHMS Examination unless he has passed the First BHMS examination and he / she required attended as per regulation 7 (iii) to the satisfaction of the nead of the Homoeopathic Medical College.

(2)    The Second BHMS examination shall he held at the end of 30th month of admission to First BHMS.

(3)    The minimum number of hours for lecture, demonstration / practical and seminar classes in the subject shall be under.

(4)    Examinations in Pathology and Microbiology shall consist of one theory paper and one practical including oral. Identification of microscopic slides and specimens shall be a part of practical examination.

(5)    Examination in Forensic Medicine and Toxicology shall consist of one theory paper and one oral examination including identification and spotting of specimens.

(6)    Examination in Organon of Medicine, Principles of Homoeopathic Philosophy and Psychology shall  consist of one theory paper and one oral examination.

(7)    Examination in Materia Medica shall consist of one theory paper and one practical including oral examination.

(8)    In order to pass the Second BHMS examination a candidate has to pass all the subjects of the examination.

(9)    Full marks for each subject and the minimum marks required for pass are as follows :

THIRD BHMS

EXAMINATION

(1)    No candidate shall be admitted to the Third BHMS examination unless he has passed the Second BHMS examination and he / she has required attendance as per regulation 7(iii) to the satisfaction of the head of the Homoeopathic Medical College.

(2)    The Third BHMS examination shall be held at the end of 42th month of admission to First BHMS.

(3)    The minimum number of hours for lecture, demonstration/practical, clinical and seminar classes in the subject shall be as under.

(4)    Examination in Surgery shall consist of three papers and one practical examination. One theory paper shall be exclusively on Homoeopathic Therapeutics. The Practical examination shall consist of clinical examination and oral. In the clinical examination the students shall be examined on his skill on the surgical instruments, bandages and general measures related to surgery, scope of Homoeopathic Therapeutics and examination and diagnosis of surgical disease through clinical examination, X-ray and other common diagnostic techniques. The case studies reports of the students carried out during the course shall also be considered for the oral examination.

(5)    Examination in Obstetrics & Gynecology including infant care shall consist of three theory papers and one practical examination. One paper shall be exclusively on Homoeopathic Therapeutics. The Practical examination shall consist of clinical examination and oral. In the clinical examination the students shall be examined on his skill on the specimens, models, instruments and general appliances related to Obstetrics, scope of Homoeopathic therapeutics and examination and diagnosis of Gynecological diseases through clinical examination, X-ray and other common diagnostic techniques. 
        The case studies reports of the students carried out during the course shall also be considered for the oral examination.

(6)    Examination in Homoeopathic Materia Medica shall consist of theory paper and one bedside practical examination. The bedside examination shall be on two acute cases with special reference to their nosological diagnosis and therapeutics diagnosis from Homoeopathic point of view. 

(7)    Examination in Organon of medicine shall consist of one theory paper and on oral examination.

(8)    In order to pass the Third BHMS examination, candidates have to pass in all the subject of the examination.

(9)    Full marks for each subject and the minimum  marks required for pass are as follows :

(10)   The existing entries in regulation 10 shall be substituted as under, namely ;

4th BHMS

EXAMINATION

(1)    No candidate shall be admitted to the Fourth BHMS examination unless he has passed the third BHMS examination and he / she required attendance as per regulation 7 (iii) to the satisfaction of the head of the Homoeopathic Medical College.

(2)    The Fourth First BHMS examination shall be held at the end of 54th month of admission of First BHMS.

(3)    The minimum number of hours for lecture, demonstration / practical, seminar and clinical classes in subject shall be as under.

Examination in Practice of Medicine including Pediatrics, Psychiatry and Dermatology shall consist of three theory papers and one beside practical examination. One theory paper shall be exclusively on Homoeopathic. The Practical examination shall consist of clinical examination and oral. In the clinical examination the students shall be examined on his skill on the nosological and therapeutics diagnosis, through clinical examination, X-ray and other common diagnostic techniques and detailed case takings on long and short cases. The case reports of the students carried out during the course shall also be considered for the oral examination.

(V)    Examination in Case taking and Repertory shall consist of one theory paper and one practical examination. The Practical examination shall consist of the Homoeopathic principles on case taking of one long case and short case and the methods of arriving the reportorial totality, through case analysis and actual repertorisation. The skill of finding rubrics from Kent and Bonninghausan Repertories, the case reports of the students carried out during the course shall be considered for the oral examination.

(VI)   Examination in Homoeopathic Materia Medica shall consist of two theory papers and one beside practical examination. The besides examination shall be one long case and one short case with special reference to their nosological diagnosis and therapeutics diagnosis from Homoeopathic point of view. The case reports of the students carried out during the course shall be considered for the oral examination.

(VII)  Examination in Organon of Medicine and Principles of Homoeopathic Philosophy shall consist of two theory papers and one practical examination. The practical examination shall be on the Homoeopathic orientation of cases in relation to miasmatic diagnosis, general management, posology, second prescription etc.

(VII)  The examination in Community Medicine including Health Education and Family Welfare shall consist of one theory paper and one oral examination. The oral examination shall be spotting and identification of specimens and matters related to the community oriented problems.

(IX)   In order to pass the Fourth BHMS examination, candidates have to pass in all the subject of the examination.

(X)    Full marks for each subject and the minimum marks required for pass are as follows :     

11.    The existing entries in Regulation 11 shall be substituted as under, namely :-

RESULTS AND RE ADMISSION TO EXAMINATION

(1)    Examining body may ensure that the results of the examination are published in time so that the student who successfully completes the BHMS examinations can complete the course in 5¹/₂ yrs after admission. 

(2)    Candidates who have passed in one or more subject need not appear in that subject or those subject again in the subsequent examinations if the candidate passes the whole examination with in four chances including the original examination.

(3)    Facility to keep term : Not withstanding with the foregoing regulations, the students shall be allowed the facility to keep term on the following conditions.

        (a)    The candidate must pass the Second BHMS examination at least one term (6 months) before he 
                is allowed to appear in the Third BHMS examination.    

        (b)    The candidate must pass the Third BHMS examination at least one term (6 months) before he is 
                allowed to appear in the Fourth BHMS examination.

        (c)    No candidate shall be given more than 4 chances to appear in First BHMS examination in the 
                same subject.

(4)    A candidate who appear at Second or Third BHMS examinations, but fails to pass in the subject or subject, he may be admitted to next examination in the subject or subject. However candidates shall be allowed to keep term as provided in (iii) above.

(5)    A candidate who appears at Second or Third BHMS examinations, but fails to pass in the subject or subjects, he may be admitted the next examination in the subject or subjects. However candidates shall be allowed to keep term as provided in (iii) above.

(6)    Special classes, seminars, demonstrations, practical, tutorials etc. shall be arranged for the repeaters in the subject in which they have failed before they are allowed to appear at the next examination, in which attendance shall be compulsory.

(7)    If a candidate fails to pass in all the subject s with in four in examinations, he shall be required to prosecute a further course of studying all the subjects and in all parts for one year to the satisfaction of the head of the college and appearing for examination in all the subjects.

    Provided that if a student appearing for the Fourth BHMS examination has only one subject to pass at the end of prescribed chances, he shall be allowed to appear at the next examination in that particular subject and shall complete the examination with this special chance.

(8)    The examining body may under exceptional circumstances, partially or wholly cancel any examination conducted by it under intimation to the Central Council of Homoeopathy and arranged for conducting re-examination in those subjects within a period of thirty days from the date of such cancellation.

(9)    Grace marks may be awarded to the students at the discretion of the University / examining body on exceptional circumstances.     

12.    The entries in the existing regulation 12(i) shall be substituted as under, namely :

EXAMINERS

No person other than the holder of qualification prescribed for the teaching staff in Homoeopathy (Minimum Standards of Education) Regulation as amended form time to time shall be appointed as an internal or external examiner or paper setter for the BHMS Degree Course.

Provided that :-

(a)    No such person shall be appointed as an examiner unless he has at least three years continuous regular teaching experience in the subject concerned, gained in a degree level Homoeopathic Medical College.

(b)    Internal examiners shall be appointed from amongst the teaching staff of the Homoeopathic Medical College.  

(c)    A paper setter may be appointed as an internal or external examiner :

13.    The following new Regulations shall be added after Regulation 12 namely :

13.    GENERAL GUIDELINES FOR ADMISSION TO EXAMINATION & SCHEME OF EXAMINATION.

(1)    The examining Body shall ensure that the minimum number of hours for lecture / demonstration / practical / seminar etc. in the subject in each BHMS examination as specified in respective regulations are followed before allowing any Homoeopathic Medicine College to send the students for University examination.

(2)    The examining body shall ensure that the students of the Homoeopathic Medical College, who do not fulfill the Homoeopathy (Minimum Standards of Education) Regulation, are not sent for the University Examination.

(3)    Attendance : 75% attendance in a subject for appearing in the examination is compulsory. The examining body may relax this on exceptional circumstances on individual merit.

(4)    Each theory paper shall be of three hours duration.

(5)    The Practical / oral examination shall be complete immediately after the theory Examination.

(6)    That the examining body shall hold examinations on such date and time as the examining body may determine. The theory and practical examination shall be held in the premises of the Homoeopathic Medical College concerned.

(7)    There shall be two examinations in a year. One Regular examination and another Supplementary. The supplementary examination may be conducted with in 6 months of the Regular examination.

(8)    No student shall be permitted to join para clinical / clinical group of subject until he has passed in all the pre clinical subjects of First BHMS for which he will be permitted not more than Four chances including the original examination.

14.    "MISCELLANEOUS"

(1)    Authorities empowered to conduct examination :

        The Universities shall conduct the examination for the Degree Course in various States or the agencies empowered by an Act of Parliament.    

(2)    Interpretation :

        Where any doubt arises to the interpretation of these regulations it shall be referred to the Central Council for clarification. 

(3)    Power to relax :

        Where any University, or Medical institution in India which grants medical qualification, is satisfied that the operation of any of these regulations causes undue hardship in any particular case, that University or Medical Institution as the case may be order, for reasons recorded in writing, dispense or relax the requirement of that regulation in such an extent and subject to such exceptions and conditions as it may consider necessary for dealing with the case in a just and equitable manner. 

(4)    Saving Clause :

        Any Diploma / Degree qualification, at present included in II or III Schedule to the Homoeopathy Central Council Act where nomenclature is not in consonance with these regulations shall cases to be recognized medical qualification when granted after the commencement of these regulations. However, this clause will not apply to the students who are already admitted to these courses before the enforcement of these regulations. 

(5)    Transfer of students from One College to another :

        (a)    A student studying in a Homoeopathic Medical College may be allowed to migrate / transfer to 
                another Homoeopathic Medical College under same or another University.

        (b)    The University concerned can allow the migration / transfer within three months after passing 
                the First BHMS examination as a rule.

        (c)    The number of students migrating / transferring one college to another college during one year 
                will be kept to the minimum so that the training of the regular students of that college is not 
                adversely affected. The number of students migrating / transferring to / from any one college 
                should not exceed the limit of 5% of its intake subjects to a maximum of 5 student in any one 
                Homoeopathy college in one year.

        (e)    Cases not covered under the above regulations may be referred to the Council for consideration 
                on individual merits.

        (f)    Intimation about the admission of migrated / transferred students into any college shall be sent 
                to the Council forthwith.

ANNEXURE 'A'

(Regulation 3 (ii)

INTERNSHIP TRAINING

1.     (II)    Each candidate shall be required to undergo compulsory rotating internship of one year, after passing the final BHMS Examinations, to the satisfaction of the Principal of the Homoeopathic College. Thereafter only, the candidate shall be eligible for award of Degree of Bachelor of Homoeopathic Medicine and Surgery (BHMS) by the University.

(i)    (a)    All parts of the internship training shall be undertaken at the hospital attached to the College, and in cases where such hospital cannot accommodate all of its students for internship then such candidates / students shall be informed in writing by the college and it shall be the responsibility of the College to ensure that each of such students is put on internship training in a Homoeopathic Hospital or dispensary run by Government or local bodies.

(ii)    To enable the State Board / Council of Homoeopathy to grant provisional registration of minimum of one year to each candidate to undertake the internship, the University concerned shall issue a provisional passed certificate on passing the final BHMS examination to each successful candidate.

        Provided that in the event of shortage or unsatisfactory work, the period of compulsory internship and the provisional registration shall be accordingly extended by the State Board / Council.

(iii)   Full registration shall only be given by the State Boards if the BHMS degree awarded by the University concerned is a recognized medical qualification as per Section 13 (1) of the Act, and Board shall award registration to such candidates who produce certificate of completion or compulsory rotating internship of not less than one year duration from the Principal of College where one has been a bonafids student which shall also declare that the candidate is eligible for it.

(iv)   The internee students shall not prescribe the treatment including medicines, and each of them shall work under the direct supervision of Head of Department concerned and / or a Resident Medical Officer. No intern student shall issue any medicological document under his / her signatures.

(v)    Each candidate shall complete the internship training at the maximum within a period of 24 months after passing the final year examination.

2.    The internship training shall be regulated by the Principal in consultation with concerned Heads of Departments and R.M.O. as under.   

(i)    Each internee students shall be asked to maximum a record or work which is to be constantly monitored by the Head of concerned Department and / or Resident Medical Officer under whom the internee is posted. The scrutiny of record shall be done in an objective way to update the knowledge, skill and aptitude of internee.

(ii)   The stress during the internship training shall be on case taking, evaluation of symptoms, nosological and miasmatic diagnostic analysis, repertorisation and  management of sick people based on principles of Homoeopathy. Weekly seminars shall be conducted wherein interns in rotation be given a chance to present their cases for discussion, and, concerned teachers / R.M.O. shall assess performance of each of intens.

(iii)   rotation of intern-students shall be as under :-

       (a)    Practice of Medicine - 8 Months wherein internee will be rotated in each Psychology, Respiratory, Gastro -intestinal , Endocrinology, Skin and V.D. Locomotor, Cardiology, Paediatrics sections.   

       (b)    Surgery - 1 Month.

       (c)    Obstetrics & Gynaecology - 2 months (1 month each (including Resproductive & child health 
               care).

       (d)    Community medicine (including PHC / CHC) - 1 month.

(iv)  Each internee shall be exposed to clinicopathology work to acquire skill in taking samples and doing routine blood - examination, blood smear for parasites, sputum examination, urine and stool examination. Students shall be trained to correlate laboratory findings with diagnosis and management of sick people. 

(v)   Each internee shall be given opportunities to learn the diagnostic techniques like x-rays, Ultrasonography, E.C.G., Spirometer and other forthcoming techniques and co-relate their findings with diagnosis and management of cases.

(vi)   Each internee student shall be given adequate knowledge about issuing of medico-legal certificates including medical and fitness certificates, death certificates, birth certificates, court producers and all of such legislation's be discussed which were taught in curriculum of Forensic Medicine.

(vii)  Each internee shall maintain records of 40 acute and 25 chronic cases complete in all manner including follow up in Practice of Medicine, record of 5 antenatal check up and 3 delivery cases attended by him / her in Department of Obstetrics and 3 cases of Gynaecology; records of 5 surgical cases assisted by him (and demonstrational knowledge of dressings) in Surgery department, and records of knowledge gained in Primary Health Centres, Community health Centres, various health programmes.

(viii)   It shall be compulsory for each intern-student to prove at least one drug during the Period of internship.

(ix)    Each internee shall be given a liberty to choose an elective assignment on any subject, and complete out-put shall be furnished in writing by the internee in respect of elective assignment to the Principal of the College within internship duration.

(x)    Each intern shall be posted on duty in such a manner that each of them attend at least 15 days in O.P.D. and 15 days in I.P.D. at least in month (except for duty in Community Medicine) and attend the other parts of duty including self-preparation in Library.

(xi)    Each intern-student shall be made to learn importance of maintaining statistics and records, intern-student shall also be familiarized with research-methodology.

3.    (i)    Each internee shall have not less than 80% of attendance during the internship training.

      (ii)    Each internee shall be on duty of at least 6 hrs. per day during the compulsory internship training.

Dr. LALIT VERMA, Registrar-cum-Secretary

[ADVT III/IV/147/2003-Exty.]

Note : Principal regulations were published in the Gazette of India, Part III, Section 4 on 16-11-1989 and subsequent amendment were published in the said section of the Gazette on 22-02-1993.