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Medical Education

DNB NEUROLOGY

INTRODUCTION 

UPPAL NEURO HOSPITAL & SUPER SPECIALITY CENTRE has been accredited with 2 seats in DNB Neurology by the National Board of Examinations, New Delhi from the current session July, 2019 onwards. UPPAL NEURO HOSPITAL was established on 14th Dec. 2000 in Amritsar, Punjab. We actively take initiative in bringing advance healthcare for adversely affected patients, suffering from the complex neuro disorders such as Stroke, Epilepsy, Headache, Trauma, Neurosurgery, Spine and other Neuromuscular Disorders. Its serving their patients with latest and advanced medical facilities with State of the Art Infrastructure. Uppal Neuro Hospital is committed to provide the best scientific approach combined with educational programmes that emphasizes on development of excellence in the clinical skills required for good medical practice.
We believe, uninterrupted learning brings the best out of a clinician as well as residents and the organization vouches for it. Academics and Research is integral part of our organization and we support our clinicians and residents in research, publications, conferences and other academic activities.

WHAT DNB IS?

Diplomate of National Board (DNB) is the title awarded by the National Board of Examinations (NBE), an autonomous academic body under the Ministry of Health and Family Welfare, Government of India to candidates who successfully complete their postgraduate or postdoctoral medical education under it. People who completed an MD in their respective subjects are also eligible for appearing in the final DNB certification exam along with regular DNB trainees. In 1975, the Government of India established the National Board of Examinations, an autonomous organisation Ministry of Health and Family Welfare, with the prime objective of conducting postgraduate and postdoctoral courses of high and uniform national standard in various disciplines of modern medicine and allied sciences on an All-India single point entrance basis.[1] The Board conducts its postgraduate and postdoctoral programmes in teaching hospitals accredited by it and in medical colleges accredited by the Medical Council of India.

SCOPE AND BACKGROUND

This degree is recognised by the Government of India and a Gazette order is published for the same. Also, the Ministry of Health and Family Welfare has issued notification mentioning that DNB should always be considered equivalent to MD/MS
The name of the degree awarded by the National Board of Examinations is called “Diplomate of National Board” (DNB). The list of recognised qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956. The DNB qualifications awarded by the National Board of Examinations have been equated with postgraduate and postdoctoral qualifications awarded by other Indian universities for all purposes, including appointment to teaching posts. The main purpose is to ensure a competent working of DNB in Uppal Neuro Hospital .The holders of NBE qualification awarded after an examination i.e.DNB are eligible to be considered for specialist post / faculty in any hospital including training / teaching institute on a teaching post as faculty member.

PROGRAMME GOAL

The main purpose is to ensure a competent working of DNB trainings in Uppal Neuro Hospitals,as DNB Candidate plays a very important role in working of institutes.

i.Patient care Ability: A postgraduate in Neurology at the end of its three year course should develop proper clinical acumen to interpret diagnostic results and correlate them with symptoms from history taking and become capable to diagnose the common clinical conditions/ disease in the specialty and to manage them effectively with success without making any serious complications and sincerely to take such accurate decision, for the patient’s best interest including making a referral to consultation with a more experienced colleague/professional friend while dealing with any patient with a difficult condition.

ii. Teaching  ability: DNB Student also should be able to teach a student about the commonly encountered conditions in speciality pertaining to their diagnostic features, basic patho-physiological aspect and the general and basic management strategies.

iii. Research Ability: Should also acquire elementary knowledge about research methodology, including record-keeping methods, and be able to conduct a research inquiry including making a proper analysis and writing a report on its findings. Data analysis and Use of basic statistical methods require for publication.

iv. Team work: Should be capable to work as a team member. He/she should develop general human approach to patient care with communication skills with the patient’s relatives especially in emergency situation such as in casualty department while dealing with Terminally ill and victims of Trauma. He/she should also maintain human values with ethical consideration.

PROGRAMME OBJECTIVES

i. Cognitive knowledge: Embryology, applied anatomy, physiology, pathology, clinical conditions, diagnostic procedures and the therapeutics including preventive methods, (medical/surgical) pertaining to musculo-skeletal system.

ii. Clinical decision making ability & management expertise: Diagnose conditions from history taking, clinical evaluation and investigations and develop expertise to manage medically as well as surgically the commonly encountered, disorders and disease in different areas.

iii. Teaching: Acquire ability to teach MBBS/MD student in simple and straightforward language about the common ailment/disorders especially about their signs/symptoms for diagnosis with their general principles of therapy.

iv. Research: Develop ability to conduct a research enquiry on clinical materials available in Hospital and in the community.

v. Patient doctor relation: Develop ability to communicate with the patient and his/her relatives pertaining to the disease condition, its severity and options available for the treatment/therapy.

vi. Identification of a special areas within the subject: To further develop higher skills within the specialty in a specialized area such as Stroke ,Epilapsy, headache, Movement Disorders, Nerve & Muscles diseases etc. identify some area of interest during the residency and do fellowship/ senior residency program in one of such areas.

vii. Presentation of Seminar/paper: Should develop public speaking ability and should be able to make presentation on disease-conditions/research topics to fellow colleagues in a Seminar/meeting/ conference using audiovisual aids.

viii. Research writing: Should be capable to write case-reports and research papers for publication in scientific journals.

ix. Team work: Team spirit in patient management, working together in OPD, ward, NEURO DIGNOSTIC and OT sharing responsibility with colleagues such as doctor, nurses and other staff are essential. Resident has to develop these attributes through different mechanism of intraction

x. Disaster Management

xi. Rural community camps

RESPONSIBILITIES

The applicant hospital shall designate the following authorities from its staff for DNB/FNB programme:

• Head of the Institute (Administrative) or duly authorized nominee as Director (Medical) or Director (Academics):Nodal Compliance officer for rules and regulations governing the programme as prescribed by NBE.
• DNB/FNB Course Director: A common designated academic head for all DNB & FNB Programme at the applicant hospital.One of the faculty of a DNB/FNB Programme of the rank of Senior Consultant can be designated as course director.
• Assistant Programme Coordinator: As the resource person for DNB/FNB trainees either from the management or academic staff, to maintain establishment and related functions related to the DNB/FNB courses and trainees.
• Head of the Department: Designated head of the applicant department shall be responsible for all administrative formalities (such as verifying faculty declarations, signing applications/various documents on behalf of the applicant department etc) with NBE related to DNB/FNB Programme as well as deciding
the academic & duty/posting roster of DNB/FNB trainees. Senior Consultant who qualifies as PG teacher also can be designated as HOD for DNB programme. A senior consultant can be designated as HOD for FNB Programme.
It is mandatory that the applicant hospital nominates the aforesaid functionaries for the DNB/FNB programme and indicate the same prominently with contact telephone no, mobile no and email-ID at the Notice Board for DNB/FNB trainees. The details may be shared on NBE website for ready reference of DNB & FNB trainees. Any of them can be assigned as a Single Point of Contact (SPOC) for accreditation.

LIST OF PRESCRIBED DOCUMENTS:-

Candidates have to bring the following documents IN ORIGINAL.
i. Admit Card issued by NBE.
ii. Result/ Rank Letter issued by NBE.
iii. MBBS Degree certificate.
iv. Permanent Registration certificate issued by MCI/ State Medical Council.
v. DNB/MD/MS Degree certificate.
vi. Proof of MD/MS Qualification being recognized as per IMC Act/ Central Government.
vii. Proof of declaration of result of qualifying Post Graduate Medical Qualification ( MD/MS/DNB) on or before 15th July 2019.
viii. Proof of training completion of result of qualifying Post Graduate Medical Qualification ( MD/MS/DNB) on or before 15th July 2019.
ix. Matriculation / High School /Higher Secondary certificate as a proof of Date of Birth.
x. Valid identity card in original viz. Pan card, Aadhar card ( with photograph), Indian Passport, Voter ID card, Driving License, MCI/SMC Registration certificate bearing photograph of the candidate. No other ID proof will be accepted.

Training Charges & Fee Guidelines

First year fee is collected by NBE at the time of counseling and is transferred to Institute after the joining of the candidate. The training charges/fee structure for DNB & FNB Training is as follows:
*Maximum Permissible Limit: Accredited institutions are at liberty to charge fees which is less than indicated under respective category. The fee can not be higher than this amount.
• Tuition Fee: The tuition fees shall cover the cost incurred for accreditation, institutional DNB office, infrastructure and HR expenses, guest lecture, thesis support, administrative support expenses.
• Library fees: Institute can charge library fees if the library facilities so provided have subscription to at least 4 journals out of which 2 have to be paid journals and one international journal and latest provisions of all types of textbooks in the specialty concerned.
• Annual Appraisal fees: The appraisal fees shall cover the arrangements made for the purpose of appraisal of trainees and examiner remuneration.

Head Charges * (in INR) per year

• Tuition fees 75,000/-
• Library fees 15,000/-
• Annual Appraisal fees 15,000/-
• Accommodation Charges 20,000/-

• Accommodation Charges: Electricity and other consumables can be charged on actual basis by the hospital depending upon institutional policy.

C. Stipend Guidelines
• Paying stipend to the DNB candidates is compulsory.
• According to the NBE stipend policy, the hospital shall have to pay the DNB Candidate a basic stipend or according to state government policy (whichever is higher):

Leave Rules

DNB Trainees are entitled to avail leave during the course of DNB/FNB training as per the Leave Rules prescribed by NBE.
1. A DNB/FNB Trainees can avail a maximum of 30 days of leave in a year excluding regular duty off/ Gazetted holidays as per hospital/institute calendar/policy. This leave shall be processed at the institutional level.
2. Any kind of study leave is not permissible to DNB/FNB Trainees.
3.Under normal circumstances leave of one year should not be carried forward to the next year. However, in exceptional cases such as prolonged illness, the leave across the DNB/FNB training program may be clubbed together with prior approval of NBE.
4.Unauthorized absence from DNB/FNB training for more than 7 days may lead to cancellation of registration and discontinuation of the DNB/FNB training and rejoining shall not be permitted.
5.Any Leave availed by the candidate other than the eligible leave (30 days per year) shall lead to extension of DNB /FNB training. The training institute has to forward such requests to NBE along with the leave records of the candidate since his/her joining and supporting documents (if any) through the Head of the Institute with their recommendation/comments. NBE shall consider such requests on merit provided the seat is not carried over and compromise with training of existing trainees in the Department. DNB Final Information bulletin – Dec – 2019
6.Any extension of DNB/FNB training beyond the scheduled completion date of training is permissible only under extra-ordinary circumstances with prior approval of NBE. Such extension is neither automatic nor shall be granted as a matter of routine.

ACADEMIC

Neurology is the branch of medicine that deals with disorders of the nervous system, which include the brain, blood vessels, muscles and nerves. The main areas of neurology are: the autonomic, central and peripheral nervous systems. A physician who works in the field of neurology is called a Neurologist, a neurosurgeon treats neurological disorders via surgery.

Neurological disorders often differ between infants and young children and adults. Neurological problems in those younger than 18 years are managed by pediatric neurologists. Disorders that affect the pediatric population include: cerebral palsy, complex metabolic diseases, epilepsy, learning disabilities, and nerve and muscle diseases.

Diagnosis and treatment

A neurologist is trained to diagnose and treat neurological disorders. Neurologists must first determine if a problem exists in the nervous system. The patient’s health history is reviewed followed by a neurological exam which assesses the function of cranial nerves, coordination, mental status, sensation, strength and reflexes.

Once a diagnosis is developed, more tests may be warranted to guide treatment. Diagnosis is carried out by tests such as the computed axial tomography scan, Magnetic resonance imaging, electroencephalography or electromyography.

Neurological disorders are comprised of Stroke, Epilepsy, Headache ,brain cancer, multiple sclerosis, spinal cord disorders, diseases that affect the muscles and peripheral nerves and neuromuscular junctions.

LIBRARY:-

Library is well equipped with latest books in all sub specialities of Neurology, Electrophiology, Neuro critical care, Neuro Interventions, Neuro Diagnostics, Psycatrics and Neuro Surgery. Along with this we have more than 25 various International & National Journals.

Further we have Delnet that  maintains an online union catalogue of books available in its member-libraries. This union catalogue is continuously updated and is growing in size. The information can be retrieved by author, title, subject, conference, series, etc. It has 2,83,50,450 bibliographic records.

Spectrum of Diagnosis in the Specialty of NEUROLOGY Spectrum of diagnosis available in the department in last 2 years

 

SPECIALITY CLINICS

Year wise no. of Clinical / Surgical Procedures
2018 2017
Stroke Clinic 4872 3750
Epilepsy Clinic 3452 2812
Headache Clinic 3541 2778
Neuro Muscular Clinic 3632 3110
Vertigo Clinic 2162 1456
Movement Disorder Clinic 925 810
Botox Clinic 691 565
Neuro Ophthalmology 350 245
Cerebral Palsy 221 125

 

 PRESENTATIONS & PUBLICATIONS OF NEUROLOGY

  1. ASHOK UPPAL (2017-2019 )
  2. PRESENTATIONS:-
  3. Stroke mimics-2019
  4. Anti platelates resistance in ischemic stroke patients -2018
  5. Over view of stroke in India-2018
  6. Newer Anti-Platelets-2017
  7. THE NYSTAGMUS-2017
  8. The Cerebellum-2017
  9. IX-XII Cranial nerve -2017
  10. Fire in the Belly-2017

 

PUBLICATIONS:-

  1. An exonic G894T variant of endothelial nitric oxide synthase gene as a risk factor for ischemic stroke in North Indians(Acta Neurobiol Exp)2015
  2. Clot Bust Therapy in Acute Ischemic Stroke – The First2005Indian Experience: A Case Report(AIAN)
  3. Pituitary Tuberculoma(NSI)1998
  4. Binswanger’s Disease – No Longer a Rare Entity(NSI)1994
  5. Migraine & Epilepsy – A Clinical, Electroencephalographic & Radiological Study(NSI)1993

 

HANDS ON TRAINING PROPOSED TO BE PROVIDED TO DNB TRAINEES

  1. THROMBOLYSIS
  2. STROKE UNIT
  3. TCD
  4. NEUROPHYSIOLOGY
  5. BOTOX THERAPY
  6. RF ABLATION
  7. DUPLEX SCANNING OF CAROTIDS

DIGNOSTICS:-

  • MRI 4G
  • CT SCAN
  • EEG
  • POLYSOMNOGRAPHY
  • TELEMETRY
  • EPILEPSY MONITORING

 

SHORTLY COMING

  1. Neuro Intervention
  2. Neuro Navigation
  3. DBS