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While India has only about 150 positions for training Cardiologists (DM and DNB in Cardiology), less than a hundred doctors eventually become specialists every year. There is a wide gap between availability of cardiology expertise and a load of cardiac morbidity in rural as well as urban areas. Whatever cardiologists are trained, they are employed/practicing in metropolitan cities or large towns.
This deprives the large population of our country from the cardiology expertise. In India, where 25 percent of the population is living below poverty line (2002) and more than 70 percent of them are living in a rural area, most of the trained cardiologist are concentrated in the costly sophisticated tertiary care hospitals which are situated in the urban area. Since high tech hospitals are not only unaffordable but also non-accessible for most of the people of the country.
Program Code: Post-Graduate Diploma in Clinical Cardiology (PGDCC)
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List of Available PGDCC Study Materials:
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MCC-01 Fundamentals of Cardiovascular System-I |
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Block-01 |
Basic Anatomy, Physiology, Development and Radiology of the Heart |
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Block-02 |
Fundamentals of Electrocardiography |
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MCC-02 Fundamentals of Cardiovascular System-II |
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Block-01 |
Fundamentals of Echocardiography |
| Block-02 |
Cardiac Catheterization and Angiography, and Radionuclides Studies |
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MCC-003 Common Cardiovascular Diseases- I |
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| Block-01 | |
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Block-02 |
Ischaemic Heart Diseases |
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MCC-04 Common Cardiovascular Diseases- II |
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Block-01 |
Rheumatic Fever and Infective Endocarditis |
| Block-02 |
Valvular Heart Disease, Diseases of Pericardium and Cardiomyopathy |
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MCC-05 Common Cardiovascular Diseases- III |
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| Block-01 | |
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Block-02 |
Cardiovascular Surgery and Cardiac Rehabilitation |
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MCC-006 Cardiovascular Epidemiology |
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Block-01 |
Preventive Cardiology |
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MCC-007 Cardiovascular Related Disorders |
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Block-01 |
Cardiovascular Related Disorders |
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MCCL-01 Cardiovascular Evaluation I |
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Block-01 |
Log Book |
| Block-02 | |
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MCCL-002 |
MCCL-002 Cardiovascular Evaluation II |
| MCCL-003 | |
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MCCL-004 |
MCCL-004 Management of Congenital Heart Diseases |
| MCCL-005 | |
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MCCL-006 Intensive Coronary Care |
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This Programme will have great social relevance. Indians are genetically three times more vulnerable to heart attack than Europeans. While the average age of heart attack victims in Europe is more than 60 years, the average age of Indians is between 40 to 50 making it a disease of the breadwinner of the family causing major socio-economic upheavals.
We are also genetically more vulnerable to diabetes at a younger age, which again leads to premature atherosclerotic disease leading to a heart attack. While in the USA every fourth man develops a heart attack before retirement in India it is every third man developing a heart attack. One out of one thousand children in our country suffers from rheumatic valvular heart disease which if not treated early leads to major complications leading to premature death. One out of one hundred and forty children born anywhere in the world has heart disease. India produces the largest number of children in the world.
So, for obvious reasons, we produce the largest number of children with heart disease in the world. A country with over a billion population requires at least a few thousand cardiologists to be produced every year to address the growing needs of the heart patients. If a doctor is trained as a Cardiologist after doing his MD in Medicine he obviously prefers to live in a major city rather than migrating to smaller towns whereas if an MBBS doctor is given a course in Clinical Cardiology his chances of going to smaller towns and semi-urban areas are bright.
OBJECTIVES
To establish a core programme dedicated to training larger numbers of medical graduates in Clinical cardiology to deal effectively with the early recognition, management, and prevention of common cardiovascular diseases (Non-Invasive Cardiology) and associated diseases particularly Diabetes Mellitus.
Admission Procedure
PGDCC programme was offered since 2006. All the course materials need revision because those course materials were written in 2005. The quality of the course materials is one of the strengths of the programme. The PGDCC programme is now under the revision process. The advertisement for the newly revised programme will be available on the IGNOU web site after approval of the competent authority of the University. It is, therefore, there is a delay in the admission process in the PGDCC programme for the 2014 session. All details of the newly revised programme and its admission process will be provided in the new prospectus on the IGNOU website.
Implementation
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Practical Courses
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Duration of Training
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Minimum number of Hands-on Practical skill Training sessions
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First Year
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Wards + OPD (MCCL 003)
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3 Months (90 days)
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30
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ECG/Stress Testing (MCCL 001)
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3 months (90 days)
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60
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Echocardiography (MCCL 002)
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3 months (90 days)
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45
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ICU/CCU (MCCL 006)
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3 months (90 days)
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30
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Second Year
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Special Observation (MCCL 006)*
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1 month (30 days)
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ICU/CCU (MCCL 006)
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2 months (60 days)
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15
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Ward + OPD (MCCL 003)
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3 months (90 days)
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30
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Paediatric Cardiology (MCCL 004)
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3 months (90 days)
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45
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Community Posting (MCCL 005)
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3 months (90 days)
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45
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Examination & Evaluation
Assignment/Continuous/Internal Evaluation
PGDCC students will be evaluated periodically through assignment/continuous/internal evaluation for all theory and practical courses. The evaluation will be conducted at the respective Programme Study Centre with prior notice. Students are needed to pass in all courses separately. If any student failed in the internal examination which is conducted by the respective PSCs then he/she will be not eligible for writing theory (in that particular course) as well as practical Term End Examination. In this case, the PICs send the report to the Registrar, Student Evaluation Division (SED) and Programme Coordinator of the result of internal evaluation and the attendance of previous 6 months or 1 year before 15th May for June exam and before 15th November for December Term End Examination. Candidates may fill up theory exam form but the Hall ticket will be not issued for the particular course (in which he/she failed in internal examination) or entire course (in case of shortage of attendance). In such a scenario they will be delayed for 6 months for the particular student. Another internal examination needs to be conducted for the particular student/s for a particular course (in which he/she failed) after 6 months before next term-end examination. It was requested that all the PIC continue to maintain the quality of the training in their respective institutions. All facts need to be communicated to the students at the beginning.
The students would be expected to pass each of the theory and the practical separately both in continuous/internal evaluation as well as Term End Examination. The minimum pass percentage for both theory and practice would be fifty per cent. There will be of fifty per cent weightage for continuous evaluation and fifty per cent weightage for Term End Examination for both theory and practical courses. The internal assessment of the theory as well as a practical component will be conducted by the counsellors located at the PSC. The counsellors and Programme in charge will make an objective and subjective assessment of your understanding and performance of knowledge and skill for both theory and practical courses.
The term-end theory examination of the first-year theory courses will be after the end of the first year. The student passed in the first year theory courses (MCC-001, MCC-002, MCC-003 and MCC-004) after that he/she will appear only in second year theory courses (MCC-005, MCC-006 and MCC-007) at the end of the second year. If he/she does not pass at the end of the first year then he/she may again give the examination after the six-month of the initial term-end examinations. Student can appear in the second year Term-end examination without passing all the courses of first-year term-end examination. The students would be required to maintain log-books which will be signed before they will be allowed to appear for their Term End Practical Examination. The term-end practical examination will be held after completion of two years of training (24 months of training). Passing in internal assessment of all the practical courses separately is a prerequisite for appearing in the Term-end Practical examination. For term-end practical examination, there will be one internal and one external examiner.
Term-end Theory Examination
The examination of the first-year theory courses will be after the end of the training of the first year. If the student passed in the first year theory courses (MCC-001, MCC-002, MCC-003 and MCC-004) then he will appear only in second year theory courses (MCC-005, MCC-006 and MCC-007) at the end of the second year. If he does not pass at the end of the first year then he may again give the examination after the six-month of the initial term-end examinations.
The result will not be declared if the examination division receives any kind of complaint like shortage of attendance against any student.
Students are requested to fill up the Theory Term End Examination with Rs. 60/- fee for each course before 31st March for June Term End Examination and before 30th September for December Term End Examination. The Examination form needs to be sent to the Registrar, Student Evaluation Division (SED), IGNOU, Maidan Garhi, New Delhi – 110068 OR Submit the examination form to the IGNOU Regional Centre. Students are encouraged to fill up the online form for the theory examination.
Term-end Practical Examination/ Evaluation
The Form for Term End Practical Examination needs to fill after completion of 24 months of the training in the PGDCC programme. Students are requested to submit the Practical Examination form to their respective Programme -Incharge (PIC). PIC will examine and further send the practical examination form to the Regional Director along with the attendance certificate, Completion of training in all the courses and result of continuous evaluation of all the courses. There is no fee for the Practical Term End Examination.
Following are the three prerequisite requirements to appear in the Term End practical examination.
1. Passed in all the theory and practical internal evaluation separately.
2. Completion of training in all the respective 6 practical courses with prescribed duration.
3. Attendance certificate showing more than 85 per cent attendance in theory as well as practical training.
Students are requested to attach these certificates along with the form of Term-end Practical examination. Students have to deposit the form with the respective programme in-charge.
For term-end practical examination, the number of examiners will be depending upon the number of students. The internal examiners will be from the same programme study centre and the external examiners will be the counsellors from other IGNOU programme study centres (for PGDCC Programme) of other Programme Study Centre. Their names will be decided by the Student Evaluation Division (SED) in consultation with the School of Health Sciences (SOHS). An observer from IGNOU may also be present. The practical term-end examination will be held only after completion of two years training of respective batch of the students. Following the ratio of the examiners and students should maintain.
| Number of the Students | Total Number of the Examiners | Number of the Internal Examiners | Number of the External examiners |
| Up to 6 | 2 | 1 | 1 |
| 7 – 12 | 4 | 2 | 2 |
| 13-18 | 6 | 3 | 3 |
The examination pattern will be uniform in the whole country. There will be three cases, slides/spots and viva. A student will have to score at least 50 per cent of marks i.e. 30 marks out of 60 marks in each course separately in the six practical courses to pass successfully. Otherwise, he/she will have to repeat the respective course.