New Delhi – Certificate Course in Pain and Palliative Medicine

Six weeks’ “hands-on” Certificate Course in Pain and Palliative Medicine for doctors and nurses


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.


MBBS or post graduate doctors and BSc / GNM qualified nurses, interested / engaged in starting new palliative care services or strengthening the quality of care in existing services, and looking forward to practical learning of essential knowledge, skills and attitudes.

We encourage a nurse and a doctor from the same institution to come for the training as a team; but this is not mandatory. A letter of support from the head of the department / institution would add import to the application.

How to apply:

Please download the application form from the link below, fill it up and send it to along with (i) a passport size photograph, (ii) soft copy of the CV, (iii) degree and registration certificates.

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 IACA Scholarship is sponsored by The John and Editha Kapoor Charitable Foundation, USA and includes the travel costs, boarding, lodging, and the registration fees. If the candidate is local, then the registration fees would be supported.


The course will be held in CanSupport, New Delhi.
(Please find contact details at the bottom of this page)


What will you learn?

You will meet a committed team of professionals who want to nourish you with their expertise and experience during the course and beyond. The themes include;

  • Approach and care of patients [adults and children] and families with progressive and advanced diseases, and disabilities
  • Management of severe persistent pain such as experienced by cancer patients
  • Symptom management beyond disease modifying therapies – e.g. breathlessness, delirium, constipation, nausea vomiting
  • Communicating with patients with advanced diseases – basic communication skills, breaking bad news, handling collusion, family meetings, shared decision making, responding to the reactions of patients, communicating with colleagues
  • Nursing care relevant to patients with progressive and advanced diseases
  • Procedural skills – relevant to patients with advanced diseases
  • Applying ethics in decision making for planning care in patients with advanced diseases
  • Understanding end of life and end of life care
  • Setting up and running a palliative care service

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. Ravinder Mohan
Course Coordinator,
Kanak Durga BVK
Sector 12, R.K. Puram
New Delhi-110022
Phone: 011-26102851 / 26102869 Ext 109