DrNB Critical Care Medicine: Admissions, Medical Colleges, Fees, Eligibility criteria details

DrNB Critical Care Medicine or Doctorate of National Board in Critical Care Medicine also known as DrNB 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 focuses on the study of patients who have sustained or are at risk of sustaining acutely life-threatening single or multiple organ failures due to disease or injury.

The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course include Sir Gangaram Hospital, New Delhi, St.Stephen's Hospital, New Delhi, P.D. Hinduja National Hospital, and medical research Centre, Mumbai.

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

The fee for pursuing DrNB (Critical Care Medicine) varies from accredited institutes/hospital to hospital and may range from Rs.1,05,000 to Rs.1,25,000 per year.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programs recognized by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants, etc. with an approximate salary range of Rs.10 lakhs to Rs. 45 lakhs per annum.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian medical council Act, 1956.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-specialty qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.

What is DrNB in Critical Care Medicine?

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

Critical Care Medicine is the branch of medical science dealing with the study of patients who have sustained or are at risk of sustaining acutely life-threatening single or multiple organ failure due to disease or injury.

The National Board of Examinations (NBE) has released a curriculum for DrNB in Critical Care Medicine.

The curriculum governs the education and training of DrNB in Critical Care Medicine.

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

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 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 DrNB in Critical Care Medicine

Eligibility Criteria

The eligibility criteria for DrNB 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:

• Note:
• The feeder qualification for DrNB Critical care medicine is defined by the NBE and is subject to changes by the NBE.
• The feeder qualification mentioned here is as of 2022.
• For any changes please refer to the NBE website.
• The prior entry qualifications shall be strictly in accordance with Post Graduate Medical Education Regulations, 2000, and its amendments notified by the NMC and any clarification issued from NMC in this regard.
• 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 DrNB in Critical Care Medicine. Candidates can view the complete admission process for DrNB in critical care Medicine mentioned below:

• The NEET-SS or National Eligibility Entrance Test for Super specialty courses is an anational-level master's level examination conducted by the NBE for admission to/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 the respective groups if they are willing to opt for a super specialty 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 for the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those super specialty subjects covered in the said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for DrNB in Critical Care Medicine varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DrNB in Critical Care Medicine is around Rs.1,05,000 to Rs.1,25,000 per year.

Colleges offering DrNB in Critical Care Medicine

There are various accredited institutes/hospitals across India that offer courses for pursuing DrNB in Critical Care Medicine.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DrNB (Critical Care Medicine)courses for the academic year 2022-23.

Syllabus

A DrNB in Critical Care Medicine is a three years specialization course that provides training in the stream of intensive care medicine.

The course content for DrNB in Critical Care Medicine is given in the NBE Curriculum released by the national board of Examinations, which can be assessed through the link mentioned below:

The document provided is a structured syllabus that consists of three segments i.e. Domains, Competencies and Aggregated syllabus. Domains consist of a broad skill set that needs to be acquired during the three years training period. Competencies are general skill set within each domain that needs to be acquired to become competent in the Domain requirement. These competencies may further be acquired through specific skill sets enumerated in Aggregated syllabus which is classified systematically and within each system consisting of Basic and Applied Anatomy and Physiology, Pharmacology, Clinical examination skills, Procedural skills, Data interpretation, Equipment knowledge, Disease management skills. A comprehensive list of knowledge set is enumerated within each of these sections in Aggregated syllabus. Critical Care is a broad super specialty and some of the knowledge and skill set may not have been fully covered in this Syllabus. Moreover, as critical care is a rapidly advancing science with emerging evidence, knowledge, and newer strategies of management, the trainees are encouraged to use this syllabus as a guide in their training program and not as an all-inclusive document.

1. Domains

a. Resuscitation

b. Disease Management: Diagnosis/Monitoring/Supportive care/Definitive care

c. Procedures

d. Perioperative Care

e. Transport

f. Ethics/End of Life Care/Prognostication

g. Quality and Patient Safety

h. Administration/Clinical Governance

i. Research/Teaching

j. Professionalism /Communication

k. Medico Legal

l. Organ donation

2. Competencies

a. Resuscitation

Assess and stabilize patients with Shock/Respiratory failure/other organ failure

• Assess and stabilize patients with acute physiologic derangement/Rapid response

• Manage Cardiorespiratory arrest and post-arrest care

• Manage Trauma/ Burn/Environmental hazards

• Disaster management and Mass casualty initial Management

• Triaging

• Resuscitation in special situations: Obstetrics/Paediatric

b. Disease Management: Diagnosis/Monitoring/Supportive care/Definitive care

History taking

Focused physical examination

Relevant investigation/imaging

Provisional and Differential diagnosis

Interdepartmental consultation

Documentation

General monitoring

Organ-specific monitoring

Hemodynamic support

Respiratory support

Renal support

Nutritional support

Neurological support

Hematological support

Metabolic support

Immunological support

Definitive care

Physiotherapy

c. Procedures

Organ-specific procedures

d. Perioperative care

Perioperative care of high-risk surgical patient

Perioperative care in cardiac surgery

Perioperative care in neurosurgery

Perioperative care in Transplant surgery

Perioperative care in Thoracic surgery

Perioperative care in Trauma surgery

Post -operative analgesia

DVT prophylaxis

e. Transport

Intra-hospital transport of a high-risk patient

Inter-hospital Ground/Air Transport of High-risk patient

Transport of patients with a contagious disease

Documentation/Handover

f. Ethics/End of Life/Prognostication

Prognostication Scoring systems

Withholding and Withdrawing life support: Communication

Principles of medical ethics

Palliative care

Empathy toward Family, Social and Religious belief

g. Quality and Patient safety

Structure, Process and Outcome data on Quality

Root Cause analysis of Near Miss and Medical errors

Medication safety and Adverse drug reaction monitoring

Auditing and Benchmarking performance

Environmental hazards and safety of patient and healthcare staff

Infection control measures

h. Administration/Clinical Governance

• Human Resource/Design/Equipment/Budgeting

• Conflict resolution

• Team leader role

• Critical Care Outreach team

• Critical Care follow up clinic

• Admission and discharge planning

• Developing ICU policies and Protocols

i. Research /Teaching

Plan Research Project

GCP training

Critically appraising a research paper

Participate in departments teaching/research programs

Simulation training

Teaching Nurse/Allied health care Professional

Presentation in Scientific meetings

j. Professionalism

• Professional attitude/communication toward patients, family, and colleagues

• Patient care-related documents

• Respects the privacy, and confidentiality of patients' data

• Involves patient and family in decision making

• Promote team management and multidisciplinary care

• Patient and Family centered care

• Understand principles of reducing cost while maintaining quality

k. Medico-legal

• State and National laws

• Medical negligence

• Informed consent

• Medical indemnity

l. Organ Donation:

• Certifying Brain Death

• Managing Organ donor/Organ Transport

3. Aggregated Syllabus

a. Cardiovascular system

• Basic and Applied Anatomy and Physiology of the Cardiovascular system

Coronary circulation

Surface marking of the Heart, Major vessels, and Landmarks for vascular access

Cardiac conduction system

Cardiac muscle, Valve, Chambers, Pericardium

Cardiac innervation

Hemodynamics

Cardiac output

Starling curve

Oxygen delivery and oxygen consumption

Oxygen debt

Control of blood pressure

Preload, afterload, transmural pressures

Systemic and pulmonary vascular resistance

Heart-lung interaction

Flow-dependent oxygen delivery changes in diseased states

Regional circulations in shock

Arrhythmia

Starling's law of movement of fluids

Guytonian theory of circulation

Circulatory changes during ECMO and cardiopulmonary bypass

Microcirculation

Neurohumoral control of the cardiovascular system

b. Pharmacology of Cardiovascular Drugs

• Inotropes and Vasoactive agents

• Antiarrhythmics

• Antihypertensives

• Diuretics

• Resuscitation Fluids

• Antiplatelets, Anticoagulants, and Thrombolytics

c. Examination of Cardiovascular systems

• Clinical assessment of the hemodynamic status

d. Practical Skills

• CPR/Defibrillation/Cardioversion/Pacing (Transvenous /External)

Cannulation

Venous: Central /Peripheral

Arterial

PICC line

Ultrasound-guided

• Hemodynamic monitoring (Invasive/Non-Invasive)

• Echocardiography

• Setting up of invasive monitor

• Invasive/Minimally invasive cardiac output

• Intra-aortic balloon pump

• Pulmonary artery catheter

• Assist in ECMO cannulation

e. Data Interpretation

• Central Venous pressure Waveform

• Arterial Waveform

• Chest X-ray/Electrocardiography/Echocardiography

• Hemodynamic monitoring

Cardiac output

Pulse pressure variation

Stroke volume variation

SCVO2/SVO2

Arterio-Venous PaCO2 Gap analysis

Lactate

Tidal volume challenge

Plethysmographaic variability index

Capillary refill time

Passive Straight Leg raising

• Analysis of PA waveform

f. Equipment Knowledge

• 12 lead ECG machine

• Continuous ECG monitor

• Cardiac arrest tray

• Defibrillator

• NIBP

• Pressure Transducers

• Syringe pump

• Volumetric infusion pumps

• Pressure bag for rapid fluid infusion

• Temporary pacemaker: transvenous/transcutaneous device/paddles

• Blood warmer

• Cannulae: Venous/Arterial/Introducer sheath

• Cardiac output monitor

• Calibrated

• Non-Calibrated

• ECMO machine

• IABP

• PA catheter

• ECHO machine

g. Clinical Management Skill

• Shock (all categories)

• Acute/Acute on chronic heart failure

• Arrhythmias

• Acute coronary syndrome

• Hypertensive urgencies/emergencies

• Pericardial tamponade

• Aortic dissection

• Pulmonary embolism

• Invasive management of cardiogenic shock

ECMO

IABP

Ventricular assist device

• Acute Valvular emergencies

• Heart failure in Pregnancy

• Cyanotic and acyanotic congenital heart disease

• Cardiomyopathy and Myocarditis

• Air, Fat and Amniotic fluid embolism

• Acute Aortic and Peripheral vascular disorders

4. Respiratory System

a. Basic and Applied Anatomy and Physiology of the Respiratory system

• Anatomy

Upper and Lower airway

Pleura, mediastinum

Lungs, lobes, the microstructure of lung

Diaphragm, and other muscles of respiration

Sternum and Rib cage

• Surface marking /Landmarks

Lung/Pleura

Tracheal Cartilages

Thoracic Procedures

Thoracocentesis

Tension Pneumothorax

Percutaneous tracheostomy

Cricothyrotomy

• Lung Ultrasound

• Lung Mechanics

Work of breathing

Central control of respiration

• Oxygenation and Ventilation

Hypoxia/Hyperoxia/ Hypo/Hypercarbia

V/Q mismatch/Shunt/Dead space/Diffusion defect

Oxygen and Carbon dioxide dissociation curve

Respiratory Quotient

Compliance and Resistance

Oxygenation and Ventilation Indices

• West Zones

• Effect of IPPV and PEEP on lungs and circulation

• Heart-lung interactions in health and disease

b. Pharmacology of Drugs in the Respiratory system

• Bronchodilators

• Anti-inflammatory

• Mucolytics

• Oxygen

• Pulmonary vasodilators

• Steroids

• Neuromuscular blocking agent

c. Examination of Respiratory systems

• Clinical assessment of Respiratory failure

Upper airway obstruction

Exacerbation of Obstructive airway disease

Collapse/Consolidation

• Clinical assessment of Pleural effusion/Pneumothorax/Hemothorax/ Flail chest

d. Practical Skills

• Airway Management

• Non-invasive ventilation

• Prone ventilation

• Invasive ventilation

• Thoracic procedures

Thoracocentesis

Chest tube placement

• Cricothyroidotomy

• Tracheostomy

• Bronchoscopy

• Chest Ultrasound

• Chest Physiotherapy

• Intercostal nerve block

• ECMO

e. Data Interpretation

• Arterial Blood Gas

• Pulse Oximetry

• Capnography

• Ventilatory graphics

• Imaging

Chest X-ray

Chest CT Scan

• Pulmonary Function test

f. Equipment Knowledge

• Oxygen delivery systems

• Pulse oximeter

• Oxygen cylinder/Flow meter/Concentrator

• Capnograph

• Airway management devices

• Non-invasive ventilation devices with interface

• Invasive ventilators

• Chest drain system

• Bronchoscope

• Nebulizers

• ECMO

• Hyperbaric oxygen

• High-Frequency Oscillator

g. Clinical Management Skill

• Acute and Acute on Chronic Respiratory failure

COPD exacerbation

Acute severe asthma

ARDS

• Upper airway obstruction

• Massive hemoptysis

• Pulmonary embolism

• Pneumonia

Severe Community acquired

Hospital acquired/ VAP

Aspiration

• Pulmonary hypertension

• Pulmonary vasculitis

• Hepatopulmonary syndrome

• Bronchopleural fistula

• Pleural diseases

• Chest Trauma

5. Gastrointestinal and Hepatobiliary system

a. Basic and Applied Anatomy and Physiology

• Surface marking

• Abdominal paracentesis

• Acid secretion

• Peristalsis /Digestion/Absorption

• Bile synthesis and excretion

• Ammoniagenesis

b. Pharmacology of Hepatobiliary and Gastrointestinal drugs

• Acid suppressants

H2 blockers

Proton Pump Inhibitor

Antacid

• Pepsin inhibitor - Sucralfate

• Prokinetic/Antimotility / Laxatives and Anti emetics

• Lactulose and other ammonia-reducing drugs

• Vasopressin and analogs: Terlipressin/Octreotide/Somatostatin/Midodrine

• Drug dosing in liver failure

c. Clinical skills

• Focused abdominal examination

• Rectal examination

d. Practical skills

• Insertion of Feeding tubes

Nasogastric

Nasojejunal

• Insertion of Sengstaken Blackmore tube

• Abdominal paracentesis

• Intrabdominal pressure measurement

• Stoma care

• Focused abdominal ultrasound

e. Data interpretation

• Liver function test

• Abdominal imaging

• Intrabdominal pressure

• Peritoneal fluid analysis

f. Equipment knowledge

• Feeding tubes

Nasogastric

Nasojejunal

PEG tube

Surgical feeding jejunostomy

• Sengstaken tube

g. Clinical management skill

• Management of acute abdomen

• Acute pancreatitis

• Acute/Acute on chronic liver failure

Hepatic encephalopathy

Massive ascites

Portal hypertension with variceal bleed

Spontaneous bacterial peritonitis

Hepatorenal syndrome

Hepatopulmonary syndrome

Jaundice in pregnancy

• Upper and lower Gastrointestinal bleed

• Stress ulcer prophylaxis

• Acute colonic dilatation

• Mesenteric infarct

• Management of short gut syndrome

• Postoperative management of major abdominal surgery

• Rupture esophagus

• Cholecystitis

Acute calculus cholecystitis

Acalculous cholecystitis

• Abdominal compartment syndrome

• Corrosive injury

• Tracheo-esophageal fistula

• Inflammatory Bowel disease: Toxic megacolon

• Budd Chiari syndrome

• Hepatitis

• Plasmapheresis in liver disease

• Diarrhea in critically ill

6. Renal system

a. Basic and Applied Anatomy and Physiology of Renal system

• Surface marking

Kidneys: Anteriorly and Posteriorly

AV fistula

• Renal circulation: Macro and Micro

• Role of kidney in homeostasis

• Physiology of formation of Urine

• Basic principles of Dialysis and Hemofiltration

b. Pharmacology

• Diuretics

• Renoprotective agent

• Dose modification in renal failure

• Nephrotoxicity

c. Clinical examination of the renal system

• Kidney palpation/Renal bruit

d. Procedural skill

• Insertion of hemodialysis catheter

• Insertion of temporary peritoneal dialysis catheter

• Measurement of Bladder pressure

• Setting up of Dialysis: Hemo (including CRRT) and Peritoneal

e. Data Interpretation

• Urine dipstick

• Urine routine microscopy

• Urinary electrolytes

• Creatinine clearance

• Renal imaging

f. Use of Equipment

• Hemodialysis catheter

• Temporary dialysis catheter

• Hemodialyser including CRRT machine

g. Clinical skills

• Assesing oliguria

• Managing acute/acute on chronic kidney injury

• Preventing acute kidney injury

• Managing complications of Hemo and Peritoneal dialysis

• Managing electrolyte emergencies

• Managing Plasmapheresis/Hemoperfusion

h. Hematology/Oncology

• Hematology

Physiology

Coagulation system

Life cycle of Blood Corpuscles

• Pharmacology

• Antiplatelets

• Anticoagulants

• Anti Fibrinolytics

• Thrombolytics

• Anticoagulant reversing agents

i. Equipment

• Blood warmer

• Pheresis machine

• Thromboelastograph

• ACT machine

j. Data interpretation

• Peripheral smear

• DIC panel/Coagulation test

• Thromboelastograph

• Blood grouping and cross matching

k. Procedural skills

• Safe blood and component transfusion

• Iron transfusion

• Blood preservation

l. Clinical skills

• Assessing and Managing

Anemia

Bleeding disorder

Hemolytic disorders

Thrombotic disorders

• Massive Blood transfusion

• Managing TTP/HUS/HIT

• Managing Mismatch blood transfusion

m. Oncology

• Pharmacology

Chemotherapeutic agents

• Clinical skills

Managing oncological emergencies

Tumor lysis syndrome

SVC compression

Spinal cord compression

Hyperviscosity syndrome

• Managing Chemotherapy-induced complications

• Assessing Graft versus Host disease

n. Nutrition/Metabolic /Fluid and Electrolyte

• Physiology

Malnutrition in critically ill

Glucose /Lipid/Protein metabolism

Respiratory Quotient

Water and Electrolyte balance

• Equipment knowledge

Indirect calorimeter (Metabolic cart)

Glucometer

• Data interpretation

Nutrition score

Urinary urea nitrogen

Respiratory quotient

Thyroid function test

Adrenal function test

• Pharmacology

Crystalloids

Colloids

Electrolytes

Micronutrients

• Clinical management skills

Nutrition

Assessing nutritional status

Formulating a nutritional plan in general

Formulating nutritional plans in specific disease states e.g.

Sepsis

Renal failure

Liver failure

Pancreatitis

Hypercapnic respiratory failure

Short gut /Fistula

Burn

Immunonutrition

Principles of Enteral and Parenteral nutrition

Glucose metabolism

Diabetic ketoacidosis

Hyperglycemic, Hyperosmolar state

Glycemic control

Endocrine disorders

Managing Endocrine emergencies e.g.

Thyrotoxic crisis

Myxedema coma

Adrenal crisis

Pituitary apoplexy

Hypercalcemia

Diabetes insipidus

Postoperative management of Parathyroidectomy

Postoperative management of Pheochromocytoma

Hormonal therapy in Brain dead organ donor

Electrolyte /Acid Base

Sodium/Potassium/Calcium/Magnesium/Phosphate balance

Acidotic/Alkalotic states: Respiratory and Metabolic

Osmolar gap

o. Nervous System

• Basic and Applied Anatomy and Physiology

Central/Peripheral and Autonomic nervous systems

Action potential, nerve conduction, Neuromuscular junction

EEG

Surface marking

Lumbar puncture

Spinal,Plexus and nerve block

Intracranial pressure

Cerebral autoregulation

CSF production, circulation and absorption

• Pharmacology

Osmotic agents

Sedatives/Anxiolytics/Antipsychotic/Anaesthetics/Analgesics

Neuromuscular blockers/Anticholinesterases/Anticholinergic

Anticonvulsant

Thrombolytics

• Clinical skills

Focused neurological examination

Coma /Sedation/Delirium scale

Brain death certification

• Practical skill

Lumbar puncture

Neuromuscular junction monitoring

Transducing ICP monitor

Cerebral protection/ Targeted temperature management

• Data Interpretation

Cerebrospinal fluid analysis

EEG

Neuroimaging

Transcranial Doppler

ICP waveform analysis

EMG and NCV analysis

Bispectral Index (BIS)

• Use of Equipment

Lumbar puncture needle

Ventriculostomy catheter and drainage bag

ICP monitors and transducers

Neuromuscular junction blockade monitor

Bispectral index Monitor (BIS)

• Clinical management skills

Assessment of Coma /Delirium

Stroke

Ischemic

Hemorrhagic

Subarachnoid hemorrhage

Status epilepticus

Non convulsive status

Meningitis/Meningoencephalitis/Brainabscess/Acute demyelinatingencephalopathy/Posterior Reversible Encephalopathy (PRES)

Toxic/Metabolic/septic/Hypoxic-ishcemic encephalopathy

Cerebral venous sinus thrombosis

Head injury

Hydrocephalus

Spinal cord injury

Transverse myelitis

Acute cord compression

Guillain Barre Syndrome

Critical illness neuropathy

Myasthenic crisis

p. Infectious disease

• Microbiology

Principles of collection, storage, transport of microbial samples

Staining

Culture and Sensitivity interpretation

Molecular based diagnostics

Serological tests

Mechanism of bacterial resistance

Diagnostic stewardship

• Antimicrobials

Antibiotics

Antiviral

Antifungal

Antitubercular

Antiprotozoals

PK/PD of antimicrobials

Antimicrobial stewardship

Therapeutic drug monitoring

• Bacteria/Virus/Fungi/Parasites

Gram positive bacteria

Gram negative bacteria

Drug resistant bacteria

Fungi

Mycobacterium

Virus

Rickettsiae

Parasitic diseases

• Infectious syndrome

Complicated Abdominal/Gastrointestinal infections

Peritonitis

Liver abscess

Cholecystitis

Colitis

Device associated infections

VAP

CRBSI

CAUTI

SSI

Sepsis and Septic shock

Complicated skin and soft tissue infections

Neurological infections

Meningitis

Encephalitis

Brain abscess

Pleuro Pulmonary infections

Pneumonia

Empyema

Genitourinary infections

Pyelonephritis

• Infection Prevention

Prevention of nosocomial infection

Principles of isolation precaution

Environmental disinfection

Autoclaving and Sterilisation

Infection risk to health care workers

• Obstetrical Critical Care

Physiological alterations in pregnancy

Hypertensive disorders in pregnancy

Pregnancy induced hypertension

Preeclampsia

Eclampsia

Jaundice in pregnancy

HELLP syndrome

Acute fatty liver

Hepatitis

Respiratory failure in pregnancy

Thromboembolic disease

Asthma

Amniotic fluid embolism

Mechanical ventilation during pregnancy

Peripartum cardiomyopathy

Postpartum hemorrhage

Trauma in pregnancy

Infections in pregnancy

Septic pelvic thrombophlebitis

Cardiac arrest in pregnancy

Pharmacotherapy in pregnancy

q. Trauma/ Burn/Transplant / Environmental hazard/ Toxicology/ Pharmacology /

Transport/ Imaging / Bioengineering

• Trauma

Principles of management of Polytrauma

Head injury

Spinal cord injury

Airway injury / Chest trauma

Blunt and penetrating abdominal injury

Crush injury

Inhalation injury

Major vascular injury

Skeletal trauma

Epidural and patient controlled analgesia

• Burn

Assessment, initial resuscitation

Wound management

Smoke inhalation and airway burns

Detection and management of Infections

Nutrition management

• Transplant

Managing Brain dead organ donor

Perioperative management of solid organ transplant

Managing hematopoietic stem cell transplant

Pharmacology of Immunosuppression

Infections in immune compromised patients

Brain death certification

Transplant immunology

• Environmental hazard

Temperature related injuries

Electrical injury

Radiation /Nuclear hazards

Near drowning

Partial hanging

Disaster management

Mass casualty management

Preventing Fire hazard in ICU

Industrial chemical hazard

Biological hazards

• Toxicology

Management of patients with acute poisoning

Syndromic diagnosis of poisoning

Poisoning and Envenomation

Organophosphorus

Corrosive

Benzodiazepines

Antidepressants

Narcotics

Calcium channel blocker

Beta blocker

Hypoglycemic

Anticholinergic

Salicylates

Alcohol

Cocaine

Acetaminophen

Carbon monoxide

Barbiturates

Snake/Scorpion envenomation

Other animal/insect bites

Plant poisons

Methemoglobinemia

Sulphhemoglobinemia

Metal toxicity

Cyanide toxicity

• Pharmacology

PK/PD principles of drugs

Drug Drug interaction

Adverse drug reaction

Drug reconciliation

Drug dosing in renal and liver failure

Principles of Therapeutic Drug Monitoring

• Transport

Intrahospital and interhospital transport

Air ambulance

Handover and documentation

• Imaging

Portable x-ray

Point of care Ultrasound /Echo

Peripheral venous and arterial doppler

Hazards of contrast

CT scan

MRI/MRCP

Basics of Transcranial doppler

Basics of PET scan

Basics of Nuclear scan

Utilising PACS system

Important interventional radiological procedures

• Bioengineering

Principles of strain gauge transducers

Signal conditioners, gain

Calibration, adjustment, display technique

Electrical safety

Computers

Amplifiers and recorders

Medical gases and pipelines

r. Research/Administration/Ethics/Legal/Quality/Teaching

• Research

Study design, protocol writing and conduct of clinical research

Biostatistics

Presentation to Ethics committee

Manuscript writing

• Ethical and Legal

Principles of medical ethics

Indian laws/acts pertaining to critical care

Communication skills

Handling medical negligence complaints

Documentation

• Administration

Resource allocation

Design of intensive care unit

Performance assessment

Critical pathway development

Electronic medical record

Economics of ICU care

Managing conflict in ICU

ICU burn out

• Quality

Auditing ICU processes and outcome

Clinical governance

Prognostic scores

Key performance indicators (KPI)

• Education

Reviewing literature

Critiquing papers

Presenting paper

Case presentation

Participating in journal club

Simulation training

Teaching skills

Career Options

After completing a DrNB 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 Registrar, SeniorResident, Demonstrator, Tutor, etc.

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

Courses After DrNB in Critical Care Medicine Course

DrNB in Critical Care Medicine is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing a specialization in DrNB in Critical care medicine, a candidate could also pursue certificate courses and Fellowship programs recognized by NMC and NBE, where DrNB in Critical Care Medicine is a feeder qualification.

Frequently Asked Questions (FAQs) – DrNB in Critical Care Medicine Course

Question: What is the full form of DrNB?

Answer: The full form of DrNB is a Doctorate of National Board.

Question: What is a DrNB in Critical Care Medicine?

Answer: DrNB Critical Care Medicine or Doctorate of National Board in Critical Care Medicine also known as DNB 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 DrNB in critical care Medicine?

Answer: DrNB in Critical Care Medicine is a super specialty program of three years.

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

Answer: Candidates must be in possession of a postgraduate medical Degree (MD/MS/DNB) in Emergency Medicine/Anaesthesiology/General Medicine/Pediatrics/Respiratory Medicine from any college/university recognized by the Medical Council of India (now NMC)/NBE. These feeder qualification are as of the year 2022/ For further updates please check NBE website.

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

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

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

Answer: The DrNB in Critical Care Medicine candidate's average salary is between Rs.10 lakhs to Rs. 45 lakhs per annum depending on the experience.

Question: Can you teach after completing DrNB Course?

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

Question: What is the difference between DrNB and DNB?

Answer: As of today, DrNB is a super-specialist qualification imparted by the NBE (SS level). Whereas DNB is a specialist qualification. Earlier DrNB used to be called DNB SS but now it is called DrNB.