Regional anaesthesia and more specifically regional analgesia has gained more importance in present day practice because of growing recognition that regional anaesthetic techniques decrease the incidence of chronic post surgical pain and aggressive dynamic regional analgesia improves functional outcome. Indications for peripheral nerve blocks are increasing now a days because of the wide spread use of anti platelet and anti thrombotic drugs, demanding postoperative analgesia and fast tracking. Role of US guidance in RA
Introduction of ultrasound in regional anaesthesia enables the clinicians not only to identify the nerves but also to delineate various layers and facial compartments around the nerves. Depositing the local anesthetics precisely into these compartments improves the success rate, decreases the complication, provides faster onset and long lasting nerve blocks. Hence US guidance not only guides to the right place but redefines the right place itself. Need for formal training in UGRA
Ultrasound guided regional anaesthesia requires specific knowledge about the equipment and the clinician should be able to interpret the three dimensional anatomy from the two dimensional cross sectional image. After getting the optimal image of the target, the clinician should develop the skill of negotiating the needle to the target without injuring the surrounding structure. Without learning the image generation and needling skills, hitting the target under ultrasound guidance leads to more dangerous complications than blind techniques. Hence the formal training in US guided RA is the urgent need for the day. About the course
Since the US technology has been introduced into the practice of anaesthesiology recently, neither a postgraduate curriculum nor a structured training process is available anywhere in INDIA. Hence the Department of anaesthesiology and CCU, MGMCRI at SBV University has introduced 1 year fellowship and a 15 / 30 day observer ship programs in ultrasound guided regional anesthesia exclusively designed to impart the specific knowledge and the skills required to safely and effectively perform the Ultrasound guided regional anaesthetic techniques. This involves theoretical module, cadaveric dissections, phantom training and rigorous clinical exposure. Programs available:
- Fellowship in Ultrasound Guided Regional Anaesthesia
- 1 Year full time course.
- Number of seats – 2 per year (March – February)
- Observership in Ultrasound Guided Regional Anaesthesia
- 15 / 30 days program.
- Number of seats - 2 month.
- Fellow should have completed basic medical degree and post graduate training in Anaesthesia in their home country
- NRI candidates should obtain temporary registration certificate from MCI
- Prior experience in performance of ultrasound guided nerve blocks is desired
- Number of fellows intake: 2 candidates per academic session. (March to February)
- The candidates will be recruited as fellow but work under the category of senior resident in the department for 1 year. He/She will be provided with the stipend of existing senior resident. Approximately Rs. 70,000/- per month which may change according to the hospital management policy at the time of recruitment
Application is available online through out the academic year. Interested candidates should apply online by submitting the filled up application form and then take a printout of the online application form and enclose the required documents and send it to The Registrar, Sri Balaji Vidyapeeth, Pillaiyarkuppam, Pondicherry 607402 by speed post or courier. The covering letter should mention “Attn: HOD Anaesthesiology” above the subject matter. Documents required:
Last date for application - 30th Nov of the year
- A letter of intent stating personal goals and objectives in undertaking the fellowship
- An up-to-date curriculum vitae
- Two letters of reference from recent or current supervisors.
- Application fee of Rs. 500/- as demand draft in favour of The Registrar, Sri Balaji Vidyapeeth payable at Pondicherry.
Late and incomplete applications will not be considered. Selection Process
Applications will be reviewed in the first week of December and the short-listed applicants will be invited for interview during the third and fourth week of the same month. Candidates are strongly encouraged to make an in-person visit to the department to ascertain if it meets their training objectives and personal goals. The interview results will be announced online during the first two weeks of January. The successful applicants will be notified and they have to pay a course fee of Rs 75000/- ( Rupees Seventy Five Thousand only) as demand draft and confirm the enrollment to the course within 10 days of receipt of selection letter not later than 30th of January failing which the wait listed candidate will be invited for enrollment.
|Academic Session ||March to March |
|Last date of application ||November 30 |
|Interview date ||December 15 - 25 |
|Result announcement ||January 1-7 |
|Enrollment and course fee confirmation (Rs- 75,000) ||Before the end January 31st |
|Decision regarding wait listed candidate announcement ||February 1-7 |
|Course commencement ||March 1st |
- Enrollment and confirmation course fee Rs 75,000/- once paid will not refunded.
- After Joining the course if the candidate discontinued the course in between will invite a liability of paying Rs 4,00,000/- ( Rupees Four Lakh only) as penalty.
- Download USGRA Curriculum-2016
Mahatma Gandhi medical college and research institute, a major tertiary centre and teaching hospital located in Pondicherry is dedicated to the promotion and use of ultrasound guided regional anaesthesia. The department of anaesthesia has experienced and enthusiastic faculties. The department also has experience in conducting workshops in the advancement of ultrasound guided regional anaesthesia. The list of faculty:
- Dr. T. Sivashanmugam MD., FRCP., DNB., PDCC., Programme Director (FUGRA), Professor and Head, Department of Anaesthesiology
- Dr. Sripriya DNB., Fellowship in USGRA, US – Coordinator (FUGRA), Associate Professor, Department of Anaesthesiology
- Dr. V. Jaya MD., DNB., Fellowship in USGRA, Assistant Professor, Department of Anaesthesiology
- Dr. Antony John Charles MD., Fellowship in USGRA, Assistant Professor, Department of Anaesthesiology.
- Dr. Charulatha MD., Fellowship in RA.,Assistant Professor, Department of Anaesthesiology
- Dr. Archana Areti MD., Fellowship in USGRA, Assistant Professor, Department of Anaesthesiology.
- Dr. Annie Sheeba John MD., Fellowship in USGRA, Assistant Professor, Department of Anaesthesiology.
- Dr. Prabhavathy MS., Assistant Professor, Department of Anatomy.
The Department of Anesthesiology at Mahatma Gandhi Medical College and Research Institute provides anesthesia services to 15 modular operation theaters, which cater to all specialty and super-specialty departments, including cardiothoracic, neuro, pediatric and plastic surgery, as well as 3 emergency theaters for trauma and obstetrics.
The Department of Anesthesiology has an established acute pain service, which supports the chronic pain and palliative care team in the hospital.
The department runs a separate vascular access clinic for both central and peripheral lines access. Ultrasound guidance has been the norm for most of the procedures done in the operation theatres and pain clinics. This has helped the University to emerge as one of the leading institutions in research and education in the field of regional anesthesia.
To support teaching, training and advanced research in the field of ultrasound-guided regional anesthesia, the department has the current state-of-the-art point of care ultrasound equipment (Fujifilm SonoSite X-Porte). SonoSite X-Porte features proprietary beam-forming XDI™ technology, compound imaging capability, and advanced signal analysis algorithms. This enables the faculty and trainees to do advanced research in the field of ultrasound-guided regional anesthesia.
Mahatma Gandhi Medical College and Research Institute have partnered with Academy of Regional Anesthesia – India (AORA) and Fujifilm SonoSite to offer a Regional Anesthesia Observership Program. In this one-week observership program, the selected medical postgraduates observe and explore the benefits of regional anesthesia using ultrasound guidance at MGMCRI.