Fellowships At Rela hospital

Transplant Surgery, although being a surgical super-specialty, in reality deals with a lot of medical aspects. The success in transplantation involves understanding the disease process and treating the patient as a whole rather than just the technical aspects of the surgery. Keeping this as the background, the curriculum for training emphasizes the importance of imparting training in all aspects of managing a Liver Transplant Patient.

This curriculum will be under continuous review and may be changed as techniques develop with time, but serves as a present definition of the minimum requirement for fellows in the specialty.

The purpose of Fellowship programme in Liver Transplantation is to provide a structured educational and training experience necessary to achieve expertise in the understanding, diagnosis, and management (including the necessary surgical skills) in the treatment of diseases of the liver and Liver Transplantation.

This course is designed:

• To provide trainees with actual knowledge and technical proficiency in the preoperative evaluation, operative management, and postoperative care of patients with disease of the liver and Liver Transplantation.
• To provide trainees with technical proficiency in liver transplantation- Deceased & Live Donor
• Demonstrate clinical, intra operative and peri operative decision making that is based upon sound medical knowledge that minimises complications and demonstrates an awareness of the limitations of clinical experience and technical skills.
• To provide trainees with understanding and experience in immunosuppression management.
• To provide trainees the ability to evaluate donor organs and perform multi-organ procurements.
• To provide experience in the management of patients in an intensive care setting.
• Manage and lead clinical teams in an efficient and harmonious manner to optimise patient management.
• To provide an environment in which clinical and basic science literature can be evaluated and assessed critically, leading to sound conclusions.
• To provide the ability and desire to ask important questions and initiate investigative studies
• To foster attitudes and interpersonal skills that will allow a trainee to communicate well with peers and patients, and to carry him or herself with dignity.

Liver Intensive Care

Our liver ICU with 36 beds provides a comprehensive service for the management of critically ill patients with liver disease including acute liver failure, patients with chronic liver disease related complications and acute on chronic liver failure, major HPB surgeries and liver trauma. The liver ICU with 36 beds provides a comprehensive service for the management of critically ill patients with liver disease including acute liver failure, patients with chronic liver disease related complications and acute on chronic liver failure, major HPB surgeries and liver trauma. The team has a reputation and expertise of managing more than 1200 liver transplants so far. Liver intensive care is a highly specialized and demanding specialty which requires integration of good clinical knowledge, evidence based practices and technical skills. This Fellowship program in liver intensive care will provide a comprehensive curriculum covering peri-operative care of patients presenting for HPB surgeries and liver transplantation and all other services offered in the ICU. The main goal of the Fellowship is to help fellows become clinical experts in the field and grow to become academic leaders in the field of liver intensive care. The program also provides exposure to combined organ transplants. There will be ample research opportunities with participation in ongoing projects or newly developed investigative projects. Financial and logistic support is abundant and fellows are expected to be able to present research abstracts at national or international liver transplant-oriented meetings during their course.

The program will involve 12 months training liver intensive care. We propose to cover the curriculum in the form of organized lectures, bedside teaching sessions and other interactive sessions. Fellows will advance their medical knowledge through a number of didactics. Fellows are expected to participate in teaching sessions and pre-transplant listing meet every week apart from the monthly morbidity and mortality meet and other teaching sessions within the Institute of Liver Diseases and Transplantation.

The objectives of the program include:

• Establish competency in the management of complications of End-stage Liver Disease and critically ill in medical Liver ICU
• Establish proficiency in the postoperative ICU care of liver transplant recipients (both cadaveric and living liver donor transplantation) including simultaneous liver and kidney transplantation, with comprehensive understanding of various stages in liver transplantation and their implications, and optimization of other organ system involvement as a consequence of liver cirrhosis.
• Impart knowledge and skills for efficient management of patients with acute liver failure
• Enhancement of procedural skills – arterial catheterization, central line insertion, pulmonary artery catheter insertion, transoesophageal echocardiography, extracorporeal support systems
• Establish proficiency in management of coagulopathy, in the selection and use of the various available blood products and their associated potential complications
• Ensure adept use and interpretation of cardiac output monitoring devices and point of care coagulation testing

Liver transplant and Hepatopancreaticobiliary (HPB) anaesthesiology is a highly specialized and demanding specialty which requires integration of good clinical knowledge, evidence based practices and technical skills. Our team has handled more than 1200 liver transplants which includes 300 paediatric liver transplantation in the last decade. This Fellowship program in liver transplant and HPB anesthesia will provide a comprehensive curriculum emphasizing peri-operative care of patients presenting for HPB surgeries and liver transplantation. The main goal of the Fellowship is to help fellows become clinical experts in the field and grow to become academic leaders in the field of liver transplant anesthesiology. The program also provides exposure to paediatric liver transplantation,

combined organ transplants and liver critical care. There will be ample research opportunities with participation in ongoing projects or newly developed investigative projects. Financial and logistic support is abundant and fellows are expected to be able to present research abstract at national or international liver transplant-oriented meetings during their course. This program will involve 9 months training in operation theatre and 3 months in liver intensive care.

The curriculum will comprise of two major divisions:

1. Common core curriculum in transplantation medicine
2. Basic and advanced clinical and scientific curriculum in anaesthesiology for HPB surgeries and liver transplantation.

This course is designed:

• To provide trainees with actual knowledge and technical proficiency in the preoperative evaluation, intra operative management, and postoperative care of patients with diseases of the liver and Liver Transplantation.
• Demonstrate clinical, intra-operative and peri-operative decision making that is based upon sound medical knowledge that minimizes complications and demonstrates an awareness of the limitations of clinical experience and technical skills.
• To provide experience in the management of patients in an intensive care setting.
• Manage and lead clinical teams in an efficient and harmonious manner to optimize patient management.
• To provide an environment in which clinical and basic science literature can be evaluated and assessed critically, leading to sound conclusions.
• To provide the ability and desire to ask important questions and initiate investigative studies
• To foster attitudes and interpersonal skills that will allow a trainee to communicate well with peers and patients, and to carry him or herself with dignity.

We propose to cover the curriculum in the form of organized lectures, bed side teaching and teaching whilst in theatres and other interactive sessions. The syllabus for the entire program is broadly outlined below. This list is only a general overview of the subject areas which will be covered and will be expanded to include emerging topics of interest.

The success in liver transplantation involves understanding the disease process and treating the patient as a whole rather than just the technical aspects of the surgery. Keeping this as the background, the curriculum for training emphasizes the importance of imparting training in all aspects of managing a Liver Transplant Patient.

This curriculum will be under continuous review and may be changed as techniques develop with time, but serves as a present definition of the minimum requirement for fellows in the specialty.

The purpose of Transplant Hepatology Fellowship is to provide a structured educational and training experience necessary to achieve expertise in the understanding, diagnosis, and management in the treatment of diseases of the liver and Liver Transplantation.

This course is designed:

• To provide trainees with actual knowledge and proficiency in
  1. Management of ESLD patients and postoperative care of patients with liver disease and transplantation.
  2. To gain knowledge and experience in various outpatient of Transplant Medicine
• Demonstrate clinical decision making that is based upon sound medical knowledge that minimises complications and demonstrates an awareness of the limitations of clinical experience and technical skills.
• To provide trainees with understanding and experience in immunosuppression management.
• To provide experience in the management of patients in an intensive care setting.
• Manage and lead clinical teams in an efficient and harmonious manner to optimise patient management.
• To provide an environment in which clinical and basic science literature can be evaluated and assessed critically, leading to sound conclusions.
• To provide the ability and desire to ask important questions and initiate investigative studies
• To foster attitudes and interpersonal skills that will allow a trainee to communicate well with peers and patients, and to carry him or herself with dignity.

The purpose of academics in emergency medicine is to provide a structured training program
and experience to achieve understanding , diagnosis and treatment of complex emergency
situations.

Dr. Rela Hospital is the first institute in Chennai to be affiliated with Alfred
Monash University, Australia for international collaboration in emergency medicine
academics. The curriculum will be under continuous review and scrutiny with changing
trends in emergency medicine.

The course is designed:

• To provide trainees with basic knowledge and experience in resuscitation and to
  understand the critical care skills delivered to save a patient everyday.
• To be a center of excellence in trauma and emergency medicine and students will
  learn to treat a spectrum of different emergency conditions with protocol based
  treatments.
• Additional advantage is to learn in one of most advanced Hepatobiliary Pancreatic
  (HPB) transplant units and critical care.

The institute of EMERGENCY MEDICINE @ RELA INSTITUTE offers:

Doctors Programme:

Masters In Emergency Medicine, India (Mem- Cctem) – Rela Institute & Society For Emergency Medicine, India (Semi)- 3 Years Program.

Fellowship In Emergency Medicine – Rela Institute & Bharath University – 2 Years Programme.

Speciality Training In Emergency Medicine – Rela Institute & Alfred Monash University, Australia – 1 Year

Nursing Program:

Certificate In Emergency Medicine Nursing – Rela Institute & Alfred Monash Univerity, Australia.

Paramedic Program (Courses To Be Started):

B.Sc In Emergency Medicine Technology (Emt)- Rela Institute & Bharath University – 2 Years

M.Sc In Emergency Medicine Technology (Emt) – Rela Institute & Bharath University – 3 Years.