The College of Neurocritical Care (CNCC) has been created by the society, with the aim of promoting education and training in the field of neurocritical care. The main objectives of CNCC are to implement and carry out the educational activities of SNCC; to conduct certified courses and examinations in Neurocritical Care such as fellowship of SNCC/ISCCM (FNCC) or any other in future; to encourage and promote research in neurocritical care; and to establish guidelines and protocols for procedures and management criteria of patients under neurocritical care, aimed at upgrading knowledge and skills of members of SNCC. The CNCC board has been created to manage the affairs and business of the college. The college board members are nominated by the executive committee of the SNCC.

College of Neurocritical Care (CNCC)

Dr. Kapil Zirpe – Chancellor

Dr. Joseph Mathew – Vice Chancellor

Dr. Vasudha Singhal – Secretary

Members

Prof Shalini Nair (Vellore)

Dr. Jaya Wanchoo (Gurgaon)

Dr. Neeta Karmarkar (Mumbai)

Dr Subrata Singha (Raipur)

Dr Chandril Chugh (Delhi)

Recognised Teachers & Centers

Dr. Harsh Sapra

Medanta, The Medicity, Gurgaon

harshsapra@hotmail.com

Dr Kapil Zirpe

Ruby Hall Clinic, Pune

kapilzirpe@gmail.com

Dr N Selvarajan

Kovai Medical Centre, Coimbatore

drseldhana@gmail.com

Dr Shalini Nair

Christian Medical College, CMC Vellore

drshalininair@gmail.com

Dr M N Sivakumar

Royal Care Coimbatore

drsivaicu74@gmail.com

College of Neurocritical Care
(CNCC)
[An Academic Body under the aegis of SNCC (Society of Neurocritical Care)]

Bye-Laws, Guidelines and Functions

One of the primary principles of any medical organization is to promote the growth and development of that specialty in order to ensure safe medical practices and patient outcome. Neurocritical care has developed as a specialty in our country over the last few decades. The Society of Neurocritical Care was formed in 2018 with the main aim of associating and affiliating all the physicians who are/were practicing / interested in neurocritical care, into one organization. It was registered as a society with Registration No. S/RS/DW(SW)/314/2018 with the Registrar of Society, Delhi dated 12th March 2018.

The College of Neurocritical Care (CNCC) has been established within the governance of the SNCC. This College is organized as an autonomous body for its internal affairs, but shall in no way act in a manner prejudicial to the parent association or contrary to the association’s (SNCC’s) bye-laws, which shall take precedence over this document.

Aims and Objectives

  • To implement and carry out the educational activities of SNCC.
  • To conduct certified courses in neurocritical care such as the fellowship of SNCC (FSNCC).
  • To conduct examinations.
  • To encourage and promote research in neurocritical care.
  • To establish guidelines and protocols for procedures and management criteria of patients undergoing neurocritical care, aimed at upgrading knowledge and skills of members of SNCC.
  • To seek affiliation with national and international associations and societies or similar bodies to achieve the objectives of the parent association.
  • To guide the SNCC from time to time in academic activities and develop new programs.
  • To promote SNCC’s professional certifications and examinations within the country and to gain national and international accreditation for the same from statutory bodies like MCI, DNB, IGNOU and others.

Finance

CNCC will not have any independent income of any form. All financial supports are from the SNCC and the college shall be responsible for the distribution of funds. The detailed report of the expenditure will be submitted to SNCC annually, and the parent body (SNCC) will audit the accounts. CNCC will have a separate bank account to which SNCC will transfer the yearly expenses required. Therefore, no profit thereof shall be paid or transferred directly or indirectly by way of dividend bonus profits or in any manner whatsoever to the present or future members of the college. No members will have any claim to movable or immovable property of the college or make any profit by virtue of this membership.

Membership

  • Membership of CNCC will be restricted to those who passed the fellowship examinations of SNCC and also the honorary fellows.
  • Members of SNCC can apply for honorary ‘Fellowship’ of CNCC. This will be reviewed by the College Board and an honorary Fellowship can be awarded, provided the applicant fulfils the criteria for honorary fellowship.

Structure and Administration

The affairs and business of the College shall be managed by the College Board. Its structure is given below.

 

Chancellor

Vice Chancellor

College Secretary

Board Members (4)

 

The College Board of CNCC comprises of the above-mentioned members along with President of SNCC. Secretary and Treasurer of SNCC are ex-officio to the board. The College Board should meet at least twice every year. The roles, responsibilities and the tenure of the members of the College Board are given below. The members of the College Board are nominated by the Executive Committee of SNCC.

 

Roles and Responsibilities of Various Members of CNCC

Chancellor

  1. The Chancellor is a senior respected member of the SNCC who has spent several years in Neurocritical Care with a significant role in the association’s academic activities.
  2. The Chancellor shall chair all the College Board meetings.
  3. Shall award the fellowship certificates and awards of the FSNCC to the successful candidates during the national conference of ISCCM/ SNCC.
  4. Shall affix his signature in the fellowship certificates (FSNCC).
  5. Essential role of advisor to overall activities of CNCC.
  6. Oversees academic planning, academic programs and reviews curriculum development of fellowship courses especially the FSNCC.
  7. Maintains liaison with external universities and other organizations within the country or outside.
  8. Supervises and advises regarding the financial expenditure of the college.
  9. Overall supervision of the examination, research activities of the college and advises the board regarding modifications or changes required.
  10. The Chancellor shall be the disciplinarian for all the members of the College Board.
  11. The tenure of the Chancellor is for a period of three years. This is a single time post.

 

Vice Chancellor

  1. The Vice Chancellor is a senior respected member of SNCC who has spent several years in Neurocritical Care with a significant role in the association’s academic activities.
  2. Steps into the role of Chancellor in case the Chancellor is not available.
  3. Contributes to academic planning, examination patterns and curriculum development of fellowship courses.
  4. Act as a link between the Chancellor and Secretary.
  5. As an arbitrator when there is dispute or difference of opinion among members of the College Board.
  6. The tenure of the Vice Chancellor is for a period of three years. This is a single time post.

 

Secretary

  1. The Secretary is a senior respected member of SNCC who has spent several years in Neurocritical Care with a significant role in the association’s academic activities.
  2. Supervises the research activities of the college.
  3. Supervises the refresher courses, mock examinations and other periodic evaluations of fellowship students.
  4. Reviews the guidelines and functions of College periodically and suggest modifications.
  5. He/She handles and maintains all official documents of the college.
  6. He/ She shall receive the projected budget amount from SNCC at the beginning of every financial year. Shall maintain receipts and payments details of the CNCC and present it in the executive committee meetings of SNCC. Secretary will also submit yearly financial statement to the Treasurer SNCC for auditing.
  7. He/She will maintain the guidelines / functions / duties of the college.
  8. He/She shall also uphold the bye-laws of the CNCC and ensure the correct tenure of every member of the college board.
  9. He/She will arrange the college board meeting in close liaison with the Chancellor, Vice Chancellor and Members.
  10. He/She will be maintaining the minutes of the college board meetings.
  11. He/She will be keeping the members of the college board well informed with its activities.
  12. He/She is the representative of the College to the Executive Committee of SNCC.
  13. He/She is the representative of the College to external bodies including Universities both within and outside the country.
  14. He/She shall receive complaints and suggestions regarding improvement in academic or any other activity related to the College and take the final decision after consultation with the Chancellor and Vice Chancellor.
  15. He/She shall consult with the Chancellor and Vice Chancellor in taking major decisions.
  16. He/She shall be responsible for all academic records of current and former students.
  17. He/She shall finalize the results of FSNCC.
  18. Shall officially inform the candidates of their results and academic standards.
  19. Shall prepare the fellowship certificates and affix his/her signature.
  20. Shall be responsible for publishing the results of FSNCC in SNCC website/Newsletter.
  21. Shall organize the presentation of the certificates (convocation) to the successful candidates and award ceremony during the national conference of the ISCCM/ SNCC.
  22. Shall be responsible for honorary FSNCC selection process.
  23. He/She shall prepare an annual college calendar.
  24. The tenure of the Secretary is for a period of three years.

 

Members

  1. Implementation of the teaching program for various skills required in neuroanaesthesia and intensive care.
  2. Helping in the development and coordination of the college curriculum
  3. Contribute to the expansion of academic programs when required.
  4. Help in the management of the non-faculty members of the College
  5. Help set up policies and procedure for the students
  6. Encourage more research / training / publications from registered fellowship students and support them academically
  7. Generate student data files based on their performance during the course
  8. The tenure of the academic council members is for two years but members with

significant contribution may be re-elected more than once.

 

CNCC Protocols and Processes

 

  1. Eligibility Criteria for an FSNCC Centre
  2. Institutions interested in starting fellowship programme in neurocritical care (FSNCC) can apply only if the neurocritical care unit in their institute has been functioning for more than two years.
  3. The institute should have a dedicated neuro ICU with at least 10 beds (with at least 5 mechanical ventilators) or >20% of bed strength dedicated to neurologically ill patients, and an annual turnover of at least 400 neurological/neurosurgical cases.
  4. The operating rooms and intensive care beds must have state of the art equipment for invasive & non-invasive monitoring and ventilation. In addition, there should be 24 hours biochemical laboratory services including an arterial blood gas analyser.
  5. Institutions should have two full time faculty who are eligible to be considered as teachers:

1 Senior faculty – should have a post graduate degree with MCI recognised qualification (MD/MS/DNB), with at least 8 years of experience in neurocritical care in a recognized institute

1 Junior faculty with at least 3 years of experience in neurocritical care.

  1. Teachers with an MCI recognised Post Graduate Diploma should have atleast 10 years’ experience for senior faculty, and atleast 5 years’ experience for junior faculty
  2. The teachers must have at least two original article publications in a peer reviewed journal to be eligible.
  3. The teacher should be a life time member of the ISCCM & SNCC.
  4. Both the teaching faculty should be working in the institute for atleast one year prior to applying for the fellowship.
  1. The institute applying for the accreditation must give an undertaking in addition to having two eligible teachers that:
  • In case a teacher leaves the institute, they will continue to provide training to the trainee.
  • All facilities in the institute will be provided to the trainee during his period of training in the institute.
  1. The institute should have access to at least two journals of neurocritical care, two journals of allied branches and two journals related to critical care medicine. Standard text books dealing with neurocritical care and general critical care should be available. Furthermore, the centre should propose a twice weekly academic schedule.
  2. The centre shall not levy any direct or indirect charges from the FSNCC candidates in relation to the fellowship program. However, the students shall pay the registration and examination fees directly to the SNCC.
  3. The candidate shall be paid stipend/remuneration as applicable to a senior resident by the centre.
  4. All accredited centres will be re-inspected after 5 years. In case an accredited centre has candidates failing their FSNCC examination / no appearance consecutively for 3 years, the recognition will be withdrawn and a re-accreditation will be subjected to further inspection.
  5. SNCC assumes no responsibility for accidents/illness/insurance etc. towards the candidate during the course of the fellowship.
  6. CNCC permits more than one centre to seek combined accreditation. However, when more than one / multiple centres seek combined accreditation for a good case mix of neurocritical care cases, the duration spent by a candidate in each centre needs to be specified at the time of application for accreditation.
  7. Accreditation Fee: The centre will be required to pay SNCC a registration fee of Rs. XXXXX/- towards accreditation. In addition, travelling expenditure and local hospitality of the Inspector/inspectors are also to be borne by the centre. For re-accreditation, the registration fee is Rs.XXXXX/-only.
  8. On the receipt of application on the prescribed form and registration fee for centre recognition, the CNCC will depute an expert member to inspect the centre.
  9. The eligibility criteria are mentioned on the reverse side of the application form for FSNCC Centre Accreditation posted on the website. Application form for FSNCC Teacher Certification is also available on the SNCC website.

 

 

  1. Process for Recognizing an FSNCC Centre
  2. The interested centre should submit an application to the Secretary CNCC on the prescribed ‘Application for FSNCC Centre Accreditation/Re-Accreditation’ posted on the SNCC website along with an Accreditation fee of Rs XXXXX/-.
  3. Secretary to examine the application form and the supporting documents.
  4. Secretary appoints (after due approval from the Vice Chancellor) a CNCC Member/SNCC Executive Committee member as an inspector to an onsite visit and review of the centre. The inspector should preferably be from a nearby recognised centre, but exceptions can be made, if necessary. The filled Application form and the Proforma for inspection findings are forwarded to the inspector.
  5. Secretary informs the details about the proposed inspection to the centre and directs it to take care of the travel and local hospitality of the inspector. The centre is also advised to keep all the necessary documents ready for inspection.
  6. Inspector visits the centre and prepares his report in the prescribed proforma and submits it to the Secretary.
  7. Secretary to examine the application form along with the proforma duly filled and signed by the inspector. He/she then puts-up the case to the Vice Chancellor with his/her recommendation / opinion.
  8. Vice Chancellor examines the report and agrees or disagrees with the Secretary. If he agrees, the case to be submitted to the Chancellor for his approval.
  9. The Chancellor approves / rejects / suggests modifications and returns the case to the Vice Chancellor. If the Chancellor approves the case, the Vice Chancellor will convey the approval to the Secretary.
  10. Secretary will issue the order of FSNCC Accreditation to the centre on the CNCC letter head. If the centre is not approved, a letter of rejection is issued, highlighting the deficiencies to be addressed.
  11. In case, the Vice Chancellor disagrees or suggests changes at step number 7, the case is returned to the Secretary and he may resubmit the case again with modifications, if necessary.
  12. In case, the Chancellor rejects or suggests changes at step number 8, the case is returned to the Secretary via the Vice Chancellor to be resubmitted again with modifications, if necessary.
  13. 12. A separate file to be prepared for each centre, where all the above documents are

kept for records.

 

III. Eligibility Criteria for an FSNCC teacher

In order to be able to impart high quality of training to candidates desirous of a fellowship in neurocritical care, the FSNCC teacher must fulfil the following minimum criteria:

 

  1. A post graduate degree with MCI recognised qualification (MD/MS/DNB), with at least 8 years of experience in neurocritical care in a recognized institute. The centre should have a minimum turnover of 400 neurocritical care cases per year.
  2. The teacher must be a life member of ISCCM/ SNCC.
  3. He / She must be competent in different clinical/administrative skills required for neurocritical care. Further he /she must have the time and dedication to fulfil the teaching responsibilities.
  4. The teacher must demonstrate commitment to training and practice of neurocritical care by participating/ associating with regional, national or international neurocritical care CME’s, seminars and conferences (preferably as a faculty) and associating with the regional, national or international neurocritical care organizations.
  5. He / She must exhibit active interest in medical research, scientific presentations or publications in or related to the field of neurocritical care.
  6. Should have atleast two publications in peer reviewed indexed journals as one of the first three authors or the corresponding author. E journals are not acceptable.
  7. The College of Neurocritical Care (CNCC) board would verify the credentials before certifying him/her as a teacher in neurocritical care.
  8. Application form for FSNCC Teacher Certification is available on the SNCC website.

 

  1. Process for recognising an FSNCC teacher
  2. The interested candidate should submit an application to the Secretary on the FSNCC Teacher Certification Application form posted on the website.
  3. Secretary to examine the application form and the supporting documents and put-up the case to the Vice Chancellor with his/her recommendation / opinion on a Proforma.
  4. Vice Chancellor examines the case and agrees or disagrees with the Secretary. If he agrees, the case to be submitted to the Chancellor for his approval.
  5. The Chancellor approves / rejects / suggests modifications and returns the case to the Vice Chancellor. If the Chancellor approves the case, the Vice Chancellor will convey the approval to the Registrar.
  6. Registrar will issue the order of the approval/disapproval to the Applicant on a CNCC letter head. If not certified as a teacher, the reasons to be mentioned in the letter.
  7. In case, the Vice Chancellor disagrees or suggests changes at step no. 3, the case is returned to the Secretary and he may resubmit the case again with modifications, if necessary
  8. In case, the Chancellor rejects or suggests changes at step no. 4, the case is returned to the Secretary via Vice Chancellor to be resubmitted again with modifications, if necessary.
  9. The above documents to be kept along with the file of the FSNCC centre.

 

  1. Process for selecting examiners to be included in the Pool of FSNCC Examiners
  2. A pool of examiners is to be prepared by the Dean of Examinations from those who qualify as FSNCC teachers.
  3. CNCC will also advertise for FSNCC Examiners on the SNCC website.
  4. An interested teacher should submit an application to the Registrar in the prescribed format along with all the necessary enclosures for recognizing him as an FSNCC examiner.
  5. The recognized FSNCC teachers are automatically eligible to become FSNCC examiners, and hence need not apply.
  6. The applicant should submit all the supporting documents related to his experience and publications.
  7. The Secretary examines the case and puts up to the Vice Chancellor with his recommendations.
  8. Vice Chancellor examines the case and agrees or disagrees with the Secretary. If he agrees, the case to be submitted to the Chancellor for his approval.
  9. The Chancellor approves / rejects / suggests modifications and returns the case to the Vice Chancellor. If the Chancellor approves the case, the Vice Chancellor will convey the approval to the Secretary.
  10. Secretary will issue the order of the approval/disapproval to the Applicant on a CNCC letter head. If not certified as an examiner, the reasons are to be mentioned in the letter. A copy of the order of approval is mailed to all the members of the College Board.
  11. In case, the Vice Chancellor disagrees or suggests changes at step no. 7, the case is returned to the Secretary and he may resubmit the case again with modifications, if necessary.
  12. In case, the Chancellor rejects or suggests changes at step no. 8, the case is returned to the Secretary via Vice Chancellor to be resubmitted again with modifications, if necessary.
  13. The Board also has an authority to recommend an eminent teacher from a teaching institute as an examiner after due approval from the Vice Chancellor.
  14. The Application form for FSNCC Examiner is posted on the website.

 

VII. Process for selecting list of Examiners for a particular FSNCC Examination

  1. From the ‘Pool of FSNCC Examiners list’, required number of examiners are chosen by the Board members for a period of two/three years. (e.g. in the year 2018, this will be for the years 2019-21).
  2. A rotational policy shall be followed so that new set of examiners are appointed after every 2-3 years.
  3. The list prepared by the College Board members for a particular FSNCC Examination is to be approved by the Vice Chancellor (through Secretary) and the Chancellor.
  4. The College Board is also empowered to recommend examiners on time, if an appointed examiner fails to turn up on time), with telephonic approval from the Vice Chancellor/Chancellor for this purpose.

 

VIII. Conduct of FSNCC examination

  1. Neurologists, anaesthesiologists, general physicians, emergency medicine physicians, and neurosurgeons may apply for the fellowship programme.
  2. The candidate applying for the fellowship in neurocritical care (FSNCC) should possess an MD/MS or an equivalent degree (DNB) from an MCI recognised institute, with at least six months of experience in critical care.
  3. Candidates with a diploma from an MCI recognized institute are eligible with a two-year experience post-graduation that includes at least six months experience in critical care.
  4. Candidate selection will be based on a personal interview of the candidate at the individual institution.
  5. Each candidate should be a member of the ISCCM & SNCC.
  6. The fee for registration of a candidate for FSNCC is Rs XXXXX/-. This should be paid to the SNCC office at the time of enrolment as a FSNCC candidate. Further the candidate will have to pay the examination fee of Rs XXXXX/- at the time of applying for the examination.
  7. Candidates who register for the examination, but do not appear will forfeit the examination fee. Fee for second or subsequent attempts is also Rs XXXXX/-.
  8. Students who do not appear due to medical reasons will have to pay Rs XXXX/- during the next attempt. He/ She should submit a medical certificate which should be forwarded by the HOD. The CNCC office will make the final decision.
  9. Completed application forms are to be sent to the CNCC office along with information of mode of payment. Candidates will receive confirmation of receipt of examination form (and Life membership if applied) from CNCC office once the payment has been received.
  10. Comprehensive Neurocritical Care Course (CNC) conducted by the SNCC should be undertaken by all candidates along with one course conducted by ISCCM, prior to appearing for examinations.
  11. Rotation of candidates for at least two months in general critical care is mandatory.
  12. Log book of 100 cases, certified by the Head of Department or Mentor to be submitted at the time of examination. The format of log book is given on the website.
  13. Syllabus of FSNCC can be downloaded from the website www.sncc.co.in
  14. The proposed dates of examination are Second Saturday & Sunday of August every year. The exact dates should be confirmed from the website / CNCC office.
  15. The last date for application is two months before the examination; last date for cancellation is one month before the examination. Please visit www.sncc.co.in or contact CNCC office for updates.
  16. Accommodation will be made available to the examinees for 2 days (exam days) on payment.
  17. Secretary is responsible for choosing the examination centres and examiners after due approval from the Vice Chancellor.
  18. Secretary will allot the candidates to different examination centres.
  19. Secretary is in charge of preparation of Question papers for the FSNCC examination. The theory question papers shall be set by the same examiners as those conducting the viva voce.
  20. The theory paper would consist of 50 MCQs (50 marks) and 10 short notes (50 marks) for a time frame of 3 hours.
  21. The Viva Voce would be 100 marks, with two case presentations (25 marks each), neuro-monitoring equipment and radiology (25 marks) and pharmacotherapy (25 marks).
  22. An aggregate of 50% in theory and 50% in practical would be required for the candidate to pass the examination.
  23. Secretary will co-ordinate with the Vice Chancellor to finalize the FSNCC results, which are communicated to the Chancellor and published on the SNCC website.
  24. Certificates would be signed by the Chancellor of CNCC, and Presidents of SNCC and ISCCM.
  25. Certificates would be distributed during the ISCCM annual conference and awards would be given during the SNCC annual conference.