| Program Description |
MD. EMERGENCY MEDICINE
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 goals of postgraduate training for M.D. Emergency Medicine students are to train a
M.B.B.S. doctor who will be capable and competent to:
Practice Emergency Medicine with adequate competency and skills with sound
knowledge.
Practice Emergency Medicine in ethical manner, with empathy and due care to the
needy.
Continue to update with the advances regularly.
Treat his/her team and juniors as learners and share his/her knowledge and skills.
Be aware of national priorities in health and serve as per need towards achieving the
goals of national health policies.
Objectives:
The following objectives are laid out to achieve the goals of the course. These objectives are
to be achieved by the time the candidate completes the course. The Objectives are considered
under the sub headings.
Knowledge (Cognitive domain)
Skills (Psycho motor domain)
Human Values, Ethical practice and Communication abilities (Affect or domain)
Importance of golden hour and window period etc.
Knowledge:
A list of objectives related to knowledge and higher cognitive abilities that are expected to be
achieved during the course are given.
At the end of the training, the candidate must be able and competent to:
Understand and describe etiology, pathophysiology principles of diagnosis and
management of common medical , surgical, pediatric emergencies and apply the
same knowledge and skills in the management of patients
Understand, describe and practice effectively the indications and methods for fluid
and electrolyte replacement therapy including blood transfusion nutrition.
Demonstrate understanding of basic sciences relevant to emergency conditions.
Identify social, economic, environmental and emotional determinants in a given case,
and take them into account during planning therapeutic measures, advice regarding
the operative or non-operative management of the case and to carry out the
management effectively.
Undertake audit, use information technology tools and carry out research, both basic
and clinical, with the intent of generating knowledge &spread it through publications
and presentations for the benefit of scientific community and general public.
Recognize & refer conditions outside the competency level to appropriate expertise.
Attend, update and upgrade professional skills regularly as required by participating
in instructional courses, workshops, CMEs, conferences or training programmes.
Be a good teacher by inculcating teaching methodology and skills so as to teach
students, colleagues and support staff. .
Use evidence based medicine and effectively &advocate them in decision making.
Be capable of managing medico-legal aspects of trauma and other non traumatic
emergency conditions.
Be effective team leaders in secondary health care facilities & team member.
Be capable of organizing and executing effective treatment in mass casualties.
Develop knowledge of ventilator and its setting in different conditions.
Skills
Be a competent clinician to take proper clinical history, examine the patient, perform
essential diagnostic procedures and order relevant tests and interpret them to come to
a reasonable diagnosis about the surgical conditions.
Be a competent emergency physician to perform minor operative procedures.
Competent in providing basic and advance life saving support services (BLS &
ACLS) in emergencies and manage them, manage poly trauma, acute surgical
emergencies including abdominal and thoracic emergencies
Undertake thorough wound management including various traumatic wounds and
burns.
Mechanical ventilation
Central venous line, central arterial line etc.
Human Values, Ethical practice and Communication abilities:
Practice emergency medicine ethically and provide care irrespective of other
considerations like caste, creed, religion etc. and social status. Should be sensitive and
responsiveness towards patients’ age, culture, religion, gender and disability etc.
Be honest and maintain professional integrity, accountability, compassion and respect
in all aspects of patient care.
Be a good communicator who can explain patients in lay terms the outcome, various
options of management and obtain true informed consent.
Be able to respect patients’ autonomy, confidentiality, right for information and
decision making.
Understand the limitations of his knowledge and skills and ask for help from experts
and colleagues.
Follow ethical guidelines during research in animals or human subjects.
Be a motivated leader to bring about best in his team.
The student should demonstrate a commitment to excellence and continuous
professional development.
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