FNB Trauma and Acute Care Surgery: Admissions, medical colleges, fees, eligibility criteria details

Trauma and Acute Care Surgery is a specialty of surgery catering to the emergent and delayed needs of an injured patient and patients with emergency non-trauma surgical needs, with the responsibility of the overall care of emergency surgical patients including coordinating care with other Sub-specialties involved in Emergency Surgical & Trauma Care and maintaining continuity of care.

The trauma and acute care surgeon will take care of the injured patient in surgical critical care/ Surgical ICU and will perform ICU management specific to the needs of Postoperative/ surgical patients.

The course is a full-time course pursued at various accredited institutes/hospitals across the country, the top institutions include Ganga Medical Centre and Hospital, Coimbatore, Medical Trust Hospital, Kochi, and more.

Candidates can get admission to 2 years FNB course after successfully qualifying for the FET (Fellowship Entrance Test) examination which NBEMS conducts. FET is conducted annually as per the prescribed schedule. The merit-based counseling for admissions to the FNB Programme after the conduct of FET is administered by NBEMS.

The fee for pursuing FNB Trauma & Acute Care Surgery varies from accredited institute/hospital to hospital and is Rs.1,25,000 per year.

After completing their respective course, doctors can join the job market. Candidates can take reputed jobs at positions as research fellows, Senior residents, Consultants, etc. with an approximate average salary range of Rs. 25 lakhs to Rs. 54 lakhs per year.

The Nomenclature of the FNB qualification awarded by the National Board of Examinations in Medical Sciences is “Fellow of National Board”. The FNB qualifications are recognized qualifications in terms of the Gazette notification dated 10th August 2016.

What is FNB in Trauma & Acute Care Surgery?

FNB in Trauma & Acute Care Surgery is a two-year post-doctoral fellowship program that candidates can pursue after completing a postgraduate degree.

The goal of the Trauma & Acute Care Surgery Fellowship is resuscitation in the Emergency Department and is expected to participate in the initial evaluation and resuscitation of seriously ill surgical patients both Trauma and Non-Trauma. The care of the patient with emergency surgical needs including multisystem injuries should be supervised by a trauma and acute care surgeon.

Trauma and acute care surgeon is trained to perform all emergency department procedures required for immediate resuscitation like airway procedures (intubation, surgical airway, etc.), chest decompressions, central venous access procedures, basic and intermediate care of the burn patient, acute abdominal conditions, infections, acute wound care in an emergency. The trauma and acute care surgeon should be able to perform basic limb-saving orthopedic trauma management including various splints, closed reductions, insertion of traction pins, external fixators for stabilization, and hemorrhage control only in the setting of life-threatening trauma.

The trauma and acute care surgeon will perform initial management of neurosurgical trauma emergencies, including intracranial pressure monitor placement or cranial decompression in dire situations only in trauma settings in the absence of a qualified neurosurgeon. He/she should be conversant/confident in identifying cases that do not require operative intervention by a qualified neurosurgeon and should be able to manage these cases.

Upon completion of the Trauma & Acute Care Surgery Fellowship, fellows are prepared to build surgical practices, focus more deeply on research, and teach at top academic medical centers and hospitals around the country and the world.

The National Board of Examinations (NBE) has released a curriculum for FNB Trauma & Acute Care Surgery.

The curriculum governs the education and training of FNB Trauma & Acute Care Surgery.

The fellowship goal is to develop a Trauma & Acute Care Surgery surgeon capable of recognizing and managing a broad variety of joint conditions. Develop a capability of critical thinking and recognizing and managing a broad variety of joint conditions such as Degenerative conditions, Deformity, Tumours and infections, Trauma and Injections.

Detailed working understanding of hip, knee, shoulder, elbow, and ankle anatomy as it pertains to normal anatomy, pathology, and the surgical and non-operative treatment of arthritic and non-arthritic disorders.

Course Highlights

Here are some of the course highlights of FNB Trauma & Acute Care Surgery

Eligibility Criteria

Note:

· The feeder qualification for FNB Trauma & Acute Care Surgery 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.

· There is no upper age limit for training in NBEMS Fellowship courses.

Admission Process

The admission process contains a few steps for the candidates for admission to FNB. Candidates can view the complete admission process for FNB Trauma & Acute Care Surgery mentioned below:

Fees Structure

The fee structure for FNB Trauma & Acute Care Surgery 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 FNB Trauma & Acute Care Surgery is Rs.1,25,000 per year.

Colleges offering FNB Trauma & Acute Care Surgery

Various accredited institutes/hospitals across India offer courses for pursuing FNB Trauma & Acute Care Surgery.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering (FNB Trauma & Acute Care Surgery) courses for the academic year 2022-23.

Syllabus

FNB in Trauma & Acute Care Surgery is a two years specialization course that provides training in the stream of Trauma & Acute Care Surgery.

The course content for FNB Trauma & Acute Care Surgery is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

This training path should include all content relative to emergency and trauma surgery, including the study of conditions related to acute surgical emergencies including injuries and shock, including their epidemiology, mechanism, physiology, biology, and metabolic implications. The candidate is expected to be certified in essential life support courses like ATLS, BLS/ACLS.

1. Core Content

The training will be inclusive of the following core content:

i. Trauma Surgery:

a. Initial Management: The ABCDs…

b. Airway Management

c. Traumatic Shock Overview

d. Resuscitation and Cardiovascular Endpoints of Resuscitation

e. Neck Trauma

f. Blunt and Penetrating Abdominal Trauma

• Operative as well as Non-operative

g. Blunt and penetrating Thoracic Trauma

h. Damage Control Surgery

i. Special Considerations in Blunt Trauma (Maxillofacial, Genito-urinary, Soft Tissue Trauma)

j. Vascular Trauma

k. The Mangled Extremity: Revascularization vs. Amputation

l. Head injuries, general principles of management.

• ED management of Head Injuries (Medical Management)

• Imaging and Interpretations

• Monitoring and Non-operative management of TBI

• Operative management in Traumatic Brain Injury catastrophes (Emergency decompression in austere environments)

l. Spinal trauma, general principles of pathophysiology, Injury mechanics and interpretation of special investigations and initial management.

m. Pelvic Trauma diagnosis and primary management

n. Basic management of extremity fractures

• Splinting

• External Fixators for limb salvage in cases of associated vascular injuries

o. Basic management of Burns and Blast Injuries

p. Disaster and Mass Casualty Management Training in Trauma Systems management and Mass casualty management

q. Trauma Scoring systems.

ii. Emergency General Surgery:

a. Intra-Abdominal Catastrophes

b. Hollow Visceral Surgical Emergencies

c. Hepato-biliary Surgical Emergencies

d. Pancreatitis

e. Acute complications of abdominal wall hernias

f. Soft Tissue Infections and abscesses

g. Abdominal Compartment Syndrome/The Open Abdomen

• Critical limb ischemia as an adjunct of extremity compartment syndrome

iii. Surgical Critical Care:

a. Intensive Care Unit Emergencies in the Trauma/Emergency Surgery Patient

b. Supportive Care in the Intensive Care Unit for the Trauma/Emergency Surgery Patient

iv. Miscellaneous:

a. Initial Management of the injured in special situations, pediatric trauma, geriatric trauma, trauma in pregnancy

b. Awareness about Brain death and Organ Transplantation

c. Infectious Issues in Trauma/Emergency Surgery

v. Rehabilitation Care:

a. Nursing care of the unconscious patient

b. Nutritional requirements of an unconscious patient

c. Acute Rehabilitation of Critically ill surgical patients.

VI. THE DETAILED CURRICULUM WILL INCLUDE KNOWLEDGE AND SKILLS IN THE FOLLOWING FIELDS

The program will possess a well-organized and effective curriculum, emphasizing practical hands-on training to the fellows. The curriculum will provide residents with direct experience by progressive responsibility for patient management.

The management of the emergency surgical patient has to be learned as the paradigm of Acute/ Immediate Care – Definitive Care – Critical/ ICU Care – Rehabilitation.

The whole training program will be imparted in the above-mentioned component of each specialty finally culminating into the understanding of the holistic care of the Emergency Surgical patient including trauma victims.

1. Goals:

To gain knowledge and skills of Emergent Surgical Care and to develop an organized approach to the assessment, resuscitation, stabilization and provision of definitive care for all surgical emergencies.

2. Practical skills to be achieved after completion of training:

The program must provide supervised surgical hands-on training that will enable the fellow to gain competence in the performance and application of the following surgical competencies and skills:

Procedural Skills for FNB (Trauma and Acute Care Surgery)

Career Options

After completing FNB Trauma & Acute Care Surgery, candidates will get employment opportunities in Government and the Private sector.

In the Government sector, candidates have various options to choose from which include Junior research fellow, Teaching at academic medical centers, and Consultants.

While in the Private sector the options Fellow (Trauma & Acute Care Surgery), Junior research fellow (Trauma & Acute Care Surgery), Senior Research fellow (Trauma & Acute Care Surgery), and Consultants (Trauma & Acute Care Surgery).

Frequently Asked Questions (FAQs) –FNB Trauma & Acute Care Surgery Course /FNB in Trauma & Acute Care Surgery

Answer: The full form of FNB is Fellow of National Board.

Answer: FNB in Trauma & Acute Care Surgery or Fellow of National Board in Trauma & Acute Care Surgery is a doctoral fellowship program for doctors in India that is done by them after completion of their postgraduate medical degree course.

Answer: FNB in Trauma & Acute Care Surgery is a super specialty program of two years.

Answer: The candidate should have a DNB/MS (General Surgery) or DNB/MS (Orthopaedics) or DrNB/MCh (Neuro Surgery) or DNB/MD (Anaesthesiology) degree obtained from any college/university recognized by the Medical Council of India (Now NMC)/NBE. The prerequisite requirements mentioned here are as of 2022. For any further changes, please refer to the NBE website.

Answer: FNB Trauma & Acute Care Surgery offers candidates various employment opportunities and career prospects.

• Question: What is the average salary for an FNB Trauma & Acute Care Surgery candidate?

Answer: The FNB Trauma & Acute Care Surgery candidate’s average salary is between Rs.25 lakhs to Rs. 54 lakh per annum depending on the experience.

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