Book Store

ECE implementation is one of the essential suggestions in the competency based medical education curriculum. ECE ensures well-integrated knowledge of the basic sciences, clinical sciences, and social sciences. Medical curricula worldwide now strongly emphasize early clinical exposure with horizontal and vertical integration and contextual learning in the local setting. With this view, undergraduate medical education is now shifting towards a new curricular model, “competency-based education” with specified competencies, objectives, and standardized approaches.

This textbook is written to with an intention to explain the different settings of early clinical exposure, fundamentals, and ECE principles, the scientific base of ECE, implementation strategies, preparation of ECE modules, ECE and integrated teaching, ECE, and metacognition. ECE and competency-based medical education etc. Thus this textbook will play an essential role during the planning of ECE sessions. This textbook has included a set of scientifically prepared ECE modules in Anatomy, Physiology, Biochemistry, and Community Medicine. This textbook has been included assessment strategies and planning in ECE, with a readymade set of modules helpful in ECE assessment.

This book is written with intention to explain as the cardiovascular autonomic nervous system plays an important role in adaptation of the maternal body to nurturing fetus, it is important to understand the sequential changes in cardiovascular autonomic nervous activity at various stages of pregnancy. A well controlled interaction between the sympathetic and the parasympathetic system is necessary for adapting the cardiovascular system to various hemodynamic needs not only under pathophysiological circumstances, such as haemorrhage and shock, but also in physiological states such as pregnancy. The influence of pregnancy on pulmonary function has been reported by many workers. While some investigators found that pregnancy has little effect on overall respiratory function, others felt that such factors as the gradual abdominal distension, the enlarged breasts, and the inherent circulatory changes do indeed affect the respiratory physiology in the pregnant woman.