Role of undergraduate teaching: a link between patients and program implementation

Karpaga P. Priya, Utsav Raj, Anjan Kumar Giri


In India, tuberculosis (TB) remains to be one of the communicable diseases of major public health concern. Majority of the vulnerable population remain in urban parts of India. The role of active case finding and notification takes a spotlight for the successful implementation of the program. This article gives a case report of how an undergraduate training in conducting a house-house field survey as a part of community postings have enabled a TB patient from getting a timely diagnosis and treatment follow up. The stigma associated with the disease still continues, which has been appropriately addressed by our urban health training center. This has enabled the patient to complete the treatment successfully and become a TB champion. This case report depicts the importance of community-based field training to undergraduate medical students to enhance their skills and ability as well as to strengthen the ongoing national programs, a blessing in disguise.


Communicable diseases, Active case finding, Undergraduate training, TB

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World Health Organization. WHO. Global Tuberculosis Report 2019. S.l.: World Health Organization; 2019.

India TB Report 2019.pdf. Available at: Accessed on 20 February 2020.

Sachdeva KS, Kumar A, Dewan P, Kumar A, Satyanarayana S. New Vision for Revised National Tuberculosis Control Programme (RNTCP): Universal access - “Reaching the un-reached.” Indian J Med Res. 2012;135(5):690-4.

Pai M, Daftary A, Satyanarayana S. TB control: challenges and opportunities for India. Trans R Soc Trop Med Hyg. 2016;110(3):158.

Sreeramareddy CT, Qin ZZ, Satyanarayana S, Subbaraman R, Pai M. Delays in diagnosis and treatment of pulmonary tuberculosis in India: a systematic review. Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis. 2014;18(3):255-66.

New Vision for Revised National Tuberculosis Control Programme (RNTCP): Universal access - “Reaching the un-reached”. Available at: Accessed on 23 April 2020.

Eradicating TB by 2025. Available at: https://pib. Accessed on 23 April 2020.

Goal 3. Sustainable Development Knowledge Platform. Available at: https://sustainabledevelop Accessed on 23 April 2020.

end_tb_essential.pdf. Available at: https://www. Accessed on 23 April 2020.

List of College Teaching MBBS | MCI India. Available at: information-desk/for-students-to-study-in-india/list-of-college-teaching-mbbs. Accessed on 23 April 2020.

Bhargava M, Naik P, Raj U, Acharya R. Community diagnosis by a family survey: an exposure to primary care during medical undergraduate training. Educ Prim Care Off Publ Assoc Course Organ Natl Assoc GP Tutors World Organ Fam Dr. 2016;27(6):494-8.

Isaakidis P, Varghese B, Mansoor H, Cox HS, Ladomirska J, Saranchuk P, et al. Adverse Events among HIV/MDR-TB Co-Infected Patients Receiving Antiretroviral and Second Line Anti-TB Treatment in Mumbai, India. Available at: Accessed on 23 April 2020.

Shean K, Streicher E, Pieterson E, Symons G, van Zyl Smit R, Theron G, et al. Drug-Associated Adverse Events and Their Relationship with Outcomes in Patients Receiving Treatment for Extensively Drug-Resistant Tuberculosis in South Africa. PLoS ONE. 2013;8(5).

Shin SS, Pasechnikov AD, Gelmanova IY, Peremitin GG, Strelis AK, Mishustin S, et al. Adverse reactions among patients being treated for MDR-TB in Tomsk, Russia. Int J Tuberc Lung Dis. 2007;11(12):1314-20.

Ahmad S, Mokaddas E. Recent advances in the diagnosis and treatment of multidrug-resistant tuberculosis. Respir Med. 2009;103(12):1777-90.

Vega P, Sweetland A, Acha J, Castillo H, Guerra D, Smith Fawzi MC, et al. Psychiatric issues in the management of patients with multidrug-resistant tuberculosis. Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis. 2004;8(6):749-59.

Patel MS, Davis MM, Lypson ML. Advancing medical education by teaching health policy. N Engl J Med. 2011;364(8):695-7.