Course Brochure 2016 COPD aj Cycle I_Course Brochure.pdfacademic research institute in Pune...

PUBLICHEALTHFOUNDATIONOF INDIA

Supported by an educational grant from

MANAGEMENT OF

COPD & ASTHMA

Certificate Course in

Cycle I (November 2016 - June 2017)

C O U R S E BROCHURE 2016

TAB

LE O

F C

ON

TEN

TS

Burden of

Chronic Lung

Disease

3Partner

Organizations

6

14

19

26

28

4

7

18

25

27

29

Distribution of

National Experts

Panel of

National Experts

Chest Research

Foundation (CRF)

Team

Narayana

Health (NH) Team

Public Health

Foundation of

India (PHFI) Team

Course

Overview

Unique Features

of the Course

Course Objectives

Course Design

and Information

Course

Modules

31

32

Regional Centers

across India

Stakeholders

Course

Modules

Non-communicable diseases were the

leading cause of deaths in 2012 where

respiratory diseases, including asthma

and COPD contributed

1 of NCD deaths

4 million

or 10.7%

COPD ASTHMAAND

Age-standardized death rate per

100 000 population due to chronic

respiratory diseases in India 1

(2012)

IT IS THE MOST COMMON DISEASE 5

REPORTED BY PHYSICIANS IN INDIA.

ASTHMACOPD

188.5 124.9

rd3

3 million

died

2leading cause of death

More than people

in 2012 which was equal to 3

6% of all deaths globally that year

300 million

s u f f e r

Additional 100 million

people currently

f r o m a s t h m a .

4

persons will suffer from it by 2025

Certificate Course in Management of COPD & Asthma2

1. Global Status Report on Non-communicable Diseases 2014

2. Global Burden of Disease, Lancet Dec 2012

3. Key facts by WHO March 2015

4. The Global Burden of Asthma Sidney S. Braman, MD, FCCP Chest.

2006;130(1_suppl):4S-12S.doi:10.1378/chest.130.1_suppl.4S

5. Salvi S et al, Lancet Global Health, 2015

India is the world capital for chronic lung diseases. The largest number of deaths due to chronic respiratory

diseases in the world occur in India, even after controlling for the total population. India leads the world in 1,2

asthma mortality and has the second largest number of deaths in Chronic Obstructive Pulmonary 1,2

Disease (COPD) . Chronic respiratory diseases are the second leading cause of death in India. According

to crude estimates, about 100 million people in India suffer with chronic respiratory diseases,

predominantly affecting the airways. One of the largest studies conducted to understand what ails 3

India reports that 50% of the patients, who visit a primary care physician in India, do so for a respiratory

cause, with over half of them visiting a doctor for a chronic respiratory problem. An estimated 3.5 million

patients visit a doctor every day in India for asthma or COPD alone. The prevalence of Asthma among 4,5

children in certain cities like Pune and Bangalore has doubled over the past 5-10 years . The prevalence of 6

COPD has also been shown to be much higher than previously believed . A significantly large proportion is

attributable to causes other than tobacco smoke like exposure to biomass fuel and indoor and outdoor air 7

pollution .

Despite knowledge of the increasing prevalence of chronic respiratory diseases and the emerging newer

risk factors that are responsible for this exponential growth, the fact remains that the quality of care that

we offer to our patients with chronic respiratory diseases remains poor. Obstructive Airways diseases are 8

often under diagnosed and inappropriately managed . A study from a tertiary undergraduate and post

graduate teaching hospital in Pune showed that up to 65% cases of obstructive airways diseases remained 9

undiagnosed and therefore untreated . Despite the fact that only clinical diagnosis without a spirometry 10,11,

can lead to missing more than 50% of cases of OADs spirometry remains poorly used by general 12,13

physicians across India . This under diagnosis coupled with improper management of Asthma by 14

primary care physicians is leading to poorly controlled disease conditions, leading not only to physical

distress to the patient and their families, but also loss of work days, school absenteeism, night time

awakenings, higher rates of acute exacerbations and the growing need for hospitalization, and sometime 15,16,17,18

even intensive care . Not only this, it also imposes a huge and unnecessary economic burden on our 19,20,21

country . One of the main reasons for the under diagnosis and poor management of chronic

respiratory diseases, is inadequate emphasis on respiratory diseases in medical schools, including lack of

training in spirometry during undergraduate and postgraduate curriculum. A study from a tertiary care

teaching hospital in Pune identified that less than 1% of the doctors and nurses being trained or already

trained in modern medicine knew how to use a pressurized metered dose inhaler though most of them 22

believed otherwise . More worryingly, over 50% of them believed that inhalers were addictive. This

highlights the very poor level of knowledge that both undergraduate and postgraduate doctors have

before they start their practice.

The quality of services provided by the PCPs are weak as compared to specialists. Hence, there is a need for

strengthening their competencies to effectively manage COPD and Asthma at primary and secondary

level. “Certificate Course in Management of COPD & Asthma" (CCCA)” is an effort in this direction.

References1. http://www.worldmapper.org/display_extra.php?selected=459

2. Global Burden of Diseases 2010. Heat Maps.http://vizhub.healthdata.org/irank/heat.php

3. Symptoms and medical conditions in 204912 patients visiting primaryhealth-care practitioners in India: a 1-day point prevalence study (thePOSEIDON study). Salvi. S, Apte K, Madas S, Barne M, Chhowala S, Sethi

T, Aggarwal K, Agrawal A, Gogtay J. Lancet Glob Health 2015; 3: e776–84

4. Paramesh H. Epidemiology of Asthma in India. India J Peds 2002: 69:309-312.

5. Maria Cheraghi, AlirezaDadgarinejad, Sundeep Salvi. Increased prevalence of childhood asthma in Pune city, India. A Cross-Sectional Study to Find Prevalence and Risk Factors for Childhood Asthma in PuneCity,

India. International Scholarly Research Network ISRN Public Health Volume 2012, Article ID 361456, 8 pages.

6. Burney P, Jithoo A, Kato B et al. Chronic obstructive pulmonary disease mortality and prevalence: the associations with smoking and poverty- a BOLD analysis. Thorax 2014; 69:465-473.

7. Salvi S, Barnes P. Chronic obstructive pulmonary disease in Non-smokers. Lancet 2009; 374:733-43.

8. R. Balakrishnan, B. Brashier, S. Salvi, et al. High prevalence of undiagnosed moderate-to-severe COPD in subjects visiting a tertiary care hospital for a routine medical check. EurRespir J 2010; P2813.

9. Salvi SS, Wagh AP, Bhutada U, Ghorpade SV, Tayade BO, Bal T, BrashierB. High prevalence and under-diagnosis of obstructive lung diseases in hospitalized patients in India. EurRespir J 2005; 26: Suppl. 49, 594s.

10. Mannino D M, Gagnon R C, Petty T L. et al. Obstructive lung disease and low lung function in adults in the United States: data from the National Health and Nutrition Examination Survey, 1988–1994. Arch Intern

Med. 2000 Jun 12; 160(11):1683-9.

11. Pena V.S., Miravitlles M., Gabriel R., et al. Geographic variations in prevalence and underdiagnosis of COPD: results of the IBERPOC

multicentre epidemiological study.Chest 2000; 118 : 981-989

12. Salvi SS, D’Silva L, Chhowala S, Brashier B, Bal T, Gogtay JA. Use of Spirometry in clinical practice for Obstructive Lung Diseases in India.

Chest 2005; 128(4): 248S.

13. Nitin Vanjare, SushmeetaChhowala, Rahul Kodguleetal.Has the use of spirometry improved in India? Results of nationwide studies conducted

among chest and primary care physicians between 2005 and 2013.EurRespir J 2013; 42: Suppl. 57,P271.

14.S. Shahid, G. S. Bhinder, J. K. Dhanjal. Knowledge Attitude and Practices (KAP) of Primary Care Physicians of Central Mumbai Suburbs about Childhood Asthma. The Internet Journal of Asthma, Allergy and

Immunology; 2007; Volume 6; Number 1.

15. S. K. Jindal. Asthma Control in the first decade of 21st Century. Indian J Med Res 125, May 2007; 604-607.

16. B. Brashier, D. Kekan, A. Bamnikar et al. High prevalence of poorly controlled asthma amongst patients visiting clinics in Pune City, India.

EurRespir J 2008; P221.

17. Philip J. Thompson, Sundeep Salvi, Jiangtao Lin et al. Insights, attitudes and perceptions about asthma and its treatment: Findings from a

multinational survey of patients from 8 Asia-Pacific countries and Hong Kong. Respirology (2013) 18, 957-967.

18. Salvi S, Apte K, Dhar R, Shetty P, Faruqi RA, Thompson PJ, Guleria R. Asthma InBurden of Chronic Lung Diseases (COPD & Asthma)sights and Management In India: lessons learnt from the Asia

Pacific - Asthma Insights And Management (AP-AIM) Study. JAPI (In press).

19. Murthy K, Sastry J. Economic burden of chronic obstructive pulmonary disease. National Commission on Macroeconomics and Health. Background Papers- Burden of Disease in India, 2005.

20. Murthy KJR and J. G. Shashtry. Economic Burden of Asthma. National Commission on Macroeconomics and Health. Background Papers, 2005.k

21. Jindal SK. Estimation of costs of management of smoking related COPD and CHD. Project Report, Indian Council of Medical Research, 1998.

22. S. S. Salvi, R. Kesarwani, A. Raghupathy et al. The challenges of managing asthma in primary care - Medical personnel ability to use pressurized metered dose inhaler (pMDI). EurRespir J 2006; P 3366.

Bu

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CCCA Cycle I (November 2016 - June 2017) 3


PARTNER

ORGANIZATIONS

Public Health Foundation of India (PHFI) (Implementing Partner)

The Public Health Foundation of India (PHFI) is a

public private initiative that has collaboratively

evolved through consultations with multiple

constituencies including Indian and International

academia, state and central governments, multi & bi-

lateral agencies and civil society groups. PHFI is a

response to redress the limited institutional capacity

in India for strengthening training, research and

policy development in the area of Public Health.

Structured as an independent foundation, PHFI

adopts a broad, integrative approach to public

health, tailoring its endeavors to Indian conditions

and bearing relevance to countries facing similar

challenges and concerns. The PHFI focuses on broad dimensions of public health that encompass promotive,

preventive and therapeutic services, many of which are frequently lost sight during policy planning as well as in

popular understanding.

th thHonorable 14 Prime Minister of India Dr. Manmohan Singh, launched PHFI on 28 March, 2006 at New Delhi.

PHFI recognizes the fact that meeting the short fall of health professionals is imperative to a sustained and

holistic response to the public health concerns in the country which in turn requires health care to be addressed

not only from the scientific perspective of what works, but also from the social perspective of, who needs it the

most.

For more information visit: www.phfi.org

Chest Research Foundation (CRF) (Academic Partner)

Chest Research Foundation is an autonomous

academic research institute in Pune established in

November 2002 by Hamied Foundation Trust. Their

mission is liberation of sufferings of the patients of

Obstructive Airways Diseases through Research and

Education. Chest Research Foundation has the state

of the art facilities for research and education in the

field of Obstructive Airway Diseases.


The objectives of CRF are as follows:

RESEARCH

• To study airways diseases in India, especially asthma and COPD, with focus on India specific variations in

epidemiology, risk factors, lung physiology and molecular studies.

• Clinical evaluation of drugs for the treatment of these diseases.

EDUCATION

• Updating knowledge and practice of respiratory disease diagnosis and management through certificate

courses for physicians, pediatricians, chest physicians and general practitioners.

• Training programmes for technicians and paramedical personnel to improve diagnosis and management of

airways diseases.

• Patient education programmes to improve understanding of disease management, overcome stigmas and

scale boundaries of language and culture.

• Training modules for postgraduate students.

• Basic and advanced pulmonary function test.

• Distance learning and online programs.

For more information visit: www.crfindia.com

Narayana Health (NH) (Academic Partner)

Narayana Health formerly known as Narayana

Hrudyalaya, is a multi-specialty hospital chain in

India, headquartered in Bengaluru. The hospital

chain has 6498 beds spread across 32 hospitals in 20

locations (as of April 2015). The company won the

"Good Company" award for its quality, affordability

and scale. The business model of Narayana Health

became a Global Healthcare and Harvard Business

School case study. The hospital chain is among the

largest telemedicine networks in the world. The

group was founded in 2000 by Dr. Devi Shetty under

the guidance of the Asian Heart Foundation (AHF).

Today, it has 32 hospitals in 20 locations. In 2013,

Narayana Hrudayalaya Pvt. Ltd. changed its brand

name to Narayana Health. Narayana Health’s vision is to provide high quality health care, with care and

compassion, at an affordable cost, on a large scale. An average of 150 surgeries are performed every day and an

average of around 80,000 outpatients are seen every month. The chain caters to the super specialty tertiary care

services of the Indian populace. Though started as a hospital devoted to cardiovascular disease, it was soon

recognized that these patients often had co-morbidities which needed care. Hence the service was expanded to

include other specialties, including Pulmonology, which is now one of the largest departments offering a wide

range of services in management of airway disease, interstitial lung diseases, pulmonary vascular disease,

interventional pulmonology & sleep medicine. In addition, the department has an active academic program,

offering the DNB in Pulmonology. The success of the program is attested to by the 100% pass rate since

inception.

For more information visit: www.narayanahealth.org


DISTRIBUTION OF

NATIONAL EXPERTS


PANEL OF

NATIONAL EXPERTSProf. Aloke Gopal Ghoshal (Kolkata)

Prof. Ghoshal is a Medical Director at National Allergy Asthma Bronchitis Institute,

Kolkata. He was the President of Indian Chest Society & Governor to American College of

Chest Physicians. He has more than thirty years of clinical and teaching experience as

Professor and Head of Respiratory Medicine. He nurtured the stream from its infancy to

its present super specialty status in Bengal and in India. A revered teacher, academician

and researcher, he has illustrious students across the globe. But the most he is known as a

master clinician.

He specializes in Obstructive Airway Diseases (Asthma / COPD), Diffuse Parenchymal

Lung Disease (Interstitial Lung Disease - ILD), Tuberculosis, including Drug Resistant TB

and Sleep. He has devised a bed–side Lung Function Instrument – RESPRESS. He has published around 70 papers

in National & International Journals and Texts Books.

His special achievements include:

• Founder-Secretary, Association of Chest Physicians, West Bengal

• Founder-Editor, Bulletin of Chest Physicians, West Bengal.

• CHEST 2000 Nominee, Governors Community Service Awards.

• Organizing Secretary, National Conference on Pulmonology (NAPCON 2005).

• Chairperson, Scientific, NAPCON 2015.

Email : [email protected]

Dr. B.V. Murali Mohan (Bengaluru)

Dr. Mohan is currently working as Senior Consultant Pulmonologist and Head of the

department of Internal Medicine and Pulmonology at Mazumdar Shaw Medical Center

(MSMC) in Narayana Health City, Bengaluru.

He was earlier Professor and Head of the Department of Medicine at Dr. BR Ambedkar

Medical College, Bangalore. After completing his MBBS and MD (General Medicine) at

Bangalore Medical College, he took his MRCP (UK) from the Royal College of Physicians

of Edinburgh, and post-MRCP training in Respiratory Medicine at Ninewells and Kings

Cross Hospitals, Dundee, and at the Newcastle General Hospital, Newcastle upon Tyne.

He subsequently took the Speciality Certificate Examination in Respiratory Medicine

from the UK and was awarded the Fellowship of the Royal College of Physicians and Surgeons of Glasgow, UK.

Dr. Mohan is especially interested in the areas of Asthma, COPD, Sleep Medicine and Cardio-Pulmonary

Resuscitation (CPR). He has over 30 papers presented at various national and international conferences, and

several papers in international journals. As a clinician, his experience in treating interstitial lung disease and

pulmonary hypertension patients makes the Pulmonology department of NH-MSMC a referral center for

patients with these disorders. His research at MSCTR involves investigating the pathobiology and potential

molecular targets of pulmonary fibrosis, and is now embarking on the genetics of pulmonary hypertension. He is

the joint author of a WHO manual (under print) on Tobacco cessation for Medical and Dental Professionals. He

also heads the Nightingales Lifesaving Services, which has, to date, trained over 20000 persons in CPR in

Bangalore.

Email: [email protected]


Dr. Harjeet Dumra (Ahmedabad)

Dr. Dumra is a Director, Chest Disease Center at Sparsh Hospital in Navrangpura,

Ahmedabad and Consultant Interventional Pulmonologist, Sleep Medicine and Critical

Care Specialist, Sterling Hospital, Ahmedabad. He has completed MD in Internal

Medicine and did his training in Pulmonary & Critical Care Medicine from KEM Hospital,

Mumbai. He had completed observorship at Cleveland Clinic, USA.

Dr. Dumra is an honorary Pulmonologist & Critical Care Consultant to His Excellency-The

Governor of Gujarat. He is serving as a teacher for IDCCM (Indian Society of Critical Care

Medicine) fellowship program. His interest areas include critical care, pulmonary

hypertension, interstitial lung diseases, interventional pulmonology and infections.

Numerous papers has been published in Indexed Medical Journals. He has an authored chapters in Text books of

Pulmonary & Critical Care Medicine. Dr. Dumra also serves as a faculty in various national & international

conferences.


Dr. George Albert D'Souza (Bengaluru)

Dr. D’Souza is Dean of St. John's Research Institute; Professor and Head Division of Chest

medicine at Bengaluru. He did MD in Internal Medicine & DNB in Respiratory Diseases

from PGIMER, Chandigarh. He initiated the pulmonary services of SJMCH in 1989 and as

part of these services also established the TB services. SJMCH was the first private sector

hospital to be part of the National Tuberculosis Program under the RNTCP. He had also

worked as a Research fellow (FACT) in the department of thoracic surgery at Freeman

Hospital, Newcastle upon Tyne, U.K. for 3 years (1991 to 1993).

He holds a position of examiner in various boards and universities. Also, Dr. D’Souza is an

intramural member of executive committee and governing board of St. John’s National

Academy of Health Sciences and has been associated extramurally in Board of super specialties of Rajiv Gandhi

University of Health Sciences and Research Advisory Board of Manipal University.

Many research papers has been published by him of which two were honored with best paper in Sleep Medicine

(year 2007) and Lung India (year 2012).


Dr. Deepak Talwar (Noida)

Dr. Talwar is a Director and Chair, Department of Pulmonary, Allergy, Sleep & Critical Care

Medicine at Metro Group of Hospital and Heart Institutes, Noida. He has completed his

diploma and MD post graduation while working in V. P. Chest Institute, Delhi and later did

post doctoral DM in Pulmonary & Critical Care Medicine from PGIMER, Chandigarh.

Dr. Talwar is a member of many national & international medical associations and has

acquired several national and international awards and honors. His name has also been

listed in the Limca Book of Records 2000. Dr. Talwar’s expertise and research is in COPD,

asthma and ILD. He has published his research in national & international journals. He is

teacher & coordinator for DNB in respiratory medicine for last 7 years and in critical care

for IDCC.



Dr. J.C. Suri (Delhi)

Dr. Suri is a Consultant, Professor and Head in Department of Pulmonary, Critical Care

and Sleep Medicine at Vardhman Mahavir Medical College & Safdarjung Hospital,

New Delhi. He has introduced the field of Clinical Sleep Medicine in India and

established the first state-of-the-art sleep lab of India, at Safdarjung Hospital in 1990.

He is a Founder President & Chairman of Indian Sleep Disorder Association and Ex-

President of National College of Chest Physicians.

Dr. Suri is an associate editor of Lung India, Indian Journal of Chest Diseases, Indian

Journal of Tuberculosis and Editor-in-Chief of Indian Journal of Sleep Medicine. He is

also on the Editorial Board of several other national and international journals.


Dr. Nitin Yashawant Abhyankar (Pune)

Dr. Abhyankar is working as a Consultant Pulmonologist and Head of Department of

Pulmonary Medicine at Poona Hospital and Research Centre, Pune. After pursing his

MBBS and MD (Internal Medicine) from Mumbai University, he did European Diploma in

Adult Respiratory Medicine from Berlin in 2008. Dr. Abhyankar was the first

Maharashtrian doctor to pass this prestigious examination. He is one of the 300

HERMES diplomates around the world.

He is also working as a Course Co-coordinator - Respiratory therapy at Poona Hospital

and Research Centre, Pune. He is a Founder and Director of School of Interventional

Pulmonology since year 2012 and has trained 7 students in flexible Bronchoscopy and 6

students in medical thoracoscopy till date. Dr. Abhyankar holds an experience of 10 years as teaching faculty in

DNB Medicine Program at Poona Hospital & Research Center.

Dr. Abhyankar has earned many awards of which some are:

• Second Prize in National Conference Chest Diseases 1990, Multi system organ failure in IRCU.

• Travel Award for poster presentation in American Thoracic Society and Coalition against TB for ATS 2005.

• Gold Sponsorship in European Respiratory Society for ERS 2006(Munich) and many more.

He runs few social awareness programs by working as an Anti-tobacco drive Founder member and Vice President

– P A C E group (Prevention of Addictions through Children’s Education). He was an Organizer of Iconic 2014 and

2016, a first international conference dedicated to COPD.


Dr. Parthasarathi Bhattacharya (Kolkata)

Dr. Bhattacharya pursed his MD (Internal Medicine) and DM (Pulmonary Medicine) from

Punjab University & PGIMER, Chandigarh. He has worked as a Chief Pulmonologist of the

EKO-BRONCHOSCOPY center, Calcutta for over 5 years. Dr. Bhattacharya is currently a

Secretary and founder of non-profit society, Institute of Pulmocare and Research with

the motto of research, education & patient care & has been associated with it fully from

2007 onwards. With his great interest in teaching Dr. Bhattacharya has been involved

formally or informally in many institutes from the beginning of his career. He has served

SMST, IIT Kharagpur for over two years as an adjunct professor & is presently involved in

IIEST, Shibpur. He has completed several projects & has been investigator or co-

investigator in over 15 ongoing projects at the IPCR, IIT Kharagpur etc.

Dr. Bhattacharya has published over 10 letters to the editors, over 35 abstracts & more than 30 publications in

different national & international journals. Also have authored chapters on diabetes mellitus and tuberculosis in

three popular books. Dr. Bhattacharya has been involved as a faculty in various national and international

conferences. He has been honored with a Chest Foundation award by the American College of Chest Physicians.



Dr. Raja Dhar (Kolkata)

Dr. Dhar is a renowned Consultant Pulmonologist, Intensivist and Coordinator at

Department of Pulmonology and Critical Care Specialist in Fortis Hospital, Kolkata with

over 22 years of professional experience. Dr. Dhar is proficient in all disciplines of

respiratory medicine including airways disease, pulmonary fibrosis, pulmonary

hypertension, transplant, lung cancer, sleep medicine, lung infections including TB, and

respiratory emergencies.

His forte is Interventional Pulmonology including electrocautery, APC, cryotherapy, stent

placements and Medical Thoracoscopy. He is an academician, an enthusiastic researcher

and passionate about teaching.

Prof. Parvaiz A Koul (Srinagar)

Prof. Koul is working as a Professor and Head, Medicine in Sher-i-Kashmir Institute of

Medical Sciences (SKIMS), Srinagar. He is also working as a Nodal Officer for AIDS and

HIV, NACO India; Nodal Officer & Head, Regional Geriatric center, SKIMS; Chairman, Core

Committee on RNTCP, J&K etc. After completing his MD in Internal Medicine, Prof. Koul

has pursed fellowship in Bronchoscopy, Pulmonary and Sleep Medicine from LRS

Institute of TB & Lung Disease, Delhi and North Shore LIJ Health System, Long Islands,

New York respectively. He is a member of many national and international professional

bodies like Indian Chest Society, Indian Society of Bronchology, World Association of

Medical Editors, American College of Physicians, etc. Prof. Koul has recently been

awarded with Bill & Mellinda Gates Awards in International Congress on Infectious Diseases 2016, Best Referee

Award Indian Chest Society, 2011 for Lung India and many more. He has more than 140 publications to his credit,

4 authored chapters in popular books and having high impact factor journals in the New England Journal of

Medicine, Lancet, and Lung India etc. He has delivered more than 400 presentations, lectures, talks at various

conferences, symposia and CME programs at the state, national and international level.

Prof. Koul has set up an independent state-of-art Influenza Lab. His current interests include Influenza,

Pulmonary and Sleep Medicine. Owing to his interest in serving the community, Prof. Parvaiz Koul has organized

several awareness programs on Hepatitis E, AIDS, Noise pollution, sleep disorders, SARS, Smoking and health etc.

Email : [email protected]; [email protected]

Dr. Prasanna Kumar Thomas (Chennai)

Dr. Thomas is working as a Consultant Pulmonologist at Apollo and Fortis Hospitals at

Chennai. He is graduated from Madras Medical College and also completed post

graduation in same institution. He was the recipient of the KV Krishnaswamy Gold

Medal for the best outgoing MD post graduate. His Basic areas of interest are Airways

Diseases and Smoking Cessation and is actively engaged in promoting continuing

medical education for Professionals and Smoking Cessation for Public. He is also

actively involved in socially sensitive activities like free Medical Camps and Awareness

programmes and has done multiple such events all over the Country, even in remote

places like Orissa and Assam. A TOBACCO FREE INDIA is his dream and is reflection of

the person he is.



He went to UK after completing his MBBS and an MD in Respiratory Medicine in Calcutta, India. He did his PLAB

exams and then trained initially as a Clinical Fellow/Senior House Officer and then as a Research and Training

Fellow. During this period he did MRCP and also did Certificate of Clinical Education. He had a major declared

commitment to teaching during the time and also carried out Clinical Research projects which he presented at

National and International meetings. He then secured a LAT post followed by a NTN in Respiratory and General

Medicine. During the period after getting into the NTN post he worked in District General Hospitals and tertiary

referral hospitals with distinction. He completed Research projects and presented and published these during

the course of his work. He then worked for more than 1 year as a Respiratory Consultant with special interest in

Lung Cancer and Interventional bronchoscopy and thoracoscopy etc at a tertiary care centre in St James’

University Hospital in Leeds. He came back to Kolkata, India in Dec 2008 to serve his motherland and joined

Apollo Gleneagles Hospital as a Respiratory Consultant. He worked there for 18 months and worked in General

Pulmonology and been developing the Interventional Bronchoscopy services.

He is a professional member of the following:

• European Respiratory Society

• American Thoracic Society

• American College of Chest Physicians

• British Thoracic Society

• Indian Chest Society

• Indian Association of Bronchology

• Indian Academy of Sleep Medicine.

Besides being a member of many medical associations in India and abroad, Dr. Dhar contributes regularly to

several national and international journals. He has been on the faculty of many prestigious institutions and has

many abstracts and publications to his credit in his related fields.


Dr. Randeep Guleria (Delhi)

Dr. Guleria, is a Professor and Head, Department of Pulmonary Medicine and Sleep

Disorders at AIIMS, Delhi. He has obtained degree of MD in Medicine and DM in

Pulmonary Medicine from PGIMER, Chandigarh. He has acquired many awards and

honors including prestigious “Padma Sri” award, the fourth highest Indian civilian award

in 2015 in the field of Medicine, "Raj Nanda Pulmonary Disease Fellowship" awarded

jointly by the Raj Nanda Trust and the Royal College of Physicians, UK in 1997 for training

and research and many more. He has published 342 research articles and written 48

chapters in national and international books. He has delivered more than 200 invited

lectures at different national and international conferences, CME and updates.

He is a member of the many medical associations of national and international bodies. He is also on the Advisory

board of WHO for the SAGE working group on Influenza vaccines and immunization, consultant on the technical

meeting of the International Atomic Energy Association at Vienna, Austria in September 2011. In addition, he is a

Fellow of the National Academy of Medical Sciences and a Life Member of the Association of Physicians of India,

the National College of Chest Physicians of India and the Indian Chest Society.

On the academic front, Dr. Guleria has also been associated with several renowned institutes as an external

examiner for MBBS, MD and DNB examinations.

He is a member of the Editorial Board of the Indian Journal of Chest Diseases, Lung India, Journal of American

Medical Association (India) and Chest India. He has been the personal physician to Shri Atal Bihari Vajpayee,

former Prime Minister of India, from 1998 till date.


Dr. Sundeep Salvi (Pune)

Dr. Salvi is the Director of the Chest Research Foundation, a state-of-the art research

institute dedicated for research and education in the field of respiratory diseases, with a

major focus on Obstructive Airways Diseases. He is an Honorary Senior Lecturer at

Imperial College, London, a Visiting Faculty at the Johns Hopkins University, and a Ph.D

guide at the University of Pune and the Symbiosis International University. After

completing his specialization in Respiratory Medicine at the University of Pune, he spent

8 years in the UK researching the effects of air pollution on the human lung. He earned a

Ph.D from the University of Southampton, UK, and returned to India in 2002 to set up the

Chest Research Foundation. He has contributed significantly to research in Obstructive

Airways Diseases in India and has pioneered research in non-smoking COPD. He was invited by Lancet to write a

review article on this topic which now has become a major research focus for academicians all over the world. He

has also contributed to several book chapters and was invited as a Guest Editor of JAPI for a special Supplement

on COPD.

He is a member of International Advisory Board, Lancet Respiratory Medicine, UK; Member of the Steering

Committee: ‘Air Pollution and Health’ Ministry of Health and Family Welfare, Government of India; Associate

Editor of the NPJ Primary Care Respiratory Journal, UK; Section Editor, Lung India and is also the invited India

Chairperson, Chronic Respiratory Diseases, Global Burden of Diseases, India. He is also on the Editorial Board of

several other national and international journals and is the most cited pulmonologist in India.

He has received several national and international awards and has published over 100 research papers in peer

reviewed medical journals. He is regularly invited as a faculty and speaker at national and international

conferences.



Dr. Surya Kant (Lucknow)

Dr. Kant is presently a Professor and Head of Department of Respiratory Medicine, King

George’s Medical University, Lucknow. Dr. Kant is a faculty member at King George

Medical University, Lucknow. He is one of the renowned Pulmonologist in Lucknow city,

to have bagged numerous awards commemorating his professional excellence.

Dr. Kant is a Gold Medalist in his MD examinations and this serves as an evidence of his

academic brilliance. Post MD, he has been practicing Pulmonary Medicine full-fledged

and currently he is one of the experts in respiratory diseases. He treats a broad spectrum

of conditions like TB, Asthma Allergy, COPD, Sleep Breathing Disorder, Interstitial Lung

Disease (ILD) and life threatening Lung Cancer.

‘Prevention of Disease’ is of paramount importance and hence, Dr. Kant promotes patient education and

awareness to keep health problems at bay. He has furnished more than 200 articles in newspaper and magazines,

with the sole intention of creating awareness among the masses. Apart from this, he can be credited with almost

453 articles in national and international journals, 10 books and 28 chapters in various books.

Dr. Kant opines that pollution and smoking are the main underlying causes of respiratory diseases, together with

lifestyle habits. He strongly discourages smoking, consumption of tobacco products and urges people in the

society to follow a healthy and balanced diet. By adopting a healthy regime and eliminating junk food from the

diet, especially concerning children, he envisions a healthy India in the near future. He offers his services to

charitable institutions making every effort in his capacity, to serve the society in the best possible way. Dr. Kant

attends scores of patients on a daily basis at the above mentioned center and addresses a host of pulmonary

problems with the best patient care.



Dr. Vijai Kumar Ratnavelu (Hyderabad)

Dr. Ratnavelu graduated from Kakatiya Medical College, and became the youngest

doctor in his batch at the age of 22 years. Dr. specialized in Lung Diseases (MD

and DTCD) in 1980. He has served as an Assistant Professor at Osmania Medical College

and in the department of Pulmonary Intensive Care Unit for almost 9 years at AP General

& Chest Hospital.

Dr. visited USA as an International fellow of American Association of

Respiratory Care (AARC) and after his return to India started department of Pulmonary

Medicine & Respiratory Intensive Care Unit at MediCiti Hospital, Hyderabad. After 13

years at MediCiti Hospital Hyderabad and 12 years at Yashoda Hospital Secunderabad,

Dr. has moved to Apollo Hospitals as a Consultant Pulmonologist in Pulmonary Medicine and Critical

Care Department.

Dr. Ratnavelu performs all the routine procedures like Bronchoscopy, Thoracoscopy, Lung Function Tests, Lung

biopsy etc. He is a fellow of American Association of Respiratory Care (FAARC), American College of Chest

Physicians and has been honored with International Chest Foundation award (for Asthma Education) from ACCP

in year 2000.


Ratnavelu

Ratnavelu

Ratnavelu

Dr. Zarir F Udwadia (Mumbai)

Dr. Udwadia is a consultant chest physician at the Hinduja Hospital, Breach Candy

Hospital and Parsee General Hospitals. He is an MD, DNB, FRCP (London.), and FCCP

(USA). A post-graduate of the Grant Medical College, Bombay, he has spent 5 years

training in various centers of excellence in the U.K including the prestigious Brompton

Hospital, London. On his return he established an active chest department at the Hinduja

Hospital. This includes Bombay’s busiest bronchoscopy and PFT services and the city’s

first sleep laboratory .

He has over 100 PubMed publications, the majority of them are international, in every

important medical journal, including: Lancet, Lancet-ID, New England Journal of

Medicine, British Medical Journal, Clinical Infectious Disease, Thorax, American Journal of Respiratory & Critical

Care Medicine. (www.ncbi.nlm.nih.gov/pmc/)

In addition, he has been invited to contribute chapters in international textbooks on tuberculosis and tropical

lung disease. Both are the reference international textbooks on the subjects: “Clinical Tuberculosis and

Respiratory Infections”.

Has been invited to speak before the British Thoracic Society, American Thoracic Society, European Respiratory

Society and Royal Society of Medicine, London on several occasions. Has made presentations at over 70

conferences of which 40 have been international conferences.


established in 1994

Dr. Amit R. Agarwal

Dr. Agarwal is a Research Scientist at Chest Research Foundation, Pune and heads the

Molecular Respiratory Research Laboratory. A pharmacist by training, he graduated from

the University of Pune and then spent 5 years in developing his research skills in the US.

During this time he had completed his Masters in Pharmaceutical Sciences along with

another Masters in Regulatory Science while pursuing his PhD in Molecular

Pharmacology at the University of Southern California, Los Angeles under the

mentorship of Prof. Enrique Cadenas.

Post-training he gained 2 years’ experience in clinical research ethics in Unites States and

then returned to India to further pursue his doctoral research ideas in COPD. He has

published a number of articles in well-respected international journals and has also served as a referee for a few

of them.


CHEST RESEARCH FOUNDATION (CRF) TEAM

Dr. Ashwini Dhumal

Dr. Dhumal is a Medical College Coordinator at Chest Research Foundation, Pune. Her

core interest being management & administration. She has done her MBA healthcare

from Cranfield University UK after completing her Medical graduation from D.Y. Patil

Medical College Pune. During her master she got a chance to work for Fortis Hospital in

medical services department where she had successfully taken up the projects of

complete reengineering of MRD dept. & streamlining the time taken for discharge

process in order to study and understand the reasons of delay in discharge process and

to overcome those problems with correct measures.

At Chest Research Foundation Dr. Dhumal is responsible to organize, regional/ state wise

train the trainers programme for Professors, Associate Professors, Lecturers of Medicine, Chest Medicine and

Pediatric Department to train them in early diagnosis and correct management of Asthma, Allergic Rhinitis and

COPD, use of diagnostic and therapeutic equipment and devices like Spirometry, PEFR, and inhalation devices.

Organize web based training for post graduate medical students on Spirometry, PEFR, Organize HOD meetings

of Chest, Pediatrics and Medicine HODs.

Dr. Dhumal is a bridge between CRF and Medical Colleges of India for conduct of research in respiratory

medicine. She has launched a COPD & Asthma module for post graduate students know as CAMPUS which is

been successfully conducted through various premium medical colleges of India.

Dr. Dhumal has formed an online forum for Respiratory medicine and pediatric respiratory medicine to have a

unified platform for sharing of research ideas, conduct of research, identification of funding bodies.



Dr. Komalkirti Apte

Dr. Apte is a senior research fellow at the Chest Research Foundation, a state-of-the art

research institute dedicated for research and education in the field of respiratory

diseases, with a major focus on Obstructive Airways Diseases. She is a clinical research

investigator and is a faculty member for continued medical education programs

conducted by the Chest Research Foundation for chest physicians, physicians,

pediatricians, general practitioners as well as paramedical staff. After completing her

graduation in general medicine at the Maharashtra University of Health Sciences, she has

worked as a casualty medical officer across hospitals in Pune, Maharashtra, India. She

completed her post graduate diploma from Bilcare Private Limited in association with

the American Association of Clinical Research Professionals, USA. She has been with the Chest Research

Foundation for the last 6 years. She has coordinated a landmark nationwide point prevalence study on the

various symptoms and diseases for which a patient visits a primary care doctor in India. She is currently building a

national registry of Asthma and COPD patients. She has also been the Joint Organizing Secretary of the

International Conference On Insights and Management of COPD (ICONIC) organized jointly by the Chest

Research Foundation and the Johns Hopkins Bloomberg School of Public Health.

She has presented several abstracts at National and International conferences. She has been awarded for her

work by the Indian Chest Society, NAPCON, European Respiratory Congress and the International Primary Care

Respiratory Group.

She has a few publications to her credit.


Ms. Madhuragauri Shevade

Ms. Shevade is a Respiratory Therapist who has specialized in Neonatal and Pediatrics

Respiratory Care. She works as a Respiratory Therapist and a Program Coordinator at

Chest Research Foundation, Pune. She is a visiting faculty and an examiner for Symbiosis

International University and Manipal University in India. She has also served as an adult

and neonatal pediatric critical care therapist in India and USA. Her core interests are

education and research in Respiratory care.

Ms. Shevade is graduated with a Baccalaureate in Respiratory Therapy from Symbiosis

Institute of Health Sciences, Pune and with a Master of Science in Respiratory Care from

Rush University College of Health Sciences, Chicago USA. Currently, she is pursuing her

Ph.D from Symbiosis International University, Pune. She is a National Board for Respiratory Care (USA) Certified

and Registered Respiratory Therapist.

She has also been invited as a speaker for many regional and national conferences and workshops. She is an

active member of American Association for Respiratory Care, Illinois Society for Respiratory Care, European

Respiratory Society and Indian Association of Respiratory Care.



Dr. Maj (Retd.) Monica S. Barne

Dr. Barne is the Head of the Training Programmes Division at Chest Research Foundation,

Pune, a state-of-the art research institute dedicated for research and education in the field

of Obstructive Airways Diseases (OADs), primarily Asthma and COPD. Dr. Barne has been

instrumental in creating an identity for Chest Research Foundation as a leading institute

providing continuous medical education in Asthma and COPD to practicing Physicians,

Chest Physicians, Pediatricians, General Practitioners and Post Graduate Students of

Medicine, Pulmonology and Pediatrics. Under her leadership, CRF has trained more than

10000 doctors across India as well as internationally. She has contributed immensely

towards capacity building amongst paramedical staff by initiating several training

programmes for them to learn diagnostic and management tools for Asthma and COPD. She has been the lead in

uniting Heads of the Pulmonology, Medicine and Pediatric Departments of Medical Colleges across the country

on a single forum for increasing the exposure to respiratory education of medical students at undergraduate and

post graduate levels.

An alumnus of the prestigious B. J. Medical College, Pune, Dr. Barne brings with her, her experience, discipline and

élan of the Indian Army where she served as a Medical Officer for five years. She also has experience as Registrar of

a General Ward during her tenure at Orange City Hospital, Nagpur and later experience as a Research Coordinator

at the Poona Hospital, Pune. She has also served in the Emcure Pharmaceuticals as Manager Medical Services

before assuming her position at Chest Research Foundation.

Dr. Barne has been invited at several National and International conferences as a faculty. She has contributed to

text book chapters on COPD and has publications in international journals including the American Journal of

Respiratory and Critical Care and the Primary Care Respiratory Journal. She has presented abstracts at national

and international conferences and has received award of the ‘Best COPD Paper’ at the NAPCON 2012. Her area of

special interest is Patient Education and increasing awareness about Asthma and COPD amongst the masses. She

has contributed to several articles in magazines and newspapers for educating the general population about

Asthma and COPD. She has also been a part several radio programmes on this topic.


Dr. Rahul Kodgule

Dr. Kodgule is the Head of Academic Research and Director of Advanced Pulmonary

Function Testing Program at the Chest Research Foundation, Pune. After serving the

Indian Army as a Short Service Commissioned Officer, Dr. Kodgule joined Chest Research

Foundation in 2008. His key areas of interest are research in asthma and COPD and lung

function testing.

Dr. Kodgule has published several original research and review articles in national and

international journals. He received several awards from national and international

respiratory societies for his contribution towards research. Dr. Kodgule is a reviewer for

several journals. He has also functioned as principal investigator for clinical trials at Chest

Research Foundation.

Dr. Kodgule played a key role in the development of a stethoscope that can be connected to a smart-phone and is

currently working on exploiting the rich data in lung sounds for understanding respiratory diseases better. He also

derived the reference values of Peak Expiratory Flow Rate for Indian adult population. Dr. Kodgule has developed

expertise in lung function tests like spirometry, impulse oscillometry, body plethysmography, diffusion lung

capacity and bronchial challenge testing. He is a key faculty for the training programs on asthma, COPD and lung

function testing conducted by the Chest Research Foundation. He has also been imparting education as invited

faculty for programs conducted by several national and international organizations.



Dr. Sneha Limaye

Dr. Limaye is the Head of Department - Clinical Trials at Chest Research Foundation.

Under her leadership, CRF runs a state-of the art Clinical Trials Facility and has won the

Best Clinical Trials Award in 2012 by Indian Society for Clinical Research. After her medical

under graduation from Indira Gandhi Govt. Medical College, Nagpur, Dr. Limaye joined

Chest Research Foundation in 2007. She underwent Lab training in Sputum induction and

processing methods from University of Winsconsis in 2010 and was awarded a Fulbright

fellowship from Johns Hopkins University, Maryland, USA on conducting multicenter

studies.

Post her training at Johns Hopkins, Dr. Limaye set up the RRNI - Respiratory Research Network of India in Aug 2012,

an initiative by Chest Research Foundation. She is the National Co-ordinator for this network which has 52

registered Pulmonologists and Physicians across India, engaged in multicenter research activities. She is an

advisory board member of SOUKYA Foundation which is an International Holistic Health Centre based at

Bangalore.

Dr. Limaye has been a senior faculty at CRF and has delivered several lectures at national and International courses

and CMEs through the various training programs of CRF in the areas of pathogenesis, diagnostics and

management of Asthma and COPD. She has a special interest in Air pollution and Pediatric Lung Functions and

majority of her research work is focused in these areas. Dr. Limaye has also been imparting education as invited

faculty for programs conducted by several national and international organizations in the field of clinical research,

airways diseases and lung functions.

Dr. Limaye has published several original research, review articles and book chapters in national and international

journals. She has received several awards from national and international respiratory societies for her contribution

towards research. Dr. Limaye is reviewer for several journals.



Dr. Manjunath P H

Dr. Manjunath is working as a Junior Consultant Pulmonologist at Narayana Health

Mazumdar Shaw Medical Center, Bengaluru. After doing MBBS from Vijayanagara

Institute of Medical Science in 2002, he pursed Diploma in Tuberculosis and Chest

Diseases in 2010. In continuation to his interest, Dr. Manjunath had completed DNB from

NH Mazumdar Shaw Medical Center in 2013.

His interest includes interventional pulmonology, interstitial lung diseases, tuberculosis

and pulmonary hypertension.


NARAYANA HEALTH (NH) TEAM

Dr. Ranganatha R

Dr. Ranganatha is working in the department of Internal medicine and pulmonology,

Narayana Hrudayalaya hospitals since October 2006. Dr. Ranganatha presently hold the

post of senior consultant in the department and has a special interest in interventional

pulmonology especially pleural interventions. He is actively involved in postgraduate

training programme.


Dr. Sagar Chandrashekar

Dr. Chandrashekar is working as a Junior consultant in Department of Pulmonology,

Narayana Hrudayalaya. He has completed DTCD and DNB. His interest areas are sleep

medicine, obstructive airway diseases, Interstitial lung diseases and interventional

pulmonology.


Dr. Syed Zulkharnain Tousheed

Dr. Tousheed is working as a Consultant Pulmonologist in the department of

international pulmonology, Narayana Health, Bengaluru. He is a fellow of college of

Chest Physicians of America in 2013 and trained in interventional pulmonology from

Serdang Hospital, Malaysia. He is associated for about one and half year as an assistant

professor in medical college in Bengaluru in the department of chest medicine.



PUBLIC HEALTH FOUNDATION OF INDIA (PHFI) TEAM

Prof. D Prabhakaran Vice President – Research & Policy, PHFI

Executive Director - Centre for Chronic Disease Control, New Delhi

Senior Program Director

Certificate Course in Management of COPD and Asthma


Prof. Prabhakaran graduated from Bangalore Medical College, received his MD (Medicine), DM (Cardiology)

degrees from All India Institute of Medical Sciences (AIIMS) and MSc in Health Research Methodology from

McMaster University, Canada. He has a career commitment to preventive cardiology. He was Additional Professor

of Cardiology at the AIIMS, New Delhi till 2007. He is currently Director Centre for Chronic Conditions and Injuries

(CCCI) and Vice President at Public Health Foundation of India and Professor at London School of Hygiene and

Tropical Medicine and Adjunct Professor at Rollin’s School of Public Health, Emory University. He is fellow of the

Royal College of Physicians, U.K. and Fellow of the National Academy of Sciences, India.

He is also a member of executive council of International Society of Hypertension (ISH), the executive council of

the World Hypertension League, the International Society of CVD Epidemiology & Prevention (ISCEP) and the

epidemiology council of Cardiology Society of India. His research work spans from mechanistic research to

understand causes for increased propensity of CVD among Indians, to developing solutions for CVD through

translational research and human research development. He was an integral part of several major international

and national research studies including the INTERHEART Study, the CREATE Registry, ICMR and DST funded

studies, British Heart Foundation funded projects on low birth weight among migrant Guajarati’s, Welcome trust

funded impact of intra-country migration on CHD, the NIH sponsored STICH trial and the India Health Study. He

is currently involved in many community based prevention program, strategic clinical trials and observational

studies with funding from several national and International agencies. At a policy level he has assisted the

Government of India in formulating the National Program for Prevention and Control of Cancer, Diabetes,

Cardiovascular diseases and Stroke, helped the World Bank in developing the regional policy note on NCDs for

SAARC countries and assisted the WHO (SEARO) in their capacity building and capacity strengthening program

of the SEARO countries. He has mentored over 40 post-doctoral students so far and authored several chapters &

over 300 scholarly papers with H-index of 51. He is the lead editor of Cardiovascular Volume of latest Disease

Control Priorities Project.

Recently Prof. D. Prabhakaran has been honored as the highest ranked author in subject area of Medicine in India

by Department of Science & Technology (2009-14).


Dr. Sandeep Bhalla Program Director, Training, Centre for Chronic Conditions & Injuries (CCCI),

Adjunct Associate Professor (PHFI)

Program Director- Certificate Course in Management of COPD and Asthma


Dr. Bhalla, an AFMC Pune alumni did his MD and DNB in Community Medicine. He has been awarded Fellowship

in Leadership and Implementation Sciences to address NCDs in India (PH-Leader) jointly delivered by PHFI,

Emory University and INSP Mexico. He has worked as Tutor in Department Of Community Medicine, M.P Shah

Medical College Jamnagar and as Senior Resident in Department of Community Medicine at Vardhman Mahavir

Medical College and Safdarjang Hospital, Delhi. He has worked as Technical officer with Resource Centre for

Sexual health and HIV/AIDS (RCSHA) i.e. DFID technical support unit for National AIDS Control Program (NACO)

Phase-2 where he compiled the database of HIV/AIDS/STI research studies of India in form of around 8000 Indian

research studies. During his association with NACO as a Senior Technical Officer for STI Component he has made

the operational guidelines for Program Managers and Service Providers for strengthening STI/RTI services for

the country with NACO team, which got global recognition.

He also served as Associate Professor (Public Health) at International Institute of Health Management Research

(IIHMR), New Delhi. He is the founder member of Association for the Prevention and Control of Rabies in India

(APCRI), and assessor of Healthcare Excellence award of CII and National Assessor for NABH. As Program Director

(Training), Centre for Chronic Conditions & Injuries (CCCI), he is leading; Certificate Course in Evidence Based

Diabetes Management (CCEBDM), Certificate Course in Gestational Diabetes Management (CCGDM), Advanced

Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease (ACMDC), Certificate

Course in Management of Thyroid Disorders (CCMTD), Certificate Course in Evidence Based Management of

Diabetic Retinopathy (CCDR), Certificate Course in Management of Hypertension (CCMH) and is responsible for

successful implementation and management of these programs all across India along with his team. IDF

(International Diabetes Federation) recognized PHFI for excellence in providing diabetes education to healthcare

professionals with CCEBDM & CCGDM Model, in which more than 10000 doctors have already undertaken the

training. CCEBDM has also been adopted by Kolkata Municipal Corporation (KMC) and Government of Kerala,

NRHM for training their Medical Officers. Similarly, Certificate Course in Gestational Diabetes Mellitus (CCGDM)

has also been adopted by National Health Mission, Govt. of Gujarat and Govt. of Madhya Pradesh, it has also got

the accreditation of South Asian Federation of Endocrinology Societies (SAFES).

Dr. Bhalla has around 30 publications in various journals.

Advanced Certificate Course in

prevention and Management of Diabetes and Cardiovascular Disease (ACMDC) has also been adopted by

Kolkata Muncipal Corporation (KMC). Asia and Oceania Thyroid Association (AOTA) has given recognition to

Certificate Course in Management of Thyroid Disorder (CCMTD) for 10 years (2016-2025). Under his leadership

more than 15000 doctors have been trained till date.



Dr. Sourabh Kumar Sinha Project Manager



Dr. Sinha is a Master of Philosophy (M. Phil) in Health & Hospital System Management from BITS, Pilani and holds

Post Graduate Diploma in Health & Hospital Management (PGDHHM) with specialization in Hospital

Management from International Institute of Health Management & Research (IIHMR), Delhi. He has graduated

from National Institute of Homoeopathy (Govt. of India) under University of Calcutta. He has worked with a

reputed consultancy firm Feedback Infrastructure Services Pvt. Ltd. on various projects including transaction

advisory on PPP, Due-diligence, Feasibility, Performance improvement and Business development. He has vast

experience in working with Government, private and corporate agencies. Currently he is working with PHFI as

Project Manager for a capacity building initiatives for Primary Care Physicians Certificate Course in Management

of COPD and Asthma.

Dr. Kumar has done his MBBS from Sri Krishna Medical College, Muzaffarpur and MD from Patna Medical College,

Patna. He has over 11 years of experience in the health sector and worked both in the Government as well as

private sector.

He was served for more than 5 years as Lead Consultant in Maternal Health Division of the Ministry of Health &

Family Welfare and his job responsibilities included implementation of the maternal health programme, framing

of checklists, undertaking regular supportive supervision visits, planning capacity building of various

stakeholders and framing of operational and technical guidelines in consultation with the experts.

Prior to this, in his stint of more than 3 years at NACO as Sr. Technical Officer, Blood Safety and Programme Officer

(Quality Control), he was involved in Blood Safety programme management at National level. Earlier he has also

managed the blood transfusion services in a tertiary hospital as Registrar at Indraprastha Apollo Hospital, New

Delhi.

Currently he is working with PHFI as a Public Health Specialist for a capacity building initiatives for Primary Care

Physicians in the field of Diabetes.

His interest area includes Maternal Health, RMNCH+A programme, Blood Safety and Capacity Building.

Dr. Pushkar KumarPublic Health Specialist – Training

Center for Chronic Conditions and Injuries (CCCI)

Email: [email protected]


Dr. Shilpa Jain Assistant Program Coordinator



Dr. Jain is a Dental Surgeon from HNB Garhwal University, Uttarakhand and holds Post Graduate Diploma in

Health & Hospital Management (PGDHHM) with specialization in Health Management (Gold Medalist) from

International Institute of Health Management & Research (IIHMR), Delhi. She had an opportunity to work in

Maulana Azad Institute of Dental Sciences, New Delhi for a year. She also got an opportunity to do a 3-month

internship at United Nations Development Program (UNDP) India, where she completed her dissertation on

“Level of preparedness of healthcare facilities in Delhi for disaster”. She had also assisted DRR team at UNDP in

building National Action Plan for NDMA. Prior to PHFI, she had worked in Empower School of Health, dealing in

Global Fund project management and tracking activities & Milliman India as an adhoc-consultant. She is also

Green Belt Certified in Lean Healthcare Management. In her current position as Assistant Program Coordinator

she is responsible for assisting in management and coordination of all program and M&E activities of Certificate

Course in Management of COPD and Asthma which is modelled on the framework of an interdisciplinary multi-

partner collaboration across the country. In the process of building self-capacity, she has completed a course on

“Project Design, Monitoring & Evaluation” from Project Management Institute, Atlanta, USA.

Dr. Ambrish Mishra Monitoring and Evaluation Coordinator



Dr. Mishra is graduated from Vikram University, Ujjain in Bachelors in Homeopathic Medicine and Surgery and

holds Postgraduate Diploma in Public Health Management, with specialization in Public Health Management

from Indian Institute of Public Health (IIPH), Delhi. He has worked as Divisional Coordinator- Family Planning with

Marie Stopes. He has also worked with Fhi360 as Technical Officer Health under Madhya Pradesh Health System

Reform Program for upgrading the maternal and child health services along with a responsible person for

RMNCH+A in Panna district, M.P. Dr. Ambrish has joined Public Health Foundation of India as a Monitoring &

Evaluation Coordinator for Advanced Certificate Course in Prevention and Management of Diabetes &

Cardiovascular Disease (ACMDC) and currently working for Certificate course in management of COPD and

Asthma. He is responsible for coordination and management of all components of the program which is

modeled on the framework of an interdisciplinary multi-partner collaboration across the country.


Mr. Rajmeet Singh Data Associate



Mr. Singh is post graduate in Information Technology from Guru Nanak Dev University, Punjab. He has been

associated with PHFI since 2013. He is responsible for maintenance of project data. He is currently serving as Data

Associate in Certificate Course in Management of COPD and Asthma.

Dr. Priyanka Gupta Program Officer



Dr. Gupta is a post graduate in Public Health Service Management from Indian Institute of Public Health (IIPH) -

Bhubaneswar and holds graduate degree in Bachelors of Physiotherapy (BPT) from Guru Gobind Singh

Indraprastha University. She has worked as a Consultant Physiotherapist in Sunderlal Jain Hospital, Delhi and as a

Physiotherapist in Physio’s Physiotherapy clinic. She has joined Public Health Foundation of India as an Assistant

Program Coordinator in Advance Certificate Course in Prevention and Management of Diabetes and

Cardiovascular disease (ACMDC) and presently working as a Program Officer in Certificate Course in

Management of COPD and Asthma (CCCA).

Ms. Shruti C. Nair Program Assistant



Ms. Nair has completed her post-graduation in HR & Marketing from Guru Gobind Singh Indraprastha University,

Delhi in 2015. Currently, she is working as a Program Assistant in Certificate Course in Management of COPD &

Asthma.


Omkar Singh Rawat Senior Technical Assistant



Mr. Rawat is working as a Technical Assistant for the Certificate Course in Management of COPD and Asthma. He

is graduated from CSHJM University, Kanpur in 2007. He worked as a Technical Assistant in R.N. Khetarpal

Memorial Nursing home for 1 year. Presently he is serving as a Technical Associate in Public Health Foundation of

India in Certificate Course in Management of COPD and Asthma.

Alex ISenior Manager – Finance



Mr. Alex is a qualified finance professional with more than 20 years of experience in Accounts, Finance &

Commercial functions in NGO, Manufacturing, Trading & Service industries. He has completed his post-

graduation in MBA (Finance) and M.Com as well. He has completed PGDFM in finance specialization and PGDCA

in computer as well. He is currently working at Public Health Foundation of India (PHFI) as a Senior Manager –

Finance for the Projects “Certificate Course in Management of Hypertension (CCMH), Certificate Course in

Management of Thyroid Disorders (CCMTD) and Certificate Course in Management of COPD and Asthma” under

Centre for Chronic Condition and Injuries (CCCI).

Mr. Subhash Chand Finance Officer



Mr. Subhash is working as Finance Officer. His work profile with PHFI includes maintaining financial and

accounting records, coordinating with staff, vendor and parties for timely release of funds, advances and

settlement their account, preparing financial reports for donor etc. He has more than 18 years of experience in

Publication, Construction & Manufacture sector in which includes 10 years in Development Sector.


COURSE OVERVIEW

CCCA is a joint certificate

program designed, implemented

and delivered by Public Health

Foundation of India (PHFI), Delhi;

Chest Research Foundation (CRF),

Pune and Narayana Health (NH),

Bengaluru. The educational

grant for the course has been

provided by GlaxoSmithKline

Pharmaceuticals Limited.

16National Experts

RegionalFaculty 25

18Observers

25Regional Training Centers

8Modules

Trainer – Trainee Ratio 1:20

The certificate course begins with making the practicing physician realize

the need to focus on respiratory diseases and the fact that our country is

losing precious man days and money because we as practitioners are still

following the age old methods for diagnosis and management of Asthma

and COPD. Understanding investigations like Spirometry and Peak

Expiratory Flow Meter which are standard of care investigations for

obstructive airways diseases is made extremely simplified. Management

aspects are covered in detail with emphasis on patient counselling which

forms the back bone of management of all chronic diseases. Correct

technique of using the Inhaler devices is also important for proper

management of Asthma and COPD. COPD is a systemic disease and the

systemic manifestations are a major cause of morbidity and poor quality

of life. These are discussed as is long term oxygen therapy. Not all patients

of Asthma have similar presentations. The course discusses the various

avatars of Asthma and also the common co-morbids like Allergic Rhinitis

and Gastro Esophageal Reflux Disease associated with it. Smoking

Cessation and Pulmonary Rehabilitation are essential yet neglected

aspects of COPD management. The course emphasizes on the need and

ways to address these issues to gain good control of symptoms. However,

no matter how well we manage asthma and COPD, exacerbations may still

happen and the course cover how to manage these exacerbations. It also

tackles the difficult issue of end of life communication as it is best to

discuss with the patient and family of patients with end stage COPD what

their preferences and resources are like.

The course follows a continuous Monitoring and Evaluation system

throughout the cycle to ensure quality assurance and standardized course

delivery pattern on all India level.


UNIQUE FEATURES OF THE COURSE

Strong

Monitoring and

Evaluation

Mechanism

Latest, advanced

and up-to-date

curriculum vetted

by National Experts

All India

geographical reach

Curriculum includes

informative case

studies, interactive

videos, group activities

and one-on-one

interactive sessions

Networking between

the National Experts,

Regional Faculty and

Primary Care

Physicians

Renowned Regional

Faculty

Executive on-the-job

training (once a

month on designated

weekends)


COURSE OBJECTIVES

PRIMARY

OBJECTIVE

SECONDARY

OBJECTIVE

T o e n h a n c e t h e

knowledge, skills and

core competencies of

primary care physicians

in the management of

COPD & Asthma related

complications.

• To develop/update a standard

teaching protocol and module

for evidence based learning on

COPD & Asthma.

• To build a network of primary

care physicians and specialists in

the field of COPD & Asthma.

• To regularly update the primary

care physicians with the latest

advancements in the field.


STAKEHOLDERS

ACADEMIC

PARTNER

EDUCATIONAL

GRANT PARTNER

PARTICIPANTS

OBSERVERSREGIONAL

FACULTY

NATIONAL

EXPERTS

IMPLEMENTING

PARTNER

PUBLICHEALTHFOUNDATIONOF INDIA

COURSE DESIGN AND INFORMATION

Course Design and Duration

Certificate Course in Management of COPD & Asthma is a

unique, on the job training course with a primary objective

to enhance knowledge, skills and core competencies of

PCPs in management of chronic lung disease (COPD &

Asthma).

The total duration of the course is eight months (November

2016 to June 2017), with once a month contact session,

scheduled on designated weekend at Regional Centers,

across India.

CCCA is a joint certificate program designed and delivered

by Public Health Foundation of India (PHFI) and its academic

partner; Chest Research Foundation (CRF) and Narayana

Health (NH).

thLast date for enrolment: 30 September 2016

Language of instruction is English

�MBBS with MD/DNB (Medicine of Internal Medicine or

Family Medicine)

Or

�MBBS with minimum 3 years of clinical experience

Course Administration and Language

Minimum eligibility

01

02

03

04

05

06

07The course utilizes a variety of teaching/learning techniques.

Training is imparted through direct teaching complemented

by various informative case studies, interactive group

activities, assignments and didactic lectures. Videos to

highlight certain points is a distinctive feature of the course.

Complete and comprehensive learning package includes

printed modules along with the CD which will be provided to

all the participants by the organizers. The course content

will be delivered by regional faculty who are renowned

Pulmonologists.

Teaching and Training Methodology

Pre & Post Tests

Case Studies

Group Activities

Assignments

Didactic Lectures

Videos

Comprehensive Modules with CD



Participant assessment will be through a continuous internal

evaluation, course work and performance in written

examination. The criteria for successful completion of the

course shall be as follows:

• Participation in at least 7 contact sessions (Including the

pre-test and post-test of each module)

• Submission of two interim assignments at the end of

module III and module VI to the respective Regional Faculty

• Appearance and clearance of final written examination in

the form of 50 MCQs with min. 50% score along with

Module VIII

The candidate completing the certificate course successfully as

per the above mentioned criteria shall be awarded certificate of

completion jointly issued by PHFI, CRF, NH and respective

Regional Faculty.

Evaluation System &

Certification CriteriaCourse Fee

For enrolment in the CCCA course the

completed application form with a Demand

Draft for INR 10,000/- in favour of ‘Public

Health Foundation of India’ payable at New

Delhi, can be submitted to:

Program Secretariat- CCCA

Public Health Foundation of India

Plot No. 47, Sector - 44, Gurgaon, Haryana -

122002, India

Tel: +91 124 4781400; 0124 4781582, Fax: +91

124 472297, Mobile: +91 9013217147/

9599051984

Email: [email protected];

[email protected]

Website: www.phfi.org; www.ccca.org.in

COURSE CALENDAR

Module No. Module Name Date*th

1 Introduction and overview of Asthma and 13 November 2016

th th2 Diagnosis of Asthma and COPD 10 / 11 December 2016

th th3 Management of COPD 7 / 8 January 2017

th th4 Management of Asthma 11 / 12 February 2017

th th5 Good inhalation practices and patient counselling 4 / 5 March 2017

th th6 Asthma Phenotypes and Co-Morbids associated with Asthma 8 / 9 April 2017

th th7 Pulmonary Rehabilitation and Smoking Cessation 13 / 14 May 2017

th th8 Management of an acute exacerbation and End of Life Issues 4 June and 18 June 2017

Chronic Obstructive Airways Diseases

*Session dates are tentative & subject to change


COURSE MODULES

01Mo

du

le

Introduction and overview of Asthma and Chronic Obstructive Airways Diseases

This module elaborates the pathogenesis & pathophysiology of Asthma & COPD. 02M

od

ule

Diagnosis of Asthma and COPD

The salient feature of this module are clinical diagnosis of Asthma & COPD, difference between the two diseases, Pulmonary Function Tests (Spirometry and Peak Flow Meter) and an introduction to Advanced Pulmonary Function Tests.

03Mo

du

le

Management of COPD

This module takes in detail pharmacotherapy, systemic manifestations & principles of management of COPD.

04Mo

du

leManagement of Asthma

This module takes in detail pharmacotherapy, systemic manifestations & principles ofmanagement of Asthma.

05Mo

du

le

Good inhalation practices and patient counselling

This module gives an insight on; advantages of inhalation therapy over systemic therapy; different types of inhaler devices along with their technical details important for a practicing physician; correct technique of using different dev ices ; hands on sess ion ondevices and patient counselling in Asthma & COPD.

06Mo

du

le

Asthma Phenotypes and Co-Morbids associated with Asthma

The following module describes about; the phenotypes of Asthma; concept of Unified Airways Disease ; a l lergy test ing & immunotherapy & association of GERD with Asthma.

07Mo

du

le

Pulmonary Rehabilitation and Smoking Cessation

This module covers both clinic b a s e d & h o m e b a s e d pulmonary rehabilitation. 08M

od

ule

Management of an acute exacerbation and End of Life Issues

T h e l a s t m o d u l e c o v e r s management of an acute exacerbation & end of life issues in detail.


REGIONAL CENTER MAP

Regional Centers across India

State City

Assam Guwahati

Bihar Patna

Delhi Delhi

Gujarat Ahmedabad

Haryana Gurgaon

Jharkhand Ranchi

Karnataka Bengaluru

Karnataka Mysore

Karnataka Mangalore

Kerala Trivandrum

Kerala Calicut

Maharashtra Aurangabad

State City

Maharashtra Pune

Maharashtra Mumbai

Maharashtra Thane

Maharashtra Nagpur

Odisha Bhubaneswar

Rajasthan Jaipur

Tamil Nadu Coimbatore

Tamil Nadu Chennai

Tamil Nadu Madurai

Telangana Hyderabad

Uttar Pradesh Lucknow

West Bengal Kolkata*

16 NATIONAL EXPERTS

25 REGIONAL FACULTY

18 OBSERVERS

25 REGIONAL CENTERS

14 STATES

1 UNION TERRITORY

24 CITIES

For Application Forms and Course Brochure, please contact:

Program Secretariat- CCCA

Public Health Foundation of India

Plot No. 47, Sector - 44, Gurgaon, Haryana - 122002, India

Tel: +91 124 4781400; 0124 4781582, Fax: +91 124 472297

Mobile: +91 8527578090/ 9599051984

Website: www.phfi.org; www.ccca.org.in

Email: [email protected]; [email protected]

Disclaimer: PHFI, CRF & NH hereby declare that, this jointly designed “Certificate Course in Management of COPD & Asthma” is not recognized medical

qualification, under section 11(1) of Indian Medical Council Act, 1956. PHFI,CRF & NH offering this course hereby declare that it is not a medical college

or a university and not offering this course in accordance with the provisions of the Indian Medical Council Act/University Grants Commission Act.

*Decision taken by PHFI for selection and enrolment of participants will be final.

**Course Fee to be paid in the form of Demand Draft (DD) for INR 10,000/- drawn in favour of Public Health Foundation of India, payable at New Delhi.

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