Mumbai – Certificate Course in Pain and Palliative Medicine

Six weeks’ “hands-on” Certificate Course in Pain and Palliative Medicine (CCPPM)


To enable participants to gain practical “hands-on” training in palliative care delivery supplemented by theoretical background.

Course schedule:

Please visit for the dates of the upcoming trainings and the last date to apply.


M.B.B.S, permanent registration with medical council and BDS.

How to apply:

Please download the application form from the link below, fill it up and send it to along with a passport size photograph.

Download Application Form (.doc)

Please note: The number of seats is limited to five and will be allotted on first-come-first-serve basis.


The course will be held in Tata Memorial Hospital, Mumbai, Maharashtra.

Working Hours:

All six weeks will be 6-day weeks. Work starts at 9.00 AM and finishes at 5.30 PM or till clinical work is completed, whichever is later.

If for some reason leave of absence is needed for more than two days for unforeseeable reasons, the duration of the course will be extended by the number of days missed.

The learning process:

The bulk of the learning process will be by the bedside, in the outpatient department, in the wards, and at patients’ homes. In addition to home visits, the participant will also attend some peripheral palliative care clinics in some outlying towns.

There will be one or two academic exercises every day – majority of the subjects will be covered in the form of interactive tutorials. Periodically the participant will be expected to make short presentations on some of the subjects as well as to present interesting reports of patients and problems.

All of palliative care cannot be covered in academic programs. The participant is encouraged to explore problems arising during clinical work and initiate academic discussions. We will provide enough flexibility with the academic program to encourage this.

At the beginning of the course, the participant will be given a copy of the book “Introducing palliative care” 4th ed (Robert Twycross). In addition there will be access to a departmental library and to PubMed and some other academic sites.

Log book:

The participant is required to keep a log book of at least five reports – studies of patients – to include initial evaluation, treatment plan and progress over the period studied.


The participant will be given at least one assignment per week. The participant is encouraged to use the library as well as internet to assist the process of doing the assignment. We expect that those who are not familiar with literature search using the internet will learn to do it during this course.



Introduction to Palliative care

Principles of symptom control

Introduction to Pain

Pathophysiology of pain

Classification of pain

Pain assessment

Fundamentals of pain management

Introduction to Communication with the patient: the need; the problems.


Communication (aided by role plays)

Management of Pain: Non-opioids

Introduction to opioid pharmacology

Opioid availability


Adjuvant analgesics

Nausea and vomiting


Intestinal obstruction


Cachexia, anorexia

Skin care, wound care

Lymph edema



Palliative care in diseases other than cancer

The concept of a “good death and the last few days

Double effect of palliative medication

Difficult pain

Pain relief beyond the WHO ladder

Invasive procedures



Stoma care

Radiotherapy in palliative care

Chemotherapy in palliative care

Anxiety and depression

Ethical issues in palliative care

Spirituality and care

“Other symptoms” based on patients’ problems seen during the course


Organizing a palliative care service

Management of change; teamwork

Teaching methodology

Review of Course and Feedback



Course fees:

The course fee will be US $1500. For candidates from within India, the course fee is ₹10,000. (Candidates deputed by Government of Kerala are eligible for subsidized fee of ₹7500.) The fee is to be paid in cash or by demand draft payable to “Pallium India” at Trivandrum on acceptance to the course. Admission to the course can be guaranteed only on payment of the fee.

The course coordinator can assist in finding accommodation in Trivandrum. Low cost accommodation can be arranged for those who need it. Please communicate with the course coordinator regarding your requirements.

Follow up refresher course:

Those who have undergone the certificate course will be offered a refresher course periodically. Trainees are encouraged to keep a record of difficult clinical and administrative issues which can be discussed at such refresher courses.


For any assistance, please contact:

Dr Akanshah Chodankar
Course Coordinator,
Tata Memorial Hospital,
Phone: +91 9730497657