DM Organ Transplant Anaesthesia and Critical Care: Admissions, Medical Colleges, Fees, Eligibility Criteria details here

DM Organ Transplant Anaesthesia and Critical Care or Doctorate of Medicine in Organ Transplant Anaesthesia and Critical Care also known as DM in Organ Transplant Anaesthesia and Critical Care 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 focuses on providing perioperative care to patients undergoing solid organ transplantation.

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 the Institute of Liver and Biliary Sciences-New Delhi and Mahatma Gandhi Medical College and Hospital, Sitapur- Jaipur.

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 (Organ Transplant Anaesthesia and Critical Care) varies from college to college and may range from Rs. 50,000 to Rs. 15,00,000 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. 5.3 Lakhs to Rs. 47.3 Lakhs per year.

What is DM in Organ Transplant Anaesthesia and Critical Care?

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

Organ Transplant Anaesthesia and Critical Care is the branch of medical science dealing with providing perioperative care to patients undergoing solid organ transplantation.

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

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

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 Organ Transplant Anaesthesia and Critical Care 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 specialty.

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 Organ Transplant Anaesthesia and Critical Care

Eligibility Criteria

The eligibility criteria for DM in Organ Transplant Anaesthesia and Critical Care 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 Now NMC)/NBE.
• 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 Organ Transplant Anaesthesia and Critical Care. Candidates can view the complete admission process for DM in Organ Transplant Anaesthesia and Critical Care 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 Organ Transplant Anaesthesia and Critical Care 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 Organ Transplant Anaesthesia and Critical Care is around Rs. 50,000 to Rs. 15,00,000 per year.

Colleges offering DM in Organ Transplant Anaesthesia and Critical Care

There are various medical colleges across India that offer courses for pursuing DM in (Organ Transplant Anaesthesia and Critical Care).

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

Syllabus

A DM in Organ Transplant Anaesthesia and Critical Care is a three years specialization course that provides training in the stream of Organ Transplant Anaesthesia and Critical Care.

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

Course contents:

1. Anesthetic care

• History of anesthetic practice

• Scope of modern anesthetic practice

• Ethical aspects of anesthetic practice

• Legal aspects of anesthetic care

2. Pharmacology

a. Basic knowledge on pharmacokinetics and pharmacodynamics of drugs, drug interactions, complications of drugs used in transplantation medicine and critical care

b. Delivery systems for anesthetics

o Inhaled anesthetics

o Intravenous anesthetics

o Local anesthetics

c. Transfusion medicine

d. Complications of anesthesia

3. Immunology, rejection & immunosuppression

o Basic Immunology

o Immunologic mechanisms of rejection

o Immunosuppressive drugs: mechanism of action

4. Liver transplantation- curriculum and training objectives

a. Anatomy of various organs

• Physiology and Pathophysiology

a. Physiology, pathophysiology of various organs and systems

b. Rejection – types and management

• Biochemistry

a. Biochemical basis of ischemic-anoxic injury

b. Reperfusion injury

c. Apoptosis

d. Antioxidant biochemistry

e. Promising treatment modalities for reperfusion injury.

• Pharmacology

a. pharmacology of various drugs in patients with end stage liver disease

• Patient centric training

a. Principles of organ procurement and donation- Implications for Liver

b. Donor and recipient selection criteria for liver transplant

c. Anesthesia for patients with hepatocellular disease

d. Anaesthesia for pancreas transplantation

e. Anaesthesia for intestinal and multiple organ transplantation

f. Infectious diseases and transplantation

g. Management of acute liver failure including parturients

h. Intensive care management of the liver, pancreatic and GI transplant patients

i. Molecular Adsorbents Recirculation System(MARS)

5. Cardiac transplantation- curriculum and training objectives

• Anatomy of various organs and cardio vascular system.

• Cardiovascular physiology and pathophysiology

• Biochemistry

a. Cardiac enzymes

b. Cardiac biomarkers

c. Cardiac ischemic injury

• Cardiovascular Pharmacology

• Patient centric training

a. Perform a preoperative cardiac evaluation

b. Donor and recipient selection criteria for cardiac transplant

c. Pathophysiology, diagnosis and management of heart failure

d. Mechanical ventricular support

e. Physiology and conduct of cardiac bypass and oxygenators.

f. Principles of myocardial preservation

g. Anesthesia for patients with compromised cardiac function.

h. Principles of extracorporeal circulation including ECMO, circulatory assist devices and circulatory arrest

i. Intra-operative TEE

j. Monitor, diagnose and treat peri-operative myocardial ischemia, cardiac arrhythmias and, left and right ventricular dysfunction

k. Monitor, diagnose and treat acute pulmonary dysfunction and pulmonary hypertension in the peri-operative period

l. Management of right heart in a newly implanted heart

m. Reperfusion injury

n. Cardiac emergencies and their management

o. Cardiopulmonary Bypass (CPB)

6. Kidney transplantation- curriculum and training objectives

• Anatomy of the Kidneys and Urinary Tract

• Physiology and Pathophysiology

a. Renal physiology, renal failure and renal function tests

b. End Stage Renal Disease

• Biochemistry

a. Biochemical basis of ischemic-anoxic injury of kidney

b. Reperfusion injury, apoptosis

c. Established modalities and research into treatment for reperfusion injury

d. Antioxidant biochemistry

• Patient-centric training

a. Management of acute kidney injury

b. Preoperative Management of a patient with ESRD(End-stage kidney or renal disease)

c. Anaesthesia for patients with ESRD

d. Rejection of transplanted organs – Types, recognition and management

e. Renal Replacement Therapy – modalities, indications and complications

7. Multiple organ donation

a. Preoperative evaluation and intra-operative management of organ donors.

b. Brain death, criteria for certifying brain death and tests to confirm diagnosis

c. Organ dysfunction after brain death especially cardiopulmonary complications, coagulopathy, temperature changes and diabetes insipidus, assessment of organ suitability for transplantation

d. Pathophysiology of organ preservation

e. Intra-operative management of multi-organ donors – Multi-organ brain dead donors, Donation after cardiac death (DCD)

8. Preservation and transportation of retrieved organs

9. Organ recipients

a. Preoperative evaluation and management of recipients for organ transplantation

b. Basic principles of immuno-suppression and graft rejection

c. Reperfusion injury

d. Management of hyperkalemia

e. Post- transplant complications including rejection, infection, immune- suppression

f. Transfusion medicine and coagulation management

g. Safe transport of critically ill patients

10. Ethical issues

a. Patient confidentiality and privacy legislation

b. Patient autonomy

c. Principles of informed consent and decision making

d. Next of kin designation

e. End of life decision making

f. Organ procurement for transplantation

g. Management and review of adverse events

h. Communication with families in crisis

Career Options

After completing a DM in Organ Transplant Anaesthesia and Critical Care, 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 (Organ Transplant Anaesthesia and Critical Care), Junior Consultant, Senior Consultant (Organ Transplant Anaesthesia and Critical Care), Organ Transplant Anaesthesia and Critical Care Specialist.

Courses After DM in Organ Transplant Anaesthesia and Critical Care Course

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

Frequently Asked Question (FAQs) –DM in Organ Transplant Anaesthesia and Critical Care 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 Organ Transplant Anaesthesia and Critical Care?

Answer: DM Organ Transplant Anaesthesia and Critical Care or Doctorate of Medicine in Organ Transplant Anaesthesia and Critical Care also known as DM in Organ Transplant Anaesthesia and Critical Care 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 Organ Transplant Anaesthesia and Critical Care?

Answer: DM in Organ Transplant Anaesthesia and Critical Care is a super specialty programme of three years.

Question: What is the eligibility of a DM in Organ Transplant Anaesthesia and Critical Care?

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 Organ Transplant Anaesthesia and Critical Care?

Answer: DM in Organ Transplant Anaesthesia and Critical Care offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DM in Organ Transplant Anaesthesia and Critical Care candidate?

Answer: The DM in Organ Transplant Anaesthesia and Critical Care candidate's average salary is between Rs. 5.3 Lakhs to Rs. 47.3 Lakhs per year depending on the experience.

Question: Can you teach after completing DM Course?

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