“Career pathways in

Emergency Medicine”
What should U know in India ?
Dr.Venugopalan P P

DA,DNB,MNAMS,MEM-GW

Director ,Emergency Medicine

Aster DM healthcare
 “July21 st2009”
EM has been recognized
 Emergency Medicine
The medical specialty with the principal
mission of evaluating, managing and
preventing unexpected illness and injury.
It encompasses a unique body of
knowledge reflected in the “Model of the
clinical practice of Emergency Medicine”
 Clinical E M
Initial evaluation, treatment and disposition
of any person at any time for any symptom,
event or disorder deemed by the person or
someone acting on his or her behalf to require
expeditious medical, surgical or psychiatric
attention.
ACEM
 Emergency
.
Any condition perceived by the prudent
layperson or some one on his or her
behalf as requiring immediate medical
or surgical evaluation and treatment
 Emergency

It is a situation or condition having a

high probability of disabling or
immediate life threatening
consequences requiring urgent
intervention including first aid

ACEM
 ER physician
A specialist who has been trained to
engage in the immediate initial
recognition, evaluation and disposition of
patient with acute illness and injury..
• ER Physicians do not usually provide long
term or continuous care but they diagnose
a wide range of diseases and perform
interventions to stabilize the patient
• ER Physicians are asked to see a large
number of patients, treat their illness and
arrange for disposition either admitting
them to the hospital or releasing them
after treatment as necessary
• EP requires a broad
field of knowledge and
advanced procedure
skills including surgical
procedures, trauma
resuscitation, advance
cardiac life support
advanced airway
management etc
• Good ER physicians
know every single
details of resuscitation
and treatment
methods of sick and
injured relating to
almost every
specialty.
• EM demands excellent communication skills
and knowledge of human psychology.
• The ED physician has to deal with as well as
establish rapport with patient and their
bystanders who are in an extremely stressful
situation of unexpected emergencies.
 Challenges..

•Deal with crying children,

•Child abuse,
•Violent patient attendants who
more often than not think that
the problem is not worth
admitting the patient
 Challenges..

• Patient who do not trust

doctors,
• Anxious and depressed
patient
• Over worked staff.
 Other Responsibilities [ACEM]
• Administration, research and teaching of
all aspects of Emergency care.
• Follow up care (observation medicine)
• Provision for emergency care to hospital
patient on request.
• EMS and pre hospital care
 Other Responsibilities [ACEM]
• Disaster planning and management (both
natural and man made events)
• Toxicology and poisons center development
• Education of Healthcare providers and the
common public
• Preventive care medicine
• Basic and clinical research especially in
resuscitation and acute care.
 Opportunities

o ED Administrator
o EMS Directors
o EMS and Paramedic
Trainers
• Disaster Planning
Consultants
 Opportunities

o First Aid trainers for non medical

personals
o Best PRO
o Trained appropriately in CPR, Trauma
and Pediatric Resuscitation
o Medico Legal Consultant
 EM team
• EM Physician
• Physician Assistant
• Nurses
• EMT Paramedics
• Ambulance Assistants
• Medico-socio worker etc.
 

ER APPROACH


• EM has unique aspects, such as

approach to patient care and decision-
making Hidden life threatening issues ..
 Mile stones
• MCEM training and Fellowships in EM in Apollo Hospitals before 2004

• MD accident and Emergency Medicine in SMRMC 2005??

• International Fellowship in EM -2007 at MIMS Calicut and KIMS

Trivandrum

• MD Emergency Medicine Amritha , Vinayaka 2008[ Deemed

universities]

• MCI recognised the EM as a medical speciality 2009

• Three years MEM 2010 GWU -2010, subsequently few other US based
universities
 Mile stones

• MD emergency medicine in
2013

• DNB emergency Medicine in

2014

• MRCEM became more

Exam centres 2016
 What are the training
opportunities in EM in India ?

• Fellowship in EM - FEM

One year or
• DAEM
two year
courses
• PGDEM

• Online Fellowship
 What are the training
opportunities in EM in India ?

• MEM- GW, Upstate

University , Meriland
University
Three years training
Non MCI program
• MEM - SEMI
Royal College of emergency
medicine UK
• MRCEM /FRCEM Intermediate

• Carry forward to FRCEM

• Write exams in India

 MCI courses

• MD emergency medicine

• DNB -Emergency Medicine

 Life support courses

• BLS

• ACLS

• PALS

• NALS

• ITLS/PHTLS
 Life support courses

• ATLS
• BDLS
• ADLS
• HAZMAT
• AUTLS
• POCUS
Career path International perspective
 Career Path in India
Medical school Four and half years

Rotatory Internship One year

Residency program: PGY1 ,PGY2 &

Three Years ( 1,2,3 Yrs )
PGY3

Sr.Resident One Year to ( 4th Year]

Registrar/Specialist Two Years ( 5 & 6 year)

Sr.Specialist Three Years( 7and 8 th Year)

Jr.Consultant Three years ( 8,9 and 10 Years ]

Sr.Consultant /Lead consultant Above 11years

 Post PG Fellowships
• EM Ultrasound
• Paediatric EM
•
• Geriatric EM
Trauma

• Forensic EM
• Disaster Medicine
• Environmental EM
• Aviation and
• EMS
AirAmbulance
• EM Neurology

• Toxicology
Job opportunities in
Emergency Medicine
3,53,238
 3 EPs per hospital to cover 24x 7

3,53,238

10,59,714
 4040
Faculty posts
@
10 per
institutions
 What Kind of jobs?

• Government
•India
• Teaching Institutions
• Corporates
• Private hospitals
•International
 What Kind of jobs?

• Specialists

• Sr.Specialist

• Jr.Consultant

• Sr.Consultant

• Lea Consultant
 What Kind of jobs?

• HOD

• Director

• Chairman
 Medical colleges

• Assistant Professor

• Associate Professor

• Additional Professor

• Professor

• HOD
 Other opportunities
• EMS director

• Code blue Committee

Director

• EM Quality Consultant

• Disaster Management
consultant

• Medico legal Expert

• Poison centre Director

 EM Opportunities

• Simulation Center faculty

• Life support courses faculty

• POCUSFaculty
 International

• Registrar

• Specialist

• Consultant

• Director
 International jobs
• UK

• Middle East -
Qater ,UAE ,Saudi

• Australia

• US

• Cruise ship

Qater is looking for 4 years of EM trained doctors

 Cruise ship
Great Carrier opportunity in world famous Cruise ships
More than 30 GW MEM graduates are working in various ships from India
 Endless horizon of
Emergency Medicine

Thanks a lot

www.drvenu.blogspot.com