Competency-based medical education (CBME) is gaining momentum across the globe. The Medical Council of India has described the basic competencies required of an Indian Medical Graduate and designed a competency-based module on attitudes and communication. Widespread adoption of a competency-based approach would mean a paradigm shift in the current approach to medical education. CBME, hence, needs to be reviewed for its usefulness and limitations in the Indian context. This article describes the rationale of CBME and provides an overview of its components, i.e., competency, entrustable professional activity, and milestones. It elaborates how CBME could be implemented in an institute, in the context of basic sciences in general and pharmacology in particular. The promises and perils of CBME that need to be kept in mind to maximize its gains are described.

Modern medical education and profession needs innovative methods to improve learning among the students. Reflective practice is one of the time-tested tool to improve students’ learning following a teaching encounter. Reflective practice is an analytical practice in which an individual adds a personal reflection about the action, incident, situation or thought. Purpose of this article is to review the literature to find out history, various models, genesis and application of reflective practice in medical education. Through the present paper, attempt has been made to focus on role of reflective practice in present medical education and profession.

Lipomas are benign tumors composed of mature fat, usually encapsulated. Vast majority of lipomas are small, weighing only a few grams, and grow slowly. Lipoma occur rarely in breast causing diagnostic dilemma. Chondroid lipoma is a rare variant of lipoma which is benign in nature. We present a case of 65 year old female patient presented with lump in right breast, underwent surgical excision and histopathology reported as chondroid lipoma.

Abstract

Introduction: Internal hernia presenting with intestinal obstruction is a rare entity with reported incidence of 0.6% to 5.8% only. The present case is of internal  herniation through a peritoneal rent in the Pouch of Douglas, occurring six years after abdominal hysterectomy. Till date only 4 cases of hernia through a rent  in pouch of Douglas are reported.

Objective: Presenting here a case of internal hernia which was treated successfully

Conclusion: Internal hernia occurring through peritoneal rent  in Pouch of Douglas and presenting with intestinal obstruction six years after abdominal hysterectomy is rarest of its kind.

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