Clinical work, Hands on training, Bedside Teaching, Theory classes, Weekly conferences, journal club, chapter reviews and morbidity and mortality meetings

• ACLS & ATLS
• Attending regional & national conferences

The main goal of the training program is to produce Rural Critical Care physicians with the necessary knowledge, skill and attitude to diagnose and manage in an effective manner, a wide range of clinical problems in Critical Care medicine as seen in the community or in secondary and or in tertiary care setting. Special emphasis is placed on the relatively common emergencies and treatable disorders. Possession of clinical skills, required for making a diagnosis is given utmost importance.

• 1. A thorough knowledge of pathological abnormalities, clinical manifestations, and principles of management of a large variety of medical and surgical emergencies & critical care of pediatrics, adults and geriatrics,
• 2. Skill and competence to choose and interpret correctly the results of the various routine investigations necessary for proper management of the patient. While ordering these investigations, a resident must be able to understand the sensitivity, specificity and the predictive value of the proposed investigation, as well as its cost-effectiveness in the management of the patient.
• 3. Skill and competence in critical care and emergency interventions like endotracheal intubation, needle cricothyroidotomy, Standardized Curriculum for MRCCP tracheostomy, needle thorococentesis, Intercostal drain _ placement, pericardio centesis, defibrillation, so on and so forth.
• 4. Skills and competence fo perform commonly used diagnostic procedures, namely, lumbar puncture, bone marrow aspiration / biopsy, liver / nerve /muscle / skin / kidney / pleural biopsy, fine needle aspiration cytology of palpable lumps, pleural / pericardial / abdominal / joint fluid aspiration.
• 5. Skill and competence to choose and interpret correctly the results of specialized investigations including radiologic, ultra sonographic, biochemical, hemo dynamic, Electro cardio graphic electro physiological, pulmonary functional, hematological, immunological, nuclear isotope scanning and arterial blood gas analysis results.
• 6. Skill and competence to provide consultation to other medical and surgical specialties and sub-specialties, whenever needed.
• 7. Skill and competence to function effectively in varied clinical settings, namely emergency / critical care, ambulatory care, out-patient clinic, in-patient wards.
• 8. Skill and competence to take sound decisions regarding hospitalization, or timely referral to other consultants of various medical sub specialties recognizing his limitations in knowledge and skills in these areas.
• 9. Proficiency in selecting correct drug combinations for different clinical problems with thorough knowledge of their pharmacological _ effects, _ side-effects, interactions with the other drugs, alteration of their metabolism in different clinical situations, including that in the elderly.
• 10. Skill and competence to advise on the preventive, restorative and rehabilitative aspects including those in the elderly, so as to be able to counsel the patient correctly after recovery from an acute or chronic illness.
• 11. Skill and competence to understand research methodology in critical care & emergency medicine and fo undertake a critical appraisal of the literature published in various emergency medical journals and be able to apply the same in the setting in which the resident is working.
• 12. Skill and competence to work cohesively in resuscitation team along with paramedical personnel and maintain discipline and healthy interaction with the colleagues.
• 13. Skill and competence to communicate clearly and consciously, and teach other junior residents, medical students, nurses and other paramedical staff, the theory as well as the practical clinical skills required for the practice of Critical Care & Emergency medicine.
• 14. Roles and responsibilities that can be taken up by the candidate after the successful completion of the course: To be an effective team player in a tertiary care level ICU team.

• 1. Nerve & Muscle Cell Physiology
• 2. Circulation
• 3. CNS
• 4. GIT
• 5. Blood
• 6. Fluid & Electrolyte Therapy
• 7. Kidney/ Renal Physiology
• 8. Musculoskeletal
• 9. Musculoskeletal
• 10. Miscellaneous
• 11. Cardiovascular Problems
• 12. Sepsis, severe sepsis and multiple organ dysfunction syndrome
• 13. Basics of Trauma
• 14. Radiology
• 15. Basics of daily care of ICU patient
• 16. Minimally invasive Monitoring
• 17. Procedures & Techniques
• 18. Clinical Pharmacology
• 19. Occupationa
• 20. Nutrition
• 21. Biochemistry
• 22. Microbiology

• 1. Pathology
• 2. Infective Pathophysiology of disease
• 3. Cardiovascular System - Pathophysiology
• 4. Vascular
• 5. Pulmonary Problems in the Intensive Care Unit
• 6. Gastro Intestinal Disorders
• 7. Haematology and Oncology Problems
• 8. Obstetric Problems
• 9. Central Nervous System
• 10. Renal Disorders
• 11. Endocrine - Pathophysiology
• 12. Miscellaneous — Pathophysiology
• 13. Surgical Problems in Intensive care
• 14. Environmental Casualties
• 15. Pharmacology Overdoses, and Poisonings
• 16. Infections
• 17. End of Life care
• 18. Transportation of critically III patient
• 19. Psychiatric Issues in Intensive Care
• 21. Metabolism/ Nutrition
• 22. Neurologic problems in the Intensive Care Unit

• 1. Recent updates in Respiratory Critical Care
• 2. Recent updates in Cardiovascular Critical Care
• 3. Recent Updates in Infectious Disease Problems - Critical Care
• 4. Recent updates in Shock & Trauma
• 5. Transplantation
• 6. Contemporary Challenges in the & Trauma Intensive Care Unit
• 7. Recent updates in ICU Radiology
• 8. Recent updates in ICU procedures
• 9. Recent updates in Clinical Pharmacology
• 10. Policy Making Protocol Establishment
• 11. ICU research Methodologies
• 12. ICU auditing and quality improvement in Critical Care
• 13. Recent Advances in ACLS, BLS, PALS & ATLS