Jindal Hospital & Research Centre &

NIET (an Autonomous Institute) Greater Noida, UP

Post-Doctoral Fellowship Programme in Reproductive Medicine & Endoscopic Surgery

PROGRAMME OBJECTIVES

The practice of reproductive medicine involves the following major sub group of patients

1. Infertile couple with female factor
• Anovulation ( WHO type 1, 2, 3, 4)
• Tubal factor: tubal obstruction, peri-tubal adhesions and hydrosalpinx.
• Uterine cavity abnormality both congenital and acquired (fibroid, adenomyoma, polyps, synechia, septum and other uterine malformations).
• Endometriosis.
• Endocrine abnormality (hyperprolactinemia, hyperandrogenism, thyroid dysfunction, congenital adrenal hyperplasia etc)
2. Infertile couple with male factor
• Erectile & Ejaculatory dysfunction.
• Obstructive azoospermia.
• Non- obstructive Azoospermia.
• Other sperm Abnormality (OATs).
• Endocrine abnormalities (hypogonadotrophic hypogonadism).
3. Intra Uterine Insemination (IUI) Programme
• How to choose a patient for IUI
• Stimulation protocols
• Letrozole/clomiphene citrate/gonadotrophins
• Ultrasound monitoring
• Tips and tricks of doing a IUI
• Luteal phase support
4. IVF /ICSI programme
• How to choose a patient for IVF
• Stimulation protocols
• Agonists/antagonist
• Ultrasound monitoring of an IVF cycle
• Tips and tricks of OPU
• Tips and tricks of USG guided ET
• Post ET care
• Preparing a patient for ovum donation cycle.
• Endometrial receptivity assessment
• Quality control in an IVF lab.
• Understanding the basics of laboratory techniques.
5. Couple with decreased gamete reserves to be offered donor gamete or donor embryo program
6. Third Party Reproduction and its ethical and legal issues (ICMR guidelines)
• Oocyte donation
• Embryo donation
• Sperm donation
• Surrogacy

TEACHING AND TRAINING ACTIVITIES

The fundamental components of the teaching programme should include:

1. Case presentations & discussion- once a week
2. Seminar – Once a week
3. Journal club- Once a week
4. Grand round presentation (by rotation departments and subspecialties)- once a week
5. Faculty lecture teaching- once a month
6. Clinical Audit-Once a Month

The rounds would include bedside sessions, file rounds & documentation of case history and examination, progress notes, round discussions, investigations and management plan) interesting and difficult case unit discussions.

The training program would focus on knowledge, skills and attitudes. It is being divided into theoretical, clinical and practical aspects of the reproductive medicine, including methodology of research and teaching.

Theoretical: The theoretical knowledge would be imparted to the candidates through discussions, journal clubs, symposia and seminars. The students are exposed to recent advances through discussions in journal clubs. These are considered necessary in view of an inadequate exposure to the subject in the undergraduate curriculum.

Symposia: Trainees would be required to present a minimum of 12 topics based on the curriculum in a period of two years to the combined class of teachers and students. A free discussion would be encouraged in these symposia. The topics of the symposia would be given to the trainees with the dates for presentation.

Clinical: The trainee would be attached to a faculty member to be able to pick up methods of history taking, examination, prescription writing and management in rehabilitation practice.

Bedside: The trainee would work up cases, learn management of cases by discussion with faculty of the department.

Journal Clubs: This would be a weekly academic exercise. A list of suggested Journals is given towards the end of this document. The candidate would summarize and discuss the scientific article critically. A faculty member will suggest the article and moderate the discussion, with participation by other faculty members and resident doctors. The contributions made by the article in furtherance of the scientific knowledge and limitations, if any, will be highlighted.

Research: He/ she would also be given exposure to partake in the research projects going on in the departments to learn their planning, methodology and execution so as to learn the various aspects of research.

After completion of the course, the reproductive medicine specialist will be exposed to and have clinical sense in the following areas of learning:

1. Operative gynecological open surgery, minimally invasive surgery and microsurgery for pelvic resurrection.

o Proficient in principles and practice of diagnostic and operative laparoscopy for conditions like ovarian cystectomy/ resection and desiccation of endometriosis /myomectomy and repair of tubal blocks and adhesiolysis etc.

o Proficient in the principles and practice of diagnostic and operative hysteroscopy for conditions causing infertility like removal of foreign body, polyps, IUCD, biopsy, septum resection, adhesiolysis, cannulation of tubal ostium and myomectomy for sub-mucous fibroid.

o A clear understanding of the principles of reconstructive surgery as applied to Mulllerian duct abnormalities – vaginoplasty for vaginal agenesis, or unification of bicornuate uterus.

2. Reproductive endocrinology and its management.
3. Proficient in the etiology, pathophysiology, diagnosis and management of common gynecological problems related to infertility like – fibroids / endometriosis / pelvic infections /ectopic pregnancy and management of high order pregnancy.
4. Expertise in the use of ovulation inducing agents and hormonal control of the menstrual cycle and controlled ovarian stimulation.
5. Follicular recruitment and oocyte retrieval procedure.
6. Understand and be able to manage OHSS.
7. Trans Vaginal Ultrasonography with particular reference to follicular monitoring and early pregnancy scanning.
8. Andrology: Semen analysis and semen preparation
9. Laboratory Technology: Familiarity with ART laboratory equipment, maintenance and trouble shooting.
10. Oocyte identification and grading, embryo grading, micromanipulation, cell culture, freezing techniques etc
11. Medico legal and ethical aspect

1. Third Party Reproduction
• Oocyte donation
• Embryo donation
• Sperm donation
• Surrogacy
2. Ethical & medico-legal aspects of infertility management- ICMR guidelines

12. Miscellaneous
• Biostatics & Data management.
• Fertility preservation – Social & Onco- fertility.
• Monitoring & treatment of early pregnancy after ART treatment
• Research Methodology
• Medical statistics
• Writing and presenting a paper

 Objective Structured Assessment of Technical Skill

 You have to be exposed to and have clinical sense in the below

• Caesarean section
• Diagnostic hysteroscopy
• Diagnostic laparoscopy
• Hysteroscopic surgery
• Laparoscopic adhesiolysis
• Laparoscopic treatment of endometriosis
• Laparoscopic ovarian cystectomy
• Laparoscopic salpingectomy
• Laparoscopic salpingostomy
• Myomectomy

EXAMINATION FORMATIVE ASSESSMENT

Formative assessment is essentially positive in intent, directed towards promoting learning; it is therefore part of teaching. Validity and usefulness are paramount in formative assessment and should take precedence over concerns for reliability. The assessment scheme consists of Three Parts which has to be essentially completed by the candidates.

Theory Examination:

1. The Theory examination comprises of one paper with maximum marks of 100.
2. There are 10 short notes of 10 marks each in the Theory paper
3. Maximum time permitted is 3 hours.

Practical Examination:

1. Maximum marks : 300
2. Comprises of Clinical Examination and viva

• The candidate has to score a minimum of 50% marks in aggregate i.e. 200 out of total 400 marks (Theory & Practical) with at least 50% marks in theory examination to qualify in the Fellowship Exit Exam.
• The Theory and Practical of Fellowship Exit Examination shall be conducted at the same examination centre of the concerned specialty.

Diploma in Maternal & Child Health

PROGRAMME OBJECTIVES

The practice of maternal & child health involves the following major sub group of patients

1. Women’s Health Care
• Primary and prevention care
• Breast disease
• Critical care
• Pre-conceptional counselling and prenatal care
2. Obstetrics
• Normal labour and delivery, operative delivery and malpresentation
• Fetal assessment
• Complication of labour and delivery
• Gestational complications
• Preterm labour and preterm premature rupture of membranes
• Third trimester bleeding
• Perinatal infections
• Congenital anomalies
• Endocrine disorders of pregnancy
• Hypertensive disorder of pregnancy
• Cardiopulmonary disorders of pregnancy
• Genitourinary assessment and renal disease in pregnancy
• Gastrointestinal disease in pregnancy
• Autoimmune disease in pregnancy
• Neurologic disease in pregnancy
• Hematologic disorders of pregnancy
• Alloimmunization
• Surgical disease and trauma in pregnancy
• Postpartum care and breast feeding
• HIV in pregnancy
• Obstetric anesthesia.
3. Gynaecology
• Anatomy of the female pelvis
• Perioperative care and complications of gynaecologic surgery
• Infections of the genital tract
• Ectopic pregnancy
• Chronic pelvic pain
• Urogynaecology and reconstructive pelvic surgery
• Family planning: contraception, sterilization and abortion
• Intimate partner and sexual violence
• Pediatric gynaecology
4. Pediatrics
• Introduction to pediatrics
• Normal growth and its disorders
• Development
• Adolescent health and development
• Fluid and electrolyte disturbances
• Nutrition
• Micronutrient in health and disease
• Newborn infants

Immunization and immunodeficiency

• Infections and infestations
• Preterm neonatal
• Common paediatric problems

TEACHING AND TRAINING ACTIVITIES

The fundamental components of the teaching programme should include:

1. Case presentations & discussion- once a week
2. Seminar – Once a week
3. Journal club- Once a week
4. Grand round presentation (by rotation departments and subspecialties)- once a week
5. Faculty lecture teaching- once a month
6. Clinical Audit-Once a Month

The rounds would include bedside sessions, file rounds & documentation of case history and examination, progress notes, round discussions, investigations and management plan) interesting and difficult case unit discussions.

The training program would focus on knowledge, skills and attitudes. It is being divided into theoretical, clinical and practical aspects of the reproductive medicine, including methodology of research and teaching.

Theoretical: The theoretical knowledge would be imparted to the candidates through discussions, journal clubs, symposia and seminars. The students are exposed to recent advances through discussions in journal clubs. These are considered necessary in view of an inadequate exposure to the subject in the undergraduate curriculum.

Symposia: Trainees would be required to present a minimum of 12 topics based on the curriculum in a period of two years to the combined class of teachers and students. A free discussion would be encouraged in these symposia. The topics of the symposia would be given to the trainees with the dates for presentation.

Clinical: The trainee would be attached to a faculty member to be able to pick up methods of history taking, examination, prescription writing and management in rehabilitation practice.

Bedside: The trainee would work up cases, learn management of cases by discussion with faculty of the department.

Journal Clubs: This would be a weekly academic exercise. A list of suggested Journals is given towards the end of this document. The candidate would summarize and discuss the scientific article critically. A faculty member will suggest the article and moderate the discussion, with participation by other faculty members and resident doctors. The contributions made by the article in furtherance of the scientific knowledge and limitations, if any, will be highlighted.

Research: He/ she would also be given exposure to partake in the research projects going on in the departments to learn their planning, methodology and execution so as to learn the various aspects of research.

Diploma in Midwifery

PROGRAMME OBJECTIVES

The practice of maternal & child health involves the following major sub group of patients

1. Women’s Health Care
• Primary and prevention care
• Critical care
• Pre-conceptional counselling and prenatal care
2. Obstetrics
• Normal labour and delivery, operative delivery and malpresentation
• Fetal assessment
• Complication of labour and delivery
• Gestational complications
• Preterm labour and preterm premature rupture of membranes
• Third trimester bleeding
• Perinatal infections
• Congenital anomalies
• Endocrine disorders of pregnancy
• Hypertensive disorder of pregnancy
• Cardiopulmonary disorders of pregnancy
• Postpartum care and breast feeding
3. Gynaecology
• Anatomy of the female pelvis
• Perioperative care and complications of gynaecologic surgery
• Infections of the genital tract
• Chronic pelvic pain
• Urogynaecology and reconstructive pelvic surgery
• Family planning: contraception, sterilization and abortion
• Intimate partner and sexual violence
• Pediatric gynaecology
4. Pediatrics
• Introduction to pediatrics
• Normal growth and its disorders
• Development
• Nutrition
• Common paediatric problems



Diploma in Nursing Care Assistant

Diploma in Nursing Care Assistant (DNCA) is a 18 months diploma course in which one gets to learn about nursing assistant/aide skills and knowledge. During the course work, students also learn about topics such as Fundamentals of Nursing, Community Diseases, Medical-Surgical Operations etc. Nursing care assistants are also known as nurse aides. They work alongside or under the supervision of qualified nurses (RNs) and Doctors. There is a huge demand for Diploma in Nursing Assistant professionals in sectors such as Nursing Homes, Medical Writing, Administration, Health Care Centers, Educational institutes, etc.

Level of Programme	Diploma Level
Short Name	DNCA
Duration of Course	18 months
Minimum Qualification	Passed in Class 10th/12th
Admission Process	Merit/ Entrance Exam
Course Type	Semester
Exam Fee




Diploma in Nursing Care Assistant Eligibility Criteria

The eligibility for the Diploma in Nursing Care Assistant is as follows:

• To be eligible for DNCA course, candidates must have completed class 10^th/12^th or its equivalent from a recognized board in India.

 

DIPLOMA IN NURSING CARE ASSISTANT SYLLABUS

The semester-wise syllabus of Diploma in Nursing Care Assistant course is as follows:

Semester	Major Topics to study
1st and 2nd Semester	Introduction to Nursing	Introduction to Pharmacology	Basic Human Sciences- Anatomy, Physiology, Pathology	Community Health Nursing
	First Aid	Nutrition	Computer Application	Communicative English
3rd and 4th Semester	Pediatric Nursing	Sociology	Personal Hygiene	Psychology
	Principles of Epidemiology and Epidemiological Methods	Ward Management	Gynecological Nursing	Family Health Nursing care