Certification in Integrated Care for Obesity

CICO is an online certificate course conducted and certified by OSSI and endorsed by International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO).

Bariatric surgery has become the most accepted treatment of choice for morbid obesity. Each year, thousands of patients undergo the surgery and need preoperative screening, postoperative care and long-term follow-up and support. This includes weight loss monitoring, medical treatment of comorbidities, nutritional care, and psychological support. A holistic care like this requires dedicated physicians, surgeons, dieticians, and psychologists in addition to other specialists.

There has been a rapid increase in knowledge and research in obesity management. However, there is still a deficiency of courses imparting cross-specialty knowledge. Additionally, there is a lack of enough allied health professionals dedicated to bariatric discipline in most parts of the world leading to suboptimal management.

This 8-week certification course aims to build physicians/surgeons/dieticians/psychologists for providing integrated care of obesity and sensitised to bariatric surgery to bridge this gap. The course will have lectures by experts in their field, with stress on practical knowledge. It is endorsed by IFSO.

Who Will Benefit:

Physicians, Surgeons, and Allied Health Professionals working or aspiring to work in the field of obesity/in a bariatric unit will benefit from this course. The certification by OSSI, endorsed by IFSO will give them the edge in their profession.

Allied Health professionals include:

  • Coordinators
  • Nurses
  • Dieticians
  • Psychologists
  • Pharmacologists
  • Physical Therapists
  • Physician Assistants
  • Behavioural Health Clinicians
  • Researchers
  • Clinical Reviewers

  1. Course Modules:

    There will be 23 lectures over 8 weeks. Those applying for CICO must attend all lectures to understand the subject better.

    There will be exciting group activities for the assessment every week. Two detailed case capsules to learn the treatment algorithms from specialists. One session on research paper reading ethics to keep the CICO community up to date with the newer findings.

    After completing all modules by week 8, the candidates will take up the online examination on 02.03.24 for CICO Certification.

    What Will One Learn?
    • Pathophysiology of obesity.
    • Obesity-associated diseases / metabolic syndrome.
    • Knowledge of evidence-based weight loss diets
    • Importance and techniques of physical activity in weight loss programs.
    • Psychological evaluation and management of patients with obesity Awareness of nutritional and metabolic complications after bariatric surgery.
    • Indications of bariatric surgery- guidelines.
    • Preoperative evaluation of patients undergoing bariatric surgery/ weight loss management.
    • Nutritional management of patients undergoing bariatric surgery Follow-up the patients undergoing bariatric surgery.
    • Learning the effects of bariatric surgery on diabetes, GERD, chronic liver disease, sleep apnea, arthritis, organ dysfunction, and infertility.
    1. Didactic Lectures

      The didactic online lectures. The lecture will be 20 minutes, covering the entire details about the topic, and 10 minutes for interaction with the faculty. The candidate must document that they participated in all the lectures. An automated online sign-off sheet will be used for this.

    • MBBS or equivalent
    • B.Sc. in Nutrition or equivalent
    • B.A. in Psychology or equivalent
    • A fully completed application form
    • A fully completed application form along with supporting documents of adequate qualification and experience to be submitted online.
    • Once cleared by the CICO board, the candidate will be completing the course as per the core curriculum.
    • The candidate must complete all the lecture modules followed by the MCQ-based online exam.
    • 100% attendance for the group activities is mandatory.
    • A typical course will be for eight weeks duration. One course will be planned during a calendar year.
    • Prior information to the course director is mandatory if you cannot attend the session.
    • Examination will be held after the course completion. CICO certificates of the respective field will be provided to the successful candidates.
    • The examination includes online theory, which will be based on MCQs. The candidate will also be assessed on their clinical knowledge and problem-solving skills during group activities.
    • The final assessment score break-up will be as follows:
      • Final Online MCQ - 70
      • Final Online Group Activity - 30
      • The candidate should be clear with a minimum 50% score in each category. 35+15=50 marks
      • OSSI, endorsed by the IFSO certificate, will be awarded to those who pass the CICO
    • The CICO will not attract any admission fee. However, a non-refundable examination fee of Rs.5000 will be levied during registration.
    • Repeat candidates must re-apply for examination once the fellowship board approves their reappearance.
    • All expenses like clinical & research-related materials (textbooks, journal access), stationaries, etc, will be borne by the candidates themselves.

For further queries and information, write to


View CICO Agenda
  1. Didactic Lectures

    The didactic lectures are given online through recorded lectures. The lecture will be of 30 - 40 minute duration covering the entire details pertaining to the topic. The candidate must document that they participated in all the lectures. Automated online Sign-Off Sheet will be used for this. The following topics will be covered during the online lectures during fellowship:

    1 Obesity- The Magnitude of The Problem- Need Of CICO? Sarfaraz Baig
    2 Obesity- Pathophysiology - Do We Understand It Well? Bisher Mustafa
    3 Obesity Associated Diseases- Concept Of Metabolic Syndrome Nasreen Al Faris
    4 Mental Health And Eating Disorders Associated With Obesity. Prasanta Roy
    5 Clinical Evaluation And Lab Tests Of Patients With Obesity Sarfaraz Baig
    6 Dietary Treatment Of Obesity - Fad Vs Evidence-Based Diets Lillian Cragg Dino
    7 Physical Training In The Treatment Of Obesity Janet R Wojcik
    8 Cognitive Behavioural Therapy For Eating Disorders Gautam Saha
    9 Anti Obesity Medicines- What, Where, When? Subhankar chowdhury
    10 Adolescent Obesity Subrata Dey
    11 Surgical Treatment Of Obesity - Bariatric Surgery And Indications Randeep Wadhawan
    12 Preoperative Nutritional Care of Patients Undergoing Surgery Ritika Samadder
    13 Bariatric Surgery- Types And Their Implications Praveen Raj
    14 Postoperative Nutrition Care Of Patients Undergoing Surgery Richa Jaiswal
    15 Follow Up And Supplementation In Patients After Bariatric Surgery Lillian Craggs-Dino
    16 Anemia After Bariatric Surgery Mary O’Kane
    17 Bone Health After Bariatric Surgery Carlyne Remedios
    18 Neurological Complications After Bariatric Surgery Madhu Goel
    19 DM And Bariatric Surgery Alex Miras
    20 GERD And Bariatric Surgery Sandeep Aggarwal
    21 CLD And Bariatric Surgery Chetan Parmar
    22 OSA And Bariatric Surgery Dipankar Dutta
    23 OA And Bariatric Surgery TBA
    24 Reproductive Health And Bariatric Surgery Abdelrahman Nimeri
    25 Weight Regain After Bariatric Surgery- Management. Sarfaraz Baig
    26 A Holistic Model For Managing Obesity Muffazal Lakdawala
    27 Peri-operative care are of the morbidly obese
    28 Documentation and Publication of clinical data
    29 Life after surgery - Role of diet and physical activity on quality
    30 Commercially available products to support bariatric patients

    The candidate will be answering 10 random questions after each lecture and clearing the question session is mandatory for him / her to get attendance for the given lecture. The questions will typically be from the lecture and 50% correct answers will be considered as completion of the lecture. Kindly note that the lecture marks are counted for the final assessment. The candidate should have covered the entire lecture series on time to be eligible to appear for the examination.

  2. Webinar

    Weekly webinars on various topics including case capsules of common issues and special considerations will be covered. Minimum of 7 webinar will be conducted on Saturdays 5 pm to 6 pm. Webinars will be accessed through the OSSI learning management system (LMS) and attendance is mandatory for all candidates. 100% attendance for the webinars are mandatory. Any absenteeism should be prior informed and the missing candidate will have the recorded webinar to complete to be eligible for the final certificate examination.

    Week 1 Common Issues
    Bone Health
    Iron Deficiency
    Sarfaraz Baig
    Richa Jaiswal
    Beena Arora
    Aparna Govil Bhasker
    Carlyne Remedios
    Week 2 Group Activity Delegates Desk
    Week 3 Common Issues
    Pancreatic Enzyme Deficiency
    Dumping Syndrome
    Sarfaraz Baig
    Richa Jaiswal
    Raj Palaniappan
    Sumeet Shah
    Madhu Goel
    Week 4 Group Activity Delegates Desk
    Week 5 Special Concerns
    Inadequate Weight Loss
    Weight Regain
    Sarfaraz Baig
    Richa Jaiswal
    Arun Prasad
    Ramen Goel
    Geeta Dharmati
    Week 6 Group Activity Delegates Desk
    Week 7 Special Concerns
    Adolescent Obesity
    Sarfaraz Baig
    Richa Jaiswal
    Sandeep Aggarwal
    Subrata Dey
    Vandana Soni
  3. Examination
    • Examination will be held once the course completion certificate is provided and the dates will be in the last week (week 8) of the course
    • The examination include online theory, which will be based on 100 MCQ's
    • Week 8 ONLINE MCQ Automated
      ONLINE VIVA Examiners:
      Sarfaraz Baig
      Richa Jaiswal
  4. followed by online Viva examination.. The candidate will be assessed on their clinical knowledge and problem solving skills.

Click here to download CICO Program Schedule