Which detailed plan should I build first? · What should the plan prioritise?

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medical education integrated curriculum

National Medical Commission India MBBS curriculum final year subjects competency based medical education

mkdir -p "/tmp/workspace/mbbs-integrated-planner/src" "/tmp/workspace/mbbs-integrated-planner/output" && python3 - <<'PY' from docx import Document from docx.shared import Inches, Pt, RGBColor from docx.enum.section import WD_ORIENT from docx.enum.text import WD_ALIGN_PARAGRAPH from docx.enum.table import WD_TABLE_ALIGNMENT, WD_CELL_VERTICAL_ALIGNMENT from docx.oxml import OxmlElement from docx.oxml.ns import qn from docx.enum.style import WD_STYLE_TYPE from docx.enum.section import WD_SECTION from docx.enum.text import WD_BREAK OUT='/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Integrated_Revision_Planner.docx' def shade(cell, fill): tcPr=cell._tc.get_or_add_tcPr(); shd=OxmlElement('w:shd'); shd.set(qn('w:val'),'clear'); shd.set(qn('w:fill'),fill); tcPr.append(shd) def borders(cell, color='A6A6A6'): tcPr=cell._tc.get_or_add_tcPr(); tcBorders=tcPr.first_child_found_in('w:tcBorders') if tcBorders is None: tcBorders=OxmlElement('w:tcBorders'); tcPr.append(tcBorders) for e in ('top','left','bottom','right'): el=tcBorders.find(qn('w:'+e)) if el is None: el=OxmlElement('w:'+e); tcBorders.append(el) el.set(qn('w:val'),'single'); el.set(qn('w:sz'),'4'); el.set(qn('w:color'),color) def set_cell(cell,text,bold=False,size=8.2,color=None): cell.text=''; p=cell.paragraphs[0]; p.paragraph_format.space_after=Pt(0); p.paragraph_format.space_before=Pt(0) r=p.add_run(text); r.bold=bold; r.font.name='Arial'; r.font.size=Pt(size) if color: r.font.color.rgb=RGBColor(*color) cell.vertical_alignment=WD_CELL_VERTICAL_ALIGNMENT.CENTER; borders(cell) def set_repeat_table_header(row): trPr=row._tr.get_or_add_trPr(); tblHeader=OxmlElement('w:tblHeader'); tblHeader.set(qn('w:val'),'true'); trPr.append(tblHeader) def set_width(cell, inches): cell.width=Inches(inches) def no_split(row): trPr=row._tr.get_or_add_trPr(); cant=OxmlElement('w:cantSplit'); trPr.append(cant) D=Document() sec=D.sections[0]; sec.orientation=WD_ORIENT.LANDSCAPE; sec.page_width=Inches(11.69); sec.page_height=Inches(8.27); sec.top_margin=Inches(.45); sec.bottom_margin=Inches(.45); sec.left_margin=Inches(.45); sec.right_margin=Inches(.45) # default styles normal=D.styles['Normal']; normal.font.name='Arial'; normal.font.size=Pt(9) for nm,sz,col in [('Title',24,'17365D'),('Heading 1',17,'17365D'),('Heading 2',13,'1F4E78'),('Heading 3',11,'1F4E78')]: s=D.styles[nm]; s.font.name='Arial'; s.font.size=Pt(sz); s.font.bold=True; s.font.color.rgb=RGBColor.from_string(col) s.paragraph_format.space_before=Pt(8); s.paragraph_format.space_after=Pt(4) C={'ANAT':'DDEBF7','PHYS':'E2F0D9','BIOC':'FFF2CC','PATH':'FCE4D6','PHARM':'E4DFEC','MICRO':'FCE4D6','FMT':'D9EAD3','PSM':'EAD1DC','SKILL':'EDEDED'} # alter micro orange C['MICRO']='FCE4D6'; C['FMT']='D9E1F2'; C['PSM']='EAD1DC' subject_full={'ANAT':'Anatomy','PHYS':'Physiology','BIOC':'Biochemistry','PATH':'Pathology','PHARM':'Pharmacology','MICRO':'Microbiology','FMT':'Forensic Medicine','PSM':'Community Medicine','SKILL':'Clinical skill'} p=D.add_paragraph(); p.alignment=WD_ALIGN_PARAGRAPH.CENTER r=p.add_run('FINAL-YEAR MBBS\nINTEGRATED REVISION PLANNER'); r.bold=True; r.font.name='Arial'; r.font.size=Pt(25); r.font.color.rgb=RGBColor(23,54,93) p=D.add_paragraph(); p.alignment=WD_ALIGN_PARAGRAPH.CENTER; r=p.add_run('A unit-wise, printable and editable companion for clinical postings, theory, viva and revision'); r.italic=True; r.font.size=Pt(11) D.add_paragraph('How to use: Complete the clinical topic first. Then revise only the colour-coded previous-year cells in the same row. Tick the last columns only after active recall, cases and questions. Keep each row to one study session or one weekend block.',style='Intense Quote') D.add_heading('Colour key',1) t=D.add_table(rows=2,cols=9); t.alignment=WD_TABLE_ALIGNMENT.CENTER; t.style='Table Grid' for i,k in enumerate(['ANAT','PHYS','BIOC','PATH','PHARM','MICRO','FMT','PSM','SKILL']): set_cell(t.cell(0,i),k,True,8); shade(t.cell(0,i),C[k]); set_cell(t.cell(1,i),subject_full[k],False,7.3); shade(t.cell(1,i),C[k]) D.add_paragraph('Suggested study dose per row: Clinical chapter 90-120 min | linked old-topic revision 45-60 min | clinical skill 15 min | 15-25 MCQs or 2 SAQs 20-30 min. Do not try to finish all subjects independently on the same day.',style='Normal') D.add_heading('One-page weekly workflow',1) t=D.add_table(rows=1,cols=5); t.style='Table Grid'; t.alignment=WD_TABLE_ALIGNMENT.CENTER for i,h in enumerate(['Day','Main task','Old-subject revision','Output','Tick']): set_cell(t.cell(0,i),h,True,8); shade(t.cell(0,i),'1F4E78') for cell in t.rows[0].cells: for r in cell.paragraphs[0].runs: r.font.color.rgb=RGBColor(255,255,255) for day,task,old,out in [ ('Mon','New clinical chapter 1','Read all linked coloured cells','5-point recall + MCQs','☐'),('Tue','New clinical chapter 2','Read all linked coloured cells','Case sheet / flowchart','☐'),('Wed','New clinical chapter 3','Read all linked coloured cells','Investigations review','☐'),('Thu','New clinical chapter 4','Read all linked coloured cells','Viva aloud','☐'),('Fri','New clinical chapter 5','Read all linked coloured cells','MCQs + errors list','☐'),('Sat','Weekly consolidation','Revisit weak rows only','2 LAQs / 5 SAQs + 1 case','☐'),('Sun','Light revision or rest','Flashcards, images, algorithms','Plan next week','☐')]: row=t.add_row(); vals=[day,task,old,out,tick] for i,x in enumerate(vals): set_cell(row.cells[i],x,False,8) no_split(row) units={ 'MEDICINE':[ ('Unit 1: Cardiovascular medicine',[ ('Hypertension','ANAT: heart, kidney vessels; PHYS: RAAS, BP control; PATH: arteriolosclerosis, target-organ injury; PHARM: antihypertensives; PSM: screening, lifestyle'), ('IHD, ACS and MI','ANAT: coronary circulation; PHYS: cardiac cycle; BIOC: lipids; PATH: atherosclerosis, thrombosis; PHARM: antiplatelets, anticoagulants, statins'), ('Heart failure','PHYS: preload, afterload, Frank-Starling; PATH: hypertrophy/remodelling; PHARM: diuretics, ACEi/ARB, beta-blockers; PSM: salt/fluid counselling'), ('Valvular heart disease and infective endocarditis','ANAT: valves, murmurs; PATH: rheumatic disease; MICRO: streptococci, blood culture; PHARM: prophylaxis/antibiotics, anticoagulants'), ('Arrhythmias','PHYS: cardiac action potential, conduction; PHARM: antiarrhythmics; BIOC: K, Mg, Ca disorders; SKILL: systematic ECG reading'), ('Shock and cardiac emergencies','PHYS: haemodynamics; PATH: sepsis/anaphylaxis; PHARM: fluids, vasopressors; FMT: documentation in sudden death; SKILL: ABCDE')]), ('Unit 2: Respiratory medicine',[ ('Asthma','ANAT: bronchial tree; PHYS: airflow resistance; PATH: hypersensitivity; PHARM: inhaled beta2 agonists, steroids; SKILL: inhaler technique'), ('COPD and respiratory failure','PHYS: V/Q mismatch, CO2 retention; PATH: emphysema/chronic bronchitis; PHARM: bronchodilators; SKILL: ABG interpretation, oxygen safety'), ('Pneumonia','ANAT: lung lobes/segments; PATH: acute inflammation; MICRO: CAP organisms; PHARM: empirical antibiotics; PSM: smoking/vaccines'), ('Tuberculosis','PATH: granuloma; MICRO: AFB, NAAT, resistance; PHARM: ATT adverse effects; PSM: notification, programme, contacts'), ('Pleural disease and pneumothorax','ANAT: pleura; PHYS: Starling forces; PATH: transudate/exudate; MICRO: TB; SKILL: CXR and pleural-fluid approach'), ('Pulmonary embolism','PATH: Virchow triad; PHYS: V/Q mismatch; PHARM: heparin/DOACs; PSM: VTE prevention; SKILL: risk assessment')]), ('Unit 3: Gastroenterology and hepatology',[ ('Dyspepsia and peptic ulcer disease','PHYS: gastric acid; PATH: ulcer; MICRO: H. pylori; PHARM: PPI, eradication; FMT: corrosive ingestion differentiation'), ('Jaundice and hepatitis','BIOC: bilirubin metabolism; PATH: hepatocellular/cholestatic patterns; MICRO: hepatitis viruses; PHARM: antivirals; PSM: prevention/vaccination'), ('Cirrhosis, ascites and portal hypertension','ANAT: portal system/anastomoses; PATH: fibrosis; PHYS: ascites; PHARM: diuretics, lactulose; SKILL: ascites exam/LFTs'), ('GI bleeding','ANAT: GI blood supply; PATH: varices/ulcers; PHARM: PPI, vasoactive drugs; SKILL: resuscitation and NG/endoscopy indications'), ('Acute pancreatitis','ANAT: pancreas/biliary tree; PATH: autodigestion; BIOC: amylase/lipase; PHARM: analgesia/fluids; SKILL: severity assessment'), ('Diarrhoea and IBD','PHYS: fluid transport; MICRO: diarrhoeal pathogens; PATH: UC/Crohn; PHARM: ORS, antimicrobials, steroids; PSM: sanitation')]), ('Unit 4: Renal, endocrine, neurology and haematology',[ ('AKI and CKD','PHYS: GFR, tubular function; PATH: ATN/glomerular disease; PHARM: nephrotoxins, dose adjustment; SKILL: urine, fluid balance, dialysis indications'), ('Electrolytes and acid-base','PHYS: Na/K/Ca regulation, buffers; BIOC: anion gap; PHARM: correction principles; SKILL: ABG and ECG correlation'), ('Diabetes and DKA/HHS','BIOC: carbohydrate metabolism; PHYS: insulin; PATH: microvascular disease; PHARM: insulin/orals; PSM: screening, foot care'), ('Thyroid and adrenal disorders','PHYS: HPT/HPA axes; PATH: autoimmune disease; PHARM: antithyroids, steroids; SKILL: TFT interpretation'), ('Stroke, seizures and CNS infection','ANAT: neuroanatomy/vascular territories; PHYS: action potentials; MICRO: meningitis pathogens; PHARM: thrombolysis, antiepileptics, antimicrobials'), ('Anaemia and haematological malignancy','BIOC: iron/B12/folate; PATH: smear, marrow; PHARM: haematinics/chemotherapy; SKILL: CBC/smear and transfusion approach')])], 'SURGERY':[ ('Unit 1: General surgery and emergencies',[ ('Wounds, surgical infection and healing','ANAT: skin/fascia; PATH: inflammation/collagen; MICRO: SSI organisms; PHARM: antibiotics/analgesics; SKILL: wound description'), ('Shock, trauma and haemorrhage','PHYS: haemodynamics; PATH: coagulopathy; PHARM: crystalloids/blood products; FMT: injury documentation; SKILL: ABCDE'), ('Burns','ANAT: skin; PHYS: fluid shifts; PATH: burn depth/healing; MICRO: infection; PHARM: analgesia/tetanus; SKILL: TBSA/fluid calculation'), ('Fluids, electrolytes and nutrition','PHYS: body compartments; BIOC: electrolytes/nutrition; PHARM: IV fluids; SKILL: charts, deficit calculation'), ('Anaesthesia and perioperative care','ANAT: airway; PHYS: respiratory/cardiac effects; PHARM: anaesthetics, muscle relaxants; MICRO: asepsis; SKILL: pre-op checklist')]), ('Unit 2: GI, hepatobiliary and abdominal wall surgery',[ ('Acute abdomen and appendicitis','ANAT: abdominal quadrants/appendix; PATH: inflammation/peritonitis; MICRO: gut flora; PHARM: antibiotics; SKILL: abdominal exam'), ('Intestinal obstruction and perforation','ANAT: bowel/mesentery; PHYS: fluid losses; PATH: ischaemia; PHARM: fluids/antibiotics; SKILL: X-ray basics'), ('Hernia','ANAT: inguinal canal/femoral ring; EMBRYO: processus vaginalis; PATH: strangulation; SKILL: hernia examination'), ('Gallstones, cholecystitis and biliary obstruction','ANAT: biliary tree; BIOC: bilirubin; PATH: stones; MICRO: cholangitis; SKILL: LFT/USG approach'), ('Colorectal disease and cancer','ANAT: rectum/anal canal; PATH: adenoma-carcinoma; PSM: warning signs/screening; SKILL: PR exam principles')]), ('Unit 3: Breast, thyroid, urology, vascular and orthopaedics',[ ('Breast lump and carcinoma','ANAT: breast/lymphatics; PATH: benign vs malignant; PHYS: lactation; PSM: awareness/screening; SKILL: breast exam'), ('Thyroid swelling','ANAT: thyroid/RLN; PHYS: thyroid axis; PATH: nodules/cancer; PHARM: thyroxine/antithyroids; SKILL: neck exam'), ('Urological emergencies and stones','ANAT: urinary tract; PHYS: renal function; BIOC: stone chemistry; MICRO: UTI; PHARM: analgesia/antibiotics; SKILL: urine report'), ('Peripheral vascular disease and DVT','ANAT: arterial/venous anatomy; PATH: atherosclerosis/thrombosis; PHARM: antiplatelets/anticoagulants; SKILL: pulses/ABI'), ('Fractures, osteomyelitis and bone tumours','ANAT: bone/joints; PHYS: bone remodelling; PATH: fracture healing; MICRO: S. aureus; SKILL: X-ray and neurovascular exam')])], 'OBSTETRICS & GYNAECOLOGY':[ ('Unit 1: Normal pregnancy, ANC and labour',[ ('Normal pregnancy and physiological changes','ANAT: uterus/pelvis; EMBRYO: implantation/placenta; PHYS: cardiovascular/renal changes; BIOC: pregnancy tests; SKILL: ANC exam'), ('Antenatal care and screening','PATH: anaemia/HTN; MICRO: HIV, HBV, syphilis; PHARM: IFA, vaccines; PSM: ANC package/high-risk referral'), ('Normal labour and partograph','ANAT: pelvis/fetal skull; PHYS: uterine action; SKILL: abdominal palpation, vaginal exam principles, partograph'), ('Postpartum care and lactation','PHYS: prolactin/oxytocin; PATH: puerperal infection; MICRO: sepsis; PHARM: uterotonics; PSM: postpartum contraception')]), ('Unit 2: Obstetric complications',[ ('Hypertensive disorders of pregnancy','PHYS: renal/BP regulation; PATH: endothelial dysfunction; PHARM: MgSO4/antihypertensives; SKILL: BP, reflexes, danger signs'), ('Gestational diabetes','BIOC: glucose metabolism; PHYS: insulin resistance; PHARM: insulin; PSM: nutrition/follow-up; SKILL: glucose monitoring'), ('Obstetric haemorrhage','ANAT: placental site; PATH: atony/accreta/coagulopathy; PHARM: uterotonics, tranexamic acid; SKILL: shock protocol'), ('Ectopic pregnancy and abortion','ANAT: tubes; EMBRYO: implantation; PATH: rupture; PHARM: anti-D/methotrexate concepts; FMT: documentation/legal aspects'), ('Infections and medical disorders in pregnancy','MICRO: TORCH, UTI, HIV; PHARM: safe antimicrobials; PHYS: altered pharmacokinetics; PSM: prevention/PMTCT')]), ('Unit 3: Gynaecology',[ ('Menstrual disorders and PCOS','PHYS: HPO axis; BIOC: insulin resistance; PATH: endometrium/PCOS; PHARM: hormonal therapy; SKILL: menstrual history'), ('Infertility','ANAT: reproductive tract; PHYS: ovulation; MICRO: genital TB/STI; PHARM: ovulation induction; SKILL: semen/ovulation assessment'), ('Fibroid, ovarian mass and endometriosis','ANAT: uterus/ovaries; PATH: tumour morphology; PHARM: hormonal agents; SKILL: pelvic exam and USG correlation'), ('Cervical cancer and STIs','PATH: dysplasia/cancer; MICRO: HPV/STIs; PSM: screening, vaccination; SKILL: speculum exam/Pap counselling'), ('Contraception and abortion care','PHYS: reproduction; PHARM: hormonal methods; PSM: family planning; FMT: consent, MTP law basics; SKILL: counselling')])], 'PAEDIATRICS':[ ('Unit 1: Growth, nutrition and neonatology',[ ('Growth and development','ANAT: developmental milestones; PHYS: growth regulation; BIOC: nutrition; PSM: growth monitoring; SKILL: charts/milestone assessment'), ('Protein-energy malnutrition and micronutrients','BIOC: macro/micronutrients; PATH: PEM; PHARM: therapeutic feeds/supplements; PSM: nutrition programmes; SKILL: anthropometry'), ('Neonatal resuscitation','PHYS: fetal circulation/transition; ANAT: airway; PHARM: emergency drugs basics; SKILL: NRP sequence'), ('Neonatal jaundice','BIOC: bilirubin; PATH: haemolysis; PHARM: IVIG concepts; SKILL: bilirubin charts, phototherapy principles'), ('Neonatal sepsis','MICRO: common pathogens; PATH: sepsis; PHARM: antibiotics; PSM: infection prevention; SKILL: danger signs')]), ('Unit 2: Common paediatric systems',[ ('ARI, asthma and bronchiolitis','PHYS: paediatric airway; MICRO: respiratory pathogens; PHARM: bronchodilators/antibiotics; SKILL: respiratory distress assessment'), ('Acute diarrhoea and dehydration','PHYS: water/electrolytes; MICRO: diarrhoeal pathogens; PHARM: ORS/zinc; PSM: IMNCI/WASH; SKILL: dehydration plan'), ('Immunisation','MICRO: vaccine types; IMMUNO: immune response; PHARM: adverse-event basics; PSM: schedule/cold chain; SKILL: counselling'), ('CHD and rheumatic heart disease','EMBRYO: cardiac development; PHYS: fetal circulation; PATH: RHD; PHARM: prostaglandin/penicillin concepts; SKILL: cyanosis/murmur exam'), ('Nephrotic syndrome and UTI','PHYS: glomerular filtration; PATH: nephrosis; MICRO: UTI pathogens; PHARM: steroids/antibiotics; SKILL: urine sample/report'), ('Meningitis, seizures and CP','ANAT: CNS; PHYS: neurons; MICRO: age-specific pathogens; PHARM: antimicrobials/antiepileptics; SKILL: neurodevelopment exam')]), ('Unit 3: Paediatric haematology, endocrine and emergencies',[ ('Childhood anaemia and thalassaemia','BIOC: iron/haemoglobin; PATH: smear; PHARM: iron/transfusion; PSM: screening/nutrition; SKILL: CBC interpretation'), ('Diabetes and thyroid disorders','PHYS: endocrine axes; BIOC: glucose; PHARM: insulin/thyroxine; SKILL: counselling and monitoring'), ('Poisoning and accidents','PHARM: toxidromes/antidotes; FMT: medico-legal steps; PSM: injury prevention; SKILL: ABCDE/decontamination basics'), ('Paediatric emergency approach','PHYS: age-related vitals; PHARM: weight-based dosing; SKILL: triage, BLS/PALS concepts, dosage calculation')])], 'COMMUNITY MEDICINE & CROSS-CUTTING':[ ('Unit 1: Attach to every clinical chapter',[ ('Epidemiology and screening','PSM: incidence/prevalence, study designs, sensitivity/specificity, predictive values, screening criteria; SKILL: apply to HTN, DM, cancer, TB'), ('Communicable disease control','MICRO: transmission/diagnosis; PSM: surveillance, notification, outbreak steps, vector control; SKILL: line listing/contact advice'), ('NCD prevention','PATH: risk factors; PHARM: adherence; PSM: primordial-primary-secondary prevention; SKILL: lifestyle counselling'), ('Maternal and child health','PHYS: pregnancy/child growth; PSM: ANC, institutional delivery, immunisation, nutrition; SKILL: risk communication'), ('Ethics, AETCOM and forensic links','FMT: consent, injury certificate, poisoning, sexual offences, death certification; SKILL: communication, documentation, confidentiality')])] } # parse tokens helper abbr_order=['ANAT','PHYS','BIOC','PATH','PHARM','MICRO','FMT','PSM','SKILL'] def topic_table(title, rows): D.add_heading(title,2) table=D.add_table(rows=1, cols=12); table.style='Table Grid'; table.alignment=WD_TABLE_ALIGNMENT.CENTER headers=['#','Clinical chapter','ANAT','PHYS','BIOC','PATH','PHARM','MICRO','FMT','PSM','SKILL','Done'] widths=[.28,1.70,.78,.78,.78,.78,.78,.78,.72,.78,.88,.40] for i,h in enumerate(headers): set_cell(table.cell(0,i),h,True,7.5); shade(table.cell(0,i), '1F4E78' if i<2 or i==11 else C[abbr_order[i-2]]) for r in table.cell(0,i).paragraphs[0].runs: r.font.color.rgb=RGBColor(255,255,255) if (i<2 or i==11) else RGBColor(0,0,0) set_width(table.cell(0,i),widths[i]) set_repeat_table_header(table.rows[0]) for n,(clinical, packed) in enumerate(rows,1): d={k:'' for k in abbr_order} # split segments based on '; ' then label for seg in packed.split('; '): if ': ' in seg: key,val=seg.split(': ',1); key=key.strip() if key in d: d[key]=val elif key=='EMBRYO': d['ANAT']=(d['ANAT']+'; ' if d['ANAT'] else '')+'Embryology: '+val elif key=='IMMUNO': d['MICRO']=(d['MICRO']+'; ' if d['MICRO'] else '')+'Immunology: '+val row=table.add_row(); no_split(row) vals=[str(n),clinical]+[d[k] for k in abbr_order]+['☐'] for i,x in enumerate(vals): set_cell(row.cells[i],x,False,7.2 if i>1 else 7.6) if 2<=i<=10: shade(row.cells[i],C[abbr_order[i-2]]) elif i==0 or i==11: shade(row.cells[i],'F2F2F2') set_width(row.cells[i],widths[i]) for main, sections in units.items(): D.add_page_break(); D.add_heading(main,1) D.add_paragraph('Rule: A blank coloured cell means no separate revision is essential for that row. Use it as revision time for the non-blank cells, then tick Done.',style='Normal') for title,rows in sections: topic_table(title,rows) D.add_page_break(); D.add_heading('Master revision tracker',1) D.add_paragraph('Use this only after you have completed the corresponding unit tables. Target three spaced touches: same week, after 2 weeks, and before examination.') t=D.add_table(rows=1,cols=7); t.style='Table Grid'; t.alignment=WD_TABLE_ALIGNMENT.CENTER for i,h in enumerate(['Final-year subject','Unit','Completed','R1: Same week','R2: 2 weeks','R3: Pre-exam','Weak topics / next action']): set_cell(t.cell(0,i),h,True,8); shade(t.cell(0,i),'1F4E78') for r in t.cell(0,i).paragraphs[0].runs:r.font.color.rgb=RGBColor(255,255,255) for s,us in units.items(): for title,_ in us: row=t.add_row(); for i,x in enumerate([s,title,'☐','☐','☐','☐','']):set_cell(row.cells[i],x,False,8) no_split(row) D.add_heading('Daily chapter sheet - duplicate this page whenever needed',1) t=D.add_table(rows=6,cols=2); t.style='Table Grid'; t.alignment=WD_TABLE_ALIGNMENT.CENTER fields=[('Date / Unit / Chapter',''),('Clinical presentation and differentials',''),('Mechanism, pathology and microbiology',''),('Investigations and interpretation',''),('Management, drug safety and procedures',''),('Prevention, counselling, programme and medico-legal point','')] for i,(a,b) in enumerate(fields): set_cell(t.cell(i,0),a,True,9); shade(t.cell(i,0),'D9EAF7'); set_cell(t.cell(i,1),b,False,9) D.add_paragraph('End-of-session check: ☐ I can present the case ☐ I can explain mechanism ☐ I can interpret one investigation ☐ I can write first-line management ☐ I completed questions',style='Normal') # footer for section in D.sections: footer=section.footer.paragraphs[0]; footer.alignment=WD_ALIGN_PARAGRAPH.CENTER rr=footer.add_run('Final-Year MBBS Integrated Revision Planner | Editable Word document'); rr.font.name='Arial'; rr.font.size=Pt(8); rr.font.color.rgb=RGBColor(100,100,100) D.save(OUT) print(OUT) PY python3 - <<'PY' from docx import Document p='/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Integrated_Revision_Planner.docx' d=Document(p) print('paragraphs',len(d.paragraphs),'tables',len(d.tables),'sections',len(d.sections)) print('size_bytes',__import__('os').path.getsize(p)) PY

python3 - <<'PY' # Build compact editable planner from docx import Document from docx.shared import Inches,Pt,RGBColor from docx.enum.section import WD_ORIENT from docx.enum.text import WD_ALIGN_PARAGRAPH from docx.enum.table import WD_TABLE_ALIGNMENT,WD_CELL_VERTICAL_ALIGNMENT from docx.oxml import OxmlElement from docx.oxml.ns import qn from pathlib import Path out=Path('/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Integrated_Revision_Planner.docx') out.parent.mkdir(parents=True,exist_ok=True) def shade(c,x): p=c._tc.get_or_add_tcPr();e=OxmlElement('w:shd');e.set(qn('w:val'),'clear');e.set(qn('w:fill'),x);p.append(e) def txt(c,s,b=False,sz=7.3): c.text='';p=c.paragraphs[0];p.paragraph_format.space_after=Pt(0);p.paragraph_format.space_before=Pt(0);r=p.add_run(s);r.font.name='Arial';r.font.size=Pt(sz);r.bold=b;c.vertical_alignment=WD_CELL_VERTICAL_ALIGNMENT.CENTER def hdr(row): p=row._tr.get_or_add_trPr();e=OxmlElement('w:tblHeader');e.set(qn('w:val'),'true');p.append(e) def nosplit(row): p=row._tr.get_or_add_trPr();p.append(OxmlElement('w:cantSplit')) D=Document();s=D.sections[0];s.orientation=WD_ORIENT.LANDSCAPE;s.page_width=Inches(11.69);s.page_height=Inches(8.27);s.top_margin=s.bottom_margin=Inches(.42);s.left_margin=s.right_margin=Inches(.4) D.styles['Normal'].font.name='Arial';D.styles['Normal'].font.size=Pt(9) for x,z,c in [('Title',24,'17365D'),('Heading 1',17,'17365D'),('Heading 2',12,'1F4E78')]: st=D.styles[x];st.font.name='Arial';st.font.size=Pt(z);st.font.bold=True;st.font.color.rgb=RGBColor.from_string(c) col={'ANAT':'DDEBF7','PHYS':'E2F0D9','BIOC':'FFF2CC','PATH':'F4CCCC','PHARM':'E4DFEC','MICRO':'FCE4D6','FMT':'D9E1F2','PSM':'EAD1DC','SKILL':'EDEDED'} order=['ANAT','PHYS','BIOC','PATH','PHARM','MICRO','FMT','PSM','SKILL'] # content: subject: list unit title and topics; topic tuple clinical, dict U={ 'MEDICINE':[ ('Cardiovascular',[('Hypertension',{'ANAT':'Heart, kidney vessels','PHYS':'RAAS, BP control','PATH':'Arteriolosclerosis, organ injury','PHARM':'Antihypertensives','PSM':'Screening, lifestyle'}),('IHD/ACS/MI',{'ANAT':'Coronary circulation','PHYS':'Cardiac cycle','BIOC':'Lipids','PATH':'Atherosclerosis, thrombosis','PHARM':'Antiplatelets, anticoagulants, statins'}),('Heart failure',{'PHYS':'Preload, afterload, Frank-Starling','PATH':'Remodelling','PHARM':'Diuretics, ACEi/ARB, beta-blockers','PSM':'Salt/fluid counselling'}),('Valvular disease/endocarditis',{'ANAT':'Valves, murmurs','PATH':'Rheumatic disease','MICRO':'Blood culture, streptococci','PHARM':'Antibiotics, anticoagulation'}),('Arrhythmias',{'PHYS':'Action potential, conduction','BIOC':'K/Mg/Ca disorders','PHARM':'Antiarrhythmics','SKILL':'ECG method'}),('Shock',{'PHYS':'Haemodynamics','PATH':'Sepsis/anaphylaxis','PHARM':'Fluids, vasopressors','SKILL':'ABCDE'})]), ('Respiratory',[('Asthma',{'ANAT':'Bronchial tree','PHYS':'Airflow resistance','PATH':'Hypersensitivity','PHARM':'Inhalers, steroids','SKILL':'Inhaler technique'}),('COPD/respiratory failure',{'PHYS':'V/Q mismatch, CO2 retention','PATH':'Emphysema/chronic bronchitis','PHARM':'Bronchodilators, oxygen','SKILL':'ABG'}),('Pneumonia',{'ANAT':'Lobes/segments','PATH':'Acute inflammation','MICRO':'CAP organisms','PHARM':'Antibiotics','PSM':'Vaccines, smoking'}),('Tuberculosis',{'PATH':'Granuloma','MICRO':'AFB, NAAT, resistance','PHARM':'ATT adverse effects','PSM':'Notification, programme, contacts'}),('Pleural disease/PE',{'ANAT':'Pleura','PHYS':'Starling forces, V/Q','PATH':'Exudate, Virchow triad','PHARM':'Anticoagulants','SKILL':'CXR/pleural fluid'})]), ('GI, liver and kidney',[('PUD/GI bleed',{'PHYS':'Gastric acid','PATH':'Ulcer/varices','MICRO':'H. pylori','PHARM':'PPI, eradication','SKILL':'Resuscitation'}),('Jaundice/hepatitis/cirrhosis',{'ANAT':'Portal system','BIOC':'Bilirubin','PATH':'Fibrosis','MICRO':'Hepatitis viruses','PHARM':'Diuretics, lactulose','SKILL':'LFT/ascites exam'}),('Pancreatitis/diarrhoea',{'ANAT':'Pancreas/biliary tree','PHYS':'Fluid transport','BIOC':'Amylase/lipase','MICRO':'Diarrhoeal pathogens','PHARM':'Fluids, ORS','PSM':'Sanitation'}),('AKI/CKD',{'PHYS':'GFR, tubules','PATH':'ATN/glomerular disease','PHARM':'Nephrotoxins, dose adjustment','SKILL':'Urine, fluid chart, dialysis'}),('Electrolytes/acid-base',{'PHYS':'Na/K/Ca, buffers','BIOC':'Anion gap','PHARM':'Safe correction','SKILL':'ABG, ECG'})]), ('Endocrine, neuro, blood',[('Diabetes/DKA',{'PHYS':'Insulin','BIOC':'Carbohydrate metabolism','PATH':'Microvascular disease','PHARM':'Insulin/orals','PSM':'Foot care, screening'}),('Thyroid/adrenal',{'PHYS':'HPT/HPA axes','PATH':'Autoimmune disease','PHARM':'Antithyroids, steroids','SKILL':'TFTs'}),('Stroke/seizure/CNS infection',{'ANAT':'Neuroanatomy/territories','PHYS':'Action potentials','MICRO':'Meningitis organisms','PHARM':'Thrombolysis, AEDs, antimicrobials','SKILL':'Localisation'}),('Anaemia/malignancy',{'BIOC':'Iron/B12/folate','PATH':'Smear, marrow','PHARM':'Haematinics, chemotherapy','SKILL':'CBC/smear, transfusion'})])], 'SURGERY':[ ('General surgery and trauma',[('Wounds/SSI/healing',{'ANAT':'Skin/fascia','PATH':'Inflammation/collagen','MICRO':'SSI organisms','PHARM':'Antibiotics, analgesia','SKILL':'Wound description'}),('Trauma/shock/haemorrhage',{'PHYS':'Haemodynamics','PATH':'Coagulopathy','PHARM':'Fluids, blood products','FMT':'Injury documentation','SKILL':'ABCDE'}),('Burns',{'ANAT':'Skin','PHYS':'Fluid shifts','PATH':'Depth/healing','MICRO':'Infection','PHARM':'Analgesia/tetanus','SKILL':'TBSA, fluids'}),('Fluids/anaesthesia',{'ANAT':'Airway','PHYS':'Compartments, respiratory effects','BIOC':'Electrolytes/nutrition','PHARM':'IV fluids, anaesthetics','SKILL':'Pre-op checklist'})]), ('GI and abdominal wall',[('Acute abdomen/appendicitis',{'ANAT':'Appendix/quadrants','PATH':'Inflammation/peritonitis','MICRO':'Gut flora','PHARM':'Antibiotics','SKILL':'Abdominal exam'}),('Obstruction/perforation',{'ANAT':'Bowel/mesentery','PHYS':'Fluid losses','PATH':'Ischaemia','PHARM':'Fluids/antibiotics','SKILL':'X-ray'}),('Hernia',{'ANAT':'Inguinal canal/femoral ring','PATH':'Strangulation','SKILL':'Hernia exam'}),('Biliary disease',{'ANAT':'Biliary tree','BIOC':'Bilirubin','PATH':'Stones','MICRO':'Cholangitis','SKILL':'LFT/USG'}),('Colorectal cancer',{'ANAT':'Rectum/anal canal','PATH':'Adenoma-carcinoma','PSM':'Warning signs/screening','SKILL':'PR principles'})]), ('Breast, thyroid, vascular, ortho, urology',[('Breast lump',{'ANAT':'Breast/lymphatics','PATH':'Benign vs malignant','PHYS':'Lactation','PSM':'Awareness','SKILL':'Breast exam'}),('Thyroid swelling',{'ANAT':'Thyroid/RLN','PHYS':'Thyroid axis','PATH':'Nodules/cancer','PHARM':'Thyroxine/antithyroids','SKILL':'Neck exam'}),('Urology/stones',{'ANAT':'Urinary tract','PHYS':'Renal function','BIOC':'Stone chemistry','MICRO':'UTI','PHARM':'Analgesia/antibiotics','SKILL':'Urine report'}),('PVD/DVT',{'ANAT':'Artery/vein','PATH':'Atherosclerosis/thrombosis','PHARM':'Antiplatelets/anticoagulants','SKILL':'Pulses/ABI'}),('Fracture/osteomyelitis',{'ANAT':'Bone/joints','PHYS':'Remodelling','PATH':'Fracture healing','MICRO':'S. aureus','SKILL':'X-ray, NV exam'})])], 'OBSTETRICS & GYNAECOLOGY':[ ('Normal pregnancy, ANC and labour',[('Normal pregnancy',{'ANAT':'Uterus/pelvis, placenta','PHYS':'CV/renal changes','BIOC':'Pregnancy tests','SKILL':'ANC exam'}),('ANC and screening',{'PATH':'Anaemia/HTN','MICRO':'HIV/HBV/syphilis','PHARM':'IFA, vaccines','PSM':'ANC package/referral'}),('Labour/partograph',{'ANAT':'Pelvis/fetal skull','PHYS':'Uterine action','SKILL':'Palpation, partograph'}),('Puerperium/lactation',{'PHYS':'Prolactin/oxytocin','PATH':'Puerperal infection','MICRO':'Sepsis','PHARM':'Uterotonics','PSM':'Contraception'})]), ('Obstetric complications',[('HDP',{'PHYS':'BP/renal regulation','PATH':'Endothelial dysfunction','PHARM':'MgSO4, antihypertensives','SKILL':'Danger signs'}),('GDM',{'BIOC':'Glucose','PHYS':'Insulin resistance','PHARM':'Insulin','PSM':'Nutrition/follow-up'}),('PPH',{'ANAT':'Placental site','PATH':'Atony/accreta/coagulopathy','PHARM':'Uterotonics, TXA','SKILL':'Shock protocol'}),('Ectopic/abortion',{'ANAT':'Tubes','PATH':'Rupture','PHARM':'Anti-D/methotrexate','FMT':'Consent/legal records'}),('Infections/medical disease',{'MICRO':'TORCH, UTI, HIV','PHARM':'Drug safety','PHYS':'Altered kinetics','PSM':'PMTCT'})]), ('Gynaecology',[('Menstrual disorders/PCOS',{'PHYS':'HPO axis','BIOC':'Insulin resistance','PATH':'Endometrium/PCOS','PHARM':'Hormonal therapy','SKILL':'Menstrual history'}),('Infertility',{'ANAT':'Reproductive tract','PHYS':'Ovulation','MICRO':'Genital TB/STI','PHARM':'Ovulation induction','SKILL':'Semen/ovulation assessment'}),('Fibroid/ovarian mass/endometriosis',{'ANAT':'Uterus/ovaries','PATH':'Tumour morphology','PHARM':'Hormonal agents','SKILL':'Pelvic exam/USG'}),('Cervical cancer/STIs',{'PATH':'Dysplasia/cancer','MICRO':'HPV/STIs','PSM':'Screening/vaccination','SKILL':'Pap counselling'}),('Contraception/MTP',{'PHYS':'Reproduction','PHARM':'Hormonal methods','PSM':'Family planning','FMT':'Consent/MTP law','SKILL':'Counselling'})])], 'PAEDIATRICS':[ ('Growth, nutrition and neonatology',[('Growth/development',{'ANAT':'Milestones','PHYS':'Growth regulation','BIOC':'Nutrition','PSM':'Growth monitoring','SKILL':'Charts/milestones'}),('PEM/micronutrients',{'BIOC':'Macro/micronutrients','PATH':'PEM','PHARM':'Therapeutic feeds','PSM':'Nutrition programmes','SKILL':'Anthropometry'}),('Neonatal resuscitation',{'ANAT':'Airway','PHYS':'Fetal circulation/transition','PHARM':'Emergency drugs','SKILL':'NRP sequence'}),('Neonatal jaundice',{'BIOC':'Bilirubin','PATH':'Haemolysis','PHARM':'IVIG concepts','SKILL':'Bilirubin chart/phototherapy'}),('Neonatal sepsis',{'MICRO':'Common pathogens','PATH':'Sepsis','PHARM':'Antibiotics','PSM':'Infection prevention','SKILL':'Danger signs'})]), ('Common paediatric systems',[('ARI/asthma/bronchiolitis',{'PHYS':'Paediatric airway','MICRO':'Respiratory pathogens','PHARM':'Bronchodilators/antibiotics','SKILL':'Distress assessment'}),('Diarrhoea/dehydration',{'PHYS':'Water/electrolytes','MICRO':'Pathogens','PHARM':'ORS/zinc','PSM':'IMNCI/WASH','SKILL':'Dehydration plan'}),('Immunisation',{'MICRO':'Vaccine types/immunity','PHARM':'AEFI basics','PSM':'Schedule/cold chain','SKILL':'Counselling'}),('CHD/RHD',{'ANAT':'Cardiac development','PHYS':'Fetal circulation','PATH':'RHD','PHARM':'Prostaglandin/penicillin','SKILL':'Murmur/cyanosis exam'}),('Nephrotic/UTI',{'PHYS':'Glomerular filtration','PATH':'Nephrosis','MICRO':'UTI','PHARM':'Steroids/antibiotics','SKILL':'Urine report'}),('Meningitis/seizure/CP',{'ANAT':'CNS','PHYS':'Neurons','MICRO':'Age-specific organisms','PHARM':'Antimicrobials/AEDs','SKILL':'Neurodevelopment'})]), ('Haematology, endocrine and emergencies',[('Anaemia/thalassaemia',{'BIOC':'Iron/Hb','PATH':'Smear','PHARM':'Iron/transfusion','PSM':'Nutrition/screening','SKILL':'CBC'}),('Diabetes/thyroid',{'PHYS':'Endocrine axes','BIOC':'Glucose','PHARM':'Insulin/thyroxine','SKILL':'Monitoring'}),('Poisoning/accidents',{'PHARM':'Toxidromes/antidotes','FMT':'Medico-legal steps','PSM':'Prevention','SKILL':'ABCDE/decontamination'}),('Paediatric emergency',{'PHYS':'Age-specific vitals','PHARM':'Weight-based doses','SKILL':'Triage/BLS/dose calculation'})])], 'COMMUNITY MEDICINE & FORENSIC INTEGRATION':[ ('Attach these to every clinical unit',[('Epidemiology/screening',{'PSM':'Incidence, prevalence, study designs, sensitivity, specificity, predictive values; apply to HTN, DM, TB, cancer'}),('Communicable disease control',{'MICRO':'Transmission/diagnosis','PSM':'Surveillance, notification, outbreak, vector control','SKILL':'Line listing/contact advice'}),('NCD prevention',{'PATH':'Risk factors','PHARM':'Adherence','PSM':'Levels of prevention','SKILL':'Lifestyle counselling'}),('Maternal-child health',{'PHYS':'Pregnancy/child growth','PSM':'ANC, delivery, immunisation, nutrition','SKILL':'Risk communication'}),('Ethics/AETCOM/forensic',{'FMT':'Consent, injuries, poisoning, sexual offences, death certificate','SKILL':'Communication, documentation, confidentiality'})])] } # title p=D.add_paragraph();p.alignment=WD_ALIGN_PARAGRAPH.CENTER;r=p.add_run('FINAL-YEAR MBBS\nINTEGRATED REVISION PLANNER');r.font.name='Arial';r.font.size=Pt(25);r.bold=True;r.font.color.rgb=RGBColor(23,54,93) p=D.add_paragraph('Unit-wise, editable and printable companion for clinical postings, theory, viva and revision');p.alignment=WD_ALIGN_PARAGRAPH.CENTER D.add_paragraph('Use one row at a time: finish the clinical topic, revise only the non-blank coloured cells, do the skill, then tick Done. Suggested dose: clinical 90-120 min | old subjects 45-60 min | skill 15 min | questions 20-30 min.') D.add_heading('Colour key',1);t=D.add_table(rows=2,cols=9);t.style='Table Grid';t.alignment=WD_TABLE_ALIGNMENT.CENTER full={'ANAT':'Anatomy','PHYS':'Physiology','BIOC':'Biochemistry','PATH':'Pathology','PHARM':'Pharmacology','MICRO':'Microbiology','FMT':'Forensic Medicine','PSM':'Community Medicine','SKILL':'Clinical skill'} for i,k in enumerate(order): txt(t.cell(0,i),k,True,8);shade(t.cell(0,i),col[k]);txt(t.cell(1,i),full[k],False,7);shade(t.cell(1,i),col[k]) D.add_heading('Weekly routine',1);t=D.add_table(rows=1,cols=5);t.style='Table Grid'; for i,x in enumerate(['Days','Clinical work','Integration work','Output','Check']):txt(t.cell(0,i),x,True,8);shade(t.cell(0,i),'1F4E78');[setattr(r.font.color,'rgb',RGBColor(255,255,255)) for r in t.cell(0,i).paragraphs[0].runs] for a,b,c,d,e in [('Mon-Fri','1 final-year row/day','All non-blank coloured cells','15-25 MCQs or 2 SAQs','☐'),('Saturday','Revise week','Weak cells + images/ECG/X-ray','1 case + 2 LAQs','☐'),('Sunday','Light review/rest','Flashcards/algorithms','Plan next week','☐')]: row=t.add_row(); for i,x in enumerate([a,b,c,d,e]):txt(row.cells[i],x,False,8) # render units for subject,units in U.items(): D.add_page_break();D.add_heading(subject,1);D.add_paragraph('Blank coloured cell = no separate revision required for this topic. Reallocate that time to the filled cells.') for name,topics in units: D.add_heading(name,2);t=D.add_table(rows=1,cols=12);t.style='Table Grid';t.alignment=WD_TABLE_ALIGNMENT.CENTER heads=['#','Clinical chapter']+order+['Done']; widths=[.25,1.62,.75,.75,.75,.75,.75,.75,.70,.75,.84,.35] for i,h in enumerate(heads): txt(t.cell(0,i),h,True,7.2);shade(t.cell(0,i),'1F4E78' if i in (0,1,11) else col[order[i-2]]) if i in (0,1,11): for r in t.cell(0,i).paragraphs[0].runs:r.font.color.rgb=RGBColor(255,255,255) t.cell(0,i).width=Inches(widths[i]) hdr(t.rows[0]) for n,(topic,dic) in enumerate(topics,1): row=t.add_row();nosplit(row);vals=[str(n),topic]+[dic.get(k,'') for k in order]+['☐'] for i,x in enumerate(vals): txt(row.cells[i],x,False,7.0 if i>1 else 7.4);row.cells[i].width=Inches(widths[i]) if 2<=i<=10:shade(row.cells[i],col[order[i-2]]) elif i in (0,11):shade(row.cells[i],'F2F2F2') # tracker D.add_page_break();D.add_heading('Master revision tracker',1);D.add_paragraph('Tick after the first completion and three spaced revisions: same week, after 2 weeks, and before examinations.') t=D.add_table(rows=1,cols=7);t.style='Table Grid';heads=['Subject','Unit','Complete','R1 same week','R2 after 2 weeks','R3 pre-exam','Weak topics / next action'] for i,h in enumerate(heads):txt(t.cell(0,i),h,True,8);shade(t.cell(0,i),'1F4E78');[setattr(r.font.color,'rgb',RGBColor(255,255,255)) for r in t.cell(0,i).paragraphs[0].runs] for subj,us in U.items(): for un,_ in us: row=t.add_row(); for i,x in enumerate([subj,un,'☐','☐','☐','☐','']):txt(row.cells[i],x,False,8) # page footer for ss in D.sections: p=ss.footer.paragraphs[0];p.alignment=WD_ALIGN_PARAGRAPH.CENTER;r=p.add_run('Final-Year MBBS Integrated Revision Planner | Editable Word document');r.font.name='Arial';r.font.size=Pt(8);r.font.color.rgb=RGBColor(100,100,100) D.save(out);print(out, out.stat().st_size) PY python3 - <<'PY' from docx import Document p='/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Integrated_Revision_Planner.docx' d=Document(p) print('verified:',len(d.tables),'tables;',len(d.paragraphs),'paragraphs;',len(d.sections),'section(s)') PY

~/mbbs-integrated-planner/output

NMC CBME curriculum 2024 final MBBS medicine surgery obstetrics gynaecology paediatrics competencies PDF

medical education integrated curriculum

~/mbbs-integrated-planner/

cat > "/tmp/workspace/mbbs-integrated-planner/src/create_detailed_planner.py" <<'PY' from docx import Document from docx.shared import Inches, Pt, RGBColor from docx.enum.section import WD_ORIENT from docx.enum.text import WD_ALIGN_PARAGRAPH from docx.enum.table import WD_TABLE_ALIGNMENT, WD_CELL_VERTICAL_ALIGNMENT from docx.oxml import OxmlElement from docx.oxml.ns import qn from pathlib import Path OUT=Path('/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Detailed_Integrated_Revision_Planner.docx') C={'ANAT':'DDEBF7','PHYS':'E2F0D9','BIOC':'FFF2CC','PATH':'F4CCCC','PHARM':'E4DFEC','MICRO':'FCE4D6','FMT':'D9E1F2','PSM':'EAD1DC','SKILL':'EDEDED'} ORDER=['ANAT','PHYS','BIOC','PATH','PHARM','MICRO','FMT','PSM','SKILL'] FULL={'ANAT':'Anatomy','PHYS':'Physiology','BIOC':'Biochemistry','PATH':'Pathology','PHARM':'Pharmacology','MICRO':'Microbiology','FMT':'Forensic','PSM':'Community Med.','SKILL':'Clinical action'} def shade(c, colour): p=c._tc.get_or_add_tcPr(); e=OxmlElement('w:shd'); e.set(qn('w:val'),'clear'); e.set(qn('w:fill'),colour); p.append(e) def put(c, s, bold=False, size=7.05, white=False): c.text='';p=c.paragraphs[0];p.paragraph_format.space_before=Pt(0);p.paragraph_format.space_after=Pt(0) r=p.add_run(s);r.font.name='Arial';r.font.size=Pt(size);r.bold=bold if white:r.font.color.rgb=RGBColor(255,255,255) c.vertical_alignment=WD_CELL_VERTICAL_ALIGNMENT.CENTER def no_split(row):row._tr.get_or_add_trPr().append(OxmlElement('w:cantSplit')) def repeat(row): e=OxmlElement('w:tblHeader');e.set(qn('w:val'),'true');row._tr.get_or_add_trPr().append(e) def page_number(paragraph): paragraph.alignment=WD_ALIGN_PARAGRAPH.CENTER r=paragraph.add_run('Final-Year MBBS Detailed Integrated Revision Planner | Page ') fld=OxmlElement('w:fldSimple');fld.set(qn('w:instr'),'PAGE');paragraph._p.append(fld) # compact but detailed map, each topic only receives what should actively be revised U={ 'MEDICINE': [ ('Unit M1 - Cardiovascular medicine',[ ('Approach to chest pain','Coronary circulation; pericardium','Cardiac cycle; O2 delivery','Lipids, troponin kinetics','Atherosclerosis; plaque rupture','Aspirin, P2Y12, nitrates, statins','-','-','Risk-factor screen; secondary prevention','Focused CVS exam; ECG within minutes'), ('Stable angina and ACS','Coronary territories','Supply-demand mismatch','Lipid profile; cardiac biomarkers','IHD, MI evolution/complications','DAPT, anticoagulants, beta-blockers, statins','-','-','Smoking, BP, diabetes control','ECG localisation; risk stratification'), ('Hypertension','Renal arteries; aortic arch receptors','RAAS, baroreflex, renal sodium handling','Secondary-cause labs','Hyaline/hyperplastic arteriolosclerosis; organ injury','ACEi/ARB, CCB, thiazide, beta-blocker uses','-','-','Correct BP technique; population screening','BP measurement; fundoscopy; target-organ work-up'), ('Heart failure','Chambers, valves, venous system','Preload, afterload, Frank-Starling, neurohormonal response','BNP concept; Na/K','Hypertrophy, remodelling, oedema','Loop diuretic, ACEi/ARB/ARNI, beta-blocker, MRA, SGLT2i','-','-','Salt, fluid, daily weight counselling','JVP, oedema, basal crepitations; CXR/ECG'), ('Valvular heart disease','Valve anatomy and surface marking','Murmur timing; pressure gradients','-','Rheumatic valvulitis; calcification','Diuretics, anticoagulation; penicillin prophylaxis','Streptococci; blood cultures in IE','-','RHD prevention and dental hygiene','Auscultation; manoeuvres; echo indications'), ('Arrhythmias','SA/AV node; conduction pathways','Action potentials; refractory periods','K, Mg, Ca abnormalities','-','Class I-IV drugs, adenosine, digoxin toxicity','-','-','Anticoagulation counselling in AF','Systematic ECG: rate-rhythm-axis-intervals'), ('Shock and cardiac arrest','Great vessels; access sites','Haemodynamics, O2 delivery, shock types','Lactate; ABG','Sepsis/anaphylaxis/DIC basics','Crystalloids, vasopressors, inotropes, ACLS drugs','Sepsis organisms','Death documentation principles','Sepsis recognition; prevention','ABCDE, CPR, defibrillation algorithm')]), ('Unit M2 - Respiratory medicine',[ ('Asthma','Tracheobronchial tree','Airway resistance; flow-volume loop','Eosinophils/IgE concept','Type I hypersensitivity; remodelling','SABA, ICS, LABA, LTRA; step-up/down','Allergen triggers','-','Trigger control; inhaler adherence','Resp exam; PEFR; inhaler demonstration'), ('COPD','Lobes/segments','V/Q mismatch; CO2 retention','ABG patterns','Chronic bronchitis vs emphysema','LAMA/LABA, ICS indications, O2 safety','Resp infections/exacerbation','-','Smoking cessation; vaccination; rehab','CXR, spirometry, ABG interpretation'), ('Pneumonia','Lung segments; pleura','Gas exchange; fever response','CRP/procalcitonin limits','Lobar/bronchopneumonia','Empiric antibiotics; de-escalation','CAP/HAP organisms; cultures','-','Vaccines, aspiration prevention','Severity scoring; CXR pattern'), ('Tuberculosis','Lymphatic drainage; lung apices','Cell-mediated immunity','-','Caseating granuloma','ATT regimen and adverse effects','AFB smear, NAAT, resistance testing','-','Notification, contact tracing, TB programme','Sputum sample; CXR; adverse-effect monitoring'), ('Pleural effusion/pneumothorax','Pleura; intercostal neurovascular bundle','Starling forces; lung collapse','Protein/LDH interpretation','Transudate/exudate; malignancy','Analgesia, anticoagulants where relevant','TB/empyema','-','VTE prevention; smoking cessation','CXR; Light criteria; safe drain landmarks'), ('Pulmonary embolism','Pulmonary arterial tree; deep veins','Dead space; V/Q mismatch','D-dimer limits','Virchow triad','Heparin, DOACs, thrombolysis indications','-','-','Hospital VTE risk assessment','Wells approach; ECG/ABG/CTPA basics'), ('Respiratory failure/ARDS','Airway and alveolus','Type 1/2 failure; compliance','ABG, A-a concept','Diffuse alveolar damage','O2 devices; NIV; ventilation principles','Sepsis/viral triggers','-','Oxygen safety; prevention of VAP','ABG; oxygen delivery escalation')]), ('Unit M3 - GI, liver and pancreas',[ ('Dyspepsia/PUD','Stomach/duodenum blood supply','Acid secretion','Urea breath/stool antigen concepts','Ulcer complications','PPI, H pylori eradication, NSAID safety','H pylori','Corrosive ingestion distinction','Avoid NSAID misuse','Alarm symptoms; UGIE indications'), ('Upper GI bleed','Portal-systemic anastomoses','Hypovolaemia','Hb, urea, coagulation','Varices, ulcers, Mallory-Weiss','PPI, octreotide/terlipressin, antibiotics in varices','H pylori','-','Alcohol and NSAID advice','Resuscitation, risk score, NG/endoscopy plan'), ('Jaundice/hepatitis','Hepatic segments; biliary tract','Bile formation/excretion','Bilirubin metabolism; AST/ALT/ALP pattern','Hepatitis, cholestasis','Antivirals concepts; avoid hepatotoxins','HAV/HBV/HCV/HEV','-','Vaccination, needle safety','Interpret LFTs; acute liver failure red flags'), ('Cirrhosis/ascites/HE','Portal vein and collaterals','Portal HTN; ascites formation','Albumin, ammonia caveats','Fibrosis, HCC risk','Spironolactone/furosemide, lactulose, prophylaxis','SBP organisms','-','Alcohol cessation, surveillance','Ascites exam; paracentesis; SAAG'), ('Acute pancreatitis','Pancreas and biliary tree','Third spacing','Amylase/lipase, Ca, TG','Autodigestion, necrosis','Fluids, analgesia, nutrition','Infected necrosis','-','Gallstone/alcohol prevention','Severity, USG/CT indications'), ('Diarrhoea/IBD','Small/large bowel','Water/Na transport','Electrolyte loss','UC vs Crohn','ORS, zinc, antibiotics selective, steroids/5-ASA','Cholera, dysentery pathogens','-','WASH, food hygiene','Dehydration plan; stool red flags')]), ('Unit M4 - Renal, endocrine and metabolic',[ ('AKI','Renal blood supply; nephron','GFR autoregulation; tubules','Urea/creatinine; urine indices','ATN, AIN, GN','Nephrotoxins; dose adjustment; fluids','UTI/sepsis causes','-','Avoid nephrotoxins','Volume status; urine microscopy; dialysis triggers'), ('CKD','Nephron; bone blood supply','EPO, vitamin D, phosphate','Ca-PO4-PTH; eGFR','Glomerulosclerosis; renal bone disease','EPO, phosphate binders, RAAS blockade','Dialysis-access infections','-','DM/HTN control','Stage CKD; complication screen; dialysis counselling'), ('Electrolyte disorders','ECF/ICF compartments','Na, K, Ca regulation','Serum osmolality; corrected Na','-','HyperK stabilisation/shift/removal; safe Na correction','-','-','Medication/diet review','ECG changes; fluid balance; ABG'), ('Acid-base disorders','Lung/kidney buffer systems','Compensation','Anion gap; delta gap','-','Treat cause, bicarbonate limits','Sepsis/diarrhoea triggers','-','-','4-step ABG interpretation'), ('Diabetes and emergencies','Pancreas; microvascular beds','Insulin/glucagon','Carbohydrate metabolism; ketones','Micro/macrovascular complications','Insulin types; metformin, SGLT2, GLP-1 safety','Mucormycosis caution','-','Diet, foot care, sick-day rules','DKA/HHS protocol; glucose logs'), ('Thyroid/adrenal disease','HPT/HPA anatomy','Feedback axes','TFT interpretation','Autoimmune thyroid/adrenal pathology','Antithyroids, levothyroxine, steroids','-','-','Steroid card; iodine/drug counselling','Thyroid exam; TFT pattern; adrenal crisis')]), ('Unit M5 - Neuro, rheumatology, haematology, infections',[ ('Stroke','Cerebral vessels; internal capsule','Cerebral perfusion','Glucose, lipids','Infarct/haemorrhage','Thrombolysis, antiplatelet, statins, BP rules','Endocarditis as cause','-','FAST, risk-factor modification','NIHSS concept; localisation; CT first'), ('Seizure/epilepsy','Cortex/limbic system','Neuronal firing','Na, Ca, glucose','-','AED selection, adverse effects, status protocol','CNS infections','-','Safety/driving advice','Witness history; status management'), ('Meningitis/encephalitis','Meninges; CSF flow','ICP physiology','CSF glucose/protein','Inflammation','Empiric antimicrobials, dexamethasone','Age-specific pathogens, HSV','-','Vaccination, prophylaxis contacts','LP safety; CSF interpretation'), ('Parkinsonism/neuropathy','Basal ganglia; peripheral nerves','Dopamine pathways; NMJ','B12, glucose','Neurodegeneration/demyelination','Levodopa, dopamine agonists, B12','Leprosy/HIV causes','-','Fall prevention','Gait, tone, reflexes, sensory localisation'), ('RA/SLE/vasculitis','Joints; synovium','Immune/inflammatory pathways','-','Autoimmunity, immune complexes','NSAIDs, steroids, DMARDs, biologics safety','TB screening before biologics','-','Vaccination/osteoporosis prevention','Joint exam; red flags; ANA/RF interpretation'), ('Anaemia/bleeding disorders','Marrow; spleen','Haemostasis','Iron/B12/folate; Hb synthesis','RBC morphology, marrow, coagulation disorders','Haematinics, anticoagulant reversal','Malaria, hookworm','-','Nutrition, transfusion safety','CBC/smear; retic; coagulation screen'), ('Fever/PUO/HIV','Lymph nodes; RES','Fever response','Inflammatory markers','Granuloma/malignancy','Antimicrobial stewardship, ART basics','Cultures, HIV OI, malaria/dengue/typhoid','-','Notification, safe sex, vectors','Fever chart; rational tests; isolation')])], 'SURGERY': [ ('Unit S1 - General principles, trauma and critical care',[ ('Wounds and wound healing','Skin layers; fascia','Inflammation and healing phases','Vitamin C/protein','Granulation, scar, keloid','Analgesics, antibiotics only when indicated','SSI organisms','Medicolegal wound description','Tetanus and wound care','Describe wound; asepsis; dressing'), ('Surgical infection/abscess','Fascial spaces','Fever/sepsis physiology','CRP/lactate','Acute/chronic inflammation','Empiric then culture-guided antibiotics','Staph, anaerobes, gas gangrene','-','Hand hygiene; antibiotic stewardship','Fluctuation; I&D principles'), ('Fluids/electrolytes/nutrition','Venous access; compartments','Fluid shifts','Electrolytes, albumin','-','Crystalloids/colloids concepts; TPN risks','Line infection','-','ERAS/nutrition','Fluid chart; maintenance/deficit calculation'), ('Shock/polytrauma','Airway, chest, abdomen, pelvis','O2 delivery, shock classes','Lactate/ABG','Haemorrhage, DIC','Blood products, TXA','Sepsis','Injury certificate, chain of custody','Road safety','ABCDE, eFAST concept, trauma team'), ('Burns','Skin anatomy','Capillary leak','Acid-base/electrolytes','Burn depth/healing','Analgesia, tetanus, fluids','Pseudomonas etc.','Manner/percentage documentation','Fire safety','TBSA, Parkland, escharotomy red flags'), ('Anaesthesia/peri-op care','Airway anatomy','Resp/cardiovascular effects','-','Stress response','GA/LA, opioids, muscle relaxants','Asepsis','Consent','Pre-op optimisation','Airway assessment; checklist; post-op monitoring')]), ('Unit S2 - GI, HPB and endocrine surgery',[ ('Acute abdomen/appendicitis','Abdominal regions; appendix positions','Peritonitis physiology','WBC/electrolytes','Appendicitis/perforation','Analgesia, antibiotics','Gut flora','-','Early referral','Focused abdomen; imaging selection'), ('Intestinal obstruction','Bowel/mesentery','Fluid loss, third spacing','K/Cl/ABG','Strangulation/ischaemia','NG decompression, fluids, antibiotics','-','-','Hernia awareness','X-ray/CT features; resuscitate before surgery'), ('Hernia','Inguinal canal; femoral canal','Intra-abdominal pressure','-','Incarceration/strangulation','Analgesia, periop antibiotics','-','-','Avoid heavy strain; elective repair','Standing/cough impulse exam'), ('Gallstone/cholangitis','Biliary anatomy; Calot triangle','Bile flow','Bilirubin/LFTs','Cholecystitis/pancreatitis','Antibiotics, analgesia','Enteric organisms','-','Diet advice','Murphy sign; USG/LFT correlation'), ('Breast disease','Breast quadrants/lymphatics','Lactation','Receptor biology basics','Fibroadenoma, carcinoma staging','Endocrine therapy concepts','Mastitis organisms','-','Awareness/screening','Triple assessment; breast exam'), ('Thyroid/parathyroid','Thyroid, RLN, parathyroids','HPT axis; Ca regulation','TFT/Ca','Nodules/cancer','Thyroxine, antithyroid drugs','-','-','Iodine, post-op warning signs','Neck exam; post-thyroidectomy complications')]), ('Unit S3 - Urology, vascular, neuro and orthopaedics',[ ('Urinary stones/renal colic','Kidney/ureter constrictions','Renal pain','Stone chemistry','Obstruction/hydronephrosis','NSAID, alpha-blocker concepts','UTI','-','Hydration/metabolic prevention','Urine, USG/CT-KUB indications'), ('BPH/prostate cancer','Prostate and urethra','Micturition','PSA limits','Hyperplasia/malignancy','Alpha blockers, 5ARI','UTI','-','-','LUTS history; DRE principles'), ('Acute limb ischaemia/DVT','Arterial/venous anatomy','Perfusion/venous return','Lactate','Atherosclerosis, thrombosis','Heparin, antiplatelets','-','-','VTE prophylaxis','6 Ps; pulses; Doppler/ABI'), ('Head injury','Skull, meninges, brain','ICP/CPP','-','EDH/SDH/contusion','Hyperosmolar therapy concepts','-','Medicolegal documentation','Helmet safety','GCS; pupil exam; CT rules'), ('Fractures/dislocations','Bones, joints, nerve supply','Bone healing','Ca/Vit D','Osteomyelitis, nonunion','Analgesia, osteoporosis drugs','S aureus osteomyelitis','MLC in trauma','Fall prevention','X-ray ABCS; neurovascular checks'), ('Osteoarthritis/low back pain','Spine, hip, knee','Pain pathways','Vitamin D','Degeneration/red flags','NSAID safety, neuropathic agents','TB spine possibility','-','Ergonomics','Joint/spine examination')])], 'OBSTETRICS & GYNAECOLOGY': [ ('Unit O1 - Normal pregnancy, antenatal care and labour',[ ('Normal pregnancy','Uterus, pelvis, placenta','CV, renal, respiratory adaptations','hCG/placental hormones','Placental development','Safe medication principles','-','-','Diet, supplements, danger signs','ANC history; obstetric exam'), ('Antenatal care/screening','Fetal lie; pelvis','Maternal adaptations','Hb, glucose, blood group','Anaemia/HTN','IFA, calcium, vaccines','HIV, HBV, syphilis, UTI','Consent/confidentiality','ANC package, high-risk referral','BP, urine protein, fundal height'), ('Normal labour/partograph','Fetal skull; pelvic diameters','Uterine action; fetal circulation','-','-','Oxytocin safety','-','-','Birth preparedness','Leopolds; PV principles; partograph'), ('Puerperium/lactation','Breast, pelvic floor','Prolactin/oxytocin','-','Endometritis, VTE','Uterotonics, analgesia','Puerperal sepsis','-','Breastfeeding, postpartum contraception','Postnatal exam; counselling')]), ('Unit O2 - Obstetric complications',[ ('Hypertensive disorders','Placenta; renal circulation','BP/renal regulation','LFT, platelets, urine protein','Endothelial dysfunction/HELLP','MgSO4, labetalol/nifedipine','-','-','Aspirin risk prevention; warning signs','Severe features; MgSO4 toxicity check'), ('Gestational diabetes','Placenta/pancreas','Insulin resistance','OGTT, glucose targets','Macrosomia effects','Insulin; drug safety','-','-','Diet and postpartum follow-up','Glucose monitoring; fetal surveillance'), ('APH/placenta previa/abruption','Placental site','Maternal-fetal circulation','Hb, coagulation','Abruption/DIC','Anti-D, blood products','-','Documentation','Emergency transport','No PV in previa; resuscitation'), ('PPH','Uterus/placental bed','Uterine contraction; shock','CBC/coagulation','4 Ts: tone, trauma, tissue, thrombin','Oxytocin, misoprostol, TXA','Sepsis risk','MLC documentation','Birth planning','PPH protocol; bimanual massage'), ('Preterm labour/PROM/sepsis','Cervix/membranes','Fetal lung maturity','-','Chorioamnionitis','Steroids, tocolytics selective, antibiotics','GBS/ascending infection','-','Referral/neonatal preparedness','Speculum; fetal monitoring'), ('Ectopic pregnancy/abortion','Tubes; implantation','Early pregnancy physiology','beta-hCG trend','Tubal rupture','Anti-D, methotrexate criteria','Septic abortion','Consent/MTP documentation','Safe abortion care','Shock assessment; TVS/beta-hCG')]), ('Unit O3 - Gynaecology, infertility and oncology',[ ('Menstrual disorders/PCOS','Ovary, uterus','HPO axis','Insulin resistance','Endometrial hyperplasia/PCOS','COCP, progestin, metformin','-','-','Weight management','Menstrual history; endocrine work-up'), ('Infertility','Reproductive tract','Ovulation/fertilisation','AMH basics','Endometriosis','Ovulation induction','Genital TB/STI','Consent/ethics','Preconception care','Semen/ovulation/tubal assessment'), ('Fibroid/endometriosis/adenomyosis','Uterine anatomy','Hormonal cycling','-','Leiomyoma/endometrial implants','Hormonal therapy/NSAIDs','-','-','Anaemia control','Pelvic exam; USG correlation'), ('Ovarian masses','Ovarian anatomy','-','Tumour markers limitations','Benign vs malignant ovarian tumour','Chemo concepts','-','-','Genetic-risk counselling','Mass assessment; torsion red flags'), ('Cervical cancer/STIs','Cervix/transformation zone','-','-','CIN/carcinoma','HPV vaccine, STI therapy','HPV, gonorrhoea, chlamydia','Sexual assault documentation principles','Screening/vaccination/partner treatment','Speculum exam; Pap/HPV counselling'), ('Contraception/MTP','Pelvic anatomy','Fertility physiology','-','-','COCP, POP, EC, IUCD contraindications','STI protection','Consent/MTP law basics','Family planning','Eligibility counselling; method choice')])], 'PAEDIATRICS': [ ('Unit P1 - Growth, nutrition and newborn',[ ('Growth/development','Milestones; dentition','Growth hormone/puberty','Nutrition needs','Developmental delay causes','-','-','-','Growth monitoring/programmes','Plot chart; developmental screen'), ('PEM/micronutrients','-','Adaptive starvation','Protein, vitamins, minerals','Marasmus/kwashiorkor','Therapeutic feeds/supplements','-','-','IYCF/nutrition schemes','Anthropometry; SAM danger signs'), ('Neonatal resuscitation','Airway/fetal circulation','Transition at birth','Glucose, bilirubin','Birth asphyxia injury','Resuscitation drug principles','Sepsis prevention','Birth documentation','Essential newborn care','NRP sequence'), ('Neonatal jaundice','Liver/RBC circulation','Bilirubin handling','Unconjugated/conjugated bilirubin','Haemolysis/cholestasis','Phototherapy/IVIG concepts','Sepsis triggers','-','Breastfeeding support','Bilirubin chart; red flags'), ('Neonatal sepsis','-','Sepsis physiology','Glucose/CRP limits','Septic shock','Antibiotic dosing','Common neonatal pathogens','-','Hand hygiene/cord care','Danger signs; culture before antibiotic')]), ('Unit P2 - Common paediatric systems',[ ('ARI/asthma/bronchiolitis','Small airways','Age-specific respiratory mechanics','ABG concepts','Airway inflammation','O2, bronchodilator indications','RSV, pneumonia agents','-','Vaccines/smoke-free home','Resp distress signs; pulse oximetry'), ('Diarrhoea/dehydration','-','Fluid compartments','Na/K/glucose transport','-','ORS, zinc, antibiotics selective','Rotavirus/cholera/shigella','-','WASH/IMNCI','Classify dehydration; plan A/B/C'), ('Immunisation','Injection sites','Immune response','-','-','Vaccine contraindications/AEFI','Live/inactivated vaccines','-','National schedule/cold chain','Counselling; catch-up approach'), ('CHD/RHD','Cardiac embryology','Fetal circulation','-','RHD/cyanotic defects','Prostaglandin/penicillin concepts','Strep infection','-','Secondary prophylaxis','Murmur, cyanosis, HF assessment'), ('Nephrotic/UTI','Kidney/bladder','Glomerular filtration','Albumin/lipids','Minimal-change disease','Steroids, antibiotics','E coli, urine culture','-','Hygiene/renal follow-up','Urine collection; oedema/BP'), ('Meningitis/seizures/CP','CNS development','Neural excitability','Glucose/electrolytes','Cerebral injury','AEDs/antimicrobials','Age-specific pathogens','-','Rehab/early intervention','Neuro exam; LP and seizure protocol')]), ('Unit P3 - Haematology, endocrine and emergencies',[ ('Anaemia/thalassaemia','Marrow/spleen','O2 delivery','Iron/Hb synthesis','Microcytic/haemolytic patterns','Iron/transfusion/chelation basics','Malaria/hookworm','-','Nutrition/genetic counselling','CBC/smear; transfusion safety'), ('Diabetes/thyroid','Pancreas/thyroid','Endocrine axes','Glucose/TFT','Autoimmunity','Insulin/thyroxine','-','-','School and sick-day plan','DKA recognition; monitoring'), ('Poisoning/accidents','-','Toxidromes/airway','Acid-base, glucose','-','Antidotes/decontamination','-','MLC, preservation of samples','Injury prevention','ABCDE; poison history'), ('Paediatric emergency','Airway/access sites','Age-adjusted vitals','Dose calculation','Shock patterns','Weight-based drugs/fluids','Sepsis','-','Safety-net advice','Triage; BLS/PALS concepts')])], 'COMMUNITY MEDICINE, FORENSIC & AETCOM': [ ('Unit C1 - Insert into every clinical posting',[ ('Epidemiology and screening','-','Natural history','Rates/ratios','Risk factors','-','-','-','Sensitivity, specificity, predictive values; screening criteria','Explain screening outcome to patient'), ('Communicable diseases','-','Transmission dynamics','-','-','Antimicrobial stewardship','Surveillance, specimen collection','Notification duties','Outbreak control, vector/WASH measures','Line list; contact counselling'), ('NCD prevention','-','Risk-factor physiology','Lipids/glucose','Target-organ pathology','Adherence and adverse effects','-','-','Primordial-primary-secondary-tertiary prevention','Lifestyle counselling and referral'), ('Maternal-child health','-','Pregnancy/child growth','Nutrition','-','IFA/vaccines','-','-','ANC, institutional delivery, immunisation, IYCF','Risk communication'), ('Medico-legal/ethics','Relevant anatomy in injuries','-','Toxicology labs','Wound/healing age','Antidotes/sedation safety','Sexual offences/infection testing','Consent, confidentiality, MLC, injuries, death certificate','-','Clear records and empathetic communication')])] } D=Document(); sec=D.sections[0];sec.orientation=WD_ORIENT.LANDSCAPE;sec.page_width=Inches(11.69);sec.page_height=Inches(8.27);sec.top_margin=sec.bottom_margin=Inches(.42);sec.left_margin=sec.right_margin=Inches(.36) for name,size,color in [('Normal',8.5,'000000'),('Title',24,'17365D'),('Heading 1',17,'17365D'),('Heading 2',12,'1F4E78')]: st=D.styles[name];st.font.name='Arial';st.font.size=Pt(size);st.font.color.rgb=RGBColor.from_string(color) if name!='Normal':st.font.bold=True # cover p=D.add_paragraph();p.alignment=WD_ALIGN_PARAGRAPH.CENTER;r=p.add_run('FINAL-YEAR MBBS\nDETAILED INTEGRATED REVISION PLANNER');r.bold=True;r.font.name='Arial';r.font.size=Pt(25);r.font.color.rgb=RGBColor(23,54,93) p=D.add_paragraph('Chapter-by-chapter previous-year revision linked to final-year units');p.alignment=WD_ALIGN_PARAGRAPH.CENTER D.add_paragraph('PURPOSE: Print this, keep it with your clinical book, and use one row at a time. The coloured columns are not extra reading: they specify the exact older topic to revise after that clinical chapter. Blank cells mean no dedicated old-subject revision is needed.',style='Intense Quote') D.add_heading('Colour key',1);t=D.add_table(rows=2,cols=9);t.style='Table Grid';t.alignment=WD_TABLE_ALIGNMENT.CENTER for i,k in enumerate(ORDER):put(t.cell(0,i),k,True,8);shade(t.cell(0,i),C[k]);put(t.cell(1,i),FULL[k],False,7);shade(t.cell(1,i),C[k]) D.add_heading('How to work each row',1) steps=[('1. Clinical first','Read the final-year topic, including presentation, differential diagnosis, investigations, management and complications.'),('2. Integrate selectively','Read only the filled coloured cells. Spend 5-10 min per filled cell, not a full chapter from every old subject.'),('3. Actively retrieve','Close the book: explain mechanism, write first-line management, and interpret one relevant test.'),('4. Apply','Do the listed clinical action at the bedside, in a case discussion, or from a video/textbook image.'),('5. Spaced review','Mark C on completion, R1 after 7 days, R2 after 21 days, R3 before university exam.')] t=D.add_table(rows=1,cols=2);t.style='Table Grid' for i,x in enumerate(['Step','What to do']):put(t.cell(0,i),x,True,9,True);shade(t.cell(0,i),'1F4E78') for a,b in steps: row=t.add_row();put(row.cells[0],a,True,8);put(row.cells[1],b,False,8) D.add_paragraph('Suggested weekday format: 90-120 min clinical chapter | 45-60 min coloured integration | 20 min clinical action | 20-30 min questions. Saturday: consolidate all rows finished that week. Keep Sunday light or off.') # pages and tables for subject,units in U.items(): D.add_page_break();D.add_heading(subject,1) D.add_paragraph('Tick C when the row is first completed. Tick R1/R2/R3 after active recall, not passive rereading. Use the Notes column to record your weak link, a case seen, or an important mistake.') for unit,topics in units: D.add_heading(unit,2) t=D.add_table(rows=1,cols=15);t.style='Table Grid';t.alignment=WD_TABLE_ALIGNMENT.CENTER heads=['#','Clinical chapter']+ORDER+['C','R1','R2','R3','Notes / case seen'] widths=[.18,1.28,.62,.62,.62,.62,.62,.62,.52,.62,.78,.24,.24,.24,.24,.82] # actually 16 heads widths needs 16: corrected widths=[.18,1.30,.62,.62,.62,.62,.62,.62,.52,.62,.78,.24,.24,.24,.24,.82] # 2+9+5 =16 columns t._tbl.remove(t.rows[0]._tr) t.add_row() # recreate table with correct number impossible from 15 cols, use 16 now via new table D._body._body.remove(t._element) t=D.add_table(rows=1,cols=16);t.style='Table Grid';t.alignment=WD_TABLE_ALIGNMENT.CENTER for i,h in enumerate(heads): put(t.cell(0,i),h,True,6.7, i in (0,1,11,12,13,14,15)); shade(t.cell(0,i),'1F4E78' if i in (0,1,11,12,13,14,15) else C[ORDER[i-2]]) t.cell(0,i).width=Inches(widths[i]) repeat(t.rows[0]) for n,rowdata in enumerate(topics,1): clinical,*vals=rowdata row=t.add_row();no_split(row) vals2=[str(n),clinical]+vals+['☐','☐','☐','☐',''] for i,x in enumerate(vals2): put(row.cells[i],x,False,6.35 if 2<=i<=10 else 6.8);row.cells[i].width=Inches(widths[i]) if 2<=i<=10:shade(row.cells[i],C[ORDER[i-2]]) elif i in (0,11,12,13,14):shade(row.cells[i],'F2F2F2') # tracker D.add_page_break();D.add_heading('Master Unit Tracker',1) D.add_paragraph('Use this page to see whether the planner is balanced across all subjects. Complete a unit before moving into a full-system revision weekend.') t=D.add_table(rows=1,cols=7);t.style='Table Grid' for i,h in enumerate(['Subject','Unit','Start date','First complete','R1','R2','R3 / weak topics']):put(t.cell(0,i),h,True,8,True);shade(t.cell(0,i),'1F4E78') for sub,units in U.items(): for unit,_ in units: row=t.add_row() for i,x in enumerate([sub,unit,'','☐','☐','☐','☐ / ']):put(row.cells[i],x,False,8) # final daily sheet D.add_heading('Reusable daily chapter sheet',1) t=D.add_table(rows=7,cols=2);t.style='Table Grid' for i,(a,b) in enumerate([('Date / Unit / clinical chapter',''),('Presenting symptoms + differentials',''),('Mechanism in five lines',''),('Important investigation and why',''),('First-line management + emergency step',''),('Prevention, counselling, programme / legal issue',''),('Case seen, question mistakes, next review date','')]):put(t.cell(i,0),a,True,8);shade(t.cell(i,0),'D9EAF7');put(t.cell(i,1),b,False,8) for s in D.sections:page_number(s.footer.paragraphs[0]) OUT.parent.mkdir(parents=True,exist_ok=True);D.save(OUT);print(OUT,OUT.stat().st_size) PY python3 "/tmp/workspace/mbbs-integrated-planner/src/create_detailed_planner.py" python3 - <<'PY' from docx import Document from pathlib import Path p=Path('/tmp/workspace/mbbs-integrated-planner/output/Final_Year_MBBS_Detailed_Integrated_Revision_Planner.docx') d=Document(p) print('exists',p.exists(),'bytes',p.stat().st_size,'tables',len(d.tables),'paragraphs',len(d.paragraphs),'sections',len(d.sections)) print('table cols sample',len(d.tables[3].columns)) PY