A. INSTITUTION ACCREDITATION:

1. Any Institution planning to conduct Fellowship in Adult Critical Care (FACC, referred hereafter as ‘Fellowship’) will have to apply to NICCM for organizing FACC along with faculty details and other required documents and application fee (in the provided application form available on website or on request to NICCM).
2. Within one week of receiving the application, the Director of Accreditation of NICCM will call for an NICCM Board meeting to review the application and self-appraisal forms. The board may then form a “Fellowship Feasibility Study Team (FFST)” for that institution which will consist of at least one Board of Directors from NICCM and at least one Invited Expert in Critical Care Medicine with at least 5 years’ work experience in Level III ICU or at least 5 years’ experience in Teaching Critical Care Medicine).
3. This “Fellowship Feasibility Study Team (FFST)” will then perform a site visit, if needed, to the applying organization within one week to see the feasibility whether the site has fulfilled the minimum requirement criteria of hospital, ICU, human resources requirement as per Fellowship guidelines. This shall be documented in a format provided to the team and Feasibility Study Report submitted to NICCM Board within three working days after the site visit.
4. The applying institution shall arrange for two-way air/ground travel, accommodation for 1-2 nights, fooding and hospitality to both the FFST if there is site visit. If within Kathmandu Valley or nearer locations, ground transportation and local hospitality must be provided.
5. After the FFST has submitted its report, the NICCM Board will call for a meeting and finalize the decision about accreditation of the applying institution within six working days. NICCM will then provide a "letter of approval" to that institute to start the fellowship.
6. The Accredited Institution shall then start the process of applying to Nepal Medical Council (NMC) for approval and after getting the approval can start advertisement and enrollment of candidates based on the Fellowship Guidelines.
7. The accredited institution shall again be supervised at least once during the Fellowship duration of one year as per the need felt by NICCM Board. The expenses of the supervision visit will be borne by NICCM.
8. Institution Registration Fee: Once accredited, the institution will have to pay an institution registration fee every year which will be NRs. 50,000 (Fifty Thousand Only) per candidate per year.
9. Individual Institutions applying for Fellowship at NICCM must also apply to the Nepal Medical Council (NMC), as stated above, and pay required Inspection or other fees.
10. Each participant willing to join the Fellowship program at NICCM will have to pay following fees to NICCM during the Fellowship program:
    • Admission Fee: Rs. 50,000.00 (At the time of admission)
    • Administrative Fee: Rs. 50,000.00 (Within three months after admission)
    • Examination Fee: Rs. 50,000.00 (One month before the final exam) Total: Rs. 1,50,000.00 (NRs. One lakh fifty thousand only)

(Note: The fellowship candidate won’t be registered/enrolled as a fellow in the program unless admission fees are deposited. The participant shall also clear all dues before one month prior to final exam or else the participant won’t be allowed to sit in the final board exam.)

11. Each participant after enrollment will be entitled for a stipend which shall be completely borne by the organizing institution. The stipend shall be at least equal to Ninth level salary scale of the government of Nepal but can be more if felt so by the organizing institution. The fellow shall not be claiming additional perks or facilities from the organizing institution or NICCM.

B. INSTITUTIONAL REQUIREMENTS FOR ACCREDITATION AS TRAINING SITE OF NICCM:
Any institution within the country, which has the following mentioned minimum requirements, can conduct FACC. So, the institution should apply to NICCM for accreditation with necessary documents to verify the following minimum requirements.

1. Hospital Requirement:
• Mixed Multispecialty Hospital
• At least 100 Hospital beds
• Established for at least 3 years
2. ICU Requirements
• Level III Mixed Medical Surgical ICU:
• At least 10 Beds,
• Functioning for at least 3 years,
• Occupancy >50 %,
OR,
• Combined Level II & III Beds in Same Unit:
• At least 20 Beds,
• Functioning for at least 3 years,
• With minimum 10 Level III Beds
AND,
• CCU – Minimum 5 Beds, Functioning for 3 years

D. HUMAN RESOURCES REQUIREMENTS:

1. Doctors:
• Academically Certified Critical Care Physician (Intensivist) with minimum one year training in Critical Care or Academically Certified Post Graduate Physician in Internal Medicine or Anesthesia with at least 10 years’ experience in Critical Care of good standing (Intensivist) – designated as the Director/Incharge / Clinical Coordinator for that Level III ICU.
• An In-house specialist doctor or MD Resident round the clock.
2. Critical Care Nurse:
• The Level III ICU must have certified Critical Care Nurse round the clock.

EXAMINER’S GUIDELINE:

• Eligibility of Final Examiner:
  The Final Examination for Fellowship program will be as per national and international standards for CCM Board exams and the examiner shall have following qualifications and Experiences:
  • Academic Qualifications:
    MD in Anesthesiology or Internal Medicine with Fellowship in Critical Care Medicine (At least one year) from recognized university and registered at Nepal Medical Council, OR having a DM Critical Care Medicine / DM Pulmonology and Critical Care; AND
  • Experiences:
    At least 10 years of experience working in ICU after DM or Fellowship, OR Professor in Anesthesiology, Critical Care Medicine, Internal Medicine or Pulmonology at a recognized university or Institution.