Past HoD
1. |
Dr. A.B.Dey ( Founder ) |
Till 2020 |
DR. PRASUN CHATTERJEE
ADDRESS-F93, Ansari Nagar West Campus, AIIMS, New Delhi-110029
E-Mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
DATE OF BIRTH:- 30/09/1978
Motivating and talented elderly care physician and Professor driven to inspire students towards academic and personal excellence in Geriatric Medicine, Gerontology and community Geriatrics.
Consistently striving to create a model of active ageing through life course perspective, by research, academics and philanthropy.
An exceptional thinker and researcher, who work tirelessly in a wide and varied spectrum ranging from community health care to molecular research.
CORE EXPERTISE
Geriatric Medicine, |
Psychiatry |
Thoracic Medicine |
Management, Project planning |
Spreading social Health Awareness |
Social Service |
Problem solving |
Resource planning |
Administration |
ACADEMIC QUALIFICATIONS
M.B.B.S (1997-2004) - Calcutta University
Training in Psychiatry (2004-2005) - Calcutta University
Diploma training in Pulmonology (2005-2007) - Calcutta University
Doctor of Medicine (M.D) in Geriatric Medicine (2007- 2010)- Madras Medical College
Sr. Residency Geriatric –(2010-2013)– All India Institute of Medical Sciences (AIIMS), New Delhi
Senior Research Associate (2013-2014)-Awarded by CSIR
EXPERIENCE
Department of Geriatric Medicine
All India Institute of Medical Sciences (AIIMS), New Delhi (Govt. of India)
Associate Professor 2 March to 15 September 2021
Department of Geriatric Medicine
All India Institute of Medical Sciences (AIIMS), New Delhi (Govt. of India)
Assistant Professor 20th May, 2014 –30th June, 2017
Department of Geriatric Medicine
All India Institute of Medical Sciences (AIIMS), New Delhi (Govt. of India)
Consultant 2 March 2020 - till date
WHO Regional Office for South-East Asia, New Delhi.
Member to the Technical advisory group for measurement, monitoring and evaluation of the UN decade of Healthy Ageing.
Responsibilities:
As a faculty in Geriatric Medicine at AIIMS:
MD Student :
Madras Medical College
Leading Postgraduate for teaching MBBS, MSc Nursing and Junior Post graduates – Madras Medical College
PUBLICATIONS AND AWARDS
Book Authored- “Health and Wellbeing in Late Life: perspectives and Narratives from India”- published by Springer Nature (https://link.springer.com/book/10.1007/978-981-13-8938-2)
Scientific Articles:
Awarded research grant from highest research funding agency of India such as Indian Council of Medical Research (ICMR) and Department of Science and Technology (DST) on innovative research projects:
Project supervising as Co-Investigator
Book Chapters
1. Approach to Older People in Clinical Settings - Postgraduate Medicine by Jaypee Brothers Medical Publishers Pvt. Ltd. Chapter 140
2. Geriatric health in India-API West Bengal Branch- March 2009, Infection in Elderly - Chapter 7
3. Immune Status in the Elderly- for the Medicine Update 2012
4. Biomarkers of aging – for the Medicine Update 2013
5. Development of geriatric medicine in India and others parts of world- Textbook of Geriatric Medicine, 1st Edition, 2014
6. Immunology of ageing- Textbook of Geriatric Medicine, 1st Edition, 2014
7. Geriatric Syndrome- API text Book of Medicine-11th Edition, 2019.
PROFESSIONAL MEMBERSHIP
Member of the WHO South-East Asia Region Expert Panel for Healthy Ageing and WHO Clinical Consortium on Health Ageing.
Indian Academy of Geriatrics
State Medical Council of West Bengal- 59042
Medical Council of Delhi- 52156
1st January 2018-31st December 2018
1. OPD visits – 53,341 (Male – 30,408; Female – 22,933) (New patients – 15,638)
2. IPDadmissions
Duration |
Category |
Male |
Female |
Total |
January-March |
Short Admission |
91 |
92 |
183 |
Long Admissions |
131 |
88 |
179 |
|
Mortality |
29 |
28 |
57 |
|
April-June |
Short Admission |
75 |
67 |
142 |
Long Admission |
130 |
91 |
221 |
|
Mortality |
29 |
20 |
49 |
|
July-September |
Short Admissions |
101 |
87 |
188 |
Long Admissions |
137 |
86 |
223 |
|
Mortality |
23 |
16 |
39 |
|
October-December |
Short Admissions |
89 |
71 |
160 |
Long Admissions |
131 |
100 |
231 |
|
Mortality |
37 |
17 |
54 |
|
Total |
Short Admissions |
356 |
317 |
673 |
Long Admissions |
529 |
365 |
894 |
|
Mortality |
118 |
81 |
199 |
3. Rehabilitation services – 11,468 (Male – 5489, Female – 5979)
GUIDELINES FOR COMPETENCY BASED POSTGRADUATE TRAINING PROGRAMME FOR MD IN GERIATRIC MEDICINE AT AIIMS
PREAMBLE:
Older Indians carry a large burden of disease and disability and pose a tremendous challenge for the health sector as well as also social and economic infrastructure. Several initiatives of Government of India namely: National Policy on Older Persons, National Health Policy, National Population Policy, Maintenance and Welfare of Parents and Senior Citizens Act, 2007 and the National Program for Health Care of the Elderly launched in the financial year 2010-11, have emphasized the need for provision of quality and specialist health care of the older population. Specialized training in the field of gerontology and Geriatric medicine has become the need of the hour to realize the state initiatives in old age care.
GOALS
The goals of this curriculum are to create a cadre of health professionals in the care of the older people; who would:
i) provide comprehensive health care and rehabilitation of the elderly
ii) provide undergraduate and postgraduate training
iii) carry out research in geriatrics and gerontology
SUBJECT SPECIFIC LEARNING OBJECTIVES
After completion of post graduation in Geriatric Medicine, the physician should be able to fulfill the following objectives:
i) to provide necessary care to older people in both hospital and home settings
ii) to organize and implement different health care programs for the older person
iii) to conduct research to improve health status of the older person and thereby improve quality of life, to reduce disability and arrest or delay age related problems.
CURRICULUM
Course Contents
A) Basic Sciences: biology of human ageing, epidemiology of human ageing, immunology of human ageing, pharmacokinetics and pharmacodynamics in ageing, effect of ageing on different organs, death.
B) Clinical Geriatric Medicine: Cardiology, pulmonary medicine, gastroenterology, endocrinology, nephrology, neurology, infectious disease, rheumatology, critical care medicine, hematology and oncology.
C) Allied specialties: Anesthesiology, Urology, Gynecology, Ophthalmology/ENT/ Dentistry, Orthopedics, dermatology, Psychiatry, Surgery, Pre – operative and post operative management, .
D) Preventive Geriatrics: Rehabilitation, end of life care, legal, ethical, social and economic aspects
SUBJECT SPECIFIC THEORETICAL COMPETENCIES
Paper I: Applied Basic Sciences
Anatomy, Physiology, Biochemistry, Pharmacology, Microbiology, Pathology, Forensic and toxicology
Paper II: General Medicine and Psycho-Geriatrics
Introduction to Clinical Medicine: Headache, chest pain, abdomen pain, joint pain, chills and fever, lassitude and asthenia, dyspnea, cough, hemoptysis, cyanosis, edema, palpitations, nausea and vomiting, dysphagia, gastrointestinal bleeding, jaundice, ascites, weakness, sexual dysfunction, tremor, chorea, athetosis, syncope, dizziness and vertigo, disorders of sensation and motor weakness,delirium, memory loss, sleep disorders, convulsions, anemia, carcinoma of unknown primary.
Immunological Factors in Disease: Components of immune system, mechanism of the immune response, immune deficiency and lympho-proliferative disorders, types of immune reaction and their relation to disease, suppression of immune reactions and its effects, Sjogren’s syndrome, systemic lupus erythematosus, vasculitis and sarcoidosis.
Infection and Diseases: Nature of microorganisms, epidemiology and spread of infections, defense of human host, diagnosis of infections, pyrexia of unknown origin, streptococcal infections, staphylococcal infections, typhoid, tetanus, brucellosis, sexually transmitted infections, hospital acquired infections, gram negative bacterial infections, anaerobic infections, fungal infections, parasitic infections, tuberculosis and HIV.
Chemotherapy of Infections: Antibiotics and other antibacterial agents, anti-virals, anti-fungals, anti-retroviral, anti-parasitic therapy and antimicrobial stewardship.
Disturbances in Electrolyte and Water Metabolism: Hyper- and hyponatremia, hyper- and hypokalemia, calcium and magnesium metabolism, disturbances in h+ ion concentration
Diseases of the Cardiovascular System: Cardiac arrhythmias, heart failure, valvular heart disease. ischemic heart disease, pericardial diseases, cardiomyopathies, myocarditis, atherosclerosis, hypertension, diseases of the aorta, peripheral vascular disease, deep venous thrombosis.
Diseases of the Respiratory System: Disease of the upper respiratory tract, bronchial asthma, chronic obstructive pulmonary disorder (COPD), cor-pulmonale, bronchiectasis, interstitial lung disease (ILD), occupational and environmental lung disease, sleep apnea, acute and chronic respiratory failure, neoplasm of lung, diseases of pleura, mediastinum and diaphragm
Diseases of the Gastrointestinal System: Diseases of the esophagus, gastro-esophageal reflux disorder (GERD), peptic ulcer, gastritis and other diseases of the stomach, inflammatory diseases of small and large intestine, diverticulosis, malignancy of stomach, colon; mal-absorption syndrome, diseases of the peritoneum
Diseases of the Liver and Biliary Tract: diagnostic procedures in liver disorders, derangement of hepatic/ biliary metabolism, acute hepatitis, chronic active hepatitis, cirrhosis of liver, tumors of liver, suppurative diseases of liver, infiltrative and metabolic diseases of liver, disorders of gall bladder and bile duct
Diseases of the Pancreas: Diagnosis of pancreatic diseases, acute and chronic pancreatitis, Tumors of pancreas
Diseases of the Kidney and Urinary System: Acute renal failure, chronic kidney disease, dialysis, glomerulonephritis, nephrotic syndrome, vascular diseases of the kidney, infections of the urinary tract, obstructive uropathy, urinary incontinence, nephrolithiasis
Diseases of the Endocrine System: Hypothalamus and pituitary gland, hyper- and hypothyroidism; hyper- and hypoparathyroidism; diabetes mellitus, hyperinsulinism / glucagon and its effects; diseases of the adrenal cortex and medulla; diseases of the testes and ovaries, disorders of bone and mineral metabolism, osteoporosis and metabolic syndrome.
Diseases of Blood and Blood Forming Organs: Blood formation and destruction, 2, bone marrow failure, blood groups and blood transfusion; abnormal hemoglobins, myeloproliferative disorders, leukemia, lymphomas, amyloidosis, plasma cell disorders, diseases of spleen and reticulo-endothelial system, febrile neutropenia, disorders of platelets, hemorrhagic disorders, coagulation disorders, antiplatelet, anticoagulant and fibrinolytics, chemotherapy and it side-effects.
Diseases of Connective Tissue, Joints and Bones: Osteoarthritis, Rheumatoid arthritis, including late onset rheumatoid arthritis (LORA), spondyloarthritides,polymyalgia rheumatica, fibromyalgia, gout and pseudo-gout, tumor of bone.
Diseases of the Nervous System: Diagnostic methods in neurology, coma, headache, epilepsy, sleep disorders, dementia, diseases of cranial nerves, cerebro-vascular diseases, diseases of the spinal cord, diseases of the peripheral nervous system and muscles, diseases of the autonomic nervous system, Parkinson’s disease and other movement disorders, pyogenic infections of the CNS, viral infections, multiple sclerosis and other demyelinating diseases; metabolic and nutritional diseases of brain; degenerative diseases
Diseases of the Skin: Skin lesions of general medical significance, generalized pruritus, pigmentation of the skin, disorders of melanin metabolism, photosensitivity and other reactions to light; hirsutism and alopecia; cutaneous manifestations of internal malignancy, Psoriasis, Scabies, Fungal infections of skin
Psycho-Geriatrics: Epidemiology of mental disorders in the elderly, definition and classification of psychiatric disorders, delirium /acute confusional state,depression in old age, bipolar disorder, functional psychiatric disorders in old age, personality and behavioral disorders, psycho-geriatric service - principles of treatment
Critical care Medicine: Sepsis and septic shock, shock and cardiac arrest, cardiopulmonary resuscitation, neurological critical care, oncological emergencies, mechanical ventilation, nutrition in critically ill, respiratory critical care, analgesia and sedation in ICU, fever in ICU, fluid and inotrope management.
Management of Psychiatric Illness: Alcoholism and other substance abuse, care-giver problems, depression and other mood disorders, acute psychosis and other psychotic disorders, anxiety disorders, somatoform and somatization disorders.
PAPER III: Geriatric Medicine
General: Demography, world trends, Trends in India and developing countries, the aged and society – past and present, evolution of geriatric medicine
Gerontology: Normal and abnormal ageing, theories of ageing, metabolic and structural aspects of ageing, biochemical changes in the normal ageing brain, ageing in tissues and cells, atherosclerosis and ageing, ecology of human senses, the milieu interior and ageing
Geriatric Medicine: How are older patients different; common patterns of disease in old age, frailty, alteration in pain and temperature responses, missing symptoms, complications of illness, non-specific presentations, masking by known disease, history taking in the elderly, physical examination of the old patient, comprehensive geriatric assessment.
Investigations in the elderly: Policy and interpretation; Radiological, hematological and biochemical investigations; ECG, Urinalysis, Radio isotope tests; Bone Scan; Imaging – ultrasound, CT Scan, MRI and PET Scan; How much to investigate; Concept of normal range
Immunology: Genetic aspects of immunity and immunological diseases; mutation, alternative theories of ageing, cancer, immunological surveillance
Nutrition: Nutritional requirement; changes in total body mass and body composition; nutritional assessment, nutritional deficiency in old age, vitamin D, iron, trace elements, vitamins, recommended intake of nutrients, prevention of nutritional deficiency
Cardiovascular System: Physiology and pathology of cardiovascular system in old age; investigation of heart diseases in old age, cardiac arrhythmias, coronary artery disease and acute myocardial infarction; hypertension and hypertensive heart disease; postural hypotension, valvular heart disease, chronic congestive heart failure, aortic aneurysm, infective endocarditis, peripheral vascular disease, deep venous thrombosis and pulmonary embolism
Endocrine and Metabolic Disorders: Changes with ageing, diabetes mellitus, diseases of the pituitary, parathyroid, and thyroid; obesity, sexual dysfunction, disorders of sodium, potassium, calcium, magnesium and zinc; disturbances of fluid metabolism, hyperpyrexia / heat stroke
Central Nervous System: The ageing brain, vascular lesions of the central nervous system, dementia, degenerative disorders including Parkinsonism, head trauma, infections of the nervous system, epilepsy, peripheral neuropathy, disorders of spinal cord and nerve roots; neoplasia
Genitourinary System: Structural changes with ageing, acute and chronic renal failure; infections of the genitourinary tract, diseases of the bladder and prostate; urinary incontinence, ageing changes in the genital tract, post-menopausal bleeding, gynecological disorders in the elderly
Disorders of the Special Senses: Disorders of the eye, Hearing disturbances, Disturbance of taste and smell; Dental problems
Infections in the Elderly: Host defenses – natural barriers; white cell response, immune mechanism; diagnosis of fevers, urinary tract infection -diagnosis and treatment; pneumonias -cause, diagnosis and treatment; septicemia, bacterial endocarditis, antibiotic treatment, rational use of antibiotics, vaccination of elderly.
Gastro-intestinal System: Changes with age, investigations of the gastro-intestinal tract, disorders of the mouth, GERD, hiatus hernia, acid peptic disease, disease of the pancreas, diseases of the small intestine, diseases of the large intestine, fecal incontinence, gi malignancy, disease of the liver and biliary system; constipation – prevention and management
Respiratory System: Changes with age, infections of the respiratory system, chronic obstructive airway disease, bronchial asthma, cor pulmonale, bronchogenic carcinoma, respiratory abnormalities in extra-pulmonary conditions, respiratory failure
Musculoskeletal System: The ageing joints, gait and balance impairment, degenerative joint disease, gout and pseudo-gout; rheumatoid arthritis, infective arthritis, myopathy, myositis, polymyalgia rheumatic, temporal arteritis, osteoporosis, osteomalacia
Hematopoietic System: Changes with ageing, anemia in the elderly, the leukemia and lymphomas; paraproteinaemia, myelodysplastic syndromes, disorders of hemostasis
Dermatology: The ageing skin, pruritus, cancers/benign lesions, pemphigus and pemphigoid; senile purpura, herpes zoster, intertrigo, leg ulcer
Malignancy in old age: Incidence, clinical significance, Presentation, investigation and management; counseling
Pharmacological Aspects of Ageing: Pharmacokinetics in the elderly, pharmacodynamics, drug selection and dosage; drug interactions, adverse drug reactions, drug compliance, drug misuse
Surgery in the Elderly: Pre-operative assessment, priorities for surgery, surgical emergencies, fractures, gangrene –amputation, elective surgery, post-operative problems and management; anesthesia in old age
Special Problems: Pressure sore, care of the chronically ill, care of patients with terminal illness; religion and illness; falls; nursing home placement, ortho-geriatric care
PAPER IV: Social and Preventive Geriatrics including rehabilitation, and advances in Geriatrics Social Geriatrics:
Preventive Geriatrics:
Rehabilitation:
Advances in Geriatric Medicine: Alzheimer’s disease, Parkinsonism, osteoporosis, urinary incontinence, falls / prevention of fractures, parenteral nutrition, stroke clinic and memory clinic; anti-ageing research
SUBJECT SPECIFIC PRACTICAL COMPETENCIES
TEACHING AND LEARNING METHODS
Organization of contents
Duration: 3 years
1st year: First 6 months Geriatric Medicine and Rotation in periphery
2nd year: Rotation in peripheryand Geriatric Medicine
3rd year:Rotation in periphery and Geriatric Medicine
Rotations include: Geriatric Medicine: 18 months; Emergency Medicine (2months), Pulmonary Medicine (1 months), Intensive Care Unit (3months), Cardiology (2 month), Neurology (2 months), Hematology (15 days ), Physiotherapy (15 days), Rheumatology (15 days), Psychiatry (15 days), Gastroenterology (1 month), Endocrinology (1 month), Nephrology (1 month), Medical Oncology (1 month), Palliative Medicine (15days) and Day Care and Special Clinics (45days)
Procedures’ skills performed: IV line insertion, arterial line insertion, central line insertion, endo-tracheal intubation, bone marrow biopsy, thoracocentesis, peritoneocentesis, lumbar puncture, ICD insertion, peritoneal catheter insertion, foley’s catheter insertion, point of care ultrasound,synovial fluid aspiration, intraarticular injection,skin biopsy,nerve biopsy, muscle biopsy etc.
Procedures’ skills observed: Angiography, 2 D-echocardiography, Endoscopy, Colonoscopy, Fibroscan, Bronchoscopy, Dialysis, Renal biopsy, Plasmapheresis, NCV/ EMG etc.
Educational strategies: It should be problem oriented as well as integrated with other disciplines. Apart from that the curriculum should be both hospital and community oriented.
Teaching method: Teaching methods should include the following:
ASSESSMENT
Formative Assessment: during the training programme
Internal Assessment is mandatory in postgraduate curriculum in AIIMS. It should be valid, objective and reliable; it should cover cognitive, psychomotor and affective domains. The Internal Assessment should be conducted in theory and clinical examination. The thesis is assessed separately.
Feedback from the internal assessment should be given to the students, and contribute towards final evaluation.
Assessment
End Assessment: At the end of the training programme
Scheme of Examination:
1. Thesis
Thesis will be submitted by each candidate at least six months before the theoretical and practical examination. The thesis shall be examined by a minimum of three examiners; one internal and two external examiners, who shall not be the examiners for theory and practical; on the acceptance of the thesis by two examiners, the candidate shall appear for the final examination.
2. Theory: Theory consists of four papers:
Paper I: Applied Basic Sciences
Paper II: General Medicine and Psycho-Geriatrics
Paper III: Geriatric Medicine
Paper IV: Social and Preventive Geriatrics including rehabilitation, and advances in geriatrics
Theory Examination:
Paper Title Duration Max. Marks
Internal Assessment 80
1. Applied Basic Sciences 3 hours 80
2. General Medicine & Psycho-geriatrics 3 hours 80
3. Geriatric Medicine 3 hours 80
4. Social & Preventive Geriatrics including, 3 hours 80
Rehabilitation & Advances in Geriatrics
3. Clinical:
Clinical examination will comprise of 4 cases with different problems and will carry 80 marks each and the candidate will be provided 45 minutes to complete the evaluation. The candidate will be assessed for his/her ability to complete total assessment and management of medical and social problem with stress on multiple pathologies. The communication skills and case sheet writing skill shall also be evaluated. Score out of 80 marks from internal assessment will be added to the final tally.
4. Practical: X-ray, ultrasound, CT, MRI, ECG, biochemical report, psychiatric assessment, retinal assessment via Ophthalmoscope
5. Oral and Practical
Recommended Reading:
Books
Journals
All India Institute of Medical Sciences
Ansari Nagar, New Delhi - 110029
Board Number : +91-11-26588500 / 26588700
Fax : +91-11-26588663 / 26588641