This curriculum provides comprehensive, high-intensity training in the resuscitation and multi-organ support of patients with liver diseases. Key areas include:

• Understand the normal anatomy and physiology of liver.
• Understand the pathophysiology of liver disease and end stage organ failure.
• Acquire the necessary knowledge and skill for the critical care management of acute, chronic and acute on chronic liver failure patients. Understand the organ-organ interactions.
• Understand the physiology of organ transplantation and relevant surgical anatomy of organ retrieval.
• Develop the relevant knowledge in immunology, immunosuppression, transfusion medicine, drug therapy, fluid management, laboratory, biopsy, imaging investigations and make management decisions accordingly.
• Understand, identify and treat immediate and delayed post operative complications.
• Develop the necessary skills in identifying and management of brain death donor.
• Handling referrals, clinical decision making (including remote decision making), transfers.
• Generic and specific skills:
  • Management of airway
  • Invasive monitoring
  • Tracheostomy
  • Bronchoscopy / endoscopy
  • Critical care echocardiography
  • Cardiac output monitoring
  • Ultrasound imaging
  • Neuromonitoring
  • CT / MR imaging interpretation
  • Right heart catheterization principles
  • ECMO
• Develop generic critical care management skills:
  • Team management
  • Audit, risk and governance
  • Communication
  • Finances
  • M&M processes
  • MDT and inter-professional communication
  • Counselling skills with patient relatives
• Develop the skill and spirit of scientific inquiry and orientation to research methodology and epidemiology.
• Understand medico-legal and ethical issues, good record-keeping and data retrieval.
• Understand Practice-Based Learning and Improvement:
  • Utilize information technology and online resources
  • Critically evaluate literature
  • Apply scientific evidence in decision making
  • Use evidence-based and experience-based practices
  • Reflective learning
  • Attend national and international conferences
  • Develop public speaking and presentation skills

Fellowship Duration & Funding:

• For those candidate who have completed at least 1 year of Senior Residency, the duration of the fellowship course is 1 year. For candidates who are fresh pass-outs of their MD examinations, the duration of the fellowship course is 2 years.
• During the training period, all fellows will be paid a monthly stipend/salary by the center.

Roles and Responsibilities

• Work as a full-time resident under supervision of Critical Care consultants.
• Participate in clinical duties including on-call responsibilities.
• Gradually transition from supervised to semi-independent management.
• Act responsibly and maintain integrity with patients and healthcare staff.
• Fulfill duties in a timely and appropriate manner.
• Adhere to ethical principles including patient privacy.
• Demonstrate active learning and patient care participation.
• Participate in teaching programmes.

Teaching

• Training modules across departments like OT, Blood Bank, Microbiology, Radiology, etc.
• Structured modules with defined learning outcomes.
• Participation in pre-transplant meetings, lectures, journal clubs, case discussions, and M&M meetings.

Audits and Research

• Opportunities to participate in research and audit projects.
• Involvement in patient safety and quality improvement initiatives.
• Use of electronic health records and database analysis.