1. 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

2. 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

3. 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

4. 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

5. JMMC & RI, Thrissur, Kerala
QUESTIONNAIRE
JMMC & RI, Thrissur, Kerala

6. 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

7. 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

8. 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

9. DISCUSSIONS TM / IHBT / IHTM in INDIA
24 colleges with MD IHBT seats
7 colleges with MD TM 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
JMMC & RI, Thrissur, Kerala

10. 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

11. Transfusion Medicine Training Transfusion Medicine Cannot survive
(2013) 104,
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

12. 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

13. 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

14. 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

15. 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

16. A review curriculum meeting has to be conducted for
A Two day workshop was held on August 28 & 29th 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
JMMC & RI, Thrissur, Kerala

17. 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

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