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Evolution of Critical Care Medicine in India is an epic tale of gradual shift of the small private hospital initiation to a more organised, scientific and research oriented specialty of Medicine. This paradigm has struggled for its acceptance and importance to establish a new specialty of Medicine in teaching institutions in India. The challenges of its establishment involve manpower, resource management, clinical inputs from other specialties and acceptance of new technologies in the critical care medicine.

There is a huge gap of numbers of hospitals with critical care set ups and trained doctors to take care of these critically ill patients. Imperative knowledge in establishment of critical care medicine departments in teaching institutions in India is shaping up in a big way. This has led to very few medical colleges in India to establish critical care medicine departments.

Sri Balaji Vidyapeeth University, Puducherry, has always envisioned the university as an academic and patient care excellence in all dimensions. Starting Department of Critical Care Medicine at Mahatma Gandhi Medical College is a nodal event to its academic commitments. The Department of Critical Care Medicine is the first to start in the state of Puducherry amongst the other medical colleges. The department has initiated the teaching and training by starting training courses in Critical Care Medicine at the hospital. The start of DM Critical Care Medicine is at constant contemplation of the department.

Special Clinic:

Critical care medicine OPD for follow up, evaluation is a future goal as it's a practice in many government and private set ups.

How to refer to the Department:
  • Emergency Medicine (casualty)
    • Critically ill patients are triaged by the CCMO and such patients are admitted directly under the department of CCM.
    • Patients admitted under other clinical specialities needing critical care management are also systematically transferred under department of CCM.
  • In -Hospital patient: patients admitted under other clinical departments (medical or surgical) from wards.
  • Other critical care areas in hospital: other critical care areas like MICU, SICU, Neurosurgery ICU, CTVS ICU.
Location in the hospital:

The department is located in D Block, Second Floor in Hospital Block.

Training in the department: The department of CCM organises training of
  • CRRI-
    1. A compulsory short term posting of CRRI for 2 days.
    2. Final year MBBS students clinical clerkship- 5 days.
  • Postgraduates-
    • Postgraduate students from Department of Anaesthesiology are posted for 3 months during their post graduation tenure under CCM.
    • Postgraduate residents from Department of General medicine to be posted for CCM rotation as a part of their PG tenure.
  • IDCCM/IDCCN-
    • The department of CCM has intake of Two IDCCM (Indian Diploma in Critical Care Medicine) candidates per year.
    • The department of CCM has intake of Four IDCCN(Indian Diploma in Critical Care Nursing) candidates per year.
    • Proposed for Two IFCCM seats for post IDCCM doctors.

 

 

  1. Admission of critically ill patients under Department of CCM for early resuscitation and stabilisation.
  2. Mechanical ventilation and hemodynamically guided therapeutic interventions
  3. Ultrasound guided assessment and interventions
  4. Full extent evaluation and management of the patients as a closed ICU concept.
  5. Out reach services and constant critical care consults for all clinical specialities are being provided

    1. Symposium /Webinars:
      • A web based discussion on MRSA infections in hospitals (14/10/2016)
      • A webinar on Sepsis : Current concepts (22/11/2016)
      • End of life care issues in Critically ill patients- Is CPR pathway the only way to go in ICUs? (02/12/2016).
      • Tenets of critical care practice-KGNC.
      • Learning opportunities in critical care medicine-MGMCRI
    2. Planned activities-
      1. Organise an academic wing from Department of CCM, MGMCRI under ISCCM, Puducherry branch.
    3. Academic meetings:
      • Interesting Case Presentation
      • Clinical Updates & Guidelines presentations: new drugs, treatment modalities, disease & treatment changes.
      • Journal Clubs (Any Bench marked Randomized Controlled Trials) & its scrutiny.
      • Experts invite for a Talk
      • Webinar / Web talk / Web symposium organization
    4. Workshops:
      • Tier I workshops: Basics in Critical Care Medicine targeted towards Junior Residents, Staff Nurses from academic & non-academic institutions in and around Pondicherry. (Daily Rituals of Critical Care)
      • Tier II workshops: Basics to advanced Critical Care medicine: targeted to residents & consultants (hands on workshops on various modalities on managing critical care patients)
      • Tier III workshops: Regional Conferences in Critical Care Medicine

  1. Assessment of serum procalcitonin as a bio marker in mechanically ventilated patients for pulmonary infections in intensive care unit. (Dr. Sameera M Jahagirdar, Dr. Kalaivani, Dr. Ravishankar, Dr. Seetha)
  2. Antibiotic resistance pattern and characterisation of bacterial isolates OD mechanically ventilated patients for pulmonary infections from ICU in a tertiary care hospital. (Dr. Kalaivani, Dr. Sameera, Dr. Seetha, Dr. Ravishankar)
  3. A study on ICU admission pattern and outcome of patients admitted to ICU of a Tertiary Care Hospital in Pondicherry. (Dr. Sameera, Dr. Charles)
  4. A prospective observational study of use of Predicted body weight and actual body weight for determination of tidal volume in mechanically ventilated patients.(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar,Staff nurse Rini Cynthia).
  5. Comparison between use of Modified stewart approach vs 7 steps of  Boston approach in the ABG interpretation in mixed intensive care unit. (Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar,S/N Rini Cynthia)
  6. A clinical audit of the critical care incidents in a closed model ICU- a single centre experience-(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar S/N Rini Cynthia)
  7. A comparison of systematic bedside clinical handover Verbal vs Written by critical care physicians in a mixed ICU set-up.(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar)
  8. Bedside diaphragmatic ultrasonography to predict the weaning outcome in mechanically ventilated patients in a dedicated critical care team run ICU.(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar, Dr.Hemanth)
  9. Intra hospital transport adverse events outcome before and after transport team training.(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar, Dr.Hemanth, S/N Rini, S/N Kalidass, S/N Christy, S/N Mangai, S/N Amudha).
  10. A comparison of systematic bedside clinical handover Verbal vs Written by critical care nurses in a mixed ICU set-up.(Dr.Alai Taggu, Dr.Sreedhar Reddy W, Dr.Sameera, Dr.C. Rajesh Prabhu, Dr.Senthil, Dr.Ravishankar, Dr.Hemanth, S/N Rini, S/N Kalidass, S/N Christy, S/N Mangai, S/N Amudha).

 



Course name Year No. of Seats Course Duration
Indian Diploma in Critical Care Medicine 2018 2 Post MD/MS - 1 Year, Post Diploma - 2 Year
Post MBBS certification Course in Critical Care Medicine 2018 2 2 Year
Indian Diploma in Critical Care Nursing 2018 4 1 Year

Why Training in Critical Care Medicine?

Critical care medicine is a well evolved branch of medicine over the past two decades in India. The efforts to scientific meaningful service in critical care should be established through research and training as a postgraduate specialty. Indian Society of Critical Care Medicine (ISCCM) established in 1993 in India, is an association of ‘Intensivists’ playing major role in leading growth to critical care medicine practice, teaching & training. The establishment of a structured curriculum based training course in a postgraduate teaching institute like Mahatma Gandhi Medical College & Research Institute will enhance the research dimension in critical care medicine. The department aims at starting DM Critical Care Medicine course as a tandem process. Course Objectives: 1. To train a resident to become a competent ‘expert’ in the field of critical care medicine capable of acquiring role of a Consultant of the specialty. 2. To acquire knowledge of theoretical basis of the critical care specialty including basic medical sciences foundations & research. 3. To develop appropriate skills, attitude & practice for optimal, ethical, patient-centered practice of critical care medicine. 4. To build a ‘scholar’ in adult critical care medicine with lifelong commitment to dedicated efforts of learning, applying and disseminating the knowledge.

Eligibility

Course name Eligible postgraduate specialty Remark
IDCCM Diploma in Anaesthesiology/DTCD/Orthopaedics MD in Medicine/Pulmonary Medicine/Anaesthesiology DNB in Medicine/Pulmonary Medicine/ Anaesthesiology MS Gen Surgery/Orthopaedics The post graduate qualification must be from a University and recognized by Medical Council of India*.
Post MBBS certification Course in Critical Care Medicine MBBS with completion of compulsory rotational internship The graduation qualification must be from a University and recognized by Medical Council of India*.
IDCCN GNM/BSc Nursing/MSc Nursing/PG Diploma The graduate qualification must be from a University and recognized by Nursing Council of India*.
*In case of any doubt/controversy regarding the eligibility, the Chairman & Secretary (Education) of Indian Society of Critical Care Medicine (ISCCM) shall discuss with the Education Committee and present the decision to College Executive Committee whose decision in this regard will be final and binding.

Candidate selection

Candidates need to apply directly to Mahatma Gandhi Medical College & Research Institute (MGMCRI). Selection will be done by the ISCCM recognized teacher of the MGMCRI based on candidate’s eligibility.  ISCCM is not involved in selection process directly or indirectly.
  • Application & Selection Process:
Process Approximate Date Remarks
Advertisement for the course   8th November
Last date of Submission of Application 9th December Download the application forms from following links for the respective courses: 1.Indian Diploma in Critical Care Medicine (IDCCM)(Student Form) 2.POST MBBS CERTIFICATE COURSE IN CRITICAL CARE 3. Indian Diploma in Critical Care Nursing Attach all the necessary certificates & experience certificates as mentioned in the application form & submit to: Department of Anaesthesiology & Critical Care, 2nd Floor, Main OT Complex, Mahatma Gandhi Medical College & Research Institute, Pondicherry. Phone: (0413) 2616700 Ext: 229 Email: ccm@mgmcri.ac.in
Interview for the courses 16th  December Attend the interview with a copy of your CV & academic experience certificates
Results 18th December The selected candidates names will be displayed on the notice board of Department of Anaesthesiology & Critical Care
Course Joining 1st January 2018 Report to the Department of Anaesthesiology & Critical Care. The candidate will be relieved from the post ONLY after completion of speculated duration of residency
Registration with ISCCM Before 28th February 2018 (Last Date) Follow instructions according to ISCCM website.

Selection policy & stipend for course candidates

The selected candidates (except ‘In-house’ candidates: please see below) will be appointed as follows:
Course Designation Stipend
IDCCM Senior Resident (Post MD/ MS / Post diploma) Equivalent to salary of a Senior resident post  
Post MBBS certification course Junior Resident Equivalent to salary of a Junior Resident post
IDCCN Staff nurse Equivalent to salary of a Staff Nurse post

Selection Policy for ‘In-house’ candidates

MGMCRI institute faculties / Junior residents / Staff nurses desirous of joining the respective courses are required to undergo the same selection process. The designation & remunerations of the faculty / junior resident / staff will be preserved for their respective cadre. These in-house candidates should give a bond against SBV University of 2 years of compulsory service after course completion. They will be exclusively working under the Department of Critical Care Medicine. A penalty of 4 Lakhs (Rupees Four lakhs only) will be fined on breech of the bond before speculated time period. The faculty members not availing ‘In-house’ status for joining the course will be designated as senior resident after discontinuation of their appointed post in the respective departments. A salary equivalent to senior resident post will be allotted to them.

Course Content

Postings Duration of postings
A. Post MD/MS/DNB candidates (1 year course duration)
Critical care unit 8 months
Emergency department: 1 month
CVTS care unit: 1 month
MICU: 1 month
Operation theatre: 1 month
B. Post DA/ DTCD candidates & Post MBBS course candidates (2 years course duration)
Critical care unit 16 months
Emergency department: 2 months
CVTS care unit: 2 months
MICU: 2 months
Operation theatre: 2 months
C. IDCCN candidates (1 year course duration)
Medical ICU 4 months
Surgical ICU 4 months
Coronary Care Unit (CCU) / CTVS 1 month
Emergency Department 1 month
Dialysis unit / Transplant unit 1 month
Paediatric / OT 1 month
Teaching program:

Bedside clinical rounds: The resident will be presenting the cases to the consultant daily on the clinical rotations. The revolutionary use of ultrasound as a clinical stethoscope is a highlight of daily ICU rounds. The emphasis is given on ethics in critical care medicine, end of life care and evidence based practice in critical care medicine during bedside discussions.

Classroom teaching: Weekly one days classroom academic activity will be organized, which includes:
  1. Lectures / seminars: conducted by the teaching faculty
  2. Journal club / case reporting / case discussion: conducted by the resident students.
In addition to the above academic activities, it is imperative that the students attend following courses in one/ two year’s traing:
ACLS (Advanced Cardiac Life Support)
BASIC provider course
ISCCM CME / Refresher course

Contact Information

Dr. Sameera M Jahagirdar
Senior Resident
Department of Critical Care Medicine
MGMCRI
Phone: 09790018478
Landline : 0413-2616700 (ext.229) Email: ccm@mgmcri.ac.in