CCMTD Course announced in Nepal during SEADFCON at Dharan, Nepal

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Participation of PHFI during 87th Annual American Thyroid Association (ATA) meeting in Victoria BC, Canada

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The 2nd Congress of SOUTH ASIA INITIATIVE FOR DIABETES IN PREGNANCY



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PHFI Awarded the prestigious QCI-DL Shah Platinum award for capacity building of primary care physicians in chronic conditions in India



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ASSOCHAM Award for “Best NGO Skill Development, 2016-17”



PHFI & DEAN signed MOU to deliver CCMTD course in Nepal



2nd International Diabetes Summit - 2018
9th to 11th March - 2018, Pune


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Release of Thyroid Factsheet and CCMTD Journey Booklet at 12th AOTA Congress 2017, 16th- 19th March 2017, Busan, Republic of Korea.

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Dr. Sandeep Bhalla, taking a session at International Diabetes Submit 2017, Pune, 10th 12th March

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CCMTD Cycle-III Launch in Imphal, Manipur


APCH 2017
The 13th Asia-Pacific Congress of Hypertension
Date: 6 - 8 october, 2017
Suntec Singapore convention and Exhibition centre

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LETTER TO EDITOR
CCMTD Publication in Thyroid:
An official journal of American Thyroid Association

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Awards and Recognitions

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Certificate Course in Management of Thyroid Disorders

This course is Accredited by the South Asian Federation of Endocrine Societies SAFES (2016-17) & Endorsed by Asia & Oceania Thyroid Association - AOTA (2016-25)
Thyroid disorders
BURDEN OF DISEASE IN INDIA

Thyroid disorders are the commonest among all the endocrine diseases worldwide. The situation holds true for India as well, where it has been estimated that about 42 million people suffer from thyroid disorders.
In India, the entire population is prone to iodine deficiency disorders (IDD) due to deficiency of iodine in the soil of the subcontinent. The National Iodine Deficiency Disorders Control Program (NIDDCP), with the key component of universal salt iodization, has been operational in India for more than two decades. Yet, the overall prevalence of IDD continues to be more than 10% in the country. A recent study conducted in school children across schools in India observed that endemic goiter in school children persisted nationwide despite best efforts of the program.
Hypothyroidism is a common disorder in India, and over the years its incidence seems to rising. A landmark multi-center study in eight major cities of India noted hypothyroidism to be prevalent among 10.95% of the adult population. It was thrice as common in females as compared to males. A recent study across 11 cities in nine states of India reported a prevalence as high as 13.13% of hypothyroidism in pregnancy. Congenital hypothyroidism is a critical variant of hypothyroidism. As compared to a worldwide average value of 1 in 3,800 subjects, in India the disease has been reported to occur at a higher rate of 1 in every 2,640 newborns.
Hyperthyroidism, though not as common as hypothyroidism, is still quite prevalent. In the above-mentioned eight-city study, the prevalence of thyrotoxicosis was found to be 0.72% among the adult population, with subclinical hyperthyroidism almost twice as common at 1.27%.
Thyroid cancer data available from the cancer registries reveals a prevalence of 0.1%-0.2%. The age-adjusted incidence rates of thyroid cancer per 100,000 were about 1 for males and 1.8 for females as per the Mumbai Cancer Registry, which covered a population of 9.81 million subjects.

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About Program

Course Objectives

To enhance knowledge, skills and core competencies of primary care physicians to address case management, counselling, referral and prevention of thyroid disorders in patients.

To build a network of physicians across the country, to enable early diagnosis and prompt referrals of patients and establish a referral linkage pattern.

Course Design and Duration

CCMTD is an executive on-job training program in which PCPs, are provided training in various Regional Training Centres spread all across India. Total duration of the course is four months with once a month contact session, conducted on a designated weekends to better suit the busy practice schedule of physicians.

Eligibility Criteria

MD/DNB (Medicine or Internal Medicine or Family Medicine)
Or
MBBS with minimum 3 years of clinical experience

Teaching and Training Methodology

The course utilizes a variety of teaching/learning techniques. Training in thyroid disorders management is complemented by providing the participants with various distinguish case studies, activities and assignments. The course is offered on a modular basis with judicious mix of case studies, group discussion, clinical videos and direct teaching by eminent expert in the field of Endocrinology with great flexibility to accommodate participant's requirements.

Kindly note that CCMTD is not a Degree but only a certificate course with the objective of training Doctors in the early diagnosis and prevention of Thyroid Disorders. Successful participants are advised not to mention/call themselves as Thyroid specialists anywhere after completion of this course.
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CCMTD
PHFI
IMPLEMENTATION PARTNER
CDI
ACADEMIC PARTNER
GSK
GRANT SUPPORT PARTNER
NATIONAL EXPERTS
REGIONAL FACULTY
PARTICIPANTS
OBSERVERS
Stakeholders

Certificate Course in Management of Thyroid Disorders

Certificate Course in Management of Thyroid Disorders is a joint certification by Public Health Foundation of India (PHFI) and Chellaram Diabetes Institute (CDI), Pune supported with an educational grant from GlaxoSmithKline Pharmaceuticals Limited, India. The primary objective of the course is to enhance knowledge, skills and core competencies of primary care physicians in management of thyroid disorders for better patient outcome and establishing robust referral linkages. It's a once a month contact session, which will be conducted on designated weekend at regional centers across India.

Public Health Foundation of India

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. Honorable 14th Prime Minister of India Dr. Manmohan Singh, launched PHFI on 28th March, 2006 at New Delhi. PHFI recognizes the fact that meeting the shortfall 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 on activities at PHFI, visit www.phfi.org

CHELLARAM DIABETES INSTITUTE

Chellaram Diabetes Institute (CDI) is a unit of the Chellaram Foundation founded by Mr Lal L Chellaram. CDI is a not-for-profit organization based in Pune with the principal objective of creating a lasting impact on Diabetes in India as well as globally. This vision is intended to be achieved through four pillars, viz. patient care, education, research and awareness. In addition, CDI operates an ambitious rural outreach program, which combines all the four pillars, to the doorstep of the underprivileged rural population. CDI operates a state-of-the-art Diabetes centre in Pune, which is equipped to provide comprehensive care under one roof for Diabetes and its complications. With the conviction that education is one of the most effective tools influencing Diabetes care, CDI has designed and conducted several training programs for doctors, nurses and paramedical staff, as well as for community health workers. CDI strives to research the cause of high prevalence of Diabetes among Indians, and promote measures to prevent or delay the onset of Diabetes and its complications, thereby creating a lasting impact on Diabetes. Through clinical care, research as well as education, CDI hopes to make a mark in the field of other endocrine disorders like thyroid disorders as well. Dr. Unnikrishnan AG, CEO and Chief Endocrinologist at CDI, and his team have prepared the draft content of the course. For more information visit: www.cdi.org.in

GSK

GSK is the Educational grant support partner for the CCMTD. It was established in the year 1924 in India, GlaxoSmithKline Pharmaceuticals Limited in India is one of the oldest pharmaceuticals company. It is a leading, research-based healthcare and pharmaceutical company. The company is the market leader in most of the therapeutic categories in which it operates. GSK also offers a range of vaccines, for the prevention of hepatitis A, hepatitis B, invasive disease caused by H, influenza, chickenpox, diphtheria, pertussis, tetanus, rotavirus, cervical cancer, streptococcus pneumonia and others. GSK has two manufacturing units in India, located at Nashik and Thane as well as a clinical development centre in Bangalore. At GSK, Corporate Social Responsibility program works towards fulfilling basic healthcare, education and other developmental needs of the underserved population.

National Experts

The Panel of National Experts for CCMTD Cycle III includes 15 renowned eminent endocrinologists of the country. The panel acts as an advisory body for course content, curriculum review & finalizing the course modalities.

Regional Faculty

Regional Faculty are prominent Endocrinologists/Diabetologists in their respective regions, they provide training to enrolled candidates in various regional training centres all across India with trainer to participant ratio of approx. 1:20.

Participants

Participants are Primary Care Physicians (PCPs) who wish to enhance their skills to address case management, counselling, referral and prevention of thyroid disorders. They are MBBS Doctors with minimum of 3 years experience working in both private and public sector. Forty five (45%) of the participants who have obtained the training so far are Post-Graduates Doctors.

Observers

Observers are public health specialists or hospital administrators (faculty of community medicine or hospital administration) from various medical institutions of India as well as representatives from PHFI. They ensures quality of conduct of contact sessions

Program Reach

Distribution of Participants

15

National Experts

49

Regional Faculty

42

Observers

2484

Total Participants

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Testimonials

National Experts NE

The Panel of National Experts for CCMTD Cycle III includes 15 renowned eminent endocrinologists of the country. The panel acts as an advisory body for course content, curriculum review & finalizing the course modalities.

Regional FacultyRF

Regional Faculty are prominent Endocrinologists/Diabetologists in their respective regions, they provide training to enrolled candidates in various regional training centres all across India with trainer to participant ratio of approx. 1:20

Observers ObserversO

Observers are public health specialists or hospital administrators (faculty of community medicine or hospital administration) from various medical institutions of India as well as representatives from PHFI. They ensures quality of conduct of contact sessions

Participants ParticipantsP

Participants are Primary Care Physicians (PCPs) who wish to enhance their skills to address case management, counselling, referral and prevention of thyroid disorders. They are MBBS Doctors with minimum of 3 years experience working in both private and public sector. Forty five (45%) of the participants who have obtained the training so far are Post-Graduates Doctors


Thyroid disorders are common in the community. Treatment is relatively simple and results generally very gratifying. Therefore it is important that these are diagnosed and managed efficiently. CCMTD provides an excellent structured way to empower non-endocrinologist physicians to achieve this goal.
Prof Subhankar Chowdhury
Kolkata, West Bengal

A great effort on the part of PHFI to have initiated this course on thyroid disorders for the primary care physians throughout India. It was great learning experience as a National faculty in preparing syllabus for the course as well as going as observer at Guwhati in 2015 and Pune in March 2016. The course was well attended and well conducted in both the centres. There was great interaction between the participants, regional and national faculty resulting in clearing their doubts and enhancing their knowledge & skills in the management of thyroid disorders.
Maj. Gen (Retd) Dr. R.K. Marwaha
New Delhi

Thyroid disorders are common, have varying presentations and are of great relevance in relation to clinical medicine and public health. PHFI in partnership with CDI have set very high standards in CCMTD. It is a great value add course - innovative, interesting and involving. CCMTD will go a long way in improving management of thyroid disorders.
Dr. Sarita Bajaj
Allahabad, Uttar Pradesh

Public Health Foundation of India (PHFI) and Chellaram Diabetes Institute (CDI) had taken an initiative nearly one year ago to start the certificate course in Management of Thyroid Disorders. The objective of this course was to train physicians all over the country in the basic management of common Thyroid disorders. Having seen the success of the first course, I am convinced that this course must be made available to many more physicians (and family practitioners too) across the country. Nearly 10% or more of the general population suffers from some form of thyroid disorder. It is my opinion that all physicians who have not had specialized training in managing Thyroid disorders should attend this course!
Dr. Manoj Chadha
Mumbai, Maharashtra

"CCMTD"- Certificate Course in Management of Thyroid Disorders, is a very useful course, brought out by the Public Health Foundation of India, for the benefit of Indian doctors. It will defenitely improve the knowledge of Indian doctors, about the Thyroid disease management in our country. I am sure that, it will be a very sort after course, in the years to come.The approval of the course by Asia Oceanic Thyroid Association is another indicator for high standard of the course. I am happy to be associated with this course and I wish all the best for the course.
Dr. R.V. Jayakumar
Kochi, Kerala

"CCMTD stands out as an unique example of how physician at primary physicians can pick up the basic nuances of clinical thyroidology, without feeling overwhelmed by theoretical discussions. PHFI and CD I deserve kudos and compliments for envisioning, conceptualizing and, of course, executing the modules in a truly professional manner. "
Dr. Manash P Baruah
Guwahati, Assam

"CCMTD is a unique initiative by PHFI and CDI for primary care physicians which provides them practically relevant and updated information in the early diagnosis and management of thyroid disorders. The interactive slides intertwined with case studies, clinical videos and activities along with expert faculty, vigilant monitoring and evaluation system has made the course stand apart. The success of the CCMTD program has been truly remarkable. The CCMTD has grown to such a level in only its 2nd year that it has gained international acceptance from South Asian Federation of Endocrine Societies (SAFES) and Asia & Oceania Thyroid Association (AOTA) . I wish CCMTD continued success as it continues its journey on capacity building for Physicians to tackle the thyroid problems in India."
Dr Nikhil Tandon
 New Delhi

The course meets the long standing gap in the "curriculum" of commonly encountered clinical problems concerning the thyroid.The modules take the candidates through the complexities in a simple manner. The case based discussion is the strong point of the course and it will go a long way in improving the care of patients afflicted with thyroid disorders
Dr. Bipin K. Sethi
Hyderabad, Telangana

Thyroid disorders are common and patients are often seen initially by primary care physicians . This program has given the internists and general physicians the knowledge of thyroid physiology, common and unusual clinical presentations, cost effective evaluation and management skills and helped dispel many myths and misconceptions . Being a part of this program has been a very rewarding experience.
Dr. Usha Sriram
Chennai, Tamil Nadu

The Certificate Course in Management of Thyroid Disorders (CCMTD) under the auspices of PHFI has been a very useful & informative course for clinicians. As a national expert for the last 2 years, I have supervised the development of modules and attended 1 module, conducted very professionally by PHFI. The course was well attended & the feedback from the participants was very encouraging. The didactic lectures are good & the content of the course is excellent. My suggestion to improve the course is to have 2-3 faculty over 4 hours rather than a single faculty, which breaks the monotony.I would suggest 30 minutes group discussion during the course rather than totally didactic lectures, which should be interactive with active participation of all delegates. Congrats PHFI for the excellent work and all the best in future. PHFI is doing omen service in improving the skills and knowledge of clinicians for the management of thyroid disorders in India by conducting Management of Thyroid Disorders (CCMTD)
Dr. K. M. Prasanna Kumar
Bangalore, Karnataka

It has been a pleasure working with CCMTD. Much energy and effort has gone into the modules, which have been prepared by experts from across the nation. Equal enthusiasm and eagerness marked the classes which I attended as observer. I wish our graduates success in their career, and hope that through them, CCMTD helps achieve optimal thyroid health in our countrywomen and men.
Dr. Sanjay Kalra
Karnal, Haryana

CCMTD is a wonderful initiative taken up by PHFI in collaboration with CDI to train primary care physicians in the management of thyroid disorders. It was an honour to be a regional faculty for CCMTD Cycle 1. The 21 participants at Goa centre came from various towns and villages across Goa and neighbouring Maharashtra. They were very enthusiastic and desirous to learn from the first module itself. It was a pleasant experience to start and end each module on time. The modules were well written with informative and comprehensive content. Clinical case scenarios were aptly used to teach the nuances of thyroidology. The spectrum of the participants meant that their understanding levels varied. So, each point had to be explained in detail making it more interesting. All in all it was a memorable experience.
Dr. Ankush Desai
Goa

The CCMTD course is unique and covers all basic principles and practical aspects of thyroid disease. The physicians and general practitioner colleagues were really impressed by the course material which set them up to understand fundamental concept of thyroid diseases. The course has also focused on day to day aspects of clinical care a practitioner faces in treating common conditions like hypothyroidism. I really liked the use of case based examples, activity processes and the post-test discussion. On the whole I found the course very useful and enjoyable. My best wishes to the CCMTD team.
Dr. Muthu Kumaran Jayapaul
Chennai, Tamil Nadu

" It has been a pleasure to develop the curriculum for the CCMTD course and participate in its implementation. The thyroid diseases are probably very common. There was a felt need among the physicians to understand the management of common thyroid problems. The endocrine community, exemplified by the brilliant national experts of the meeting came forward and improved the basic module developed by the Chellaram Diabetes Institute- and this was perfectly implemented by the Public Health Foundation of India . The result is a course that has managed to catch the attention of the medical community of India, empowering them to manage thyroid diseases. That over a thousand doctors have applied for the second version of then CCMTD is by itself a testimonial to excellent team work of the implementation partner with the academic partner. This course, one hopes, will ultimately improve thyroid management and better the lives of millions suffering from thyroid problems. "
Dr. A. G. Unnikrishnan
Pune, Maharashtra

CCMTD (cycle 1) can be regarded as the first (and only) structured comprehensive certificate course in practical thyroidology in India meant to empower the primary care physician with the knowledge and acumen to treat common thyroid disorders with confidence. Like any other certificate course carried out by PHFI, the modules are elaborate yet not having too much of unnecessary theoretical details;the contact sessions are interactive and the topics informative and educative.It is as a pleasure to train primary care physicians with the help of these structured modules.The only downside of the course is the great demand for enrollment amongst prospective students which cannot always be met due to logistic considerations.
Dr. Nilanjan Sengupta
 Kolkata, West Bengal
,

"Thyroid diseases are commonly prevalent in India. However, their early recognition and proper management remains a challenge. Recognising this need, the Public Health Foundation of India (PHFI) has teamed up with Chellaram Diabetes Institute (CDI) to implement the Certificate Course in Management of Thyroid Disorders (CCMTD). In the first cycle, more than 700 doctors, most of them primary care physicians, have successfully completed the course, conducted across 35 centres in India. More than 1,000 doctors have enrolled in the second cycle, exemplifying the standing that the course has in the medical community in the country. The course will go a long way in empowering these doctors to manage cases of thyroid disorders in their daily practice and positively impact the thyroid disease scenario in the country."
Dr. Shailesh Rajaram Deshpande
Pune,Maharashtra

"I am very happy to be associated with CCMTD course as observer. It is great opportunity for participants to expose newer knowledge and information on thyroid disorders and update themselves. The content and delivery of programme is excellent by active participation of experts par excellence."
Dr Narendra Nath V
Bangalore

Compact, Up to Date & Comprehensive, Phobia with hyperthyroidism is gone now & have became more efficient in treating the Thyroid cases
Dr. Meenakshi Ojha
DM
Jaipur, Rajasthan

I must admit, that the entire CCMTD programme was well structured and executed.. And having Dr Ankush as our faculty and teacher was just the icing on the cake.. He was excellant and made the modules very easy to understand and interesting at the same time, thanks to his vast knowledge of the subject..!! Being an ophthalmologist and an oculoplasty surgeon, I have a suggestion, it would be nice if you could have a module dedicated to eye disease and management, the next time around.Thank you for giving me the opportunity to learn about thyroid ds from the experts.
Dr. Audrey Quadros
MS
Mapusa, Goa

I was one of the participants who enrolled with PHFI in Cycle I and contributed towards the success of Certificate Course in Management of Thyroid Disorders (CCMTD). The contents of the 4 month course was well organised.Every module had specific chapters related to Thyroid diseases and the diagnosis and treatment of every particular disease was covered extensively, so that it is easily understood by the practicing physicians.It will enhance the knowledge of the regular practitioners and makes them better physicians at the end of the course, indirectly reducing the burden of the patient to go in search of a specialist for every small problem related to thyroid disease.Some complicated cases were given as examples of how to tackle them initially, before sending them to an Endocrinologist for further care and need of special treatment.At the end, I would like to point out a small flaw which we all noted in the class and felt like informing the concerned authorities.The terms thyrotoxicosis and Hyperthyroidism were initially explained very clearly and the differences between both terms also was clarified, but same authors used those terms in a non specific way during the course, making the meaning of the previously mentioned definitions meaningless. I expect them to make corrections as deemed fit, if they agree with my observation.Course is practical And Easy to understand with examples of several cases & photos, Fine tuning of the case discussion leads to further classification in differential diagnosis of a thyroid case leading to proper treatment.
Dr. Thummala Kamala
MBBS
Bangalore, Karnataka

Had a great refreshing , presice , clinically inclined course that has been very useful in my day to day practice .
Dr. A.B. Chitra
MD/DNB
Rajapalayam, Tamil Nadu

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