MEDICAL COUNCIL OF INDIA

NOTIFICATION
New Delhi, the 16th April, 2010 No. MCI.34(41)/2010-Med./3492. - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956(102 of 1956), the Medical Council of India with the previous sanction of the Central Government hereby makes the following regulations to further amend The Opening of a New or Higher Course of Study or Training (including Post Graduate Course of Study or Training) and Increase of Admission Capacity in any Course of Study or Training (Including a Post Graduate Course of Study Or Training), Regulations 2000namely:1. (i) These regulations may be called The Opening of a New or Higher Course of Study or Training (including Post Graduate Course of Study or Training) and Increase of Admission Capacity in any Course of Study or Training (Including a Post Graduate Course of Study Or Training) (Amendment), Regulations 2010 (Part-II). They shall come into force from the date of their publication in the Official Gazette. Clause 6 of the The Opening of a New or Higher Course of Study or Training (including Post Graduate Course of Study or Training) and Increase of Admission Capacity in any Course of Study or Training (including a Post Graduate Course of Study or Training) Regulations, 2000 was substituted vide notification dated 09/12/2009 but no such Minimum Standard Requirements for the Medical College were notified for 200/250 Admissions Annually and now the same shall be as per Annexures A and B respectively annexed herewith. The following shall be added in clause 6 of the The Opening of a New or Higher Course of Study or Training (including Postgraduate Course of Study or Training) and Increase of Admission Capacity in any Course of Study or Training (Including a Post Graduate Course of Study Or Training), Regulations 2000 as substituted vide notification dated 09/12/2009: -

(ii) 2. (i)

(ii)

The Essentiality Certificate shall be submitted by the Applicant Institute in the following proforma: -

ESSENTIALITY CERTIFICATE FOR INTAKE OF 200/250 SEATS No. Government of__________ Department of Health & Family Welfare Dated, the To The (applicant), Course : ______________________

Sir, The desired certificate is as follows: (1) It is certified that the _______________________________ is recognized u/s (name of institute) u/s 11(2) of the IMC Act, 1956 for ___________ seats in MBBS course No. of institutions already existing in the State : No. of institutions offering MBBS course : No. of seats available in the MBBS course in the State: Full justification for increasing the intake of MBBS course:

(2) (3) (4) (5)

The (Name of the institute) __________________________________has applied for increasing the annual intake of MBBS course to 200/250 seats. On careful consideration of the proposal, the Government of __________________ has decided to issue an essentiality certificate to the applicant for increasing the annual intake in MBBS course to 200/250 seats. It is certified that:(a) (b) It is desirable to increase the annual intake in MBBS course to 200/250 seats in the public interest. Increasing the annual intake in MBBS course to 200/250 seats by ________________ (the name of institution) is feasible. The institute has ________ number of teaching beds with the standing of ____ years. The average OPD strength per day is ______.

(c) (d)

(e) (f)

The average bed occupancy is ________%. The affiliated teaching hospital is unitary in character.

(g) The number of teaching beds, average OPD strength and average bed occupancy available at ________ (name of institute) is not less than the criteria prescribed under the Opening of a New or Higher Course of Study or Training (including Postgraduate course of Study or Training ) and increase of Admission Capacity in any course of Study or Training (including a Postgraduate Course of Study or Training) Regulation, 2000 as notified in the Gazette of India vide Notification dated 9th December, 2009. It is further certified that in case the applicant fails to create infrastructure for the course as per MCI norms and fresh admissions are stopped by the Central Government, the State Government shall take over the responsibility of the students already admitted in the above said course at this college with the permission of the Central Government.

Yours faithfully,

(SIGNATURE OF THE COMPETENT AUTHORITY)

(Lt. Col. (Retd.) Dr. A.R.N. Setalvad) Secretary

Foot Note : The Principal Regulations namely, The Opening of a New or Higher Course of Study or Training (including Postgraduate Course of Study or Training) and Increase of Admission Capacity in any Course of Study or Training (including a Postgraduate Course of Study or Training) Regulations, 2000 were published in Part III, Section 4 of the Gazette of India on 7th October, 2000 vide Medical Council of India Notification No.34(41)/2000/Med., dated the 14the August, 2000 and amended vide Medical Council of India Notifications dated 22nd March, 2005, 29th July, 2008, 23rd September, 2009, 9th December, 2009 & 11th January, 2010.

Annexure -B

MINIMUM STANDARD REQUIREMENTS FOR

THE MEDICAL COLLEGE

FOR 250 ADMISSIONS ANNUALLY REGULATIONS, 2010

MEDICAL COUNCIL OF INDIA Sector 8, Pocket 14, Dwarka, NEW DELHI 110 077 Phone: +91-11-25367033, 25367035, 25367036 Fax: +91-11-25367024 E-mail: [email protected], [email protected] Website: http://www.mciindia.org

(PUBLISHED IN PART III, SECTION 4 OF THE GAZETTE OF INDIA DATED THE ____)

MEDICAL COUNCIL OF INDIA New Delhi, dated the 16th April, 2010 No. MCI 35(1)98-med (ii) / 3492 In exercise of the powers conferred by section 33 of the Indian Medical Council Act, 1956 (102 of 1956), the Medical Council of India with the previous sanction of the Central Government, hereby makes the following regulations namely:1. (i) Short title and commencement: These regulations may be called the Minimum requirements for 250 M.B.B.S. Admissions Annually Regulations, 1999. (ii) They shall come into force on the date of their publication in the Official Gazette. Objective :- the objective of these regulations is to prescribe for a medical college and Medical Institution approved for two hundred fifty admissions of MBBS students annually, the minimum requirements of accommodation in the college and its associated teaching hospitals, staff (teaching and technical both) and equipment in the college departments and hospitals. Every medical college and Medical Institution for 250 M.B.B.S admissions annually shall have the following departments, namely :(1) HUMAN ANATOMY (2) HUMAN PHYSIOLOGY (3) BIOCHEMISTRY (4) PATHOLOGY (INCLUDING BLOOD BANK) (5) MICROBIOLOGY (6) PHARMACOLOGY (7) FORENSIC MEDICINE INCLUDING TOXICOLOGY (8) COMMUNITY MEDICINE (9) MEDICINE (10) PAEDIATRICS (11) PSYCHIATRY (12) DERMATOLOGY, VENEREALOGY AND LEPROSY (13) TUBERCULOSIS AND RESPIRATORY DISEASES (14) SURGERY (15) ORTHOPAEDICS (16) RADIO-DIAGNOSIS (17) RADIOTHERAPY (18) OTO-RHINOLARYNGOLOGY (19) OPHTHALMOLOGY (20) OBSTETRICS AND GYNAECOLOGY (21) DENTISTRY

2.

3.

Beside the above-said departments the Medical colleges and Medical institution running Postgraduate degree/diploma courses in various specialties may have other departments to meet teaching needs of the college or Medical Institution and healthcare needs of the public. 4. Every Medical college and Medical institution and its associated teaching hospitals for 250 MBBS admissions annually shall have the accommodation for teaching and technical staff and equipment for each department as given in the Schedule-I, II, III respectively annexed with these regulations.

SCHEDULE - I ACCOMMODATION IN THE MEDICAL COLLEGE AND ITS ASSOCIATED TEACHING HOSPITALS A-COLLEGE A.1 GENERAL:

A.1.1 CAMPUS Companies registered under Company Act may also be allowed to open medical colleges. Permission shall be withdrawn if the colleges resort to commercialization. The medical college or medical institution shall be housed in a unitary campus of not less than 25 acres of land. However, this may be relaxed in a place especially in Urban areas where the population is more than 25 lakhs, hilly areas, and notified tribal areas where the land shall not be in more than two pieces and the distance between the two pieces shall not be more than 10 kms. The hospital, college building including library and hostels for the students, interns, PGs/Residents and nurses shall be in one piece of land which shall not be less than 10 acres. Other facilities may be housed in the other piece of land. Proper landscaping should be done. However, in metropolitan cities and A class cities (Ahmedabad, Hyderabad, Pune, Bangalore and Kanpur), the permissible FAR/FSI would be the criterion for allowing the medical colleges provided that the total built up area required for adequate infrastructure including medical college, hospital, hostels, residential quarters, and other infrastructure required as per Minimum Standard requirement Regulations is made available in an area of not less than 10 acres based upon the permissible FAR/FSI allowed by the competent authority. A.1.2 Administrative block. Accommodation shall be provided for Principal/Deans office (36 Sq.m.), staff room (54 sq.m.), college council room (80 Sq.m.) office superintendents room (10 Sq.m.), Office (150 Sq.m.), record room (100 Sq.m.), separate common room for Male and Female students with attached toilets (200 Sq.m.each), cafeteria (400 Sq.m.). A.1.3 College Council: Every medical college or Medical Institution shall have a College Council comprising of the Head of departments as members and Principal/Dean as Chairperson. The Council shall meet at least four times in a year to draw up the details of curriculum and training programme, enforcement of discipline and other academic matters. The Council shall also organise interdepartmental meetings like grand rounds, statistical meetings and clinico pathological meetings including periodical research review in the Institution regularly.

A.1.4. Central library There shall be an air-conditioned Central Library (4000 Sq.m) with seating arrangement for at least 500 students for reading and having good lighting and ventilation and space for stocking and display of books and journals. There shall be one room for 250 students inside and one room for 250 students outside. It should have not less than 20000 text and reference books. In a new medical college the total number of books should be proportionately divided on yearly basis in five years. The number of journals shall be 100 out of which one-third shall be foreign journals and subscribed on continuous basis. The number of copies of textbooks in each subject of undergraduate teaching shall be ten. There shall be provision for a. b. c. d. e. f. Staff reading room for 50 persons; Rooms for librarian and other staff; Journal room; Room for copying facilities; Video and Cassette room (desirable); Air-conditioned Computer room with Medlar and Internet facility with minimum of 50 nodes. Medical colleges should have skill labs and adopt information technology in teaching medicine. There shall be provision for e-library also. A.1.5 Lecture theatre There shall be a minimum of seven lecture theatres preferably air conditioned, of gallery type in the Institution out of which six will be of seating capacity for 300 students each and one will be of capacity for 650 students. Lecture theatre shall be provided with necessary independent audio-visual aids including overhead projector, slide projector, LCD projector and a microphone. These lecture theatres shall be shared by all the departments in a programmed manner. There shall be provision for E-class. Lecture halls must have facilities for conversion into E-class/Virtual class for teaching. The existing colleges shall introduce these facilities in their lecture hall within one year. A.1.6 Auditorium/Examination Hall (Multi-purpose): There shall be an auditorium-cum-examination hall of 2000 sq.m. area in not more than three levels. A.1.7 Central Photographic Section: Central photographic and audiovisual sections with accommodation for studio, dark room, enlarging and Photostat work. Accommodation shall be provided for Artist and Medical Illustrators and Modelers. Facilities for microphotography and mounting shall be provided.
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A.1.8. Central Workshop: There shall be central workshop having facilities for repair of mechanical, electrical and A/c and Refrigeration equipments of college and the hospitals. It shall be manned by qualified personnel.

A.1.9. Animal house: Department animal house may be maintained by the department of Pharmacology. In addition to the animal house, experimental work on animals can be demonstrated by Computer Aided Education. A.1.10 Incinerator An incinerator Plant commensurate with hospital bed strength may be provided. Alternatively any other system approved by the respective State Pollution Control Board may be provided. A.1.11 Medical Education Unit: There shall be a Medical Education Unit or Department for faculty development and providing teaching or learning resource material. A.1.12 Research work: Space as indicated in the concerned departments shall be provided in each department, duly furnished and equipped for research work and further expansion of its activities. A.1.13 Intercom Network: Intercom network including paging and bleep system between various sections, hospitals and college shall be provided for better services, coordination and patient care. A.1.14. Playground and Gymnasium: There shall be a play ground and Gymnasium for the staff and students. A qualified physical education instructor shall look after the sports activities and maintenance.

A.1.15 Electricity:

There shall be continuous electricity supply, with adequate number of, as well as standby UPS or Generator arrangements must be made so that electricians are available round the clock. A.1.16 Sanitation and water supply: Adequate sanitary facilities (toilets and bathrooms Separately for women) and safe continuous drinking water facilities must be provided for the teaching staff, students (men and women), technical and other staff in all sections as required. Arrangements must be made so that plumbers are available round the clock. A.1.17 There shall be 6 laboratories (375 Sq.m.area each) which will be provided with continuous working tables. Every seat shall be provided with stainless steel wash basin. Every working table shall have drawer or steam proof top, and individual lighting. One preparation room each of 15 Sq.m. area shall be provided with all the laboratories. There shall be two laboratories of 150 Sq.m. area each. All of these laboratories may be used in common with various departments e.g. Histology and Histopathology; Biochemistry and Clinical Pharmacology; Heamatology and Pathology; Microbiology and Community Medicine. Central Research Laboratory There shall be one well-equipped Central Research Laboratory in the medical college, which will be under the control of the Dean of the college. The existing colleges shall install the laboratory within two years. Each medical college shall have PharmacoVigilance Committee. A.1.18 Training of teacher in Medical Education Unit. The period of training of a teacher in a Medical Education Unit shall be increased from one week to two weeks. A.1.19 Rural Health Training Centre Every medical college shall have one rural health training centre under Administrative control of Dean of the college for training of students in community oriented primary health care and rural based health education for the rural community attached to it. This health centre shall be within a distance of 30 km. or within one hour of commuting distance from the medical college. Separate residential arrangements for boys, girls and interns with mess facilities shall also be provided. Adequate transport (both for staff and

10

students) shall be provided for carrying out field work and teaching and training activities by the department of Community Medicine.

A.2.

DEPARTMENTS (1) DEPARTMENT OF ANATOMY

(A) (B)

Lecture theatre As per item A.15. Demonstration Room there shall be four demonstration rooms (90 sq.mt.each) fitted with strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. Dissection Hall There shall be a dissection hall (500 sq.mt.) to accommodate at least 250 students at a time. It shall be well lit, well-ventilated with exhaust fans and preferably centrally air-conditioned. There shall be an ante-room for students with lockers and ten Wash basins. There shall be adequate teaching aids in the hall. In addition, there shall be an embalming room (12 sq.m.area), space for 3 storage tanks (one of 3 sq.m. & two of 1.5 sq.m.each) and cold storage room with space for 25-30 dead bodies (25 sq.m.area) or cooling cabinets. Research- There shall be one research laboratory (50sq.m.area) for research purposes. Museum-There shall be a museum (300 sq.m.)-provided with racks and shelves for storing and proper display of wet and dry specimen and embryological sections, models, revolving stands for skiagrams, CT scan, MRI and trolly tables, X-ray view boxes shall be multistand type to take 4 plates standard size 4 boxes (4 view boxes for 250 students). Adequate seating accommodation for 50 students to study in the museum shall be provided. There shall be two attached rooms (15 sq.mt. each) for the preparation of models/specimens and for artists and modellers. Departmental LibraryThere shall be a Departmental library-cum-seminar room (30sq.m. area) with at least 80100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. Accommodation for Staff- Accommodation shall be provided for the staff as under namely; 1. 2. 3. 4. 5. 6. Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 3 (Three rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -4 (Four rooms) (20 Sq.m.area each); Tutor/Demonstrators-6 (Two rooms 20 Sq.m. area each) Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area)

(C)

(D) (E)

(F)

(G)

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(2) DEPARTMENT OF PHYSIOLOGY (A) (B) Lecture Theatre As per item A.1.5. Demonstration Room- There shall be four demonstration rooms (90 sq.mt.each) fitted with strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. Practical rooms- The following laboratories with adequate accommodation shall be provided to accommodate 125 students. Amphibian laboratory (one)-(300 sq.m.area) shall be provided with continuous working tables. Every seat shall be provided preferably with stainless steel washbasin. Every workings table shall have one drawer and one cupboard, an electric point with fire and steam proof top. One preparation room (14 Sq.m. area) shall be provided with the amphibian laboratory. (ii) Mammalian laboratory (one)-(120 Sq.m.area) shall be provided with Ten tables (2mx0.6,) with stainless steel top and operating light. The laboratory shall have attached instrument rack, two large size wash-basins (stainless steel) and cupboards for storing equipments. One preparation room (14 sq.m. area) shall be provided with the Mammalian laboratory. (iii) Human Laboratories: a) Haematology Lab. (250 Sq.m.area) provided with continuous working tables. Every seat shall be provided preferably with stainless steel wash basin. Every working table shall have one drawer and one cupboard, an electric point and with fire/steam proof top including provisions of light sources on each table. One preparation room (14 Sq.m.area) shall be provided with this laboratory. b) There shall be a Clinical Physiology Laboratory (120 Sq.m.area) provided with 12 tables (height 0.8 m.) with mattresses and adjustable hand-end. Departmental LibraryThere shall be a Departmental library-cum-seminar room (30Sq.m.area) with at least 80100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. Research There shall be one research laboratory (50 Sq.m.area) for research purposes. Accommodation shall be provided for the staff as under:1. 2. 3. 4. 5. 6. Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 3 (Three rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -4 (Four rooms) (20 Sq.m.area each); Tutor/Demonstrators-6 (Two rooms 20 Sq.m.area each) Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area) (i)

( C)

(D)

(E) (F)

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(3) DEPARTMENT OF BIOCHEMISTRY (A) Lecture theatre As per item A.1.5.

Demonstration Room- There shall be four demonstration rooms (90 sq.mt.each) fitted with

strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. (B) There shall be a Departmental library-cum-seminar room (30Sq.m.area) with at least 80100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. Research - There shall be one research laboratory (50 Sq.m.area) for research purposes. Accommodation shall be provided for the staff as under:1. 2. 3. 4. 5. 6. Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 2 (Two rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -3 (Three rooms) (20 Sq.m.area each); Tutor/Demonstrators-6 (Two rooms 20 Sq.m.area each); Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12 sq.m. area)

(C) (D)

(4) DEPARTMENT OF PATHOLOGY (A) Lecture theatre As per item A.1.5

Demonstration room- There shall be four demonstration rooms (90 sq.mt.each) fitted with

strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. (B) Museum-There shall be a museum (150 Sq.mt.) for specimens, charts, models with a sitting capacity of at least 80-100 students. All the specimens shall be labelled and at least 10 copies of catalogues for student use be provided. In addition, there shall be an ante room. Autopsy Block- There shall be an Autopsy room (approx. 500 sq.mt. area) with facilities for cold storage, for cadavers, ante-rooms, washing facilities, with an accommodation capacity of 70-75 students, waiting hall and office. The location of mortuary and autopsy block should be either in the hospital or adjacent to the hospital in a separate structure and may be shared with the department of Forensic Medicine.

(C)

13

(D)

Departmental libraryThere shall be a Departmental library-cum-seminar room (30 sq.m. area) with at least 80100 books. However, not more than two copies of anyone books shall be counted towards computation of the total number of books. Research-There shall be one research laboratory(50 Sq.m. area) for research purposes. Accommodation shall be provided for the staff as under: 1. 2. 3. 4. 5. 6. Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 4 (Four rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -5(Five rooms) (20 Sq.m.area each); Tutor/Demonstrators-8 (Two rooms 20 Sq.m.area each) Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area)

(E) (F)

(G)

BLOOD BANK There shall be an airconditioned Blood Bank (100 Sq. mt. Area) and shall include(a) Registration and Medical Examination Room and selection of donors room with suitable furniture and facilities. (b) Blood collection room. (c) Room for Laboratory for Blood Group serology; (d) Room for Laboratory for Transmissible diseases like hepatitis, syphillis, Malaria, HIV antibodies etc; (e) Sterilisation and washing room; (f) Refreshment room; and (g) Store and Records room. The equipment and accessories etc. shall be provided as prescribed in Part XII-B in Schedule F to the Drugs and Cosmetics Rules, 1945 amended from time to time.

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(5) DEPARTMENT OF MICROBIOLOGY (A) Lecture Theatre - As per item A.1.5.

Demonstration room- There shall be four demonstration rooms (90 sq.mt.each) fitted with

strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. (B) Museum- There shall be a museum (120 Sq. mt.) for specimens, charts, models, with a seating capacity of at least 75 students. All the specimens shall be labelled and at least 20 copies of catalogues for students use be provided Departmental LibraryThere shall be a Departmental library-cum-seminar room (30Sq.m.area) with at least 80100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. (D) (E) 1. 2. 3. 4. 5. 6. Research: There shall be one research laboratory (50 Sq.m. area) for research purposes. Accommodation shall be provided for the staff as under: Professor & Head of the Department- 1 (One room ) (18 Sq.m.area); Associate Professor/Reader- 3 (Three rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -3 (Three rooms 20 Sq.m.area); Tutor/Demonstrators-6 (Two rooms 20 Sq.m.area); Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area) (6) DEPARTMENT OF PHARMACOLOGY (A)
(B)

(C)

Lecture Theatre - As per item A.1.5. Demonstration room- There shall be four demonstration rooms (90 sq.mt.each) fitted with strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. Practical laboratories-There shall be a Practical laboratory with accommodation for 125150 students for the following, namely:i) Experimental Pharmacology (300 Sq.m. area) with ante-room (14 Sq.m.area) for smoking and varnishing of kymograph papers.

(C)

(D)

Museum- There shall be a museum (175 Sq. mt.) for specimens, charts, models, with a separate section depicting "History of Medicine", with a seating capacity of at least 75 students. All the specimens shall be labelled and at least 20 copies of catalogue for students use be provided.

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(E)

Departmental Library- There shall be a Departmental library-cum-seminar room (30 Sq.m.area) with at least 80-100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. Research: There shall be one research laboratory (50 Sq.m.area) for research purposes. Accommodation shall be provided for the staff as under: 1. 2. 3. 4. 5. 6. Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 3 (Three rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers - 3 (Three rooms 20 Sq.m.area); Tutor/Demonstrators-5 (Two rooms 20 Sq.m.area); Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area)

(F) (G)

(7) (A).
(B).

DEPARTMENT OF FORENSIC MEDICINE INCLUDING TOXICOLOGY

Lecture theatre As per item A.1.5. Demonstration room There shall be four demonstration rooms (90 sq.mt.each) fitted with strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. There shall be a museum (225 Sq.m.area) to display medico-legal specimens charts, models, prototype fire arms, wax models, slides, poisons, photographs etc. with seating arrangements for 75 students. All the specimens shall be labelled and at least 20 copies of catalogues for student use be provided. There shall be a laboratory (275 Sq. m. area) for examination of specimens, tests and Forensic histopathology, Serology, anthropology and toxicology. Autopsy Block there shall be an Autopsy room (approx.500 sq. mt. area) with facilities for cold storage, for cadavers, ante-rooms,washing facilities, with an accommodation capacity of 75-100 students, waiting hall, office etc. The location of mortuary/autopsy block should be either in the hospital or adjacent to the hospital in a separate structure and may be shared with the department of Pathology. Department Library There shall be Departmental library-cum-seminar room (30 Sq.m.area) with at least 80-100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books.

(C).

(D).

(E).

(F).

(G).

Research There shall be one research laboratory (50 Sq.m.area) for research purposes.

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(H). 1. 2. 3. 4. 5. 6.

Accommodation shall be provided for the staff as under, namely:Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 2 (Two rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -3 (Three rooms) (20 Sq.m.area each); Tutor/Demonstrators-5 (Two rooms 20 Sq.m.area each); Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area)

(8) DEPARTMENT OF COMMUNITY MEDICINE (A). (B). Lecture theatre- As per item A.1.5. Demonstration room- There shall be four demonstration rooms (90 sq.mt.each) fitted with strip chairs, Over Head Projector, Slide Projector, Television, Video and other audiovisual aids, so as to accommodate at least 60-75 students. Museum-There shall be a museum (175 Sq.m. area) for the display of models, charts, specimens and other material concerning communicable diseases, Community Health, Family Welfare planning, Biostatics, Sociology, National Health Programmes, Environmental Sanitation etc. Departmental LibraryThere shall be a Departmental library-cum-seminar room (30 Sq.m.area) with at least 80100 books. However, not more than two copies of anyone book shall be counted towards computation of the total number of books. (E). (F). 1. 2. 3. 4. 5. 6. 7. 8. (G). Research- There shall be one research laboratory (50 Sq.m.area) for research purposes. Accommodation shall be provided for the staff as under, namely:Professor & Head of the Department- 1 (One room )(18 Sq.m.area); Associate Professor/Reader- 3 (Three rooms) (15 Sq.m.area each); Asstt. Professor/Lecturers -4 (Four rooms) (20 Sq.m.area each); Statistician cum Lecturer-One room (12 Sq.m.area); Epidemiologist cum Lecturer-One room (12 Sq.m.area); Tutor/Demonstrators-6 (Two rooms 20 Sq.m.area each); Department office cum Clerical room - one room (12 Sq.m.area); and Working accommodation for non-teaching staff (12sq.m. area) Primary Health Centre/Rural Health Training Centre

(C).

(D).

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Every medical college shall have three primary health centres/rural health training centres for training of students in community oriented primary health care and rural based health education for the rural community attached to it. Out of these one primary health centre shall be with a distance of 30 km. or within one hour of commuting distance from the medical college. Separate residential arrangements for boys and girls, interns and undergraduates with mess facilities shall also be provided in at least one of the primary health centres/rural health training centres which shall be under the full administrative jurisdiction of the medical college. Adequate transport shall be provided for carrying out field work, teaching and training activities by the department of Community Medicine and other departments (both for staff and students). (H). Urban Health Training Centre- it shall be under the administrative control of Deptt. of Community Medicine. Adequate transport shall be provided for commuting the staff and students. TEACHING HOSPITAL GENERAL REMARKS

B. B.1

B.1.1 A functional teaching hospital with 900 beds with at least 70% indoor bed occupancy should be available. There should be 80% bed occupancy at the time of inspection for first renewal and thereafter for subsequent renewals. Lifts for the patients and ramp for fire protective services and for handicapped persons shall be provided in the hospital at the time of letter of permission. An electric generator of not less than 700 KVA shall be provided. A play area including T.V., Music, Toys, Books, etc. shall be provided for Paediatric patients. All the teaching hospitals shall be under the academic, administrative and disciplinary control of the Dean/ Principal/Director who shall not be concurrently Head of Department but can be a component of teaching faculty in the concerned respective department. B.1.2. Accommodation shall be provided for Dean (36 Sq.mt.) and Medical Superintendent (36 Sq.mt.) and hospital offices for the supportive staff, Nursing Superintendent's room and office, waiting space for visitors along with computer and internet facility in each department. There shall also be accommodation for : (a) Enquiry office, (b) Reception area (600 Sq.mt.) including facilities for public telephone, waiting space for patients and visitors, drinking water facility with nearby toilet facilities. (c) Store rooms. (d) Central Medical Record Section (350 Sq.m.) (e) Linen Rooms. (f) Hospital and Staff Committee room (120 Sq.mt.) B.1.3. One Central lecture theatre of gallery type with a seating capacity of 300 persons and audio-visual aids shall be provided in the hospital in addition to those in medical college/institution.
18

B.1.4. Central Registration and statistics department with computer facilities shall be provided. B.1.5. Intercom network along with paging and bleep system between various sections, hospitals and college shall be provided for better service, coordination and patient care. B.1.6 Residential accommodation shall be provided in the hospital campus for interns, Jr. Residents and Senior Residents, etc. B.1.7 There shall be a minimum OPD attendance of 4 patients (old & new) per day per student intake of the subjects of Undergraduate curriculum at the time of Letter of Permission. This should be increased in such a manner that at the end of fourth year it comes to 8 patients (old & new) per day per student intake. B.1.8 Indoor beds occupancy-Average occupancy of indoor beds shall be a minimum of 80% per annum. B.1.9. Clinical Departments in the Hospital. Requirement of Beds and units: The number of beds required for 200 admissions annually is 1250. distributed for the purposes of clinical teaching as under, namely: (i) MEDICINE AND ALLIED SPECIALITIES:No. of beds and units required 1. General Medicine 2. Paediatrics 3. Tuberculosis and Respiratory Diseases 4. Dermatology, Venerealogy and Leprosy 5. Psychiatry Beds/units 300/10 150/5 50/2 30/1 30/1 560/19 They may be

Note: (1)

(2)

There shall be well equipped and updated intensive Care Unit ( I.C.U.), Intensive Coronary Care Unit (I.C.C.U.) Intensive Care Paediatric beds and preferably Intensive care in Tuberculosis and Respiratory Disease. Wherever possible, the facilities available in larger tuberculosis and chest diseases hospitals, infectious diseases hospitals and mental hospitals may be utilised for training in these specialties. However, if these hospitals are not under the total administrative control of the Medical College, the required beds in these specialities shall have to be provided in the attached teaching hospital itself.

19

(ii) SURGERY AND ALLIED SPECIALITIES: No. of beds and units required 300/10 150/5 60/2 30/1 540/18

1. 2. 3. 4.

General surgery Department of Orthopaedics Department of Ophthalmology Oto-Rhinolaryngology

Note: There shall be well-equipped and updated intensive Care Burn Unit and Surgical post operative critical care Unit. (iii) OBSETETRICS AND GYNAECOLOGY No. of beds and units required 80 60 10 150/5 1250/42

Obstetrics Gynaecology Postmortem

(iv) Note : (1)

GRAND TOTAL

(2)

In case a super speciality is developed, it shall necessitate creation of extra beds along with additional staff over and above the minimum requirement stated herein above in accordance with the provisions of the Postgraduate Medical Education Regulations, 2000. The teaching hospital may provide additional beds in any speciality depending upon their patients load.

B.1.10 Dean, Medical Superintendent and each department shall have independent computer and printer facility. B.1.11 Each and every college /institute shall have its own website wherein the following details updated in the first week of every month shall be provided:a. b. c. d. e. f. g. Details of Dean, Principal and Medical Supdt. including their name, qualification complete address with telephone and STD code, fax and E-mail etc. Teaching as well as non-teaching staff. Details of the sanctioned intake capacity of various courses UG as well as PGs by the MCI. List of students admitted merit-wise category-wise (UG & PG) for the current and previous year. Any research publications during the last one year. Details of any CME programmes, conferences and/or any academic activities conducted by the institution. Details of any awards and achievement received by the students or faculty.

20

h. i. j. k. l.

Details of the affiliated university and its Vice-Chancellor and Registrars. Result of all the examinations of last one year. Detailed status of recognition of all the courses. Details of clinical material in the hospital. Measures undertaken to curb the menace of ragging in terms of Prevention and Prohibition of Ragging in Medical Colleges/Institutions Regulations, 2009.

B.2.

CLINICAL DEPARTMENTS-INDOOR

B.2.1. The following accommodation shall be available with each ward, namely:. 1. Accommodation in a General Ward shall not exceed 30 patients and distance between the two beds shall not be less than 1.5m. 2. Nurses Duty Room/Nursing Station. 3. Ward should be constructed in such a way that the Nurse from her Nursing Station is able to have an overview of all the patients in the wards. 4. Examination and Treatment room. 5. Ward Pantry. 6. Store room for linen and other equipment. 7. Resident Doctors and students Duty Room. 8. Clinical Demonstration Room. B.2.2. The following additional accommodation shall be provided for each of the departments. 1. 2. 3. Offices for Heads of Departments and Heads of Units. Accommodation for other unit staff. Clinical demonstration rooms (at least one for each department).

Note: The size and number of staff rooms shall be as per the guidelines in the pre and para clinical departments for the prescribed number of staff members in a department. B.2.3. OPERATION THEATRE UNIT: The Operation Theatre Unit shall have the following facilities; namely:1. Waiting room for patients. 2. Pre-Anaesthetic/Preparation room at least 4 beds. 3. Operation theatre. 4. Post-operative recovery room (minimum of 20 beds). 5. Soiled Linen room. 6. Instrument room. 7. Sterilisation room. 8. Nurses rooms. 9. Surgeons and anaesthetist's room (separate for male and female). 10. Assistant's room. 11. Observation gallery for students. 12. Store rooms 13. Washing room for Surgeons and Assistants; and

21

14. Students washing up and dressing up room. Five such units may be provided for General Surgery, one for ENT; one for Orthopaedics; one for Ophthalmology and two for Obstetrics and Gynaecology and one for septic cases. Other surgical specialities shall have independent separate OT. Additional space need to be provided for various Endoscopy procedures. Minor Operation Theatre one minor operation theatre in addition to above shall be provided for surgical departments in casualty/emergency unit and one such theatre in O.P.D. B.2.4 CENTRAL STERILISATION SERVICES: There shall be an independent Central Sterilization unit capable of taking the total working load of operation theatres, laboratories close to or in the operation theatre block itself. It shall have adequate equipment like bulk sterilizer with separate ends for loading unsettled material, unloading sterile, cold sterile, Ethylene oxide sterile, freon ethylene instruments and mattress sterilize, sterile racks, mixers, and trays for instruments. This department shall work round the clock and all materials, instruments, trays, and dressing material etc. shall be supplied round the clock. B.2.5 LAUNDRY The Central Mechanical laundry shall be provided with bulk washing machine, HydroExtractor, flat rolling machine. Laundering of hospital linen shall satisfy two basic considerations, namely, cleanliness and disinfection. The hospital could be provided with necessary facilities for drying, pressing and storage of soiled and cleaned linens. The physical facilities for housing the laundry equipment shall be provided in the campus. However, services can be handed over the any agency but with overall supervision of Hospital Administrator. B.2.6. DEPARTMENT OF RADIO-DIAGNOSIS: (1) The staff of Radio-Diagnosis department shall be covered by Personal Monitoring System of BARC. Accommodation shall be provided for the following namely: (a) (b) (c) Room for 300mA, 500mA, 600mA. I.I.T.V. System, Fluroscopy System (36 sq.m.). Ultrasound Room (15 sq.m.) Room for 60 mA Mobile X-ray system (15 sq.m)

22

(d)

(e) (f) (g) (h) (i) (2)

Accommodation for CT Scan system. There shall be three equipment rooms, (examination room, control room, control room and computer room). In addition, a service room for Electrical Panels, UPS and Servo Stablizer shall be provided. The total area requirement is 80 sq.m. There shall be preferably a Magentic Resonance Imaging (MRI) system. The space requirement shall be according to the standard specifications. Store room for X-Ray films related material (15 sq.m) Museum (25 sq.m.) Waiting room for patient, enquiry office and staff rooms for Professor & HOD, Assoc. Profs., Asstt. Profs., Residents, Tutor shall be provided as per requirement. Accommodation for demonstration room shall be provided. The room sizes for various Diagnostic Imaging Systems shall be as per the following provision of the Atomic Energy Regulatory Board Safety Code, namely: The room size of the room housing X-ray equipment must not be less than 25 Sq.m. for a general purpose X-Ray machine. In case of diagnostic X-Ray equipment operating at 125KV or above the control panel must be installed in separate control room located outside but contiguous to the X-Ray room. Rooms housing fluoroscopy equipment must be so designed that adequate darkness can be achieved conveniently when desired. Patient waiting areas must be provided outside the X-ray room and a dark room must be provided.

B 2.7 DEPARTMENT OF ANAESTHESIOLOGY Accommodation for the department of Anaesthesia shall be provided for staff on duty in operation theaters in that block itself as far as possible in addition to following accommodation; namely:1. 2. 3. 4. Offices for Heads of Departments and Heads of Units. Accommodation for the other unit staff. Clinical demonstration rooms (at least one for each department); and Departmental Library-cum-Seminar room (30 Sq.m.) with a seating capacity of 50 students.

OPTIONAL DEPARTMENTS. B.2.8 DEPARTMENT OF RADIOTHERAPY; The department needs to be planned in such a way that there is a minimum movement of Radio-active sources through the general corridors of the Hospital. It is therefore desirable that the outpatient wing, treatment wing, dosimetry/planning equipments, wards, operation theatre and other facilities are located in the same block, may be on two floors. It should be closely connected with the rest of the hospital to facilitate free interaction of the facilities of various disciplines for multidisciplinary management of the

23

patients. Separate rooms should be provided for Teletherapy Unit (100 Sq.m.area), intra cavitory treatment room (50 sq. m.area) interstitial, endocavitory, surface mould therapy room (50 sq. m.area), planning room (50sq.m.area), rooms for metalling treatment planning equipments, mould room (50 sq.m.area), record room (100sq.m.area), medical physics laboratory (50sq.m.area) outpatient waiting room (200 sq.m.area), indoor beds (at least 30 beds and an isolation ward) (200 sq.m.area), day care ward for short chemotherapy/radiotherapy procedures etc. (70 sq.m.area). The minimum floor area shall be 2000-2500 sq.m. Prior BARC approval of the radiation therapy rooms/plan alongwith complete layout of the entire department is mandatory. B.2.9 DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION: Accommodation (2500 sq.meter) shall be provided for professor and other teaching staff, paramedical personnel and non-medical staff, evaluation room, physiotherapy, Electrotherapy, Hydrotherapy, Occupational Therapy, Speech therapy, separately, as far as possible. B. 3 CLINICAL DEPARTMENTS-OUT DOOR

B 3.1 Accommodation shall be provided for:1. Waiting/reception space rooms for patients and attendants, 2. Enquiry and record room. 3. Four examination rooms (cubicles) and case demonstration rooms to be provided for each department in the outdoor in self-contained blocks with their subsections. Each clinical unit in the out-patient department shall be provided with examination cubicles. 4. Dispensary. 5. The following additional accommodation shall be provided in the departments specified below:In Surgery & its specialities: Dressing room for men and women patients respectively. Operation theatre for out patient surgery. In Ophthalmic Section: Refraction rooms, dark rooms, dressing rooms etc. In orthopaedics Section: In ENT Section: Sound proof audiometry Room, ENG laboratory and speech therapy facilities. In Paediatrics: Child Welfare including Immunization Clinic Child Guidance Clinic Child Rehabilitation Clinic including facilities for espeech therapy and occupational therapy.

(a)

(b) (c) (d) (e)

24

(f)

In obstetrics and Gynaecology: Antenatal Clinic, Family Welfare Clinic Sterility Clinic Cancer Detection Clinic. There shall be an additional students duty room (separately) for males and females) attached to the labour room.

(g)

In Dental Section: Accommodation for Dental Surgery and Prosthetic dentistry.

B 3.2 Reception and Waiting Hall for Patients. B. 3.3. A seminar room for students. B. 4 CENTRAL LABORATORIES: There shall be well-equipped and updated central laboratories preferably along with common collection entire for all investigations in histopathology, cytopathology, haematology, immunopathology, microbiology, biochemistry and other specialized work if any. B. 5 CENTRAL CASUALTY DEPARTMENT There shall be well equipped and updated intensive care unit (I.C.U) -5 beds, Intensive Coronary Care Unit (I.C.C.U.)-5 beds, Intensive Care Paediatric/Neonatal Unit -5 beds and preferably Intensive Care in Tuberculosis and Respiratory Diseases. The number of beds in casualty trauma unit shall be 30. ICU should be located near casualty. These shall be functional at the time of inception of the college. B. 6 CENTRAL HOSPITAL PHARMACY It shall have qualified pharmacist incharge and other staff certified by statutory authorities to dispense the drugs. B. 7 CENTRAL KITCHEN The Central Kitchen shall be commodious, airy, sunny, clean with proper flooring with exhaust system. The cooking should be done either by electricity or by gas. It should be provided with proper and clean working platforms. A separate store area with proper storage facilities should also be provided. The services trolleys for food should be hot and closed stainless steel ones.

25

B. 8

HOSPITAL WASTE MANAGEMENT Facilities for hospital waste management, commensurate with the State Regulatory Authorities etc. shall be provided.

B. 9 B. 9.1

STAFF QUARTERS There shall be sufficient number of quarters for covering 100 per cent of the total Sr. Residents and Jr. Residents as required. There shall be sufficient number of quarters for covering at least 20% each of the Nurses, teaching and non-teaching staff.

B. 9.2

B. 10 CENTRAL HOSPITAL STORES There shall be a central hospital stores for stocking & supply of drugs, equipments etc. B. 11 HOSTELS FOR STUDENTS The College/Institution should have at least provision for 75% of the total intake of students at a given time. Each hostel room shall not have more than three occupants. The size of such room shall not be less than 27 sq.mt. Each student shall be provided with an independent and separate furniture which shall include chair, table, bed and full size cupboard at the least. In case of single seated room it should be at least 9 sq. mt. Area. Each hostel shall have a visitor room, a study room with facilities for computer and internet and should be air-conditioned. There shall be a recreational facility room having T.V., Music, Indoor games etc. and messing facilities for the students.

26

Schedule - II - STAFF REQUIREMENTS A. 1. GENERAL REMARKS: Emphasis in medical education being on practical instruction and demonstration in small groups. The number of teachers must be as per provisions of this Schedule adequate to enable such instruction to be imparted effectively. The teaching staff of all departments of medical college, shall be full-time. These regulations cover the minimum requirements of under graduate medical education. Additional teaching and non-teaching staff shall also be required in OPD, Indoors, Operation theatres and Intensive Care areas where the work load involved in emergency patient care, clinical laboratory work/field work is heavy or is of a specialized nature. To ensure the exposure of undergraduate students to experienced teachers, it is essential to provide adequate number of higher posts (Professors/Readers) in every department of teaching. In department of anatomy, Physiology, Biochemistry, Pharmacology and Microbiology, non-medical teachers may be appointed to the extent of 30% of the total number of posts in the department. A non-medical approved medical M.Sc. qualification shall be a sufficient qualification for appointment as lecturer in the subject concerned but for promotion to higher teaching post a candidate must require Ph.D. degree qualification or equivalent qualification. However, in the department of Biochemistry, non-medical teachers may be appointed to the extent of 50% of the total number of posts in the department. In view of the paucity of teachers in non-clinical departments, relaxation upto the Head of the department may be given to non-medical persons in case a suitable medical teacher in the particular non-clinical speciality is not available for the said appointment in said department. However, all such appointments will be made only with the prior approval of the Medical Council of India. However, a non-medical person cannot be appointed as Director/Principal/Dean/Medical Superintendent or equivalent of an institution in any case. In the department of Community medicine, Statistician cum Lecturer in Statistics should possess M.A./M.Sc. qualification in that particular subject from a recognised university. These requirements are as per the Teacher Eligibility Qualification Regulations. Teacher in higher specialities like Cardiology, Neurology, Neuro-Surgery shall not be counted against the complement of teachers required for under graduate medical education.

2. 3.

4.

5.

6.

27

DEPARTMENTWISE STAFF REQUIREMENTS-NON-CLINICAL (1) DEPARTMENT OF ANATOMY Staff Strength Required 1. 2. 3. 4 5. 6. 7. 8. Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Technician Dissection Hall Attendants Store Keeper cum Clerk-cum Computer Operator Sweepers 1 3 4 6 1 4 1 2

(2) DEPARTMENT OF PHYSIOLOGY

1 2 3 4 5. 6 7

Professor Assoc. Prof Asstt. Prof. Tutors/Demonstrators Technician Store Keeper cum clerk cum Computer operator Sweepers

1 3 4 6 1 1 2

(3) DEPARTMENT OF BIOCHEMISTRY 1 2 3 4 5 6. 7. 8. Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Technical Asstt./Technician Store-Keeper cum clerk cum Computer operator Sweepers Lab Attendant 1 2 3 6 2 1 2 1

(4) DEPARTMENT OF PATHOLOGY 1 2 3 4 5 Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Technical Asstt./Technician
28

1 4 5 8 4

6 7 8 9.

Lab. Attendants Steno cum Computer Operator Store Keeper cum Record Keeper Sweepers

2 1 1 2

(5) DEPARTMENT OF MICROBIOLOGY 1 2 3 4 5 6 7 8 9 Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Technical Asstt./Technician Lab. Attendants Store Keeper cum Record clerk Steno cum Computer Operator Sweepers 1 3 3 6 7 2 1 1 2

(6) DEPARTMENT OF PHARMACOLOGY 1 2 3. 4 5. 6. 7. Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Laboratory Attendants Store Keeper cum clerk cum Computer operator. Sweepers 1 3 3 5 2 1 2

(7) DEPARTMENT OF FORENSIC MEDICINE 1 2 3 4 5 6 7 8 9 Professor Assoc. Prof. Asstt. Prof. Tutors/Demonstrators Technical Asstt./Technician Laboratory Attendants Steno Typist Store Keeper cum clerk cum Computer Operator Sweepers 1 2 3 5 2 2 1 1 4

Note:- In case of postmortem work of more than 500 annually, two additional Tutors/Demonstrators shall be provided. (8) DEPARTMENT OF COMMUNITY MEDICINE 1 2 Professor Assoc. Prof. 1 3

29

3 4. 5 6 7 8 9 10 11 12

Asstt. Prof. Epidemiologist-cum-Assistant Professor Statistician-cum-Assistant Professor Tutors/Demonstrators Medical Social Worker Technical Asstt./Technicians Stenographers Record keeper cum clerk cum Computer Operator Store Keeper Sweeper

4 1 1 6 1 1 1 1 1 1

Staff for Rural Training Health Centre (including field work and epidemiological studies.) 1 2 3 4 5 6 7 8 9 10 11. Medical Officer of Health-cum-lecturer/ Assistant Professor. Lady Medical Officer Medical Social Workers Public Health Nurse Health Inspector/Health Assistant (Male) Health Educator Technical Asstt./Technician Peon Van Driver Store Keeper cum Record Clerk Sweepers

1 1 2 1 1 1 1 1 1 1 2

URBAN TRAINING HEALTH CENTRE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Medical officer of Health-cum-Lecturer/ Assistant Professor Lady Medical Officer Medical Social Workers Public Health Nurse Health Inspectors Health Educator Technical Assistant/Technicians Peon Van Driver Store Keeper Record Clerk Sweepers 1 1 2 1 2 1 2 1 1 1 1 2

Note: The Urban and Rural Training Health Centres should be under the direct administrative control of the Dean/Principal of the college.

30

C. DEPARTMENT WISE STAFF REQUIREMENTS-CLINICAL DEPARTMENTS (1) GENERAL 1. 2. 3. Each department shall have a Head of the Department of the rank of full time Professor who shall have overall control of the Department. The Staffing pattern of the departments shall be organised on the basis of units. A Unit shall have not more than 30 beds in its charge. However, in departments of Tuberculosis & Respiratory diseases, Dermatology, Veneralogy & Leprosy, Psychiatry, Ophthalmology & ENT one unit shall be of MCI sanctioned strength for that speciality even if the total number of beds is less than 30. The minimum staff complement of each unit shall consist of the following, namely:Professor/Reader 1 Lecturer. 1 Senior Resident/Tutor/Registrar 1 Junior Residents 3 to 4 A resident doctor shall primarily be defined as a registered doctor who stay and work in residence in the hospital of a medical college on whole time basis where he / she is employed under supervision of medical teachers and essentially shall be non practicing. Senior Resident shall be a registered doctor who either has. i) a recognized post graduate degree from a statutory university with 3 years experience of residency in the concerned speciality while pursuing degree course, or ii) a recognized postgraduate diploma from a statutory university in the concerned specialty with 2 years experience of residency in the concerned specialty while pursuing diploma course and 1 year residency experience in the concerned specialty obtained after acquiring the PG diploma or, A graduate doctor with recognized MBBS degree and registered in IMR who has got 3 (three) years experience as a resident doctor in the concerned speciality. In addition to the above staff, additional Sr. Residents and Junior Residents shall be provided according to the load in Burn Ward ICU, emergency, ICCU, Nursery, Labour Room and in other critical/intensive care unit/units for providing services round the clock. (2) DEPARTMENT OF GENERAL MEDICINE The Number of units, beds and staff for each department shall be as follows; (a) GENERAL MEDICINE 10/300 Staff strength required 1 8

4. (a) (b) (c) (d) 5.

6.

No. of units/beds: 1. 2. Professor Reader

31

3. 4. 5.

Lecturer Tutor / Registrar/Sr. Resident* Junior Residents

9 10 20

*With three years Resident experience. (b) TUBERCULOSIS & RESPIRATORY DISEASES 2/50 Staff strength required Professor/ 1 Reader 1 Lecturer 1 Tutor / Registrar/Sr. Resident* 2 Junior Residents 4

No. of units/beds: 1. 2. 3. 4. 5.

* With three years Resident experience. (c) DERMATOLOGY VENEREOLOGY & LEPROSY 1/30 Staff strength required 1 1 1 2

No. of units/beds:

1. 2. 3. 4. 5.

Professor/ Reader Lecturer Tutor / Registrar/Sr. Resident* Junior Residents

* With three years Resident experience. (d) PSYCHIATRY 1/30 Staff strength required Professor/ 1 Reader Lecturer 1 Tutor / Registrar/Sr. Resident* 1 Junior Residents 2

No. of units/beds: 1. 2. 3. 4. 5.

* With three years Resident experience. The following ancillary staff shall be provided.

32

Staff Strength required 1. E.C.G. Technician 2. Technical Asstt./Technician 3. Lab. Attendants 4. Store Keeper 5. Steno Typist 6. Record clerks 7. T.B. and Chest Diseases Health Visitors 8. Psychiatric Social Workers

1 3 4 1 1 2 2 2

(3) DEPARTMENT OF PAEDIATRICS No. of units/beds: 1. 2. 3. 4. 5. Professor/ Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 5/150 Staff strength required 1 4 5 5 10

The following ancillary staff shall be provided. 1. 2. 3. 4. 5. 6. 7. Child Psychologist Health Educator Technical Asstt./Technician Lab attendant Store Keeper Record clerks Social worker 1 1 1 1 1 1 1

(4) DEPARTMENT OF GENERAL SURGERY No. of units/beds: 1. 2. 3. 4. 5. Professor/ Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 10/300 Staff strength required 1 8 9 10 20

* With three years Resident experience. The following ancillary staff shall be provided.

33

1. 2. 3. 4. 5.

Technical Assistant/Technicians Laboratory Attendants Store keeper Steno-Typist Record Clerks

3 4 1 1 2

(5) DEPARTMENT OF ORTHOPAEDICS No. of units/beds: 1. 2. 3. 4. 5. Professor/ Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 5/150 Staff strength required 1 4 5 5 10

* with three years resident experience. The following ancillary staff shall be provided. 1. 2. 3. 4. 5. Technical Assistant/Technicians Laboratory Attendants Store keeper Steno-Typist Record Clerks 1 1 1 1 1

(6) DEPARTMENT OF OTO-RHINO-LARYGOLOGY No. of units/beds: 1. 2. 3. 4. 5. Professor Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 1/30 Staff strength required 1 1 1 2

* with three years resident experience. The following ancillary staff shall be provided. 1. 2. 3. 4. Technical Assistant/Technicians Laboratory Attendants Store keeper Steno-Typist 1 1 1 1

34

5. Record Clerks 6. Audiometry Technician 7. Speech Therapist

1 1 1

(7) DEPARTMENT OF OPHTHALMOLOGY No. of units/beds: 1. 2. 3. 4. 5. Professor Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 2/60 Staff strength required 1 1 2 2 4

* with three years resident experience. The following ancillary staff shall be provided. 1. 2. 3. 4. 5. 6. Technical Assistant/Technician Lab Attendant Stenotypist Store keeper Record Clerk Refractionist 1 1 1 1 1 1

(8) DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY No. of units/beds: 1. 2. 3. 4. 5. Professor/ Reader Lecturer Tutor / Registar/Sr. Resident* Junior Residents 5/150 Staff strength required 1 4 5 5 10

The following ancillary staff shall be provided. 1. 2. 3. 4. Antenatal Medical officer-cum-lecturer/ Assistant Professor Maternity and Child Welfare Officer-cumlecturer/Assistant Professor Social Worker Technical Asstt./Technicians

1 1 2 2

35

5. 6. 7. 8.

Lab Attendants Stenographer Record Clerk Store Keeper

2 1 1 1 (9) DEPARTMENT OF RADIO-DIAGNOSIS

1. 2. 3. 4. 5. 6. 7. 8. 9.

Professor Reader Lecturer Tutors/Registrars Radiographic technicians Dark room assistant Stenographers Storekeeper Record clerk

1 4 5 6 8 4 1 1 1

(10) DEPARTMENT OF RADIO-THERAPY (OPTIONAL) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Professor Reader Lecturer Tutors/Registrars Physicist Radiotherapy technicians (for every treatment unit) Dark room assistant Stenographer Storekeeper Record clerk 1 1 2 3 1 2 1 1 1 2

(11) DEPARTMENT OF ANAESTHESIOLOGY Staff strength required 1. 2. 3. 4. Professor Reader Lecturer Tutors/Registrars/Senior Residents 1 5 6 9

The staff in the department shall consist of : 1. 2. Technical Asstt. Technicians Stenotypist 8 1

36

3. 4.

Record clerk Store keeper

1 1

(12) DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION (OPTIONAL) Staff Strength required 1. 2. 3. 4. 5. Professor/ Reader Lecturer Senior Residents House Surgeon/Junior Resident 1 1 1 2 1

The staff in the department shall consists of : 1. Physiotherapists 2. Occupational Therapists 3. Speech Therapists 4. Prosthetic and Orthotic Technicians 5. Workshop Workers 6. Clinical Psychologist 7. Medico-social Worker 8. Public Health Nurse/Rehabilitation Nurse 9. Vocational Counsellor 10. Multi-rehabilitation Workers/(MRW)/ Technician/Therapist 11. Stenographer 12. Record Clerk 13. Store keeper 14. Class IV workers

2 2 1 2 6 1 1 1 1 4 1 1 1 4

(13) DEPARTMENT OF DENTISTRY Staff Strength required 1. 2. 3. 4. 5. 6. Professor/ Reader Lecturer Tutor/Registrar Dental Technicians Store Keeper cum clerk 1 1 1 4 1

Note: Where Dental College or Dental wings of medical Colleges exist, the services of teachers of these may be utilized in the instruction of medical students in Dentistry and no separate staff in the Medical College shall be necessary.

37

D. STAFF REQUIREMENT FOR-ANCILLARY SERVICES I CENTRAL RECORD SECTION The staff of the section shall consist of 1. 2. 3. 4. 5. 6. 7. Medical Record Officer Statistician Coding Clerks Record Clerks Daftaries Peons Stenotypist 1 1 4 6 2 2 1 II CENTRAL ANIMAL HOUSE The staff shall consist of : 1. Veterinary Officer 2. Animal Attendants 3. Technicians for animal operation room 4. Sweepers

1 2 1 2

III CENTRAL LIBRARY The staff in library shall consist of: 1. 2. 3. 4. 5. 6. 7. Librarian with a degree in Library Science Deputy Librarian Documentalist Cataloguer Library Assistants Daftaries Peons 1 1 1 1 4 2 2

CENTRAL PHOTOGRAPHIC CUM AUDIOVISUAL UNIT 1. 2. 3. 4. 5. 6. Photographers Artist Modellers Dark Room Assistant Audiovisual Technician Store Keeper cum Clerk Attendant 1 1 each 1 1 1 1

38

MEDICAL EDUCATION UNIT 1. Officer In-charge (Principal/Dean) 2. Coordinator (Head of a deptt. nominated by Principal/Dean.) 3. 1. 2. 3. Faculty College faculty on part-time basis. Supportive Staff: Stenographer Computer Operator Technicians in Audio-visual aids, Photography and Artist 1 1

1 1 2

CENTRAL STERLIZATION SERVICES DEPARTMENT 1. 2. 3. 4. 5. 6. Matron Staff Nurse Technical Assistant Technician Ward Boys Sweeper 1 4 8 8 8 4 LAUNDRY 1. 2. 3. Supervisor Dhobi/Washerman/Women Packer 2 12 12 BLOOK BANK 1. 2. 3. 4. 5. 6. Professor /Reader Lecturer Technicians Laboratory Attendants Store Keepers Record Clerks 1 1 6 6 6 2

CENTRAL CASUALTY SERVICES The staff in the department shall consist of : 1. 2. Casualty Medical Officer Operation Theatre staff to function on 24 Hours round the clock basis 4 As required

39

3. 4. 5. 6. 7.

Stretcher bearers Receptionist-cum-clerks Ward boys Nursing and Para-medical staff Clinical staff for casualty Beds.

6 2 6 6 As required.

CENTRAL WORKSHOP 1. 2. 3. 4. 5. 6. Superintendent who shall be a qualified engineer Senior Technicians Junior Technicians Carpenter Blacksmith Attendants

1 4 (Mechanical, Electrical, Electronic, Refrigeration) 2 1 1 4

OTHER HOSPITAL STAFF 1. NURSING STAFF: The nursing staff shall be provided as per the following recommendations of the Nursing Council: RECOMMENDED NORMS FOR HOSPITAL NURSING SERVICE (STAFF) (TEACHING HOSPITAL) 1. Nursing Superintendent 1 (*for minimum of 150 beds) 2. Deputy Nursing Superintendent 1 3. Asstt. Nursing Superintendent 2 (for every additional 50 beds one more Assistant Nursing Superintendent) Sister 1:25 1:25 1:25 1:25 1:25 1:25 Department Senior/ANS Each Shift 1 For 3-4 wards -do -do -do -do -do-

Staffing:

Staff Nurse Medical Ward. 1:3 Surgical Ward 1:3 Orthopaedic ward 1:3 Paediatric ward 1:3 Gynaecology ward 1:3 Maternity ward 1:3 (Including new borns)

Intensive Care Unit 1:1 (24 Hrs.) 1 each shift Coronary Care Unit 1.1 (24 Hrs.) 1 each shift Special wards Eye, 1:1 (24 hrs.) 1 each shift ENT etc. Operation Theatre 3 for 24 hrs. 1 each shift

1 Departmental Sister/. ANS for 3-4 units

1 Departmental sister/ANS for 4-5

40

per table Casualty & Emergency Unit 2-3 Staff Nurse 1 each shift depending on the No. of beds

Operation Theatre 1 Depttl. Sister/ANS for emergency casualty etc.

Out patient Department-base on Actual observation. a)Minor Operation Theatre b)Injection Room c)Surgical d)Medical e)Gynae. f)Children (Paediatric) g)Orthopaedic h)Dental i)ENT j)Eye k)Skin 1 Staff Nurse for every 13 Patients 1 Staff Nurse for every 86 patients 1 Staff Nurse for every 120 patients 1 Staff Nurse for every 140 patients 1 Staff Nurse for every 35 patients 1 Staff Nurse for every 85 patients 1 Staff Nurse for every 120 patients 1 Staff Nurse for every 120 patients 1 Staff Nurse for every 120 patients 1 Staff Nurse for every 86 patients 1 Staff Nurse for every 100 patients

Similarly other out patient Department need to be staffed based on actual observation. JUSTIFICATIONS: 1. Needs may vary from hospital to hospital depending on the size of hospital and service rendered more staff than anticipated will be required. Special attention is needed for supervision of patient care on the evening and night shift. 30% leave reserve is suggested because nurses get 2 off, 30 Earned Leave and 12Casual leave/24 days off in a year. Also it has been observed that on any working day 25% of the staff on casual leave etc. A nurse works for 240 days in a year whereas hospital require nursing services for 365 days, for 24 hours, which means to depth work for 1/3 nurse is required that is why 30% leave reserve is needed. 3. Dieticians: In order to prescribe diet on the scientific lines for different types of patients the services of qualified dietician are essential in all the teaching hospital. Pharmacists: As required for Hospital. Class III and IV personnel-as required for hospital.

2.

4. 5.

41

SCHEDULE III EQUIPMENT ( for various departments in the College and Hospitals). Note: These recommendations are minimum requirements and will serve as a guide to the institutions with regard to the equipment required. They are not meant to be an exhaustive list and the staff of the various departments will use their initiative and experience for equipping the departments.

A. NON CLINICAL DEPARTMENTS 1. DEPARTMENT OF ANATOMY (a) Furniture and Fixtures: Office tables small and big, office chairs, museum almirahs, study tables, staff room and library almirah, store almirahs, store racks, lockers with coat hangers and drawers as required. Laboratory benches with cup-boards and rack for reagent bottles and laboratory glasswares as required, water and gas and electric points operation tables etc., as necessary.

NAME OF THE ARTICLE

QUANTITY REQUIRED FOR 250 (admissions) 30

Table with marble for stainless steel tops 61 x 2 x3 Tables with marble or stainless steel, Half standard size. Drill machine Hand saw Band saw for sectioning body and limbs Stools, preferably metal Brain knife Mortuary cooler with arrangement to keep at least 8 bodies or suitable alternative arrangement. Storage tank to hold 10 cadavers, made of concrete with copper lid. Plastic tanks for storing soft and dissected parts. Trolly Table (Steel, Light). Projectors including overhead projectors X-ray Viewing lobby. Charts, Diagrams, Models, Slides etc. Dissecting instruments Meat cutting machine for thin body sections (trans and vertical) for gross anatomy sectional study

7 5 6 1 150 8

1/2 3 10 3 2+2 6 As required As required 1

42

NAME OF THE ARTICLE

QUANTITY REQUIRED FOR 250 (admissions)

(b)APPARATUS AND INSTRUMENTS FOR HISTOLOGY Microscopes, Monocular Dissection microscope Microtomes, rotary Microtomes, Sledge, large cutting Cabinet for slides (1000) Incubators Paraffin embedding bath Hot plates for flattening sections Hot air cover fro drying slides (450C) Balance Analytical capacity 200 grms. and Sensitivity 1/10 mg. Balance Earanger capacity 6 kilos Sensitivity, 1/5 gram Refrigerators Distilled water still menesty type capacity gallon per hour Diamond pencils 7 colour marking pencils Anatomy Museum Skeletons articulated ones (Dis-articulated) sets Specimen jars Racks steel Embalming machines for cadavers Computer for keeping student records, marks, stores etc, 150 5 2 1 6 1 1 2 1 1 2 2 2 4 2

11 40 As required As required 2

(1) PHYSIOLOGY DEPARTMENT (a) Office table, small and big, office chairs, museum almirahs, study table, staff room and library almirahs, stock almirahs, store room racks, laboratory benches with cupboards and racks for reagent set up for experimental physiology including Sherrington Starling Kymograph (Preferably electrically driven) Myograph stand, inductorium, simple key short circulating key, pohls commutator, vibrating interrupter, Muscle through, Muscle liver, Muscle grip of femur clamp, Hook and weight set, heart liver, frog board for dissection, enamel tray for above, frog board cork-lined with boss-head-36 sets + 6 spares. Low voltage units, for tapping 2 and 4 volts for stimulation, at each seat-as required.

43

Note: 1. Time makers can also be made available at each seat along with the low voltage unit. 2. Electronic stimulators, students type can be used instead of low voltage units Nife cells. This will also dispense with the need for induction coil interrupter, Transistor ones are preferred.

NAME OF THE ARTICLE

QUANTITY REQUIRED FOR 250 (admissions) 14 12

Electric time makers, 100/sec. Tuning fork, time marker, 100/sec. Electrodes, X-blocks, burrette clamps, enamel bowls brass uprights, with coarse and fine adjustments basin, spirit lamps, cooper wire (double cotton covered) Kymograph paper etc. (b) MAMMALIAN EXPERIMENTS Large extension kymographs-BrodieStarling complete with respiration pump, motor time marker manometer etc. Operation table Volume recorders Dales bath for internal organ Isolated Organs, Bath for students complete with liver etc. Animal Weighing Machine, for small and big animals (for each) Marys Tambour Venus and arterial canula (different sizes) (each) Smoking outfit, with fume cupboard Varnishing outfit, for long and short papers Anaesthesia boxes.

As required

As required 3 16 60 60

1 60 60 1 1 15

Surgical instruments for operative procedures, syringes, pulleys, etc. (c) HUMAN AND OTHER EXPERIMENTS: Microscopes, Oil immersion

As required

70+12

44

Demonstrations eye piece Double Demonstration eye piece Stage incubator Wastergens Pipettes for E.S.R. on Stand (with space pipettes) NAME OF THE ARTICLE

6 6 1 60 QUANTITY REQUIRED FOR 250 (admissions)

Perimeter Priestly Smith S/LP.984 B & T Haemogiobinometer, Sahil or hellige (with spaces) Haemocytometers Sphygmomanometer Stethoscopes Stethoscopes, Demonstration with Multipleear pieces Polygraphs Venus Pressure apparatus Spirometer, Ordinary Gas analysis apparatus, Haldanes students type Van Slykos apparatus manometric Gas analyzer automatic for CO2, O2, N2 Douglas bag, complete Basal metabolism apparatus Erogograph Mosses Clinical thermometer Compas Thermanaesthesiometer Algometer Apparatus for passive movement Knee hammer Stethograph Bicycle ergometer Olfactometer Opthalmoscope Schematic eye Phakoscope Perimeters, with charts Colour percetion lantern Edridge Green Maddox rod Newtons colour wheel Tuning forks to test hearing 32-10,000 cps (sets)

14 60 60 25 30 8 8 6 14 1 2 1 10 1 14 50 20 15 15 15 25 25 10 4 6 8 4 10 3 3 1 8

45

Dynamometer Otorhinolaryngoscope Steriliser Electric Instrument trolley Stop watches

4 10 4 3 14

GENERAL Physiograph, 3 channels, complete with accessories 4 Physiograph, single channel, with accessories 12 Centrifuge, high speed with technometer etc. 1 Calorimeter, photo-electric 1 pH meter, electric 1 Refrigerator, 9-10c ft. 1 Oxygen Cylinder with trolley 10 Co2 cylinder with trolley 2 Electronic stimulator 1 Water distillation still, with spare heating elements 1 All glass distillation apparatus double stage 1 Voltage stabilizer 3 Stepdown transformers 1 Thermometers, balances, microslides and glassware As required

DEPARTMENT OF BIOCHEMISTRY Fume cupboards Boiling Water baths, with lids having 8-12 Holes Autoclave electric Balance open pan Balance semi micro Balance micro Votex mixers Urinometers Constant temperature water bath Ryles tube Incubator electric with thermostat Hot air oven Magnetic stirrer Pump vaccum Calorimeters Refrigerators Flame Photometer Thermometers 0-2500C Thermometers 0-110 0C Cork borer set Stop watch

2 10 4 10 4 3 4 70 8 8 8 8 4 4 10 6 4 8 8 3 8

46

Spirit lamp Chromatographic chamber Water distillation plant (metallic) All glass distillation apparatus Desicators large size Desicators small size Centrifuge clinical for 12 tubes PH meters Homogeniser Microscopes Ultra Violet (U.V.) lamp Tools for small workshop for glass blowing and mending Bottle dispensers Samplers (autopipettes) different volume range Electrophoresis apparatus with power supply for Paper PAGE AGAROSE Spectrophotometer Binocular research microscopes Glass ware as required by standard lab. Like pipettes, beakers and conical flasks, etc.

70 4 6 6 10 10 10 6 6 10 1 1 set 25 25 10 1 4 As required.

DEPARTMENT OF PATHOLOGY General Office table small and big, office chairs; museum almirahs; study table, staff room, and library almirahs, stock almirahs, store room racks, lockers with coat hangers and drawers as required. Laboratory benches with cupboards and rack for reagent bottles, water, gas and electric points, operation tables etc. as necessary. (b) Morbid Histology and Morbid Anatomy Sections 1 4 1 4 4 4 4 4 1 1 1

Weighing machine for cadavers Rotary Microtomes Freezing Microtome with a stand for carbondioxide cylinder Hot plates Hot air (50 degree Celsus) for special staining @ Paraffin embedding bath (Ordinary) @ Electric vacuum embedding baths @ if Histo Kinette is not available. Autoclave electric Distilled water still Water bath 57 degree Celsius Rectangular water bath

47

Centrifuge machine electric Rotofix Colorimeter Photoelectric Klett. Cabinet for 1000 slides Band saw Autopsy tables Automatic tissue processor, Histokinmettee or similar, complete. Staining racks for staining in bulk Troughs for staining in bulk Coplin jars Water bath electric (Tissue Floatation Balance, Chemical with weights Balance, chemical with weights Microscopes, Monocular, with double nose piece, High power objective 2 eye-pieces, mechanical stage and condensor Oil immersion lens for above Polarising attachments for microscopes Micrometers, ocular Demonstration eye pieces Magnifying lens Blood pressure instrument Micrometer stage Hot plat electric Laboratory Counter nine keys clay Adams Laboratory stirrer Automatic timer Balance for weighing organs Saws, wire for cutting bones Slide boxes for 100 slides for students Drill for boring glass Blow piece with bellows for bending glass Microphotographic apparatus X-ray viewing box Double Demonstration Eye piece Microprojection apparatus Sternal puncture needle Adulet size Sternal puncture needle child size Liver Biopsy needle Box weight analytical Stop watch reading at 1/5 second. Ultraviolet lamp. pH Meter electric. Microscope, Binacular, research. Paper Electrophoresic apparatus vertical Paper electrophoresis apparatus, horizontal

1 1 As required 1 4 1 25 25 35 4 4

110 110 1 1 10 10 6 6 4 12 1 4 3 3 300 4 4 3 4 8 4 4 4 4 4 10 1 1 1 1 1

48

Water still electric 2 x 2 slide Projector. Overhead projector Museum jars. Drawing instruments and colours for photo artist Surgical instruments. Dark room lamp, developing troughs Chemicals etc. for photo artist Glassware, stains, chemicals reagents etc. for Histological work. Clinical Laboratory: Microscope high power with oil immersion lens moveable stage and condensor for the routine microscope work. Bottles Sp. Gravity 25 cc Micro burretes 5 cc PH meter, with ultra micro blood PH electrodes and Electrical Contrifuge One higher power contrifuge for serological works, one for haematological work and one other Incubator Haemacytometers with red and white pipettes Haemoglobinometers, Sahilitype Sedimentation apparatus-one wester green and one wintrobole Syringes disposable one set from 10 cc to 2cc 30 of each Staining jars for slides Urinometers Albuminometers, esbachs & Aufrechs type Urine Glasset (Conical) Water baths with lids and holes thereon for holding test tubes etc. Centrifuge tubes graduated Crusible with china ltd. Crusible Gooch with adapter Graduated cylinders for various capaciies ranging from 100 cc to 1000 cc. Pipettes of various sizes, graduated sets

1 6 3 As required 1 set 1 set 1 set

15 2 2

3 1 150 150 2 sets As required 12 9 2 12 3 44 2 2 6 of each. As required

49

Reagent bottles. Dropping bottles Dropping bottles 4 ounce Reagents Balances-(1) Sensitive balance (2) Chemical balance with weight boxes (5)DEPARTMENT OF MICROBIOLOGY Incubators, electrical (large) 37 degree Celsius Autoclave Hot air sterliser Serum inspissators Balance, Chemical Lovibond comparators Flasks flat bottom 50 cc. Microscope oil-immersion moveable stage Abbe, condenser etc. Refrigerators Micrometer eye pieces Micrometer stage Centrifuge, electrical high power Refrigerated centrifuge Distilled water plant Distilled water plant all glass Oil immersion lens for students microscope. Dropping bottles for stains (Plastic) Staining troughs Anaerobic apparatus Electrophorosis complete set B.O.D. incubator Laminer flow table Ultra Violet (U.V.) Lamps Venereal Diseases Research Laboratory (V.D.R.L.) shaker Computer unit Overhead Projector Water bath (Serological ) 37 degree Celsius Water bath (Serological ) 56 degree Celsius Deep freeze (-20 degree Celsius) Elisa Reader, dispensor and washer Binocular microscope

As required As required As required As required 2 2

9 3 5 2 2 1 14 120 4 2 2 3 1 2 1 120 1250 140 8 1 2 1 1 2 1 1 1 1 1 1 3

50

Culture facilities Thermometers (Assorted) Glassware, such as pipettes burettes, beakers, conical flasks, petri dishes of different sizes, reagent bottles etc. Material for preparation of media Stains PH Determination apparatus Reagent bottles with stopper 2000 cc 1000 cc 500 cc 250 cc 100 cc 50 cc Test tubers hard glass150 mm x 18 mm 100 mm x 12 mm 75 mm x 12 mm (6) PHARMACOLOGY DEPARTMENT. Office tables small and big, office chairs, museum almirahs, study tables, staff room and library almirahs, stock almirahs, store room rack, lockers with coat hanger and drawers as required laboratory benches with coat hanger and drawers as required. Laboratory benches with cupboards and with racks for reagent bottles, water, gas and electric points, operation tables, as necessary. 12

As required As required As required 2 12 75 24 24 60 60 18 Gross 36 Gross 36 Gross

EXPERIMENTAL PHARMACOLOGY Starlings long extension kymographs with time markers. The ideal Respiration Pump (500 cc. CAP.) Brodis operation tables Incubators Refrigerators Assembly perfusion apparatus for mammalian heart Standard power tables Assembly for mammalian classes Automatic electric recording drums Mechanical Stromhur Centrifuge. Colorimeters Canulas (different types) Cautery machine, electric Blendsone Varnishing Tray with foot lever 3 3 3 2 2 4 3 4 4 2 2 3 48 1 2

51

Four Unit isolated organ bath palmer F.67 Analgesiometer Smoking Burners Palmer A-291 and A-265 Tracheal Canula Metal Palmer E.76 Condons Drop Recorder Palmer B-75 Prof.Inchleys Drop Recorder-Palmer B.78 Animal weighing: a) Machine for small animals like rats and gunea pig b) Machine for big animals like dogs Dissection instruments and injection syringes (The experimental physiology laboratory can be used if available for the students) * Kymograph (students) Electric independent unit * Electric Motor with split pulleys * Shafting steel rod diameter and 18 long * Standard Shafting and fittings * Pulleys Muffs coupling for joining 2 pieces of the above mentioned shafting steel rods * Not required in case of independent units. X-blocks Hook grip rods Plain stand Apparatus for isolated rabbit intestine etc. Jacquets graphic chronometer Frog Boards Palmer c. 120 Jacksons Enterograph Hair Aesthesiometer-Palmer W.290 Long Extension for paper palmer A-130 Animal Balance Tripple Beam Manometers mercury Palmer C-200 Metronome Palmer B-5 Oncometer Kidney Oncometer Heart Copper Trays (10x8x1) Thermometer (upto 110 degree Celsius) Distillation apparatus Microscopes ordinary Working tables with racks each table 36 long Chemical Balance-ordinary Apothecarys Chemical Balance-Sensitive Dissection instrument

1 1 1 4 1 1

3 3 As required

250 2 8 40 30 12 As required As required 250 250 5 250 5 5 2 2 6 2 2 2 250 250 10 4 15 2 2 As required

52

Plethysmograph assorted Pneumograph Palmer E Piston Recorder Palmer C.51 Tambours mareys Palmer C.5 & C.11 Tetanus Set Palmer H2O Stop Watches Jacquets Oxygen Cylinders with Trolleys 20 cu.ft Carbon-di-oxide cylinder Operating lamps-Phillips Animal trolley with 12 cages Miscellaneous: Electrodes, Ordinary and non polarisable, insulated wires, time markers, electric signals, Mercury manometer, perfusion apparatus, myograph lever, small pulleys upright stands and chemicals etc. (c) Pharmacy Laboratory: Dispensing Balance with metric system weights Pill Tiles Suppository moulds Procelain dishes Crucibles with tongs Pestle and Mortar Iron Spatula Measure glass all sizes Water bath, metal Miscellaneous: Chemicals, drugs, glass rods, funnels and filter

4 1 1 4 1 12 10 2 4 4

As required

70 70 70 25 25 70 70 70 25

As required

(d) SPECIAL CHEMICALS AND PHARMACOLOGICAL EQUIPMENT Stimulator Electronic Arthus Thomas Balance Semi micro Analytical Pan Mottler Electrocardiograph Spectophotometer Model Du-Backman (UV Visible range) Skin and Rectal Thermometer Barun Antihistamine Chamber with manometer Flame photometer 1 1 1 1 1 1 1

53

Stop clock Water bath 4 hole electrically heated Bell jars Assorted Petri dishes assorted Museum drugs specimen jars All glass distillation apparatus cap.2 litres Centrifuge Electric internation R.P.M. 3000 Microscope students type with mechanical stage and oil immersion Microscope lamps Magnetic stirrer B.T.L. Autoclave electric Waring Blender M.S.E. Hot air oven size 14x14x14 Incubator Electric Size 14x14x14 Vacuum & Pressure Pump Cenco Instruments Sterilliser Electric size 12 x 8x6 B.P. Apparatus Distilled water still Manesty Electrical Cap. 2 gallon per hour Stethescope Multimeter Temperature controlled water bath 37 0 C Razor Hone Electric Hot Plate Deionizer-two of capacity 20 litres per hour and 6 litres per hour (mixed bed type) connected in series

30 12 8 36 30 2 4 4 4 1 1 1 1 1 2 20 2 20 1 1 2 2 2

Physiographs with Transducers and other relevant accessories (may substitute kymographs) 100 Vortex mixer 2 Actophotometer 1 Rotarod Assembly 1 Electro-Convulsiometer 1 Cooks Pole Climbing Apparatus 1 Metabolic Cagges (Dieuretic Study) 3-4 Digital pH meter 1 Tablet Disintegration Machine Glass tubing (length of 6 ft.)1 Glass rods-assorted sizes of 6 ft. 250 Glass mortar & pestles 40 each capacity of 500 and 200 cc Cork borer set of 12 1 set Holder for platinum wireloop 240 Lancet spring (disposable) 240

54

Lamp for microscope Magnifying glass with metal handle Metal mincing machine Postmortem instruments sets complete Suction pumps Filtering apparatus sietz filter and Millipore filter Dessicators Vacuum Desicators Apron plastic for postmortem Apron rubber for postmortem * Lyophilizer *Thermal Cycler *U.V. Transilluminator with photography * Colony counter * Cold room + 4 degree Celsius * BACTEC system * Phase contrast Microscope *Vortex mixer * Electronic Balance * Microfuge * Ultra centrifuge * Flourescent Microscope

As required 120 1 2 set 1 1each 2 1 2 2 1 1 1 1 1 1 1 1 1 1 1 1

* Desirable additional equipment in the department of Microbiology. (7) DEPARTMENT OF FORENSIC MEDICINE

Weighing machine, dial type human Equipment for reporting height Balance chemical Balance, single pair for weighing foetus Weighing machine for Weighing dead bodies Weighing machine for organs Folding metal scale to measure upto 7 ft. Steel tape roll Varnier calipers Autopsy table Styker autopsy saw, with accessories Hacksaw Dissection sets, consisting of cartilage knife bone cutting forceps scissors, straight and curved Enterotome Scaples, knives with spare blades, probe metal scale graduated in cms. Etc. Rib. Shears, right and left Viscerotome with attachment for illumination

2 2 1 1 1 2 1 2 1 2 3 4

4 4

55

(Battery operated) 1 SLR camera with accessories 1 Microscope student type 40 Microscope Binocular, research 6 Stopwatch 2 Xray view box one in four 7 View Box Two in one 6 B.P. Apparatus 7 Anthropometric set 1 Automatic tissue processing machine 1 Microtome with knife 1 Hot plates 1 L.Modes 16 Leather Strops 2 Parafin Bath Embedding 1 Slide Warming Table 1 Stone Carbarandon 2 Water bath (Tissue Flowing) 1 Distilation plant 1 Brain knife 8 Black Holder 50 Digital Spectrometer 1 Digital PH meter 1 Electric Auto slide projecter 1 Glass cutting Pencil 1 Hand Set heat Sealer 1 Spectroscope Lens with adjustable slit 2 Refrigerator 1 Cold Storage for keeping dead bodies As required Deep freezer for keeping tissues As required Video Camera, Television and Video Cassette Recorder 1 each Instrument Cabinet, instrument, trolly, filing cabinet with folders, filing cabinets for almirahs etc. As required (8) DEPARTMENT OF COMMUNITY MEDICINE Comparator, Nessler Barometer, Fotin Extraction Apoparatus, fat, complete Filter, Pasteur chamberland, complete set Filter, berke fed Hydrometres, Spirit Hydrometres, milk Hydrometers, wet and dry BULB Incubator, electric 1 1 1 1 1 3 3 1 1

56

Museum jars Models, charts, diagrams etc. Balance Analytical 200 gm Balance for weighing food stuff Capacity 2 Kg. Centrifuge clinical Weighing machine adult Salters Baby weighing machine Harpenders Callipers (for skinfold thickness) Height measuring stand Aqua guard Refrigerator 9 cu.ft. Ice Lined Refrigerator (I.L.R.) Dissecting microscope Microscope oil immersion T.F., V.C.R. Still for distilled water Autoclave Sterilizers, electric Computer Over Head Projector

As required As required 3 1 1 4 4 2 1 1 1 1 60 5 1 each 1 1 2 1 2

The Rural and health centers for training of undergraduate students shall be suitably equipped along with adequate transport. B. CLINICAL DEPARTMENTS

The list of equipment for clinical departments both indoor and outdoor, may be prepared by the Heads of departments, who would keep in view the needs for:(1) Special examination with diagnostic aids and investigations such as laboratory, X-ray, etc. (2) Routine treatment, medical and surgical etc. (3) Special therapy such as physical, occupational, dietetic etc. The following equipments for various clinical departments are however the minimum required. (1) DEPARTMENT OF MEDICINE 60 14 As required 7 5 7

B.P. Apparatus Ophthalmoscope Lumbar puncture needles (disposable) Haemocytometer Light Microscope Haemoglobinometer

57

Centrifuge Machine 5 Urinometer 5 Plural biopsy needs (disposable) As required Liver biopsy needs (disposable) As required Kidney Biopsy needs (disposable) As required X-ray viewing box 35 Overhead projector 2 Slide Projector 2 Upper Gl endoscope 5 Colonoscope 5 Sigmoidoscope 5 Proctoscope 14 Facilities for doing tests for malabsorption As required Ultra sound machine 1 Fiberoptic bronchoscope 2 Spirometer 4 Bed side Cardiac monitors 24 Central Cardiac monitor Console 1 Defibrillator 24 Non-invasive B.P.Apparatus 24 Pulse oxymeter 24 Equipment for ardiac pacing 1 Ambu bag 24 Laryngoscope 24 ECG Machine 24 Echocradiography machine 2 Tread Mill test machine 1 Haemodialysis machine 7 Peritoneal dialysis catheters As required Areterial blood gas analyzer 2 Na/K analyzer 2 Equipment for measuring diffusion capacity 1 Microprocessor based spectrometer 2 Gamma cameras 1 Glucometer 14 Radiosotope scan laboratory 1 Electro Encephalogram (EEG) machine 1 EMC and nerve conduction velocity machine 1 Fine needle aspiration needle As required Aspiration needle As required Torches 60 Patient examination table 50 Rubber Hammer 50 Reagents for doing Grams and Ziehl Neilson staining As required Computer ( one for each medical unit) 10 Radiopagers 60

58

Endotracheal tubes Emergency lights (2) DEPARTMENT OF PAEDIATRICS

As required 14

(A) Resuscitation equipments: Ambu bag -infant -children Face mask Nasal prongs Nasal catheters Endotracheal tubes Suction apparatus Suction catheters Laryngoscope - Infant - Children (B) Oxygen Delivery SystemOxygen Cylinder Oxygen regulator Oxygen Humidifiers Oxygen headbox (of each size) Nebulisers (C) Drug Deliver Equipment/ Catheter/tubeIntra-venous (I.V.) Drip set Measured volume Blood transfusion set Intra-venous (I.V.) Canula (Butterfly type) Intracath Umbilical vein Catheter Feeding tubes Three way and four way valve Malecots catheter Cut open canula (D) Measurement Equipments Weighing machine - Infant -Child

4 4 4 As required As required As required 1 As required 1 1

1 1 1 1 8

As required 4 4 As required 8 8 As required 4 8 As required

1 1

59

- Neonates Infantometer Measuring tape Shakirs tape (E) Work lab and investigations Student Microscope Nuclear Chamber Hemoglobinometer Test tube Spirit lamp Stains for Leishmans staining - AFB staining -Grams staining Dextrostix Multisix Uristix Micro Erythrocite Sedimntation Rate (ESR) tubes Filter paper Bone marrow needle Lumber Puncture (L.P.) Needles Pleural aspiration needle Vim-Silveram Biopsy needle Mengneiz Needle True cut Renal Biopsy needle X-ray view box F) Miscellaneous Radiant Warmer Infant incubator Phototherapy unit Ophthalmoscope Thermometer-Oral -Rectal

1 1 As required As required

2 4 4 As required 4 As required -do-doAs required -do-doAs required As required 4 4 4 4 4 4 1

1 1 1 1 As required As required

(3) DEPARTMENT OF TUBERCULOSIS AND CHEST DISEASES Peak flow meters Nebulizers Intercostals Drainage Facility Pleural Biopsy Needles Pulse Oximeter Fiberoptic Bronchoscope 3 6 4 2 2/1 2/1

60

Rigid Bronchoscope 1 Pulmonary function Test machine with facility for spirometry, lung volume and diffusion capacity 1 Arterial Blood Gas machine 1

(4) DEPARTMENT OF DERMATOLOGY-VENEROLOGY AND LEPROSY Facilities for examining smears for bacteria, Fungi, mycobacteria and acantholytic cells (a) (b) (c) (d) Light microscope with facility for dark ground illumination microscopy Grams stain Zeihl-Neelsens stain Giemsa stain Facilities for electrosurgery and chemosurgery (a) (b) Electro-cautery machine Trichloracetic acid

5) DEPARTMENT OF PSYCHIATRY Electro Convulsive Therapy (E.C.T.) machine preferably with ECG monitoring E.E.G. monitoring ECG machine EEG machine Lithium analyzer Biofeed-back instruments (sets) Thin layer chromatography (for drug dependence treatment) Alcohol breath analyzer Psychological Tests equipment a) Project tests b) Intelligence Tests c) Personality Tests d) Neuro psychological tests (6) DEPARTMENT OF SURGERY (i) O.P.D Blood Pressure Apparatus, Stethoscope, diagnostic kit, weighing machine, skinfold caliper, eight scale.

5 1 1 1 1 1 1 1 6 6 6 6

12

61

X-ray viewing box 4 in 1 Proctoscope & Gabriel Syringe Sigmoidoscope (Rigid) Flexible Endoscope, Upper Gl, Colonscope (one set in Main O.T.) Diagnostic Crystoscope Ultrasound Uroflowmetry (ii) MINOR O.T. Operation Theatre Table Operation Theatre Ceiling light Pedestal lights Electro-surgical unit Suction Pulse oximeter (one for Endoscopy Room) Anaesthesia Equipment Resuscitation kit Assorted surgical instrument for minor operation sets Autoclave

12 12 6 6 1 1 1

2 2 4 1 4 4 1 set 1 12 1

WARDS B.P. Apparatus, Stethoscope, diagnostic kit (4 sets in each ward) Weighing machine, height scale, skinfold Caliper (2 each in each ward) Proctoscope (2 in each ward) Monitors for pulse rate, Heart Rate, E.C.G., Invasive and non-invasive pressure (2 in each ward) Incubators/Transport incubators Neonatal Bassinet Ultrasound Arterial blood analyzer Oesophageal/Gastric pH & pressure recorder (iii) OPERATION THEATRE Operating tables Operating Ceiling light Paedestal side light (for emergency use) Electrosurgical Unit General Sets (8 for each Operation Theatre) Burr hole set

48 sets 32 32

32 4 4 1 1 1

10 10 4 10 64 2

62

Vascular set (1 in each O.T.) Anaesthesia Equipment as per requirement of Anaesthesia department Diagnostic and operative laparoscope Crystoscope and Resectoscope Bronchoscope Flexible G.I. Endoscope Laser (May be shared with other departments) C-arm image intensifier Operating microscope-binocular with Video monitor Operative ultrasound Stapling device Assorted Endo-stapler Closed Circuit T.V. (iv) MISCELLANEOUS Photocopier Computer with laser Printer Electronic Typewriters Slide-Projector Overhead projector Video Cassett Recorder/video Cassette Player

2 2 1 1 1 1 1 1 2 sets 1 set 2

1 1 2 4 12 2

(7) DEPARTMENT OF PAEDIATRIC SURGERY Resuscitation equipment -Ambubags -ET Tubes (all sizes 2.5-8) -Guedells airway (all sizes) -Laryngoscope Suction Catheters assorted sizes Suction machines Oxygen cylinders Oxygen B.P.Apparatus Slow suction machine Nebulizer Heater I.C.U. equipment incubator Operation Theatre equipment Cystoscope-Paediatrics Rigid Bronchoscope (sets) Oesophageal dilators (sets) Paediatrics Sigmoidoscope

10 14 sets 14 sets 8 50 sets 10 20 20 6 6 6 6 sets 2 4 4 4 4

63

(8) DEPARTMENT OF ORTHOPAEDICS Basic instrumentation set for fracture. Small Fragment and large fragment External Fixator C-Arm (Image Intensifier) Portable X-ray Machine Arthroscope Slide Projector Over-head projector Movie Camera for demonstration of live operations Plaster room equipment (sets) with plastic table. Physiotherapy and occupational therapy equipment sets Operation room equipment (sets) 16 sets 6 12 3 3 3 3 3 1 4 1 2

(9) DEPARTMENT OF OPHTHALMOLOGY Basic instrumentation set for fracture. Small Fragment and large fragment External Fixator C-Arm (Image Intensifier) Portable X-ray Machine Arthoscope Slide Projector Over-head projector. Movie camera for demonstration of live operations. Plaster room equipment (sets) with plastic table. Physiotherapy and occupational therapy equipment sets Operation room equipment (sets) 12 sets 3 6 2 1 1 2 2 1 2 1 2

(10) DEPARTMENT OF ENT (i) OPD (per doctor) Nasal Speculum Tongue depressor Laryngeal mirrors Nasopharyngeal mirrors Aural speculum Ear Suction Nasal Suction 4 4 4 4 4 2 2

64

Suction apparatus Siegles speculum Tuning fork (512 Hz) Otoscope Bayonet forces Bulls lamp Head lamp ENT examination chair Jobson Horne probe Sterilizer BP apparatus Stethoscope (ii) MAJOR Operation Theatre. (a) Tonsillectomy and adenoidectomy set Biopod Boyle-Davis mouth gag Tonsil holding forceps Tonsil dissector and pillar retractor Tonsil snare Burkit artery forceps Negus artery forceps Tonsil scissors Adenotome Adenoid curette Yankauer oropharyngeal suction tip (b)Set for nasal bone fracture Asch forceps Walsham forceps (c) Septoplasty set Bayonet forceps Killians nasal speculum Freer elevator Ballengers swivel knife Takahashi forceps Fish tail gouge and mallet (d) Caldwel luc set Nasal gouge Mallet Ribbon Retractor Cheek Retractor (e)Antrostomy set Antral Retrograde gouge

2 2 2 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2

1 1

65

Antral rasp (f)*FESS set *Rigid nasal endoscope 0 *Light source *Sickle knife *Retrograde punch *Blakesley forceps straight - upturn * Optional for MBBS. g) Direct laryngoscopy set Anterior commissure Laryngoscope` Negus laryngoscope Lighting system for laryngoscopes Biopsy forceps Foreign body removal forceps Laryngeal suctions (h)*Microlaryngoscopy set *Kleinsassers laryngoscope *Fibroptic lighting system *Suspension system for Laryngoscope *Microlaryngeal cup forceps * Microlaryngeal Scissors i) *Tympanoplasty set *Aural speculum *Drum curette *Drum elevator *Microsuction *Graft knife *Graft press (j)*Mastoidectomy set * Mallet *Gouge *Endaural retractor/post aural retractor *Electric drill (motor, handpiece and burrs) *Mastoid seeker *Aditus seeker * Malleus head nipper (k) *Stapedctomy set *Pick-straight

1 1 1 1 1 1 1

2 2 2 2 2 2 2

2 2 2 2 2

4 2 1 2 1 1

2 4 2 2 2 2 2

66

Angled *Perforator *Measuring rod *Prosthesis crimper (l) *Oesophagoscopy set Oesophagoscopes Lighting Biopsy forceps Foreign body removal forceps Suction Oesophageal dilators (m) * Bronchoscopy set *Bronchoscopes *Lighting system * Biopsy forceps * Foreign body removal forceps *Suction * Optional for MBBS (n) Tracheostomy set Needle holder Bard Parker knife handle Ribbon right angled retractors Curved arteries Straight arteries Cricoid hook Tracheal dilator (iii) MINOR Operation Theatre (a) Antral wash set Trocar Canula Higginsons syringe (b) Direct laryngoscope set Laryngoscope Anterior Commissure Negus Lighting system Biopsy forceps Foreign body removal forceps Sterilizer

2 2 2 2

3 2 2 2 1 1 set

3 1 1 1 1

1 1 2 4 1 1 1

2 2 2 1

1 1 1 1 As required

67

Aural Syringe Tracheostomy set Intubation set Cricothyrotomy set Quinsy forceps Aural Snare Aural cup forceps (iv) *WARDS * Semi intensive care unit (4 beds) * Central suction * Oxygen * Humidifier * Optional for MBBS (V) MISCELLANEOUS EQUIPMENTS

As required As required As required As required As required As required As required

As required As required As required As required As required

Operating microscope for major Operation Theatre 1 For minor Operation Theatre 1 Puretone audiometer As required Impedance audiometer As required SPECIAL EQUIPMENT (a)* Temporal bone lab Microscope (b) * Drill Mastoid set *Optional for MBBS 1 1

(vi) ANY OTHER ADDITIONAL EQUIPMENT WHICH ARE DESIRABLE Flexible nasopharyngolaryngoscope Electronystagmograph Brainstem evoked response audiometer Goggles, plastic apron, gloves for examination of patients with biohazard (HIV and Au positive) (10) 1 1 1

1 set

DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

(i) General

68

Speculums and retractors EA + ECC sets PCT forceps Ayers spatula Cytology bottle Microscope MR Syringes Coloposcope Cryo/electro cautery apparatus Simple fetal Droppler NST machine Stitch removal sets Dressing sets Ultrasound machine Proctoscope Weighing machine Height scale View box (Blood Pressure apparatus, measuring tapes, gloves, syringes, needles, torch) Resuscitation tray (Laryngoscope, ET tube, ambu bag, suction catheter, essential drugs). Suction machine Hysterosalphigogram Canula (ii) MAIN Operation Theatre

125 50 25 75 75 5 25 5 5 5 10 25 25 5 15 5 5 5

4 35

Abdominal Hysterectomy set (Alteries, scissors, Scalpel, Alliss kellys clamp, badcock forceps, thumb forceps, Harington & Richardson retractors.) Vaginal Hysterectomy set 15

(Scalpel, scissors, metal catheter, Sims, Speculum volsellum, Kellys clamps, right angle retractor, arteries, Allis, uterine sound, bladder sound). Tuboplasty set Myomectomy instruments (Myoma screw, Boneys clamp) Diagnostic laparoscopy set Operating laparoscopy set Hystroscopy set Electronic Carbondioxide insuffator/ Insuffator basic unit Resctoscope 10 5 10 10 5 10 5

69

Hyseromat Operatin microscope/Loupe Electrocautery iii)SPECIAL EQUIPMENT Contact microhystroscope Co2 & Nd Yag laser (iv)LABOUR ROOM Delivery sets B.P. Apparatus Weighing machine Fetal Doppler Cardiotocogram machine Portable ultrasound High suction machine Resuscitation tray v)SPECIAL EQUIPMENT Oxytocin infusion pumps Multichannel monitors Intrauterine Pressure monitoring system *Fetal scalp electrodes Facilities for fetal scalp pH (vi)TEACHING SET Doll and Dummy Female Pelvis Gross specimens X-ray/US films View box VCR Overhead Projector Slide Projector Set of instruments/forceps etc. (vii)Miscellaneous.

5 4 5 2 1

50 15 4 5 7 4 5 5

15 10 10 8

5 5 5 3 3 4

Camera with 200 m lens Endocamera/Television ,TTL flash light, Carbondioxide Monitor, Calculator Channelizer, *Disposables, to be issued on monthly basis. (viii)MINOR Operation Theatre. Cervical biopsy set MTP set D&C set Hydrotubation set IUCD insertion/removal set High suction machine

14 25 25 10 30 6

70

Resuscitation tray E.B. set (O.T. lights, OT tables) ix)MATERNITY O.T.

1 10

Set for LSCS 16 D&C set 25 MTP set 25 High suction machine 4 Cervical exploration set 10 Uterine packing forceps 10 Abdominal hysterectomy set 5 Diagnostic laparoscopy set 8 Laprocator for tubal ligation 10 Postputum ligation 10 Outlet forceps 15 Low mid cavity forceps/kjielland forceps 8 Vacuum Extractor and suction machine 10 Resuscitation tray 5 Decapitation hook 5 Cranioclast with cephalotribe 5 Oldham Perforator 4 Infusion Pump 6 EB set 6 Operation Theatre table, Operation Theatre lights, Central Oxygen and suction (x) SPECIAL EQUIPMENT: Multichannel monitor with ECG, BP, HR, Pulse oxymetry for high risk pregnant patients (eclampsia, heart diseases etc.) (xi) WARDS Blood Pressure Apparatus Weighing machine Height scale Speculum and retractors Glucometer Microscope Suture removal sets Dressing sets Ultrasound Cutdown sets Blood gas analyzer CTG machine 3 sets

14 1 1 140 3 3 25 30 4 5 1 2

71

Suction machine Resuscitation tray View box (xii) SPECIAL EQUIPMENT

8 8 5

Ultrasound machine with Doppler/Vaginal probe/facilities for Interventional procedure Multichannel Monitor Fetal Monitor for Antepartum Surveillance Computer for data entry (Gloves, Syringes, needles, torch, measuring tape etc.)

4 4 5 1

(xiii) Laboratory equipment for following investigations: H-gram Urine examination Semen analyses Renal Function Test (RFT), Liver Function Test (LFT), including Serum Blutamase Test (SBT), Electrolytes, Blood sugar Culture facilities 24 hr. urine alb. Creatinine VDRL, TORCH HIV Serum, BHCG, estriol, MSAFP Semen wash FSH, LH PROCLACTIN, T3, T4, TSH, Testosterone, DHEAS Chlamydia and other reproductive tract infection testing. GENETIC LAB.-Cytology, Chromosome study, PCR for various abnormalities. Facilities for biochemical tests and enzyme studies for prenatal diagnosis. Blood gas analyzer Thalassemia study. ABO and Rh typing. PCR for tuberculosis. Viral markers for Hepatitic studies. Coagulation profile, fibrinogen degradation products, Blood bank facilities. Cryopresservation. Assisted reproductive techniques.

(11)

DEPARTMENT OF ANAESTHESIOLOGY

72

OPD-Anaesthesia Clinic Blood Pressure Instrument (Non-invasive) Weighing machine Height scale Ward (Recovery) Resucitation equipments (CPR) a) Adult Dummy b) Paediatric dummy c) Artifical breathing Bag with face Masks. d) Defibrillator Suction machine -Electrical -Manual Oxygen therapy unit Pulse oximeter E.C.G. Monitor E.T.Co2 Monitor Simple anaesthesia machine with resuscitation equipments and accessories Mechanical Ventilator 1 1 1 1 5 5 16 2 2 1 1 2 1 1 1

(12) DEPARTMENT OF RADIO-DIAGNOSIS Conventional X-ray Unit for routine X-ray and IVV. Mobile X-ray unitsa) 30 MA b) 60 MA Fluroscopic unit 6 3 3 2

Both conventional and image intensifying unit for gastro-enterology & gynae work etc. Ultrasonography equipment CT Mammography (preferably) MRI (preferably)

2 2+1 additional unit independently for Obstetrics and Gynaecology. 1

73

OPTIONAL DEPARTMENTS (13) RADIO-THERAPY Examination Table ENT examination set up Gynae./pelvic examination tables Treatment planning and mould room including i) Computerised treatment planning system ii) Simulator iii) Immobilization cast making system Brachytherapy setup i) Manual afterloading intercavitory system (sets) ii) Manual afterloading Interstitial/surface mould system (sets) Teletherapy set-up Isocentrically mounted Rotational telecobalt Unit minimum 80 cm SSD Radiation Protection and Dosimetry set-up i) Secondary standard dosimeter with ionization chamber ii)Survey meter iii) Area/Zone monitors (by BARC) 4 2 2

2 1 2

2 1

2 2 4 As per the number of staff members in the department

Radiotherapy department i) Dual Photon energy linear accelerator with electrons and multileaf collimeter ii) Remote controlled intracavitory system. iii) Remote controlled interstitial system iv) CT-Sim 3D treatment planning system v) Isodose plotte (Automatic) vi) Customised shielding Block making system

1 1 1 1 1 1

74

vii) Customised compensator making system viii) Computerised Dosimetry system ix)Thermoluminiscent dosimetry system x) Intra operative Radiotherapy and stereotactic radiotherapy set up alongwith linear accelerator (multi leaf)

1 1 1 1

N.B. Normally one teletherapy unit should be provided for every 1000 new cancer cases. All radiation therapy equipments (tele/Brachy) should be BARC type approved with BARC Sanctioned layout/installation plan.

(14) PHYSICAL MEDICINE and REHABILITATION 1. Rehabilitation Diagnosis and treatment equipments including exercise set-ups. 2. Remedial and recreational set up. 3. Electrotherapy equipments. 4. Prosthetic-Orthotic Workshop equipments. C. OTHER DEPARTMENTS 1) MEDICAL EDUCATION UNIT Overhead Projectors Slide Projector Computer with printer: Electronic Typewriter: Video Camera: Video Cassette Recorder: Television Blackboard` Zerox Copier Books and Journals (2) DEPARTMENT OF AUDIO VISUAL AIDS ARTIST SECTION Drawing Board size 42x27 Drawing Board size 22 x 30 Instrument Box steadler Plastic Transparent Set square 10 Plastic Scale transparent 18: Parallel ruler 18 Proportional Compass. Bowpen Stanley one for fine and one for thick line T scale 24 wooden T scale 48 wooden 1 1 1 1 pair 1 1 1 2 1 1 2 2 1 1 1 1 1 2 1 As required

75

Frenat curves Plastic 1 set of 12 Protractor Plastic Semiround 6 dia. Kent paper size 22x30 Scolor drawing paper 22x30 Drawing paper Norway 72 lbs. Water colour tubes Winsor and Newton Postercolours in different shades. Reeves Indian Black ink. Water colour box peliken Sable Hari brushes 16 Series No. 00 to 6 and 10 Speed ball nibs style A.B.C. &D. Crequil Nibs Drawing Nibs 303 and 304 Clip holders. Computer facilities

1 set 1 12 12 12 24 13 12 1 8 1 set 12 12 6 As required

(3)MODELLING SECTIONS AND PHOTOGRAPHY Modeling Instrument box. Saw for wood work. Ben saw iron. Jamboor Plier Plier Goldsmith. Scissors ordinary Scissors Goldsmith Hammer Mortar Iron. Buck et Iron. Chisel. Tagari Iron E.I. Bowls. Drill machine Modelling clay Chalk clay. Multani clay. Yellow clay. Soft stone powder. Plaster of paris Old raddy Gum. Stand paper Plasticine. Wires G.I. copper and wire netting. Synthetic Enamel colours 1/16 gallon 1 1 1 1 1 1 1 1 1 1 1 1 1 4 1 As required As required As required As required As required As required As required As required As required As required As required As required

76

Oil colour brushes. Soap and coconut oil Epidiascope B & L or alatis. Radiant Screen size. 72 x 72 16 mm. Film projector bell and Howell Camera Rollieflex automatic. Camera 35 mm. Contax 4/D with copying attachment Microscopic attachment of Contax. Micro Projectr Zeiss or B&L. Enlarger Omega D 2. Dark room and developing equipment 35 mm. Slide projector iewlex. 4) WORKSHOP AND ELECTRIC SECTION

As required As required 4 2 1 1 1 1 1 1 set. 2

Lathe machine 6 center height 10 automatic gear change box (heavy duty with gapped. 1 Lathe machine small 3 center height 8 automatic gear change box. German make. 1 Milling machine type with dividing head attachment 1 Stand Drill Machine electric 1 Shaping machine Bench model 1 Spraying painting composer max. pressure 140 lbs. & continuous pressure must be 30 lbs. Complete with spray gun and pressure rubber tube Electric welding machine max. amperage 200 amp. With accessories electrode, holder, shade and earthing slip and extension wire. Aceytlene welding with oxpacelylene bottle and complete set of torch AVOs multimeter English make Electric Soldering Henleys 250 watts, 60 watts, with two nose-one fine and one abroad Electric blower Frequency generator Ampere meter Battery charger Electroplating unit outfit Carpenters section instrument and appliances including electric saw and sander Glass blowing appliances Note: -

1 1 1

1 1 1 1 1 1 set 1

77

1. All kinds of endoscopes shall be fibreoptic preferably with a videoscope. 2. For effective teaching and training facilities close circuit TVs (CCTVs) shall be provided in the departments of Microbiology, Pathology, and Surgery and other allied specialities including Gynaecology. 3. In order to make teaching hospital more effective, it is necessary that a periodical upgrading of the instruments in various departments and sections should be undertaken for which required financial support shall be rendered.

78

MEDICAL COUNCIL OF INDIA

AMENDMENT NOTIFICATION
New Delhi, the 17th September, 2010

No. MCI. 34(41)2010-Med./29127 . - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956(102 of 1956), the Medical Council of India with the previous sanction of the Central Government hereby makes the following regulations viz. Minimum Standard Requirements for 250 M.B.B.S. Admissions Annually Regulations, 2010:1. (i) (ii) 2. These regulations may be called Minimum Standard Requirements for 250 M.B.B.S. Admissions Annually Regulations (Amendment), 2010. They shall come into force from the date of their publication in the Official Gazette.

In the Minimum Standard Requirements for 250 M.B.B.S. Admissions Annually Regulations, 2010, the following additions / modifications / deletions / substitutions, shall be as indicated therein:In Schedule I, Clause B.1.1 under the heading GENERAL REMARKS, the first paragraph shall be substituted with the following: A functional teaching hospital with 750 beds having a minimum of 60% indoor bed occupancy shall be available at the time of submission of application to Medical Council of India, at the time of inception of the hospital by Medical Council of India and upto 2nd renewal of the medical college. There shall be minimum of 75% bed occupancy at the time of inspection for third renewal and thereafter for subsequent renewals and recognition.

3.

4.

In Schedule I, Clause B.1.8 shall be substituted with the following: Indoor bed occupancy Average occupancy of indoor beds shall be a minimum of 75% per annum.

5.

In Schedule I, Clause B.1.9 under the heading Clinical Departments in the Hospital - Requirement of beds and units shall be substituted as under: The number of beds required for 250 admissions annually are 1100 and their distribution shall be as under: -

79

(i)

MEDICINE AND ALLIED SPECIALTIES: Beds/units required 240/8 120/4 50/2 30/1 30/1 470/16

1. General Medicine 2. Paediatrics 3. Tuberculosis and Respiratory Diseases 4. Dermatology, Venerealogy and Leprosy 5. Psychiatry Total

(ii)

SURGERY AND ALLIED SPECIALTIES: Beds/units required 240/8 150/5 60/2 30/1 480/16

1. 2. 3. 4.

General Surgery Orthopaedics Ophthalmology Oto-Rhinolaryngology Total

(iii)

OBSTETRICS AND GYNAECOLOGY: Beds/units required 70 60 20 150/5

1. Obstetrics 2. Gynaecology 3. Postmortem Total

(iv)
6(i).

GRAND TOTAL

1100

In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS NON-CLINICAL at Sl. No. (4) under the heading DEPARTMENT OF PATHOLOGY, the Staff strength required against the post of Assistant Professor and Tutors/Demonstrators shall be substituted as under: 3. 4. Asstt. Prof. Tutors/ Demonstrators 4 7

80

(ii).

In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS NON-CLINICAL at Sl. No. (7) under the heading DEPARTMENT OF FORENSIC MEDICINE, the Staff strength required against the post of Assistant Professor shall be substituted with 2 instead of 3. In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (2)(c) under the heading DERMATOLOGY VENEREOLOGY & LEPROSY, the Staff strength required against the post of Associate Professor/Reader, Tutor/Registrar/Sr. Resident and Junior Residents shall be substituted as under: 2. 4. 5. Assoc. Prof./Reader Tutor/Registrar/Sr. Resident Junior Residents 1 2 4

7(i).

(ii).

In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (2)(d) under the heading PSYCHIATRY, the Staff strength required against the post of Associate Professor/Reader, Tutor/Registrar/Senior Resident and Junior Residents shall be substituted as under: 2. 4. 5. Assoc. Prof./Reader Tutor/Registrar/Sr. Resident Junior Residents 1 2 4

(iii).

In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (6) under the heading DEPARTMENT OF OTO-RHINO-LARYGOLOGY, the Staff strength required against the post of Associate Professor/Reader and Assistant Professor/Lecturer shall be substituted as under: 2. 3. Assoc. Prof. /Reader Asstt. Prof. /Lecturer 2 2

(iv).

In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (7) under the heading DEPARTMENT OF OPHTHALMOLOGY, the Staff strength required against the post of Associate Professor/Reader shall be substituted with 2 instead of 1. In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (8) under the heading DEPARTMENT OF
81

(v).

OBSTETRICS AND GYNAECOLOGY, the Staff strength required against the post of Associate Professor/Reader and Assistant Professor/Lecturer shall be substituted as under: 2. 3. (vi). Assoc. Prof. /Reader Asstt. Prof. /Lecturer 5 8

In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (9) under the heading DEPARTMENT OF RADIO-DIAGNOSIS, the Staff strength required against the post of Assoc. Prof./Reader, Asstt. Prof./Lecturer and Tutors/Registrars shall be substituted as under: 2. 3. 4. 5. Assoc. Prof./Reader Asstt. Prof./Lecturer Tutors/Registrars Sr. Residents 2 2 5

(vii).

In Schedule II, under the heading C. DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (13) under the heading DEPARTMENT OF DENTISTRY, the Staff strength required against the post of Assoc. Prof./Reader, Asstt. Prof./Lecturer, Tutors/Registrars and Senior Residents shall be substituted as under: 2. 3. 4. 5. Assoc. Prof./Reader Asstt. Prof./Lecturer Tutors/Registrars Sr. Residents 2 2 5

(Dr. P. Prasannaraj) Additional Secretary Medical Council of India

Foot Note : The Principal Regulations namely, Minimum Standard Requirements for 250 M.B.B.S. Admissions Annually Regulations, 2010 were published in Part III, Section 4 of the Gazette of India on 16th April, 2010 vide Medical Council of India Notification No.35(1)98-Med.(ii)/3492, dated the 16th April, 2010.

82

MEDICAL COUNCIL OF INDIA

AMENDMENT NOTIFICATION
New Delhi, the 3rd November, 2010 No. MCI.34(41)/2010-Med./ 33038 - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956(102 of 1956), the Medical Council of India with the previous sanction of the Central Government hereby makes the following regulations to further amend the Minimum Requirements for 250 MBBS Admissions Annually Regulations, 2010 namely:1. These regulations may be called the Minimum Requirements for 250 MBBS Admissions Annually Regulations (Amendment), 2010. In the Minimum Requirements for 250 MBBS Admissions Annually Regulations, 1999, the following additions / modifications / deletions / substitutions, shall be as under:In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (2) (a) under the heading DEPARTMENT OF GENERAL MEDICINE, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 15 instead of 10 throughout.

2. 3. (i)

(ii) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (2) (b) under the heading TUBERCULOSIS & RESPIRATORY DISEASES, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 3 instead of 2 throughout. (iii)In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (2) (c) under the heading DERMATOLOGY VENEREOLOGY & LEPROSY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 3 instead of 2 throughout. (iv) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (2) (d) under the heading PSYCHIATRY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 3 instead of 2 throughout. (v) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (3) under the heading DEPARTMENT OF PAEDIATRICS, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 8 instead of 5 throughout.

83

(vi) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (4) under the heading DEPARTMENT OF GENERAL SURGERY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 15 instead of 10 throughout. (vii) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (5) under the heading DEPARTMENT OF ORTHOPAEDICS, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 8 instead of 5 throughout.

(viii) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (6) under the heading DEPARTMENT OF OTO-RHINO-LARYNGOLOGY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 2 instead of 1 throughout.

(ix) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (7) under the heading DEPARTMENT OF OPHTHALMOLOGY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 3 instead of 2 throughout. (x) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (8) under the heading DEPARTMENT OF OBSETRICS AND GYNAECOLOGY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 8 instead of 5 throughout. (xi) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS CLINICAL DEPARTMENTS at Sl. No. (9) under the heading DEPARTMENT OF RADIO-DIAGNOSIS, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 8 instead of 5 throughout. (xii) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (11) under the heading DEPARTMENT OF ANAESTHESIOLOGY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 14 instead of 9 throughout. (xiii) In Schedule II, under the heading DEPARTMENTWISE STAFF REQUIREMENTS - CLINICAL DEPARTMENTS at Sl. No. (13) under the heading
84

DEPARTMENT OF DENTISTRY, the Staff strength required against the post of Tutor/Registrar/Senior Resident shall be substituted with 8 instead of 5 throughout.

(Dr. P. Prasannaraj) Additional Secretary Medical Council of India Foot Note : The Principal Regulations namely, Minimum Standard Requirements for 250 M.B.B.S. Admissions Annually Regulations, 2010 were published in Part III, Section 4 of the Gazette of India on 16th April, 2010 vide Medical Council of India Notification No.35(1)98-Med.(ii)/3492, dated the 16th April, 2010.

85