DM Critical Care Medicine: Admissions, Medical Colleges, Fees, Eligibility Criteria details

Published On 2022-12-20 13:05 GMT   |   Update On 2023-12-16 09:14 GMT

DM Critical Care Medicine or Doctorate of Medicine in Critical Care Medicine also known as DM in Critical Care Medicine is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years and it deals with critically ill patients who are battling with...

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DM Critical Care Medicine or Doctorate of Medicine in Critical Care Medicine also known as DM in Critical Care Medicine is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years and it deals with critically ill patients who are battling with something life-threatening. This includes providing life support, invasive medical techniques, and end-of-life procedures.

The course is a full-time course pursued at various recognized medical colleges across the country. Some of the top medical colleges offering this course include- NRI Medical College- Guntur, Indira Gandhi Institute of Medical Sciences, Sheikhpura- Patna, Rajendra Institute of Medical Sciences- Ranchi, and more.

Admission to this course is done through the NEET-SS Entrance exam conducted by the National Board of Examinations, followed by counselling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

The fee for pursuing DM (Critical Care Medicine) varies from college to college and may range from Rs. 7000 to Rs. 25,00,000 per year.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programmes recognised by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants etc. with an approximate salary range of Rs. 11,00,000 to Rs. 26,00,000 per year.

What is DM in Critical Care Medicine?

Doctorate of Medicine in Critical Care Medicine, also known as DM (Critical Care Medicine) or DM in (Critical Care Medicine) is a three-year super specialty programme that candidates can pursue after completing a postgraduate degree.

Critical Care Medicine is the branch of medical science dealing with critically ill patients who are battling with something life-threatening. This includes providing life support, invasive medical techniques, and end-of-life procedures.

with patients who have sustained or are at risk of sustaining acutely life-threatening single or multiple organ failure due to disease or injury.

National Medical Commission (NMC), the apex medical regulator, has released a Guidelines for Competency-Based Postgraduate Training Programme for DM in Critical Care Medicine.

The Competency-Based Postgraduate Training Programme governs the education and training of DMs in Critical Care Medicine.

The postgraduate students must gain ample of knowledge and experience in the diagnosis, treatment of patients with acute, serious, and life-threatening medical and surgical diseases.

The PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Critical Care Medicine would help the specialist to recognize the health needs of the community. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DM in Critical Care Medicine

Name of Course

DM in Critical Care Medicine

Level

Doctorate

Duration of Course

Three years

Course Mode

Full Time

Minimum Academic Requirement

Postgraduate medical degree obtained from any college/university recognized by the MCI (Now NMC)/NBE

Admission Process / Entrance Process / Entrance Modalities

Entrance Exam (NEET-SS)

INI CET for various AIIMS, PGIMER Chandigarh, JIPMER Puducherry, NIMHANS Bengaluru

Counselling by DGHS/MCC/State Authorities

Course Fees

Rs. 7000 to Rs. 25,00,000 per year

Average Salary

Rs. 11,00,000 to Rs. 26,00,000 per year

Eligibility Criteria

The eligibility criteria for DM in Critical Care Medicine are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which include:

  • Candidates must be in possession of a postgraduate medical Degree (MD/MS/DNB) from any college/university recognized by the Medical Council of India (MCI).
  • The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.
  • The medical college's recognition cut-off dates for the Postgraduate Degree courses shall be as prescribed by the Medical Council of India (now NMC).

Admission Process

  • The admission process contains a few steps to be followed in order by the candidates for admission to DM in Critical Care Medicine. Candidates can view the complete admission process for DM in Critical Care Medicine mentioned below:
  • The NEET-SS or National Eligibility Entrance Test for Super specialty courses is a national-level master's level examination conducted by the NBE for admission to DM/MCh/DrNB Courses.
  • Qualifying Criteria-Candidates placed at the 50th percentile or above shall be declared as qualified in the NEET-SS in their respective specialty.
  • The following medical institutions are not covered under centralized admissions for DM/MCh courses through NEET-SS:
  1. AIIMS, New Delhi and other AIIMS
  2. PGIMER, Chandigarh
  3. JIPMER, Puducherry
  4. NIMHANS, Bengaluru
  • Candidates from all eligible feeder specialty subjects shall be required to appear in the question paper of respective group, if they are willing to opt for a superspecialty course in any of the super specialty courses covered in that group.
  • A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate specialty qualification is an eligible feeder qualification.
  • By appearing in the question paper of a group and on qualifying the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those superspecialty subjects covered in said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for DM in Critical Care Medicine varies from college to college. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DM in Critical Care Medicine is around Rs. 7000 to Rs. 25,00,000 per year.

Colleges offering DM in Critical Care Medicine

There are various medical colleges across India that offer courses for pursuing DM in (Critical Care Medicine).

As per National Medical Commission (NMC) website, the following medical colleges are offering DM in (Critical Care Medicine) courses for the academic year 2022-23.

Sl.No.

Course Name

Name and Address of Medical College / Medical Institution

Annual Intake (Seats)

1

DM - Critical Care Medicine

NRI Medical College, Guntur

2

2

DM - Critical Care Medicine

Indira Gandhi Institute of Medical Sciences,Sheikhpura, Patna

3

3

DM - Critical Care Medicine

Rajendra Institute of Medical Sciences, Ranchi

2

4

DM - Critical Care Medicine

St. Johns Medical College, Bangalore

4

5

DM - Critical Care Medicine

Kasturba Medical College, Manipal

2

6

DM - Critical Care Medicine

All India Institute of Medical Sciences, Bhopal

3

7

DM - Critical Care Medicine

Dr. D Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune

2

8

DM - Critical Care Medicine

Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha

2

9

DM - Critical Care Medicine

Bharati Vidyapeeth University Medical College, Pune

6

10

DM - Critical Care Medicine

Tata Memorial centre, Mumbai

6

11

DM - Critical Care Medicine

Instt. Of Medical Sciences & SUM Hospital, Bhubaneswar

2

12

DM - Critical Care Medicine

Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry

2

13

DM - Critical Care Medicine

Dayanand Medical College & Hospital, Ludhiana

2

14

DM - Critical Care Medicine

All India Institute of Medical Sciences, Jodhpur

6

15

DM - Critical Care Medicine

National Institute of Medical Science & Research, Jaipur

3

16

DM - Critical Care Medicine

Mahatma Gandhi Medical College and Hospital, Sitapur, Jaipur

4

17

DM - Critical Care Medicine

Saveetha Medical College and Hospital, Kanchipuram

2

18

DM - Critical Care Medicine

Madras Medical College, Chennai

2

19

DM - Critical Care Medicine

Christian Medical College, Vellore

5

20

DM - Critical Care Medicine

Sri Ramachandra Medical College & Research Institute, Chennai

2

21

DM - Critical Care Medicine

All India Institute of Medical Sciences, Rishikesh

10

22

DM - Critical Care Medicine

King George Medical University, Lucknow

5

23

DM - Critical Care Medicine

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

5

24

DM - Critical Care Medicine

Institute of Postgraduate Medical Education & Research, Kolkata

2

Syllabus

A DM in Critical Care Medicine is a three years specialization course which provides training in the stream of Critical Care Medicine.

The course content for DM in Critical Care Medicine is given in the Competency-Based Postgraduate Training Programme released by National Medical Commission, which can be assessed through the link mentioned below:

NMC Guidelines for Competency-Based Training Programme For DM Critical Care Medicine

1. Resuscitation and Initial Management of the Acutely Ill Patients

1.1 Timely approach to the recognition, assessment and stabilization of the acutely ill patients with disordered physiology

1.2 Cardiopulmonary resuscitation

1.3 Post-resuscitation management

1.4 Triage and prioritization of patients for ICU admission

1.5 Assessment and initial management of the trauma patient

1.6 Assessment and initial management of the patient with burns

1.7 Fundamentals of the management of mass casualties

2. Diagnosis: Assessment, Investigation, Monitoring and Data: Interpretation of the acutely ill patients

2.1 History taking and clinical examination

2.2 Timely and appropriate investigations

2.3 Understanding of echocardiography (trans-thoracic/trans-oesophageal), Indications and interpretation of results

2.4 Understanding of Electrocardiography (ECG/EKG), Indications and interpretation of the results

2.5 Appropriate microbiological sampling and interpretation of results

2.6 Interpretation of results from blood gas samples

2.7 Organization and interpretation of wide range of clinical imaging including bed-side chest x- rays, ultrasound, CT scan, MRI and nuclear imaging relevant for the diagnosis and management of critically ill and injured patients.

2.8 Understanding and interpretation of physiological variables

2.9 Integration of clinical findings with laboratory, radiology, microbiology and other investigations to form appropriate differential diagnosis and management strategy

3. Disease Management Acute disease

3.1 Management of the care of the critically ill patient with following specific acute medical conditions

• Acute Myocardial Infarction

• Pulmonary Embolism

• Cardiogenic Shock

• Life Threatening Arrhythmias

• Pericardial Tamponade

• Acute Ischemic Stroke

• Intracranial Hemorrhage

• Status Epilepticus

• Head & Spine Trauma

• Acute neuromuscular failure (OPP/GBS/MG/Snakebite, etc)

• Acute severe Asthma

• Acute Exacerbation of COPD

• Severe Community acquired pneumonia

• Chest Trauma

• Acute hypoxemia Respiratory Failure including ARDS

• Acute GI Bleed

• Acute Liver Failure

• Acute Pancreatitis

• Acute Abdomen

• Acute coagulation disorders

• Sepsis and Septicemic Shock

• Meningitis

• Acute Hemorrhagic Fevers

• Severe forms of tropical infections like Malaria, Typhoid etc.

• Acute Renal Failure

• Eclampsia

• Bone marrow suppression

• Critical care of mother and child including pre-eclampsia, eclampsia, acute fatty liver of pregnancy, HELLP syndrome, meconium aspiration syndrome, respiratory distress syndrome, transient tachypnoea of the newborn etc.

• Acute poisoning

Chronic Disease

3.2 Identifications of the implications of chronic and co morbid disease in the acutely ill patients

Organ System Failure

3.3 Management of patients with or at risk of circulatory failure

3.4 Management of patients with or at risk of acute renal failure

3.5 Management of patients with or at risk of acute liver failure

3.6 Management of patients with or at risk of neurological impairment

3.7 Management of patients with or at risk of acute gastrointestinal failure

3.8 Management of patients with or at risk of acute lung injury syndromes (ALI/ARDS)

3.9 Management of patients with or at risk of septic shock

3.10 Management of patients with or at risk of severe sepsis/septic shock with multi-organ dysfunction/failure

3.11 Management of patients following intoxication with drugs or environmental toxins

3.12 Early recognition and treatment of life-threatening complications, in mother and child, including but not limited to like eclampsia, preeclampsia, acute fatty liver of pregnancy, HELLP in mother and respiratory distress in child.

4. Therapeutic Interventions/Organ System Support in Single or Multiple Organ Failure

4.1 Principles of safe prescription

4.2 Principles of safe delivery of life-support therapies

4.3 Antimicrobial drug therapy – Fundamental principles and ICU specific issues

4.4 Transfusion therapy - Fundamental principles and ICU specific issues

4.5 Circulatory therapies - Fundamental principles and ICU specific issues pertaining to Fluid therapy including dynamic variables of fluid responsiveness and vasoactive/inotropic drugs

4.6 Mechanical circulatory assist devices

4.7 Initiation, management and weaning of the patients from invasive and non-invasive ventilatory support

4.8 Initiation, management and weaning of the patients from renal replacement therapy

4.9 Management of electrolyte, glucose and acid-base disturbances

4.10 Nutritional assessment and support

5. Peri-operative Care

5.1 Management of the pre-& post-operative care of the high risk surgical patients

5.2 Fundamentals of the management of the care of patients following cardiac surgery

5.3 Fundamentals of the management of the patients following craniotomy

5.4 Fundamentals of the management of the patients following solid organ transplantation

5.5 Fundamentals of the management of the pre and post-operative trauma care of the trauma patients

6. Critical Care of Children

6.1 Understanding of the critical care of children including but not limited to early diagnosis, initial management and life support therapies related to pediatric and neonatal emergencies

7. Transportation

7.1 Transportation of the mechanically ventilated critically ill patient outside the ICU

7.2 Understanding of the special considerations required during patient transport by air

8. Physical& Clinical Measurement Mathematical Concepts:

8.1 Relationships and graphs

8.2 Concepts of exponential functions and logarithms: wash-in and washout

8.3 Basic measurement concepts: linearity, drift, hysteresis, signal: noise ratio, static and dynamic response

8.4 SI units: fundamental and derived units

8.5 Other systems of units where relevant to ICM (e.g. mmHg, bar, atmospheres)

8.6 Simple mechanics: Mass, Force, Work and Power

Gases &Vapours:

8.7 Absolute and relative pressure.

8.8 The gas laws; triple point; critical temperature and pressure

8.9 Density and viscosity of gases.

8.10 Laminar and turbulent flow; Poiseuille's equation, the Bernoulli principle

8.11 Vapour pressure: saturated vapour pressure

8.12 Measurement of volume and flow in gases and liquids.

8.13 The pneumotachograph and other respirometers.

8.14 Principles of surface tension

Electricity & Magnetism:

8.15 Basic concepts of electricity, magnetism and Bridge circuits

8.16 Capacitance, inductance and impedance

8.17 Amplifiers: bandwidth, filters

8.18 Amplification of biological potentials: ECG, EMG, EEG.

8.19 Sources of electrical interference

8.20 Processing, storage and display of physiological measurements

Electrical Safety:

8.21 Principles of cardiac pacemakers and defibrillators

8.22 Electrical hazards: causes and prevention.

8.23 Electrocution, fires and explosions.

8.24 Diathermy and its safe use

8.25 Basic principles and safety of lasers

8.26 Basic principles of ultrasound and the Doppler effect

Pressure & Flow Monitoring:

8.27 Principles of pressure transducers

8.28 Resonance and damping, frequency response

8.29 Measurement and units of pressure.

8.30 Direct and indirect methods of blood pressure measurement; arterial curve analysis

8.31 Principles of pulmonary artery and wedge pressure measurement

8.32 Cardiac output: Fick principle, thermodilution

Clinical Measurement:

8.33 Measurement of gas and vapour concentrations, (oxygen, carbon dioxide, nitrous oxide, and volatile anaesthetic agents) using infrared, paramagnetic, fuel cell, oxygen electrode and mass spectrometry methods

8.34 Measurement of H+, pH, pCO2, pO2

8.35 Measurement CO2 production/ oxygen consumption/ respiratory quotient

8.36 Colligative properties: osmometry

8.37 Simple tests of pulmonary function e.g. peak flow measurement, spirometry.

8.38 Capnography

8.39 Pulse oximetry

8.40 Measurement of neuromuscular blockade

8.41 Measurement of pain

9. Research Methods Data Collection:

9.1 Simple aspects of study design (research question, selection of the method of investigation, population, intervention, outcome measures)

9.2 Power analysis

9.3 Defining the outcome measures and the uncertainty of measuring them

9.4 The basic concept of meta-analysis and evidence-based medicine

Descriptive Statistics:

9.5 Types of data and their representation

9.6 The normal distribution as an example of parametric distribution

9.7 Indices of central tendency and variability

Deductive & Inferential Statistics:

9.8 Simple probability theory and the relation to confidence intervals

9.9 The null hypothesis.

9.10 Choice of simple statistical tests for different data types

9.11 Type I and type II errors

9.12 Inappropriate use of statistics

10. Applied Anatomy Respiratory System:

10.1 Mouth, nose, pharynx, larynx, trachea, main bronchi, segmental bronchi, structure of bronchial tree and differences in the children's airway

10.2 Airway and respiratory tract, blood supply, innervation and lymphatic drainage

10.3 Pleura, mediastinum and its contents

10.4 Lungs, lobes, microstructure of lungs

10.5 Diaphragm, other muscles of respiration, innervation

10.6 The thoracic inlet and 1st rib

10.7 Interpretation of a chest x-ray

Cardiovascular System:

10.8 Heart, chambers, conducting system, blood and nerve supply

10.9 Congenital deviations from normal anatomy

10.10 Pericardium

10.11 Great vessels, main peripheral arteries and veins

10.12 Foetal and maternal-foetal circulation

Nervous System:

10.13 Brain and its subdivisions

10.14 Spinal cord, structure of spinal cord, major ascending & descending pathways

10.15 Spinal meninges, subarachnoid & extradural space, extradural space-contents

10.16 Cerebral blood supply

10.17 CSF and its circulation

10.18 Spinal nerves, dermatomes

10.19 Brachial plexus, nerves of arm

10.20 Intercostal nerves

10.21 Nerves of abdominal wall

10.22 Nerves of leg and foot

10.23 Autonomic nervous system

10.24 Sympathetic innervation, sympathetic chain, ganglia and plexuses

10.25 Parasympathetic innervation.

10.26 Stellate ganglion

10.27 Cranial nerves: base of skull: trigeminal ganglion

10.28 Innervation of the larynx

10.29 Eye and orbit

Vertebral Column:

10.30 Cervical, thoracic, and lumbar vertebrae

10.31 Interpretation of cervical spinal imaging in trauma

10.32 Sacrum, sacral hiatus

10.33 Ligaments of vertebral column

10.34 Surface anatomy of vertebral spaces, length of cord in child and adult

Surface Anatomy:

10.35 Structures in antecubital fossa

10.36 Structures in axilla: identifying the brachial plexus

10.37 Large veins and anterior triangle of neck

10.38 Large veins of leg and femoral triangle

10.39 Arteries of arm and leg

10.40 Landmarks for tracheostomy, cricothyrotomy

10.41 Abdominal wall (including the inguinal region): landmarks for suprapubic urinary and peritoneal lavage catheters

10.42 Landmarks for intrapleural drains and emergency pleurocentesis

10.43 Landmarks for pericardiocentesis

Abdomen:

10.44 Gross anatomy of intra-abdominal organs

10.45 Blood supply to abdominal organs and lower body

11. Physiology & Biochemistry General:

11.1 Organisation of the human body and homeostasis

11.2 Variations with age

11.3 Function of cells; genes and their expression

11.4 Mechanisms of cellular and humoral defense

11.5 Cell membrane characteristics; receptors

11.6 Protective mechanisms of the body

11.7 Genetics & disease processes

Biochemistry:

11.8 Acid base balance and buffers, Ions e.g. Na, K, Ca, Cl, HCO3, Mg, PO4,

11.9 Enzymes and Cellular and intermediary metabolism

Body Fluids:

11.10 Capillary dynamics and interstitial fluid

11.11 Oncotic pressure

11.12 Osmolarity: osmolality, partition of fluids across membranes

11.13 Lymphatic system

11.14 Special fluids: cerebrospinal, pleural, pericardial and peritoneal fluids

Haematology & Immunology:

11.15 Red blood cells: haemoglobin and its variants

11.16 Blood groups

11.17 Haemostasis and coagulation; pathological variations

11.18 White blood cells

11.19 Inflammation and its disorders

11.20 Immunity and allergy

Muscle:

11.21 Action potential generation and its transmission

11.22 Neuromuscular junction and transmission

11.23 Muscle types

11.24 Skeletal muscle contraction

11.25 Motor unit

11.26 Muscle wasting

11.27 Smooth muscle contraction: sphincters

Heart & Circulation:

11.28 Cardiac muscle contraction

11.29 The cardiac cycle: pressure and volume relationships

11.30 Rhythmicity of the heart

11.31 Regulation of cardiac function; general and cellular

11.32 Control of cardiac output (including the Starling relationship)

11.33 Fluid challenge and heart failure

11.34 Electrocardiogram and arrhythmias

11.35 Neurological and humoral control of systemic blood pressures, blood volume and blood flow (at rest and during physiological disturbances e.g. exercise, haemorrhage and Valsalva manoeuvre)

11.36 Peripheral circulation: capillaries, vascular endothelium and arteriolar smooth muscle, autoregulation and the effects of sepsis and the inflammatory response on the peripheral vasculature

11.37 Characteristics of special circulations including: pulmonary, coronary, cerebral, renal, portal and foetal

Renal Tract:

11.38 Blood flow, glomerular filtration and plasma clearance

11.39 Tubular function and urine formation

11.40 Endocrine functions of kidney

11.41 Assessment of renal function

11.42 Regulation of fluid and electrolyte balance

11.43 Regulation of acid-base balance

11.44 Micturition

11.45 Pathophysiology of acute renal failure

Respiration:

11.46 Gaseous exchange: O2 and CO2 transport, hypoxia and hyper- and hypocapnia, hyperandhypobaric pressures

11.47 Functions of haemoglobin in oxygen carriage and acid-base equilibrium

11.48 Pulmonary ventilation: volumes, flows, dead space.

11.49 Effect of IPPV and PEEP on lungs and circulation

11.50 Mechanics of ventilation: ventilation/perfusion abnormalities

11.51 Control of breathing, acute and chronic ventilatory failure, effect of oxygen therapy

11.52 Non-respiratory functions of the lungs

11.53 Cardio-respiratory interactions in health & disease

Nervous System:

11.54 Functions of nerve cells: action potentials, conduction, synaptic mechanisms and transmitters

11.55 The brain: functional divisions

11.56 Intracranial pressure: cerebrospinal fluid, blood flow

11.57 Maintenance of posture

11.58 Autonomic nervous system: functions

11.59 Neurological reflexes Motor function: spinal and peripheral

11.60 Senses: receptors, nociception, special senses

11.61 Pain: afferent nociceptive pathways, dorsal horn, peripheral and central mechanisms, neuromodulatory systems, supraspinal mechanisms, visceral pain, neuropathic pain, influence of therapy on nociceptive mechanisms

11.62 Spinal cord: anatomy and blood supply, effects of spinal cord section

Liver:

11.63 Functional anatomy and blood supply

11.64 Metabolic functions

11.65 Tests of function

Gastrointestinal:

11.66 Gastric function; secretions, nausea and vomiting

11.67 Gut motility, sphincters and reflex control

11.68 Digestive functions and enzymes

11.69 Nutrition: calories, nutritional fuels and sources, trace elements, growth factors

Metabolism and Nutrition:

11.70 Nutrients: carbohydrates, fats, proteins, vitamins, minerals and trace elements

11.71 Metabolic pathways, energy production and enzymes; metabolic rate

11.72 Hormonal control of metabolism: regulation of plasma glucose, response to trauma

11.73 Physiological alterations in starvation, obesity, exercise and the stress response

11.74 Body temperature and its regulation

Endocrinology:

11.75 Mechanisms of hormonal control: feedback mechanisms, effect on membrane and intracellular receptors

11.76 Central neuro-endocrine interactions

11.77 Adrenocortical hormones

11.78 Adrenal medulla: adrenaline (epinephrine) and noradrenaline (norepinephrine)

11.79 Pancreas: insulin, glucagon and exocrine function

11.80 Thyroid and parathyroid hormones and calcium homeostasis

Physiology and Metabolism Unique to Pregnancy, Child Birth and Neonates:

11.81 Physiological changes associated with a normal pregnancy and delivery

11.82 Materno-foetal, foetal and neonatal circulation

11.83 Functions of the placenta: placental transfer

11.84 Foetus: changes at birth

11.85 Metabolism unique to pregnant mother and neonates

12. Pharmacology

Principles of Pharmacology:

12.1 Dynamics of drug-receptor interaction

12.2 Agonists, antagonists, partial agonists, inverse agonists

12.3 Efficacy and potency

12.4 Tolerance

12.5 Receptor function and regulation

12.6 Metabolic pathways; enzymes; drug: enzyme interactions; Michaelis-Menten equation

12.7 Enzyme inducers and inhibitors.

12.8 Mechanisms of drug action Ion channels: types: relation to receptors.

12.9 Gating mechanisms.

12.10 Signal transduction: cell membrane/receptors/ion channels to intracellular molecular targets, second messengers

12.11 Action of gases and vapours

12.12 Osmotic effects 12.13pH effects

12.14 Adsorption and chelation

12.15 Mechanisms of drug interactions:

12.16 Inhibition and promotion of drug uptake.

12.17 Competitive protein binding.

12.18 Receptor inter-actions.

12.19 Effects of metabolites and other degradation products.

Pharmacokinetics & Pharmacodynamics

12.20 Drug uptake from: gastrointestinal tract, lungs, nasal, transdermal, subcutaneous, IM, IV, epidural and intrathecal routes

12.21 Bioavailability

12.22 Factors determining the distribution of drugs: perfusion, molecular size, solubility, protein binding.

12.23 The influence of drug formulation on disposition

12.24 Distribution of drugs to organs and tissues:

12.25 Body compartments Influence of specialised membranes: tissue binding and solubility

12.26 Materno-foetal distribution

12.27 Distribution in CSF and extradural space

12.28 Modes of drug elimination:

12.29 Direct excretion

12.30 Metabolism in organs of excretion: phase I & II mechanisms

12.31 Renal excretion and urinary H

12.32 Non-organ breakdown of Drugs

12.33 Pharmacokinetic analysis:

12.34 Concept of a pharmacokinetic compartment

12.35 Apparent volume of distribution

12.36 Orders of kinetics

12.37 Clearance concepts applied to whole body and individual organs

12.38 Simple 1 and 2 compartmental models:

12.39 Concepts of wash-in and washout curves

12.40 Physiological models based on perfusion and partition coefficients

12.41 Effect of organ blood flow: Fick principle

12.42 Pharmacokinetic variation: influence of body size, sex, age, disease, pregnancy, anaesthesia, trauma, surgery, smoking, alcohol and other drugs

12.43 Effects of acute organ failure (liver, kidney) on drug elimination Influence of renal replacement therapies on clearance of commonly used drugs

12.44 Pharmacodynamics: concentration-effect relationships: hysteresis

12.45 Pharmacogenetics: familial variation in drug response

12.46 Adverse reactions to drugs: hypersensitivity, allergy, anaphylaxis, anaphylactoid reactions

Systemic Pharmacology

12.47 Hypnotics, sedatives and intravenous anaesthetic agents

12.48 Simple analgesics

12.49 Opioids and other analgesics; Opioid antagonists

12.50 Non-steroidal anti-inflammatory drugs

12.51 Neuromuscular blocking agents (depolarising and non-depolarising) and anti cholinesterases

12.52 Drugs acting on the autonomic nervous system (including inotropes, vasodilators vasoconstrictors, antiarrhythmics, diuretics)

12.53 Drugs acting on the respiratory system (including respiratory stimulants and bronchodilators)

12.54 Antihypertensives

12.55 Anticonvulsants

12.56 Anti-diabetic agents

12.57 Diuretics

12.58 Antibiotics

12.59 Corticosteroids and other hormone preparations

12.60 Antacids. Drugs influencing gastric secretion and motility

12.61 Antiemetic agents

12.62 Local anaesthetic agents

12.63 Immunosuppressants

12.64 Principles of therapy based on modulation of inflammatory mediators, indications, actions and limitations

12.65 Plasma volume expanders

12.66 Antihistamines

12.67 Antidepressants

12.68 Anticoagulants

12.69 Vitamins and trace elements

Career Options

After completing a DM in Critical Care Medicine, candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from which include Registrar, Senior Resident, Demonstrator, Tutor etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Critical Care Medicine), Junior Consultant, Senior Consultant (Critical Care Medicine), Critical Care Medicine Specialist.

Courses After DM in Critical Care Medicine Course

DM in Critical Care Medicine is a specialisation course which can be pursued after finishing a Postgraduate medical course. After pursuing specialisation in DM in Critical Care Medicine, a candidate could also pursue certificate courses and Fellowship programmes recognised by NMC and NBE, where DM in Critical Care Medicine is a feeder qualification.

Frequently Asked Question (FAQs) –DM in Critical Care Medicine Course

Question: What is the full form of DM?

Answer: The full form of DM is a Doctorate of Medicine.

Question: What is a DM in Critical Care Medicine?

Answer: DM Critical Care Medicine or Doctorate of Medicine in Critical Care Medicine also known as DM in Critical Care Medicine is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of a DM in Critical Care Medicine?

Answer: DM in Critical Care Medicine is a super specialty programme of three years.

Question: What is the eligibility of a DM in Critical Care Medicine?

Answer: Candidates must be in possession of a postgraduate medical Degree (MD/MS/DNB) from any college/university recognized by the Medical Council of India (now NMC)/NBE.

Question: What is the scope of a DM in Critical Care Medicine?

Answer: DM in Critical Care Medicine offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DM in Critical Care Medicine candidate?

Answer: The DM in Critical Care Medicine candidate's average salary is between Rs. 11,00,000 to Rs. 26,00,000 per year depending on the experience.

Question: Can you teach after completing DM Course?

Answer: Yes, candidate can teach in a medical college/hospital after completing DM course.

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