| Program Description |
MD. ANAESTHESIA
Goal
The goal of postgraduate medical education shall be to produce a competent specialist and / or a medical teacher as stated in the Post Graduate Medical Education Regulations 2000 and its amendments thereof [May2018]
(i) Who shall recognize the health needs of the community, and carry out professional obligations ethically and in keeping with the objectives of the national health policy.
(ii) Who shall have mastered most of the competencies, pertaining to the specialty, that are required to be practiced at the secondary and the tertiary levels of the health care delivery system.
(iii) Who shall be aware of the contemporary advances and developments in the discipline concerned.
(iv) Who shall have acquired a spirit of scientific inquiry and is oriented to the principles of research methodology and epidemiology, and
(v) Who shall have acquired the basic skills in teaching of the medical and paramedical professionals.
General Objectives
At the end of the postgraduate training in the discipline concerned the student shall be able to:
(i) Recognize the importance of the concerned specialty in the context of the health need of the community and the national priorities in the health sector.
(ii) Practice the specialty concerned ethically and in step with the principles of primary health care.
(iii) Demonstrate sufficient understanding of the basic sciences relevant to the concerned specialty.
(iv) Identify social, economic, environmental, biological and emotional determinants of health in a given case, and take them into account while planning therapeutic, rehabilitative, preventive and promotive measures/strategies.
(v) Diagnose and manage majority of the conditions in the specialty concerned on the basis of clinical assessment, and appropriately selected and conducted investigations.
(vi) Plan and advice measures for the prevention and rehabilitation of patients suffering from disease and disability related to the specialty.
(vii) Demonstrate skills in documentation of individual case details as well as morbidity and mortality data relevant to the assigned situation.
(viii) Demonstrate empathy and humane approach towards patients and their families and exhibit interpersonal behaviour in accordance with the societal norms and expectations.
(ix) Play the assigned role in the implementation of national health programs, effectively and responsibly.
(x) Organize and supervise the chosen/assigned health care services demonstrating adequate managerial skills in the clinic/hospital or the field situation.
(xi) Develop skills as a self-directed learner; recognize continuing educational needs, select and use appropriate learning resources.
(xii) Demonstrate competence in basic concept of research methodology and epidemiology, and be able to critically analyse relevant published research literature.
(xiii) Develop skills in using educational methods and techniques as applicable to the teaching of medical/nursing students, general physicians and paramedical health workers.
(xiv) Function as an effective leader of a team engaged in health care, research or training.
Statement of the Competencies
Keeping in view the general objectives of postgraduate training, each discipline shall aim at development of specific competencies, which shall be defined and spelt out in clear terms. Each department shall produce a statement and bring it to the notice of the trainees in the beginning of the program so that he or she can direct the efforts towards the attainment of these competencies.
Components of the PG Curriculum
The major components of the PG curriculum shall be:
• Theoretical knowledge
• Practical/clinical Skills
• Training in writing thesis/research articles
• Attitudes, including communication.
• Training in research methodology, medical ethics & medicolegal aspects
• Teaching skills to the undergraduates, juniors and support teams.
The postgraduate course, M.D. (Anaesthesiology) should enable a medical graduate to become a
competent specialist, acquire knowledge and skills in educational technology for teaching
medical, dental and health sciences and conduct research in bio-medical science.
The MD course in Anaesthesiology is a three year integrated course. After satisfactory
completion of the course, the candidate shall be fully conversant with theory and practical
aspects of anaesthesiology and be able to practice anaesthesiology comprehensively, confidently
and safely in the community that he/she serves.
Objectives
1) He/She shall recognize the health needs of the community, and carry out professional
obligations ethically and in keeping with the objectives of the national health policy.
2) He/She shall have mastered most of the competencies, that are required to be
practiced at the secondary and the tertiary levels of the health care delivery system.
3) He/She shall be aware of the contemporary advances and developments in
anaesthesiology.
4) He/She shall have acquired a spirit of scientific inquiry and is oriented to the
principles of research methodology and epidemiology:
5) He/She shall have acquired the basic skills in teaching the medical and paramedical
students.
6) He/She continue to evince keen interest in learning and teaching Anaesthesiology
whether he is in a teaching institution or is a practicing anaesthesiologist.
Specific Learning Objectives:
The specific learning objectives of postgraduate training course in Anaesthesiology would be to
train a MBBS doctor who will:
1. Practice independently the art and science of anaesthesiology, backed by scientific
knowledge and skill based approach.
2. Undertake responsibilities in critical care, trauma, and respiratory therapy and
resuscitation of unconscious patients.
3. Become skilled in acute and chronic pain management.
4. Know the principles of research methodology and modes of consulting library.
5. Exercise empathy and a caring attitude and maintain high ethical standards.
6. Be a motivated’ teacher’- defined as an Anaesthesiologist, keen to share his knowledge
and skills with a colleague or a junior or any learner.
The objectives may be considered under the following headings.
A. Knowledge
B. Skills
C. Human values, ethical practice and communication abilities
D. Research activities.
At the end of the training the candidate must be able to:
A. Knowledge: Cognitive domain
• Demonstrate understanding of basic sciences relevant to anaesthesia.
• Describe the anaesthetic management of common and uncommon surgical ailments
belonging to various branches of surgery, of all ages, requiring operative interventions
with a basic knowledge of the aetiology, pathophysiology and the surgical treatment of
the conditions.
• Describe the underlying theoretical background of mechanism of pain, pain perception
and pain management.
• Describe the theory of the underlying aetiology, mechanism and management of the
conditions requiring resuscitation.
• Demonstrate understanding of the theoretical basis of polytrauma and the science of
resuscitation.
• Recognize the conditions that may be outside the area of his competence and refer them
to an appropriate specialist prior to anesthetizing them.
• Update himself/herself by self-study and by attending continuing medical education
courses, conferences and seminars relevant to anaesthesia.
• Demonstrate understanding of medico-legal aspects of anaesthesia.
• Undertake audit, use information technology, tools and carry out research, both basic and
clinical with the aim of publishing his work and presenting his work at various scientific
fora.
• Describe anaesthesia for laser surgeries
• Describe outpatient anaesthesia and anaesthesia at high altitudes.
B. Skills: Practical / Clinical - Psychomotor domain
• Perform 'pre-anaesthetic evaluation' of patients undergoing surgery by taking, proper
clinical history, examining the patient, ordering relevant investigations and interpreting
them to have additional information about the surgical condition, and / or the associated
medical condition, which warrant the modification of the proposed anaesthetic
management.
• Administer anaesthesia (general and or regional) to common surgical operations
independently and to allied specializations like cardiac surgery, neurosurgery.
• Provide Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).
• Manage airway and perform ventilatory care of unconscious and polytrauma cases as a
member of trauma team and critical care unit team.
• Undertake complete clinical monitoring of the patients during preoperative,
intraoperative post operative periods and also of the patients who are on ventilators in
ICU& CCU.
• Perform acute and chronic pain management.
C. Human values, ethical practice and communication abilities - Affective domain
• Adopt ethical principles in all aspects of anaesthetic practice. Professional honesty and
integrity are to be fostered. Anaesthesia care is to be delivered to all in need, irrespective
of the social status, caste, creed or religion of the patient.
• Develop communication skills, in particular the skill to explain the various options
available in the anaesthetic management, critical care, pain management and to obtain
written informed consent from the patient.
• Provide leadership and get the, best out of his team in a congenial working atmosphere.
• Apply high moral and ethical standards while carrying out human or animal research.
• Be humble and accept the limitations in his knowledge and skill and to ask for help from
colleagues when needed.
• Respect patient's rights and privileges including patients right to information and right to
seek a second opinion. Should be able to function as a part of a team, develop an attitude of
cooperation with colleagues, and interact with the patient and relatives and the clinician or
other colleagues to provide the best possible diagnosis or opinion.
• Always adopt ethical principles and maintain proper etiquette in dealings with patients,
relatives and other health personnel and to respect the rights of the patient including the
right to information and second opinion.
• Develop communication skills to word reports and professional opinion as well as to
interact with patients, relatives, peers and paramedical staff, and for effective teaching.
D. Research activities
• Student will be encouraged to have research activities other than dissertation and publish
at least one article during the course of the study.
E. Teaching: The student should learn the basic methodology of teaching and develop
competence in teaching medical/paramedical students. The student should be familiar
with the latest teaching (computer and power point presentation) modes including
simulators training and evidence based medical education.
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