Following are the competencies required for a Medical Officer TC
Competency | Description/ activities pertaining to the said competency | Assessment of competency |
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Diagnose TB Correctly and completely based on NTEP guidelines/Standards of TB Care in India |
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1. Verification of case records in Ni-kshay to check whether correct tests are prescribed and the diagnosis is complete including testing for drug resistance 2. Interview with Medical Officer to understand his/her practice in relation to diagnosis of TB and adherence to diagnostic algorithm and request appropriate tests. 3. Assess OPD referral rates of presumptive TB Cases and random prescription audits for referral for TB Testing of presumptive TB Cases 4. Interviews with people affected with TB under care of the MO to check whether cases are diagnosed completely based on referral for testing and test results. 5. Review of Test Request (Referral for testing) Registers to check for appropriate referral of patients or their samples for higher diagnostic tests which are not available in the current health facility. |
Prescribe and initiate TB treatment to a person diagnosed as TB/ TBI |
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1. Verification of case records and treatment card in Ni-kshay to check whether correct regimens are prescribed 2. Interview with Medical Officer to understand current prescription practices 3. Interview with patients under care of MO and assess whether right regimen are prescribed 4. Review of Ni-kshay module for differentiated TB care which is updated for all the patients for the TB unit |
Perform pre-during-and post-treatment evaluation of people affected with TB/DR-TB/TB Infection, as per programme guidelines/ STCI |
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1. Verification of case records in Ni-kshay/ Treatment cards or prescriptions to check whether all evaluations are done correctly 2. Interview with the Medical Officer to understand the current practice of pre-during-post evaluations 3. Interview with patients/beneficiaries under the MO's care to check whether all evaluations are done correctly 4. Review Status of post Treatment follow-up in cases notified in Ni-kshay for the past year |
Identify and manage Adverse Drug Reactions due to anti-TB drugs |
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1. Verification of case records in Ni-kshay and treatment records to see ADR's were identified and managed 2. Interview with Medical Officer to understand the practices related to ADR identification and management, including referral to higher centers 3. Interview with patients/beneficiaries under MO's care to understand whether ADRs are identified and managed properly |
Refer correctly and timely, a person affected with TB/DR-TB, to higher center/ nearest health facility for appropriate management |
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1. Verification of case records in Ni-kshay and treatment records to check whether referral is correct and timely 2. Interview with MO to understand the current practice related to referral 3. Interview patients/beneficiaries under MO's care to check whether referral is prompt |
Evaluate and mange person affected with TB for medical co-morbidities and conditions |
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1. Verification of case records in Ni-kshay to check whether screening and management of co-morbidity are done as per guidelines 2. Interview MO to understand current practices regarding co-morbidity management 3. Interview beneficiaries/ patients under MO's care to check whether co-morbidities are screened and managed properly |
Counsel the people with presumptive TB or people affected with DS-TB/DR-TB/ TBI and their family |
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1. Interview with Medical Officer to understand current practices regarding counselling 2. Interview with patients/ beneficiaries to understand the quality of counselling received from MO |
Ascertain treatment outcomes as per NTEP guidelines |
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1. Verification of records in Ni-kshay to check whether outcome assigned are correct 2. Interview with people who had their outcome assigned to check whether the outcome assigned were correct |
Monitor NTEP and perform supportive supervision in the health facility and in the population served by the health facility |
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1. Verification of review meeting minutes, documentation of feedbacks provided and supervisory registers to check quality of monitoring, review and supervision activities 2. Interview with MO to understand the current practices regard to Monitoring, Review and Supportive supervision 3. Interview with staff (ANM, ASHA, TB HV, STS, MPHW, CHO, Nurse, Pharmacist etc.) supervised by MO to get an understanding about the quality of supportive supervision and review |
Advocate with Local Government, Private providers and community for engaging them for TB Elimination activities in the field area of health facility |
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1. Check for any results of advocacy in terms of commitment from Local Government, engagement of private providers, engagement of community 2. Interview with private practitioners and Local Government leaders to get an understanding about the MO's competency |
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