JMMC & RI, Thrissur, Kerala Future of Transfusion Medicine As a Post Graduate Course- Residents Perspective Dr. Aboobacker Mohamed Rafi Prof . Dr. Susheela J Innah Dept of IHBT Jubilee Mission Medical College & Research Institute Thrissur, Kerala, INDIA JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala Background There has been tremendous development in TM , including introduction of post graduate courses in INDIA Being comparatively a new course, Residents in TM have lots of apprehensions regarding the prospects of their career JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala AIM The study aims to understand the thoughts, apprehensions & view points on the future of Transfusion Medicine as a Post graduate course from among the Post graduate Residents and from those who have passed out and are working now. JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala MATERIALS & METHODS A questionnaire was sent to more than 200 residents (PGs & Consultants post IHBT) Consent taken The data was collected and analyzed A total of 80 residents consented and responded JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala QUESTIONNAIRE JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala RESULTS 85% of the respondents : PGs Mean age : 30 yrs 75% - Females 98% - Parents & 77% Spouses - Not Doctors 85 % - Took MBBS due to passion 85 % - Interested in pursuing a Clinical PG 97 % - Very poor TM Training in MBBS 51% -Came to know about TM from Seniors 8% -Came to know about TM at the time of counseling 65% -Took TM -It’s a new course & has a good future 90% -There is need for such a course JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala RESULTS 93% The course requires a unified nomenclature 95% Felt that the improvements will take time 61% Felt that saturation will set in 5 years 76 % Probably select TM if given a second chance 63% TM specialists are consulted at times of need But only 23 % of their suggestions were considered SUGGESTIONS GIVEN BY THE WORKING GROUP To make separate MCI form for inspection purposes To include MD TM PERSONS IN LICENSING AUTHORITY 75 % felt that such a PG program will not persist beyond 25 years, if the current scenario prevails JMMC & RI, Thrissur, Kerala

All Participants were Unanimous in the following Decisions We have to voice our concerns to those who are responsible Eligibility for DM / Fellowships in Clinical/Laboratory Hematology Improvise the TM curriculum for UG The TM curriculum for PG requires adequate modification Fields in which Modifications were Suggested Clinical Path Stem Cell & Cellular therapy Tissue engineering Clinical Hematology 85% 100% JMMC & RI, Thrissur, Kerala

DISCUSSIONS TM / IHBT / IHTM in INDIA 24 colleges with MD IHBT 48 seats 7 colleges with MD TM 11 seats 2 hospitals with DNB in IHTM 4 seats 63 Post Graduates Passing Out Yearly There is a Disparity in Nomenclature of our Degree Recommendation A unified Nomenclature for our Degree These details can be seen in this site http://www.mciindia.org/InformationDesk/CollegesCoursesSearch.aspx http://www.natboard.edu.in/ JMMC & RI, Thrissur, Kerala

Qualification of the Blood Bank Medical Officer As per the D&C act MD Pathology or MD Transfusion Medicine MBBS with ONE YEAR experience in blood bank If an MBBS person with training can be a medical officer in charge of a Blood Bank, then what is the need for a 3 Year Post Graduate MD Degree ? (Due to discrepancy in the nomenclature ,persons with MD IHBT were not granted permission by the DCI) Recommendation Gradually Blood bank Medical Officer should be persons with MD in TM ONLY JMMC & RI, Thrissur, Kerala

Transfusion Medicine Training Transfusion Medicine Cannot survive (2013) 104,250-272 16 contributions to this forum Only in India is Transfusion Medicine a recognized separate specialty. In most other countries it is a subspecialty of other disciplines, like hematology, internal medicine, pediatrics & In some countries it is included in the curriculum of Pathology. S No Country Transfusion Medicine Training 1 Brazil TM is part of Hematology Residency Program 2 Iran TM is Part of Pathology & sub specialty of Hematology 3 USA TM is Part of Pathology & Laboratory Medicine Can be done as Subspecialty post Hematology & also other surgical courses 4 Sweden TM is a Part of Clinical Immunology Residency Program 5 Germany TM is part of Clinical immunology Residency Program 6 Malaysia TM was a Part of Laboratory Medicine , Recently TM is introduced 7 Korea TM is a Part of Laboratory Medicine 8 Israel TM is a Sub specialty of Hematology 9 France TM is Super specialty Post Hematology or Internal Medicine It includes Hematology & Transfusion Medicine 10 Netherlands TM is super specialty post Medicine/Pediatrics Sub specialty of Hematology 11 Japan/ Indonesia No Formal program So without Hematology, Transfusion Medicine Cannot survive JMMC & RI, Thrissur, Kerala

DM Clinical Courses & Eligibility DM IN Clinical Hematology Sl No Name of college Eligibility 1 CMC Vellore, TN MD/DNB in Medicine/Pathology/Pediatrics 2 PGI Chandigarh, Punjab MD/DNB Medicine/Pediatrics  3 AIIMS,Delhi MD/DNB Medicine/Pediatrics 4 Medical College, Kolkata MD/DNB in Medicine/Pathology/ Pediatrics/Biochemistry 5 NRS Medical College, Kolkata MD/DNB in Medicine/Pathology/ Pediatrics/Biochemistry 6 SGPGI ,Lucknow 7 JIPMER,Puduchery  MD/DNB Medicine/Pediatrics 8 KEM ,Mumbai MD/DNB Medicine/Pathology/Pediatrics JMMC & RI, Thrissur, Kerala

DNB Courses - Clinical Haematology Sl No Name of college Eligibility 1 Narayana health city, Karnataka MD/DNB-MEDICINE AND PATHOLOGY 2 Sahyadri hospital ,Pune MD,DNB-MEDICINE AND PATHOLOGY 3 Ganga ram, Delhi MD,DNB - MEDICINE AND PATHOLOGY Clinical Fellowships Course College/Hospital Eligibility Clinical Haematology TMC Kolkata MD/DNB- MEDICINE, PAEDEATRICS, PATHOLOGY Bone Marrow and Stem cell transplantation CMC Vellore, TN Pediatric Hematology. Manipal Hospital Bone Marrow Transplant TMC ,Kolkata Pediatric Haematology / Oncology Apollo, Chennai JMMC & RI, Thrissur, Kerala

DM Laboratory Courses & Eligibility DM Hemato-Pathology S no College Eligibility 1 PGI Chandigarh, Punjab MD/DNB Pathology 2 AIIMS,Delhi Total seats: 4 Laboratory Fellowships COURSE COLLEGE ELIGIBILITY Cytogenetics TMC Kolkata MD/ DNB (Pathology/ Microbiology/ Anatomy) CMC Vellore, TN MD Pathology / MS Anatomy   Laboratory Hematology MD Pathology TMC ,Kolkata MD/ DNB (Pathology) Haematopathology MD / DNB Pathology Molecular Hematology MD / DNB Path or PhD in Life Sciences JMMC & RI, Thrissur, Kerala

JMMC & RI, Thrissur, Kerala DM/FELLOWSHIP POST MD Post Graduates with MD in TM are not eligible to do any DM courses / Fellowships either in Clinical or Laboratory Hematology (MD Pathology , MD Biochemistry, MS Anatomy & MD Microbiology are eligible) Recommendation Modify the eligibility criteria for DM/Fellowship courses for  Clinical or Laboratory hematology, to include MD in TM also JMMC & RI, Thrissur, Kerala

A review curriculum meeting has to be conducted for A Two day workshop was held on August 28 & 29th 2012 @ B J Medical College Ahmedabad Recommendations of the workshop : Uniformity in training, teaching, and examination pattern across the country, based on a competency-based curriculum. Revising the current curriculum. Creating a common platform for interaction amongst people in the field. Periodically conduct such meetings/workshops. Need assessment Simultaneous Evaluation Of the curriculum Recommendation A review curriculum meeting has to be conducted for Evaluation & Modification of the present curriculum http://www.ajts.org/article.asp?issn=09736247;year=2013;volume=7;issue=1;spage=94;epage=95;aulast=Bhatnagar http://www.ajts.org/article.asp?issn=0973-6247;year=2013;volume=7;issue=2;spage=165;epage=165;aulast=Walsh;type=3 JMMC & RI, Thrissur, Kerala

SUMMARY OF THE RECOMMENDATIONS Unified Nomenclature For the MD/DNB courses Recommend to the MCI for modification of eligibility criteria for DM/Fellowship courses for  Clinical or Laboratory hematology Widening the present curriculum by including more of Laboratory & Clinical Hematology Improvise TM curriculum in MBBS Training program Ensure D&C Act ruling on eligibility for Medical officer is strictly followed These associations ( ISTM /ISBTI /ISHTM /AATM) to be more pro active for the benefit of enhancing TM course To make separate MCI form for TM for inspection purposes To include MD TM Persons in licensing authority JMMC & RI, Thrissur, Kerala

Jubilee Mission Medical College & Research Institute Thank You Jubilee Mission Medical College & Research Institute Thrissur, Kerala-