Beruflich Dokumente
Kultur Dokumente
PROSPECTUS
2015
(2 YEAR DISTANCE EDUCATION COURSE for MBBS & Post Graduate Doctors)
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Admission to CMC, VELLORE is through the process described in the prospectus. No fee or donation or
any other payments are accepted in lieu of admission, other than what has been prescribed in the
prospectus.
The General Public are cautioned therefore not to be lured by any person / persons offering admission
to any of the courses conducted by CMC. Should any prospective candidate be approached by any
person / persons, this may immediately be reported to the law enforcement agencies for suitable action
and also brought to the notice of the College at the following address:
IMPORTANT INFORMATION
Please Note: We do not admit students through agents or agencies.
College will not be responsible for any candidates or parents
dealing with such person / persons.
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1. PREAMBLE
The large GP network is the mainstay of healthcare delivery in India. There are close to 2,50,000 General
Practitioners (GPs) in India who have no access to postgraduate education. There is no mandated continuous
education for physicians and most of the GPs do not have many opportunities to remain up-to-date with the
developments in the medical education. The lack of continuous updating of the knowledge and skills by the
GPs has led to a situation where there are excessive referrals because of lack of confidence in handling cases
even with the slightest complication. Many patients, therefore, end up visiting multi-specialty hospitals where the
health care costs are very high. If there are opportunities at their doorstep for the busy GPs to update
themselves and to hone their skills, it would bridge these gaps.
This 2 year Distance Learning Program which uses andragogic methods aided by technology and delivers
through problem-based self-learning modules, video-lectures, video-conferencing, face-to-face contact
programs and innovative teaching-learning methods, aims to equip large numbers of General Practitioners
(GPs) and Primary healthcare physicians to become competent to Refer less & Resolve more, right from
where they are! The course also has a strong component of ethics, values and social responsibility. Aspirants
from both private and public sectors in India and international students from other developing countries can
apply
2. COURSE OBJECTIVES
The overall objective of the PGDFM programme is to build the capacity of GPs and enable them to manage
more cases so that referral becomes less necessary hence the motto:
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to respond out of your individual prior experience. The teaching module is followed by answers to the questions
asked during the module.
The modules are written in a self-learning format and we have tried to make them interesting and easy to read.
We know you are busy, but unless you set apart time to read regularly, you will lose out much in this course.
The algorithms and protocols given in these modules need to be internalised if you want to practice good,
responsible, ethical and evidence-based Family Medicine confidently and that can happen only through regular
reading!
The table below indicates how the topics are organized in the various booklets.
Table 1: List of Self Learning modules
HANDBOOK
1
Basics of Family
Medicine
2
Medicine I
Neurological
Problems , Mental
Health
3
Womens Health
Part I
4
Child Health
Part I
5
MODULE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
TOPICS YEAR
Principles of Family medicine
Promotion & Prevention in Family Practice
Communication & Consultation in FM
Medical Documentation
Referrals in Family Practice
Family Practice Management
Head Ache
Seizures
Stroke
Movement Disorders
Sleep Disorders
Mental Health Problems
Substance Abuse
Antenatal Care
Antepartum Problems
Medical Diseases in Pregnancy
Intra-partum Problems
Postnatal Care
Contraception
Violence in Women
Neonatal Screening
Neonatal Resuscitation
Neonatal Problems
Breastfeeding and Weaning
Immunisation
Developmental Delay
Neck Swellings
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6
MedicineII
Cardiovascular
Problems
7
Medicine III
Respiratory/
Gastro-intestinal
Problems
HANDBOOK
8
Becoming a Family
Physician Roles,
responsibilities,
Attitudes
9
Medicine IV
Infections &
Genito-Urinary
Problems
10
28
29
30
31
Leg Ulcers
Acute Abdomen
Gastrointestinal Bleeding
Common ENT problems
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
MODULE
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
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Womens Health
Part II
11
Child Health
Part II
12
Surgical topics
for a Family
Physician Part II
13
Medicine V
Musculo-skeletal
Problems & Life
Style Medicine
14
Skin/Blood
Problems &
Emergencies
15
Occupational
Health & Age specific
Health Problems
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
Vaginal Discharge
Breast Problems
Infertility
Menopause
Growth Monitoring & Malnutrition
Common Paediatric Problems Part 1
Common Paediatric Problems Part 2
Common Paediatric Problems Part 3
Child Abuse
Groin Swellings
Head Injury
Oral Health
Red Eye
Diminished Vision
Anesthesia for a Family Physician
Orthopedic Problems Part 2
Joint pains
Backache
Aches and Pains (Body ache)
Weight Loss
Obesity
Diabetes
Lifestyle Modifications
Common Infectious skin condition
Common Non-infectious skin conditions
Anemia
Bleeding Disorders
Emergencies for a Family Physician Part 1
Emergencies for a Family Physician Part 2
Occupational Health
Adolescent Health Problems
Mens Health
Geriatric Problems
Palliative care Part 1
Palliative care - Part 2
Supplementary Module - Miscellaneous
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7.2. Video-Lectures
There are some pre-recorded video-lectures which are part of the course curriculum. Some of them, you will be
watching during the contact programs. Some will be end-of-day assignments during contact programs where
you will have to watch them in the evenings as preparation for the next class. Some will be assigned to be
watched at home. These will be intimated to you from time to time.
A list of pre-recorded lectures used in the contact sessions is given below:
Table 2 List of Video-lectures
VIDEOLECTURES
1.
29.
2.
30.
3.
31.
4.
5.
Medical Documentation
Referrals in Family Practice
32.
33.
6.
34.
Approach to Dizziness
7.
35.
8.
36.
Approach to Dyspnea
9.
10.
Approach to Hypertension
Approach to Seizures
37.
38.
11.
39.
Approach to Asthma
12.
Approach to Headache
40.
COPD
13.
Approach to Syncope
41.
14.
42.
15.
43.
Approach to Jaundice
16.
44.
Hepatitis B
17.
Drugs In Psychiatry
45.
Cirrhosis
18.
46.
19.
Approach to Fever
47.
Occupational Health
20.
Antenatal Care
48.
Geriatric Problems
21.
Postnatal Care
49.
Erectile Dysfunction
22.
Contraception
50.
23.
51.
24.
Neonatal Resuscitation
52.
25.
Immunization
53.
26.
Developmental Delay
54.
27.
55.
28.
Drugs in Hypertension
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February 2016
Contact
session-2
October 2016
Contact
session-3
June 2017
Note: All dates are subject to revision. 90% (30 out of 33 days) attendance is mandatory for course
completion
The objectives of the contact sessions are
1. To impart in this short time
The contact Sessions focus on participatory learning involving a wide range of teaching methods employed
by the facilitators. These focus on exploring the skills and attitudes required to practice high quality Family
Practice through small group discussions, role plays, debates, individual and group presentations. The
students observe local consultants in out-patient departments, discuss inpatients, and also have structured
teaching to transfer skills such as ECG, Xray interpretation etc. Group discussions and role plays will be
arranged to present concepts pertaining to ethics, communication skills and other aspects of
professionalism. In addition there are pre-recorded lectures which the students will listen to in their own
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centres, after which all centres will be tele-linked with Vellore where the lecturer is available to answer
questions arising from the talk.
List of contact centres
1. MOSC Medical College, Kolenchery, Kerala
2. Bangalore Baptist Hospital, Bangalore, Karnataka
3. Vijay Marie Hospital, Hyderabad, Andhra Pradesh
4. Railway Hospital, Perambur, Chennai, Tamil Nadu
5. Mission of Mercy Hospital, Kolkata, West Bengal
6. Padhar Hospital, Padhar, Madhya Pradesh
7. Herbertpur Christian Hospital, Herbertpur, Uttar Pradesh
8. Baptist Christian Hospital, Tezpur, Assam
(Effort will be made to give the opted centre, however allotment of centre is at the sole discretion of the
institution purely depending upon the demand of the candidates at the time of allotment of the centres)
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4. Management skills for all common health problems and emergencies (with problem-based, algorithmic,
protocol-based approach and rational prescription and investigations (See List of modules above)
5. Chronic Disease management and follow-up skills
6. Skills for Prevention, Promotion and Counseling activities
7. Community-based approach and management skills
GENERAL
MEDICINE
Examination
Skills
Cardiovascular
Exam
Respiratory
Exam
Abdominal
Exam
Neuro Exam
Brief
Interpretative
skills
ECG
Interpretation
Chest Xray
Interpretation
C-V Risk
Assessment
Wells ScoreDVT Decision
Tool
Chads2- Af
Decision Tool
Peak Flow
Meter
Spirometry
IV Access
Bp
Measurement
Bladder
Catheterization
CRB 65Respiratory
Severity Score
Use Of
Glucometer
Ophthalmosopy
Foot Exam
SKILLS IN
MEDICINE &
ALLIED
SPECIALTIES
Procedural
skills
Ascitic Tap
CT
Interpretation
Nebulization
Therapy
Alcohol Abuse
Screening Tool
Dementia
Screening Tool
MENTAL
HEALTH
Depression And
Anxiety
Screening Tool
EMERGENCY
MEDICINE
Triaging
GERIATRICS
Elderly Exam
DERMATOLOGY
Skin
Examination
Breaking Bad
News
PALLIATIVE
CARE
Assessing &
Managing Shock
Assessing &
Managing All
Emergencies
Given In
Frailty
Assessment
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Examination
Skills
GENERAL
SURGERY
Assessment
Skills
Breast Exam
Instrumental
skills
Proctoscopy
Procedural
skills
Dressings
Interpretative
skills
Stitchcraft
Rectal Exam
ORTHOPEDICS
SKILLS IN
SURGERY &
ALLIED
SPECIALTIES
OPHTHALMOLO
GY
ENT
Examination Of
Genitalia
Incision &
Drainage
Back Exam
Pop Application
Joint Exam
Eg: Knee ,
shoulder
Eye ExamAnterior
Chamber And
Ocular Movts
Splints And
Slings
Fundoscopy
Digital Tonometry
Examination Of
The Eye Using
A Torch
Otoscopy
Use Of Tuning
Fork
Limb X Rays
Interpretation
Basic CT/MRI
Interpretation
Syringing Of Ear
Placing An EarWick
ANAESTHESIA
Examination
Skills
Assessment
Skills
Pre-op
assessment of
patient
OBSTETRICS &
GYNAECOLOGY
Examination
Skills
Antenatal Exam
Assessment
Skills
Instrumental
Skills
Procedural
Skills
Local
Anaesthesia
Instrumental
skills
Speculum Exam
Procedural
skills
IUCD Insertion
Interpretative
skills
Metrogram
Pap Smear
Partogram
Postnatal Exam
SKILLS IN
MATERNAL &
CHILD
HEALTH
Interpretative
Skills
Vaginal Exam
PAEDIATRICS
Newborn Exam
Paediatric
Examination
APGAR Scoring
Otoscopy
Imnci
Assessments &
Management
Developmental
Assessment
Hearing Test
Neonatal
Resuscitation
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Understanding
normality
Managing
multiple
problems
Information
management
Effective
medical care
Quality
assurance
Screening and
prevention
Treatment and
care
Continuity of
care
Comprehensive
care
Managing risk
Importance Assessment
Family Conference
Family Therapy
Family-at-risk + Thinking Family
Prioritisation
Working in teams
Knowing professional boundaries
Using patient record for management
Maintaining patient record
Registers; call and recall systems
Access on line tools
Confidentiality
Evidence based medicine
Guidelines
Formularies
Critical thinking
Research
Audit
Significant event analysis
Broad
Concepts
Problem solving
approach
Community
approach
Empowering
patients,
carers and
staff
Co-ordination
of care
The
Consultation
Health Service
Structure
Values and
beliefs
Specific features
Problem-based Vs. disease based
Clinical reasoning
Screening, assessment &decision tools
Use of resources
Integrating doctor and patient agenda
Local epidemiology
Community profile
Influence of poverty, ethnicity, resources
Knowledge and skills sharing
Encouraging self-care
Behaviour change
Home nursing
Rehabilitation
Teaching 'skill mix'
Referral procedures
Lead role in complex care
Consultation models
Therapeutic environment
Doctor / patient relationship
Specific communication skills
Telephone consultations
Government programs
Legal framework
Health beliefs
Patient centred care
Doctor and society
Ethics
Understanding
yourself
Doctor as
professional
Self care
Values, attitudes, feelings, beliefs
Reflective practice
Lifelong learning
'Professional' behaviour, skills& attitudes
Leadership
Teamwork
Conflict resolution
Managing a busy clinic
Quality improvement
Advocacy: patient; self; staff, community
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7.4. Assignments
There are 100 modules in 15 volumes of the books. Each module will have an assignment to submit ,each
of which is a set of 10 questions (MCQ/EMQs-based). These assignments are to be submitted periodically
as per the due dates as partial fulfillment of the course.
7.5. Project Work
The candidates are also required to complete a project work. Different topics will be allotted for students
belonging to different batches. Project work requires some fact finding, applied learning and basic research
methodology and paper writing skills. Details about the project will be intimated to you later.
7.6. Elective Residency Program (ERP)
Candidates are offered elective residency training for a minimum period of 2 weeks, with an option to extend
it up to 2 years. This training will be at one of the mission hospitals affiliated to CMC Vellore. The following
specialties will be offered as electives.
1. Family Medicine
2. General Medicine
3. Surgery
4. Pediatrics/ Neonatology
5. OG
6. Anesthesia
7. Orthopedics
8. Dermatology
9. Psychiatry
10. Critical Care
11. Emergency
12. Ophthalmology
13. ENT
14. Geriatrics
15. Palliative care
8. ASSESSMENTS
The course assessment is done in two parts: formative assessment and summative assessment where the
formative assessments have equal weightage as the summative assessments.
Summative Assessments:
First Year Exam this exam, which includes theory and practical exams, will be conducted at the
contact centers during the 2nd Contact Program.
Second year Exam this exam, which includes theory and practical exams, will be conducted at the
contact centers during the 3rd Contact Program.
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Formative Assessments:
1. Log Books containing sections for:
Completion by the candidate during each Contact Session to record reflections on the days learning
and how this will impact on future clinical practice
Formative assessment of clinical skills undertaken by facilitators, signed off at each Contact Session.
Examples of clinical skills include: fundoscopy, otoscopy, cranial nerve examination
Recording of five cases and five specific learning needs by candidates between first and second, and
second and third contact sessions, which are then addressed at the subsequent session. This
assesses the candidates skills in reflective clinical practice and ensures they have mastered the
foundations of lifelong learning
2. Assignments to be completed and submitted at the end of each Module.
These are carefully designed in a range of styles to assess the candidates ability to integrate skills,
attitudes and values with theoretical knowledge
3. Project-Work that requires some fact finding and applied learning: eg What are the common prescribing
practices for patients with diarrhoea in your locality amongst GPs, and how does this compare with National
guidelines?
4. E-Talks - The Participation of the candidate and his/ her contribution to the online discussions will be
assessed.
9. CRITERIA FOR THE AWARD OF DEGREE:
A candidate should complete the following criteria for the successful completion of the course.
50% MARK IN SUMMATIVE
50% MARK IN FORMATIVE
MINIMUM 30 DAYS OF CONTACT
ASSESSMENTS
ASSESSMENTS
PROGRAM ATTENDANCE
The course should be completed within a maximum period of 4 years.
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Application fee and course fee once paid will not be refunded for any reason.
Indian nationals may pay the course fee in 2 installments:
Installment
`1st Installment
2nd Installment
Among candidates from abroad, NRIs and candidates from SAARC nations will be given preference,
provided they meet the basic eligibility criteria.
Scholarships
Scholarships are available for candidates who are working or willing to work in the Mission Hospitals.
Selected candidates can become eligible for this scholarship if they undertake to work for a period of at
least 1 year in a mission hospital. This 1 year period of service should be carried out during the course
period.
Further information can be obtained by sending an email to dedu@cmcvellore.ac.in
11. SUBMISSION OF APPLICATION
The applications for the PGDFM 2015 should be submitted online and can be accessed using the link:
http://admissions.cmcvellore.ac.in
3. SOFTCOPY OF CERTIFICATES
Scanned copy of the certificates that are to be uploaded for PGDFM 2015 course application
include the following:
For Indian Nationals & NRIs
(a) MBBS degree certificate
(b) MCI or State Medical Council registration Certificate
(c) MCI Screening test certificate (if the candidate has completed MBBS abroad)
For Foreign Nationals
(a) MBBS degree certificate (or equivalent degree certificate)
(b) Registration Certificate (with appropriate accrediting bodies in their own countries)
(c) Photocopy of their passport or any other documentary proof of citizenship
Scan the certificates using scanner at 200 pixels per inch (dpi).
Paste the images of each of the certificates on separate slides in Microsoft Powerpoint. Since
there are 2 or 3 certificates to be uploaded, both should be inserted on separate slides and
their borders must be stretched to fit the Slide border.
Save it in one single PDF file. Please choose the following option appears at bottom of the box
Minimum Size (Publishing Online).
Ensure that the PDF file size is between 50KB and 500 KB.
ONLY PDF Files will be accepted.
4. DEMAND DRAFT OF APPLICATION FEE
The application fee of the PGDFM 2015 course is Rs.1000. The application fee should be paid by
Demand Draft issued in favor of CMC Vellore Association payable at Vellore.
Foreign nationals and NRIs may send the application fees by wire-transfer. For details, please
write to dedu@cmcvellore.ac.in.
STEP 2: SUBMIT YOUR APPLICATION ONLINE
To fill the online application for the PGDFM 2015,
1. Visit http://admissions.cmcvellore.ac.in/
2. Select Distance Education for DFID & PGDFM Courses
3. Click Apply Online and begin your application. Enter all the details on Page 1 of the Online
Application
4. Upload your photo, signature and certificates on Page 2 of the Online Application
5. Enter your DD/wire-transfer details on Page 3 of your Online Applications.
6. Save a copy of your Application Form & Application Confirmation Slip
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had to deal with all sorts of ailments OBG/Paeds/ Med/Skin/STDs. At times I had to refer them to the
specialists which many would find unacceptable as they would have to wait the next day or sometimes the
stigma would drive them away.
This was what made me to apply for the PGDFM course as it touched so many varied topics everything I had
in mind and more were being covered in the content of the 12modules. The flexibility of the course was a big
attraction. I could go to work, attend to my kids, manage my home and also at the same time, I was learning
every day and getting more and more confident in my practice. The referrals indeed became minimal, all thanks
to the course. At the same time, I was also aware of when to refer my patients. The Contact sessions were of
great help, especially the video-conferencing. I would also like to thank the board for opening new centers in the
North East and yes, even here in Dimapur. Thank you for not forgetting us- the minority!
Today, having completing my PGDFM, I feel so honored and count myself privileged to be a part of the
convocation here in CMC Vellore. I will indeed remain indebted for all the knowledge imparted to me through
this course. Thank you. Sungigg shwen!
Dr. Victoria Seb Khing, Dimapur, Nagaland
I count myself fortunate to be an alumnus of this esteemed seat of learning. It is difficult to express in words how
amazing this journey of learning has been for me.
I wish to congratulate the visionary who conceived this course. The excellence with which the course material
was prepared made it apt, interesting, thought provoking and highly informative which is highly commendable.
The problem based approach makes it very practical and the knowledge gained can be easily applied. The pace
of the course is well organized and periodical assessments keep the student focused. The contact classes were
very useful, well organized and practical. The facilitators were very warm and resourceful. The course is unique
as it covers topics like consultation skills, ethical issues, breaking bad news and palliative care which are new
grounds to many.
The fairly tough exams, the continuous assessment in the form of questions in each booklet, the log books,
weightage to attendance, and the dissertation ensured that the assessment was thoroughly comprehensive.
Last but definitely not the least, the office of the Distance Education Department was very cooperative and
always courteous and ready to go the extra mile for us.
I am really privileged to have taken this course which not only made us better physicians and gave us a Diploma
but also gave us a new visionthe vision to see the need and minister unto the needy with passion & empathy.
It has opened our eyes to realize our role and given us confidence to make a difference in healing the world.
Dr.Moses Jayachander Kantipudi, Awali, Bahrain
It is through NRHM that I enrolled in the PGDFM course with CMC Vellore. Learning at this old age has been a
fascinating experience for us.
Previously in our hospital there used to be 30-35 referrals per month for post partum haemorrhage. The tertiary
care centre is about 50 kms from our place and half of the referred cases used to die on the way. After this
course the referral has come down drastically to 2-3 cases per month and we have been able to save lives. I am
in a much better position to diagnose cardiac cases like MI, silent angina earlier and give the patients the
appropriate treatment at the right time. This course has also been very helpful in managing road traffic accidents
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and I feel proud to state that I have been able to save a few lives through proper management. Now we are able
to manage our cases more efficiently. This has brought down the treatment cost, and referrals to a great extent.
This course has proved to be a boon for a poor state like Bihar and it may to some extent help the economy of
the state.In my opinion this is a perfect course to attain the motto of refer less resolve more.
My personal recommendation is that every doctor after completing MBBS especially, those of the backward
states should go through this course.
In the end I would like to thank CMC Vellore especially Dr. Vinod Shah without whom this speech would
become irrelevant and whose dedication and wisdom designed this course. It has helped us to serve the
suffering mankind better and more efficiently. I would also like to thank the doctors, staff and the management
of Duncan Hospital, Raxaul for making the contact program interesting and interactive and also taking utmost
care of our accommodation during our stay there.
To conclude I would like to adhere to the motto of CMC -- NOT TO BE MINISTERED UNTO BUT TO
MINISTER. Long live CMC !
Dr.Sanjay Jhun Jhun Walla, Samastipur, Bihar
We are extremely to have this opportunity to express our gratitude to CMC Vellore for the Distance Education
Program in family Medicine. No words can express the benefits and support we obtained through this course in
our day to day practice.
We are proud to say that after completing this course we have a lot more confidence and courage in managing
each and every case presented to us.
Thanks and adoration flow deep from our hearts to each one of you who took so much pain and effort in
preparing the notes and classes of this program. This is the finest example of the selfless and dedicated efforts
of a devoted group of people the outcome being this ever growing yearly batch of fine family medicine
Physicians.
Dr. Sara Susan Maveli, Sharjah, UAE
At a time when acquiring post-graduate education is a hard-task and most often an unfulfilled dream, this Postgraduate diploma in Family Medicine came as a blessing to a budding physician like me.
I have not only gained knowledge and skill but also more importantly confidence in being able to provide a full
spectrum of care to patients encompassing almost all ages, sexes, organ systems and disease entities.
Holistic and continuing care for an entire family was one of the key learning points I obtained from this course.
As we all might be familiar, many patients face the trouble of running from doctor to doctor/specialist to
specialist for their various health issues. In this context, I feel that we the family physicians are the solution to
this problem.
I would like to thank CMC and all the wonderful people involved in this course for making us all-round
physicians. Thank you!
Dr. Saira Nooreen K, Chennai
For someone who worked for over 6 years in the Health Insurance sector abroad, I found myself like a fish out
of water when I wanted to get back to clinical medicine. This course was like a stick stretched out to a sinking
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man.The books etch out the vision of a team, committed to making a difference to the health care of this nation.
The vision is now an integral part of us & will be as long as we practice.
The on field application of all the chapters was a great stand out in the entire course. It was not just about
learning topics, but getting equipped to do things on our own and taking up greater responsibilities.
A chance to be taught by Dr.Alka Ganesh and the senior teachers, meeting the pioneer Dr.Vinod Shah, was a
landmark for us and something we will always remember. For those of us who had graduated some years back,
the first contact program was as if we were back to the MBBS days, with the bonding and the fun times.
Most of us have God given visions, but just a handful are able to make them a reality, so heres a big THANK
YOU to the CMC Distance Learning team, for taking a dream and making it into reality.
I believe that one drop at a time, will eventually make an ocean of responsible and committed doctors, in service
to this nation.
Dr. Maria S Denzil, Bangalore
I feel this course is really good and helpful especially to those doctors who have totally lost touch with clinics.
This course enriches our clinical knowledge and enables us to see and treat the patients more confidently. The
course has widely covered almost all aspects of medicine in concise form. For this I really thank CMC Vellore
for giving us the opportunity to go through this course. I hope this course will really help the future batches.
Dr. Rinku Ghosh, Bangalore
I am working in a health centre in Kerala. This course helped me to improve my consultation skills. It made me
more confident in the management of non-communicable diseases such as hypertension & diabetes. The
practical sessions of otoscopy & fundoscopy helped in improving my clinical skills. My ECG READING skills
also improved after this course.
Dr. Preetha S.R, Trivandrum
When I started my medical practice as a general practitioner after a gap of 15 years the PGDFM course came
as a boon to refresh my knowledge and practice of medicine.
The problem approach which the modules contained stimulated my reading and helped me to approach the vital
aspects of diagnosis and management.
The contacts programs have greatly enhanced my learning with facilitators from CMC and locally based
consultants. The facilitators from overseas who are family medicine practitioners made the subject more clear
and corrected some of the obsolete management of medical problems.
The aspects of bioethics, palliative medicine, reproductive medicine and all the 75 modules were presented in
pleasing colours with good quality pictures.
I am glad that I had this unique opportunity of doing PGDFM from CMC which has been passionately enabling
Indian doctors to serve the people.
Dr. Devavaram Prathipaty, Guntur, Andhra Pradesh
Thanks to CMC Vellore and its Distance Education Department for offering the PGDFM course.
It has given doctors like us an opportunity to learn more and update ourselves with the basic intention of
resolving more and referring less.
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The PGDFM booklets provided were very helpful providing us with the necessary medical knowledge and
ethical guidelines for day to day practice.
The contact classes conducted greatly helped to develop a holistic approach towards patient care.
The two year program has been an enlightening one and has brought about in us a positive attitude and
confidence to carry on our profession to the best of our capabilities.
Wishing CMC and the Distance Education Dept success in all their future endeavors.
God bless.
Dr. Julie Jose, Oman
I am really glad that I opted for this PGDFM course. This course has not only added Post graduate Diploma to
my qualifications but also enhanced my skills and knowledge.
The entire prospectus and the study material has been designed in a very interesting manner which helps in
increasing knowledge. The classes conducted at the study center are very much student oriented and the
teachers are extremely helpful.
I am a much more confident Doctor now. I would definitely recommend this course.
Dr. Mitaly Pathak Agarwal, Bangalore
This course was very useful in updating my knowledge of General Practice. It infused confidence in diagnosing
common emergency conditions beyond doubt. The course has emphasized on rational drug therapy and ethical
practice. The algorithms provided in the course booklets served as useful guides. I congratulate the Distance
Education Department of CMC, Vellore for their involvement in educating the General practitioners which is the
need of the hour. This has set a national precedent which others should follow.
Dr.M.Thulasimani, Pondichery
I am a palliative care clinician working in an oncology set up. The course has added tremendous value to the
way I manage co-morbidities in my patients. The curriculum of the PGDFM course was thoughtfully prepared
and systematically disseminated. Although I am from Bangalore, and there is a regional centre there, I am glad
that I chose to do the contact sessions at Oddanchatram, which breathes the same vibes as that of the course
contents.
The central office at Vellore has been exemplary in its support and flexibility to me and I understand to many
others, to help complete the course.
I wish undergraduate medical training was imparted with the same values and care so that the MBBS Doctors
come out with more self-confidence and self-esteem.
Dr. Nandini Vallath, Bangalore
This course is very useful. It definitely helped us improve our practice and helped us render better patient care,
in a more organised way. It is very useful for medical practitioners who are practising in rural areas and cannot
attend regular courses leaving their practice. The modules are very attractive and make the students to read it
and complete the assignments also. With the knowledge gained from this course, we are confident of giving
better care and improving the health status of our patients and our nation.
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The facilitators and coordinators at the Christian Fellowship Hospital, Oddanchathiram received us with warm
welcome and were always willing to teach, and share their knowledge. They helped us in whatever ways
possible. We could feel the true love and affection in the whole campus. The time we spent at Oddanchathiram
is no doubt a pleasant memory for all of us.
In keeping with the motto of this course REFER LESS AND RESOLVE MORE the course definitely helps us in
early diagnosis and effective management and thereby avoiding unnecessary referrals.It is very thoughtful of
CMC VELLORE to conduct such a useful course. It empowers the medical practitioners with knowledge. I wish
and hope many more practitioners get enrolled in this course and improve the standard of their practice and
thereby help to improve the health status of the nation. I strongly feel FAMILY MEDICINE is the specialty
which is needed for the community at present. We all appreciate and thank CMC VELLORE for doing this
wonderful job.
Dr. R.Parimala, Coimbatore
When I joined the course, I had the desire to know something about everything. During these past 2 years, my
views and thoughts about the medical profession have changed. I am deeply inspired to be a multi competent
physician. Many thanks to the Distance Education Dept.
Dr. Suryakanthi C, Ernakulam, Kerala
PGDFM course has given me an opportunity to brush up my knowledge and hone my skills. It gave me the
necessary confidence and a new paradigm Refer less and resolve more with its well-structured approach and
the course content. I sincerely thank all those who have contributed directly or indirectly in developing this
program for the GPs. I look forward to many more such opportunities to keep myself updated and to provide the
best of my services to my society.
Dr. Renu Saraogi, Banagalore
After the completion of the PGDFM course I am able to assess the illnesses and complaints of the patients,
dealing with most and arranging special assistance for a few. Now I serve as the patients advocate, explaining
the causes and implications of illness to the patients and their families, and I serve as an advisor and confidant
to the family.
Thus as a family physician not only am I intellectually satisfied but also deeply rewarded by a better
understanding of human nature which gives a great personal satisfaction that can be found only in family
practice. I am thankful to CMC Vellore for conducting this course. My request is to make this course a post
graduate degree.
Thank you.
Dr Pragati Kumar, Ghazipur, UP
I deeply appreciate the information provided, and the course content you have shared with me. Your assistance
has been invaluable to me during my course. My learning from the course helped me hone myself and made me
upto date with current knowledge.
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This course, not only changed my approach towards health concerns but also helped in extending continuing
care of varied medical conditions which are not limited to a diagnosis or organ system.
In addition, this course has greatly increased my knowledge and helped me to formulate a treatment plan for the
patients that involves screening, counseling, educating the patients, along with special emphasis on diet and life
style changes.
Last but not the least, the completion of this course from your institution at this juncture of my career will surely
be a source of inspiration to many. And I am confident that you will be able to fulfill many more such aspirations
in the future.
Thank you once again. I greatly appreciate your kindness.
Best Regards,
Dr. Kaushik Chatterjee, Mohanpur, Nadia, WB
I am working as medical officer at the ESI Dispensary. We have only an outpatient department in the dispensary
.Those who need specialist care are referred Before doing PGDFM course I used to refer patients to specialists
for trivial complaints on their request. But after the course I developed communication skills and patience and
now I patiently listened to the complaints of my patients and try to give them the best possible treatment at a
primary care level and thus I am able to reduce the referral rate remarkably. By this course I have gained
confidence, patience and good communication skills.
Dr. Sushama Mary ,Kollam, Kerala
I feel privileged to have joined the PGDFM course through which I have come to know my subject in depth. The
course has given me confidence in dealing with patients with the limited resources that are available in my place
of posting. The course has also enabled me to treat patients with satisfaction and as the motto of the PGDFM
course rightly states, I have been able to manage more efficiently and refer less which would not have been
possible with just my MBBS knowledge.
So, I am really grateful to CMC Vellore Distance Education Department for initiating this course which I believe
will lead the way in improving the health scenario of our country.
Dr. Jennifer Shullai, Shillong, Meghalaya
I thank the Department of Distance Education, CMC Vellore for such a wonderful course - PGDFM.
The course has been very useful to me and has helped me a lot in my general practice. I recommend this
course to all general practitioners. I standby the course motto, Refer less and Resolve more. Let us continue
our noble services for the benefit of mankind in a more confident way through PGDFM.
Dr. Nitin joseph , Mangalore, Karnataka
The Post Graduate Diploma in family medicine - is a course of immense importance for general practitioners ,
like mewho donot have a post graduate qualification.
It has made me more confident in managing the common complaints that I see in my general practice.
It has taught me to listen to my valuable patients patiently and to listen to their spoken and unspoken problems
and to address them in a broader way, and thus establish a good doctor- patient relationship.
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It has helped me to broaden the spectrum of the patients that I manage. For example I used to avoid
paediatricpatients before , but now I dont.
It has also enhanced my clinical skills. Now I have started to use an ophthalmoscope(which i did not use before)
in my practice, and this has helped me to manage my patients better and also gain the confidence of my
patients.The course helped me know my limits when to manage and when to refer.
I would like to conclude by saying that - the PGDFM course has helped me to update my knowledge and skills
and manage my valuable patients better. It has taught me not only to treat the disease but to take care of my
patients in a holistic way.
Thank you CMC Vellore.
Dr. Debasish Sinha, Kolkata
I would wish to recommend the program to all doctors sooner after completion of their medical school for those
willing to deal with patients directly.
The PGDFM is so enlightening and empowering a general practitioner to handle most cases that were
unnecessarily referred to specialist.
At the end of the program I was so skilled enough to handle psychiatric cases, ophthalmic cases, neurological
and cardiovascular cases more efficiently as a primary care physician. I have now very few cases transferred for
the specialist second opinion. I have come to realization that most cases presenting to our out patients are
primary care problems.
The algorithmic style of approach to diagnosis leads to institution of early proper treatment and better outcome.
The approach also helps me answer, systematically with more information, to medical students questions during
ward rounds.
I have recommended this course so far to some of my colleague doctors. They are willing to join soon. More
readings and updates however, keep me improving my practice and my relation with patients.
Dr. Tshiani.K. Nigeria
The whole concept of Refer less and resolve more, is a wonderful concept, which will actually resolve 3/4th of
our countrys health problems, and THIS is what the whole PGDFM course has conveyed, in words and in
action in the last two years.
It has been a very enjoyable and pleasurable journey, to breeze through all the modules, which have been
compiled so well by the teachers. It gives a very comprehensive and thorough update and a refresher course in
the field of Medicine.
For a Radiologist like me, who purely took up this course due to my own unquenchable love for Clinical
Medicine, in spite of branching off into Radiology for the last 20 years, it was pure bliss to recapitulate and even
unlearn and relearn so many things.
The contact programs were delightful with the instructors so very dedicated and passionate about Family
Medicine, Kudos to you guys doing a job so well and so straight from the heart!
Once again, I enjoyed the journey more than the Destination, and the Journey will go on life long,..
Thanks to Family Medicine! A Big Thanks to all those people who are involved in this wonderful concept!
Dr. Akhilandeswari Prasad, New Delhi.
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Well crafted, concise, updated, evidence based, tailored to Indian standards, easy to study even for busy
doctors, is what I can say in a line about the course.
The course exposed my potential as a doctor which even I failed to recognize or was obscured by the over
specialty culture in our country. Now I feel that a Family Medicine is itself a speciality which requires the same
or even higher level of clinical skill than my consultant colleagues for which no substitute exist or is in no way
inferior.
Now my referral rate to specialist has declined, the volume of prescriptions and investigations have decreased.
Now I know the healing power of a properly done personalized consultation. Now I learned the meaning of cost
effective management.
Now the question remains as to who should be blamed for keeping this specialty under darkness so long? My
sincere thanks to all the crew at CMC Distance Education Unit for bringing it into light and for teaching me the
difference between health industry and health service. In the Contact Programs, the external faculty from UK
shared their long standing experience in the practice of Family Medicine which is valued much.
Dr. K.J.Anoop, Kerala.
This is one course I would advocate for all who are struggling in their specialties and super specialties and have
forgotten the art of dealing with the general O.P.D. The course made me realize that at least 80% of the patients
can be managed at the primary level without referrals and at the same time recognize the danger signs and the
red flags, so that we do not miss out on any serious findings .The modules are very good and well organized,
which made me even think that if anyone could teach me obstetrics and gynecology in the same organized way
I would definitely be a better gynecologist too. Use of manikins to practice clinical skills will be useful. I was very
happy with the facilitation and the ease we had with our teachers and comates .I will be really missing the
contact programmes .Please can we have some CMEs even if we have finished the course.
Dr. Beatrice Madhavan, Aligarh.
I have been working as medical and health officer in a Government hospital for eighteen long years in remote
places (village) and I could very well understand the need for Family Physicians there .Therefore, I am
privileged to be enrolled in the PGDFM course. We, the Family Physicians have great job to do for the society
especially for the poor.
After doing this course of Family Medicine I have gained a lot of confidence in dealing with different types of
patients. Each and every subject in the modules are written so nicely and are helpful for our practice. Now, less
number of cases are being referred to specialist by me.
Dr. Dilip Kumar Phukan, Dangari, Tinsukia, Assam.
I joined PGDFM with the intention of updating myself. Being a staff in the Indian Navy, I get posting in remote
locations in India. Many a times I had doubt at diagnosis and dilemma in referring patients for specialist care.
After finishing the course, which has the motto of REFER LESS AND RESOLVE MORE, I gained confidence
in diagnosis, identifying red flags at the earliest and referring patients on time for specialist care, to prevent
complications. I imbibed the concepts of Family Medicine and changed my practice from patient care to FAMILY
ORIENTED PATIENT CARE.
Now, health education and training paramedical staff has become part of my practice. This course helped in
enhancing my diagnostic and treating capabilities which ultimately decreased the quantum of referrals in our
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Naval Air base. Everything became possible only because of the determination and dedication of the
Department of Distance Education, CMC which started this course with great concept and wonderful teaching to
change health scenario, in the backward areas of India and to make doctors like me more confident in their
profession.
I feel happy to be part of this great concept of changing Indian health scenario and encouraging & incorporating
the practice of Family Medicine in our healthcare system.
Dr. Chilaka Rajesh, Visakhapatnam.
By enrolling in the PGDFM Course, I could gain more knowledge and skills, apart from those acquired during
MBBS program. This is enabled through the booklets, contact sessions, discussion with fellow students, and
faculty, which made me feel like a real learner.
The course booklets are very valuable and model answer sessions given therein provides thorough knowledge
about the conditions which one could remember vividly, even after reading. The contribution of the faculty
towards these modules is very much appreciated.
Dr. Lal Mohan Ho, Bhubaneswar, Odisha.
The PGDFM is an extremely good and unique course, first of its kind, well organized distance course. It has a
vision for improving health in its true sense, dealing with all aspects of it, starting with equipping the doctors with
knowledge and skills to helping them deal with the physical, mental, social and spiritual dimension of the
patients as endorsed by the WHO.
As for me, I feel much fortunate to have been introduced to this course, more so to have completed it. I enjoyed
every part of the course, which helped me to diagnose illnesses in a much accurate way and resolve them with
much confidence. Being posted in remote and inaccessible areas since i graduated in 2008, this course has
become a blessing to many a patient, who do not have to go too far off towns for treating their ailments any
more, and made me a likeable person. The credit is attributed to this wonderful course. It helps me in rational
prescription of the drugs, and to avoid the practices that I should not be doing. I recommend this course for
every general practitioner in particular and also for the specialists in a particular subject so that maximum
ailments are resolved at minimum expenses in the interest of the community.
Dr. P. Hegin Tungdim, Churachandpur, Manipur.
This course has really taught me to understand a patient well and not just the diagnosis and treatment of
diseases. It enabled me to look at the whole person both psychosocial and physical aspects and the importance
of educating a patient regarding the disease and how to take care of themselves and their family members in
further prevention and spread of it. The course is very informative and easy to understand and has been
beautifully structured with algorithms to simplify the management of conditions. Most importantly this course has
prompted me to dig deeper into the world of Medicine and seek more knowledge.
Dr. Moanarola Ao, New Delhi.
Post Graduate Diploma in Family Medicine (PGDFM) Course gives me an opportunity to add one more degree
in my qualification. It fulfils the main objective of course Refers less and resolve more. As in Bihar, there is no
system of continuous medical education for a Physician. Through this course I update my knowledge with
recent developments in medical science. I gain confidence in managing patients who were otherwise referred by
me earlier. This course will be helpful for me towards contribution to health care delivery system in the
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Government set up and fulfil the objective of NRHM as well. Finally, I must say that it will be a feather in my cap
and a great value addition to my career.
Dr. Narendra Kumar Gupta, Patna.
Im very blessed to do this course, thanks to the time devoted by the team of faculty experts in Family Medicine,
this course has helped me a lot to revise my knowledge and also gain insight into the latest advances in
medicine.
My approach to the patients has completely changed for the better; I learnt the importance of a Family Physician
in the community. We as Family Physicians can be a real blessing to the patients by treating them as far as
possible and referring less; we can do so, only when our knowledge is updated, which the course enabled.
Apart from the medical aspect I got to meet many doctors from different places and got into a professional
network of friends.
The Tele-lectures and discussions helped me a lot, through which I could get additional knowledge by
interacting with other doctors (from all over the country). This was made possible when they asked about their
doubts and shared their opinions.
Dr. M.Porselvi, Bangalore.
I have learnt to RESOLVE MORE AND REFER LESS as right now in my practice I solve most of the clinical
scenario presented at my clinic. The PGDFM course has enormously improved my clinical acumen.
I have learnt the art of breaking bad news to my patients and their relatives based on my encounter in this
program- be it cancer, terminal illness or even death and also caring for the elderly (Geriatrics).
Through this course, I have widened my professional circle across the shores of my country, and both the
faculty and colleagues were easily accessible during the course. Above all the course has taught me, Christian
Values, imbibed at CMC.
DR. Sokowo Allagwoni Jacob, Nigeria.
The course was an excellent, informative and enlightening journey. The booklets were very good with the
necessary study topics and material. The inclusion of a chapter on medical ethics is to be appreciated in the
present day scenario.
Rational prescribing is another laudable chapter. As I have already specialized in ophthalmology, I was
wondering whether I would be able to remember everything. But the flow of the chapters starting with case
scenarios to the following explanations, relevant anatomy and clear treatment schedules made learning easy
and enjoyable. Kudos to the team.
The contact sessions at Railway hospital at Perambur were also very well organized with classes conducted by
very good teachers. I was just lucky to have stumbled upon the course and to have done it. Thanks once again.
Doing this course is helping me in my practice and also in advising and treating my own family.
Dr.Prathiba Janardhanan, Dhrishti Eye Care, Chennai.
I thank God for the training, my life is so blessed. I learnt about the correct attitude to have towards the
profession seeing it as a vocation and not a carrier. I have learnt better communication and consultation skills.
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I have learnt how to manage more cases and now I know better when to refer. I have acquired some other
skills. In short my patients are enjoying better services. .
Dr. Vincent Baba Abaya, Nigeria.
In many countries, medical personnel have to attend courses periodically, in order to renew their practicing
licenses. Here, they are updated in the latest trends and practices in their concerned fields. The advantage of
this is lacking in India and hence medical personnel enter a calibrated loop, repeating the same things again
and again. This is especially so of General Practitioners, who are out of the hospital set up.
This course in targeting the GPs has been a great boon in this aspect. The course books have been helpful
during the course, in refreshing the basics and at the same time, throwing light on the latest trends in diagnosing
and treating cases most commonly dealt by the GP. At the same time these books are going to be of great
value, as a ready reckoner during daily practice. The video conferences were informative and were encouraging
in showing that each and every person, no matter where they hail from, is at some or other stage of learning
and that we all have to continue to learn. No one has arrived. No one has all the answers.
One remarkable fact I would like to point out, is the openness and acceptance of each other that prevailed.
There was a perfect camaraderie and I am thankful for this experience which transformed us from busy hard
core professionals, to students willing to learn from each other. This transformation is necessary to adapt in a
constantly changing world and adaptation is the secret of success. I am grateful to all in the Distance Learning
Department, who have worked hard to birth this most practical and useful course, and hope that it will continue
to keep us in touch with periodical updates.
Dr. Rukhsana Dutt, Muscat, Oman.
Ever since my childhood, CMC Vellore has an iconic stature in my mind. Its excellence in the field of medicine
powered by eminent panel of Doctors and supporting staff, gave CMC Vellore an undisputed top place among
multispecialty hospitals, not only in India, but internationally as well. Ive never dreamt of, at any particular time,
that I too will be able to associate with such a great institution like CMC.
Once I started with my course, I was thrilled with the contents, the way matters were discussed and described,
easy language and the people behind the course really showed why they are in CMC. At this time I must thank
my colleague for letting me know about this course. At first I was thinking what would I learn new by doing a
course in Family Medicine? But from the first module itself I understood there were a huge amount of things
which a General Practitioner should learn. The topic selections by the team were great. Contact
classes were very well organized. Learning while working was a great experience. This course really gave me
immense amount of confidence in dealing from paediatric to geriatric. It has not only changed my knowledge but
the very attitude towards my patients as well. I know that this is not the end of learning, but this course has
really made me to learn more. I dont consider myself as a great physician, but know that Im a better physician
than I was before. I take this opportunity to thank the people behind this course, whose efforts really showed up
in the booklets, and CMC Vellore for giving me this opportunity.
Dr. Sunil Vijayakumar, Sharjah, UAE.
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And Jesus, when He came out, saw a great multitude and was moved with compassion for them, because they were
like sheep not having a shepherd. So He began to teach them many things. When the day was now far spent, His
disciples came to Him and said, This is a deserted place, and already the hour is late. Send them away, that they
may go into the surrounding country and villages and buy themselves bread; for they have
nothing to eat.
But He answered and said to them, You give them something to eat.
And they said to Him, Shall we go and buy two hundred denarii worth of bread and give them something to eat?
But He said to them, How many loaves do you have? Go and see.
And when they found out they said, Five, and two fish.
Then He commanded them to make them all sit down in groups on the green grass. So they sat down in ranks, in
hundreds and in fifties. And when He had taken the five loaves and the two fish, He looked up to heaven, blessed
and broke the loaves, and gave them to His disciples to set before them; and the two fish He divided among them all.
So they all ate and were filled. And they took up twelve baskets full of fragments and of the fish. Now those who had
eaten the loaves were about five thousand men.
Mark 6:30-44 (Bible)
Anything given in the Lords hands multiplies!
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CONTACT DETAILS:
The Coordinator
Department of Distance Education,
2nd Floor, Main Block, CMC Hospital,
Ida Scudder Road,
Vellore 632 004. Tamil Nadu, India.
EMAIL ID
: dedu@cmcvellore.ac.in
PHONE NO : 0416-2283451, 0416-2283433, 09003461291
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