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Enrollment Eligibility Criteria

 

Eligibility Criteria for New Accreditation /Re-accreditation of centers

 

The institution that wishes to take up the Fellowship program should be able to fulfil the following MINIMUM ESSENTIAL criteria:

 

1. Establishment:

  • The institution should be in existence with a tertiary level NICU for at least 5 years
  • The NICU (Neonatal Intensive Care Unit) should have been in continuously working condition and is admitting Sick Newborns in NICU for at least 5 years.
  • The institute should be registered with the local authorities and the registration number.
  • The unit should be separate part of a tertiary multi-specialty hospital or stand alone tertiary referral pediatric hospital.
  • The unit should be separate part of a tertiary multi-specialty hospital or stand alone tertiary referral pediatric hospital.
  • All units should be located independently in a separate area with its separate access. They should not be on sharing basis with pediatric or multi-specialty critical care unit.

2. Infrastructure: The NICU should fulfill the following criteria:

  • At least 20 separate incubators/ Radiant Warmers in working condition.
  • Central oxygen and suction supply
  • At least 2 functional ventilators that can provide CPAP and conventional ventilation with methods such as SIMV/AC etc, to neonates
  • Single and double surface phototherapy units (CFL and/or LED)
  • Multipara Monitors having facilities for monitoring continuous ECG, Pulse Oximeters, Invasive BP, NIBP and Rectal Temperature
  • Infusion Pumps, Syringe pumps, drip monitors
  • Standard equipment for procedures such as lumbar tap, intercostal drain insertion, peritoneal dialysis, exchange transfusion etc
  • 24-hr service of portable X-rays
  • 24-hr service for basic laboratory investigations
  • At Least 400 NICU admissions per year for at least last 5 years.
3. Faculty/ Consultant Neonatologist: The unit should have at least 2 fulltime Consultant Neonatologist/ Faculty staff members. The qualification being a faculty is:
  • DM/DNB (Neonatology) recognized by MCI with at least 5yrs post qualification experience or
  • Post MD (Pediatrics) Fellowship in Neonatology (Fellowship training of IAP/NNF/University/Overseas fellowship of at least 1 year duration) with at least 10 years post qualification experience or MD Pediatrics with 10 yrs of post qualification experience of working in level 3 NICU care. It is must to have at least 1 full time faculty having certified training in neonatology (DM/DNB Neonatology with 5yrs post qualification experience or MD with fellowship training of IAP/NNF/University/Overseas fellowship of at least 1 year duration with 10 year post qualification experience).
  • All teachers should be life members of Central IAP and IAP Neonatology Chapter.
  • Only full time individuals are eligible to be teachers. They should be attached only to the hospital of record with no other outside commitments during at least 8 working hours and is responsible for or shares the responsibility of the functioning of the unit/s within that institution only.
  • Visiting consultants/pediatric ICU/part time teachers who provide regular input in patient care and conduct at least one teaching session a week will be an added bonus but will not be officially counted as teachers.
4. Resident Doctors/ Staff Nurses:
  • At least 3 resident doctors who have minimum MBBS qualification, working in the unit. The unit should all the time have the coverage of resident doctors having at least MBBS qualification. MD (Ped) residents/Senior residents in the unit is desirable.
  • Nursing staff and sister-in-charge should be specially trained and experienced in care of neonates
  • The NICU should have appropriate Nurse: patient ratio for Level III and Level II Care
5. The institution should have :
  • An in-house obstetric department with a turnover of at least 50 deliveries a month OR there should be arrangements for the student to attend 50 deliveries per year.
  • Facilities for training mothers to breastfeed, especially those babies who are the NICU graduates
  • Facility for Kangaroo Mother Care
  • High Risk Follow up outpatient services to NICU Graduates
  • Ophthalmologic evaluation of neonates: ROP Screening in NICU and Treatment
  • Auditory evaluation of neonates
  • Physiotherapy evaluation of neonates
  • Surgical treatment of emergency surgical situations in neonates
  • The institution should be registered with the local health authorities
Accreditation of Fellowship Centre
  • Application for Fellowship Inspection request should have:
    1. Application of Intent of interest in starting IAP Neonatology Chapter Fellowship Program/accreditation from Head of the Institution and Head of NICU. This should be addressed on the institutional letter head to the Chairperson of the IAP Neonatology Chapter.
    2. Fellowship Centre Enrollment Preliminary Evaluation Form (Can be downloaded from the link given below)
    3. Faculty /Consultant CV along with Highest qualification Degree Xerox Copy, IAP Membership No, IAP Neonatology Membership No.
    4. Copy of the registration with the local authorities.
  • Institute should send the “Fellowship Centre Enrollment Preliminary Evaluation Form” along with application for inspection to the “Secretary Office of IAP Neonatology Chapter” (only soft copy) along with Inspection fee of Rs. 40000 as given in the website.
  • After receipt of application the eligibility of the centre will be checked by the office and reviewed by the fellowship committee ( min 6 months from the application submission date). Inspection will be carried out only if the centre will be fulfilling the above written MINIMUM ESSENTIAL Criteria. It is the entirely the responsibility of the applying centre to check the eligibility criteria before applying for the inspection. No refund will be entertained at any time.
  • The applying institution if found eligible for inspection will be notified and inspection will be carried out by 2 inspectors. The cost of travel and lodging of the inspectors will be the responsibility of the applying institution.
  • The number of candidates sanctioned per unit shall be based on the number of NICU beds, teachers and Neonatal Unit admission rate.
    • Total Numbers 2 Seats 3 Seats 4 Seats
    Admission to NICU >400 600-1000 >1000
    Ventilation 100 100-200 >200
    Teachers 2 3 4


    Ventilation includes CPAP, NIV and invasive mechanical ventilation.
  • If there is an additional fellowship program in the unit, the minimum number of admissions for two seats is 600 / year to the NICU and if the unit runs a DM/DrNB Program in Neonatology, the minimum number of admissions for 2 seats is 1000/ year to the NICU with > 200 ventilations.
  • The institution shall be eligible for having 1 inspection only per 1 year of academic year. In case of re- inspection, it shall be considered as a fresh case and new application form need to be submitted.
  • If a fellowship coordinator who has been running fellowship program for 5 years or more moves to a new centre he/she is eligible to apply for fellowship accreditation if the unit is running for 1 year or more.
  • If a fellowship coordinator leaves the institute, it is the responsibility of the centre/Institute and Coordinator/faculty to inform the chapter office about the change with in 2 weeks. Failure to do so may lead to suspension of fellowship centre/ fellowship faculty for 3 years from IAP Neonatology Chapter Fellowship Program. The centre will be eligible to take any new student only after the re-inspection of the centre is done.

Reaccreditation of Fellowship Centre

 

  1. Reaccreditation of fellowship centres will be done every five years. Fellowship centre should apply for reaccreditation after completion of 4 years of the fellowship program. The reaccreditation application should be duly filled and sent to the office. The accreditation committee will review if the minimal essential criteria are fulfilled and approve the reaccreditation. No physical inspection is required. It will be the fellowship centre’s responsibility to get the reaccreditation done before the completion of five years. The chapter will charge a minimal fee of Rs. 10000 for reaccreditation .
  2. In case of a change in fellowship coordinator a re-accreditation of the centre is required and the centre needs to reapply for the inspection through proper application process. The fee for re-accreditation of Rs.10,000 is payable to the chapter. A physical inspection of the unit by at least one inspector is mandatory. The cost of travel and lodging of the inspector will be the responsibility of the applying institution.
  3. If the unit has < 50% pass percentage over 2 year, a reaccreditation with physical inspection of the facility is mandatory.