rvs form b.doc
TRANSCRIPT
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(SIF B-1)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
ANATOMY
For the Course of study leading up to
M.B.B.S. Examination
Name of Institution : RVS INSTITUTION OF MEDICAL SCIENCES
Place : R.V.S. Nagar, Tirupathi Road,Puthalapattu Mandal, Chittoor, Andhra Pradesh- 517 127.
Affi liated to the University of : DR.NTR UNIVERSITY OF HEALTH
SCIENCES,VIJAYAWADA-520008,
ANDHRA PRADESH
Name of the Head of the Department ………………………………………….
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
1
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(This form shall be rst lled in by the Principal/Dean of the college incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gather suchadditional information as may be necessary to ll in the spaces provided for
within)
1 Date of Inspection/ Visitation :
2 Names of Inspectors orVisitors
:
3 Date of last Inspection/Visitation
: Not Applicable
4 Name of LastInspectors/Visitors
: Not Applicable
Defects pointed out in the lastInspection/Visitation
Not Applicable
To hat e!tent remedied
Not Applicable
2
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Signature of Inspectors/ Visitors
3
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A. Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Anatomy
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor 1 Associate/
Professor/
Reader
Asst. Prof.
/LecturerDemonstrator
/Tutor Any other
Category
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(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
Associate/Professor/
Reader
Asst. Prof./Lecturer
Demonstrator/ Tutor
Any otherCategory
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B.List of non-teaching staff :
Name(s) of staff members
a. Technical Assistant
b. Technicians
c. Modellers
d. Dissection Hall Attendants
e. Steno typist
f. Store Keeper – cum – clerk
g. Sweepers
h. Any other category
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C.Give the various sub-section in the Department, if any, like Gross Anatomy, Neuro-Anatomy, Embrology and Histology.
• Is the teaching staff rotated in these sect ions and if so up to whatlevel
D. BUILDINGS :
(h) Demonstration Room :
a)Number
b)Accommodation (of each demonstration room)
i) Size
ii) Capacity
c) Audio-visual equipment available.
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ii) Departmental Library-cum-Seminar Room :
a) Is there a sepa rate departmental library?
b) Accommodation
i) Size :
ii) Capacity :
c) Number of books in Anatomy and allied subjects :
d) List of Journals :
(iii) Practical Laboratories :
A) Dissection Hall :
a) Accommodation :
i) Size :
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ii) Capacity :
B) Number and arrangement of tables
i) Big :
ii) Small :
C) Hygiene and Drainage facilities for Disposal ofDiscarded parts. Is t here a burial ground ?
a) Washing arrangement :
b) No. of wash basins provided :
c) No. of lockers provided for students :
d) Light and exhaust arrangements :
e) Special Instruments other than routine Dissection sets, suchas Electric saw etc. :
f) Extra Learning Aids provided in the Dissection Hall :
(Skeleton, Charts, Black Board etc.)
g) Cadaver Preservation Facilities :
i) Embalming room
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• Size• Location
ii) Storage Tanks
• Number• Size
iii) Cold room/cooling cabinets
• Size• Capacity
iv) No. of Cadavers available
v) No. of students allotted per cadaver
B) Histology Laboratory
a) Accommodation
• Size• Capacity
C) Working arrangement
• Seats ava ilable
• Cupboard for st orage o f microscope sl ides et c.
• Number of Microscopes with 1/3, 1/6, & 1/12 objectives
D) Number of students to each Microscope
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E) Preparation room
• Size
• Location
F) Whether Laboratory Manuals kept by students?
• Yes
• No
G) Close circuit TV/Demonstration Microscope/any otherteaching aids :
IV) Research Laboratory
a) Size
b) Equipment
c) Are there any students taken for M.S. or M.Sc. or Ph.D in Anatomy?
If so h ow many per year du ring the last three year s?
1) Diploma
2) Degree
d) List of publications by t he members of the staff during the last 3 years?
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e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any way participate in them ?
V) Museum :
a) Size :
b) How are the specimens arranged? :
c) Give Number of each :
(d) Coverage of various elds in Anatomy by Specimens
e) No. of catalogues of the specimens available to the students.
f) Specimens in Embroyology, Neuro-Anatomy, Histology, Gross Anatomy :
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g) Display of Microscopic sections of normal developing tissues –system wise.
h) Are the microscopic sections of the specimens available for study tothe st udents.
i) Number of Microscope & X-ray view Boxes available to students inthe Museum.
j) List of exhibits other than the specimens and their
k) Radiological & specialized imaging exhibits:
• Number
• Type
l) Charts, Skeletons etc.
m) Seating arrangement for students
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• Number
• Type
n) Preparation and storage rooms
o) Attached rooms
(VI) OFFICE ACCOMMODATION
a) Professor and HOD :
b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Tutors/Demonstrators :
e) Non-teaching and clerical staff:
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E) TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I. Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
• If not, what are the variations andreasons thereof?
(To be lled in by the Inspectors/ Visitors).Does the curriculum of studies adopted by thetraining center differ materially from thatrecommended by the Medical Council of India.
If so what are t he variations an d what are your observations regarding them ?
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II. Methodology
(for d uration of the e ntire c ourse)
Number
1) Didaetic Lectures
2) Demonstrations
3) Tutorials
4) Seminars conducted during the year
Number of students attending each
5) Practical
6) Any other teaching/training activities :
7) Is there any i ntegrated teaching?
If yes, details thereof :
8) Records Methods of Assessment thereof :
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(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
Signature of Head of the Department
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F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-2)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
PHYSIOLOGY INCLUDING BIO-PHYSICS
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ……..………..………..………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department …………………………………………
Signature of the Dean/Principal Signature of the Head of the(with seal) Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s space is less a statement showing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Physiology including Bio-physics
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate/Professor/
Reader
Asst. Prof./Lecturer
Demonstrator/Tutor
Any otherCategory
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(cont.)
Post Experience Grand Total of Teaching
Experience
Remarks ifany,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
Associate/Professor/
Reader
Asst.Prof./Lecturer
Demonstrator/ Tutor
Any otherCategory
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B. List of non-teaching staff :
Name (s) of staff members
a. Technical Assistant
b. Technicians
c. Store Keeper-cum-Clerk
d. Laboratory Attendance
e. Steno-typist
f. Sweepers
g. Any other category
C. Buildings :
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(i) Demonstration Room :
a. Number
b) Accommodation of each demonstration room :
Size
Capacity
c) Audio-Visual equipment available :
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(ii) Practical Laboratories :
Amphibian Mammalian Hematology ClinicalLaboratory Laboratory Laboratory Physiology
Laboratory
a) Accommodation• Size
• Capacity
b) Working arrangement
• Seats available
• Water supply
•
Sinks
• Electrical Points
• Cupboard for st orage ofmicroscopes sl ides et c
c) Main Equipment available
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d) Number of Microscopes
e) No. of students to each microscope
f) Preparation room :
• Size
• Location
g) Whether Laboratory Manuals kept by students?• Yes
• No
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(h) Close circuit TV/demonstration Microscope/any other teaching aids.
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III) DEPARTMENTAL LIBRARY-CUM-SEMINAR ROOM :
a. Is there a s eparate departmental library?
b) Accommodation
• Size
• Capacity
c) Number of Books in Physiology including Biophysics :
d) List of Journals :
IV) RESEARCH LABORATORY :
a) Size
b) Equipment
c) Are there any students taken forM.D. or Ph .D. in PhysiologyIncluding Bio-physics?
If so, how many per year du ring thelast three y ears.
1) Diploma
2) Degree
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d) List of publications by the membersof the st aff during the last 3 years ?
e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any way participate in them?
V) OFFICE ACCOMMODATION
a) Professor and HOD :
b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Tutors/Demonstrators :
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e) Non-teaching and clerical staff:
D. TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I. Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
• If not, what are the variations andreasons thereof?
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(To be lled in by the Inspectors/ Visitors).Does the cu rriculum of studies ad opted bythe training center differ materially from
that recommended by the Medical Councilof India.
If so what are t he variations an d what are your observations regarding them ?
E. METHODOLOGY
(for d uration of the e ntire c ourse)
Number
1) Didaetic Lectures
2) Demonstrations
3) Tutorials
4) Seminars conducted during the year.
(Number of students at tending each)
5) Practicals
6) Any other teaching/training activities :
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7) Is there any i ntegrated teaching?
If yes,
8) Records Methods of Assessment thereof :
(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
Signature of Head of the Department
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F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-3)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
BIOCHEMISTRY
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..……….………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department …………………………………………
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A. Teaching Staff : In case thi s space is less a statement show ing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Biochemistry
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate/Professor/
Reader
Asst. prof./Lecturer
Demonstrator/Tutor
Any otherCategory
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(cont.)
Post Experience Grand Total of Teaching
Experience
Remarks i f any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
Associate/Professor/
Reader
Asst. prof./Lecturer
Demonstrator/ Tutor
Any otherCategory
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B. LIST OF NON-TEACHING STAFF :
Name (s) of staff members
a. Technical Assistant
b. Technicians
c. Store Keeper-cum-Clerk
d. Laboratory Attendance
e. Sweepers
f. Any other category
C. BUILDINGS :
(i) Demonstration Room :
i
a) Number
b) Accommodation
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• Size
•
Capacityc) Audio-Visual equipment available :
II) PRACTICAL CLASS ROOM/LABORATORIES :
a) Accommodation• Size
• Capacity
b) Working arrangement• Seats ava ilable• Water supply• Sinks• Electric points• Cupboard for storage of microscopes
c) Preparation room• Size• Capacity
d) Whether laboratory manual kept by students?• Yes• No
e) Close circuit T.V./Any other teaching aids.
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III) DEPARTMENTAL LIBRARY-CUM-SEMINAR ROOM :
a) Is there a s eparate departmental library?
b) Accommodation• Size• Capacity
c) Number of Books in Biochemistry and
allied subjects.
d) List of Journals
(IV) RESEARCH LABORATORIES
a) Size
b) Equipment
c) Are there any students taken forM.D. or M.Sc. or Ph.D. inBiochemistry?
If so how many per year during thelast three yea rs.
1) Diploma
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2) Degree
d) List of publications by the membersof the st aff during the last 3 years.
e) Current problems in which research work is going on and by whom? (a
statement may be f urnished)
f) Do Undergraduate students in any way participate in them?
(V) OFFICE ACCOMMODATION
a) Professor and HOD :
b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Tutors/Demonstrators :
e) Non-teaching and clerical staff:
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D. TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I. Curriculum of studies(To be lled by the Dean/Principal along
with Head of the department).Curriculum in the subject as prescribed
by MCI (a copy of the detailed curriculumalong with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
• If not, what are the va riations a nd reasons t hereof?
(To be lled in by the Inspectors/ Visitors).Does the curriculum of studies adopted by thetraining center differ materially from thatrecommended by the Medical Council of India.
If so what are t he variations an d what are
your observations regarding them ?
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II. METHODOLOGY
(for d uration of the e ntire c ourse)
Number
1) Didactic Lectures
2) Demonstrations
3) Tutorials
4) Seminars conducted during the year.(Number of students at tending each)
5) Practical
6) Any other teaching/training activities :
7) Is there any i ntegrated teaching?
If yes,
8) Records Methods of Assessment thereof :
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(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
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E. SERVICE LABORATORY IN THE TEACHING HOSPITAL/COLLEGE :
a) Is there separate biochemistry laboratory in the hospital?
• Yes•
No
b) If yes, control and supervision
i) Whether departmental (college)
ii) Under Medical Superintendent (Hospital)
iii) If departmental, method of posting and rotation of medical &non-medical staff
c) Size of the laboratory :
d) Investigative equipment available (Attach list)
e) Staff
Names Qualications Designation
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1. Medical
Names Qualications Designation
2. Non-Medical
f) Report giving details of work done du ring the last 1 year t o be attached :
g) Are the students (UG/PG) posted in the hospital laboratory?
• Yes
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• No
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F. IS THERE ANY EMERGENCY HOSPITAL BIOCHEMISTRY SERVICE
If so give details of
a) Staff employed
b) Average no. of tests done during onemonth (in emergency laboratory)
c) Is a r ecord of these test maintained
Signature of Head of the Department
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G. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-4)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
PATHOLOGY
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..……….………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department …………………………………………
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Pathology
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor/Sr.Res./Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor Associate
Professor/
Reader
Asst.
Prof.
/LecturerRegistrar/
Sr.
Resident/
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Demonstra-
tor/Tutor Any other
Category
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
AssociateProfessor/Read
er
Asst. Prof./Lecturer
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Registrar/Sr. Resident/
Demonstrator/ Tutor
Any otherCategory
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B. LIST OF NON-TEACHING STAFF :
Name (s) of staff members
a. Artist
b. Technical Assistant
c. Technicians
d. Laboratory Attendants
e. Steno-typist
f. Clerk
g. Store Keeper
h. Record Clerk
i. Sweepers
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j. Any other category
C. Give the various sub-section in thedepartment like Morbid Anatomy,Hostopathology, Cytopathology, ClinicalPathology/Haematology and any otherspecialized section.
Is t he t eaching st aff rotated in these sec tions?
If so, upto what level?
D. BUILDINGS :
(I) Demonstration Room :
a) Number
b) Accommodation
• Size• Capacity
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c) Audio-Visual equipment available
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(ii) PRACTICAL LABORATORIES :Morbid/ Histo-/ Cyto-/ Clinical/ Haematology
Anatomy Pathology Pathology Pathology
________________________________________________________________________________________________________
a)Accommodation• Size
• Capacity
b)Working arrangement
• Seats available
• Water supply
• Sinks
• Electrical Points
• Cupboard for st orage ofmicroscopes sl ides et c
c)Main Equipment available
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d)Number of Microscopes
e) No. of students t o each microscope :
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f) Preparation room :
• Size
• Location
g) Whether Laboratory Manuals kept by students?
• Yes• No
h) Close circuit TV/demonstration Microscope/any other teaching aids.
iii) Service Laboratory i n the teach ing hospital/college :
Histopathology Cytopathology Haematology Any other
SpecializedSection like
immunology
a) Are there separate service laboratories?
• Yes• No
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b) If yes, control and supervision
i) Whether departmental (college)
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ii) Under Medical Superintendent (Hospital)
iii) If departmental, method of posting a nd rotation of
medical & non-medical staff :
c) Size of laboratory
d) Investigate equ ipment available (Attach list)
e) Staff Name(s) Qualications Designation
1. Medical
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Name(s) Qualications Designation
2. Non medical
f) Report giving details of work donein each service l aboratory s eparatelyduring th e l ast 1 year ( to be a ttached).
g) Are the students (UG/PG) posted in the
hospital laboratory.
• Yes• No
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(iv) Is t here an y emergency hospital Pathology service?
If so give details of –
a) Staff employed
b) Average no. of tests done during one monthin emergency h ospital pathology laboratory.
c) Is a r ecord of these tests maintained.
V) Is there a separate
a) Balance room
• Yes
• No
b) Store room
• Yes
• No
c) High speed centrifuge room
• Yes
• No
VI) MUSEUM :
a) Size
b) How are specimens arranged ?
c) Give number of each :
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• Mounted
• Unmounted
d) Are the microscopic section ofSpecimens a vailable for st udy tothe st udents?
If so, in the museum or in someother room
e) No. of microscope available to thestudents in the museum.
f) List of charts, photographs, modelsand other exhibits other than thespecimens an d their arrangements.
g) No. of catalogues of the specimensavailable to the stu dents.
h) seating arrangement for students –
• Type
• Number
i) Ante-room
• Yes
• No
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VII) AUTOPSY BLOCK
a) distance from the department
b) size
c) student observation facilities
1. level type2. gallery type3. capacity
d) No. of autopsy tab les a vailable :
e) Light, ventilation and exhaustarrangements:
f) Water supply, drainage, washingarrangements & disposal of waste.
g) Fly proong
h) cold room/cooling ca binets :
1. size2. Capacity
i) Equipment’s
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j) No. of pathological autopsies1 st year 2 nd Year 3 rd Year
Per yea r for t he last 3 years :
k) Is there an emergency autopsyservice?
l) How are the autopsy reportsmaintained in the department?
m) Do undergraduate students in any
way participate in the conduction of autopsies?n) Ante-room
• Yes
• No
o) Waiting hall and office
VIII)DEPARTMENTAL LIBRARY-CUM-SEMINAR ROOM :
a) Is there a s eparate departmental library?
b) Accommodation
• Size
• Capacity
c) Number of books in Pathology and allied subjects.
d) List of Journals
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IX) RESEARCH LABORATORY :
a) Size
b) Equipment
c) Are there any students taken forDiploma in Pathology, M.D. orPh.D. in Pathology?
If so, how many per year du ring thelast three yea rs.
1) Diploma
2) Degree
d) List of publications by the membersof the st aff during the last 3 years
e) Current problems on which research work is going on and by whom?
(a statement may be furnished )
f) Do Undergraduate students in any way participate in them?
X) OFFICE ACCOMMODATION
a) Professor & H.O.D.
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b) Associate Professor/Reader
c) Asst. Professor/Lecturers
d) Tutors/Demonstrators
e) Non-teaching and Clerical Staff
X) BLOOD BANK
a) Is there any blood bank in the hospital?
• Yes
• No
b) If yes, is it approved and licensed by competent authority?
Please mention the va lidation period of the l icense :
c) Is it air-conditioned
• No• Partly• Completely
d) Control of Blood Bank
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i) Is it under the department ofpathology?
ii) Is it under the MedicalSuperintendent?
e) If departmental – method of postingand rotation of Medical and non-medical staff.
f) Number of issued units of blood permonth :
g) Number of donors blood per month
h) Staff – details of both medical andnon-medical.
i) List the number of tests done in the blood bank Hepatitis –B, Hepatitis –
C, Syphilis, Malaria, Rh-testing,HIV, blood grouping etc. (Reportgiving details of work done duringthe last 1 year t o be a ttached).
E) TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I. Curriculum of studies
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(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
• If not, what are the variations andreasons thereof?
(To be lled in by the Inspectors/ Visitors).Does the cu rriculum of studies ad opted bythe training center differ materially fromthat recommended by the Medical Councilof India.
If so what are t he variations an d what are your observations regarding them ?
II. Methodology
(for d uration of the e ntire c ourse)
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Number
1) Didaetic Lectures
2) Demonstrations
3) Tutorials
4) Seminars conducted during the year.
(Number of students at tending each)
5) Practicals
6) Any other teaching/training activities :
7) Is there any i ntegrated teaching?
If yes, details thereof.
8) Records Methods of Assessment thereof :
(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
Signature of Head of the Department
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F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-5)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
MICROBIOLOGY
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ……..………..………..………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department …………………………………………
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s space is less a statement showing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Microbiology
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate
Professor/
Reader Asst.
Prof.
/LecturerDemonstra
tor/Tutor
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Any other
Category
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
AssociateProfessor/Read
er
Asst. prof./Lecturer
Demonstrator/ Tutor
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Any otherCategory
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B. List of non-teaching staff :
Name (s) of staff members
a. Technical Assistant
b. Technicians
c. Laboratory Attendance
d. Store keeper
e. Record clerk
f. Steno-typist
g. Sweepers
h. Any other category
C. Buildings :
(i) Demonstration Room :
ii
a) Number
b) Accommodation
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• Size
• Capacity
c) Audio-Visual equipment available :
ii) Practical laboratories:
a) Accommodation• Size
• Capacity
b) Working arrangement• Seats ava ilable• Water supply• Sinks• Electric points•
Cupboard for storage of microscopes
c) Main equipment’s available
d) Number of Microscopes
e) Number of students to each microscopes
f) preparation room• Size• Location
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g) Whether laboratory manual kept by students?• Yes•
No
h) Close circuit T.V./any other teaching aids.
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iii) SERVICE LABORATORY IN THE TEACHING HOSPITAL/COLLEGE :
Bacteriology Serology Virology Para-SerologyMycology Tuber- Immuno AnyIncluding culosis logy other
Anaerobic
a) Are there separateService Laboratories
• Yes• No
b) If yes, supervision :
i) Whether departmental
(col
ii) Under MedialSuperintendent ( Hospital)
iii) If departmental, method ofPosting and rotation ofMedical & non-medical
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Staff
e) Size of the laboratory
c) Investigative equipment available(Attach list)
e) Staff Names Qualications Designation
1. Medical
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Non-MedicalName(s) Qualications Designation
f) Report giving details of workdone during the last 1 year t o
be attached.
g) Are the students (UG/PG) postedin the h ospital laboratory.
• Yes
• No
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IV) Is there any emergency hospitalmicrobiology service.
If so give details of –
a) Staff employed
b) Average no. of tests done during oneMonth in the emergency hospitalMicrobiology laboratory.
c) Is a r ecord of these test maintained
V) a. Is there a separate media preparation andstorage area?
Yes Size
No
b. Autoclaving room
Yes Size
No
c. Washing and drying room
Yes
(VI) Departmental Library-cum-Seminar Room :
a) Is there a separate departmentalLibrary-cum-Seminar room?
b) Accommodation
• Size
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• Capacity
c) Number of Books in Microbiology and allied subjects.
d) List of Journals
VI) RESEARCH LABORATORIES :
a) Size
b) Equipment
c) Are there any students taken for
M.D. or M.Sc. or Ph.D. inMicrobiology?
If so how many per year during thelast three yea rs.
1) Diploma
2) Degree
d) List of publications by the membersof the st aff during the last 3 years.
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e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any
way participate in them?
(VII) OFFICE ACCOMMODATION
a) Professor and H.O.D.
b) Associate Professor/Reader
c) Asst. Professor/Lecturers
d) Tutors/Demonstrators.
e) Non-teaching and C lerical staff
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D. TEACHING PROGRAMME.(for d uration of the e ntire c ourse)
I. Curriculum of studies
(To be lled by the Dean/Principalalong with the Head of department).Curriculum in the subject asprescribed by MCI (A copy ofdetailed curriculum along with thedepartmental and educationalobjectives of the subject may beappended).
Is the above curriculum followed intota lity?
If not, what ar e t he va riations a nd reasonsthereof?
(To be lled in by the Inspectors/Visitors). Doesthe curriculum of studies adopted by thetraining center differ materially from thatrecommended by the Medical Council of India.
If so what ar e the variations and what are yourobservations regarding them ?
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II. Methodology
(for d uration of the e ntire c ourse)
Number
1) Didactic Lectures
2) Demonstrations
3) Tutorials
4) Seminars conducted during the year.
(Number of students at tending each)
5) Practicals
6) Any other teaching/training activities:
7) Is there any i ntegrated teaching?
If yes,
8) Records Methods of Assessment thereof:
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(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
Signature of Head of the Department
F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-6)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
PHARMACOLOGY
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..……….………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department ………………………………………..
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s space is less a statement showing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Pharmacology
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
AssociateProfessor/
Reader Asst.
Prof./Lecturer
Demonstrator/Tutor
Any otherCategory
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(cont.)
Post Experience Grand Total of Teaching
Experience
Remarks ifany,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
AssociateProfessor/Read
er
Asst. prof./Lecturer
Demonstrator/ Tutor
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Any otherCategory
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B. List of non-teaching staff :
Name (s) of staff members
a. Pharmaceutical Chemist
b. Technical Assistant
c. Technicians
d. Store keeper-cum-clerk
e. Steno-typist
f. Laboratory Attendants
g. Sweepers
h. Any other category
C. Buildings :
(i) Demonstration Room :
iii
a) Number
b) Accommodation
• Size
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• Capacity
c) Audio-Visual equipment available :
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(ii) PRACTICAL LABORATORIES :
Experimental Pharmacology Clinical Pharmacology & Pharmacy
a) Accommodation• Size• Capacity
b) Working arrangement
• Seats available
c) Main Equipment available
d) Ante-room/preparation room
• Size• Location
e) Whether Laboratory ManualsKept by students?
• Yes
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• No
f) Close circuits TV/any other teaching aids
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(iii) Museum :
a) Size :
b) How are the drug sample arranged?
c) Number of catalogues of thesamples a vailable t o the st udents :
d) Total number of drug samples :
e) List of charts, photograph and otherexhibits an d their arrangement
f) Is there any section depicting“History of Medicine”?
IV) Departmental Library-cum-Seminar Room :
a) Is there a s eparate departmental library?
b) Accommodation
• Size
• Capacity
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c) Number of Books in Pharmacology?
d) List of Journals
(VI) Research Laboratory :
a) Size
b) Equipment
c) Are there any students taken forM.D. or Ph.D. in Pharmacology?
If so how many per year during thelast three yea rs.
1) Diploma
2) Degree
d) List of publications by the membersof the st aff during the last 3 years?
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e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any
way participate in them?
(VII) OFFICE ACCOMMODATION
a) Professor and HOD :
b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Tutors/Demonstrators :
e) Non-teaching and clerical staff:
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D. TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I. Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
• If not, what are the variations andreasons thereof?
(To be lled in by the Inspectors/ Visitors).Does the cu rriculum of studies ad opted by
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the training center differ materially fromthat recommended by the Medical Councilof India.
If so what are t he variations an d what are your observations regarding them ?
II. Methodology
(for d uration of the e ntire c ourse)
Number
1) Didaetic Lectures
2) Demonstrations
3) Tutorials
4) Seminars
- conducted during the year.
- Number of students attending each
5) Practicals
6) Any other teaching/training activities :
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7) Is there any i ntegrated teaching?
If yes,
8) Records Methods of Assessment thereof :
(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
Signature of Head of the Department
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F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-7)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
FORENSIC MEDICINE
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..……….………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department ………………………………………..
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s space is less a statement showing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Forensic Medicine
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor Associate
Professor/
Reader
Asst.
Prof.
/LecturerDemonstra
tor/Tutor Any other
Category
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(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
Associate
Professor/Reader
Asst. Prof./Lecturer
Demonstrator/ Tutor
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Any otherCategory
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B. List of non-teaching staff :
Name (s) of staff members
a.. Technical Assistant
b. Technicians
c. Laboratory Attendants
d. Steno-typist
e. Store keeper-cum-clerk
f. Sweepers
g. Any other category
C. Buildings :
(i) Demonstration Room :
iv
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a) Number
b) Accommodation
• Size
• Capacity
c) Audio-Visual equipment available :
Video Camera, TV & VCR etc.
ii) Museum :
a) Size
b) How are specimens arranged ?
c) Give number of each :
• Mounted
• Unmounted
d) Proto-type re and other arms.
e) Wax Models
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f) Poisons
g) List of charts, photographs, modelsand other exhibits other than thespecimens an d their arrangements.
h) No. of catalogues of the specimens
available to the stu dents.
i) seating arrangement for students –
• Type
• Number
(iii) Department of Radiology
a. Do adequate facilities exist fortaking skiagrams of living and deadpersons.
b. Do adequate facilities in thedepartment of Biochemistry,Histopathology, Bacteriology &Serology exist for Undertaking theexamination of medico-legalmaterials?
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(IV) Casualty Department :
a) Accommodation
b) Are the facilities for reception,Examination, treatment of medico-legal emergencies and cases ofpoisoning adequate?
c) The number of cases of medico-legal Trauma, Sexual assault, age and
poisoning etc. dealt by the casualtydepartment during the last one yearmay be indicated.
(V) Mortuary Block
a) Distance from the department
b) Size
c) student observation facilities
1. level type
2. gallery type
3. capacity
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d) No. of autopsy tables available :
e) light, ventilation and exhaust arrangements :
f) Water supply, drainage, washingarrangements & disposal of waste.
g) Fly proong
h) Cold room/cooling cabinets:
1. Size
2. Capacity
i) Equipment’s
j) No. of medico – legal 1st
year 2nd
yea r 3rd
yearpostmortems done duringthe last 3 years :
k) No. of students attending one
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postmortem
l) No. of postmortem done bya students d uring the cou rse
n) Whether record of postmortemCases kept by students?
(VI) Laboratory :
a) Accommodation
• Size
• Capacity
b) Working arrangement
• Seats ava ilable
• Water supply
• Sinks
c) Main equipment available
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d) Number of Microscopes
e) Any other teaching aids
(VII) Departmental Library-cum-Seminar Room :
a) Is there separate departmentallibrary?
b) Accommodation
i) Size :
ii) Capacity :
c) Number of books in Anatomy andallied subjects :
d) List of Journals :
(VIII) Research Laboratory
a) Size
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b) Equipment
c) Are there any students taken forD.F.M./M.D. or P h.D. in ForensicMedicine?
If so how many per year during thelast three yea rs?
1)Diploma
2)Degree
d) List of publications by the membersof the st aff during the last 3 years?
e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any way participate in them ?
IX) OFFICE ACCOMMODATION
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a) Professor and HOD :
b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Tutors/Demonstrators :
e) Non-teaching and clerical staff:
D) TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
1. Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives o f the su bject may
be appended).
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• Is the above curriculum followed intota lity?
• If not, what are the variations andreasons thereof?
(To be lled in by the Inspectors/Visitors).
Does the cu rriculum of studies ad opted bythe training center differ materially fromthat recommended by the Medical Councilof India.
If so what ar e the variations a nd what ar e your observations regarding them ?
II. Methodology
(for d uration of the e ntire c ourse)
Number
1) Didactic Lectures
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2) Demonstrations
3) Tutorials
4) Seminars conducted during the year.
(Number of students at tending each)
5) Practicals
6) Any other teaching/training activities :
7) Is there any i ntegrated teaching?
If yes, details th ereof.
8) Records Methods of Assessment thereof :
(Time table of lectures, dem onstrations,seminars, tutorials, practical anddissection may be given).
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Signature of Head of the Department
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E. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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(SIF B-8)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
COMMUNITY MEDICINE/PREVENTIVE AND SOCIAL MEDICINE
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..………..……….………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department …………………………………………
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s space is less a statement showing the following information may beattached in this format. (to b e lled in by th e D ean/Principal of the co llege).
Department of Community Medicine/Preventive and Social Medicine
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Demonstrator/Tutor/Sr.Res./Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate/
Professor/
Reader Asst.Prof.
/Lecturer
Registrar/
Sr. Resident/
Demonstrator
/Tutor
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Any other
Category
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor15 16 17 18 19 20 21 22 23 24
Professor Institution From To Total Institution From To Total
AssociateProfessor/Read
er
Asst. Prof./Lecturer
Registrar/Sr. Resident/
Demonstrator/
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Tutor
Any otherCategory
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B. List of non-teaching staff :
Name (s) of staff members
a. Medical Social Worker
b. Technical Assistant
c. Technicians
d. Stenographer
e. Record Clerk
f. Storekeeper
g. Sweepers
h. Any other category
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C. STAFF FOR RURAL TRAINING HEALTH CENTRE :
(including eld work and epidemiological studies)
Name(s) of staff members
a. Medical Officer of Health –cum-Lecturer/ Assistant Professor
b. Lady Medical officer
c. Medical Social Worker
d. Public Health Nurse
e. Health Inspectors
f. Health Educators
g. Technical Assistant
h. Technician
i. Peon
j. Van-driver
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k. Store keeper
l. Record Clerk
m. Sweeper
n. Any other category
D.) STAFF FOR UBRAN TRAINING HEALTH CENTRE
(Including eld work a nd epidemiological studies.)
Name(s) of staff members
a. Medical Officer of Health –cum-Lecturer/ Assistant Professor
b. Lady Medical officer
c. Medical Social Worker
d. Public Health Nurse
e. Health Inspectors
f. Health Educators
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g. Technical Assistant
h. Technician
i. Peon
j. Van-driver
k. Store keeper
l. Record Clerk
m. Sweeper
n. Any other category
E. BUILDINGS :
(g) Demonstration Room :
a)Number
b)Accommodation (of each demonstration room)
i) Size
ii) Capacity
c) Audio-visual equipment available.
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(ii) Laboratory :
a)Accommodation
• Size
• Capacity
b) Working arrangement
• Seats ava ilable
• Water supply
• Sinks
• Electric points
• Cupboard for st orage of microscope, slides et c
c) Number of Microscopes
d) Whether Laboratory Manuals kept by students?
• Yes
• No
d) Close circuit TV/any other teaching aids.
(iii) Museum :
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a) Size :
b) How are the specimens arranged?:
c) Give Number of each :
d) Coverage of various elds inCommunity Medicine by charts,Models etc.
e) No. of catalogues of the specimensavailable to th e st udents.
f) List of exhibits, Charts, Photographs& other materials and their
arrangement.
g) Seating arrangement for students
• Type
• Number
(IV) Departmental Library-cum-Seminar Room :
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a) Is there a s eparate departmental library?
b) Accommodation
i) Size
ii) Capacity
c) Number of Books in Community Medicine and alliedsubjects.
d) List of journals
(V) Research Laboratory :
a) Size
b) Equipment
c) Are there any students taken forDPH/M.D./Ph.D. in CommunityMedicine?
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If so how many per year during thelast three yea rs?
1) Diploma
v 2) Degree
d) List of publications by the membersof the st aff during the last 3 years?
e) Current problems on which research work is going on and by whom?
(a statement may be f urnished)
f) Do Undergraduate students in any way participate in them ?
VI) OFFICE ACCOMMODATION
a) Professor and HOD : b) Associate Professors/Readers :
c) Asst. Professors/Lecturers :
d) Statistician-cum-Lecturer :
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e) Epidemiologist-cum-Lecturer :
f) Tutors/Demonstrators/Sr. Residents:
g) Departmental Office-cum-Clerical room :
h) Non-teaching staff :
(vii) HEALTH CENTRES (Rural and Urban)
R.H.C./P.H.C. URBAN-------------------- HEALTH
CENTRE I II III
a) Names of the Centers :
b) Location of each Center :
c) Population covered by each center :
d) Distance from the college :
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e) Transport facilities for :
1. Students & Interns
• Staff
• Supportive Staff
2. (i) Number of Vehicles
(ii) Capacity of each Vehicle
3. Control of Vehicles
• Departmental
• Central
f) Staff of the Centers :
g) Hostel facilities at the Rural Health Centres :
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h) Messing facilities available or n ot.
(i) Working arrangement/type of control of Health Centres :
(i) Total (Admn. & Financial) control with the college
(ii) Partial (only for t raining) control
F.) TEACHING PROGRAMME :
(For d uration of the en tire c ourse)
I) Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subject as prescribed by MCI (a copy of the detailed curriculum
along with the departmental andeducational objectives of the subject may
be appended).
• Is the above curriculum followed intota lity?
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• If not, what are the va riations a nd reasons t hereof?
(To be lled in by the Inspectors/Visitors). Does the cu rriculum ofstudies adopted by the training center differ materially from thatrecommended by the Medical Council of India.
If so what are the variations and what are your observations
regarding them ?
II. Methodology
(For d uration of the en tire co urse)
Number
1 st yr. 2 nd yr. 3 rd yr. 4 th yr.
1) Didaetic Lectures
2) Demonstrations
3) Tutorials
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4) Seminars conducted during the year.(Number of students at tending each)
5) Practicals
a) Rural Practice Field :
Subject TimeSpent
Year of thestudent inMedical
College
Type of instruction
Observation Demonstration Participation
b) Urban Practice Field :
Subject TimeSpent
Year of thestudent in
MedicalCollege
Type of instruction
Observation Demonstration Participation
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c) What eld visits and of what duration areorganized by the department for thefollowing subject and how far t he followingsubjects and how far have the students
participated in the program?
1. Vital statistics
2. Environmental sanitation
3. Communicable/non-communicable Diseases.
4. Public Health Laboratory Service
5. Maternal & Child Health & Family Welfare planning
6. School Health Service
7. Others (Specify)
d) Clinical Social Case reviews – How manyare reviewed by a student du ring his/hercareer in the Medical College – How arethe records kept?
e) Study of Family & Community HealthSurvey
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f) Family case studies
6. TEACHING HOSPITAL1. In patient department No. of Beds u sed in each
specialty for teaching thesubject of preventive andSocial Medicine/CommunityMedicine.
a. Tuberculosis
b. Venereal Diseases
• Leprosy
• Poliomylitis
• Infectious & Communicable diseases
• Non-Communicable diseases
• Hypertension
• Diabetes
• Goiter
• Rheumatism
• Cancer &
• Other
2. Is the hospital teaching program inCommunity Medicine/Preventive & SocialMedicine organized and Co-ordinate by the
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Dean/Principal of the college and othercollege staff?
3. Average no. of students posted at a time : To which year do they belong?
(a list of posting for cl erkship in preven tiveand social medicine/community medicinemay be f urnished)
4. Clinical Teaching
a. bedside clinics
b. by whom given
c. How often during a week?
d. Do students writes case histories in a prescribed book?e. Are they corrected, if so by whom?
f. Do students conduct clinical socialcase reviews by actual visit t o thefamily?
If so, how many and how they aresupervised?
g. Are these reviews assessed by thestaff of the department?
h. Are there facilities for teaching anddemonstration for preventive healthservices in any infectious d iseases?
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i. If so what type of cases are availablefor teaching and demonstration andhow much time is allotted for thisduring the cou rse of study?
5. Record and ling system at the rural andurban eld practice areas.
Are family folders introduced or in themaintenance of records?
6. Outpatient Department
a. Arrangement for case study forstudents
b. Clinical outpatient teaching
c. No. of demonstrations given by the Preventive and SocialMedicine/Community Medicine department in collaboration
with other clinical departments in the outpatient departmentand on what subjects.
d. Is the department running immunizationclinic?
• Yes
• No.
If yes, frequency p er week.
Are Undergraduate students posted in the clinic?
7) Any other teaching/training activities:
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8) Is t here a ny integrated teaching/If yes, details t hereof.
9) Records :Methods of Assessment thereof :
(Time table of lectures, dem onstrations,seminars, tutorials, practical and eldactivities m ay be given)
10) INTERNSHIP TRAINING
1. Period of posting in the department
2. Pattern of posting Period
a. Rural Health Centre/Primary Health Centre
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b. Urban Health Centre
c. Other postings like
• National Health Programmes
• Clinics
• Immunization
• School Health
• Family Welfare Pl anning
• Any other postings
3. Method of Assessment forInternship(Please attach a copy oflogbook/assessment sheet ).
Signature of Head of the Department
G. OBSERVATIONS OF THE INSPECTORS/VISITORS
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Signature of Inspectors/Visitors
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(SIF B-9)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
GENERAL MEDICINE
INCLUDING TURBERCULOSIS AND RESPIRATORY DISEASES, DERMATOLOGY, VENEREOLOGY AND LEPROSY & PSYCHIATRY
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..………..……..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of …………………………………………………..
Name of the Head of the Department ………………………………………..
Signature of the Dean/Principal Signature of the(with seal) Head of the Department
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(This form shall be rst lled in by the Principal/Dean of the co llege incollaboration with the Head of the Department and handed over to theInspector, who sh all examine the information already furnished & gathersuch additional information as may be necessary to ll in the spacesprovided for w ithin)
1. Date of Inspection/Visitation :
2. Names of Inspectors or Visitors :
3. Date of last Inspection/Visitation :
4. Names of last Inspectors/Visitors :
Defects pointed out in the last Inspection / To what extent remedied Visitation
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Signature of Inspectors/ Visitors
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A.Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
A1 : Department of General Medicine
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Sr.Resident/Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
AssociateProfessor/
Reader
Asst.Prof.
/Lecturer
Registrar/Sr.
Resident
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Jr.Resident
Any otherCategory
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As ProfessorInstitution From To Total Institution From To Total
15 16 17 18 19 20 21 22 23 24Professor
AssociateProfessor/
Reader
Asst.Prof./Lecturer
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Registrar/Sr. Resident
Jr. Resident
Any other
Category
A.Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
A2 : Department of Tuberculosis & Respiratory Diseases
Post No. Name Qualication with datesthereof & Where obtained
Experience
As Sr.Resident/Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate
Professor/Rea
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der
Asst. Prof.
/Lecturer
Registrar/Sr.
Resident
Jr. Resident
Any other
category
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarksif any,
As Assoc. Professor/Reader As Professor
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Institution From To Total Institution From To Total
15 16 17 18 19 20 21 22 23 24Professor
AssociateProfessor/
Reader
Asst. Prof./Lecturer
Registrar/Sr. Resident
Jr. Resident
Any otherCategory
A.Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
A3 : Department of Dermatology, Venercology and Leprosy
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Post No. Name Qualication with datesthereof & Where obtained
Experience
As Sr.Resident/Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate
Professor/Rea
der
Asst. Prof.
/Lecturer
Registrar/Sr.
Resident
Jr. Resident
Any other
Category
(cont.)
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Post Experience Grand Total of Teaching
Experience
Remarks i f any,
As Assoc. Professor/Reader As ProfessorInstitution From To Total Institution From To Total
15 16 17 18 19 20 21 22 23 24Professor
Associate
Professor/
Reader
Asst. Prof.
/Lecturer
Registrar/Sr.
Resident
Jr. Resident
Any other
category
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A.Teaching Staff : In case thi s sp ace i s less a statement showing the following information may b e a ttachedin this format. (to b e lled in by th e D ean/Principal of the co llege).
A4 : Department of Psychiatry
Post No. Name Qualication with dates
thereof & Where obtained
Experience
As Sr.Resident/Registrar
As Asst.Professor/Lecturer
Date College Univ. Instt. From To Total Instt.
From To Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14
Professor
Associate
Professor/
Reader
Asst. Prof.
/Lecturer
Registrar/
Sr. Resident
Jr. Resident
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Any other
Category
(cont.)
Post Experience Grand Total of Teaching
Experience
Remarks i f any,
As Assoc. Professor/Reader As ProfessorInstitution From To Total Institution From To Total
15 16 17 18 19 20 21 22 23 24Professor
AssociateProfessor/
Reader
Asst. Prof./Lecturer
Registrar/Sr.Resident
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Jr. Resident
Any othercategory
B. List of non-teaching staff :
Nomenclature Name(s) of staff members
General Medicine TB & Resp.Diseases
Derm., Ven. & Lep. Psychiatry
a. E.C.G. Technician
b.Technical Assistant
c. Technician
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d.Lab. Attendants
Nomenclature Name(s) of staff members
General Medicine TB & Resp.Diseases
Derm., Ven. & Lep. Psychiatry
e. Steno-typist
f. Record Clerk
g. TB & Chest Diseases Health
visitor
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h. Psychiatric Social Workers
i. Any other category
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C. BUILDINGS :
Gen. TB Derm., Psychiatry
Medicine Resp. Dis. Ven. & Lep.
(i) Clinical Demonstration Room
a) Number
b) Accommodation (ofeach demonstrationroom)
.i) Sizeii) Capacity
c) Audio-visual equipmentavailable.
(ii) Departmental Library-cumSeminar Room :
a) Is there a separateDepartmental library?
b) Accommodationi) Sizeii) Capacity
c) Number of Books inGeneral Medicine.
• TB & Resp. dis.• Derm., Ven. & Lep.
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• Psychiatry andallied subjects
Gen. TB Derm., Psychiatry Medicine Resp. Dis. Ven. &
Lep.
d) List of Journals
(iii) Research Laboratory
a) Size
b) Equipment
c) Are there any studentstaken for Diploma/M.D./Ph.D. in Gen. Med./
TB & RD/DVD/Psy?
If so how may per yearDuring the last three yea rs
i) Diploma
ii) Degree
d) List of publications by
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the members of the staffduring the last 3 years.
Gen. TB Derm., Psychiatry Medicine Resp. Dis. Ven. &
Lep.
e) Current problemsResearch work is going onand by whom? (a statementmay be f urnished)
f) Do Undergraduate studentsIn any way participate inthem?
(iv) OFFICE ACCOMMODATION
a) Professor and HOD :
b) Associate Professors/Readers :
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c) Asst. Professors/Lecturers :
d) Registrars/Sr. Residents:
Gen. TB Derm., Psychiatry Medicine Resp. Dis. Ven. &
Lep.
e) Jr. Residents
f) Non-teaching andClerical staff.
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D. TEACHING HOSPITAL
1) Inpatient department : Number of Number of Units Number of beds Unit wise Teaching Beds staff
composition With names
Qualication & Designation
of staff
____________________________________________________________________________________________________________
Medicine and allied specialisites :
a) General Medicine A separate sheetmay be attached
b) Tuberculosis & RespiratoryDiseases ----do----
c) Dermatology, Venereology & Leprosy ----do----
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d) Psychiatry ----do----
2. Indoor admissions General TB & RD DVD Psychiatry
_______________________________________________________________________
1. Annual admissions
2. Average Bed occupancy per day(Percentage of Teaching beds)
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3) INTENSIVE CARE
No. of beds Equipment’s available
a) Intensive Care Unit (I.C.U.)
b) Intensive Coronary CareUnit (I.C.C.U.)
c) Intensive Care in TB &Respiratory d iseases
d) Other intensive Care Areas, if any.
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4) MAJOR EQUIPMENT AVALIABLE IN THE DEPARTMENT :
Names of equipment
a) General Medicine
b) Tuberculosis & RespiratoryDiseases
c) Dermatology, Venearology &Leprosy
d) Psychiatry
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5) OUT-PATIENT DEPARTMENT :
a) Building – General layout
b) Is outpatient service Department wise
c) Arrangement for clinicalInstructions t o stu dent inGeneral Medicine & Allied specialties
d) Average Daily OPD Attendance General TB & RD DVD PsychiatryMedicine
____________________________________________________________
1. Old Patients
2. New Patients
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3. Total
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Teaching and training facilities :
General TB & RD Derm Psy. Ven. &
Lep.________________________________________________
A. In O.P.D.
a) Clinical demonstration room :
b) Number of rooms in the OPD For seei ng the p atients by various faculty members
and resident staff
B. In-door
a) Bedside teaching
b) Clinical demonstration room/
seminar r oom
A. TEACHING PROGRAMME :
(For d uration of the en tire co urse)
1. Curriculum of studies
(To be lled by the Dean/Principal along with Head of the department).
Curriculum in the subjects of Gen. Med., T.B. & RD, Derm., Ven. & Leprosy and
Psychiatry as prescribed by MCI (a copy ofthe detailed curriculum along with the
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departmental a nd educational objectivesof the subject may be ap pended).
Is the above curriculum followed intota lity?
If not, what ar e t he va riations a nd reasons
thereof?
(To be lled in by the Inspectors/ Visitors).Does the curriculum of studies adopted by thetraining center differ materially from thatrecommended by Medical Council of India.
If so what are t he variations an d what are your observations regarding them?
II. Methodology(for d uration of the e ntire c ourse)
Number__________________________________________________________
General TB & RD DVD PsychiatryMedicine
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______________________________________________________
1) Totalof clinical postings
2) Didactic Lecturers
3) DemonstrationsNumber
__________________________________________________________
General TB & RD DVD PsychiatryMedicine
______________________________________________________
4) Tutorials
5) Seminars conductedduring the year
Number of students Attending each
6) Practical
7) Bedside Clinics
8) How may hours does aStudent spend daily in the
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wards for clerkship.
9) Average Number of studentsPosted at a t ime for indoor/OPDPostings.
10) Do students write case historiesIn a prescribed book?
11) Are they corrected ?
Number__________________________________________________________
General TB & RD DVD PsychiatryMedicine
______________________________________________________
12) If so, by whom
13) Is the clinical work doneIn the wards by theStudents ass essedPeriodically?
14) If so, how often and by whom?
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15) Total period of attendancein OPD by a s tudentthroughout clinicaltraining.
16) Is it done concurrently with The inpatients ward postings?
17) Who gives them training to
attend to casualties?
Number__________________________________________________________
General TB & RD DVD PsychiatryMedicine
______________________________________________________
18) How is the outpatients
Teaching organized?
19) Do students attend
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ClinicoathologicalConferences?
20) If so, on an average, howOften during the whole periodOf medicine a nd alliedspecialties postings?
21) Any other teaching/trainingactivities:
22) Is there any i ntegrated teaching?If yes, details th ereof.
Number__________________________________________________________
General TB & RD DVD Psychiatry
Medicine______________________________________________________
23) Records Methods of Assessment thereof
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(Time t able of lecturers,demonstrations, seminars,tutorials, practicals, OPD andindoor p ostings et c. may b egiven).
24) Internship Training Programme
a) Period of p ostingIn the department
b)Method of assessment ofInternship (please a ttach aCopy of log book/assessmentSheet)
Signature of Head of the Department Signature of Dean/Principal
General Medicine:
Tuberculosis and Respiratory diseases :
Dermatology , Venerecology & Leprosy
Psychiatry
F. OBSERVATIONS OF THE INSPECTORS/VISITORS :
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Signature of Inspectors/ Visitors
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8/20/2019 RVS FORM B.doc
211/327
(SIF B-10)
MEDICAL COUNCIL OF INDIA
STANDARD INSPECTION FORM
FORM – B
On theFacilities for t eaching in the s ubject of
PAEDIATRICS
For the Course of study leading up toM.B.B.S. Examination
Name of Institution ………..………..……….………..………..………..………..
Place ………..………..………..………..………..………..………..………..………..
Affi liated to the University of ………………………………………………