Development of critical care medicine in India

Kulkarni, Atul P; Zirpe, Kapil; Dixit, Subhal; Chaudhry, Dhruva; Mehta, Yatin; Mishra, Rajesh; Samavedam, Srinivas; Munjal, Manish

doi:10.1016/j.jcrc.2019.11.017

Cited by 7 publications

(4 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As of 2020, considering the 3-year government-recognized CCM training programs, the country merely has 20 seats of doctorate of medicine and 225 seats of Diplomate of National Board, courses that were started only in 2012 and 2019, respectively. 6 While there are 1and 2-year courses such as Indian diploma in critical care medicine and postdoctoral certificate course, neither of them is recognized by the Medical Council of India. They are also significantly shorter than the required CCM training in developed countries, such as the 6-year and 5-year training pathways in Australia and the United Kingdom, respectively.…”

Section: Sirmentioning

confidence: 99%

Training and Delivery of Critical Care Medicine in India: Concerns Revealed by COVID-19 Pandemic

Ozair

Aujayeb

Siddiqui

2019

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Section: Sirmentioning

confidence: 99%

Training and Delivery of Critical Care Medicine in India: Concerns Revealed by COVID-19 Pandemic

Ozair

Aujayeb

Siddiqui

2019

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

“…This is in part due to infrastructure and lack of recognition of critical care as a specialty. 4 In the current scenario of increased violence against healthcare workers and unusually high expectations of positive outcomes, in the majority of the cases, the root cause analysis shows a lack of clear communication as a barrier. 5 , 6 Sicker the patient, the higher the chance for anxiety and miscommunication between healthcare professionals and the family.…”

Section: Introductionmentioning

confidence: 99%

Communication Skill Training Levels among Critical Care Doctors in India

Gopaldas,

Narayanaswamy,

Chandregowda

2023

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

A bstract Medical training programs outline the necessity of communication skills but there is likely a dearth of teaching at the bedside in part due to prioritization of other skills over communication or due to lack of opportunity. In India, the majority of critical care units are open in nature, and communication lead is likely to be taken by the primary specialty rather than the critical care doctors themselves. In the majority of the cases, the root cause analysis shows a lack of clear communication as a barrier. The sicker the patient, the higher the chance for anxiety and miscommunication among healthcare professionals as well as the family. The current project aims to find the training levels in Indian critical care settings and draw conclusions to see if there are avenues to improve the process. This study was based on a web-based questionnaire that was sent out to 1,000 critical care doctors across India. Educational experience and learning of communication techniques/concepts were assessed using a modified educational experience and attitudes questionnaire. Baseline demographic data were obtained and results were tabulated across 193 complete responses, which consistently showed a disparity in perceived levels of competence across different mandatory aspects of communication. Further, we find that though communication is a trainable skill, the mode of training has been largely reactive and has remained so for the last 20 years hinting at poor training in communication. Our survey suggests an urgent need for improvement of the training processes to reduce the burden of ethical, clinical, and legal dilemmas in critical care. How to cite this article Gopaldas JA, Narayanaswamy N, Chandregowda NP. Communication Skill Training Levels among Critical Care Doctors in India. Indian J Crit Care Med 2023;27(8):567–571.

show abstract

“…In India, the infrastructure in ICUs varies from very basic facilities in smaller towns and semi-urban areas to world-class, cutting-edge technology in corporate hospitals, in metropolitan cities. 4 The first INDICAPS study, a 4-day point-prevalence study conducted in 2011, which included data from 124 Indian ICUs (4209 patients), found that arterial cannulation was performed in only 19.5% patients, while a central venous catheter (CVC) was present in 34.6% patients. 5 In barely 3% of patients, CO and stroke-volume variation (SVV) monitoring was being performed.…”

Section: Introductionmentioning

confidence: 99%

ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill

Pichamuthu¹,

Venkataraman²,

Govil³

et al. 2022

Indian Journal of Critical Care Medicine

Self Cite

View full text Add to dashboard Cite

Hemodynamic assessment along with continuous monitoring and appropriate therapy forms an integral part of management of critically ill patients with acute circulatory failure. In India, the infrastructure in ICUs varies from very basic facilities in smaller towns and semi-urban areas, to world-class, cutting-edge technology in corporate hospitals, in metropolitan cities. Surveys and studies from India suggest a wide variation in clinical practices due to possible lack of awareness, expertise, high costs, and lack of availability of advanced hemodynamic monitoring devices. We, therefore, on behalf of the Indian Society of Critical Care Medicine (ISCCM), formulated these evidence-based guidelines for optimal use of various hemodynamic monitoring modalities keeping in mind the resource-limited settings and the specific needs of our patients. When enough evidence was not forthcoming, we have made recommendations after achieving consensus amongst members. Careful integration of clinical assessment and critical information obtained from laboratory data and monitoring devices should help in improving outcomes of our patients. How to cite this article Kulkarni AP, Govil D, Samavedam S, Srinivasan S, Ramasubban S, Venkataraman R, et al . ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill. Indian J Crit Care Med 2022;26(S2):S66–S76.

show abstract

Development of critical care medicine in India

Cited by 7 publications

References 37 publications

Training and Delivery of Critical Care Medicine in India: Concerns Revealed by COVID-19 Pandemic

Training and Delivery of Critical Care Medicine in India: Concerns Revealed by COVID-19 Pandemic

Communication Skill Training Levels among Critical Care Doctors in India

ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill

Contact Info

Product

Resources

About