Fellowship in Critical CarePharmacotherapy(FCCPT)

Duration of the Program:

Candidate Eligibility:

New Intake and Selection Process:

• New applications will be done online from the ISCCM website.
• New applications will be accepted from 1st of January.
• The last date for registration will be 15th of February.
• There will be provision for registering for the course with a late fee till 22nd of February.
• Candidates need to apply directly to the institute. Selection will be done by respective institute based on candidate’s eligibility which should be confirmed by the individual teachers & institutes.

Institutional Eligibility:

All institutions accredited for IDCCM can offer this fellowship provided they have the required faculty mentioned below.

Faculty Requirement:

There should be a minimum of two teachers who qualify the following criteria - 1 Faculty.1 – An accredited IDCCM or IFCCM teacher , who will be designated as the institution’s course coordinator and be the contact person with the Indian College of Critical Care Medicine 1 Faculty 2- who has either PharmD or MD Pharmacology and Therapeutics (with minimum 3 years’ experience). His/Her credentials need to be vetted by the accreditations secretary and accredited by the Indian College of Critical Care Medicine before the institute is recognized to run this fellowship. (The minimum documents that will be needed to be submitted for accreditation are – certificate of completion of Pharm D or MD Pharmacology from an University recognized by PCI or NMC, respectively and a letter from the head of the institution that the person is working confirming that he/she has been working in the hospital as a clinical pharmacist for 3 years)

Number of candidates:

Each accredited institution is allowed to take a maximum of 2 candidates per academic year.

Guidelines for teachers for running the training program for the FCCP candidates.

1. The FCCPT trainee should be trained to participate in regular rounds as a member of the interdisciplinary critical care team to provide comprehensive medication management (CMM) for all ICU patients.
2. The FCCPT trainee should prospectively evaluate all drug therapy for appropriate indication, dose, drug interactions, drug allergies, and monitors the patient’s pharmacotherapeutic regimen for effectiveness and adverse drug events (ADEs), and intervenes as needed.
3. As part of the interdisciplinary team, the FCCPT trainee should be trained on assisting healthcare professionals in discussions with patients and/or family members to help make informed decisions regarding pharmacotherapy options.
4. The FCCPT trainee should be trained on performing medication reconciliation for ICU patients at the time of ICU admission, transfer from the ICU to the ward, or discharge to home or facility. Also. Performing the reviews of the medication history to determine which maintenance medications should be continued during the acute illness.
5. The trainee should be trained on pharmacokinetic monitoring and therapeutic adjustments when a targeted drug is prescribed, in renal insufficiency, hepatic insufficiency, pediatric dose calculation, anticoagulant therapy monitoring, Pregnancy, Lactating women and Elderly patients with multiple comorbidities.
6. The trainee should be trained on providing routine stewardship activities targeted at anti-infective (Escalation and de-escalation of antimicrobial as per the culture report) and other medications, including those that may be high risk for adverse events, high cost concerns, and inappropriate utilization (e.g., factor products, anticoagulants, sedatives, acid-suppressive therapies).
7. In conjunction with the clinical dietitian, the FCCPT trainee should review the nutrition therapy plan and recommend modifications as indicated to optimize the nutritional regimen.
8. The FCCPT trainee should document clinical activities that include, but are not limited to, disease state management, general pharmacotherapeutic monitoring, pharmacokinetic monitoring, ADEs, education and other patient care activities.
9. The FCCPT trainee should be trained to serve as the medication safety leader for all aspects of the medication use system for critically ill patients in a designated clinical area through monitoring, assessment and recommendations for pharmacotherapy, interdisciplinary patient care and education to patient’s team members.
10. The training should be on Facilitating the administration of medications to patients by assessing availability, route, compatibility, stability, and medication delivery technology to ensure timeliness, safety, and effectiveness.
11. FCCPT trainee should be trained on monitoring a patient’s response to therapeutic regimens by using appropriate data in order to evaluate progress toward the goals of care, modify the plan of care as needed, and minimize adverse outcomes.
12. The FCCPT trainee should be trained on participating as an integral team member in planning and implementation of processes for disaster, or mass causalities, scenarios as applicable to the critically ill patient.
13. The FCCPT trainee should independently investigate or collaborate with other critical care healthcare team members to evaluate the impact of drug therapy protocols, guidelines, order sets, and/ or care pathways used in the ICU (e.g., drug administration, disease state management algorithms).
14. The FCCPT trainees should be trained to coordinate the development and implementation of ICU-focused drug therapy protocols, guidelines, order sets, and/ or care pathways to maximize benefits of pharmacotherapy and also contributes to the hospital newsletter and drug monographs, on issues related to medication use in the ICU.
15. The training should also focus on quality indicators of ICUs and collaborating with medical staff, nursing, other members of the healthcare team, and hospital administration to prepare the ICU for accreditation and to address any deficiencies identified.
16. The training should emphasize on responding or coordinating to all resuscitation and time-dependent emergencies in the hospital including, but not limited to cardiac arrest, rapid response, trauma response, haemorrhagic shock, sepsis response, and acute neurologic life support.
17. The training should include literature surveys, evidenced based practice and case report/studies publication.

A). Clinical Pharmacology, Pharmaceutical Care and Clinical Research

B). Critical Care Therapeutics

1. Acute Illness Scoring Systems
   • Scoring Systems Acute Physiology and
   • Chronic Health Evaluation
   • Simplified Acute Physiology Score
   • Sequential Organ Failure Assessment Score
   • Multiple Organ Dysfunction Score
   • Therapeutic Intervention Scoring System
   • Injury Severity Score
2. Basics of Tubes and Lines, Invasive Monitoring, and Hemodynamics
   • Intravascular Devices
   • Miscellaneous Lines and Tubes
   • Urinary Catheters
   • Rectal Tubes
   • Chest Tubes
   • Pressure Monitoring
   • Neurologic Monitoring Devices
   • Intra-abdominal Pressure (LAP)
   • Intra-aortic Balloon Pump (IABP)
   • Hemodynamic Monitoring
   • Devices for Measuring Hemodynamics
   • Normal Hemodynamic Values
3. Basics of Mechanical Ventilation
   • History of Mechanical Ventilation
   • Indications for Mechanical Ventilation
   • Physics of Mechanical Ventilation
   • Positive Pressure Ventilation Terminology
   • Airway Pressures
   • Volumes
   • Oxygen
   • Ventilator Modes and Settings
   • Controlled Mechanical Ventilation
   • Assist/Control
   • Intermittent Mandatory Ventilation
   • Pressure vs. Volume Control
   • Airway Pressure Release Ventilation
   • High-Frequency Ventilation
   • Pressure Support
   • Positive End Expiratory Pressure
   • Continuous Positive Airway Pressure
   • Automatic Tube Compensation
   • Ventilator Parameters
   • Ventilator Settings Summary
   • Ventilator Complications
4. Analgesia, Sedation, and Delirium Management
   • Pain and Sedation Scales
   • Pain Receptor Pharmacology, Pharmacotherapy of Pain
   • Sedation, Sedation Holiday/Daily Interruption
   • Delirium
   • Neuromuscular Blockers
   • Depolarizing Neuromuscular Blockers
   • Nondepolarizing Neuromuscular Blockers
5. Acid–Base Fundamentals
   • Acid–Base Physiology
   • Assessment of Acid–Base Status
     • pH, Acid, Base, Base Deficit (Or Excess)
     • Acidosis or Alkalosis Alternative Assessment Approach of Acid–Base
   • Acid–Base Management
   • Acid–Base Abnormalities and Effects
6. Fluid and Electrolyte Management
   • Water and Fluid Imbalances in the Critically Ill
   • Fluid Replacement
   • Trauma and Surgery
   • Traumatic Brain Injury
   • Sepsis
   • Sodium Homeostasis
   • Hyponatremia
   • Isotonic Hyponatremia
   • Hypertonic Hyponatremia
   • Hypotonic Hyponatremia
   • Hypernatremia
   • Potassium Homeostasis
   • Hypokalemia
   • Hyperkalemia
   • Magnesium Homeostasis
   • Hypomagnesemia
   • Hypermagnesemia
   • Phosphorus Homeostasis
   • Hypophosphatemia
   • Hyperphosphatemia
   • Calcium Homeostasis
   • Hypocalcemia
   • Hypercalcemia
7. Cardiovascular Critical Care
   • Acute Coronary Syndrome Management (Treatment Protocols)
   • Acute Myocardial Infarction (ST-Elevation) Management
   • Perioperative Cardiovascular Management
   • Coronary Artery Bypass Graft Surgery and Valve Replacement
   • Acute Decompensated Heart Failure
   • Acute Arrhythmia Management
   • Advanced Cardiac Life Support
   • Medications in the Code Tray
   • Cardiopulmonary Resuscitation
8. Acute Kidney Injury, Renal Replacement Therapies, and Medication Dose Adjustment
   • Acute Kidney Injury
   • Chronic Kidney Injury
   • Comparing Renal Replacement Therapies
   • Mechanisms and Contributing Factors in RRT
   • Dialysis, Complications, and Consideration
   • Drug Dosing During Dialysis
   • Drug Dosing in Renal Disease
9. Nutrition Support in Critical Illness
   • Malnutrition in Critical Illness
   • Nutrition Assessment
   • Specialized Nutrition Support
   • Enteral Nutrition
   • Parenteral Nutrition
   • Energy Requirements
   • Parenteral Nutrition Formulations
   • Parenteral Nutrition Components: Macronutrients
   • Parenteral Nutrition Components: Micronutrients
     • A Step-Wise Approach to Writing a Parenteral Nutrition Order
   • Monitoring
10. Antimicrobial Therapy in the Critically Ill
    • Factors Affecting Initial Antimicrobial Selection
    • Likely Pathogens Based on Site of Infection
    • Diagnostic Testing
    • Institution-Specific Considerations
    • Patient-Specific Considerations
      • Pharmacokinetic and Pharmacodynamics Considerations
    • Antimicrobial Resistance Considerations
    • Fungi Infection
    • Empiric Therapy Approaches
    • Sepsis and Septic Shock Management
    • Other Infections in the Intensive Care Unit
      • Potential Adverse Consequences of Antimicrobial Therapy
    • Induction of Resistance
    • Other Consequences of Antimicrobial Therapy
11. Hematologic Diseases and Bleeding Complications of Critical Illness
    • Hemorrhagic Disorders
    • Anemias
    • Thrombotic Disorders
    • Oncologic Emergencies
12. Pharmacotherapy of Neurotrauma and Neurologic Disease
    • Traumatic Brain Injury
    • Intracranial Hypertension
    • Seizure Prophylaxis and Seizure Management, Status Epilepticus
    • Cerebrovascular Disease
    • Spinal Cord Injury
    • Neuroprotection Hemodynamics and Neurogenic Shock
    • Neuromuscular Disease
    • Coma and Brain Death
13. Gastrointestinal Disorders
    • Gastrointestinal Bleeding
    • Jaundice, Diarrhea, Obstruction, Pseudo obstruction
    • Acute Liver Failure
    • Acute Pancreatitis
    • Dosing adjustment in Liver Failure
14. Pulmonary Disorders
    • Airways Management, Airways Obstruction
    • Acute Lungs Injury and Acute Respiratory Distress Syndrome
15. Endocrine and Metabolic Diseases
    • Diabetic Ketoacidosis and Hypoglycemia
    • Thyroid Storm, Myxedema Coma, and Adrenal Crisis
16. Environmental Emergencies and Miscellaneous
    • Temperature Related Illness
    • Burns
    • Poisoning and Drug Overdose
    • Snake Bite
    • Shock
    • Electrical Trauma
    • Critical Care of Pregnant Patient
    • Minimal Procedures in Critical Care and its Complication

A log book to document the training that the candidates have undergone will be provided (Attached on line). All candidates are requested to have their log book filled up and attested by their teachers, in real time. The completed, attested log book needs to be submitted during the practical examination for assessment and evaluation. Candidates whodo not submit a completed log book will not be awarded a pass in their exanmination.

Click here to download log book format : Download

Written Exam-100 MCQs (Subject A- 30%, Subject B-70%)

*To pass each subjects candidate need to score 50% in Written and Oral Examination.

Course Fee Details: