Fellowship in Internal Medicine

The Fellowship course in Internal medicine is structured to equip healthcare practitioners with specialization in the prevention, accurate diagnosis and effective treatment strategies of patients. Through a blend of theoretical understanding and hands-on clinical exposure, participants will delve into internal medicine principles, diagnostic methodologies, therapeutic interventions, and the management of diverse medical conditions prevalent in adult populations. This course is tailored to enhance the medical proficiency of practitioners, enabling them to provide comprehensive care within the realm of internal medicine.

  • 12months
  • May 27, 2026
  • 33 modules
  • 120 CPD Points

Course Curriculum

1. Basics in Clinical Medicine

  • Introduction to General Considerations in Clinical Medicine

    General Assessment of the Patient

    Ethical Principles

    Preoperative Evaluation and Perioperative Management

2. Pain & Symptom Assessment

Multidimensional pain assessment

Pharmacological interventions

Non-pharmacological approaches

Management of common symptoms – nausea, dyspnea, fatigue

3. Basics In Patient Assessment

Essentials for Internal Medicine Physician

Emergency Design and Staffing

Wound Assessment and Management

Local and Regional Anesthesia

Point of Care Testing

Essentials of Medicolegal Case Writing

Medicolegal Issues in Emergency

Patient Safety and Quality in Internal Department

4. Critical Care Essentials

Standards of Care during Air Transfer

Standards of Care during Road Transfer

Management of Cardiac Arrest in Adults

Airway Management

Management of Critically Ill Patient in Internal Medicine

Overview of Shock

Sepsis and Septic Shock

Noninvasive Ventilation

Mechanical Ventilation

Oxygen Therapy

5. Respiratory & Pulmonology Disorders

Hemoptysis

Acute Respiratory Failure

Acute Exacerbation of Asthma and Chronic Obstructive Pulmonary Disease

Pneumonia

Pneumothorax and Insertion of Chest Tube

Pulmonary Embolism

Acute Respiratory Failure

Aspiration Pneumonitis

Chronic Obstructive Pulmonary Disease (COPD)

Acute Bronchial Asthma and Management

Pulmonary Hypertension

6. Neurology

Basics of neurology

Neurological History Taking and Physical Examination

Clinical assessment of cranial nerves

Motor and sensory examination

Reflex testing

Fundamentals of Neuroimaging (CT, MRI, etc.)

Electrodiagnostic Studies (EEG, EMG, etc.)

Common Neurological Disorders:

Epilepsy and Seizure Disorders

Stroke and Cerebrovascular Diseases

Movement Disorders (e.g., Parkinson’s disease)

Neurological Emergencies:

Status Epilepticus

Acute Stroke Management

Traumatic Brain Injury

7. Dermatology

Introduction

Skin anatomy and physiology

Dermatological Examination and Diagnostic Techniques:

Skin examination techniques

Deramatoscopy

Skin biopsy and histopathology

Common Dermatological Conditions:

Acne and Rosacea

Eczema and Dermatitis

Psoriasis

Infections (bacterial, viral, fungal)

Skin Cancer and Melanoma:

Skin cancer epidemiology

Basal cell carcinoma, squamous cell carcinoma

Pediatric Dermatology:

Neonatal dermatology

Common skin conditions in children

Dermatopathology:

Histopathological interpretation of skin biopsies

Correlation with clinical findings

Dermatological Emergencies:

Stevens-Johnson syndrome

Toxic epidermal necrolysis

Dermatologic manifestations of systemic diseases

8. Palliative Care

Definition and principles of palliative care

Communication Skills in Palliative Care:

Breaking bad news

Advanced communication techniques

Cultural competency and sensitivity

Ethical and Legal Issues in Palliative Care:

End-of-life decision-making

Pain & Symptom Assessment and Management:

Multidimensional pain assessment

Pharmacological interventions

Non-pharmacological approaches

Palliative Care Across the Lifespan:

Pediatric palliative care

Palliative care for young adults

End-of-Life Care:

Approaches to care in the final days and hours

Recognizing imminent death

Care after death

Principles of geriatric care

Demographic trends and the aging population

Geriatric Syndromes:

Falls and gait disorders

Incontinence

Delirium

9. Psychiatry

Introduction

Historical perspectives and evolution of psychiatric practices

Current trends and challenges in mental health

Psychiatric Interview and Mental Status Examination:

Basic communication skills

Establishing rapport with patients

Psychopathology:

Classification of psychiatric disorders (e.g., DSM-5 criteria)

Understanding and recognizing symptoms of major mental disorders

Differential diagnosis

Neurodevelopmental Disorders:

Autism spectrum disorders

Attention-deficit/hyperactivity disorder (ADHD)

Mood Disorders:

Major depressive disorder

Bipolar disorder

Anxiety Disorders:

Generalized anxiety disorder

Psychotic Disorders:

Schizophrenia

Personality Disorders:

Borderline personality disorder

Narcissistic personality disorder

Antisocial personality disorder

Sleep Disorders:

Insomnia

Substance Use Disorders:

Alcohol use disorder

Substance abuse and dependence

Psychotherapy and Counseling:

Overview of various psychotherapeutic modalities

cognitive-behavioral therapy

Ethics in Psychiatry:

Ethical considerations in psychiatric practice

Confidentiality and informed consent

10. Critical Care and Emergency Medicine

Overview of Critical Care Medicine

Historical Perspective and Evolution

Role of Intensivists and Emergency Medicine Physicians

Ethical Considerations in Critical Care

 Monitoring Patients with Critical Illness:

Hemodynamic Monitoring

Respiratory Monitoring

 Sepsis And Shock Emergencies:

Sepsis and Septic Shock

Etiology & Pathophysiology

Symptoms and Signs

Diagnosis &Treatment

Prognosis

Management of Organ Failure in Critical Illness:

Renal Failure and Renal Replacement Therapy

Hepatic Failure and Supportive Care

Respiratory Failure and its Management

11. Toxicology

Overview of Toxicology

Approach to the Poisoned Patient

Antidotes Commonly Used in Overdose

Treatment of Hypotension Associated with Drug Poisoning

Carbon Monoxide Poisoning

Illicit Drugs and Controlled Substances of Abuse

Alcohol Withdrawal

Arsenic Poisoning

Cyanide Poisoning

Organophosphate and Organocarbomate Poisoning – Management

Specific Toxicities: Acetaminophen, Alcohol, Amphetamine, Arsenic, Benzodiazepine, Cocaine, Cyanide, etc.

Withdrawal Syndromes

Management of Poisoning and Overdose

Environmental Emergencies:

Burns

Emergency Department – Anaphylaxis

Emergency Department – Hymenoptera Bites & Stings

Heat Stroke & Hyperthermia

12. Clinical Genetics

Introduction

Definition of Clinical Genetics

Historical Developments in Genetics

Ethical and Legal Considerations in Genetic Medicine

Genetic Counseling and Informed Consent

Principles of Human Genetics:

Mendelian Inheritance

Chromosomal Disorders

Molecular Genetics:

DNA Structure and Replication

Gene Expression and Regulation

Genetic Testing and Diagnostics:

Laboratory Techniques in Genetics

Cytogenetic Testing

Pediatric Genetics:

Inborn Errors of Metabolism

Genetic Disorders in Childhood

13. Medical Oncology

Introduction

Historical Perspectives and Advances in Cancer Treatment

Ethical and Psychosocial Aspects of Oncology

Principles of Cancer Biology:

Molecular Basis of Cancer

Cell Cycle Regulation

Cancer Diagnosis and Staging:

Imaging Modalities in Oncology

Pathology and Histopathology

Principles of Medical Oncology Treatment:

Surgery, Radiation, and Systemic Therapies

Survivorship and Late Effects of Cancer Treatment:

Long-Term Follow-Up Care

Monitoring for Late Effects

Emerging Technologies and Innovations:

Liquid Biopsy and Circulating Tumor DNA

14. Radio Diagnosis

Radiological Physics and Technology

Basics of X-ray Physics

Imaging Anatomy and Physiology:

Anatomy Relevant to Radiodiagnosis

Radiographic Techniques:

Conventional Radiography

Fluoroscopy

15. Nuclear Medicine

Principles of Nuclear Medicine

Historical Perspectives and Advances in Nuclear Medicine

Ethical and Legal Considerations in Nuclear Medicine

Radio pharmacy and Radiopharmaceuticals:

Production of Radiopharmaceuticals

Radiation Physics and Safety:

Basics of Radiation Physics

Radiation Protection and Safety Measures

Nuclear Medicine Imaging Techniques:

Planar Imaging

Thyroid Imaging

Parathyroid Imaging

16. Regenerative Medicine

Introduction to Regenerative Medicine

Definition and Principles of Regenerative Medicine

Historical Development and Milestones

Ethical and Regulatory Considerations

Basic Concepts in Stem Cell Biology:

Overview of Stem Cells

Types of Stem Cells (Embryonic, Adult, Induced Pluripotent Stem Cells)

Stem Cell Isolation and Culture Techniques:

Isolation of Stem Cells from Different Sources

In Vitro Culture and Expansion of Stem Cells

Regenerative Medicine Applications:

Regeneration of Musculoskeletal Tissues (Bone, Cartilage, Muscle)

Cardiovascular Regeneration

Regenerative Medicine in Chronic Diseases:

Diabetes and Pancreatic Regeneration

Liver Regeneration

17. Basic Life Support (BLS)

Introduction to Basic Life Support

Importance of BLS in Emergency Situations

Chain of Survival

Legal and Ethical Considerations

Recognition of Cardiac Arrest:

Signs of Cardiac Arrest

Basics of BLS:

Principles of Chest Compressions

Techniques for Adult, Child, and Infant Chest Compressions

Compression Depth and Rate

Cardiopulmonary Resuscitation (CPR) Techniques:

Integration of Chest Compressions and Ventilation

18. Advanced Cardiac Life Support (ACLS)

Advanced Cardiac Life Support (ACLS)

19. Neurology

Basics of neurology

Neurological History Taking and Physical Examination

Clinical assessment of cranial nerves

Motor and sensory examination

Reflex testing

Coordination and gait assessment

Localization of Lesions in the Nervous System

Fundamentals of Neuroimaging (CT, MRI, etc.)

Electrodiagnostic Studies (EEG, EMG, etc.)

 Common Neurological Disorders:

Epilepsy and Seizure Disorders

Stroke and Cerebrovascular Diseases

Movement Disorders (e.g., Parkinson’s disease)

Neurodegenerative Disorders (e.g., Alzheimer’s disease)

Headache Disorders (e.g. Dementia)

Neuromuscular Disorders

Peripheral Nerve Disorders

Neurological Emergencies:

Status Epilepticus

Acute Stroke Management

Traumatic Brain Injury

Trigeminal Neuralgia

Neurological Procedures

Lumbar Puncture

Nerve Conduction Studies and Electromyography

Botulinum Toxin Injections

Deep Brain Stimulation

20. Dermatology

Introduction

Skin anatomy and physiology

Dermatological immunology

Pharmacology in dermatology

Dermatological Examination and Diagnostic Techniques:

Skin examination techniques

Deramatoscopy

Skin biopsy and histopathology

 Common Dermatological Conditions:

Acne and Rosacea

Eczema and Dermatitis

Psoriasis

Infections (bacterial, viral, fungal)

Urticaria and Angioedema

Disorders of Pigmentation

Hair and Nail Disorders

Skin Cancer and Melanoma:

Skin cancer epidemiology

Basal cell carcinoma, squamous cell carcinoma

Melanoma diagnosis and management

Pediatric Dermatology:

Neonatal dermatology

Common skin conditions in children

Birthmarks and pediatric tumors

Dermatopathology:

Histopathological interpretation of skin biopsies

Correlation with clinical findings

Dermatological Surgery:

Excisional surgery

Mohs surgery for skin cancer

Cryotherapy and electrosurgery

Dermatological Emergencies:

Stevens-Johnson syndrome

Toxic epidermal necrolysis

Dermatologic manifestations of systemic diseases

Sexually Transmitted Infections (STIs):

Dermatologic manifestations of STIs

Diagnosis and management of STIs

21. Palliative Care

Introduction

Definition and principles of palliative care

Communication Skills in Palliative Care:

Breaking bad news

Advanced communication techniques

Cultural competency and sensitivity

Ethical and Legal Issues in Palliative Care:

End-of-life decision-making

Advance care planning and directives

Ethical dilemmas in palliative care

Pain & Symptom Assessment and Management:

Multidimensional pain assessment

Pharmacological interventions

Non-pharmacological approaches

Management of common symptoms – nausea, dyspnea, fatigue

Gastrointestinal symptom & Management

Respiratory symptom & Management

 Palliative Care Across the Lifespan:

Pediatric palliative care

Palliative care for young adults

Geriatric palliative care

End-of-Life Care:

Approaches to care in the final days and hours

Recognizing imminent death

Care after death

22. Geriatric Medicine

Introduction

Definition and scope of geriatric medicine

Principles of geriatric care

Demographic trends and the aging population 

Aging Physiology and Pathophysiology:

Normal aging processes

Common age-related changes in organ systems

Pathophysiology of geriatric syndromes 

Comprehensive Geriatric Assessment:

Physical assessment in the elderly

Cognitive assessment

 

Functional assessment –

Instrumental Activities of Daily Living – IADLs

Activities of Daily Living – ADL 

 

Geriatric Syndromes:

Falls and gait disorders

Incontinence

Delirium

Frailty

Polypharmacy 

Chronic Diseases in Older Adults:

Cardiovascular diseases in the elderly

Diabetes management in geriatrics

Osteoporosis and musculoskeletal disorders

Neurological disorders

23. Psychiatry

Introduction

Historical perspectives and evolution of psychiatric practices

Current trends and challenges in mental health

Psychiatric Interview and Mental Status Examination:

Basic communication skills

Establishing rapport with patients

Techniques for conducting a comprehensive psychiatric interview

Components of the mental status examination

Psychopathology:

Classification of psychiatric disorders (e.g., DSM-5 criteria)

Understanding and recognizing symptoms of major mental disorders

Differential diagnosis

Neurodevelopmental Disorders:

Autism spectrum disorders

Attention-deficit/hyperactivity disorder (ADHD)

Intellectual disabilities

Mood Disorders:

Major depressive disorder

Bipolar disorder

Anxiety Disorders:

Generalized anxiety disorder

Panic disorder

Phobias and obsessive-compulsive disorder (OCD)

Psychotic Disorders:

Schizophrenia

Schizoaffective disorder

Delusional disorders

Personality Disorders:

Borderline personality disorder

Narcissistic personality disorder

Antisocial personality disorder

Eating Disorders:

Anorexia nervosa

Bulimia nervosa

Binge-eating disorder

Sleep Disorders:

Insomnia

Sleep-related breathing disorders

Parasomnias

 Substance Use Disorders:

Alcohol use disorder

Substance abuse and dependence

Dual diagnosis and comorbidity

 Psychotherapy and Counseling:

Overview of various psychotherapeutic modalities –

cognitive-behavioral therapy

psychodynamic therapy

Therapeutic techniques and interventions

 Ethics in Psychiatry:

Ethical considerations in psychiatric practice

Confidentiality and informed consent

24. Critical Care and Emergency Medicine

Overview of Critical Care Medicine

Historical Perspective and Evolution

Role of Intensivists and Emergency Medicine Physicians

Ethical Considerations in Critical Care

Monitoring Patients with Critical Illness:

Hemodynamic Monitoring

Respiratory Monitoring

Neurologic Monitoring

Renal Monitoring

Metabolic and Nutritional Monitoring

 Sepsis And Shock Emergencies

Sepsis and Septic Shock

Etiology & Pathophysiology

Symptoms and Signs

Diagnosis &Treatment

Prognosis

Bacterial Pneumonia & Bacterial Sepsis

Community-Acquired Pneumonia Organism-Specific Therapy

Neonatal Sepsis & Pediatric Sepsis

Peritonitis & Abdominal Sepsis

Systemic Inflammatory Response Syndrome (SIRS)

Treatment of Sepsis and Septic Shock in Children

Hypovolemic Shock & Anaphylactic Shock

 Management of Organ Failure in Critical Illness:

Renal Failure and Renal Replacement Therapy

Hepatic Failure and Supportive Care

Neurologic Failure and Brain Protection

Gastrointestinal Failure and Nutritional Support

Respiratory Failure and its Management

25. Toxicology

Overview of Toxicology

Approach to the Poisoned Patient

Antidotes Commonly Used in Overdose

Treatment of Hypotension Associated with Drug Poisoning

Carbon Monoxide Poisoning

Illicit Drugs and Controlled Substances of Abuse

Alcohol Withdrawal

Digitalis Toxicity

Calcium Channel Blocker Toxicity

Acetaminophen Hepatotoxicity

Salicylate Overdose

Tricyclic Antidepressant Overdose

Monoamine Oxidase Inhibitor Overdose

Arsenic Poisoning

Cyanide Poisoning

Iron Poisoning

Lithium Carbonate Overdose

Serum Osmolality

Ethanol Poisoning

Corrosive Poisoning

Ethylene Glycol Poisoning

Organophosphate and Organocarbomate Poisoning – Management

Specific Toxicities: Acetaminophen, Alcohol, Amphetamine, Arsenic, Benzodiazepine, Cocaine, Cyanide, etc.

Withdrawal Syndromes

Management of Poisoning and Overdose

26. Clinical Genetics

Introduction

Definition of Clinical Genetics

Historical Developments in Genetics

Ethical and Legal Considerations in Genetic Medicine

Genetic Counseling and Informed Consent

 Principles of Human Genetics:

Mendelian Inheritance

Chromosomal Disorders

Multifactorial Inheritance

Genomic Imprinting

Non-Mendelian Inheritance Patterns

 Molecular Genetics:

DNA Structure and Replication

Gene Expression and Regulation

Genetic Variation (mutations, polymorphisms)

Epigenetics and Gene Modification

Genetic Testing and Diagnostics:

Laboratory Techniques in Genetics

Cytogenetic Testing

Molecular Genetic Testing

Next-Generation Sequencing

Bioinformatics in Genetic Testing

Pediatric Genetics:

Inborn Errors of Metabolism

Genetic Disorders in Childhood

Developmental Delay and Intellectual Disabilities

Genetic Syndromes with Dysmorphology

27. Medical oncology

Introduction

Historical Perspectives and Advances in Cancer Treatment

Ethical and Psychosocial Aspects of Oncology

Principles of Cancer Biology:

Molecular Basis of Cancer

Cell Cycle Regulation

Tumor Suppressor Genes and Oncogenes

Apoptosis and Angiogenesis

Cancer Microenvironment

Cancer Diagnosis and Staging:

Imaging Modalities in Oncology

Pathology and Histopathology

Molecular and Genetic Diagnostics

Cancer Staging Systems

Principles of Medical Oncology Treatment:

Surgery, Radiation, and Systemic Therapies

Chemotherapy, Immunotherapy, and Targeted Therapy

Hormonal Therapy in Oncology

Combination Therapies and Treatment Sequencing

Survivorship and Late Effects of Cancer Treatment:

Long-Term Follow-Up Care

Monitoring for Late Effects

Survivorship Care Plans

Emerging Technologies and Innovations:

Liquid Biopsy and Circulating Tumor DNA

Artificial Intelligence in Oncology

Advances in Radiotherapy and Imaging

28. Rheumatology

Overview of Autoimmune Diseases

Diagnosis and Management of Rheumatoid Arthritis

Systemic Lupus Erythematosus: Clinical Challenges

Gout and Hyperuricemia

Osteoarthritis: Evidence-Based Approaches

Spondyloarthritis: An Overview

Connective Tissue Diseases

Vasculitis: Clinical Presentation and Management

Infectious Complications in Rheumatology

The Role of Imaging in Rheumatologic Disorders

Biologics and Disease-Modifying Agents

Rheumatologic Manifestations of Systemic Diseases

Pediatric Rheumatology

Chronic Pain Syndromes in Rheumatology

Nutrition and Lifestyle in Rheumatology

Emerging Therapies in Rheumatology

29. Nephrology and Renal Disease

Basics of Nephrology Concepts

Goodpasture’s disease signs and symptoms

Causes of nocturia

Definitions of chronic kidney disease

Management of chronic kidney disease

Causes of dysuria

Investigation and management of urinary tract infection

Investigation and management of acute kidney injury

Investigation and management of haematuria

30. Infectious Diseases

Management of breathlessness in an HIV positive patient

Signs and symptoms of viral encephalitis

All about HSV encephalitis

Investigation and management of urinary tract infection

Management of the septic patient

Severe malaria

TSS Usual organisms and antibiotic therapy

Differentiation of causes of fever

Investigation and management of sSepsis

31. Endocrinology

Drugs which cause low sodium

Management of low sodium

Clinical manifestations of diabetic autonomic neuropathy

Endocrine causes of fever

Management of thyrotoxicosis including thyroid storm

32. Gastroenterology

Pathophysiology of gastro-oesophageal reflux disease causing cough

Abdominal pain

Investigation and management of diarrhoea

Jaundice in the acute medicine setting

Nausea and vomiting: Investigations and management

Refeeding syndrome

Ulcerative colitis: Investigation and management

Haematemesis and melaena: Causes, risk stratification and management

Investigation and management of dyspepsia

33. Clinical Cardiology

Acute management of accidental hypothermia and its complications

Acute illnesses which can present with syncope

Definition of postural hypotension

Syncope: Guidelines and treatment

Anoxic seizures

ECG Interpretation in the bradycardic patient

Limb pain and swelling

Diagnosis of endocarditis

Differential diagnosis investigation and treatment of chest pain in pregnancy

Cardiovascular adaptations to pregnancy

Causes, investigation and management of valvular disease in pregnancy

Classic ECGs and infarct territories

Different presentations of anginal chest pains

0The ECG in acute pericarditis

Pathophysiology presentations and management of cocaine-related chest pain

Causes of mitral stenosis

Investigation, management and treatment of mitral stenosis

Causes of palpitations – atrial flutter

Characteristics of ventricular tachycardia versus supraventricular tachycardia

Brugada syndrome

Risk of in-stent re-stenosis

Causes of hypertrophic cardiomyopathy

Investigation and management of hypertrophic cardiomyopathy

Pericarditis: Investigation and management

Earn Recognized Certifications

Upon successful completion of the course and all required assessments, participants will be awarded professional certificates that are recognized by leading healthcare institutions.

  • Earn 120 CPD Points continuing medical education credits
  • Digital certification with secure verification
  • Share your achievement directly on LinkedIn and other platforms
  • Certificate issued by MedVantage Education and recognized industry partners
  • Batch Date:
  • May 27, 2026

Category

Fellowship

Duration

12months

Mode

Hybrid

Clinical Obs.

Eligibility Criteria

  • MBBS Graduates
  • Practicing Doctors (MBBS+MD/MS/M.Ch)
  • MBBS+MD And DNB Residents
  • Undergraduate Medical Students In The Final Year

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Dr. Ramkesh Singh Parmar

GOLD MEDALIST MBBS, MD (INTERNAL MEDICINE)

SMS MEDICAL COLLEGE JAIPUR DNB, FNB I D, FICP, FISH, FISC, FIDM, FIDF, FELLOW OF AMERICAN COLLEGE OF PHYSICIANS, FELLOW AMERICAN COLLEGE OF CLINICAL ENDOCRINOLOGY, FELLOW ROYAL COLLEGE OF PHYSICIANS OF ENGLAND, PHD, DIABETES, THYROID & ENDOCRINOLOGY