Indian Diploma in Critical Care Medicine (IDCCM) registration last date 20th July 2020

One year course: IDCCM (Post PG degree)

• MD or DNB (Medicine, or Anesthesiology or Emergency Medicine or Chest Medicine/Pulmonology )
• MS or DNB (General Surgery or Orthopedics)
• Equivalent Post Graduate Foreign qualification recognized by MCI
• MD Emergency if approved by MCI would be eligible for IDCCM. (from July 2013)

Two year course: IDCCM (Post PG Diploma/Post CTCCM):

• Diploma (Anesthesiology or Chest Medicine/Pulmonology or Orthopedics)
• CTCCM (Post MBBS) Certificate course by ISCCM (CTCCM)

Candidates need to apply directly to the recognized institute of their choice (Appendix 2a); Selection will be done by the institute.

The selection process may vary from institute to institute and it is at the sole discretion of the Teacher and the Institution. ICCM office, will confirm the formal selection after scrutinizing the duly filled Student registration form (Appendix 4) and necessary documents Candidates will be paid a salary according to their PG qualification and experience as per the rules of the institute. They should not be paid less than the other employees with similar qualification and experience.

Last date of Registration: 20th July 2020.

After selection, the candidate must register himself/herself with ISCCM by filling Student Registration form (Appendix 4) accompanied by a fee of Rs 10,000/- which includes the registration & examination fee for the first attempt.

Registration form and fee (demand draft/at par cheque favoring “Indian Society of Critical Care Medicine - College” payable at Mumbai) should be sent to the ISCCM secretary at the Mumbai ISCCM secretariat address at the time of registering for the course.

No hospital, institute or individual may levy any direct or indirect fee to an individual candidate in any relation to the course. The only fee is that which is to be given directly to the society at the time of registration or repeat examination

Once selected, it is mandatory for the candidate to become ISCCM Life member*.

(*Note 1: It is highly recommended that Student registration form and ISCCM Membership form are sent simultaneously. Candidates who are not ISCCM members will not be allowed to appear for the examinations.)

(*Note 2: Candidates pursuing IDCCM cannot pursue another course simultaneously)

Initial Registration Fee of Rs.10, 000/- (Ten thousand only) covers the fees for the first attempt only.

• Registration Fees is not refundable after the prescribed deadline of registration.
• Candidates should formally inform the ISCCM Office at least one month prior to the date of the examination if they are not appearing and the fees can cover one future attempt
• Those candidates who do not inform the ISCCM Office as above will forfeit this fee and have to pay additional fee of Rs.5,000 (Five thousand only) per attempt when they register for future exam
• Candidates who pass theory but fail the practical exam may make ONE more attempt at Practical exam within two years of completion of the theory exam for no additional
• All candidates who repeat the exam would have to pay the additional fee of Rs. 5,000 (Five thousand only) per attempt
• All candidates who are registered for the period leading to the exams are automatically enrolled for the exam and must notify the ISCCM Head Office if they are NOT to be registered.
• All other candidates who have completed course requirements earlier and plan to appear or re-appear for the exam, MUST notify ISCCM prior to the prescribed deadline.( Ref: Education calendar , Appendix no : 10)
• Candidates who have completed course requirement and who did not appear for exam for two years from date of completion of training will be subject to payment of Rs. 5,000/-.
• Candidates who have completed training and did not appear even once for the exam for a period of five years from completion of training will not be allowed to take the exam after this period. If they choose to pursue the exam, they should enroll once again as a student and complete formal training in an accredited institution

Syllabus / Competencies

The candidate must have gained experience in the diagnosis and treatment of patients from various disciplines with serious medical and surgical diseases. During the training the candidate must gain knowledge in two aspects - The knowledge about pathophysiology, diagnosis and treatment of a series of disease processes and skills of specific procedures and interventions that the candidate must be able to perform.

Theoretical Knowledge

The candidate must understand the pathophysiology, construct a differential diagnosis and apply the appropriate prophylactic and therapeutic interventions in the following disorders. This list is not comprehensive.

Respiratory

Management of airways (including respiratory arrest, upper airways obstruction, smoke or burns airways damage), pulmonary edema, Acute Respiratory Distress Syndrome (ARDS) and hypercapnic respiratory failure, severe asthma, chest trauma, respiratory muscle disorders, thoracic surgery.

Cardiovascular

Haemodynamic instability and shock, cardiac arrest acute myocardial infarction and unstable angina severe heart failure, common arrhythmias and conduction disturbance, specific cardiac disorders (cardiomyopathies, valvular heart disease, atrial or ventricular septal defects, myocarditis), cardiac tamponade, pulmonary embolism, aortic dissection, hypertensive crisis, peripheral vascular diseases. cardiovascular surgery, current Knowledge and skills to perform Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

Neurology

Coma, head trauma, intracranial hypertension, cerebrovascular accidents, cerebral vasospasm, meningo-encephalitis, acute neuromuscular disease (including myasthenia &Guillain-Barre syndrome), post anoxic brain damage, acute confusional states, spinal cord injury, neurosurgery, brain death.

Renal

Oliguria. Acute renal failure, renal replacement therapy

Metabolic & Nutritional

Fluid electrolyte and acid-base disorders, endocrine disorders (including diabetes), nutritional requirements, monitoring of nutrition.

Haematological

Disseminated intravascular coagulation and other coagulation disorders, haemolytic syndromes, anaemia, leukemias , thrombocytopenias, blood component therapy, and immune disorders.

Infections

Severe infection due to aerobic and anaerobic bacteria, viruses, fungal and parasites, nosocomial infection, infection in the immunocopromised, tropical disease, antimicrobial therapy, immunotherapy and infection control practices.

Gastro-intestinal

Inflammatory bowel diseases, pancreatitis, acute and chronic liver failure, prevention and treatment of acute G.I. Bleeding (including variceal bleeding) peritonitis, mesenteric infarction, perforated viscus, bowel obstruction, abdominal trauma, abdominal surgery.

Obstetric

Toxemia (including HELLP syndrome), amniotic fluid embolism, eclampsia, and haemorrhage.

Environmental Hazards

Burns, hypo-and hyperthermia, near-drowning electrocution, radiations, chemical injuries, animal bites.

Toxicology, poisoning

Acute intoxications, drug overdose, serious adverse reactions, anaphylaxis.

General

Pharmacology, pharmacokinetics and drug interactions. Analgesia, sedation and muscle relaxants, inflammation and anti-inflammatory agents, multiple trauma, transport of the critically ill, management of the organ donor.

Interventions and procedures

Respiratory

Maintenance of open airway, endotracheal intubation (oral and nasal) and emergency cricothyrotomy, suctioning of the airway, , titration of oxygen therapy, use of AMBU bag, use of mechanical ventilator with different modes of ventilation,techniques of weaning from mechanical ventilation, placement of a intercostal tube, implementation of respiratory pharmacological support, fiberoptic bronchoscopy, interpretation of arterial and mixed venous blood gases, assessment of gas exchange and respiratory mechanics, indications for tracheostomy, Percutaneous versus Surgical Tracheostomy, options for tracheostomy tubes, management of patient with tracheostomy.

Cardiovascular

Placement of a central venous catheter (by different routes), pulmonary artery (Swan Ganz) catheter, arterial catheter (by different routes) measurement and interpretation of the hemodynamic variables (including the derived variables), use of ultrasound, implementation of cardiovascular support, antiarrhythmic therapy and thrombolysis.

Neurologic

Basic interpretation of brain CT/MRI scan, lumbar puncture, and , intracranial pressure monitoring.

Nutrition

Implementation of intravenous fluid therapy, enteral and parental nutrition.

Haematologic

Correction of haemostatic and coagulation disorders, interpretation of a coagulation profile, correct administration of blood component therapy.

Renal

bladder catheterization, placement of dialysis catheters and institution of renal replacement therapy.

Gastro-intestinal

Placement of gastric tube, an esophageal and gastric tamponade balloon catheter, ascietic tapping, Intraabdominal pressure monitoring and interpretation,

General Aspects

Measurement of severity of illness and outcome assessment. Exposure to clinical research, ethical and legal aspects of critical care.
Participation in regional and national CME's, seminars, conferencesand workshops in critical care.

Eligibility for appearing in Exam of IDCCM

Candidates are eligible to appear for the IDCCM exam after satisfactory completion of the specified training period in a recognized centre for the IDCCM (two years for DA/DTCD candidates & one year for MD/MS/DNB candidates) and those with equivalent foreign Post Graduation approved by MCI.

In-training assessment of candidates

Candidates are assessed at regular intervals by the teacher for progress towards appropriate goals.

The Training & Assessment Records (Specimen copy attached, Appendix no. 3) competencies record book will be maintained by IDCCM and IFCCM candidates under the supervision of their teachers that will track the attainment of specified competencies in critical care.

Mandatory requirements to be completed prior to exam

Certificate from the teacher/institute stating satisfactory completion of training. This training should include attendance at workshops including ACLS, hemodynamic monitoring & mechanical ventilation, review courses, Comprehensive Critical Care Course ( 4C) etc.

Training & Assessment Records record should be duly filled. ( Mandatory)

Written exam

It consists of multiple choice questions.

The written exam for the IDCCM will be held every year in March and in August ( ref. Examination Calendar below, Appendix 10)

Oral exam

The oral exam is conducted by a panel of examiners over one day and is taken in two parts

A. Case discussion: Two typical ICU case scenarios (each case scenario by two examiners) on which questions will be asked by the examiners.

B. B. Table viva : Six stations
1. Table viva on ACLS proficiency,
2. Table viva on airway skills.
3. Table viva on interpretation of ECG’s, lab reports, X’rays, CT scans.
4. Mechanical Ventilation
5. Table viva on setting up of hemodynamic monitoring like central line/arterial line/cardiac output monitoring and bedside monitoring of a critically ill patient.
6. Table viva on commonly used drugs.

All exam results will be sent to the candidates only by e mail & displayed on the website no later than a month after the exam.

Candidates who pass the exam will receive the certificate by Courier/Post.

Process for transferring candidates from one institution to another is as follows

1.) If for any compelling reason, the candidate has to move, they may do so ONLY after completing 50% of the training. They should inform us BEFORE moving and get a no objection certificate from the institution where they were registered and also an acceptance letter from the institution which has accepted them for the remaining duration of training. The training periods should be continuous without a break.

2. Candidate will be counted only for the institution where they originally registered and may be taken as an additional candidate in the institution which has accepted them for the remaining duration of training.