What's the Minimum Accreditation Criteria for DNB, DrNB, FNB Courses by NBE? Check Details

Maternal & Child Health centre

· DNB Obstetrics & Gynaecology · DNB Paediatrics · DrNB Neonatology · DrNB Paediatric Critical Care · FNB Reproductive Medicine · FNB Maternal and Foetal Medicine (previously High Risk Pregnancy & Perinatology)

Oncology centre

· DNB Radiation Oncology · DrNB Surgical Oncology · DrNB Medical Oncology

Orthopaedics & Plastic Surgery centre

· DNB Orthopaedics · DrNB Plastic & Reconstructive Surgery · FNB Hand & Micro Surgery · FNB Spine Surgery · FNB Sports Medicine · FNB Trauma & Acute Care Surgery. · FNB Arthroplasty

Neuroscience centre

· DrNB Neurology · DrNB Neurosurgery · DrNB Neuro Anaesthesia · FNB Neurovascular Intervention.

Cardiac Science centre

· DrNB Cardio Vascular & Thoracic Surgery · DrNB Cardiology · DrNB Cardiac Anaesthesia · DrNB Paediatric Cardiology · DrNB Thoracic Surgery · FNB Interventional Cardiology.

Department

Minimum Beds in the applicant department and other infrastructural requirements

Anaesthesiology

The hospital should have an Intensive Care Unit catering to all the specialties, medical as well as surgical with a minimum bed strength of 10 beds. The department of Anaesthesiology should be having the in-house departments of the following core areas: · General Surgery · Orthopaedics / Trauma / Emergency Medicine · ENT · Obstetrics and Gynaecology · Pain Clinic

Emergency Medicine

11 ER Beds; 15 ICU beds (MICU, SICU, PICU, ICCU) in the hospital · Minimum bed requirement in the emergency department is 11 beds of which, there should be 1 triage bed, 3 beds with all resuscitative facilities (including ventilators) for ‘red’ category, 5 beds for ‘yellow’ category and 2 beds for ‘green’ category patients. · All 11 beds (except triage bed) should have bed-side monitoring facilities. · 1 ultrasound machine to be available in the emergency department round-the-clock. · Round-the-clock availability of cardiac biomarkers, arterial blood gas and basic blood investigations. · At least 15 ICU bedsin the hospital of which80 Beds comprising of 20 beds each in General Medicine, General Surgery, Obstetrics & Gynaecology & Paediatrics minimum 3 should be ventilator beds and all should have required facilities for bed side monitoring of critical patients · 24 hr Ambulance services adequately equipped for onsite resuscitation and transfer of critically injured/ill patients with trained manpower. · 24 hr adequately equipped in-house blood storage facility; Hospitals wherein component preparation facility is not available in-house, a tie up with nearby blood bank shall be required

Family Medicine

·Beds for DNB Family Medicine Course may overlap with other specialties. For example: 200 bedded hospitals with 35 beds each in General Medicine, General Surgery, Obstetrics & Gynaecology and 30 beds in Paediatrics may seek accreditation for DNB courses in each of the respective specialties and also in Family Medicine. · The General Medicine or Paediatrics department shall be the nodal department for Family Medicine. ·At least 30% beds should be General beds

General Medicine

30 beds; At least 30% should be General beds, Out of these 30 beds, not more than 15 beds could be ICU beds. The ICU beds should be dedicated Medical ICU beds (not CCU or any other ICU beds).

General Surgery

30 beds; At least 30% should be General beds. The applicant hospital shall have at least a 5 bedded ICU that may be shared with other specialties as well.

Geriatric Medicine

-Minimum 15 beds dedicated to Geriatric medicine out of which 3 beds should be from ICU -The applicant hospital must have 24hrs Emergency and Critical care services

Obstetrics and Gynaecology

30 beds; At least 30% should be General beds

Ophthalmology

10 beds; At least 30% should be General beds

Orthopaedics

25 Beds; At least 30% should be General beds

Otorhinolaryngolog y (ENT)

20 Beds; At least 30% should be General beds

Paediatrics

30 beds; At least 30% should be General beds Of 30 beds, at least 15 should be General Paediatrics and rest of the 15 can be from various Paediatric sub-specialties.

Palliative Medicine

Department of Palliative Medicine should have 24 beds distributed as follow: Ø Acute Palliative Care Beds – 4 Ø End of Life Care Beds – 4 Ø Consultation Liaison Beds – 16 Should have a DNB/MD program running in at least two broad specialities or Super specialitieslike General Medicine, Paediatrics, General Surgery, Obstetrics and Gynaecology, Psychiatry, Radiotherapy, Medical Oncology and Surgical Oncology. Should have a cancer centre or oncology department with 2,000 new cancer cases every year. Should have a dedicated palliative medicine department with full-time staff

Physical Medicine and Rehabilitation

25 Beds; At least 30% should be General beds

Psychiatry

30 Beds; At least 30% should be General beds

Radiation Oncology (Previously Radio Therapy)

25 Beds; At least 30% should be General beds · The following equipment’s will be considered essential for running DNB programme: o Two-dimensional Radiation Therapy (2D-RT) o Three-dimensional Conformal Radiation Therapy (3D-CRT) o Intensity Modulated Radiation Therapy (IMRT) o Image Guided Radiation Therapy (IGRT) – This is essential for the training of the trainee. However, ifit is not available in the applicant hospital the trainees can be rotated to another hospital having MoU with the applicant hospital for training in IGRT. o CT Scan /Stimulators (this equipment should be in the hospital and may not be necessarily in the Radiation Oncology department) o Brachytherapy (In case this equipment is not available in the Radiation Oncology department of the applicant hospital, the applicant hospital may have an MoU with another hospital recognized or DNB /MD Radiation Oncology) where candidates can be sent for rotational posting for one month in each year of the three years of training · The following equipment’s will be optional/desirable essential for running DNB programme: o Stereotactic Radiosurgery (SRS) o Stereotactic Body Radiation Therapy (SBRT) o Volumetric Modulated Arc Therapy (VMAT)

Respiratory Medicine

30 beds; At least 30% should be General beds

Anatomy

There is no requirement of inpatient bedsin these specialties. However, optimal case load in clinical disciplines and labs/associated facilities shall be considered. Essential equipment and specialty specific modalities required should be available. In certain disciplines, access to IPD services and operative infrastructure shall be assessed. For DNB Hospital Administration, the applicant hospital must be a multi-specialty hospital.

Biochemistry

Community Medicine

Dermatology, Venereology and Leprosy

Forensic Medicine

Hospital Administration

Immunohematolog y and Blood Transfusion

Microbiology

For DNB Forensic medicine, the applicant department shall have minimum 250 medico legal autopsy/Post mortem per year. For DNB Radio Diagnosis, the department of Radio Diagnosis should be an integral part of the hospital and MUST have the following imaging modalities: · CR/DR · Fluoroscopy · Mammography · Ultrasound including colour Doppler · Spiral / Multi Slice CT · MRI facilities · Cath-lab/interventional radiology facilities ^can be outsourced but installed within the hospital premises. The department of Radio Diagnosis should be in possession of all regulatory clearances namely AERB / Bio-medical radioactive waste management/radiation physics and radiology workstation.

Nuclear Medicine

Pathology Stand-alone Pathology/Laborato ry centres are not eligible to apply for DNB Pathology course.

Pharmacology

Physiology

Radio Diagnosis Stand-alone Diagnostic centres are not eligible to apply for DNB Radio Diagnosis

Cardiac Anaesthesia

10 Cardiac ICU beds

Cardio Vascular & Thoracic Surgery

20 beds in each specialty At least 30% should be General beds

Cardiology

Clinical Haematology

Medical Gastroenterology

20 beds required in the department. For DrNB Medical Gastroenterology Hospital/institute MUST have · 3 Dedicated endoscopic suites · Upper GI Scopes-3 · Colonoscope -3 · Dudenoscope -2

Medical Oncology

20 beds in the department. At least 30% should be General beds

Nephrology

20 beds in the department. At least 30% should be General beds

Neuro Surgery (Stand-alone Oncology centres/hospital are not eligible to apply for DrNB Neurosurgery.)

20 beds in the department. At least 30% should be General beds

Paediatric Cardiology

20 beds in the department. At least 30% should be General beds

Neurology

20 beds in the department. At least 30% should be General beds

Paediatric Neurology

Should have DNB/MD (Paediatrics) running in the applicant hospital. 10 beds earmarked for Paediatric Neurology, in house PICU facility is mandatory. Neurophysiology Procedures (per year): EEG: 800 NCV/EMG: 80 BERA/VEP: 80 The applicant hospital should have following equipment in house with standard equipment specifications and quality: · EEG · Video EEG · NCV · EMG · BERA Portable EEG

Paediatric Surgery

20 beds in the department. At least 30% should be General beds

Plastic & Reconstructive Surgery

20 beds in the department. At least 30% should be General beds

Surgical Gastroenterology

20 beds in the department. At least 30% should be General beds

Surgical Oncology

20 beds in the department. At least 30% should be General beds

Thoracic Surgery

20 beds in the department. At least 30% should be General beds

Urology

20 beds in the department. At least 30% should be General beds

Vascular Surgery

20 beds in the department. At least 30% should be General beds

Critical Care Medicine

10 ICU Beds

Gynaecological Oncology

Dedicated 15 bedded Gynaecological Oncology division in the applicant hospital. At least 30% should be General beds. The applicant hospital should preferably have the following departments In-house (In case of non-availability, MoU with a recognized center shall be required): · Medical Oncology · Radiation Oncology · Surgical & Cyto-Pathology and Radiology

Interventional Radiology

Hospital/Institute should have dedicated Interventional Radiology facilities having following equipment under one roof / one campus: · CT capable of CT angiography (16 slice or above) · MRI 1.5 T or better · Advanced Colour Doppler · Digital Subtraction Angiography (Single or Bi-plane) with C Arm.

Neonatology

10 NICU Beds

Neuro Anaesthesia

10 Neuro ICU beds

Paediatric Critical Care

10 PICU Beds

Clinical Immunology and Rheumatology

Primarily day Care/Consultation based Specialty; Bed requirement is work load related; Department should have minimum prescribed patient load However, the applicant hospital has to be 100 bedded

Endocrinology

Medical Genetics

Infectious Disease

20 beds in the department. At least 30% should be General beds

Cardio Vascular & Thoracic Surgery (Direct 6 Years Course)

20 beds in each specialty At least 30% should be General beds

Neuro Surgery (Direct 6 Years Course)

Paediatric Surgery (Direct 6 Years Course)

Plastic & Reconstructive Surgery (Direct 6 Years Course)

Addiction Psychiatry

The Department must have at least 30 beds in General Psychiatry and 15 beds should be dedicated to Addiction Psychiatry.

Andrology

Hospital should have at least 2 beds in Andrology.

Arthroplasty

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective sub-specialty.

Bariatric Surgery

· At least 100 Beds Centre with minimum of 5 beds dedicated to Bariatric Patients for multi-speciality hospitals · Facility of HDU/ICU · Facilities for Endoscopy and CT Scan · Core Team including Bariatric Dietitian, Program Coordinator and Psychologist

Breast Imaging

Hospital/Institute should have dedicated breast imaging facilities having following equipment under one roof / one campus: ·Digital mammography ·High Resolution Ultrasound with Elastography ·One breast Imaging MRI Coil · Breast tomosynthesis (Twinning arrangement with other medical Institution/ Hospital) · Stereotactic Biopsy · Vacuum assisted breast biopsy device

Cardiac Electrophysiology

The applicant hospital must have the following Facilities (In- house): · Electrophysiology system (minimum 64 channels), recording, stimulation and ablation system · 3-Dimensional Electroanatomical mapping system · 24hrs Holter facility and assessment

Child and Adolescent Psychiatry

The applicant hospital must have the following Facilities (In- house): · Psychological testing services especially for Intelligence, Autism, ADHD and Specific Learning Disorder. · Play therapy facility · Separate Inpatient area for children and adolescents · Dedicated Child and Adolescent Clinics · Department of Paediatrics. (In case of stand-alone psychiatric centres, a Department of Paediatrics must be identified in a nearby hospital.

Colorectal Surgery

· At least 12 beds dedicated to colorectal surgery · 2 Major & 1 Minor OT.

Fetal Radiology

·Hospital should have at least 30 beds for Obstetrics & Gynecology. · Clinical units of Fetal Medicine/ Maternal Fetal Medicine should be an integral part of the hospital. · The Clinical Genetics, Laboratory Genetics and IVF units should be part of the hospital. If not available in the hospital, then the hospital should have a MOU with other institutions for training of fellows. Essential Equipments: ·Ultrasound Scanners: three in numbers; one high end and two medium end scanners. ·High end machine (one in number) – should be equipped with Colour Doppler, 3D, 4D, 5D, Shear wave elastography, Contrast sonography, STIC, Volume imaging, Panoramic imaging, Multiplanar reconstruction, Fusion imaging, Lumiflow, icrovascular flow. Biopsy guides, Footswitch Controls, Reporting Software, Multiple port connectors. Following probes should be available with the scanner: o Low frequency convex o High frequency convex o Low frequency linear o High frequency linear o Endovaginal 2D o Endovaginal 3 D o Volume 3D probe ·Mid end machine (Two in Number) - should be equipped with Colour Doppler, 3D, 4D, STIC, Volume imaging, Panoramic imaging, Multiplanar reconstruction. Biopsy guides. Following probes should be available with the scanner: o Low frequency convex o High frequency linear o Endovaginal 3D o Volume 3D · The ultrasound room used for intervention procedures should have all the emergency care equipment as specified in the PCPNDT Act. ·MRI- 1.5 tesla/ 3.0 tesla, capable of doing fetal MRI. If MRI is not available in the hospital, then the hospital should have a MOU with other institutions for training of fellows. Necessary equipment for amniocentesis, chorion villus biopsy, etc should be available in the hospital.

Hand & Micro Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty.

Head & Neck Oncology

The hospital must have following departments In-house: · Surgical Oncology · Medical Oncology · Radiation Oncology · Radiology · Pathology

Interventional Cardiology

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty.

Liver Transplantation

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty. · The department should be conducting Liver Transplants for the last 02 years; · Minimum of 50 liver transplants should be performed in a year by the applicant department.

Maternal & Foetal Medicine (Previously High Risk Pregnancy & Perinatology)

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty.

Minimal Access Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty

Minimal Access Urology

Minimum 20 beds in the department of Urology Instruments: · Basic Laparoscopy set including of High definition 2D/3D/4K camera head with monitor, CO2 insufflator, Light source, energy device for laparoscopy, suction, 0 degree as well as 30 degree 5 mm and 10 mm telescope. · All basic laparoscopy instruments (Maryland, bowel grasper, Allis forceps, Babcock, Needle Driver, Clip Applicators, Right Angle, Lap Satinsky etc.) And / Or Any Functional Robotic set with all the required instruments

Minimally Invasive Gynaecologic Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective sub-specialty.

Neurovascular Intervention

A dedicated division of Neurovascular Interventions should be there in the applicant hospital. The applicant hospital should have an in-house Neurology, Neurosurgery and Neuroradiology set up. The requirement of beds can be part & parcel of the main clinical department. The hospital should have minimum beds in parent super-specialty department (Neurology/ Neurosurgery) with minimum sub-specialty case load & spectrum of diagnosis as mentioned under patient load. The department should have Neurovascular Intervention facilities having following equipment: · Cath lab with Digital Subtraction Angiography (Single or Bi-plane) with roadmap · Multi-slice CT · At least 1.5 T MRI · USG with Colour Doppler · Sophisticated Anaesthesia module with monitoring

Paediatric Anaesthesia

The following departments must be there in the hospital: · Paediatric Surgery · Paediatric Medicine ·Neonatology 20 bedded PICU and 10 bedded NICU

Paediatric Emergency Medicine

The following departments must be there in the hospital: • Pediatric Emergency with 5 resuscitation trolleys • Department of Pediatrics with minimum 50 Beds • Pediatric ICU with 5 Beds with at least 2 should be ventilator beds and all should have required facilities for bedside monitoring of critical patients • Neonatology 10 bedded NICU with at least 2 ventilator beds • Minimum bed requirement in the Pediatric Emergency department should be 5 beds, of which, there should be 1 triage bed, 1 bed with all resuscitative facilities for 'red' category, 3 beds for 'yellow'/'green' category patients. • All 5 beds should have bed-side monitoring facilities. • Ultrasound machine and CT scan to be available for round-the-clock in the hospital. Round-the-clock availability of x-ray, arterial blood gas and basic blood investigations. • 24 hr Ambulance services adequately equipped for onsite resuscitation and transfer of critically injured/ill patients with trained manpower or tie up with a medical transport team to do the same. • 24 hr adequately equipped in-house blood storage facility; Hospitals wherein component preparation facility is not available in-house, a tie up with nearby blood bank shall be required

Paediatric Gastroenterology

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty

Paediatric HemaetoOncology

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty.

Paediatric Nephrology

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty

Paediatric Orthopaedics

The following departments must be there in the hospital: 1. Paediatric Medicine with PICU & NICU facilities. 2. 20 beds exclusively for Paediatric Orthopaedics

Paediatric Radiology

There is no minimum bed requirement in the parent department. The Radiology department should be an integral part of the hospital with following equipment under one roof / one campus: Essential Equipments: MRI, CT, Ultrasound, Fluoroscopy & X-Rays

Paediatric Urology

· Hospitalshould have accessto radiographic, ultrasonographic, CT – Scan, MRI, nuclear medicine and urodynamic equipment. · The institution should have a 24 hour operating theatre.

Pain Medicine

10 Beds; Recovery Room/PACU Beds/Special Ward/ General Ward /Post Procedure Room Beds can be included. · Dedicated Pain Clinic OPD preferably in Main OPD Complex of Hospital (Daily) · Fully equipped Pain OT o Fluoroscope o Radio Frequency Ablation Machine o Ultrasound Machine o Peripheral Nerve Stimulator o Platelet Rich Plasma (PRP) Centrifugation Machine o Vital Sign Monitor o Resuscitation Cart o Anaesthesia Machine · TENS, LASER · Post Procedure room · Pain Charts, Bone models

Paediatric Cardio Thoracic and Vascular Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective sub-specialty.

Renal Transplant

The hospital should have the following facilities: · Must have Nephrology unit. · Must have HD unit with 10 HD machines. · Centre should be recognized for deceased donor organ removal · Facilities of in house CT Angiography, Doppler study should be there. · Must have in house Pathology lab with facility for doing Immunology related tests. Must have active transplant coordinator and counselling department taking care of all legalities and the applicant hospital should have its transplant ethics committee.

Reproductive Medicine

Applicant hospital should be having a minimum of 10 beds 1. Equipment – The minimum equipment required are: a. Microscope; b. Incubator (minimum 02 in number); c. Laminar Airflow; d. Sperm counting Chambers; e. Centrifuge; f. Refrigerator; g. Equipment for cryopreservation; h. Ovum Aspiration Pump; i. USG machine with transvaginal probe and needle guard; j. Test tube warmer and k. Anesthesia resuscitation trolley. l. Micro Manipulator

Sleep Medicine

1. 20 bedded Pulmonary Medicine department with sleep laboratory 2. The following departments and facilities must be there in the hospital: i. Psychiatry ii. Neurology iii. Sleep laboratory with at least one level 1 Polysomnography

Spine Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty

Sports Medicine

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty

Stroke Medicine

The applicant hospital must have the following Facilities (In- house): · Advanced CT and MRI imaging including perfusion studies · Neuro intervention lab

Transplant Anaesthesia

The hospital must have following departments (in-house): · Liver Transplant ·Renal Transplant Centres that may not have adequate numbers for liver transplant should send their candidate for training at other centres having at least 25 Liver Transplants per year. There is a need to have an MOU signed between the applicant hospital and the hospital where the trainees will be sent for hands on exposure in liver transplant

Trauma & Acute Care Surgery (Previously Trauma Care)

i. Hospital should be multi-specialty hospital with 250 IPD beds ii. Number of resuscitation bay in emergency department (ED)- Minimum 5 beds for surgical emergencies. iii. Minor OT- One iv. Plaster room- One v. Number of beds for In-patient department (IPD)- Minimum 25 beds for surgical emergencies (traumatic and non-traumatic). vi. Number of ICU beds- Minimum 05 beds for surgical emergencies (traumatic and nontraumatic) vii. Operation theatres (OT)- Minimum two with facility for general Anaesthesia, out of which one should be dedicated and available 24 x 7 for surgical emergencies viii. Essential facilities- · In-house 24x 7 multi-slice Computed Tomography Scan. · Portable X ray machine · Portable Ultrasound machine with Color Doppler · Availability of 24 x 7 Blood bank/Blood storage facility · Laboratory facility 24 x 7

Trauma Anaesthesia & Critical Care

100 Beds dedicated for Trauma surgery. Well-equipped post Anaesthesia care unit and ICU facilities

Vitreo Retinal Surgery

The hospital should have minimum beds in respective broad/super specialty department and required case load and spectrum of diagnosis in respective subspecialty.