The main purpose is to ensure a competent working of DNB trainings in Uppal Neuro Hospitals,as DNB Candidate plays a very important role in working of institutes.
i.Patient care Ability: A postgraduate in Neurology at the end of its three year course should develop proper clinical acumen to interpret diagnostic results and correlate them with symptoms from history taking and become capable to diagnose the common clinical conditions/ disease in the specialty and to manage them effectively with success without making any serious complications and sincerely to take such accurate decision, for the patient’s best interest including making a referral to consultation with a more experienced colleague/professional friend while dealing with any patient with a difficult condition.

ii. Teaching  ability: DNB Student also should be able to teach a student about the commonly encountered conditions in speciality pertaining to their diagnostic features, basic patho-physiological aspect and the general and basic management strategies.

iii. Research Ability: Should also acquire elementary knowledge about research methodology, including record-keeping methods, and be able to conduct a research inquiry including making a proper analysis and writing a report on its findings. Data analysis and Use of basic statistical methods require for publication.

iv. Team work: Should be capable to work as a team member. He/she should develop general human approach to patient care with communication skills with the patient’s relatives especially in emergency situation such as in casualty department while dealing with Terminally ill and victims of Trauma. He/she should also maintain human values with ethical consideration.
PROGRAMME OBJECTIVES
i. Cognitive knowledge: Embryology, applied anatomy, physiology, pathology, clinical conditions, diagnostic procedures and the therapeutics including preventive methods, (medical/surgical) pertaining to musculo-skeletal system.

ii. Clinical decision making ability & management expertise: Diagnose conditions from history taking, clinical evaluation and investigations and develop expertise to manage medically as well as surgically the commonly encountered, disorders and disease in different areas.

iii. Teaching: Acquire ability to teach MBBS/MD student in simple and straightforward language about the common ailment/disorders especially about their signs/symptoms for diagnosis with their general principles of therapy.

iv. Research: Develop ability to conduct a research enquiry on clinical materials available in Hospital and in the community.

v. Patient doctor relation: Develop ability to communicate with the patient and his/her relatives pertaining to the disease condition, its severity and options available for the treatment/therapy.

vi. Identification of a special areas within the subject: To further develop higher skills within the specialty in a specialized area such as Stroke ,Epilapsy, headache, Movement Disorders, Nerve & Muscles diseases etc. identify some area of interest during the residency and do fellowship/ senior residency program in one of such areas.

vii. Presentation of Seminar/paper: Should develop public speaking ability and should be able to make presentation on disease-conditions/research topics to fellow colleagues in a Seminar/meeting/ conference using audiovisual aids.

viii. Research writing: Should be capable to write case-reports and research papers for publication in scientific journals.

ix. Team work: Team spirit in patient management, working together in OPD, ward, NEURO DIGNOSTIC and OT sharing responsibility with colleagues such as doctor, nurses and other staff are essential. Resident has to develop these attributes through different mechanism of intraction

x. Disaster Management

xi. Rural community camps
RESPONSIBILITIES
The applicant hospital shall designate the following authorities from its staff for DNB/FNB programme:
• Head of the Institute (Administrative) or duly authorized nominee as Director (Medical) or Director (Academics):Nodal Compliance officer for rules and regulations governing the programme as prescribed by NBE.
• DNB/FNB Course Director: A common designated academic head for all DNB & FNB Programme at the applicant hospital.One of the faculty of a DNB/FNB Programme of the rank of Senior Consultant can be designated as course director.
• Assistant Programme Coordinator: As the resource person for DNB/FNB trainees either from the management or academic staff, to maintain establishment and related functions related to the DNB/FNB courses and trainees.
• Head of the Department: Designated head of the applicant department shall be responsible for all administrative formalities (such as verifying faculty declarations, signing applications/various documents on behalf of the applicant department etc) with NBE related to DNB/FNB Programme as well as deciding
the academic & duty/posting roster of DNB/FNB trainees. Senior Consultant who qualifies as PG teacher also can be designated as HOD for DNB programme. A senior consultant can be designated as HOD for FNB Programme.
It is mandatory that the applicant hospital nominates the aforesaid functionaries for the DNB/FNB programme and indicate the same prominently with contact telephone no, mobile no and email-ID at the Notice Board for DNB/FNB trainees. The details may be shared on NBE website for ready reference of DNB & FNB trainees. Any of them can be assigned as a Single Point of Contact (SPOC) for accreditation.

LIST OF PRESCRIBED DOCUMENTS:-
Candidates have to bring the following documents IN ORIGINAL.
i. Admit Card issued by NBE.
ii. Result/ Rank Letter issued by NBE.
iii. MBBS Degree certificate.
iv. Permanent Registration certificate issued by MCI/ State Medical Council.
v. DNB/MD/MS Degree certificate.
vi. Proof of MD/MS Qualification being recognized as per IMC Act/ Central Government.
vii. Proof of declaration of result of qualifying Post Graduate Medical Qualification ( MD/MS/DNB) on or before 15th July 2019.
viii. Proof of training completion of result of qualifying Post Graduate Medical Qualification ( MD/MS/DNB) on or before 15th July 2019.
ix. Matriculation / High School /Higher Secondary certificate as a proof of Date of Birth.
x. Valid identity card in original viz. Pan card, Aadhar card ( with photograph), Indian Passport, Voter ID card, Driving License, MCI/SMC Registration certificate bearing photograph of the candidate. No other ID proof will be accepted.

Training Charges & Fee Guidelines

First year fee is collected by NBE at the time of counseling and is transferred to Institute after the joining of the candidate. The training charges/fee structure for DNB & FNB Training is as follows:
*Maximum Permissible Limit: Accredited institutions are at liberty to charge fees which is less than indicated under respective category. The fee can not be higher than this amount.
• Tuition Fee: The tuition fees shall cover the cost incurred for accreditation, institutional DNB office, infrastructure and HR expenses, guest lecture, thesis support, administrative support expenses.
• Library fees: Institute can charge library fees if the library facilities so provided have subscription to at least 4 journals out of which 2 have to be paid journals and one international journal and latest provisions of all types of textbooks in the specialty concerned.
• Annual Appraisal fees: The appraisal fees shall cover the arrangements made for the purpose of appraisal of trainees and examiner remuneration.

Head Charges * (in INR) per year
• Tuition fees 75,000/-
• Library fees 15,000/-
• Annual Appraisal fees 15,000/-
• Accommodation Charges 20,000/-

• Accommodation Charges: Electricity and other consumables can be charged on actual basis by the hospital depending upon institutional policy.

C. Stipend Guidelines
• Paying stipend to the DNB candidates is compulsory.
• According to the NBE stipend policy, the hospital shall have to pay the DNB Candidate a basic stipend or according to state government policy (whichever is higher):

Stipend Guidelines

• Paying stipend to the DNB &FNB candidates is compulsory.
• According to the NBE stipend policy, the hospital shall have to pay the DNB/FNB Candidate a basic stipend as follows or basic stipend according to state government policy (whichever is higher):

 EXAMINATION

FORMATIVE ASSESSMENT

 Formative assessment includes various formal and informal assessment procedures by which evaluation of student’s learning, comprehension, and academic progress is done by the teachers/ faculty to improve student attainment. Formative assessment test (FAT) is called as “Formative “as it informs the in process teaching and learning modifications. FAT is an integral part of the effective teaching .The goal of the FAT is to collect information which can be used to improve the student learningprocess.

Formative assessment is essentially positive in intent, directed towards promoting learning; it is therefore part of teaching. Validity and usefulness are paramount in formative assessment and should take precedence over concerns for reliability. The assessment scheme consists of Three Parts which has to be essentially completed by thecandidates.

The scheme includes:-

Part I:- Conduction of theory examination

Part-II :- Feedback session on the theory performance Part-III :- Work place based clinical assessment

 Scheme of Formative assessment

 The performance of the resident during the training period should be monitored throughout the course and duly recorded in the log books as evidence of the ability and daily work of the student

1.   Personalattributes:

• Behavior and Emotional Stability: Dependable, disciplined, dedicated, stable in emergency situations, shows positiveapproach.
• Motivation and      Initiative:      Takes      on     responsibility,                         innovative,

enterprising, does not shirk duties or leave any workpending.

• Honesty and Integrity: Truthful, admits mistakes, does not cook up information, has ethical conduct, exhibits good moral values, loyal to the institution.
• Interpersonal Skills and Leadership Quality: Has compassionate attitude towards patients and attendants, gets on well with colleagues and paramedical staff, is respectful to seniors, has good communicationskills.

2.   ClinicalWork:

    Availability: Punctual, available continuously on duty, responds promptly on calls and takes proper permission forleave.

• Diligence: Dedicated, hardworking, does not shirk duties, leaves no work pending, does not sit idle, competent in clinical case work up and management.
• Academic ability: Intelligent, shows sound knowledge and skills, participates adequately in academic activities, and performs well in oral presentation and departmentaltests.
• Clinical Performance: Proficient in clinical presentations and case discussion during rounds and OPD work up. Preparing Documents of the case history/examination and progress notes in the file (daily notes, round discussion, investigations and management) Skill of performing bed side procedures and handlingemergencies.

3. Academic Activity: Performance during presentation at Journal club/ Seminar/ Case discussion/Stat meeting and other academic sessions. Proficiency in skills as mentioned in jobresponsibilities.

FINAL EXAMINATION

 The summative assessment of competence will be done in the form of DNB Final Examination leading to the award of the degree of Diplomate of National Board in Neurology. The DNB final is a two-stage examination comprising the theory and practical part. An eligible candidate who has qualified the theory exam is permitted to appear in the practicalexamination.

Theory Examination

1. The theory examination comprises of Three/ Four papers, maximum marks 100each.
2. There are 10 short notes of 10 marks each, in each of the papers. The number of short notes and their respective marks weightage may vary in some subjects/somepapers.
3. Maximum time permitted is 3hours.
4. Candidate must score at least 50% in the aggregate of Three/Four

papers to qualify the theory examination.

5. Candidates who have qualified the theory examination are permitted to take up the practicalexamination.
6. The paper wise distribution of the Theory Examination shall be asfollows:

PaperI:           Basic Sciences related toNeurology.

PaperII:          Principles and Practices ofNeurology.

PaperIII:        Clinically applied Neurology.

PaperIV:        Recent advances in Neurology.

a)     PracticalExamination:

1. Maximum Marks: 300.
2. Comprises of Clinical Examination andViva.
3. Candidate must obtain a minimum of 50% marks in the Clinical Examination (including Viva) to qualify for the PracticalExamination.
4. There are a maximum of three attempts that can be availed by a candidate for PracticalExamination.
5. First attempt is the practical examination following immediately after the declaration of theoryresults.
6. Second and Third attempt in practical examination shall be permitted out of the next three sessions of practical examinations placed alongwith the next three successive theory examination sessions; after payment of full examination fees as may be prescribed byNBE.
7. Absentation from Practical Examination is counted as anattempt.
8. Appearance in first practical examination iscompulsory;
9. Requests for Change in center of examination are not entertained, as the same is notpermissible.
10. Candidates are required not to canvass with NBE forabove.

Declaration of DNB Final Results

1. DNB final is a qualifyingexamination.
2. Results of DNB final examinations (theory & practical) are declared as PASS/FAIL.
3. DNB degree is awarded to a DNB trainee in the convocation ofNBE.

Leave Rules
DNB Trainees are entitled to avail leave during the course of DNB/FNB training as per the Leave Rules prescribed by NBE.
1. A DNB/FNB Trainees can avail a maximum of 30 days of leave in a year excluding regular duty off/ Gazetted holidays as per hospital/institute calendar/policy. This leave shall be processed at the institutional level.
2. Any kind of study leave is not permissible to DNB/FNB Trainees.
3.Under normal circumstances leave of one year should not be carried forward to the next year. However, in exceptional cases such as prolonged illness, the leave across the DNB/FNB training program may be clubbed together with prior approval of NBE.
4.Unauthorized absence from DNB/FNB training for more than 7 days may lead to cancellation of registration and discontinuation of the DNB/FNB training and rejoining shall not be permitted.
5.Any Leave availed by the candidate other than the eligible leave (30 days per year) shall lead to extension of DNB /FNB training. The training institute has to forward such requests to NBE along with the leave records of the candidate since his/her joining and supporting documents (if any) through the Head of the Institute with their recommendation/comments. NBE shall consider such requests on merit provided the seat is not carried over and compromise with training of existing trainees in the Department. DNB Final Information bulletin – Dec – 2019
6.Any extension of DNB/FNB training beyond the scheduled completion date of training is permissible only under extra-ordinary circumstances with prior approval of NBE. Such extension is neither automatic nor shall be granted as a matter of routine.