Case Based Approach in Pharmacology Nepal Journal of Epidemiology 2014;4 (1): 301-305 Copyright © 2014 CEA&INEA Published online by NepJOL-INASP www.nepjol.info/index.php/NJE eISSN 2091-0800 Case Based Approach in Pharmacology: A Novel Approach Banerjee I 1 1 Lecturer, Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal Chief Editor Dr. Brijesh Sathian Technical Editor Dr. Nishida Chandrasekharan Formatting Editor Dr. Ram Lakhan Editorial Manipal College of Medical Sciences (MCOMS), Pokhara which is the first private medical college of Nepal established on 1994 1 . It is affiliated to Kathmandu University. Students from Nepal, Srilanka, Bangladesh, India, Canada, USA and Africa studies at this esteemed institution 2 . The author has joined MCOMS on 2008 as a MD Pharmacology resident and is actively involved in teaching and learning process of Pharmacology. He is the first MD in Pharmacology under Kathmandu University from Nepal. The author has also completed MBBS from the same institution 3,4 . In Nepal MBBS is an integrated course for four and half years. Pharmacology is taught in the first two years viz. first four semesters 5, 6, 7 . Often a student finds Pharmacology as a dry and boring subject. They find it difficult to remember the name of the drugs. So often they neglect and find it less interesting as compared to the other subjects of Basic Sciences. One of the major drawbacks a student faces is that they are not acquainted with the hospital and they don’t see patient. In a simplified way pharmacology is a subject that deals with the drug. But ultimately the drug has to be used in the patient. According to the present Kathmandu University curriculum student has to study General Pharmacology, Autonomic Nervous System, Integumentary system, Musculoskeletal system, Respiratory system and Cardiovascular system in the first year. In the second year they has to study Gastrointestinal system, Renal System, Endocrine, Reproductive, Miscellaneous topics and Central Nervous system. According to the new curriculum the exam pattern has also changed at Manipal College of medical college. Currently there are multiple choice question, problem based question and short answer question pattern followed in the examinations. I have found in my past 6 yrs of teaching pharmacology 8 that case oriented approach of teaching pharmacology is a very good method in teaching pharmacology and it is a novel approach in Nepal. Southern Illinois University School of Medicine, United States has shown that case oriented approach is a good technique of the medical education 9 . Some of the examples of case oriented approach in Pharmacology have been discussed in this paper. # CASE 1: ANS- Reversible Anti cholinesterse drugs Miss X, 18/female from Arwa, Kaski was brought to Manipal Teaching Hospital 10 on 12.1.2011 with a history of consumption of half a bottle of (Metacid) Insecticides after failing in the SLC (Class 10) Examination. #History of Presenting Illness She has a history of ingestion of half a bottle of Poison. After that she has vomiting of 6 episodes and also Urination, Salivation, Diarrhoea were Positive. There were no h/O- Seizure, Respiratory & Cardiac Depression . #On Examination # GCS-10/15, Pulse-60/min, RR-32/min, BP-90/60 mm Of Hg, Spo2-70% Without O2.Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy and Edema were negative. Corresponding Author: Dr. Indrajit Banerjee MD Lecturer, Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal E-mail: indrajit18@gmail.com