Duration: Three years (MD); Two years (DA); Two-three years (DNB)
At least four months ICU rotation
Research (Thesis) mandatory
Domains: cognitive, affective, psychomotor
EDAIC: European Diploma in Anaesthesiology and Intensive Care; FRCA: Fellowship of the Royal College of Anaesthesiologists; ICU: Intensive care unit; MD: Doctor of Medicine; DNB: Diplomate of National Board; PG: Postgraduate; POCUS: Point of Care Ultrasound; UK: United Kingdom; USA: United States of America
The competency-based medical education in India has also incorporated self-directed learning (SDL), which is a process in which the onus of learning is with the trainees as they themselves decide their goals of learning, take initiatives to diagnose their needs, look for resources and also, evaluate the outcomes.[ 4 ] A PG student must read one paper at a national/state conference, present one poster and one research paper. The research paper should be published or be sent for publication during the period of training, which then makes them eligible to appear for the PG degree examination.[ 5 ] Good quality research can be encouraged by promoting research methodology and scientific paper writing workshops.[ 6 ]
Apart from Doctor of Medicine (MD) Anaesthesia (3 years) and Diploma in Anaesthesia (2 years), the Diplomate of National Board (DNB) offers PG anaesthesiology courses (2–3 years) in India. The completion of training prepares the trainee to work as a specialist in the community and as a medical teacher and researcher in the field.[ 7 ]
The European Training Requirement (ETR) in anaesthesiology guidelines emphasise competency-based specialist training over a minimum duration of five years, including one year of training at an intensive care unit (ICU). Four generic competencies and roles have been identified.[ 8 ]
Expert clinician: This includes the domain of perioperative medicine, intensive care medicine, resuscitation of critically ill patients and acute and chronic pain management.
Professional leader: The competencies in communication, and human interactions, must be developed, enabling the specialist in Anaesthesiology to effectively organise and manage tasks during professional activities.
Academic scholar: This role enables the specialist to be able to contribute to the development of new medical knowledge through research and implementation thereof. They also acquire basic tools for teaching and education presentations.
Inspired humanitarian: This aspect defines the role as a professional with high empathy, integrity, compassion and honesty. This also includes the ethical aspects in patient care and decision-making along with medico-legal concerns pertaining to the practice of Anaesthesiology.
To fulfil these four roles, there is a list of domains of competencies which have been divided as general core competencies (general anaesthesia, regional anaesthesia, airway management, perioperative care, acute pain management, intensive care and emergency medicine, patient safety, non-technical skills, ethics and professionalism, health economics, self-directed learning and research) and specific core competencies (obstetric, cardiothoracic, neuro and paediatric anaesthesiology, chronic pain management).
For each domain, the learning objectives have been categorised as knowledge, skills and attitudes to finally achieve the required level of competency, defined as:
Also included are various clinical guidelines, standards of quality care and medical simulation training.
There is a focus on competency-based medical education (CBME) and the duration of training is five years. Since July 2017, Anaesthesiology programmes have been structured according to the Competency by Design (CBD), an initiative by the Royal College of Physicians and Surgeons of Canada. Anaesthesia trainees are trained in four stages and each stage has a predetermined milestone to achieve.[ 9 ]
Stage 1, the introductory stage, named Transition to Discipline (TTD), is of two months duration which includes courses like Advanced Trauma Life Support (ATLS), Basic Life Support (BLS), Transthoracic Echocardiography and Ultrasound. During this stage, hands-on operating room experience is ensured along with didactic and simulation-based teaching.
Stage 2 is of 22 months duration, and it includes 16 Entrustable Professional Activities (EPA). The trainee is initially rotated in internal medicine, paediatrics, emergency medicine, cardiology and respiratory medicine before proceeding to advanced rotations in general anaesthesia and ICU.
In stage 3, which is the core and lasts for 30 months, the trainee is rotated in advanced sub-specialities in anaesthesia such as neuro-anaesthesia, cardiac, paediatrics and ICUs and near the end of the core, they write the written portion of the Royal College examination.
Stage 4 is the Transition to Practice with a duration of 6 to 12 months. The trainee is trained vigorously to be independent in delivering advanced consultant-level anaesthetic care.
The goal of the curriculum for anaesthesia training in the UK is similar to that in Canada. They aim to achieve 14 domains of learning ranging from professional behaviour, communication, management, requirements (both professional and regulatory), teamwork, safety and quality improvement, education and training, perioperative medicine, general anaesthesia, regional anaesthesia, resuscitation and transfer, research and data management, procedural sedation, intensive care and pain management. The training has been divided into three stages over seven years.[ 10 ] Each stage has a specific critical point to enable the trainee to move on to the next stage and final recommendation for Certification of Completion of Training (CCT).[ 11 ]
Stage 1 (three years): Trainee anaesthetists are introduced to elective as well as emergency practices along with perioperative care. Duration of training is spent for gaining clinical experience in low to moderate risk patients. During this stage of training, anaesthetists will complete the primary Fellowship of the Royal College of Anaesthetists (FRCA) examination.
Stage 2 (two years): Trainees are introduced to broader areas of anaesthesia so that they consolidate skills gained in Stage 1 while learning specialist areas of anaesthetic practice. Thus, they get trained for generalist practice with more autonomy while learning management of high-risk patients. During this stage, they complete the final FRCA examination.
Stage 3 (two years): This level is a bridge from training to consultant practice where anaesthetists mature in their clinical skills for conducting safe practice. At the end of this stage, they will have the requisite expertise for complex clinical situations and also manage any organisational issues.
The anaesthetic training is more outcome-based than time-based. The four competencies defined are medical expert, leader, scholar and professional. As a medical expert, the anaesthetist should know anaesthetic and medical technology, principles of general medicine pertaining to methods in diagnosis and therapy based on a thorough knowledge of applied physiology, pharmacology, respiratory, circulatory and nervous systems.
As a leader, the important competence considered is effectiveness in communication. As a scholar, there should be professional competency as well as capability to promote development in Anaesthesiology. Lastly, as a professional, the anaesthesia specialist should have impeccable behaviour and be thorough about duties and responsibilities acceptable as a professional. To fulfil these four identified professional roles, there is a list of domains of expertise and their related competencies.[ 12 ]
The programme duration ranges from 36 months to 48 months; the 48 months programme includes additional 12 months of training in basic clinical skills in medicine. At least six months of fundamental training should incorporate family medicine, neurology, internal medicine, paediatrics, gynaecology and obstetrics, surgery or any surgical speciality. At least a month in critical care and emergency medicine is mandatory. The remaining 36 months of training is about perioperative medicine with the distribution of clinical experience in surgical anaesthesia, critical care medicine and pain medicine. Two weeks each for pre-operative medicine and post-anaesthesia care is a must. In critical care, at least four 1-month rotations should be there wherein the trainee participates as an integrated member of critical care teams. Further, two 1-month rotations are suggested for obstetric anaesthesia, paediatric anaesthesia, neuro anaesthesia and cardiothoracic anaesthesia. A minimum of 3 months in pain medicine and two weeks in anaesthesia for patients undergoing procedures outside operating rooms is planned. Certification in Advanced Cardiac Life Support (ACLS) is mandatory, at least once during residency, as is at least one simulated clinical experience each year.
Along with the educational curriculum, importance is given to the availability of basic facilities to the trainees, like food and refrigeration facilities, rest areas, availability of reference materials, etc. The roles of programme director, core faculty and programme coordinator are explicitly narrated. Also, the core didactic academic activities are defined for which the time is protected.
There are six core competencies of ACGME.[ 13 ]
Topics such as professional liability, billing arrangements, health care finance have also been given due importance. Competence in the identification of one's own deficiencies, strengths and expertise is emphasised. The importance of utilising feedback and evaluation into daily practice, concluding evidence from scientific literature and the use of information technology is encouraged. The structure of training must ensure sufficient length of rotations for optimal learning, relationship with faculty and assessment and feedback.[ 13 ]
A recent review compared similarities and differences in competencies in anaesthesiology residency for the European Union (ETR), United States (ACGME Milestones), and Canada (CBD). The authors found that about 93% of competencies were common, and the difference between the three repositories was in terms of emphasis. While ETR emphasised non-technical skills in anaesthesia, CBD highlighted finely detailed competencies within specific anaesthesiology situations, and ACGME Milestones emphasised behavioural practices and professionalism.[ 14 ]
Anaesthesia education in SE Asia is quite diverse. Singapore follows the American model with a 5-year residency program.[ 15 ] The training programme is an outcome-based modular training programme with structured objectives and goals stipulated in accordance with the requirements of the ACGME. The Philippines and Malaysia model is similar to India with a 3-year basic residency programme.
The assessment methodologies followed across the globe are varied [ Table 1 ]. In India, according to PG Medical Education Regulations, 2000 of NMC, a combination of both formative and summative assessment is vital for the successful completion of the PG programme. Formative assessment should be done continuously to assess knowledge about anaesthesia, patient care and procedural skills. There should also be an ongoing assessment for professionalism, SDL and interpersonal skills. Frequent internal assessment should include all learning domains and provide feedback as well. The quarterly assessments should include recent advances, skill-based learning, SDL, interdepartmental learning activity and external activities.[ 2 ] The formative assessment is being carried out in many institutes in the form of exams at fixed intervals.[ 16 ]
To be eligible for the final assessment, the candidate has to submit a dissertation on a relevant topic under the direct supervision of the guide. As a part of the final assessment, candidates have to undergo theory and practical examinations. Theory examinations consist of four papers and detailed practical examinations include case-based discussions, assessment of knowledge in anaesthesia equipment, drugs, objective structured clinical examination (OSCE), and communication skills. The student has to score eligibility marks (above 50%) in both theory and practical examinations. OSCE, as a formative or summative examination, is being used increasingly for objectivity and reliability both by teachers and students. The preset standards of competence and checklists rule out any biases while covering a large number of topics.[ 17 ]
In addition to the above, the assessment of procedural skills should be made essential. Direct Observation of Procedural Skills (DOPS) is one such tool developed by the Royal College of Physicians in 2007.[ 18 ] Yet another tool, the Objective Structured Assessment of Technical Skill (OSATS) includes a global rating scale and a task-specific checklist. OSATS has been considered superior to other methods of assessing clinical competencies. However, a robust rating scale to improve performance using OSATS is still lacking.[ 19 ]
Anaesthesiologists desiring to practice overseas following completion of training in India need to appear for the licensing examination; United States Medical Licensing Examination (USMLE) (USA), Professional and Linguistic Assessments Board (PLAB) (UK) and European Diploma in Anaesthesiology and Intensive Care (EDAIC) (Europe).
Whilst enlisting and comparing the strengths and scope of various PG anaesthesia training programmes across the globe, we propose an amalgamation of the strengths of each programme, especially in regard to technical and non-technical competencies with an aim to be able to develop a critically thinking perioperative physician, compassionate professional leader, and a scholar with research capabilities. The programmes followed by Canada, the USA and perhaps European countries need to be adapted to our unique geographical needs and logistical conditions. We need to incorporate simulation technology not only in training but also as part of an ongoing formative and summative assessment. The aim should be to inculcate critical thinking in an empathetic, ethical and logical manner.
In summary, it is indeed time to upgrade our PG training programme and its duration uniformly across the country and across the globe. We also need to think about the feasibility of a uniform competency-based exit exam, akin to the final FRCA exam in the UK. Physician exchange programmes, not only for the student but also for teachers with the best across the globe, should aim at constant quality improvement initiatives. We should be ambassadors for a radical change in our systems to be able to produce lifelong empathetic, ethical learners equipped to adapt to varying clinical environments with an aim to enhance patient safety and quality of perioperative care across the length and breadth of our country.
Conflicts of interest.
There are no conflicts of interest.
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100+ Thesis and Dissertation topics in Anesthesiology for MD/DNB to choose from for Post Graduate medical student pursuing MD/DNB Anesthesiology. Not only thesis topics but also we provide help in writing thesis including review of literature, Statistics and discussion along with plagiarism check.
The authors of Key Clinical Topics in Anaesthesia describe it as "a succinct reference for the practicing anesthetist and anesthetic assistant as well as a structured resource for those preparing for postgraduate examinations in anesthesiology and intensive care medicine." The book is divided into 100 chapters covering a wide spectrum of anesthesiology and intensive care topics. There are ...
The Top 25 Up-To-Date Dissertation Topics In Anaesthesiology. A comparative study into the effectiveness of using variable dosage of intravenous fluid used during a transurethral resection of the prostrate to prevent hyponatremia. A study into the results of the performance of Nurse anaesthetists in National Board Certification Exams.
July 2020 to September 2022. 2. Dr. Neha Killedar. Dr. Rajesh S. Mane. To determine the minimum effective volume of local anaesthetics for ultrasound - Guided supraclavicular brachial plexus block. July 2020 to September 2022. 3. Dr. Naveena Namburi. Dr. Rajesh S. Mane.
Study of hemodynamic changes during laparoscopic surgery using non-invasive cardiac output monitor (NICOM) Low flow anaesthesia : a prospective observational study. List of more than 8000 premium Anesthesia Thesis Topics For MD/DNB topics to choose from. The topics include recent papers published in various Anesthesiology journals.
Thesis Topics PG teacher 01 2006 to 2009 Dr. Dipika Patel The clinical effects of sequential combined spinal epidural anaesthesia Versus Spinal Anaesthesia undergoing major orthopaedic surgery. Dr. kalpana Desai 02 2006 to 2009 Dr. Prashant Patel Effects of Midazolam premedication on propofol requirement for sedation during regional anaesthesia.
Dissertation Topics for Md Anaesthesia - Free download as PDF File (.pdf), Text File (.txt) or read online for free. The document discusses the challenges of writing a dissertation for an MD in Anesthesia. It notes that developing the right research topic that addresses a gap in the field while aligning with one's interests and career goals can be difficult.
Thesis Topics for Md Anaesthesia - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Scribd is the world's largest social reading and publishing site.
Here is a list of some interesting dissertation topics in the field of anaesthesia that have not been appropriately explored yet are: The comparatively exhaustive relation between fentanyl, hyperbaric lignocaine and intrathecal hyperbaric lignocaine during spinal blockade. Pain relief via intramuscular route post operation with comparison of ...
Thesis Topics in Md Anaesthesia - Free download as PDF File (.pdf), Text File (.txt) or read online for free. thesis topics in md anaesthesia
topic-collections | Anesthesiology | American Society of Anesthesiologists Topics Start here to explore in depth the topics that matter to you. Advocacy and Legislative Issues Airway Management Ambulatory Anesthesia Cardiovascular Anesthesia Central and Peripheral Nervous Systems Coagulation and Transfusion Critical Care Education / CPD Endocrine and Metabolic Systems Ethics / Medicolegal ...
19HXBH071/West China Hospital, Sichuan University. The current study provides a historical view of high-impact papers in anesthesiology in the past ten years. High-impact papers were mostly from the USA. Postoperative analgesia, chronic pain, and perioperative complications have been hot topics, and COVID-19 became a new topic in 2020.
More than 70,000 thesis topics for MD/MS and DNB at one place. 3000+ to 7000+ thesis topics for each specialty of medical sciences. ... Anaesthesia. Psychiatry. Dermatology. Preventive and Social Medicine. Topic-Wise List OF Thesis Topics For MD/MS AND DNB ...
The first six months are for training in the management of uncomplicated cases and the selection of thesis topic with submission of the requisite protocol. In the next 18 months, the student learns the skills of performing and maintaining general as well as regional anaesthesia for the American Society of Anesthesiologists (ASA) grade I to V ...
Thesis Plan of MD/MS Students admitted in 2017-2020. Sr. No. Specialty. Name of Candidate. Topic. Anaesthesia. Dr. Ikjot Kuar. Comparison of intranasal midazolam-fentanyl with dexmedetomidine-fentanyl as premedication in peadiatric age group- A prospective randomized and double blind clinical study.
Md Thesis Topics in Anaesthesia - Free download as PDF File (.pdf), Text File (.txt) or read online for free. The document discusses some of the challenges of writing an MD thesis in anaesthesia, such as selecting an interesting topic, conducting thorough research while balancing clinical duties, and meeting academic standards. It then introduces HelpWriting.net as a solution that can provide ...
A Study of the effect of caudal epidural neostigmine for relief of post operative pain in children undergoing lower abdominal general surgical procedures. Mar 2008. 13. A Comparative study of effect of addition of 25g sufentanil or 100mg tramadol to 0.5% lignocaine in intravenous regional anaesthesia for hand surgeries.
Explores advances across the field of perioperative medicine and anesthesia to improve standard of care and reduce the risk of postoperative complications. ... Research Topics. Submission open Regional Anesthesia, Pain Medicine, and Regenerative Medicine for Enhanced Patient Care. ECE YAMAK ALTINPULLUK;
2016-2019. 26. Dr. Patravale Tanmay Bharat. Dr. S. S. Shimikore. Assessment of blood c-reactive protein levels as a predictor of difficult laparoscopic cholecystectomy- a hospital based cross sectional study. 2016-2019. 27. Dr. Shah Soham Jineshkumar.
Association of Father's participation in responsive caregiving at 3 - 6 months of age with child development outcomes at 16 - 18 months of age: A cohort study. Muneshwar K; Guide: Gupta SS. A study to assess quality of complementary feeding and determinants of inadequate complementary feeding practices among mothers of children aged 6 - 24 ...
This document lists 38 dissertation topics for postgraduate degrees (MD/MS) in anesthesiology at Kaloji Narayana Rao University of Health Sciences in Telangana, India for the academic year 2021-22. The topics cover a range of areas in anesthesiology including comparisons of different drugs/techniques for procedures like spinal anesthesia, general anesthesia, and pain management as well as ...
Theses/Dissertations from 2021 PDF "The Impact of Self-Stigma of Seeking Help and Perceived Social Support on Burnout among Clinical Psychologists", Aavrita A. PDF. The impact of self-stigma of seeking help &percieved social support on burnout among clinical psychologists., Aavrita . PDF
Apart from Doctor of Medicine (MD) Anaesthesia (3 years) and Diploma in Anaesthesia (2 years), the Diplomate of National Board (DNB) offers PG anaesthesiology courses (2-3 years) in India. ... To be eligible for the final assessment, the candidate has to submit a dissertation on a relevant topic under the direct supervision of the guide. As a ...