Based on the uploaded competency-based postgraduate training document.

1. Main Objectives of the Curriculum

By the end of the MD course, a postgraduate should be able to diagnose and manage common and complex pulmonary diseases; manage respiratory emergencies and critically ill patients; perform and interpret pulmonary investigations; understand respiratory drugs and their indications, contraindications, adverse effects and interactions; participate in national health programmes, especially tuberculosis control; conduct research and critically appraise medical literature; teach undergraduate and postgraduate students; and maintain ethical practice, professionalism, communication and teamwork.

2. Complete Syllabus Curriculum

A. Basic Sciences

• Anatomy and histology: Respiratory system development, lung anatomy, embryology, mediastinum, diaphragm and developmental anomalies.
• Physiology and biochemistry: Pulmonary mechanics, ventilation, perfusion, gas exchange, oxygen transport, pulmonary function, acid–base balance, sleep and exercise physiology, pulmonary defence mechanisms.
• Microbiology: TB and other mycobacteria; bacterial, viral, fungal, atypical, opportunistic and parasitic respiratory infections; HIV.
• Pathology: Inflammation, TB pathology, pneumonia, COPD, asthma, occupational lung disease, ILD, sarcoidosis and thoracic tumours.
• Epidemiology and research: Epidemiological methods, national TB programmes, disease burden, statistics, study designs and research methodology.
• Allergy and immunology: Hypersensitivity, allergic lung disease, bronchial provocation testing, and immunology of TB and sarcoidosis.
• Pharmacology: Antimicrobials, anti-TB drugs, bronchodilators, anti-inflammatory drugs, antifungals, antivirals, immunosuppressants, drug interactions and pharmacovigilance.

B. Clinical Pulmonary Medicine

• Respiratory infections: Pulmonary and extrapulmonary TB; childhood and geriatric TB; TB complications, MDR/XDR-TB, TB with HIV and diabetes; community-acquired, hospital-acquired and ventilator-associated pneumonia; bronchiectasis, lung abscess, empyema, opportunistic, atypical, fungal, viral and parasitic infections; antibiotic principles.
• ILD and immunological disorders: Sarcoidosis, hypersensitivity pneumonitis, connective-tissue-disease-associated ILD, pulmonary vasculitis, eosinophilic lung diseases, occupational and environmental lung disease, drug-induced lung disease and uncommon diffuse lung disorders.
• Obstructive airway diseases: Asthma, allergic bronchopulmonary aspergillosis (ABPA), COPD and small-airway diseases; inhalation therapy, long-term oxygen therapy and pulmonary rehabilitation.
• Pulmonary vascular and cardiac disorders: Pulmonary hypertension, cor pulmonale, pulmonary oedema, pulmonary thromboembolism and infarction, and cardiac–pulmonary interactions.
• Pleural and mediastinal diseases: Pleural effusion, pleural tumours and dynamics, pneumothorax, pyothorax, bronchopleural fistula, fibrothorax, mediastinal disorders, tumours and cysts.
• Lung tumours: Neoplastic and non-neoplastic lung diseases, epidemiology, natural history, staging, medical/surgical/radiation treatment principles and solitary pulmonary nodule.
• Critical care pulmonary medicine: Respiratory emergencies, ARDS, respiratory failure, sepsis, respiratory and haemodynamic monitoring, NIV, mechanical ventilation, critical-care complications, severity scoring and end-of-life issues.
• Sleep medicine: Polysomnography, sleep apnoea and other sleep-related breathing disorders.
• Miscellaneous pulmonary medicine: Diaphragm and chest-wall disorders, obesity-related respiratory disorders, high-altitude and diving medicine, quality-of-life assessment and environmental effects.
• Preventive pulmonology: Smoking cessation, vaccination, disease prevention and cardiopulmonary rehabilitation.
• Surgical aspects: Pre- and postoperative thoracic surgical care, chest trauma and lung transplantation.

3. Practical Skills and Procedures

• Pulmonary function: Spirometry, lung volumes, diffusion testing, body plethysmography and bronchoprovocation.
• Imaging and investigations: Chest X-ray, CT, ultrasound, PET, MRI, ABG, pulse oximetry, ECG and echocardiography.
• TB and microbiology: Sputum AFB examination, culture, drug-susceptibility testing, molecular TB diagnostics, Mantoux and IGRA.
• Bronchoscopy and pleural procedures: Fibreoptic/rigid bronchoscopy, pleural aspiration and biopsy, medical thoracoscopy and guided FNAC.
• Sleep and exercise testing: Polysomnography, CPAP titration and cardiopulmonary exercise testing.
• Therapeutic procedures: Tube thoracostomy, oxygen therapy, CPAP/BiPAP, inhalation therapy, postural drainage and pulmonary rehabilitation.
• Critical care: Emergency procedures, ICU monitoring, respiratory support and management of emergencies.

The curriculum specifies progression from practice on models to supervised procedures and finally independent performance, with patient safety as the priority.

4. Teaching, Thesis and Academic Requirements

• Formal teaching: At least 5 hours per week in addition to bedside teaching.
• Teaching activities: Case presentations, lectures, seminars, journal clubs, clinical meetings and interdisciplinary conferences.
• Research: Submit the thesis protocol before the end of the first 6 months and conduct the proposed research for at least 1 year, excluding protocol submission and final thesis writing.
• Academic presentations: One poster presentation, one paper read at a state/national conference, and one research paper published, accepted or sent for publication, as stated in the document.
• Logbook: Record postings, ward/OPD/casualty work, procedures performed or assisted, and teaching sessions attended.
• Internal assessment: Quarterly assessment of recent advances, patient/laboratory/skill-based learning, self-directed learning, departmental activities and external academic activities.

5. Final MD Examination Pattern

• Paper I: General Pulmonary Medicine and Basic Sciences — anatomy, physiology, microbiology, pathology, pharmacology and general respiratory medicine.
• Paper II: Clinical Pulmonary Medicine, Including Medical Emergencies — clinical diseases, diagnosis, investigations and emergency management.
• Paper III: Clinical Pulmonary Medicine, Including Critical Care — respiratory failure, ventilation, ARDS, sepsis and ICU management.
• Paper IV: Recent Advances in Pulmonary Medicine and Research Methodology — recent developments, research methods and scientific appraisal.
• Thesis: Must be accepted before the candidate can appear for the theory and practical/clinical examination; submission is specified at least 6 months before the examination.
• Practical/clinical examination: A minimum of one long case and two short cases.
• Viva voce: Assesses subject knowledge, investigations, therapeutic techniques and other specialty competencies.
• Passing requirement: The document specifies at least 50% separately in theory and practical examinations.

Note: This summary reflects the uploaded curriculum document and is not a separately verified update of current NMC regulations or university examination rules.