COURSE DETAILS - CMC Vellore

Transcription

COURSE DETAILS - CMC Vellore
COURSE DETAILS
Master in Medicine in Family Medicine
(M. Med in Fam. Med.)
(2-Year Distance Education Course for MBBS & Postgraduate Doctors)
This course is provisionally accredited by the Tamil Nadu
Dr. M G R Medical University, Chennai, Tamil Nadu.
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I. PREAMBLE
There are close to 2, 50,000 General Practitioners (GPs) in India who have no access to
postgraduate education. Since the government has not mandated continuous education for
physicians, most of the GPs do not make much effort to remain up-to-date with the developments
in medical education. The lack of continuous updating of the knowledge and skills by these GPs
has led to a situation where there are excessive referrals because they are not confident in handling
cases even with the slightest complication. Many patients, therefore, end up visiting multispecialty hospitals where the health care costs are very high. No wonder, in a World Bank study
done in the year 2004, it was found that the private healthcare sector was responsible for drowning
many below the poverty line!
A ‘Family Physician’ is a multi-competent specialist who not only provides the point of first
contact, but also provides the continuum of care in a patient-centric way. The number of ‘Family
Physicians’ – doctors satisfying the above definition – in the Indian sub-continent is grossly
inadequate to cater to the huge population.
II. THE OVERALL OBJECTIVE
The overall objective of the M.MED (FAM. MED.) program is to build the capacity of GPs and
enable them to manage more cases so that referrals become less necessary – hence the motto:
REFER LESS, RESOLVE MORE
III. SPECIFIC COURSE OBJECTIVES:
A graduate of the course should be able to perform the following functions, with a high level
of integrity, commitment and competency:
1. Develop a strong base in the core Family Medicine principles such as patient centeredness,
comprehensiveness, whole person care etc.
2. Diagnose and treat effectively the common diseases occurring in all age groups, across a wide
spectrum of disciplines including medicine, surgery, pediatrics, obstetrics and gynecology,
orthopedics, dermatology, ENT and ophthalmology.
3. Detect at an early stage, life, limb and vision-threatening potential emergencies, so that urgent
treatment and prompt referral to tertiary care hospital is made.
4. Promptly treat common emergencies that present to a general outpatient set up and refer patient
after initial stabilization.
5. Develop a broad comprehensive approach to health problems affecting all age groups.
6. Discuss the relevant and up-to-date basic science, etio-pathogenesis of diseases in the context
of diseases presenting in undifferentiated forms or in the background of chronic diseases.
7. Use a syndromic and algorithmic approach to management of health problems without the use
of sophisticated investigations.
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8. Incorporate the role of cost-effective holistic management.
9. Develop an ethical and compassionate approach to patients under their care.
10. Practice focused clinical history-taking and physical examination in specific clinical settings
11. Network with the specialists such that they can continue the care of patients undergoing
sophisticated tertiary level care, between appointments.
12. Implement recognized protocols for health promotion in all age groups.
13. Organize and promote rehabilitation of the disabled.
14. Participate in community health programs especially those which are components of national
health policies.
15. Be motivated to improvise and problem-solve in resource-poor settings.
16. Generate enthusiasm in the health team, so that they can provide high quality, appropriate,
ethical and comprehensive care.
17. Ensure a therapeutic environment for patients and relatives, to enhance confidence in the health
system and the health care professionals.
18. Competent in medical record-keeping and data management.
19. Develop as teachers who can communicate and train team members, community members
and other medical fraternity
IV. COURSE FORMAT
This is a Diploma level course delivered in a blended learning format (distance learning plus faceto-face contact programs).
No of Seats: 100
Course Duration: 2 Years
V. ELIGIBILITY CRITERIA
1. Candidates must possess a valid MBBS degree
2. Candidates must possess a valid MCI/State Medical Council registration
3. The course is open to Indian Citizens currently residing in India only.
4. The course is open only to doctors who are currently in active clinical practice
Note: Those who have enrolled previously for the PGDFM (Post Graduate Diploma in
Family Medicine) offered by CMC are not eligible to apply for this course (M.MED in Family
Medicine), irrespective of their completion status.
VI. COURSE COMPONENTS
1. 100 Self-Learning Modules
2. 60 Video-lectures
3. 33 days of Contact Programs – Hands on training for developing Core Clinical Skills
4. 100 Assignments to be worked-through and submitted
5. Project Work
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6. Mandatory 1 month Residency for Skills Training
7. Online discussion forums
8. Work-based assessments by local mentors
VI.1. SELF LEARNING MODULES
This course is designed in the form of 15 booklets which comprises
of 100 self-learning modules. Each booklet contains 6 to 8
modules. An average of 1.5 hours per day (10 hours a week) will
be needed to complete the booklets in the above time period. The
modules are problem-based and are designed to challenge you to
give answers to problems posed, think of options, and to apply the
material just learned.
The problems are chosen and designed such that as a practicing physician, you are familiar with
them, and are therefore motivated to respond out of your individual prior experience. The teaching
module is followed by answers to the questions asked during the module.
The modules are written in a self-learning format and we have tried to make them interesting and
easy to read. We know you are busy, but unless you set apart time to read regularly, you will lose
out much on this course. The algorithms and protocols given in these modules need to be
internalised if you want to practice good, responsible, ethical and evidence-based Family Medicine
confidently and that can happen only through regular reading!
The table below indicates how the topics are organized in the various booklets.
Table 1: List of Self Learning modules
HANDBOOK
1
Basics of Family
Medicine
2
Medicine – I
Neurological
Problems , Mental
Health
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TOPICS – YEAR
MODULE
1
2
3
Principles of Family medicine
Promotion & Prevention in Family Practice
Communication & Consultation in FM
4
Medical Documentation
5
Referrals in Family Practice
6
Family Practice Management
7
Head Ache
8
Seizures
9
Stroke
10
11
12
Movement Disorders
Sleep Disorders
Mental Health Problems
13
Substance Abuse
3
Womens Health
Part I
4
Child Health
Part I
5
Surgical topics for
a Family
Physician Part I
6
Medicine–II
Cardiovascular
Problems
7
Medicine – III
Respiratory/
Gastro-intestinal
Problems
HANDBOOK
8
Becoming a Family
Physician – Roles,
responsibilities,
Attitudes
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14
Antenatal Care
15
Antepartum Problems
16
Medical Diseases in Pregnancy
17
Intra-partum Problems
18
Postnatal Care
19
Contraception
20
Violence in Women
21
Neonatal Screening
22
Neonatal Resuscitation
23
Neonatal Problems
24
Breastfeeding and Weaning
25
Immunisation
26
Developmental Delay
27
Neck Swellings
28
Leg Ulcers
29
Acute Abdomen
30
Gastrointestinal Bleeding
31
Common ENT problems
32
BLS,ACLS, Shifting of a critically ill patient
33
Orthopedic problems Part 1
34
Chest Pain
35
Dyspnea Part 1
36
Palpitations
37
Syncope
38
Oedema Part 1
39
Hypertension
40
Shock
41
Dyspnea Part 2
42
Approach to Cough
43
Nausea and Vomiting
44
Dyspepsia
45
Loose Stools
46
Constipation
47
Approach to Jaundice
MODULE
TOPICS – YEAR 2
48
Roles & Responsibilities of a Family Physician
49
Chronic Disease Followup
50
National Health Programs
51
Health Advocacy
52
Bio-medical Ethics
53
Team Concept & Leadership
9
Medicine– IV
Infections &
Genito-Urinary
Problems
10
Womens Health
Part II
11
Child Health
Part II
12
Surgical topics
for a Family
Physician Part II
13
Medicine – V
Musculo-skeletal
Problems & Life
Style Medicine
14
Skin/Blood
Problems &
Emergencies
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54
Family Physician and Community Health
55
Medico-legal Aspects
56
Health Informatics
57
Fever Part 1
58
Fever Part 2
59
Sexually Transmitted Diseases
60
HIV
61
Haematuria
62
Lower Urinary Tract Symptoms (LUTS)
63
Edema Part 2
64
Menstrual Irregularities – Part 1
65
Menstrual Irregularities – Part 2
66
Vaginal Discharge
67
Breast Problems
68
Infertility
69
Menopause
70
Growth Monitoring & Malnutrition
71
Common Paediatric Problems Part 1
72
Common Paediatric Problems Part 2
73
Common Paediatric Problems Part 3
74
Child Abuse
75
Groin Swellings
76
Head Injury
77
Oral Health
78
Red Eye
79
Diminished Vision
80
Anesthesia for a Family Physician
81
Orthopedic Problems Part 2
82
Joint pains
83
Backache
84
Aches and Pains (Body ache)
85
Weight Loss
86
Obesity
87
Diabetes
88
Lifestyle Modifications
89
Common Infectious skin condition
90
Common Non-infectious skin conditions
91
Anemia
92
Bleeding Disorders
93
Emergencies for a Family Physician Part 1
94
Emergencies for a Family Physician Part 2
15
Occupational
Health & Age specific
Health Problems
95
Occupational Health
96
Adolescent Health Problems
97
Men’s Health
98
Geriatric Problems
99
Palliative care – Part 1
100
Palliative care - Part 2
101
Supplementary Module - Miscellaneous
VI.2. VIDEO-LECTURES
There are some pre-recorded video-lectures which are part of the course curriculum. Some of them,
you will be watching during the contact programs.
Some will be end-of-day assignments during contact programs where you will have to watch them
in the evenings as preparation for the next class.
Some will be assigned to be watched at home. These will be intimated to you from time to time.
VI.3. CONTACT PROGRAMS
The contact programs form a very important part of the course components. You will be required
to attend 3 compulsory Contact Programs of 11 days each, during the course period of 2 years.
These are intensive sessions of 33 X 8= 264 hours duration.
Objectives of the contact program
1. To impart in this short time
● a vision to practice ethical, rational and evidence-based medicine
● a strong overview of the principles of Family Medicine
● motivation to practice caring and compassionate health care
2. To augment your theory knowledge base
3. To help you hone some of your skills
4. To discuss broad clinical approach to various health problems with a Family Medicine
focus
5. To assess you through face-to face interactions with them as well as through the log
books, which goes into your formative assessment
Contact Centers:
You will be assigned to any one of the below listed centers for your contact programs.
● Christian Medical College Vellore, Tamil Nadu
● St. Stephens Hospital, New Delhi,
● Christian Fellowship Hospital, Oddanchatram, Tamil Nadu
● Christian Institute of Health Sciences & Research, Dimapur, Nagaland
Allotment of contact centers is strictly under the purview of CMC.
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Table 2: List of Core Clinical skills taught during the contact programs:
M.MED IN FAMILY MEDICINE –CORE COMPETENCIES
GENERAL CORE SKILLS
FAMILY
MEDICINE
SKILLS
1.Consultation & Communication skills
2.Core Family Medicine Skills (see – Table 3)
3.Team Management & Leadership skills
4. Management skills for all common Health problems and emergencies (with problem-based,
algorithmic, protocol -based approach and rational prescription and investigations (See List of
modules in Table 1)
5. Chronic Disease management and follow-up skills
6. Skills for Prevention, Promotion and Counseling activities
7. Community-based approach and management skills
SPECIFIC CORE SKILLS
Examination & Assessment Skills
SKILLS IN
MEDICINE
& ALLIED
SPECIALTI
ES
GENERAL
MEDICINE









Cardiovascular exam
Respiratory exam
C-V risk assessment
Wells score- DVT decision tool
CHADS2- AF decision tool
CRB 65- respiratory severity score
Abdominal exam
Quick Neuro exam
Foot exam
MENTAL
HEALTH



Alcohol abuse screening tool
dementia screening tool
Depression and anxiety screening
tool
Triaging
Assessing & managing shock
Assessing & managing all
common emergencies
Elderly exam
Frailty assessment
EMERGENC
Y
MEDICINE
GERIATRIC
S





DERMATOL
OGY
PALLIATIV
E CARE
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Skin examination


Breaking Bad News
Pain Scoring
Instrumental & Procedural
skills








Peak flow meter
Spirometry
BP measurement
Use of Glucometer
Nebulization therapy
IV Access
Ascitic tap
Bladder catheterization


BLS/ ACLS
Stabilising and transfer of a
trauma patient

Skin Scraping & smears
Interpretative
skills


ECG
interpretation
Chest X-ray
interpretation
Examination & Assessment Skills
GENERAL
SURGERY
ORTHOPEDI
CS





SKILLS IN
SURGERY
& ALLIED
SPECIALT ENT
IES
ANAESTHES
IA


MATERNA
L&
CHILD
HEALTH
OBS &
GYNAE



Fundoscopy
Examination of the eye
Eye pads and dressings




Epley & Halpike Manouvre
Use of tuning fork



Otoscopy
Syringing of ear
Placing an ear-wick

Pre-op assessment of patient


Use of Bag and mask
Local Anaesthesia



PAEDIATRI
CS

PoP application
Splints and slings
Eye exam- anterior chamber &
ocular movements
Visual Acuity and fields
Digital Tonometry
Examination & Assessment Skills
SKILLS IN
Interpretative
skills


OPHTHALM
OLOGY
Breast exam
Neck exam for lumps
Rectal exam
Examination of Genitalia
Back exam
Joint exam e.g. knee
Instrumental & Procedural
skills
 Proctoscopy Dressings
 Stitchcraft
 Incision & Drainage



Antenatal exam
Postnatal exam
Vaginal exam
Newborn exam Paediatric
Examination
IMNCI Assessments&
management
APGAR scoring
Developmental Assessment
Instrumental & Procedural
skills
 Speculum exam
 IUCD insertion Pap smear



Limb X-rays
interpretation
Basic
CT/MRI
interpretation
Interpretative
skills
 Metrogram
Partogram
Hearing test
Paed Otoscopy
Neonatal Resuscitation
Table 3: Core Family Medicine Skills
Broad
Concepts
Understanding
normality
Family – Oriented
Care
Specific features
Understanding illness behaviour
Understanding help-seeking behaviour
Understanding culture
Understanding quality of life
Understanding risks of medicalisation
Understanding behaviour and relationship
theory
Importance + Influence of Family
Importance Assessment
Family Conference
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Broad
Concepts
Problem -solving
approach
Community
Specific features
Problem-based Vs. disease based
Clinical reasoning
Screening, assessment &decision tools
Use of resources
Integrating doctor and patient agenda
Local epidemiology
Community profile
approach
Influence of poverty, ethnicity, resources
Knowledge and skills sharing
Family Therapy
Family-at-risk + Thinking Family
Prioritisation
Managing
multiple problems
Information
management
Effective medical
care
Quality assurance
Screening and
prevention
Treatment and
care
Working in teams
Knowing professional boundaries
Using patient record for management
Maintaining patient record
Registers; call and recall systems
Access on line tools
Confidentiality
Evidence based medicine
Guidelines
Formularies
Critical thinking
Research
Audit
Significant event analysis
What's worth screening for and what's
not
Doctor as 'drug'; placebo effects;
Iatrogenic illness
Alternative therapies
Carers
Auxiliary health care professionals
Empowering
patients, carers
and staff
Co-ordination of
care
The Consultation
Health Service
Structure
Values and beliefs
Personal , episodic, 24 hour
Comprehensive
care
Cradle to grave
Learning disability
Coping with uncertainty
Rational investigations
Managing risk
Knowing referral thresholds
Knowing own competence
Proper use of time
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Home nursing
Rehabilitation
Teaching 'skill mix'
Referral procedures
Lead role in complex care
Consultation models
Therapeutic environment
Doctor / patient relationship
Specific communication skills
Telephone consultations
Government programs
Legal framework
Health beliefs
Patient centred care
Doctor and society
Ethics
Understanding
yourself
Consent and capacity to consent
Continuity of care
Encouraging self-care
Behaviour change
Self care
Values, attitudes, feelings, beliefs
Reflective practice
Lifelong learning
'Professional' behaviour, skills& attitudes
Leadership
Doctor as
professional
Teamwork
Conflict resolution
Managing a busy clinic
Quality improvement
Advocacy: patient; self; staff, community
VI.4. ASSIGNMENTS TO BE WORKED-THROUGH AND SUBMITTED
There are a total of 100 modules in 15 volumes of the books. Each module will have a set of 10
assignment questions based on MCQ/EMQs. These assignments are to be submitted periodically
as per the due dates, as partial fulfillment of the course work.
VI.5. PROJECT WORK
The candidates are also required to complete a project work. Different topics will be allotted for
students belonging to different batches. Project Work is a course requirement and can be carried
during the 2nd year. Project work requires some fact finding, applied learning and basic research
methodology and paper writing skills. Details about the project will be intimated to you later.
VI.6. MANDATORY 1 MONTH RESIDENCY FOR SKILLS TRAINING
All Candidates should undergo mandatory residential training for a minimum period of 1 month
which can be divided into two 15 day periods. This training will be at one of mission hospitals
affiliated to CMC Vellore. Details of this rotation will be made available later in the course.
VI.7. ONLINE DISCUSSION FORUM
Candidates will be part of online groups and they are expected to participate in the discussion
forums. This is aimed at keeping our students linked to the faculty and other students throughout
the course period.
The facilitators from CMC will initiate and moderate the online discussions. The contributions to
these discussions will be observed and will count toward the internal assessment.
VI.8. WORK-BASED ASSESSMENTS BY LOCAL MENTORS
Each student will have to nominate a local mentor who will be involved in their work based
assessment process. Details of this will be provided during the course.
VII. EXAMINATIONS:
1. First Year Exam – This exam which includes theory and practical exams, will be conducted
at the contact centers during the contact programs
2. Second year Exam – This is the University exit exam which includes theory and practical
exams and will be conducted at CMC Vellore
VIII. CRITERIA FOR THE AWARD OF DEGREE:
A candidate should fulfill following criteria for successful completion of the course.
50% MARK IN
50% MARK IN
MINIMUM 30 DAYS OF
FORMATIVE
SUMMATIVE
CONTACT PROGRAM
ASSESSMENTS
ASSESSMENTS
ATTENDANCE
The course should be completed with a maximum period of 4 years.
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IX. COURSE FEES
The Course Fee for the M. Med in Family Medicine is Rs. 76,500. This fee can be paid in 2
installments.
Installment
I Installment
II Installment
Fees Per
Installment
Rs. 50,000
Rs. 26,500
Deadline to receive each
Installment
th
6 July 2015
2nd September 2015
As per the University norms, candidates who have completed MBBS abroad will have to pay an
additional fee of Rs.12, 000 toward University Registration.
X. ADMISSION PROCESS
You can download the admission bulletin by clicking on the link:
http://admissions.cmcvellore.ac.in/program.php?programid=11
XI. CONTACT DETAILS:
EMAIL ID: [email protected]
PHONE NO: 0416-2283433, 09003461291, 09790311199. 09790311188
ADDRESS:
The Coordinator
Department of Distance Education,
2nd Floor, Main Block, CMC Hospital,
Ida Scudder Road,
Vellore – 632 004. Tamil Nadu, India.
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FEEDBACK FROM ALUMNI OF THIS COURSE...
I was blessed in many ways to be born and brought up in the small border State of Nagaland in the
far flung Northeast India…After graduation in 2005, I felt I was ready to be of help with what I
learnt then and so felt post-graduation could wait. When I joined Dimapur District Hospital as
M.O in-charge of the Antiretroviral Unit, I realized that I needed to be more equipped if I wanted
to offer my patients my best.
Everything I had in mind and more were being covered in the content of the 12 modules. The
flexibility of the course was a big attraction. I could go to work, attend to my kids, manage my
home and also at the same time, I was learning every day and getting more and more confident in
my practice.
Thank you. Sungiggü shwen!
Dr. Victoria Seb Khing, Dimapur, Nagaland
The problem based approach makes it very practical and the knowledge gained can be easily
applied. The course is unique as it covers topics like consultation skills, ethical issues, breaking
bad news and palliative care which are new grounds to many.
Dr. Moses Jayachander Kantipudi,
Awali, Bahrain
It is through NRHM that I enrolled in the PGDFM course with CMC Vellore. Learning at this old
age has been a fascinating experience for us.
After this course the referral has come down drastically, I feel proud to state that I have been able
to save a few lives through proper management. This course has proved to be a boon for a poor
state like Bihar and it may to some extent help the economy of the state.
Dr.Sanjay Jhun Jhun Walla,
Samastipur, Bihar
This is the finest example of the selfless and dedicated efforts of a devoted group of people – the
outcome being this ever growing yearly batch of fine family medicine Physicians.
Dr. Sara Susan Maveli, Sharjah, UAE
Holistic and continuing care for an entire family was one of the key learning points I obtained from
this course…
Dr. Saira Nooreen K, Chennai
This course was like a ‘stick stretched out to a sinking man’.The books etch out the vision of a
team, committed to making a difference to the health care of this nation. The vision is now an
integral part of us & will be as long as we practice.
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I believe that one drop at a time, will eventually make an ocean of responsible and committed
doctors, in service to this nation.
Dr. Maria S Denzil, Bangalore
This course enriches our clinical knowledge and enables us to treat the patients more confidently.
Dr. Rinku Ghosh, Bangalore
The practical sessions of otoscopy & fundoscopy helped in improving my clinical skills.
Dr. Preetha S.R, Trivandrum
The problem approach which the modules contained stimulated my reading
Dr. Devavaram Prathipaty, Guntur, Andhra Pradesh
The two year program has been an enlightening one and has brought about in us a positive attitude
and confidence to carry on our profession to the best of our capabilities.
Wishing CMC and the Distance Education Dept success in all their future endeavors.
God bless.
Dr. Julie Jose, Oman
The entire prospectus and the study material has been designed in a very interesting manner
I am a much more confident Doctor now.
Dr. Mitaly Pathak Agarwal, Bangalore
The algorithms provided in the course booklets served as useful guides.
Dr.M.Thulasimani, Pondichery
The course has added tremendous value to the way I manage co-morbidities in my patients.
The central office at Vellore has been exemplary in its support and flexibility to me and I
understand to many others, to help complete the course.
Dr. Nandini Vallath, Bangalore
It is very useful for medical practitioners who are practising in rural areas and cannot attend regular
courses leaving their practice. The modules are very attractive and make the students to read it and
complete the assignments also. It empowers the medical practitioners with knowledge. I strongly
feel “FAMILY MEDICINE” is the specialty which is needed for the community at present.
Dr. R.Parimala, Coimbatore
When I joined the course, I had the desire to know something about everything. During these past
2 years, my views and thoughts about the medical profession have changed.
Dr. Suryakanthi C, Ernakulam, Kerala
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It gave me the necessary confidence and a new paradigm “Refer less and resolve more” …
Dr. Renu Saraogi, Bangalore
Now I serve as the patients’ advocate, explaining the causes and implications of illness to the
patients and their families, and I serve as an advisor and confidant to the family.
Thank you.
Dr Pragati Kumar, Ghazipur, UP
This course, not only changed my approach towards health concerns but also helped in extending
continuing care of varied medical conditions which are not limited to a diagnosis or organ system.
Dr. Kaushik Chatterjee, Mohanpur, Nadia, WB
I am working as medical officer at the ESI Dispensary. By this course I have gained confidence,
patience and good communication skills.
Dr. Sushama Mary, Kollam, Kerala
The course has given me confidence in dealing with patients with the limited resources
Dr. Jennifer Shullai, Shillong, Meghalaya
It has taught me to listen to my valuable patients patiently and to listen to their spoken and
unspoken problems and to address them in a broader way, and thus establish a good doctor- patient
relationship… I used to avoid pediatric patients before, but now I don’t….
Dr. Debasish Sinha, Kolkata
I have come to realization that most cases presenting to our out patients are primary care problems.
The algorithmic style of approach to diagnosis leads to institution of early proper treatment and
better outcome.
Dr. Tshiani.K. Nigeria
The whole concept of “Refer less and resolve more”, is a wonderful concept, which will actually
resolve 3/4th of our country’s health problems, and THIS is what the whole PGDFM course has
conveyed, in words and in action in the last two years.
For a Radiologist like me, who purely took up this course due to my own unquenchable love for
Clinical Medicine, in spite of branching off into Radiology for the last 20 years, it was pure bliss
to recapitulate and even unlearn and relearn so many things.
The contact programs were delightful with the instructors so very dedicated and passionate about
Family Medicine.
I enjoyed the journey more than the Destination, and the Journey will go on life long,…..
Dr. Akhilandeswari Prasad, New Delhi.
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Well crafted, concise, updated, evidence based, tailored to Indian standards, easy to study even for
busy doctors, is what I can say in a line about the course.
Now I feel that a Family Medicine is itself a speciality which requires the same or even higher
level of clinical skill than my consultant colleagues for which no substitute exist or is in no way
inferior. Now I know the healing power of a properly done personalized consultation.
Dr. K.J.Anoop, Kerala.
This is one course I would advocate for all who are struggling in their specialties and super
specialties and have forgotten the art of dealing with the general O.P.D.
Dr. Beatrice Madhavan, Aligarh.
Each and every subject in the modules are written so nicely and are helpful for our practice.
Dr. Dilip Kumar Phukan, Dangari, Tinsukia, Assam.
I imbibed the concepts of Family Medicine and changed my practice from patient care to FAMILY
ORIENTED PATIENT CARE. Now, health education and training paramedical staff has become
part of my practice. I feel happy to be part of this great concept of changing Indian health scenario
and encouraging & incorporating the practice of Family Medicine in our healthcare system.
Dr. Chilaka Rajesh, Visakhapatnam.
… made me feel like a real learner.
Dr. Lal Mohan Ho, Bhubaneswar, Odisha.
Being posted in remote and inaccessible areas since I graduated in 2008, this course has become a
blessing to many a patient, who do not have to go too far off towns for treating their ailments any
more, and made me a likeable person.
Dr. P. Hegin Tungdim, Churachandpur, Manipur.
It enabled me to look at the whole person Most importantly this course has prompted me to dig
deeper into the world of Medicine and seek more knowledge.
Dr. Moanarola Ao, New Delhi.
…it will be a feather in my cap and a great value addition to my career.
Dr. Narendra Kumar Gupta, Patna.
My approach to the patients has completely changed for the better; I learnt the importance of a
Family Physician in the community.
Apart from the medical aspect I got to meet many doctors from different places and got into a
professional network of friends.
Dr. M.Porselvi, Bangalore.
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I have learnt the art of breaking bad news to my patients and their relatives’ based on my encounter
in this program- Above all the course has taught me, Christian Values, imbibed at CMC.
DR. Sokowo Allagwoni Jacob, Nigeria.
an excellent, informative and enlightening journey.
I was wondering whether I would be able to remember everything. But the flow of the chapters
made learning easy and enjoyable.
Doing this course is helping me in my practice and also in advising and treating my own family.
Dr.Prathiba Janardhanan, Dhrishti Eye Care, Chennai.
I thank God for the training, my life is so blessed. I learnt about the correct attitude to have towards
the profession seeing it as a vocation and not a carrier. In short my patients are enjoying better
services. .
Dr. Vincent Baba Abaya, Nigeria.
These books are going to be of great value, as a ready reckoner during daily practice.
One remarkable fact I would like to point out, is the openness and acceptance of each other that
prevailed. There was a perfect camaraderie and I am thankful for this experience which
transformed us from busy hard core professionals, to students willing to learn from each other.
Dr. Rukhsana Dutt, Muscat, Oman.
From the first module itself I understood there were a huge amount of things which a General
Practitioner should learn. This course really gave me immense amount of confidence in dealing
from paediatric to geriatric. I don’t consider myself as a great physician, but know that I’m a better
physician than I was before.
Dr. Sunil Vijayakumar, Sharjah, UAE.
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And Jesus, when He came out, saw a great multitude and was moved with compassion for them,
because they were like sheep not having a shepherd. So He began to teach them many things.
When the day was now far spent, His disciples came to Him and said, “This is a deserted place,
and already the hour is late. Send them away, that they may go into the surrounding country and
villages and buy themselves bread; for they have
nothing to eat.”
But He answered and said to them, “You give them something to eat.”
And they said to Him, “Shall we go and buy two hundred denarii worth of bread and give them
something to eat?”
But He said to them, “How many loaves do you have? Go and see.”
And when they found out they said, “Five, and two fish.”
Then He commanded them to make them all sit down in groups on the green grass. So they sat
down in ranks, in hundreds and in fifties. And when He had taken the five loaves and the two
fish, He looked up to heaven, blessed and broke the loaves, and gave them to His disciples to set
before them; and the two fish He divided among them all. So they all ate and were filled. And
they took up twelve baskets full of fragments and of the fish. Now those who had eaten the
loaves were about five thousand men.
Mark 6:30-44 (Bible)
Anything given in the Lord’s hands multiplies!
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