Advanced Center for Continuous Professional Development

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Advanced Center of Continuous Professional Development (CPD)

Advanced Center of Continuous Development (CPD) came into being from 01 January 2020 with an aim to facilitate comprehensive skill development of individuals working in Health Care Sector. Basic purpose of setting CPD was to encourage Skill development and enhancement of Health Care Professionals and also of non-Medical staff to work in Medical Institute efficiently. In addition ensure their capabilities is in pace with current standards to match changing complexity of healthcare needs.

CPD functions as a fulcrum in scheduling, organising and coordinating all academic activities and events at AIIMS Rishikesh.

Advanced Center of Continuous Development (CPD) Divisions

CPD Division
Acting Courses for Human Standardized patients	Administrative Duties & Rules	All Conferences, CME, Symposium & Workshops
Bridging Programs	Cadaveric Dissection Lab	Capacity Building for Extramural Grant & Publications
Courses for Non- Medical Office Staff	Disaster Management & First Aid	Engineering Concerns of Health Care Sector
Executive Courses for Non-Medical Officers	Finance Rules & Regulations	Fire Safety
Good Clinical Practice	Hub & Spoke Model Capacity Building of Health Professionals	Humanities
Information Technology for Health Care Sector	Induction Program	Language Support
Medical Education	Medicolegal Sensitization & Awareness	Nursing Skill & Professional Development
Paramedical Skill & Professional Development	Simulations	Skill Development
Soft Skills & Ethics	Telemedicine	Wet & Dry Lab
Workforce Development	Work Life Balance & Stress Management

Medical Education Cell (MEC) at AIIMS, Rishikesh was conceptualized with aim to keep Faculty Members, Residents and students abreast with latest trends in teaching methodologies and advancements in Clinical and Basic Sciences. It was created to accomplish requirements of teacher and learners with respect to Medical Education. Technological development and knowledge expansion in Medical Sciences has necessitated need for training medical teachers. For a teacher to be conversant with latest developments, up gradation is required at frequent intervals. With this aim, Institute had established a Medical Education Cell, to encourage and conduct activities of Continuing Medical Education (C.M.E.) in April 2013 under Chairmanship of Dean Prof. (Dr.) Latika Mohan with a team of Faculty Members. Lectures and talks by imminent speakers and Faculty Members have been conducted since then with an aim of upgrading and imparting Continuous Medical Education to Undergraduate, Postgraduate students and Clinicians. Continuing Medical Education (C.M.E.) Lecture was first activity that started in May 2013 presented by various departments on topics of common interest. Apart from discussing topics of common interest, Grand Clinical Rounds (GCR) for interesting cases like rare form of vasculitis, poly trauma, primary ovarian insufficiency etc were also discussed by concerned departments with audience including MBBS students.

With vision to establish Centre of excellence in Medical education  and recognition at global level, initially set cell has metamorphosed to a full-fledged department under guidance of Dr. Shalinee Rao, Professor and Head, Department of Medical Education in July 2017. Members of team have expanded to have representation of clinical, para clinical and pre-clinical subjects. Medical Education at AIIMS, Rishikesh since its inception has tried to keep pace with growth of the Institution and has focussed in providing skill competency based programs to ensure participants have satisfactory learning experiences.

CPD encourages health professional to be a lifelong learner, update their professional knowledge, skills, values throughout their careers. This is being done to ensure more professional growth and enhanced performance.

Advanced Center of Medical Simulation & Skill Development is unique selling proposition (USP) of CPD is  fully functional well equipped world class Lab  established to promoting learner- centric education and development of hard and soft skills among Medical Graduate and Postgraduates. Skill-based learning in three phases is encouraged, starting with mannequins and task trainers, standardised patients and clinic based learning.

CPD ensure continuous quality improvement in Medical education plan, implement and evaluate curricular development and faculty development in the medical college in alignment with international developments.  Curriculum development sensitisation and facilitating Information and Communication technology integration in medical curriculum has been encouraged. Faculty development programs conducted through in house experts have added an edge to our efforts to deliver best possible ideology and techniques uniformly to all faculty members. Many courses have been opened to outsiders. With continued team efforts,  CPD is proving its mettle in ever expanding field of medical education.

Vision

Vision

Establish a Center of excellence in Advanced Center of Continuous Professional Development (CPD) with recognition at a global level that fosters quality learning and contributes towards creation of skilled workforce for Health Care delivery system.

Achievements

Achievements

• Center of Medical Simulation & Skill Development to promote student- centric education and development of hard and soft skills in a Medical Graduates and Postgraduates
• Nodal training site of American Heart Association (AHA) for Basic Life Support (BLS) & Advanced Cardiac Life Support (ACLS)
• Nodal Center for Advanced Trauma Life Support (ATLS) & Advanced Trauma Care for Nurses (ATCN)
• Capacity Building initiative has resulted in creating an Internal pool of Resource faculty and Instructors.
• Various teaching and training activities conducted till date
  • Clinical Grand Rounds and Continuing Medical Education as a regular weekly activity from 2013
  • Journal Club as once a month activity from May 2017
  • Mortality meeting as a once in m0nth activity from May 2017
  • Clinical audit as once a month activity from May 2017
  • Guest lectures
  • Various training workshops
  • Orientation course for fresh batch of Interns

Mission

Mission

• Skill enhancement of every Health Care worker (HCW) & non-Medical staff & Officers working in a Medical Institute by scheduling training at regular intervals.
• To promote and conduct regular training of Faculty in basic Methodologies of Medial Education, curriculum designing, communication skills, teaching , learning, assessment , evaluation and Scientific writing.
• To encourage teaching learning activities focussing on six domain competencies in Medical Graduate- Patient Care , Medical Knowledge, Practise Based Learning and Improvement, Interpersonal Skills, Communication And Professionalism And System Based Learning.
• To ensure that knowledge of HCW stay relevant and up to date and abreast with any change in trends and directions.
• To make meaningful contribution by creating effective workforce and deliver a deeper understanding of professional duties, and its implications and impacts at work place.
• Inculcate healthy work culture by instilling soft skills by training all HCW in Professionalism, Interpersonal skills, Communication and Ethics.
• To encourage and conduct research in felid of Medical Education as a step towards quality improvement.

Facilities

Facilities Available

• 50-seater Conference Room & Multiple demonstration rooms with Advanced Audio-Visual aids and wi-fi Internet Connectivity.
• Infrastructure for conducting Skill based workshops.
• High fidelity Simulators, Low fidelity simulators and Task Trainers in Advanced Center of Medical Simulation & Skill development
• Surgical Skills
• Virtual dissection table
• Audience response system for a paperless method for assessment during few training programs.
• Document camera
• Interactive display
• Interactive Board
• White Board and Blackboard

Future plans

Future plans

• Training of Faculty from other Medical Colleges in Medical Education technologies, Evidence Based Medicine and Soft Skills.
• Training of General public in COLS (Compression Life Support) & BLS (Basic Life Support)
• To commence Master’s degree in Medical Education for fostering scholarly activities in Academicians / Educators and provide guidance to enable faculty to advance their scholarly careers in Medical/Dental/Allied Education.
• To collaborate with other Institutes of Excellence/ Universities for exchange of teaching/learning ideas and capacity building

Outreach Activities

Outreach Activities

COLS (Compression only Life Support) has been provided to general public in community to combat out of hospital cardiac arrest. Cardiac arrest can be dealt with and death can be avoided by prompt Basic life support (BLS) Considering complexity in training in Basic life support for layperson a simple yet effective alternative training program is need of hour. With regard to this, Indian resuscitation Council has developed guidelines of Compression-Only Life Support (COLS) for training layperson to resuscitate cardiac arrest victims outside hospital. Compression-Only Life Support is as effective as BLS for cardiac arrest at home, work or public places and CPD has conducted training of general public for COLS.

COLS Provider Course delivered in Community as Outreach activity

COLS Provider Course in Community
S No	Date	Venue	No. of participants
1	09-Jan-20	AIIMS Campus, Rishikesh	37
2	10-Jan-20	IDPL Community Hall	24
3	15-Jan-20	Bar Association Rishikesh	30
4	14-Feb-20	BRO, Rishikesh	19
5	24-Feb-20	HNG, Glass Factory Rishikesh	34
6	25-Feb-20	HNG, Glass Factory Rishikesh	28
7	26-Feb-20	HNG, Glass Factory Rishikesh	34
8	02-Mar-20 Morning	Jolly Grant Airport, Dehradun	18
9	02-Mar-20 Afternoon	Jolly Grant Airport, Dehradun	33
10	07-Mar-20	Jolly Grant Airport, Dehradun CISF	37
Total sessions 10			294

Faculty Members

Faculty Members in Advanced Center of Continuous Development (CPD)

Year	Post	Name	Designation	Department
2019-2020	Head	Dr. Shalinee Rao	Professor	Pathology & Laboratory Medicine
	Member	Dr. Manisha Naithani	Additional Professor	Biochemistry
	Member	Dr. Rajesh Kathrotia	Additional Professor	Physiology
	Member	Dr. Puneet Dhamija	Additional Professor	Pharmacology
	Member	Dr. Farhanul Huda	Additional Professor	General Surgery
	Member	Dr. Ashi Chug	Additional Professor	Oral & Maxillofacial Surgery
	Member	Dr. Madhubari Vathulya	Associate Professor	Plastic Surgery
	Member	Dr. Ankur Mittal	Associate Professor	Urology

Simulation

Simulation

Advanced Center of Medical Simulation & Skill development at All India Institute of Medical Sciences, Rishikesh is a comprehensive set up to enrich & supplement Medical training. It has been established as a Center of Excellence equipped with State-of-art Basic & Advanced Simulation facilities.

Field of medicine has evolved over last few decades under major influence of technology and it is quite different from the other professional fields where there is no scope of a second chance as it involves human life. Recent changes in Medical education with concept of student centric learning and advancement in technological development assists skill development through simulation. There has been a major shift in teaching pattern with more emphasis being given to Learner centric approach with Self-directed and Competency based learning. Medical Simulation & Skill Labs will provide these essential tools to facilitate skill enhancement in students for better patient care management.

Patient safety is the foremost concern in a healthcare delivery system. Keeping in mind ethical, legal issues and patient safety; adoption of contemporary educational technologies would ensure in acquiring desired skills with confidence without causing harm or injury in simulated real life patient clinical setting/scenario.

Skill Training on following aspects:

Soft skills: Communication skills, empathy, behavioural attitude

Knowledge about disease, various forms of treatment and technical capabilities is absolutely vital but soft skill is what separates a good physician from a great physician. Hence, there is a strong need in Medical profession to get sensitized and trained in behavioural elements such as strong communication skills, ability to act with compassion, empathy and to work in a team.

Hard skills: (i) Clinical examination skills and management skills in clinical situations (ii) Procedure skills 

Usefulness for trainees

Advantages of Simulation &Skill Lab is that it can be programmed to simulate selected Clinical findings, conditions or complications and can be used for training on management of these situations. Skill lab will give opportunity to practice desired technique several times until right acquisition of skill. Use of simulation also enables students to practice and make mistakes without risk to patient or themselves. Providing a chance for immediate reflection of performance will be an effective outcome of Simulation & Skill Lab training. Ability to practice frequently and manage complex medical scenario/ emergency situations will help to prevent medical errors.

Following will be benefitted with set up:

1. Medical students
2. Nursing students
3. Interns
4. Postgraduates (MD/MS courses)
5. Postgraduates in super-speciality courses (M Ch / DM)
6. Nursing officers
7. Technicians
8. Faculty

S. No	List of Task Trainers / Simulators
1	A- HPS Adult trauma care &Anaesthesia management simulator
	B- HPS  Simulation paediatric mannequin(ADVANCE)
2	Maternal fetal simulator (obstetric)
3	Trauma wireless simulator adult male(Apollo)
4	Wireless trauma simulator female adult (Athena)
5	Baby simulator (infant)
6	Laparoscopic surgery simulator
7	Virtual dissection/surgical table
8	Ultrasound Simulation with System Monitor
	Male mannequin basic ultrasound abdomen & echocardiography
	Female mannequin basic ultrasound abdomen & obs &gyn ultrasonography
9	Ultrasound guided central line training model
10	Femoral vascular access lower torso ultrasound guided model
11	Picc Line, Intravenous, Arterial Line Vascular Access Ultrasound guided training Model
12	Spinal epidural, lumbar puncture and thoracic epidural training ultrasound guided model
13	Renal biopsy ultrasound training ultrasound guided model
14	Breast elastography and biopsy training ultrasound guided model
15	Soft tissue biopsy  training block ultrasound guided model
16	Midscapularthoracenthesis Ultrasound Guided Training Models
17	Peripheral Doppler ultrasound  guided training models
18	Foreign body identification ultrasound guided training model
19	Paediatric 4 vessel ultrasound guided training model
20	Combination intrautrinepragnancy And Ectopic Pregnancy Transvaginal Ultrasound Guided Training Model
21	Amniocentesis ultrasound guided training model
22	Abdominocentesis training simulator
23	Adult airway mannequin
24	Adult lumbar puncture simulator
25	Advance adult CPR
26	Advance breast examination trainer
27	Advance childbirth skill training model
28	Advance nursing simulator
29	Advanced childbirth simulator
30	Advanced gynaecologic simulator
31	All purpose care & trauma manikin
32	All purpose patient care simulator (juno brother)
33	All-purpose iv training arm
34	Artery puncturing training arm
35	Artery puncturing training arm with rotatable valves
36	Articulating blood pressure trainer arm
37	Aseptic operation training model
38	Baby transparent lavage model
39	Basic breast examination trainer
40	Basic nursing simulator
41	Bedsore cleansing and dressing
42	Breast gland examination training simulator
43	Buttock intramuscular injection model
44	Central venous catheterization simulator
45	Cervical dilatation/effacement simulator
46	Chest tube manikin
47	Diabetic foot trainer
43	Dilatation and curettage of uterine
49	Elbow for joint injection
50	Electronic surgical knot tying model
51	Enema administration simulator
52	Female catheterization simulator
53	Fundus skills & assessment simulator
54	Gynaecological training manikin
55	Infant airway mannequin
56	Infant iv arm
57	Intra aural examination trainer
58	Intradermal injection simulator
59	Intramuscular injection of upper arm muscles
60	Intramuscular injection simulator(with anatomical structure)
61	Intraosseous infusion / femoral access leg
62	IUD insertion model
63	Iv injection training hand
64	Iv training arm
65	Iv training leg
66	Knee for aspiration
67	Knot tying trainer
68	Knot tying trainer 1
69	Local anaesthesia for minor surgery
70	Male catheterization simulator
71	Mate injection simulator
72	Maternity exam models
73	Multi-purpose clinical puncture simulator
74	Multi-purpose injection trainer
75	Multipurpose transparent lavage model
76	Obstetric manikin
77	Paediatric lumbar puncture simulator
78	Peritoneal dialysis simulator
79	Pneumothorax simulator
80	Prostate examination simulator
81	Shoulder for joint injection
82	Spinal injection simulator
83	Suction training model
84	Suction tube feeding simulator
85	Surgical airway and thoracentesis
86	Surgical airway cricothyroidotomy set
87	Surgical bandaging simulator
88	Suture practice arm
89	Swallowing mechanism model
90	The intelligent baby (boy)
91	Transparent d&c simulator
92	Transparent male catheterization
93	Tube feeding simulator (ng, og & peg)
94	Upper arm section
95	Venepuncture pad
96	Venepuncture training arm with rotatable valves

Human Patient Simulator for Training & Education with physical characteristic of an Adult Male & Child Ability to react/simulate Human to intravenous drugs, CPR, defibrillation, intubations ventilation, anaesthetic agents, catheterizations & other procedures. Simulator can breathe spontaneously with a self-regulated rate & tidal volume sufficient to maintain a target arterial carbon dioxide which can be adjusted by Instructor. Normal and abnormal breath sounds are present with Oxygen Saturation and plethysmogram display on clinical patient monitor and can demonstrate various clinical signs (i.e. heart, breath sounds, palpable pulses, chest excursion, airway patency).

Wireless Trauma Care &Anaesthesia Management Simulator (Adult Male & Female)

Simulates human physiology including Cardiovascular system, Pulmonary system, Neuromuscular system, and Central nervous system, exhibits clinical signs (e.g., spontaneous breathing,             eyelid blinking) and can be monitored by parameters (e.g., Electrocardiogram, Blood pressure) and automatically responds to therapeutic intervention without any/ minimal input from the Instructor. Has ability to automatically calculate dependent variables (e.g., Blood pressure, Heart rate) in response to changing cardiovascular system status (e.g., bleeding, intravenous fluid administration), automatically calculates alveolar and arterial gas partial pressures in response to ventilation, fraction of inspired oxygen and metabolic gas exchange. Trauma simulation capabilities include Surgical cricothyroidotomy, Articulated mandible, Articulation in elbow, wrist, knees and elbows; simultaneous bleeding at different sites linked to physiology, Secretions from eyes, ears, mouth, Bi-lateral pneumothorax needle decompression at clinically appropriate location, Bi-lateral chest tube insertion (with fluid return) at clinically correct location. Possible to run multiple injury/disease scenarios simultaneously to create multi-trauma simulations.