Academic Programme

ACADEMIC PROGRAMME July–December 2009

CH AR E S RE

TR AI NI NG

ON

CAR ING

ISS MPA CO COMMITMENT

SIR GANGA RAM HOSPITAL NEW DELHI

Cover July - December 2009 Tuesday, June 30, 2009 2:13:00 PM

Academic Programme July–December 2009

Sir Ganga Ram Hospital New Delhi

Foreword iii Preface

FOREWORD

CONTENTS

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Academics 1 Anaesthesiology, Pain and Perioperative Medicine 6 Biochemistry 9 Cardiac Surgery 10 Cardiology (Dharma Vira Heart Centre) 12 Centre for Child Health: Neonatology 15 Paediatric Surgery 18 Paediatrics 20 Clinical Microbiology 22 Critical Care and Emergency Medicine 26 Dental Surgery 27 Dermatology 28 Endocrinology and Metabolism 29 Gastroenterology 31 General Surgery 32 Genetic Medicine 35 Haematology and Clinical Pathology 36 Hospital Administration 38 Medical Oncology 43 Medicine and Family Medicine 44 Minimal Access, Metabolic and Bariatric Surgery 50 Nephrology 55 Neurology and Neurosurgery 57 Nuclear Medicine and Bone Densitometry 62 Obstetrics and Gynaecology 64 Ophthalmology 71 Orthopaedics 74 Otorhinolaryngology (ENT) 77 Pathology 80 Plastic and Cosmetic Surgery 83 Psychiatry 89 Pulmonology (Chest Medicine) 91 Radiodiagnosis 92 Renal Transplant Surgery 96 Sleep Medicine 98 Surgical Gastroenterology 99 Thoracic Surgery 105 Urology 106 Peripheral and Endovascular Surgery 109

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It is always a pleasure to write the foreword for the Academic programme booklet of Sir Ganga Ram Hospital. Over the years, I have seen the academic sessions getting better and better in quality and delivery. The unique feature of our academic programme is the wellstructured and holistic curriculum. Over the years, our academic programmes have served as an ideal sample of postgraduate teaching and have been adopted widely by other hospitals. The Department of Academics and its Chairman Dr K.C. Mahajan deserve special appreciation for their efforts in preparing and overseeing the academic programme. I am sure the excellent tradition of education, research and in-patient care will become stronger in coming years. I wish all success to all the DNB residents.

Dr B.K. RAO Chairman Board of Management

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PREFACE

The recent elections have amply demonstrated the resilience and maturity of the Indian electorate, notwithstanding the lack of education and minimal literacy. It is clear that people in rural and semi-urban areas have acquired the ability to read newspapers in their vernacular language. They are also exposed to the electronic media and can, by and large, understand the political scenario in the country. The overwhelming mandate given to the UPA is just short of a majority. The Congress party has improved its performance as compared to the last time. One notable result has been that three trouble-making parties have been eliminated. Dr Manmohan Singh and Mrs Sonia Gandhi have managed to field a team of Ministers who have the following attributes: • All those with criminal backgrounds and money-making propensities have been eliminated. • Each ministry is headed by a senior politician with an unenviable track record. • Many of the younger brigade have been drafted to impart their knowledge and experience to the ministries. Some of the Ministers of State have independent charge, and each such dignitary is capable, knowledgeable, honest and is a person of integrity. The real point in this introduction is that the Ministry of Health and Family Welfare has gone to Mr Ghulam Nabi Azad as Minister of State with independent charge. He is a former Chief Minister of Jammu and Kashmir and has made remarkable efforts to bring peace to the state. I have great hopes that he will be able to solve the problems ailing the healthcare scenario: 1. The National Board of Examinations (NBE) will need a complete restructuring (kayakalp) (a) The DNB must be given a statutory status so that it can be regarded as equivalent to MD/MS of any university. (b) A DNB-qualified person would therefore qualify for a job in any medical college or superior service, e.g. the army, railways and other statutory organizations. (c) The governing body stands dissolved as of 28 May 2009. A governing body with a strong secretariat should ensure the following: • Accreditation of only those institutions that have a competent infrastructure, load of patients, modern laboratory investigative facilities, operation theatre facilities, faculty who can carry a teaching load and get involved in research. • With a smaller number of institutions accredited, students who missed the admissions to MD/MS can be ensured quality medical

PREFACE

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education and sound training as compared to their counterparts who have opted for PG degrees in universities. • The NBE has been conducting many unique features such as: – Holding periodic appraisals – Holding seminars to equip teachers to teach properly – Holding meetings of examiners to outline the correct attitude towards theory and practical examinations. – Making available the Internet/satellite through IGNOU, thus enabling interactive CMEs – Keeping pass percentage within reasonable limits. If the failure rate is high, students will hesitate to join the DNB course, which in turn will get a bad name, and then only substandard students will join. All institutions interested in training DNB students must be committed to uphold strong core values to ensure that the objective is achieved.

Dr K.C. MAHAJAN Chairman Department of Academics

ACADEMICS

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Chairperson: Dr K.C. MAHAJAN The Academic Committee was given the status of a Department of Academics in the year 2002 under the chairmanship of Dr K.C. Mahajan. The following are the activities of the Department: •

•

•

Structuring and publishing a single comprehensive booklet every six months in January and July, which has the academic schedule of all the departments. The Department ensures that the DNB curriculum is strictly adhered to along with periodic meetings with the DNB students of each department so that an adequate feedback is available. Arranging faculty lectures by outstanding people from India and abroad in their areas of expertise. These have a dual advantage as the hospital is exposed to the visiting faculty and the consultants and residents upgrade their knowledge. Encouraging CME activities which are recognized for accreditation by the Delhi Medical Council. The Department also encourages the holding of seminars, workshops, panel discussions and journal clubs.

The Department of Academics has a Medical Illustration Unit, headed by Mr Sansar Thakur, which offers the following services: • • • • • • • • •

•

•

Providing secretarial assistance to students and faculty for the preparation of slides and processing data for publication. Accessing the internet to make available material required to write papers. Providing the latest LCD/ DLP projection facilities. Making available a 24-hour internet service. Recording of clinical combined rounds, faculty lectures, first of the month clinical meetings, seminars, symposia and public awareness lectures. Taking digital photographs of patients in the OPD and wards. Scanning of X-rays/ CT/ MRI and 35 mm slides. Running a basic computer course for DNB students. Giving live demonstrations of various procedures. There is a permanent fibre-optic cable from the main Operation Theatre, Cardiac Operation Theatre, Endoscopic Room, Academic Room and Department of Minimal Access Surgery to the main Auditorium and Seminar Room. This is manned by in-house staff. Conducting a clinical meeting on the first of every month in which individual departments present their achievements and latest trends in their respective fields. Four of these meetings in a year are in the form of clinicopathological conferences, for which the speaker is an invited faculty member from among the best known institutions of India. It is a matter of great pride that the hospital has such a large wealth of good and interesting clinical data, because of which the Department has been able to regularly conduct clinicopathological conferences of high quality. Publishing a quarterly Hospital Newsletter, which highlights the hospital’s

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• •

ACADEMICS

academic and social activities, and also invites articles from consultants on subjects other than medicine. Ensuring an environment conducive to effective learning. The Department has a library with a paper as well as an electronic section. Managing the hospital website and regularly updating information regarding the hospital.

Hospital Website (www.sgrh.com)

ACADEMICS

Date

Day

Department

01.07.09 03.08.09 01.09.09 01.10.09 02.11.09 01.12.09

Wednesday Monday Tuesday Thursday Monday Tuesday

Urology Psychiatry Neurosurgery ENT Surgical Gastroenterology Obstetrics and Gynaecology

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The Sir Ganga Ram Hospital website went online in November 1998. Patients and other people interested in finding information about the hospital can visit the website from the comfort of their homes, offices or cyber cafés at any time of the day or night. The latest news about events in the hospital are featured on the home page. The DNB and nursing courses, as well as job vacancies, are advertised through the website with the option of downloading the application form. The results of academic courses are declared on the website, which also has the hospital’s achievements and new facilities, meetings and conferences.

Clinicopathological Conference Time: 2:15 p.m. Venue: Auditorium The Department of Pathology presents a clinical and interesting case in which the discussant is an invited faculty member from one of the best known institutions of the country. The Department of Pathology conducts the following CPCs:

The section ‘About the hospital’ gives the background information, achievements, hospital statistics and future plans of the hospital. The contact details of the Board of Trustees, Board of Management and hospital administration are also available along with important telephone numbers.

30.07.09 29.08.09 29.10.09 31.12.09

First of the Month Clinical Meeting

An attendance of 75% is mandatory for Junior, Associate and Senior Consultants, Residents and DNB students.

The Department conducts a clinical meeting on the first of each month where all departments in turn present their achievements and latest trends in their respective fields. The following guidelines are to be followed: • • • •

The subject should be of general interest to people of all disciplines Address by the Chairman, Department of Academics for 5 minutes Address by the Chairman, Board of Management for 5 minutes Ten minutes will be used for discussion

The actual presentation should be of 40 minutes, well-rehearsed and coordinated so that it is within the time schedule and there is no redundancy of presentation. Overhead projection should not be used. Attendance is mandatory for Junior, Associate, Senior, Visiting and Courtesy Consultants. Time: 2:30 p.m.–4:00 p.m. Venue: Auditorium, Working Women’s Hostel

(Fifth Thursday) (Fifth Saturday) (Fifth Thursday) (Fifth Thursday)

Clinical Combined Rounds Clinical combined rounds are held every Tuesday between 11:30 a.m. and 12:30 p.m. in the Seminar Room. During each round, two departments present cases adhering, as far as possible, to the following pattern: • The resident presents the history, examination findings, results of investigations and clinical diagnosis using computerized projection (12 minutes). • The Departments of Pathology and Imaging or other departments describe the contribution they have made to the management (5 minutes). • The consultant in-charge of the case highlights its interesting features (2 minutes). • The resident discusses the case in the light of the published literature and attempts to derive a message that is more widely applicable (6 minutes). • There is then a short general discussion (5 minutes). Time: 11:30 a.m., Tuesday Venue: Seminar Room

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ACADEMICS

Date 07.07.09 14.07.09 21.07.09 28.07.09 04.08.09 11.08.09 18.08.09 25.08.09 01.09.09 08.09.09 15.09.09 22.09.09 29.09.09 06.10.09 13.10.09

Medical specialty Neurophysiology Medicine Unit–II Critical Care Medicine Nephrology Medicine Unit–III Paediatric Intensive Care Unit Neonatology Gastroenterology Medicine Unit–I Medical Oncology Paediatrics Psychiatry Dermatology Nephrology Sleep Medicine

20.10.09 27.10.09 03.11.09 10.11.09 17.11.09 24.11.09

Genetic Medicine Nuclear Medicine Respiratory Medicine Cardiology Interventional Neuroradiology Endocrinology

01.12.09

Paeditric Haemato-oncology

08.12.09 15.12.09 22.12.09 29.12.09

Rheumatology Critical Care Medicine Medicine Unit–II Neurology

ACADEMICS

Surgical specialty General Surgery Unit–I Neurosurgery Spine Unit Ophthalmology Paediatric Surgery Cardiac Surgery Orthopaedics Plastic Surgery Neurosurgery Surgical Gastroenterology Obstetrics and Gynaecology Thoracic Surgery Urology Renal Transplant Surgery Minimal Access Surgery Joint Replacement Unit (Orthopaedics) Liver Transplant Surgery Vascular Surgery General Surgery Unit–II Surgical Oncology ENT Obstetrics and Gynaecology (IVF) Plastic Surgery (Aaesthetic Surgery) General Surgery Unit–I Dental Surgery Orthopaedics General Surgery Unit–III

•

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When help of the consultants from investigative and other departments is required during the presentation, they should be informed at least one day earlier so that they may come prepared.

Schedule for the Combined Medicosurgical Rounds 1st Friday 2nd Friday 3rd Friday 4th Friday 5th Friday

Dr S.P. Byotra/ Dr Atul Kakar/ Dr Atul Gogia/ Dr Col S.K. Chadha/ Dr R. Parakh/ Dr Sandeep Aggarwal/ Dr Tarun Grover Dr Vijay Arora/ Dr C.S. Ramachandran/ Dr Shyam Aggarwal Dr L. Duggal/ Dr Neeraj Jain/ Dr Vinod Malik/ Dr Naresh Garg/ Dr S.M. Taha Dr R. Sud/ Dr Anil Arora/ Dr M. Kumar/ Dr Neeraj Jain/ Dr Bobby Bhalotra Dr T.B.S. Buxi—MRI, CT Scan

Pathology/Biochemistry/Haematology/Microbiology/ Genetics Meetings Time: 2:15 p.m.–3:30 p.m. Venue: Seminar Room 1st Thursday

Pathology and Cytology

On alternate 3rd Thursday

(a) Haematology and Biochemistry (b) Microbiology and Genetics

In these meetings, three to four interesting cases of both clinical and academic interest are presented in detail. The clinicians present the clinical data and the concerned laboratory presents its findings followed by discussion and theoretical aspects of the case including the differential diagnosis. A 75% attendance is mandatory for Junior, Associate and Senior Consultants, Residents and DNB students.

Combined Medicosurgical Rounds Combined medicosurgical rounds are held on every Friday between 11:30 a.m. and 12:30 p.m. in the Seminar Room. To make these meetings more beneficial for the participants, the following guidelines are suggested: • • •

•

Two well-prepared clinical cases should be presented and these cases should be of common interest and convey a message to the participants. The case history, physical findings, and investigations should be presented by the postgraduate or resident doctor preferably with an LCD projector. Following the presentation, the diagnosis and differential diagnosis of the case should be discussed by the consultant in charge. Adequate time should be provided for general discussion, and questions and answers. A review of the literature, if necessary, may be given at the end.

Imaging Meetings Time: 2:15 p.m.–3:30 p.m. Venue: Seminar Room 2nd Thursday

Radiology Ultrasound

30 minutes 30 minutes

4th Thursday

CT and MRI / PET / Nuclear Medicine

Radiologists present cases of academic interest and discussions are held along with the clinician and pathologist. A 75% attendance is mandatory for Junior, Associate and Senior Consultants, Residents and DNB students.

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ANAESTHESIOLOGY, PAIN & PERIOP MEDICINE

Chairperson: Dr JAYASHREE SOOD Teaching Coordinator: Dr V.P. KUMRA Examinations Examinations are held once a month (on the last Saturday, 3 p.m.–6 p.m.).

Seminar Time: 7 a.m.–8 a.m., Tuesday Venue: Operation Theatre (7th Floor, Seminar Room) Date Day 07.07.09 (Tues) 14.07.09 (Tues) 21.07.09 (Tues) 28.07.09 (Tues)

Topic Speaker Neonatal injuries in anaesthesia Dr Manish Airway management Dr Anirban Pathophysiology of pain Dr Jyoti Anatomy of respiratory Dr Mithlesh tract including respiratory muscles: Humidification Dr Gurbir 04.08.09 (Tues) O2 and CO2: Transport in health and disease, O2 therapy and toxicity 11.08.09 (Tues) Mechanics of respiration: Effects Dr Rohit of anaesthesia on respiration 18.08.09 (Tues) Pulmonary circulation and Dr Anurag ventilation perfusion ratio 25.08.09 (Tues) Control of respiration and Dr Ravi pulmonary reflexes 01.09.09 (Tues) Pulmonary function tests Dr Meenu and their applications: Effect of anaesthetics and surgery on PFs 08.09.09 (Tues) Physiology of pneumothorax: Dr Deepak K. One lung ventilation 15.09.09 (Tues) Postoperative hypoxaemia Dr Abhinav 22.09.09 (Tues) Perioperative preparation and Dr Soutik anaesthetic management of a patient with bronchial asthma/ COPD 29.09.09 (Tues) Anaesthesia for other Dr Deepak S. thoracic procedures: BP fistula, bronchoscopy, mediastinoscopy, lung lavage, lung reduction surgery 06.10.09 (Tues) Anaesthesia for lung Dr Manish transplantation 13.10.09 (Tues) Physiology of neuromuscular PG1 transmission and factors affecting neuromuscular block 20.10.09 (Tues) Neuromuscular blocking drugs Dr Anirban 27.10.09 (Tues) Monitoring neuromuscular Dr Jyoti blockade

Moderator Dr A. Sinha Dr R. Jain Dr V. Vohra Dr V.P. Kumra Dr S. Sindhu Dr J. Sood/ Dr Rishabh Dr N. Ganguly Dr B. Sharma Dr A. Singh Dr C. Sahai Dr L. Jayaraman Dr R. Saxena

Dr D. Pant

Dr S. Gupa Dr P. Jain

Dr S. Goyal Dr S. Sharma

ANAESTHESIOLOGY, PAIN

&

PERIOPERATIVE MEDICINE

Date Day Topic Speaker 03.11.09 (Tues) Cerebrospinal fluid/control of ICT/cerebral circulation— PG2 factors controlling CBF 10.11.09 (Tues) Anticholinesterases and Dr Mithlesh reversal agents: Anaesthesia for modified ECT 17.11.09 (Tues) Anaesthetic management of Dr Gurbir acute head injury 24.11.09 (Tues) Anaesthesia for myasthenia Dr Rohit gravis/malignant hyperpyrexia Kumar 01.12.09 (Tues) Anaesthesia for posterior Dr Anurag fossa tumour 08.12.09 (Tues) CVS physiology and cardiac PG3 monitoring 15.12.09 (Tues) Congenital heart disease Dr Ravi and anaesthesia 22.12.09 (Tues) Hypertension, applied Dr Deepak K. pharmacology and anaesthetic implications 29.12.09 (Tues) Ischaemic heart disease and Dr Abhinav anaesthesia

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Moderator Dr R. Sehgal Dr S. Malhotra Dr R. Bhutani Dr G.V. Prem Dr N. Jain Dr A. Jain Dr C. Marwah Dr A. Koul Dr A. Dutta

Tutorial Time: 7:15 a.m., Thursday Venue: 7th Floor, Operation Theatre, SSR Block S. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12 13. 14. 15. 16. 17. 18. 19. 20.

Topic Opioids Inhalational agents Muscle relaxants, reversal agents IV induction agents, benzodiazepines Local anaesthetic agents Vasopressors and ionotropes Anaesthetic implications of psychotrophic drugs Deliberate hypotension Pollution in theatre and scavenging system Spinal and epidural with their instruments Upper limb, lower limb, thoracic and abdominal block Pulse oximetry, capnometry CVP monitoring, invasive and non-invasive BP and cardiac output monitoring Coagulation monitoring Monitoring depth of anaesthesia—BIS, entropy TEE Pulmonary function tests Medical gas supply: Cylinders, piped gas supply system, oxygen concentrators Mapleson breathing system, circle system Vaporizers

Speaker Dr Prabhat Dr Sumit Dr Neetu Dr Anjali Dr Rishabh Dr Deepa Dr Ranju Dr Chandan Dr Rashmi Dr Amitabh Dr Bimla Dr Rachna Dr Rishabh Dr Nikunj Dr Anjeleena Dr Archna Dr Naresh Dr Savitar Dr Nitin Dr Subhash

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S. No. 21. 22. 23. 24.

ANAESTHESIOLOGY, PAIN

&

PERIOPERATIVE MEDICINE

Topic Flowmeters Anaesthesia machine Low flow anaesthesia Temperature regulation in anaesthesia

Speaker Dr J. Sood Dr Aparna Dr Annu Dr Nikunj

Faculty Lecture Time: 7 a.m., alternate Friday Venue: Seminar Room, 7th Floor, Operation Theatre, SSR Block

BIOCHEMISTRY

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Chairperson: Dr L.M. SRIVASTAVA Journal Club/Research Seminar Time: 2 p.m.–3 p.m., 4th Tuesday of the month Venue: Seminar Room/ Department Speakers: Faculty of the Department and invited scientists engaged in the areas of Clinical Biochemistry, Molecular Biology and Immunology Topics of Journal Clubs and seminars would be circulated.

S. No. Topic 1. Anaesthesia for orthopaedic surgery 2. Vascular heart disease and anaesthesia 3. Dental, faciomaxillary surgery 4. Anaesthesia for daycare surgery 5. Anaesthesia for remote locations 6 Anaesthesia for paediatric surgery 7. Anaesthesia for neonatal emergencies 8. Neonatal resuscitation 9. Anaemia in pregnancy 10. Pain relief in labour 11. HT applied pharmacology and anaesthetic implications 12. Pulmonary circulation and pulmonary physiology 13. Pheochromocytoma 14. MAC/TIVA 15. Anaesthesia at varied altitude 16. Aneurysm—thoracic and abdomen surgery 17. IHD and anaesthesia 18. CABG and open heart surgery 19. Anaesthesia for obstructive lung disease and asthma 20. Anaesthetic management for head injuries

Speaker Dr C. Sahai Dr K.K. Narani Dr J. Sood Dr B. Sharma Dr R. Saxena Dr A. Sinha Dr D. Pant Dr P. Jain Dr R. Sehgal Dr V.P. Kumra Dr V. Vohra Dr N. Ganguly Dr A. Jain Dr S. Sindhu Dr Lakshmi Dr S. Gupta Dr A. Singh Dr S.S. Pandey Dr S. Sharma Dr G.V. Prem Kr.

Journal Club Time: 7 a.m., Saturday (Once a month) Venue: Operation Theatre (7th Floor, Seminar Room)

Case Presentation Time: 7 a.m., Thursday (Once a month) Venue: Operation Theatre (7th Floor, Seminar Room) Titles

Titles

1. Pregnancy with hypertension 2. Diabetic nephropathy 3. Brain tumour 4. Thoracic surgery case 5. TURP with chronic renal failure 6. Inguinoscrotal swelling 7. Obstructive jaundice 8. Cleft lip and palate

9. COAD 10. Pericardial effusion 11. Kypho-scoliosis 12. Thyroid 13. Mitral stenosis 14. Meningocoele, hydrocephalous 15. Cataract

The Department conducts a PhD programme and each PhD scholar is expected to present his or her research progress once during the semester.

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CARDIAC SURGERY

CARDIAC SURGERY

Head of the Department: Dr GANESH RAJ SHIVNANI

Important cardiac surgery journals will be reviewed:

The Department of Cardiac Surgery has been recognized for the DNB training programme. Beginning from August 2001, two candidates per year are inducted for training, which is for three years.

Annals of Thoracic Surgery Journal of Thoracic and Cardiovascular Surgery Chest Clinics of North America Recent Advances in Cardiac Surgery Journal of Cardiac Surgery

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A Brief Outline of the DNB Training Programme The main thrust of training is to make candidates independent consultants. The training imparted is in the form of preoperative, operative and postoperative management of various types of cardiac surgical procedures. The Department has one senior consultant, two junior consultants and four attending cardiac surgeons.

Case Presentation

Requirements

Combined Journal Club and Cath Lab Meeting

Candidates will be expected to attend all ward rounds and operating sessions. They will be actively involved in preoperative assessment as well as postoperative management of cardiac surgical patients. Each student is required to maintain a log book in which all cases presented, surgeries assisted, surgeries performed, lectures, seminars and Journal Clubs attended are recorded.

Time: 1 p.m.–2 p.m., every Saturday Venue: Conference Room, 5th Floor

Attendance It is compulsory for students to attend all the lectures, seminars, tutorials and Journal Clubs.

Academic Programme The Department regularly holds lectures, Journal Clubs and seminars. With the induction of DNB candidates, the Department will expand its academic programme. It will include faculty lectures, seminars, case presentations, Journal Clubs and discussion on operations. Faculty lectures will be held by consultants of the Departments of Cardiac Surgery, Cardiac Anaesthesia, Cardiology, General Medicine, Nephrology, Pathology, Microbiology, Radiology, Biochemistry and other supportive services. Seminars and Journal Clubs will be held regularly, in which DNB students, assisted by a consultant, will present a surgical topic and review current journals.

Time: 8:30 a.m.–10 a.m., Saturday Venue: Surgeons’ Lounge, 5th Floor Journal Club will be followed by a case presentation by the DNB candidates on each Saturday.

Important cardiology and cardiac surgery journals will be reviewed. This will be followed by a combined Cardiology–Cardiac Surgery and Cardiac Cath meeting where interesting cath procedures and angiographies will be discussed along with discussion of interesting cases. All consultants of Cardiology, Cardiac Surgery and Cardiac Anaesthesiology will attend this combined Journal Club. DNB candidates of both cardiology and cardiac surgery will be required to take an active part in the Combined Journal Club.

Lecture Time: 8 a.m.–9 a.m., last Saturday of every month Venue: Surgeons’ Lounge, 5th Floor Date

Day

Topic

25.07.09 (Sat) Post-operative care of cardiac

Speaker Dr S. Dubey

surgery patients 29.08.09 (Sat) Anatomy and terminology of the heart

Dr S.K. Shahi

26.09.09 (Sat) Aortic valve disease

Dr S. Shad

Short Review

31.10.09 (Sat) Mitral valve disease

Dr G. Shivnani

Time: 8:30 a.m.–10 a.m., every 2nd and 4th Saturday Venue: Surgeons’ Lounge, 5th Floor

28.11.09 (Sat) Ischaemic heart disease

Dr S. Dubey

26.12.09 (Sat) Hypothermia, circulatory arrest and

Dr S.K. Shahi

Journal Club Time: 9 a.m.–10 a.m., every Saturday Venue: Surgeons’ Lounge, 5th Floor

cardiopulmonary bypass

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DHARMA VIRA HEART CENTRE (CARDIOLOGY)

DHARMA VIRA HEART CENTRE

Date

Chairperson: Dr J.P.S. SAWHNEY Teaching Coordinator: Dr SUBHASH MANCHANDA A Brief Outline of the DNB Training Programme The purpose of DNB training in Cardiology is to make the candidate an independent consultant in clinical cardiology and therapeutic decision-making. Basic training is also imparted in investigative techniques such as Echocardiography, Treadmill testing, Holter monitoring, exposure to Cardiac Catheterization and Interventional Cardiology, Intensive Coronary Care and Postoperative Intensive Care.

Topic

(CARDIOLOGY)

Speaker

Moderator

16.07.09 DORV, clinical feature, echo and angiographic picture and management

Dr Brijesh

Dr B. Kandpal

23.07.09 Myocarditis—medical progress 30.07.09 Part I: Palliative surgical procedure for cyanotic congenital heart disease

Dr Manish Dr A. Mehta Dr Akash Dr Passey

Part II: Corrective surgical procedure for cyanotic congenital heart disease

During the period of their stay of 3 years, candidates are rotated through various disciplines such as the Coronary Care Unit, Intensive Care Unit, wards, Non-invasive laboratory and Cardiac Catheterization laboratory.

06.08.09 TEE basics and indications and therapeutic implications 13.08.09 Tricuspid atresia—natural history, clinical features and management

Clinical and academic training includes bedside clinical case presentation and discussion, interpretation of ECGs and X-rays, regular Journal and Review Clubs. There is a Journal Club once a week, in which important articles from all leading journals of cardiology and cardiac surgery are presented by members of the Department by rotation. The DNB candidate is asked to present brief reviews (20–30 minutes) every 3 weeks on selected topics, e.g. cardiac anatomy and physiology, embryology, pathology, pharmacology, arrhythmias, therapeutics, interventional cardiology, paediatric cardiology, non-invasive cardiology and hypertension.

20.08.09 Ventricular arrhythmia and hearts: Dr Manish Dr S. Dhawan Secondary to acute MI and its management

A long review is presented (1-hour duration) every week.

Invasive Cath Lab/Non-invasive lab data Time: 1 p.m.–2 p.m., every Monday Venue: Seminar Room, 6th Floor

Journal Club Venue: Seminar Room, 6th Floor Seminars Time: 1 p.m.–2 p.m., every Thursday Venue: Seminar Room, 6th Floor Topic

Dr Brijesh

Dr Vivek

27.08.09 Genetics of cardiac arrythmia and Dr Akash Dr R. Jain its prognostic significance 03.09.09 Role of IABP and LVAD in Dr Ujjawal Dr Mohanty heart failure 10.09.09 Catheter-based treatment in congenital heart disease: Indication, outcome and complications

Dr Brijesh

17.09.09 Role of rotablation in cardiac intervention 24.09.09 Newer thrombolytic therapy in acute MI and pulmonary thromboembolism

Dr Manish Dr Mehta Dr Akash

Dr Mantri

Dr Makhija

01.10.09 Diastolic heart failure—diagnosis, Dr Ujjawal Dr Mohanty outcome and management

Time: 1 p.m.–2 p.m., every Friday

Date

Dr Ujjawal Dr Sangeeta

Speaker

Moderator

02.07.09 Role of polypill in clinical practice Dr Akash Dr J.P.S. Sawhney 09.07.09 Constrictive pericarditis—aetiology, Dr Ujjawal Dr S.C. Manchanda clinical manifestation, management

08.10.09 Non-cardiac manifestations of cyanotic heart disease and their management 15.10.09 TVI basics and clinical implications

Dr Brijesh

22.10.09 Non-antherosclerotic CAD and its management

Dr Akash

Dr Kandpal

Dr Manish Dr Passey Dr Vivek

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DHARMA VIRA HEART CENTRE

(CARDIOLOGY)

Clinical Case Discussion

CENTRE FOR CHILD HEALTH Director: Dr K. CHUGH

Time: 1 p.m.–2 p.m., every Tuesday and Wednesday Cardiology clinical case discussion Venue: Seminar Room

Ward Round Time: 10:30 a.m.–11:30 a.m. Venue: ICCU and Ward 5th Floor

Clinical Grand Round Thursday: 10:00 a.m.–12:00 noon The ward rounds in other wards are taken between 11:00 a.m. and 1:00 p.m. by different units. During their CCU and ward postings, DNB students attend ward rounds of the units to which they are attached.

Postings DNB students in the Department of Medicine rotate through the Department of Cardiology for three months during their training. They spend 5 weeks in the wards, 5 weeks in the CCU and 2 weeks in the non-invasive cardiac laboratory. During their postings in the CCU and wards, they are expected to work-up the cardiac patients and present them during ward rounds. They are encouraged to read about specific clinical problems and discuss them with consultants. During their non-invasive cardiac laboratory posting, they are encouraged to closely observe Echocardiography, Stress testing, Stress echo and Holter monitoring and interact with consultants working in the laboratory. In general, the students are not given an OPD posting unless the Department is short of staff.

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NEONATOLOGY Chairperson: Dr NEELAM KLER Teaching Coordinator: Dr PANKAJ GARG The DNB Neonatology programme has been running in the department for the past 4 years. DNB students from the Department of Paediatrics come for rotation for a period of one year out of their total posting of 3 years in Paediatrics. There is a morning round in which all patients are discussed in detail. Case presentation is done on Thursdays. DNB students from the Department of Gynaecology and Obstetrics are posted with us for a period of 2 weeks and selected topics are taught to them by the consultants of the department. The department is also involved in the teaching programme of the nurses posted in the department. Every Thursday between 2:00 p.m. and 3:00 p.m. one of the consultants take their class on relevant topics. These classes are also attended by the residents of the department.

Teaching Schedule The curriculum of the department aims to make the trainees independent clinicians/ consultants. Departmental seminar Combined conference with Paediatrics

Twice a week (Monday and Wednesday, 2:00 p.m.–3:00 p.m., Seminar room) Once a week (Friday 2:00 p.m.–3:00 pm, Working Women’s Hostel)

Journal Club: Neonatology

Twice a month (Monday)

NICU statistics meeting Neonatology case presentation

Every 15th of the month Twice a week (Tuesday, Thursday, bedside)

Interhospital meeting

Once every 4 months (Delhi NNF Meeting)

Perinatology meeting Physiology meeting

Once a month (2nd Tuesday, WWH) Once a week (Saturday, 9 a.m.–10 a.m., Consultants’ room)

Time: 2 p.m.–3 p.m. Venue: Seminar Room, 2nd Floor

CCH : N E O N A T O L O G Y

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CCH : N E O N A T O L O G Y

Date

Day

Topic

Date

Day

Topic

01.06.09 03.06.09

(Mon) (Wed)

Pulmonary graphics Congenital TB

05.10.09 07.10.09

(Mon) (Wed)

NICU design Pain management in neonatology

08.06.09

(Mon)

Intractable hypoglycaemia

12.10.09

(Mon)

10.06.09 15.06.09

(Wed) (Mon)

Hypoglycaemia Blood component therapy

Breast milk—composition, comparison with other products

17.06.09

(Wed)

Gestational assessment

14.10.09 19.10.09

(Wed) (Mon)

22.06.09 24.06.09

(Mon) (Wed)

Journal Club EEG and anti-convulsant therapy in neonatal seizures

Use of intralipids in VLBW—issues Pros and cons of suctioning at the perineum and post-delivery with and with out meconium

21.10.09

(Wed)

Fluid and electrolytic therapy in VLBW neonates

26.10.09 28.10.09

(Mon) (Wed)

Approach to inborn error of metabolism Hearing screening in newborn and how to read BERA

02.11.09

(Mon)

Bilirubin-induced neurological damage ROP—Pathophysiology and guidelines for management Permissive hypercapnia to decrease lung injury in ventilation

17

29.06.09

(Mon)

Approach to inborn error of metabolism

01.07.09 06.07.09

(Wed) (Mon)

Approach to neonate with congenital malformation Alternative modes of mechanical ventilation in preterm neonates

08.07.09

(Wed)

Iron in neonatal nutrition

04.11.09

(Wed)

13.07.09 15.07.09

(Mon) (Wed)

Feeding of a low birth weight (LBW) baby Adjuvant therapy in neonatal sepsis

09.11.09

(Mon)

20.07.09

(Mon)

Foetal autopsy

22.07.09 27.07.09

(Wed) (Mon)

Septic shock Management of neonatal shock

11.11.09

(Wed)

Evidence-based review of the role of antifungal prophylaxis in VLBW

29.07.09

(Wed)

Adjuvant therapy in neonatal sepsis

16.11.09 18.11.09

(Mon) (Wed)

Cord banking and stem cell transplantation Foetal procedures

03.08.09 05.08.09

(Mon) (Wed)

Recombinant erythropoietin role in neonatology Hyperglycaemia in ELBWs—controversies

23.11.09

(Mon)

BactAlert system of blood culture—new dimensions

10.08.09

(Mon)

Journal Club

25.11.09 30.11.09

(Wed) (Mon)

Antenatal Doppler—interpretation and outcomes Anaesthesia and neonatology

12.08.09 17.08.09

(Wed) (Mon)

Cord banking and stem cell transplantation Skin preparation in neonates

02.12.09

(Wed)

Antibiotic resistance—pathogenesis and prevention

19.08.09

(Wed)

Predication scores in sick newborns

07.12.09 09.12.09

(Mon) (Wed)

Peripheral smear and RBC indices in neonates Myelination and congenital malformation

24.08.09 26.08.09

(Mon) (Wed)

Foetal therapy Journal Club

14.12.09

(Mon)

MRI in HIE/ PVL/ IVH

31.08.09

(Mon)

BPD—Pathophysiology and staging

16.12.09 21.12.09

(Wed) (Mon)

Peripheral smear and RBC indices in neonates Myelination and congenital malformation

02.09.09 07.09.09

(Wed) (Mon)

BPD prevention and management Thesis review

23.12.09

(Wed)

How to read neonatal MRI—basics and important anatomical aspects

09.09.09

(Wed)

Research methodology correlation and regression

28.12.09

(Mon)

BactAlert system of blood culture—new dimensions

14.09.09 16.09.09

(Mon) (Wed)

Bilirubin-induced neurological damage Community neonatology—RCH–II NRHM

21.09.09

(Mon)

Free radicals and role of antioxidants

23.09.09 28.09.09

(Wed) (Mon)

Physiology of foetal circulation and changes at birth Journal Club

30.09.09

(Wed)

Past resuscitation management of HIE

CCH: PAEDIATRIC SURGERY

18

CCH: PAEDIATRIC SURGERY

Chairperson: Dr R. KULSHRESTHA

Date Day Topic 19.08.09 (Wed) Case presentation

The Department of Paediatric Surgery runs the DNB course with one candidate to be admitted every year. Postgraduates from General Surgery and Paediatrics are also required to be taught topics in Paediatric Surgery.

26.08.09 (Wed) Urinary incontinence Dr Abhishek and neurogenic bladder

Dr Alpana Prasad

02.09.09 (Wed) Case presentation

SR

Dr R. Kulshrestha

The Department has four operating days—Monday, Tuesday, Thursday and Friday. Free OPD is held on all days.

09.09.09 (Wed) Urinary diversion/ SR undiversion and augmentation cystoplasty

Dr Alpana Prasad

Teaching Schedule

16.09.09 (Wed) Case presentation

Dr Abhishek

Dr R. Kulshrestha

Teaching programme for postgraduate students Seminar Every Wednesday (12 noon–1 p.m.) Clinical meeting with Every Friday (2 p.m.–3 p.m.) Department of Paediatrics

23.09.09 (Wed) Bladder and cloacal exstrophy

SR

Dr Alpana Prasad

30.09.09 (Wed) Hypospadias/ epispadias SR

Dr R. Kulshrestha

07.10.09 (Wed) Abnormalities of urethra/ Dr Abhishek penis and scrotum

Dr Alpana Prasad

14.10.09 (Wed) Case presentation

SR

Dr R. Kulshrestha

21.10.09 (Wed) Testicular tumours

SR

Dr Alpana Prasad

28.10.09 (Wed) Case presentation

Dr Abhishek

Dr R. Kulshrestha

Duties Postgraduates are on call from the Department of Paediatric Surgery every day.

Outpatient Teaching Schedule Postgraduate students attend outpatient clinics thrice a week along with the rest of the unit in which they are posted.

Requirements Log book: Postgraduates are required to record all operations (assisted or performed) in their log book which is countersigned by consultants.

Seminar Time: 12 noon–1 p.m., Wednesday Venue: Seminar Room (Department office) Date

Day

Topic

Speaker

01.07.09 (Wed) Liver tumours in children Dr Abhishek 08.07.09 (Wed) Case presentation

Moderator Dr Alpana Prasad

SR

Dr R. Kulshrestha

15.07.09 (Wed) Developmental anomalies SR of the kidney and urinary tract

Dr Alpana Prasad

22.07.09 (Wed) Case presentation

Dr Abhishek

Dr R. Kulshrestha

29.07.09 (Wed) Pelviureteric junction obstruction

SR

Dr Alpana Prasad

05.08.09 (Wed) Case presentation

SR

Dr R. Kulshrestha

12.08.09 (Wed) Ureteral anomalies

Dr Abhishek

Dr Alpana Prasad

Speaker SR

19

Moderator Dr R. Kulshrestha

04.11.09 (Wed) Paediatric urolithiasis

SR

Dr Alpana Prasad

11.11.09 (Wed) Case presentation

SR

Dr R. Kulshrestha

18.11.09 (Wed) Imaging of the urinary tract in congenital anomalies

Dr Abhishek

Dr Alpana Prasad

25.11.09 (Wed) Cryptoorchidism and other abnormalities of urethra and penis

SR

Dr R. Kulshrestha

02.12.09 (Wed) Case presentation

SR

Dr Alpana Prasad

09.12.09 (Wed) Empyema thoracis

Dr Abhishek

Dr R. Kulshrestha

16.12.09 (Wed) Case presentation

SR

Dr Alpana Prasad

23.12.09 (Wed) Chest wall deformities

Dr Abhishek

Dr R. Kulshrestha

30.12.09 (Wed) Case presentation

Dr Abhishek

Dr Alpana Prasad

CCH: PAEDIATRICS

20

CCH : P A E D I A T R I C S

Date

Chairperson: Dr K. CHUGH Teaching Coordinator: Dr P.K. P RUTHI Topics allotted for lectures for this session will cover some aspects of General Paediatrics, Haematology, Emergency Medicine, GIT, Nephrology, Endocrinology, Pulmonology and Neurology. Most of the selected topics are those which have not been discussed in the past 2–3 sessions.

Requirements Postgraduate students maintain a log book to record the cases discussed (or presented), procedures done (or assisted), clinical meetings or lectures attended. Attendance requirements are as per the hospital rules.

Day

21

Topic

Resident

Consultant

01.09.09 (Tues) PEM

Dr Aditi

Dr V.K. Khanna

08.09.09 (Tues) Growth and development 15.09.09 (Tues) CPR

Dr Ena Dr Preeti

Dr P. Suman Dr Anil Sachdev

22.09.09 (Tues) Approach to a child with joint pains

Dr Rinky Dr S. Sawhney

29.09.09 (Tues) ABG interpretation 06.10.09 (Tues) Acid–base disorders

Dr Ankita Dr Dhiren Gupta Dr Yogi Dr Anil Sachdev

13.10.09 (Tues) Management of a child with respiratory distress

Dr Aditi

Dr K. Chugh

20.10.09 (Tues) Rational use of antibiotics 27.10.09 (Tues) Accidental injuries and emergencies in children

Dr Ena Dr Preeti

Dr Anil Sachdev Dr Suresh Gupta

03.11.09 (Tues) Approach to a child with coma Dr Rinky Dr R.K. Sabharwal

Examinations Examinations are held every two months.

Teaching Schedule Clinical meeting Journal Club Lecture (schedule listed below) Bedside case discussion Perinatology meeting Grand round Clinical case meeting

Every Friday Once a month Every Tuesday Twice a week 2nd Tuesday of the month Every Saturday Every Thursday

10.11.09 (Tues) Management of shock 17.11.09 (Tues) LFT

Dr Ankita Dr Dhiren Gupta Dr Yogi Dr N. Mohan

24.11.09 (Tues) KFT

Dr Aditi

01.12.09 (Tues) Ethics in paediatric practice Dr Ena and common ethical dilemmas 08.12.09 (Tues) Free radicals and antioxidants Dr Preeti

Dr P.K. Pruthi Dr K. Chugh Dr Dinesh Kaul

15.12.09 (Tues) Vaccination schedule and newer vaccines

Dr Rinky Dr Dinesh Kaul

22.12.09 (Tues) Functions and disorders of thyroid 29.12.09 (Tues) Diabetes mellitus

Dr Ankita Dr A.D. Arya Dr Yogi

Dr A.D. Arya

Lecture Journal Club

Time: 12 noon–1 p.m. Venue: Department of Paediatrics Date

Day

Topic

Resident

Consultant

07.07.09 (Tues) Approach to a child with anaemia

Dr Ankita Dr S.P. Yadav

14.07.09 (Tues) Hypertension 21.07.09 (Tues) PFT

Dr Yogi Dr Aditi

28.07.09 (Tues) Child health and environment Dr Preeti

Dr P.K. Pruthi Dr Dhiren Gupta Dr A. Sachdeva

Time: 2 p.m.–3 p.m., Friday (once a month) Venue: Lecture Hall, Working Women’s Hostel

Clinical Meeting Time: 2 p.m., Friday Venue: Lecture Hall, Working Women’s Hostel

Clinical Case Meeting

04.08.09 (Tues) Trace elements Dr Ena Dr Dinesh Kaul 11.08.09 (Tues) Nutritional requirements and Dr Rinky Dr Dinesh Kaul vitamin deficiencies

Time: 2 p.m., every Thursday Venue: Department of Paediatrics

18.08.09 (Tues) Evaluation of well and sick child

Dr Ankita Dr Suresh Gupta

Postings

25.08.09 (Tues) Fluid and electrolytes

Dr Yogi

Postgraduate students are posted in each unit for 3–4 months. They have to attend the OPD/ special clinic of the unit at least twice a week.

Dr Dhiren Gupta

CLINICAL MICROBIOLOGY

22

CLINICAL MICROBIOLOGY

Date

Chairperson: Dr C. WATTAL The Department has a DNB course in clinical microbiology with one candidate every year. The training includes daily benchwork according to the posting schedule, participation in Journal Clubs, seminars, tutorials, training of technicians and attending other academic activities of the hospital. The student will have to maintain the contents of the seminars as presented in the meeting. The student shall also be required to conduct practical tutorials for the technical staff. A PG is expected to involve herself/himself in the day-today functioning of the Department.

Topic

Speaker

23

Moderator

12.12.09 Antibiotic susceptibility testing 1st year PG

Dr J.K. Oberoi

19.12.09 Urinary tract infections

1st year PG

Dr Neeraj Goel

26.12.09 Staphylococcal infections

1st year PG

Dr Neeraj Goel

Seminars/Journal Club Time: 12 noon–1 p.m., every Wednesday Venue: Board Room, New Building Date

Topic

Speaker

Tutorials for DNB trainees

01.07.09

Journal Club

Dr C. Wattal

Time: 12 noon–1 p.m., every Saturday Venue: Hall B

08.07.09

Parasitic infections in immunocompromised Dr S. Khanna

15.07.09

Journal Club

Dr J.K. Oberoi

Moderator

22.07.09

Antiparasitic agents

Dr S. Khanna

Journal Club

Dr Neeraj Goel

Date

Topic

Speaker

04.07.09 Onchocerciasis

Dr S. Khanna

Dr K.J. Prasad

29.07.09

11.07.09 Parasitic culture methods

Dr S. Khanna

Dr C. Wattal

12.08.09

Tropical eosinophilia

Dr S. Khanna

Journal Club

Dr K.J. Prasad Dr S. Khanna

18.07.09 Human babesiosis

Dr S. Khanna

Dr K.J. Prasad

19.08.09

25.07.09 Cerebral malaria

Dr S. Khanna

Dr C. Wattal

26.08.09

MDR TB

01.08.09 Immunity in M. leprae infections

Dr S. Khanna

Dr R. Raveendran

02.09.09

Journal Club

Dr S. Datta

09.09.09

Newer diagnostic methods in TB

Dr S. Khanna

16.09.09

Journal Club

Dr R. Raveendran

23.09.09

NTM

Dr S. Khanna

08.08.09 Pathogenesis and immunology Dr S. Khanna of TB

Dr R. Raveendran

22.08.09 Mycobacterial skin infections

Dr S. Khanna

Dr J.K. Oberoi

30.09.09

Journal Club

Dr Jyoti Mutta

29.08.09 Bacterial endocarditis

Dr S. Khanna

Dr Neeraj Goel

07.10.09

Tolerance and autoimmunity

Dr S. Khanna

05.09.09 Lab diagnosis and typing of gonococcus

Dr S. Khanna

Dr Jyoti Mutta

14.10.09

Journal Club

Dr C. Wattal

21.10.09

Fungal sinusitis

Dr S. Khanna

12.09.09 Investigation of an outbreak

Dr S. Khanna

Dr R. Raveendran

28.10.09

Journal Club

Dr J.K. Oberoi

19.09.09 Sporotrichosis

Dr S. Khanna

Dr J.K. Oberoi

04.11.09

Bacterial morphology and metabolism

1st year PG

03.10.09 Mucosal immunity

Dr S. Khanna

Dr C. Wattal

11.11.09

Journal Club

Dr Neeraj Goel

10.10.09 Complement system

Dr S. Khanna

Dr R. Raveendran

18.11.09

Bacterial toxins

1st year PG

24.10.09 ADCC

Dr S. Khanna

Dr K.J. Prasad

25.11.09

Journal Club

Dr K.J. Prasad

02.12.09

Biomedical waste disposal

1st year PG

09.12.09

Journal Club

Dr S. Datta

16.12.09

Antimicrobial agents

1st year PG

23.12.09

Journal Club

Dr R. Raveendran

30.12.09

Drug resistance—mechanisms

1st year PG

31.10.09 Newer approaches to vaccines Dr S. Khanna

Dr S. Datta

07.11.09 Sterilization techniques

1st year PG

Dr C. Wattal

14.11.09 Staining techniques

1st year PG

Dr Neeraj Goel

21.11.09 Culture media

1st year PG

Dr S. Datta

28.11.09 Biochemical reactions–I

1st year PG

Dr Jyoti Mutta

05.12.09 Biochemical reactions–II

1st year PG

Dr S. Datta

CLINICAL MICROBIOLOGY

24

CLINICAL MICROBIOLOGY

Technician Training Programme

Model for DNB programme in Clinical Microbiology

Time: 2:30 p.m., alternate Friday Venue: Microbiology Laboratory Date

Topic

03.07.09 Urine microscopy 17.07.09 Vitek II 31.07.09 Brucella antibody assay

25

1st Year A 1st Year B 2nd Year A 2nd Year B 3rd Year A 3rd Year B July–Dec Jan–June July–Dec Jan–June July–Dec Jan–June (months) (months) (months) (months) (months) (months)

Presenter

Moderator

Posting

Yogita Shala

Dr S. Khanna/ Dr N. Goel

Bacteriology

4

–

4

–

–

4

Mycology

–

2

–

1

–

–*

Mycobacteriology

2

–

–

1

3

–*

Madhu Chawla Parvesh Kumari

Dr S. Khanna/ Dr N. Goel Dr S. Khanna/ Dr K.J. Prasad

Parasitology

–

–

2

–

2

–*

–

2

–

2

1

–*

Virology

–

2

–

2

–

–*

07.08.09 Laboratory safety

Jaya Kalra

Dr S. Khanna/ Dr J.K. Oberoi

Immunology

21.08.09 Culture media

Deepti Dhawan

Dr S. Khanna/ Dr N. Goel

* Revision posting: 2 months

31.08.09 Typhidot test

Rajinder Rajput

Dr S. Khanna/ Dr K.J. Prasad

04.09.09 Mantaux test

Hema Bhutani

Dr S. Khanna/ Dr R. Raveendran

18.09.09 HBV quantative realtime PCR

Alok

Dr S. Khanna/ Dr S. Datta

16.10.09 Automated blood culture

Mohd. Sajid

Dr S. Khanna/ Dr S. Datta

30.10.09 Vidas

Leena Sarin

Dr S. Khanna/ Dr S. Datta

06.11.09 Maintenance of ATCC strains

Anshu Kaushal

Dr S. Khanna/ Dr N. Goel

20.11.09 Real-time NASBA

Aradhana Thakran

1st year PG/ Dr S. Datta

04.12.09 HIV and HBsAg confirmatory assays

Pooja Aneja

1st year PG / Dr S. Datta

18.12.09 Antifungal susceptibility testing

Kirti Vashisht

1st year PG/ Dr J.K. Oberoi

The technician training classes will be moderated by Dr S. Khanna/ 1st year PG along with the consultant-in-charge. Note: In case of a HOLIDAY the scheduled academic activity will be held on the next working day.

26

CRITICAL CARE & EMERGENCY MEDICINE

Chairperson: Dr B.K. RAO Teaching Coordinator: Dr DEBASHIS D HAR

Venue: Intensive Care Unit Lecture: 9 a.m.–10 a.m., 1st and 3rd Wednesday of the month Seminar/Journal Club: 9 a.m.–10 a.m., 2nd and 4th Wednesday of the month Case presentation: 9 a.m.–10 a.m., 1st and 3rd Friday of the month Medical audit: 9 a.m.–10 a.m., 4th Friday of the month Practical skills: Bedside teaching Day

Topic

01.07.09 (Wed) ICU planning

The Department of Dental Surgery does not have a DNB programme, but is planning to start one soon. The Department, however, holds monthly seminars which are given by the consultants and attended by the staff. The consultants of the Department are academically active.

Seminar Time: 1:30 p.m.–2 p.m., Tuesday Venue: Seminar Room

Speaker

Date

Topic

Speaker

Dr Sumit Ray

07.07.09 (Tues)

Demonstration of CPR

Dr B. Lakshmi

04.08.09 (Tues)

Impression techniques in FPD

Dr Vikas Sethi

Dr Prakash Shastri

01.09.09 (Tues)

Treatment of TMD using gnathologic splints

Dr Jai Verma

Dr Vinod Singh

06.10.09 (Tues)

Surgical defects and their management

Dr A.P. Setia

Dr S.C. Sharma

03.11.09 (Tues)

Role of regenerative medicine in dentistry

Dr R.C. Kakkar

01.12.09 (Tues)

Are implants a necessity/luxury?

Dr A. Razdan

08.07.09 (Wed) Seminar/ Journal Club 15.07.09 (Wed) Basic life support

Day

22.07.09 (Wed) Seminar/ Journal Club 05.08.09 (Wed) Advanced life support–I 12.08.09 (Wed) Seminar/ Journal Club 19.08.09 (Wed) Advanced life support–II (Special situations) 26.08.09 (Wed) Seminar/ Journal Club 02.09.09 (Wed) Airway management in ICU

Dr Debashis Dhar

09.09.09 (Wed) Seminar/ Journal Club 16.09.09 (Wed) ICU record-keeping and audit

Dr Ashok Anand

23.09.09 (Wed) Seminar/ Journal Club 07.10.09 (Wed) Severity scoring system in the ICU

Dr Ashutosh Taneja

14.10.09 (Wed) Seminar/ Journal Club 21.10.09 (Wed) Sedation and analgesia in the ICU

Dr Sauren Panja

28.10.09 (Wed) Seminar/ Journal Club 04.11.09 (Wed) Enteral nutrition

Dr Niraj Tyagi

11.11.09 (Wed) Seminar/ Journal Club 18.11.09 (Wed) Parenteral nutrition

Dr D.K. Rawat

25.11.09 (Wed) Seminar/ Journal Club 02.12.09 (Wed) Infection control in the ICU

Dr Sanjeev Mittal

09.12.09 (Wed) Seminar/ Journal Club 16.12.09 (Wed) Appropriate antibiotic therapy in the ICU–I 23.12.09 (Wed) Seminar/ Journal Club

27

Chairperson: DR VINOD VERMA

Teaching Schedule

Date

DENTAL SURGERY

Dr Ashutosh Taneja

28

DERMATOLOGY

Chairperson: Dr S.C. BHARIJA The Department of Dermatology does not have the infrastructure for a DNB programme. The Department has three senior consultants and one junior consultant. All the programmes of the Department such as Journal Clubs, Grand Medical Rounds, yearly medicine updates, etc. are carried out under the aegis of the Department of Medicine.

ENDOCRINOLOGY AND METABOLISM

29

Chairperson: Dr (COL) SURENDER KUMAR Teaching Coordinator: DR SUDHIR TRIPATHI The DNB students attend morning meetings, Journal Clubs, bedside long case discussions, histopathology round and seminars. They are also involved in endocrine clinics and in carrying out various procedures under the supervision of consultants.

Morning Meeting The consultant and residents of the Department meet in the Endocrinology duty room at 9 a.m. for half an hour every day to discuss the admissions, discharges and any death which may have occurred the previous day.

Journal Club Time: 9 a.m., every Friday Venue: Endocrinology Duty Room

Hormone Lab Round Time: 12.30 p.m, alternate Thursdays Venue: Department of Nuclear Medicine/ IVF/ Biochemistry This round is helpful for DNB students to review and interpret all the investigations done in the past 15 days.

Recent Advances in Endocrinology Time: 9 a.m., 1st week on Monday (once every month) Venue: Seminar Room/Auditorium

Endocrinology Round Time: 2:00 p.m.–3:00 p.m., twice a week Venue: Seminar Room/Auditorium

Seminar Time: 9 a.m., alternate Monday Venue: Seminar Room The candidates will be given an objective assessment on the various topics covered. Date

Day

06.07.09

(Mon) Asymptomatic primary hyperparathyroidism

Topic

Moderator Dr S. Kumar

GASTROENTEROLOGY

ENDOCRINOLOGY AND METABOLISM

30

Date

Day

Topic

Moderator

20.07.09

(Mon) Gestational diabetes mellitus (GDM) Dr S. Tripathy

03.08.09

(Mon) Polycystic ovarian disorder (PCOD)

Dr S. Tripathy

17.08.09

(Mon) DPP-IV inhibitors

Dr S. Kumar

Lecture

31.08.09

(Mon) Insulin analogues

Dr S. Tripathy

14.09.09

(Mon) Gonadal dysgenesis

Dr S. Kumar

Time: 12 noon–1 p.m. Venue: Seminar Room

28.09.09

(Mon) Malignant pheochromocytoma

Dr S. Tripathy

12.10.09

(Mon) Radioimmunoassay

Dr S. Kumar

26.10.09

(Mon) Prediabetes

Dr S. Tripathi

09.11.09

(Mon) Diabetes insipidus

Dr S. Kumar

23.11.09

(Mon) Hypophosphaetamic rickets

Dr S. Tripathy

07.12.09

(Mon) Hypogonadotrophic hypogonadism

Dr S. Kumar

21.12.09

(Mon) Recent advances in endocrinology

Dr S. Tripathy

Ward Round Time: 9 a.m.–12 noon, daily Venue: 2nd CD

Major Postings Ward posting OPD Gynaecology and Obstetrics IVF department Nephrology Neurology Neurosurgery Ophthalmology Cardiology Cardiovascular surgery Vascular surgery Orthopaedics Gastroenterology Urology Nuclear Medicine Research

National and International Conferences DNB candidates are sent to attend national and international conferences by rotation at least once a year.

31

Chairperson: Dr R. SUD Teaching Coordinator: Dr A. ARORA

Topic 1. Pathogenesis of hepatic encephalopathy 2. Clinical presentation, diagnosis and treatment of neuroendocrine tumours 3. Management of pancreatitis pseudocyst 4. Pathophysiology of inflammatory bowel disease 5. Management of HCC—recent advances 6. Stem cell in liver diseases 7. Pathophysiology and pharmacological management of portal hypertension 8. Decision-making for liver transplantation in patients with acute liver failure 9. Recent advances in the management of chronic hepatitis B and hepatitis C 10.Endoscopic intervention for treatment of GERD 11.Never advances in management of severe acute pancreatitis

Speaker Dr Anil Arora Dr Mandhir Kumar Dr Rajesh Puri Dr M. Sachdeva Dr Piyush Ranjan Dr Anil Arora Dr Randhir Sud Dr Sanjiv Saigal Dr Neeraj Saraf Dr Randhir Sud Dr M. Sachdeva

Journal Club Time: 3 p.m.–4 p.m., 1st, 2nd and 4th Tuesday Venue: Seminar Room The discussion will be presented by a senior resident and moderated by a faculty member.

Review Seminar Time: 12 noon–1 p.m., 2nd and 4th Friday Venue: Seminar Room

Case Discussion Time: 3 p.m.–4 p.m., 1st and 3rd Friday Venue: Seminar Room/ Endoscopy Room

CPC Time: 3 p.m.–4 p.m., 3rd Tuesday Venue: Seminar Room

Postings All senior residents/ DNB students will be posted in the Endoscopy Room/ ERCP and OPD by rotation.

32

GENERAL SURGERY

Chairperson: Dr VIJAY ARORA Teaching Coordinator: Dr R. SARANGI The academic programme for postgraduate students includes formal lectures, case discussions, seminars, Journal Clubs, experience in the wards and outpatient department, and in the operation theatre. Seminars/ Journal Clubs are held on a weekly basis in which a postgraduate student, assisted by a consultant, presents a surgical topic.

GENERAL SURGERY

33

Formal Lecture/Case Presentation Day Monday

Time 3 p.m.–4 p.m.

Wednesday 3 p.m.–4 p.m. Friday

Requirements

11:30 p.m.–12:30 p.m. Clinical Combined Round—Surgical Rounds 2nd Friday—Dr V. Arora Unit–II 3rd Friday—Dr V.K. Malik Unit–III 3 p.m.–4 p.m.

Log books: Postgraduate students record all operations (assisted or performed) in their log books which are countersigned by the consultants.

Consultant Dr G.D. Goel, Dr R. Sarangi, Dr B.B. Agarwal, Dr V.R. Saggar (Operative surgery, X-ray demonstration, specimen) Unit–I/ II/ III

Dr Vijay Arora, Dr V.K. Malik, Dr C.S. Ramachandran, Dr Naresh Garg

Case records: The postgraduates record daily case notes as well as admission case notes in the patients’ case sheets.

Saturday 1:15 p.m.–2:00 p.m.

Attendance: A minimum attendance of 75% is mandatory.

Postings

Examinations

Postgraduate students rotate through the various surgical specialties as per the following schedule:

Board examinations: The DNB examinations in General Surgery are normally held twice a year. Our postgraduate students take the examination in August. Only one batch of students is admitted per year. Internal examinations: Internal examinations are held twice a year. The examination is based on the format of the DNB examinations.

Duties Postgraduate students of all years perform on-call duties which average 6 per month under the guidance of a senior resident. The duties involve attending to emergencies in the ward as well as in the casualty.

Outpatient Teaching Schedule Postgraduate students attend outpatient clinics thrice a week along with the rest of the unit in which they are posted.

Posting Parent Surgical Unit Surgical Gastroenterology Urology CTVS Other Surgical Units Parent Surgical Units Plastic Surgery Paediatric Surgery Neurosurgery Orthopaedics ICU Pathology

Seminars/ Journals/ Faculty lectures

Duration 1 year 6 months 2 months 1 month 1 month 6 months (3 + 3) 4 months 1 month 1 month 2 weeks 2 weeks 2 weeks 2 weeks

Seminar/Journal Club Teaching Ward Rounds In addition to daily ward rounds, teaching ward rounds are conducted by the consultants as per the following schedule.

Operation Theatre Postgraduate students attend the operation theatres twice a week where they assist in or perform operations under supervision.

Time: 1:15 p.m. (every Saturday) Venue: Seminar Room/Auditorium Date

PG

Moderator

04.07.09 Small bowel and colonic trauma—management

Topic

Dr S. Sharma

Dr V.K. Malik

11.07.09 Journal Club

Dr Tapish Sahu

Dr R. Sarangi

18.07.09 Malignant cervical lymphadenopathy

Faculty Lecture

Dr V.R. Saggar

GENETIC MEDICINE

GENERAL SURGERY

34

35

Date Topic 25.07.09 Management of pseudocyst of the pancreas

PG Dr A. Deo

Moderator Dr C.S. Ramachandran

Chairperson: Dr I.C. VERMA

01.08.09 Abdominal tuberculosis

Dr K. Manish

Dr Vijay Arora

08.08.09 Journal Club

Dr Varun Gupta Dr B.B. Agarwal

The Department does not have any DNB students at present. However, an academic programme has been arranged for residents and postgraduates from the Departments of Paediatrics, Medicine, Obstetrics and Gynaecology and the scientific staff of the Department. The Department also participates in the Journal Clubs and Grand Rounds of the Departments of Paediatrics, Medicine, and Obstetrics and Gynaecology. The following activities are planned for this session. We also participate in the Clinical Grand Round, which is attended by all Residents. We plan to start a Clinical Genetics Fellowship in the year 2009.

15.08.09

HOLIDAY

22.08.09 Management of thyroid nodule Faculty Lecture

Dr V.K. Malik

29.08.09 Blood gases in sepsis

Dr Tapish Sahu

Dr T. Mustafa

05.09.09 Journal Club

Dr A. Deo

Dr R. Sarangi

12.09.09 Cancer screening—concepts, benefits and recommendation

Dr K. Manish

Dr C.S. Ramachandran

19.09.09 Management of iatrogenic biliary stricture

Faculty Lecture

Dr Vijay Arora

26.09.09

Dr Varun Gupta Dr V.R. Saggar

10.10.09 Perioperative nutritional support

New PG1

Dr B.B. Agarwal

HOLIDAY

24.10.09 Benign breast disease

Lecture Time: 1 p.m.–2 p.m. Venue: Seminar Room

HOLIDAY

03.10.09 Amoebic liver abscess— aetiopathogenesis and management

17.10.09

Brief Outline

Faculty Lecture

Dr R. Sarangi

31.10.09 Journal Club

Dr K. Manish

Dr V.K. Malik

07.11.09 Management of flail chest

New PG2

Dr Vijay Arora

14.11.09 Management of retroperitoneal Faculty Lecture tumour

12.08.09 19.08.09 02.09.09 16.09.09 30.09.09 14.10.09

(Wed) (Wed) (Wed) (Wed) (Wed) (Wed)

Dr T. Mustafa

21.11.09 Journal Club

Dr Varun Gupta Dr B.B. Agarwal

28.11.09 Management of chronic pancreatitis

Dr A. Deo

Dr C.S. Ramachandran

05.12.09 Journal Club

Dr Tapish Sahu

Dr V.R. Saggar

12.12.09 Testicular tumour—current management

Faculty Lecture

Dr B.B. Agarwal

19.12.09 Wound healing—concept and management

New PG1

Dr T. Mustafa

26.12.09 Management of splenic trauma New PG2

Date Day 15.07.09 (Wed) 22.07.09 (Wed)

21.10.09 (Wed) 04.11.09 (Wed)

Topic Genetic disorders—bench to bedside Chromosomal disease in clinical practice Basic molecular genetics for clinicians Genetics of complex traits Genetic counselling Prenatal diagnosis Gene therapy Screening for Down syndrome during pregnancy Cancer genetics HLA and disease

Speaker Dr I.C. Verma Dr Meena Lall Dr R. Saxena Dr R. Puri Dr S. Thakur Dr R. Puri Dr I.C. Verma Dr S. Thakur Dr S. Kohli Dr M. Jain

Genetic Lab Meeting Interesting cases are presented and discussed. Articles on clinical genetics, cytogenetics, molecular genetics and biochemical genetics published in different journals are also discussed.

Grand Round Dr V.K. Malik

The Department presents Grand Rounds for the Departments of Medicine, Paediatrics and Obstetrics and Gynaecology. Dates will be announced in the programmes of the respective departments.

36

HAEMATOLOGY AND CLINICAL PATHOLOGY

HAEMATOLOGY AND CLINICAL PATHOLOGY

Chairperson: Dr MANORAMA BHARGAVA

Date 28.11.09

Day (Sat)

Topic Subject Seminar

Time: 2:15 p.m.–3:00 p.m.

04.12.09

(Fri)

Journal Club

11.12.09

(Fri)

Slide Seminar

Dr S. Narayan

16.12.09

(Wed)

Case study

Dr Tina

22.12.09

(Fri)

Journal Club

26.12.09

(Sat)

Subject Seminar

Speaker

37

Moderator Speaker Dr M. Bhargava Dr Swasti Dr Shashi

Date

Day

Topic

Moderator

03.07.09

(Fri)

Slide Seminar

Dr S. Narayan

08.07.09

(Wed)

Case study

Dr Anupama

14.07.09

(Tues)

Journal Club

21.07.09

(Tues)

Slide Seminar

Dr Amrita

25.07.09

(Sat)

Subject Seminar

Dr Amrita

29.07.09

(Wed)

Case study

Dr Tina

31.07.09

(Fri)

Case study

Dr Anupama

04.08.09

(Tues)

Journal Club

07.08.09

(Fri)

Slide Seminar

Dr M. Bhargava

Thursday Pathology Meet (Haematology)

12.08.09

(Wed)

Case study

Dr Vijay

18.08.09

(Tues)

Journal Club

Dr S. Narayan

Will be held on 3rd Thursday of every month in the Seminar Room at 2:15 p.m.

21.08.09

(Fri)

Case study

Dr Anupama

29.08.09

(Sat)

Subject Seminar

Dr Vijay

Dr Swasti

Combined Journal Club (in rotation with the Department of Pathology and Blood Bank)

02.09.09

(Wed)

Case study

Dr S. Narayan

08.09.09

(Tues)

Journal Club

15.09.09

(Tues)

Slide Seminar

Dr Amrita

18.09.09

(Fri)

Case study

Dr M. Bhargava

22.09.09

(Tues)

Journal Club

25.09.09

(Fri)

Subject Seminar

Dr Tina

30.09.09

(Wed)

Slide Seminar

Dr Vijay

06.10.09

(Tues)

Case study

Dr S. Narayan

09.10.09

(Fri)

Journal Club

16.10.09

(Fri)

Subject Seminar

Dr Anupama

20.10.09

(Tues)

Case study

Dr Vijay

27.10.09

(Tues)

Journal Club

Dr Amrita Dr Amrita

Dr Aruna

Dr Tina Dr Aruna

All the above-mentioned activities, except subject seminar, will be held in the residents’/reporting room, Department of Haematology. Subject seminars will be held in the Seminar Room, opposite the Department of Academics (near Library).

Dr Vijay

Will be held on 2nd Thursday of every month in the Board Room at 2:15 p.m. Dr M. Bhargava

Dr Anupama Dr Swasti

Dr Amrita Dr Aruna Dr Tina

31.10.09

(Sat)

Subject Seminar

Dr Anupama

06.11.09

(Fri)

Slide Seminar

Dr Amrita

10.11.09

(Tues)

Case study

Dr Tina

17.11.09

(Tues)

Journal Club

20.11.09

(Fri)

Case study

Dr Anupama

25.11.09

(Wed)

Case study

Dr Vijay

Dr Aruna

Dr Vijay

38

HOSPITAL ADMINISTRATION

Head of the Department: Dr V.K. KAPUR The curriculum of DNB Hospital Administration aims to make the trainee knowledgeable about the basic principles of management, improve their skills in the art and science of management. It also aims to give them a comprehensive working of the elements of hospital functioning, functioning of various departments and facilities with a special understanding of the matrix of their interdependence. Trainees are required to learn: 1. 2. 3.

To be able to understand the various processes of hospital functioning. To acquire the art and science of management. To accquire skills to identify bottlenecks and problems in hospital processes and work out solutions for them. 4. To create quality, efficiency and effectiveness of tasks at various levels of functioning. 5. To identify challenges in the hospital system and propose growth and development in the wake of changing hospital scenario. 6. To be proficient in all modern management techniques and their application in day-to-day affairs of the hospital. 7. To review the literature and modern developments in healthcare with emphasis on hospital care. 8. To acquire teaching skills and data presentation and to be the source of knowledge transfer and technical skills to PG students, interns, residents and nursing students. 9. To acquire skills of resource methodology and to be able to conduct research in hospital processes and related topics. 10. To be highly competent in the field of hospital administration. 11. To be able to function independently as hospital administrator in a teaching/non-teaching/public or private hospital. Trainees will do ward rounds and round of the hospital. The trainee shall be posted in rotation to different areas of the hospital. Trainees attend the administrative morning meeting conducted everyday except Saturday (10:00 a.m. –11:00 a.m.) to discuss important administrative issues and problems and decisions of corrective measures. On Saturday, a meeting with the functional heads of the BPOs (Business Process Outsource) is held to be updated on issues and functioning. A wider weekly meeting is conducted on every Wednesday where departmental senior personnel of all non-clinical areas attend for a twoway exchange of issues and ideas. The meeting also addresses client satisfaction and takes corrective actions. To conduct DNB Hospital Administration, there are 4 senior administrators with Masters degree and 3 with Diploma in Hospital Administration.

HOSPITAL ADMINISTRATION

39

There are presentations by administrators on a wide range of issues related to hospital functioning, introduction of new technology and new processes. The faculty participates in various lectures, seminars of other hospitals as well as institutes of management.

Teaching Schedule 1. Grand administrative round 2. 3. 4. 5.

Departmental seminars Journal Club Teaching sessions Hospital administration faculty meeting

First of every month (once a month) Once fortnightly Once fortnightly 1 hour everyday 10 a.m. every Tuesday

Posting in various areas for 3 months: Ward round

Support services rounds

2nd and 3rd Floor (New building)

Dissertation topic, Admissions, Emergency services, Ambulance services and Dietary services, submission of protocol General and private OPDs, Dispensary, Maintenance and Repair

4th and 5th Floor (New building) 6th and 7th Floor (New building) 2nd and 3rd Floor (Old building)

Pharmacy, All stores

4th and 5th Floor (Old building)

Housekeeping, Hospital Waste Management, Radiology

General Ward Labs

IVF, Labour room, Medical records CIC, HIS, Blood bank

Thesis completion

HIS, Mortuary

CSSD, Laundry, Manifold

Topics 1st Year—Teaching classes 1–2 hours everyday

1.

2.

Topics

Period

• General management—principles, planning, organizing, staffing, leading, controlling • Hospital: An introduction • Health insurance and health economics • Nursing administration and ward management • Biomedical waste management • Personnel management—leadership, motivation, decision-making • OT/ ICU/ OPDs • CSSD/ Laundry/ Manifold

3 months

3 months

HOSPITAL ADMINISTRATION

40

3.

4.

Topics • Development of health services in India • Systems approach in hospital administration • Material management • Risk management, modern management techniques • Organizational behaviour • Epidemiology, its application and use in hospital’s medical records • National health policy • Gazetted Acts • Healthcare delivery system in India and various parts of the world • Mortuary, dietary services

HOSPITAL ADMINISTRATION

Period

3 months

3 months

Topics 2nd Year—Teaching classes 1–2 hours everyday

5.

6.

7.

8.

Topics

Period

• • • • • • • • • • • • • • • • • • •

3 months

Communication and health education Hospital administration as a specialty Hospital planning Quality in health services Financial management Equipment management Disaster management Legal issues in hospital administration Hospital hazards Marketing Management information system Industrial relations Office procedures and disciplinary actions Thesis presentation National health programmes Accreditation Radiology and laboratory services International health Biostatistics

3 months

3 months

3 months

Seminar/Journal Club Time: 4:30 p.m., alternate Wednesday Venue: Board Room Date

Day

Speaker

Moderator

15.07.09 29.07.09

(Wed) (Wed)

DNB Student DNB Student

Dr Sunita Sunda Dr Sunita Sunda

12.08.09

(Wed)

DNB Student

Dr Suchita Katoch

26.08.09 16.09.09

(Wed) (Wed)

DNB Student DNB Student

Dr Suchita Katoch Dr Gurvinder Kaur

30.09.09

(Wed)

DNB Student

Dr Gurvinder Kaur

14.10.09 28.10.09

(Wed) (Wed)

DNB Student DNB Student

Dr V.K. Kapur Dr V.K. Kapur

11.11.09

(Wed)

DNB Student

Dr Sapna Ramani

25.11.09 16.12.09

(Wed) (Wed)

DNB Student DNB Student

Dr Sapna Ramani Dr Reena Kumar

30.12.09

(Wed)

DNB Student

Dr Reena Kumar

For Admission year 2007–2008 IV Semester (July 09–December 09) • Health economics • Population dynamics • National health programme • Communication and health education • International health • Risk management • Industrial relations • Hospital management information system • Quantitative methods of management, modern management techniques • Public Private Partnership Act • Marketing management

Postings for admission year 2009

Daily Administrative Rounds Time: 10 a.m. onwards

Administrative Faculty Meeting Day: Every Thursday and SOS Time: 10 a.m. Venue: Board Room

July 01.07.2009 16.07.2009

to to

15.07.2009 31.07.2009

Maintenance store Stationery store

41

MEDICAL ONCOLOGY

HOSPITAL ADMINISTRATION

42

43

Chairperson: Dr SHYAM AGGARWAL

August 01.08.2009 16.08.2009

to to

15.08.2009 31.08.2009

Mortuary Boiler, ETP

September 01.09.2009 16.09.2009

to to

15.09.2009 31.09.2009

Cash, Accounts PRO

October 01.10.2009 16.10.2009

to to

15.10.2009 30.10.2009

Parking Security

The Department of Medical Oncology was started in 1997. The Department is involved in the management of haematological malignancies and solid tumours. It provides cancer chemotherapy and immunotherapy. The Department is also involved in conducting autologous as well as autogenic bone marrow transplants. It is also involved in teaching DNB students of various disciplines. The Department participates in the Grand Medical Round and Journal Club with the Department of Medicine.

Lecture

November 01.11.2009 16.11.2009

to to

15.11.2009 31.11.2009

Fire fighting Receiving section

Time: 3 p.m.–4 p.m., Second Friday Venue: Seminar Room Speaker: Dr Shyam Aggarwal

December 01.12.2009 16.12.2009

to to

15.12.2009 30.12.2009

To work in close liaison with organ transplant co-ordinator

Date 10.07.09

Day (Fri)

Topic CML—treatment guidelines

14.08.09

(Fri)

Carcinoma breast—Chemotherapy options

11.09.09 09.10.09

(Fri) (Fri)

Multiple myeloma—recent advances Carcinoma colon—genetic basis

13.11.09 11.12.09

(Fri) (Fri)

Renal cell carcinoma—targeted drugs Basics of haematopoetic stem cell transplantation

Journal Club Day: 1st Saturday of every month Time: 3 p.m. Venue: Seminar Room

Case Presentation Day: 2nd Friday of every month Time: 11:30 a.m. Venue: Seminar Room

44

MEDICINE AND FAMILY MEDICINE

MEDICINE AND FAMILY MEDICINE

Casualty

6 weeks

Skin and VD

4 weeks

Medicine

Psychiatry

4 weeks

Teaching Coordinator: Dr P.S. GUPTA

Diagnostics Radiology, Ultrasound, CT scan, MRI 4 weeks

The postgraduate course in Medicine includes: —Daily ward teaching in the unit in which the postgraduate is posted

During the period of posting to various subspecialties, the postgraduate student will attend the speciality clinics, eg. Cardiology, Neurology, Gastroenterology, Nephrology, Respiratory Medicine and Rheumatology.

Head of the Department: Dr S.P. BYOTRA

—Daily discussion of cases and individual topics as per programme —Regular presentation of cases in the wards and Grand Rounds —Review of literature in Journal Clubs and Seminars

Clinical Demonstration 2nd and 4th Monday

2–3 p.m.

Pulmonology

1st, 3rd and 5th Monday 1st Tuesday

2–3 p.m. 3–4 p.m.

Medicine Unit–II Gastroenterology

—Posting in various subspecialty OPDs such as Dermatology and Psychiatry

3rd Tuesday

3–4 p.m.

Nephrology

—Night duties every 3rd to 4th day, 7–8 duties per month. During these duties the postgraduate student will work under close supervision of the senior resident.

Wednesdays Thursdays

1–2 p.m. 3–4 p.m.

Dr K.P. Jain Dr P.S. Gupta

1st and 3rd Friday

3–4 p.m.

Neurology

Fridays

2–3:30 p.m. Dr P.K. Aggarwal

—Compulsory attendance in all academic activities of the hospital. Posting in various subspecialties of Medicine, e.g. Cardiology, Neurology, Gastroenterology, etc.

All students have to maintain log books. The documented activities have to be signed by the consultant of the concerned department in the log book on a day-to-day basis.

Postings in various units Posting schedule for three-year postgraduate students:

Journal Club Time: 1:30 p.m.–2:30 p.m. Day: Saturday Venue: Seminar Room, 2nd Floor

Medicine Unit–I

6 months

Date 11.07.09

Day (Sat)

Consultants Dr A.K. Basu/ Dr Amit Dhamija

Medicine Unit–II

6 months

25.07.09

(Sat)

Dr V.P. Sachar/ Dr P.K. Aggarwal

Medicine Unit–III

6 months

08.08.09 22.08.09

(Sat) (Sat)

Dr Lalit Duggal/ Dr Neeraj Jain Dr P.K. Sethi/ Dr Ish Anand/ Dr B.K. Mishra

12.09.09

(Sat)

Dr S.C. Bharija/ Dr Rishi Parashar

10.10.09 24.10.09

(Sat) (Sat)

Dr J.M. Wadhawan Dr Ved Prakash/ Dr S.P. Byotra/ Dr Atul Kakar/ Dr Atul Gogia

Cardiology Indoor, OPD ICCU Non-invasive laboratory

10 weeks 3 weeks 3 weeks

Gastroenterology

8 weeks

Nephrology

8 weeks

Neurology Indoor, OPD EEG, EMG laboratory

8 weeks 10 weeks 4 weeks

Respiratory Unit

4 weeks

ICU

4 weeks

Grand Medical Round Time: 1:30 p.m.–2:30 p.m. Day: Saturday Venue: Seminar Room, 2nd Floor

45

MEDICINE AND FAMILY MEDICINE

MEDICINE AND FAMILY MEDICINE

46

47

Date

Day

Consultants

ENT

1 month

04.07.09 18.07.09 01.08.09

(Sat) (Sat) (Sat)

Casualty ICU

3 months 1 month

Laboratories

1 month (Biochemistry, Haematology, Histopathology—10 days each)

05.09.09 19.09.09

(Sat) (Sat)

Imaging departments

2 months (Radiology–1 month, Ultrasound–15 days, CT and MRI–15 days)

03.10.09 07.11.09 21.11.09 05.12.09 19.12.09

(Sat) (Sat) (Sat) (Sat) (Sat)

Dr K.P. Jain/ Dr Sunil Jain/ Dr Pooja Khosla Dr Kamlender Singh/ Dr Bindu Dewan Dr S.K. Sama/ Dr R. Sud/ Dr A. Arora/ Dr M. Kumar/ Dr S. Saigal/ Dr R. Puri/ Dr Piyush Ranjan/ Dr Neeraj Saraf/ Dr Naresh Bansal Dr J.M. Wadhawan Dr D.S. Rana/ Dr A.K. Bhalla/ Dr A. Gupta/ Dr D. Khullar/ Dr S. Ojha Dr I.C. Verma Dr C.S. Aggarwal/ Dr Anshu Rohtagi/ Dr Rajiv Ranjan Dr Shyam Aggarwal Dr Manvir Bhatia/ Dr Sanjay Manchanda Dr Surender Kumar/ Dr Sudhir Tripathi

Family Medicine Teaching Coordinator: Dr P.S. GUPTA DNB training in Family Medicine The goal of Family Medicine training is that after qualifying the final examination, the candidate should be able to function as a junior consultant (specialist) in Family Medicine. He should be able to render health services to the community by providing primary healthcare to all members irrespective of age, sex, specialty and socioeconomic background. He should be able to decide for appropriate referral in order to provide secondary/tertiary health services when necessary. He should be clinically competent and should be able to take personal responsibility for rendering comprehensive and continuing care of his patients in their own family settings. Posting schedule of Family Medicine DNB students Elective subjects 1 year Paediatrics

4 months

General Surgery Orthopaedics

3 months 2 months

Obstetrics and Gynaecology

4 months

Ophthalmology Dermatology

1 month 1 month

Psychiatry

1 month

Those postgraduates who do not opt for medicine as an elective subject will be posted in the medicine department for 6 months. Other postings will be modified according to the elective disciplines. The postgraduates doing elective posting in medicine will be assigned to various units/departments as follows: In each of the 3 medical units 2 months each Cardiology 2 months Gastroenterology 1 month Pulmonology 1 month Neurology 1 month Nephrology 1 month The training in the Medicine department will be as per schedule of the training programme of DNB (Medicine). Postgraduates are required to submit a dissertation/ thesis on a subject pertaining to Tropical Medicine, Community Health, etc. They are also required to enter the academic activities undertaken in each department of their posting in the log book. The documented activities have to be signed by the consultants of concerned departments in the log book on day-to-day basis.

Training requirements in various departments Internal Medicine • Recognition of common symptoms of diseases • Diagnosis and management of common diseases of different systems of the human body, management of common medical emergencies in general practice, e.g. cardiovascular, respiratory, gastrointestinal, neurological, renal, metabolic, etc. and knowledge of common drugs and their adverse reactions • Provide advice on nutritional disorders including management of malnutrition and obesity

48

MEDICINE AND FAMILY MEDICINE

MEDICINE AND FAMILY MEDICINE

49

Paediatrics

Orthopaedics

• Newborn resuscitation, hypothermia, breastfeeding, neonatal hypoxia, jaundice and intrauterine growth retardation • Nutritional practices including malnutrition • Growth and development monitoring • Genetics and inborn errors of metabolism • Common infections and immunizations • Common paediatric illnesses, respiratory illnesses, chronic diarrhoeas, urinary tract and respiratory infections, asthma, childhood tuberculosis • Management of acute diarrhoea and dehydration, ORS • Fits/ seizures, child with mental handicap, development delay, cerebral palsy, adolescent care, sex education and school health programme

• Soft tissue, bone and joint diseases and fractures, dislocations, sprains • Neuromuscular disorders, immediate care of trauma patients with fractures and dislocations and their transportation

Surgery • Recognition and evaluation of conditions requiring surgical diagnosis and procedures • Management and appropriate referral of primary surgical emergencies such as shock, haemorrhage, burns, etc. • Management of minor injuries and common wounds including immediate and resuscitative treatment of acute injuries • Management of fluid and electrolyte requirements • Specific and non-specific infections, common cysts, sinuses, fistulae, tumours, hernia, hydrocoele, diseases of the prostate, urinary bladder, kidney, vasectomy and breast, etc.

Ophthalmology • Recognition of common eye diseases especially cataract, glaucoma, vitamin A deficiency, conjunctivitis, macular degeneration, squint and diabetic retinopathy • Diagnosis, management and referral of all emergencies including eye injuries • Knowledge of the National Programme for the Prevention of Blindness and community ophthalmology Dermatology • Prevention, diagnosis and management of common dermatological conditions • To learn the principles of dermatological therapy • To learn the principles of rehabilitation of chronic dermatological patients Psychiatry • Knowledge of the principles and experience in the practice of interviewing and counselling patients and their families • Psychosis, depression, anxiety, psychiatric emergencies • Rational use of psychotherapeutic medications, management of alcoholism, tobacco smoking and other substance abuse

Obstetrics and Gynaecology • Antenatal, intranatal and postnatal care, safe motherhood, identification of high-risk pregnancy • Normal labour and puerperium • Early diagnosis of complications of pregnancy • Management of common problems during pregnancy • Knowledge of common gynaecological problems including genital infections, menstrual disorders, vaginal discharge, menopause and tumours • Awareness of minor procedures including Pap smear, endoscopy, ultrasonography, etc. • Early therapeutic approach to common obstetrical and gynaecological emergencies • Awareness of Family Welfare Programmes, infertility, contraception and medical termination of pregnancy, prevention of unwanted pregnancy

Laboratory and diagnostic medicine • Clinical laboratory: Awareness of basic laboratory investigations, familiarization with clinical laboratory equipment, common reagents, tests, interpretation of common laboratory investigations. • Imaging techniques: Basic radiological procedures, ability to read normal X-rays, radiation hazards and their precautions, basic idea and indications of latest imaging techniques, ultrasonography, CT scan, MRI, etc.

50

MINIMAL ACCESS & BARIATRIC SURGERY

Chairperson: Dr P.K. CHOWBEY The Minimal Access, Metabolic and Bariatric Surgery Centre is the first and only one of its kind in the Asian subcontinent. The Centre is actively working on the development of new techniques and improvement of present techniques in Minimal Access Surgery and Bariatric Surgery. It also imparts basic and advanced training in Minimal Access Surgery to visiting surgeons from India and abroad. The Centre conducts the following training programmes: a. Post-doctoral fellowship A post-doctoral fellowship course in Minimal Access Surgery recognized by the National Board of Examinations, New Delhi. The Department admits two fellows after theoretical examination and interview. The duration of the course is two years.

b. Fellowship Departmental fellowship courses where four fellows are admitted simultaneously for three months’ training.

c. Basic training course A formal basic training course in Minimal Access Surgery is held every two months. The duration of the course is five days. The dates for the forthcoming courses are: 06–10 July 2009 (Mon–Fri) 14–18 September 2009 (Mon–Fri) 02–06 November 2009 (Mon–Fri)

MINIMAL ACCESS , METABOLIC AND BARIATRIC SURGERY

51

practical training, our Centre established a three-day intensive course focusing on latest technology and development in Endohernia surgery. Advanced minimally invasive techniques including laparoscopic totally extraperitoneal hernioplasty (TEP), laparoscopic repair of ventral/incisional hernias and controversies in hernia surgery will be addressed. It will also consist of lectures on various approaches to hernia surgery and the latest advances in its development. All participants will receive a certificate of participation. Course dates: 20–22 July 2009 (Mon–Wed) 10–12 August 2009 (Mon–Wed) 28–30 September 2009 (Mon–Wed) 12–14 October 2009 (Mon–Wed) 16–18 November 2009 (Mon–Wed) 07–09 December 2009 (Mon–Wed)

g. Bariatric Surgery Training Programme Thursday–Friday (2 days) The course is organized, keeping in mind the new treatment options available in the Bariatric field and to develop treatment modalities of morbid obesity in India. It is designed to meet the educational needs for laparoscopic and Bariatric surgeons. The duration of the course is two days. The dates for the forthcoming courses are: 30–31 July 2009 (Thursday–Friday) 20–21 August 2009 (Thursday–Friday) 24–25 September 2009 (Thursday–Friday) 29–30 October 2009 (Thursday–Friday) 26–27 November 2009 (Thursday–Friday) 24–25 December 2009 (Thursday–Friday)

d. Postgraduate introductory course A postgraduate introductory course is specifically designed keeping in mind the basic needs of students appearing for postgraduate examinations. The duration of the course is three days, to be held on the last Monday of every month.

e. Master-class in laparoscopic cholecystectomy and endoscopic suturing technique The duration of the course is two days. The aim is to provide sound training, knowledge of endoanatomy, practice of safe dissection and familiarity with trouble shooting for performing a safe laparoscopic cholecystectomy. An introduction to laparoscopic suturing techniques would be an integral part of the course and would include endotraining.

h. Observership Observership courses where a batch of six observers undergo two weeks’ training.

i. Clinical fellowship in endoscopic hernia surgery Endoscopic hernia repair is being increasingly performed by surgeons practising minimal access surgery. A large volume of these procedures are conducted in our department. In an effort to provide high quality practical training, the Department has established a structured training course in various aspects of laparoscopic hernia repair. The duration of the course will vary from 4 to 8 weeks (depending on the experience of the surgeon). The above fellowship is stipendiary.

f. Master-class in endoscopic hernia surgery Endoscopic hernia repair is being increasingly performed by surgeons practising minimal access surgery. In an effort to provide high quality

j. Courses for staff nurses and OT technicians Minimal access surgery is the future. It is a highly specialized, technology-

52

MINIMAL ACCESS , METABOLIC AND BARIATRIC SURGERY

driven surgery that requires special training and exposure to sophisticated endovision equipment and hand instruments. The Department is committed to providing educational opportunities to staff nurses and OT technicians to enhance their abilities, interests and knowledge in minimal access surgery. The duration of the course is two weeks. The training(s) includes: 1. Series of discussions about basic instrumentation, their maintenance and use, surgical procedures, complications and prevention of complications. 2. Acquisition of skills for laparoscopic surgery by endotrainer and simulators so that trainees get familiar with operating under 2-D videoscopic guidance and learn how to manipulate instruments without injuring structures and to appreciate operating without depth perception. This helps in developing hand–eye coordination in an unstressed environment. 3. Active involvement in the operation theatre, initially observing operations performed by proficient surgeons and then assisting them during surgery in a graduated manner. 4. Training seminars and case discussions, which include various intricacies of surgery. Appropriate clinical assessment of every case is of vital importance in any laparoscopic surgery. 5. Video discussions, consisting of group discussions by the Department on previously operated patients, unedited video recordings, critical evaluation of procedures, technique of handling difficult and unexpected situations. The Department has an exhaustive video/CD library consisting of a large collection of videos/CDs (edited/unedited) of basic and advanced laparoscopic surgical procedures recorded digitally for teaching candidates and future reference. 6. Monthly audit of all the cases performed in the previous month, to check on case assessment, instrument assessment, procedural difficulties, complications as well as discuss methods to improve patient care. 7. Basic reading of general and some specific procedures from textbooks in the library, study of the overview of Minimal Access Surgery techniques as well as selected papers from the latest journals. 8. Exposure to the latest developments in the field of minimal access surgery. 9. The Department encourages and helps trainees to visit various superspecialized departments in the hospital such as the Department of Gastroenterology, Department of Surgical Gastroenterology, Department of Imaging for CT scan and MRI, Department of Ultrasonology, etc.

Teaching Schedule Day Monday Tuesday

Time 8 a.m.–5 p.m. 8 a.m.–9 a.m. 9 a.m.–11 a.m. 11 a.m.–12 noon 12 noon–1 p.m.

Schedule Operation Theatre Ward rounds Didactic lectures OPD clinics Review of videos of previously performed cases

MINIMAL ACCESS , METABOLIC AND BARIATRIC SURGERY

Day

Time 2 p.m.–5 p.m.

Schedule Experimental work in the laboratory and hands-on experience with endotrainer Wednesday 8 a.m.–5 p.m. Operation Theatre Thursday 8 a.m.–9 a.m. Ward rounds 9 a.m.–11 a.m. Didactic lectures 11 a.m.–1 p.m. Review of videos of previously performed cases 2 p.m.–5 p.m. Hands-on work on endotrainer Friday 8 a.m.–5 p.m. Operation Theatre Saturday 8 a.m.–9 a.m. Ward rounds 9 a.m.–11 a.m. Review of videos of previously performed cases 11 a.m.–12 noon OPD clinics 1st and 3rd 12 noon–1 p.m. Journal Club 2nd and 4th 12 noon–1 p.m. Surgical audit 2 p.m.–4 p.m. Hands-on work on endotrainer

Course Syllabus Instrumentation and allied technology for endoscopic surgery • Cleaning, disinfection and sterilization of endoscopic equipment • Biocompatibility of endoscopic instrumentation • Imaging principles MRI/ CT scanning Ultrasound • Optical systems Endoscopes Video equipments Rigid endoscopes Flexible endoscopes Semi-flexible endoscopes Light sources • Exposure of the operative field Mechanical distension and gasless laparoscopy Hydraulic distension Gas insufflation • Energy systems (for cutting and coagulation) • Therapeutic ultrasound • Gall stone lithotripsy • Access instruments • Hand instruments • Suturing devices • Ligating instruments • Clips and clip appliers • Endostaplers • Organ extraction

53

54

NEPHROLOGY

MINIMAL ACCESS , METABOLIC AND BARIATRIC SURGERY

Video technology for Minimal Access Surgery • Television standards • RGB signal for optimal intraoperative monitor image • Composite and component signal processing • Recording systems • Cameras Single-chip Three-chip Anaesthetic management in endoscopic surgery Operative laparoscopy

Chairperson: Dr D.S. RANA Teaching Coordinator: Dr A SHWANI GUPTA The DNB students attend morning meetings, Journal Clubs, bedside long case discussions, histopathology rounds and seminars. They are also involved in Transplant Clinics and in carrying out various procedures under the supervision of consultants.

Examinations

Diagnostic: Small bowel obstruction, large bowel obstruction, intra-abdominal sepsis, perforation, haemoperitoneum, malignancy, adhesiolysis.

Examinations will be held according to the DNB time-table.

Thoracoscopy: Diagnostic thoracoscopy, lung biopsy, mediastinal lymph node biopsy, treatment of effusion/empyema, pneumothorax, cervical sympathectomy, lobectomy.

Morning Meeting

Upper GI tract: Fundoplication, cardiotomy, oesophageal myotomy, antireflux procedures, oesophageal diverticulum excision, repair of oesophageal perforation, laparoendoscopic transgastric surgery, excision of benign polyps, excision of leiomyomas, gastric ulcer bleeding, bleeding varices, diaphragmatic hernia repair, truncal vagotomy with gastrojejunostomy, laparoscopic pyloroplasty, anterior seromyotomy with posterior truncal vagotomy, highly selective vagotomy, laparoscopic pyloromyotomy. Small bowel: Exploration for obstruction, exploration for perforation, resection and anastomosis for benign strictures. Large bowel: Colectomy, anterior resection, laparoscopic-assisted APR, rectopexy, stapled haemorrhoidectomy. Liver: Liver biopsy, benign cyst excision, abscess drainage. Biliary system: Laparoscopic cholecystectomy, laparoscopic CBD exploration, laparoscopic choledocho-duodenostomy, laparoscopic Roux-en-Y hepaticojejunostomy, laparoscopic triple bypass for advanced pancreatico-biliary malignancy. Pancreas: Laparoendoscopic pancreatic cystogastrostomy and cystojejunostomy, necrostomy. Solid organs: Splenectomy, adrenalectomy, nephrectomy. Hernia repair:

(a) Inguinal hernia repair (i) Total extraperitoneal hernia repair (TEP) (ii) Transabdominal peritoneal hernia repair (TAPP) (b) Ventral abdominal wall hernia repair (i) Intraperitoneal onlay mesh repair (IPOM)

Retroperitoneum: Adrenalectomy, nephrectomy, approach to the ureter, major vessels, vas deferens and undescended testes. Video-assisted vascular surgery: Since March 2004, the Department has launched ‘Endoscopic surgery for morbid obesity’ (Bariatric surgery).

55

The consultants and residents of the Department meet in the Nephrology Duty Room at 9 a.m. for half an hour everyday to discuss the admissions, discharges and any death which may have occurred the previous day.

Journal Club Time: 8:30 a.m.–9:00 a.m., every Thursday Venue: Seminar Room

Bedside Long Case Discussion Time: 9 a.m., every Friday Venue: Seminar Room

Histopathology Round Time: 9:00 a.m., every Tuesday Venue: Department of Pathology This round is held to review all the biopsies done in the past 1 week and teach DNB students the interpretation of a kidney biopsy.

Nephroradiology Round Time: 2:00 p.m.–3:00 p.m., alternate Thursday Venue: Department of Radiology

Seminar Time: 8 a.m.–9 a.m., alternate Monday Venue: Seminar Room The candidates will be given an objective assessment on the various topics covered.

Date

NEUROLOGY AND NEUROSURGERY

NEPHROLOGY

56

Day

57

Topic

Moderator

06.07.09 (Mon)

Transplant immunology

Dr D.S. Rana

20.07.09 (Mon)

Urinary tract infection and reflux nephropathy

Dr A.K. Bhalla

03.08.09 (Mon)

Cystic and development diseases of the kidney

Dr A. Gupta

The curriculum of the Departments aims to make the trainees independent clinicians/consultants. The objectives of the training are that trainees should:

17.08.09 (Mon)

Nephrolithiasis

Dr D. Khullar

•

31.08.09 (Mon)

Urinary tract infections

Dr S. Ojha

•

14.09.09 (Mon)

Renal tubular acidosis

Dr Jyoti Gaikwad

28.09.09 (Mon)

Essential hypertension

Dr Manish Malik

12.10.09 (Mon)

Water treatment for dialysis

Dr D.S. Rana

26.10.09 (Mon)

Bioartificial kidney

Dr A.K. Bhalla

09.11.09 (Mon)

Continuous renal replacement therapies

Dr Ashwani Gupta

23.11.09 (Mon)

Pathogenesis of glomerular disease

Dr D. Khullar

07.12.09 (Mon)

Renovascular hypertension

Dr Sunit Ojha

21.12.09 (Mon)

Growth factors and their application in nephrology

Dr Jyoti Gaikwad

Chairpersons: Dr C.S. AGRAWAL/ Dr RANA PATIR Teaching Coordinators: Dr ANSHU ROHATGI / Dr AJIT S INHA Brief Outline

• • • • •

be acquainted with the current literature on relevant aspects of basic,investigative and clinical neurosciences. have acquired performance skills and the ability to interpret relevant clinical investigations. be able to diagnose, plan investigations and treat common conditions in the specialty by relevant current therapeutic methods. be acquainted with allied and general clinical disciplines to ensure appropriate and timely referral. be acquainted with relevant education delivery systems. be able to identify, frame and carry out research proposals in their specialty. be aware of their limitations.

Emphasis will be ‘on-the-job’ training rather than didactic lectures. Training imparted will be in the form of departmental seminars, Journal Clubs, combined neurology and neurosurgical conferences, bedside case discussions, and practical training in clinical neurophysiology techniques and neuroradiological procedures. Neuroanatomy, neurophysiology and relevant clinical aspects will also be taught in the form of departmental seminars.

Ward Round Time: 9 a.m.–12 noon, daily Venue: 2nd CD Floor (for all consultants)

Major Postings — Ward Posting — Haemodialysis — Transplant Clinic — Operation Theatre — Research — Paediatrics — ICU Posting — All residents attend general OPDs on Wednesdays and Saturdays

National and International Conferences DNB candidates are sent to attend national and international conferences by rotation at least once a year.

In the first six months trainees are expected to know neuroanatomy, neurophysiology, clinical localization and basics of EEG, EMG, nerve conduction/evoked response studies and Doppler studies. By the end of the first year they are expected to know about various disease processes, their pathophysiology, pharmacology, neurochemistry and EEG/EMG changes. The second year is spent reviewing the important literature published in old and new journals and analysing it critically.

Neurobiochemistry and neuroimmunology Didactic lectures will be held by trained professionals to familiarize the trainees with the elements and techniques of neurochemistry and neuroimmunology.

Neuropathology Trainees will get ample opportunity to perform muscle and nerve biopsies, and also to study them with the pathologist. For the brain cutting session, they will attend neuropathology sessions in AIIMS under a trained neuropathologist every Friday. They will be rotated to the Department of Neuropathology either in PGI, Chandigarh or AIIMS to familiarize them with the techniques of grossing, staining procedures, autopsy methods and tissue processing, including frozen sections.

Neuroradiology Training will be imparted through study of clinical cases, participation in techniques as well as clinical radiology conferences.

58

NEUROLOGY AND NEUROSURGERY

Neurosurgery Neurology trainees will be posted/rotated to the Department of Neurosurgery for eight weeks to learn about the neurosurgical aspects of neurology and postoperative care. In addition, there will be a programme with combined neurology/neurosurgery conferences throughout the year.

Neuroanaesthesiology There will be a few didactic lectures common to postgraduates of the Departments of Neurology and Neurosurgery. The major thrust of these lectures will be on the management of coma, life-support systems and monitoring of patients.

Neurophysiology Trainees are required to learn the techniques of application of EEG/EMG and evoked response machines under the guidance of technical assistants and consultants. They are also expected to learn the interpretation of nerve conduction studies, EMG, evoked response and ultrasound during their first year of training, interpretation of EEG records, to report under the guidance of senior colleagues and consultants in the first year and independently in the second year of training.

Requirements To be eligible for the final examinations, candidates are required to have: – a properly indexed log book indicating work done, rotations and internal assessments – one paper, a review of available clinical material and a laboratory-oriented project written in the form of an article for Neurology (India).

Evaluation Teachers concerned with the training of candidates both inside and outside the parent department evaluate them independently. A standardized marking system is followed and the result is entered in a log book. The Course Director averages these independent evaluations and enters the final evaluation.

Teaching Schedule Departmental seminar Combined conference with neurosurgeons Journal Club (Neurology) Neuroradiology conference Conference with the Department of Psychiatry Interdepartmental conference Neuro-otology case conference Neuro-ophthalmology

Academic Programme (Neurology) Time: 3 p.m.–4 p.m., Tuesday, Friday Venue: Seminar Room

Once a week Once in two weeks Once in two weeks Once a week Once a month Once a month Once a month Once a month

NEUROLOGY AND NEUROSURGERY

Date 03.07.09 07.07.09 10.07.09 14.07.09 17.07.09 21.07.09 24.07.09 28.07.09 31.07.09 04.08.09 07.08.09 11.08.09 14.08.09 18.08.09 21.08.09 25.08.09 28.08.09 01.09.09 04.09.09 08.09.09 11.09.09 15.09.09

Day (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues) (Fri) (Tues)

Topic Myasthenia gravis Case Presentation Journal Club Case Presentation Hereditary neuropathy Case Presentation Journal Club Case Presentation Functional brain imaging Case Presentation Journal Club Brain death

Speaker Dr Laxmi Dr Aparna Dr Neeta Dr Rajiv Dr Aparna Dr Neeta Dr Rajiv Dr Laxmi Dr Neeta Dr Rajiv Dr Aparna Dr Laxmi

59

Moderator Dr C.S. Agrawal Dr P.K. Sethi Dr Ish Anand Dr A. Rohatgi Dr R. Ranjan Dr B.K. Mishra Dr A. Rohatgi

HOLIDAY

Muscle dystrophy Case Presentation Journal Club Case Presentation Demyelinating neuropathy Case Presentation Journal Club Case Presentation Myasthenia and myasthenic syndrome 18.09.09 (Fri) Case Presentation 22.09.09 (Tues) Journal Club 25.09.09 (Fri) Case Presenttion 28.09.09 (Mon) HOLIDAY 02.10.09 (Fri) HOLIDAY 06.10.09 (Tues) Journal Club 09.10.09 (Fri) Case Presentation 13.10.09 (Tues) Vision loss 16.10.09 (Fri) Case Presentation 20.10.09 (Tues) HOLIDAY 23.10.09 (Fri) Case Presentation 27.10.09 (Tues) Neurogenic dysphagia 30.10.09 (Fri) Case Presentation 03.11.09 (Tues) Journal Club 06.11.09 (Fri) Case Presentation 10.11.09 (Tues) Aphasia 13.11.09 (Fri) Case Presentation 17.11.09 (Tues) Journal Club 20.11.09 (Fri) Case Presentation 24.11.09 (Tues) Apraxia and agnosia 27.11.09 (Fri) Case Presentation 01.12.09 (Tues) Journal Club 04.12.09 (Fri) Case Presentation 08.12.09 (Tues) Evoked potential

Dr Rajiv Dr Aparna Dr Laxmi Dr Neeta Dr Laxmi Dr Rajiv Dr Aparna Dr Neeta Dr Aparna

Dr C.S. Agrawal

Dr Ish Anand

Dr Neeta Dr Laxmi Dr Rajiv

Dr B.K. Mishra

Dr P.K. Sethi

Dr A. Rohatgi Dr R. Ranjan

Dr Rajiv Dr C.S. Agrawal Dr Aparana Dr Laxmi Dr A. Rohatgi Dr Neeta Dr Rajiv Dr Aparna Dr Laxmi Dr Neeta Dr Rajiv Dr Rajiv Dr Aparna Dr Laxmi Dr Neeta Dr Aparna Dr Rajiv Dr Neeta Dr Laxmi Dr Neeta

Dr B.K. Mishra Dr R. Ranjan Dr P.K. Sethi Dr C.S. Agrawal Dr A. Rohatgi Dr Ish Anand Dr B.K. Mishra

Date 11.12.09 15.12.09 18.12.09 22.12.09 25.12.09 29.12.09

NEUROLOGY AND NEUROSURGERY

NEUROLOGY AND NEUROSURGERY

60

Day (Tri) (Tues) (Fri) (Tues) (Fri) (Tues)

Topic Case Presentation Journal Club Case Presentation Ataxia

Speaker Dr Rajiv Dr Aparna Dr Laxmi Dr Aparna

Moderator Dr R. Ranjan Dr C.S. Agrawal

HOLIDAY

Case Presentation

Time: 1 p.m.–2 p.m., Monday and Thursday Venue: Seminar Room Day (Thur) (Mon) (Thur) (Mon) (Thur)

20.07.09 23.07.09 27.07.09 30.07.09 03.08.09 06.08.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur)

10.08.09 13.08.09 17.08.09 20.08.09 24.08.09 27.08.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur)

31.08.09 03.09.09 07.09.09 10.09.09 14.09.09 17.09.09 21.09.09 24.09.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur) (Mon) HOLIDAY (Thur) Seminar—CVJ anomaly and management (Mon) HOLIDAY (Thur) Journal Club (Mon) Radiology (Thur) Seminar—AVM and its management (Mon) Radiology

28.09.09 01.10.09 05.10.09 08.10.09 12.10.09

Topic Case Presentation Radiology Journal Club Radiology Seminar—neurosurgical trauma and management Radiology Case Presentation Radiology Journal Club Radiology Seminar—Pituitary apoplexy and management of DI Radiology Case Presentation Radiology Journal Club Radiology Seminar—giant aneurysm and management Radiology Case Presentation Radiology Journal Club Radiology Case Presentation

Day (Thur) (Mon) (Thur) (Mon) (Thur)

Topic Speaker Case Presentation Dr Mohit Radiology Dr Gaurav Journal Club Dr Ajay Radiology Dr Mohit Seminar—MMC, pathoDr Gaurav physiology and management

02.11.09 05.11.09 09.11.09 12.11.09 16.11.09 19.11.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur)

HOLIDAY

23.11.09 26.11.09 30.11.09 03.12.09 07.12.09 10.12.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur)

14.12.09 17.12.09 21.12.09 24.12.09 28.12.09 31.12.09

(Mon) (Thur) (Mon) (Thur) (Mon) (Thur)

Dr Neeta

Academic Programme (Neurosurgery)

Date 02.07.09 06.07.09 09.07.09 13.07.09 16.07.09

Date 15.10.09 19.10.09 22.10.09 26.10.09 29.10.09

Speaker Dr Gaurav Dr Rahul Dr Ajay Dr Dharmesh Dr Mohit Dr Gaurav Dr Ajay Dr Dharmesh Dr Gaurav Dr Rahul Dr Ajay Dr Dharmesh Dr Mohit Dr Gaurav Dr Ajay Dr Mohit Dr Dharmesh Dr Gaurav Dr Ajay Dr Mohit Dr Gaurav Dr Ajay Dr Mohit

Moderator

Dr Manish Vaish Dr R. Acharya

Dr S.S. Chhabra Dr Ajit Sinha

Dr V.S. Madan Dr Rana Patir

Moderator

Dr H.N. Aggrawal Dr S. Chopra

Dr V.S. Madan Dr Ajit Sinha

Dr R. Acharya

Dr Rana Patir

Ward Round Venue: Neurology/ Neurosurgery Ward, 4th Floor Neurology: 12 noon–1 p.m., Tuesday and Friday Neurosurgery: 12 noon–1 p.m., Wednesday and Saturday

Postings Dr R. Acharya

Dr Gaurav

Dr Ajay Bhutani

Dr Ajay Dr Mohit Dr Gaurav

Dr Ashish Goyal

Dr Ajay

Case Presentation Dr Ajay Radiology Dr Mohit Journal Club Dr Gaurav Radiology Dr Ajay Seminar—Hydrocephalus, Dr Mohit pathophysiology and management Radiology Dr Gaurav Case Presentation Dr Ajay Radiology Dr Mohit Journal Club Dr Gaurav Radiology Dr Ajay Seminar—Spontaneous Dr Mohit ICH and management Radiology Dr Gaurav Case Presentation Dr Mohit Radiology Dr Ajay Journal Club Dr Gaurav Radiology Dr Mohit Seminar—Ravascularization Dr Ajay of the brain

61

The duration of training is 3 years. Department Neurology Neurosurgery Neuropathology Visit to other institutions Elective (any field of candidate’s choice) Electrophysiology laboratory

Duration 1 year 6 months 8 weeks 4 weeks 6 weeks 6 weeks 3 months

Dr Manish Vaish During posting in the Department of Neurology, the candidate will be required to undertake ward work, consultations, EEG/ EMG/ evoked potential studies, neuroradiology investigations and outpatient clinics.

62

NUCLEAR MEDICINE & BONE DENSITOMETRY

Chairperson: Dr HARSH MAHAJAN Teaching Coordinator: Dr ISHITA B. SEN The Nuclear Medicine Department conducts the DNB course. A teaching schedule is outlined below to impart proper training to the DNB students.

Training Programme Case Reporting

Journal Club Time: 3 p.m.–4 p.m., 2nd and 4th Thursdays Venue: Nuclear Medicine Department Coordinator: Dr Ishita Sen

Lecture Time: 3 p.m.–4 p.m. Venue: Consultants’ Room (Nuclear Medicine) Teaching Coordinator: Dr (Col) J.K. Nath Topic SPECT–CT Gamma camera Modes of radioactive decay Decay of radioactivity Radionuclide production Interaction of radiation Radiation detectors Spectrometry Quality control of gamma camera Image reconstruction PET Physics–I PET Physics–II Staging of tumours Lymph nodal distribution Chemistry of fluorodeoxyglucose (FDG) PET radiopharmaceuticals and their applications 27.10.09 (Tues) RBC blood pool study 03.11.09 (Tues) PET in oncology 10.11.09 (Tues) CT physics

Day (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues)

Topic Anatomy of the liver and lungs Dexa scan MIBG scan—clinical role PET in paediatrics Counting statistics Machine specifications in nuclear medicine Contrast imaging in CT

Speaker Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen

Time: 3 p.m.–4 p.m. Venue: Consultants’ Room (Nuclear Medicine) Moderator: Dr (Col) J.K. Nath

All students and consultants will assemble in the Gamma Camera Room. The cases of the day will be reviewed, discussed and disposed of for final reporting.

Day (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues) (Tues)

Date 17.11.09 24.11.09 01.12.09 08.12.09 15.12.09 22.12.09 29.12.09

63

Seminar

Time: 4 p.m.–5 p.m., all working days Venue: Gamma Camera Room Coordinator: Dr Ishita Sen

Date 07.07.09 14.07.09 21.07.09 28.07.09 04.08.09 11.08.09 18.08.09 25.08.09 01.09.09 08.09.09 15.09.09 22.09.09 29.09.09 06.10.09 13.10.09 20.10.09

NUCLEAR M E D I C I N E A N D BONE D E N S I T O M E T R Y

Speaker Dr Ishita B. Sen Dr Ritu Verma Dr Ethel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ethel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash

Date Day Topic 03.07.09 (Fri) Stress test 10.07.09 (Fri) SPECT in cardiology—indications and applications 17.07.09 (Fri) PET in cardiology 24.07.09 (Fri) Thyroid disorders—pathophysiology and clinical presentation 31.07.09 (Fri) Hypothyroidism—diagnosis and treatment 07.08.09 (Fri) Hyperthyroidism—diagnosis and treatment 21.08.09 (Fri) Carcinoma thyroid–I 28.08.09 (Fri) Carcinoma thyroid–II 04.09.09 (Fri) Somatostatin receptor scintigraphy 11.09.09 (Fri) Captopril renal scintigraphy 18.09.09 (Fri) Renal transplant 25.09.09 (Fri) VQ scan 09.10.09 (Fri) PET in solitary pulmonary nodule 16.10.09 (Fri) SPECT and PET in brain 23.10.09 (Fri) Hepatobiliary scintigraphy 30.10.09 (Fri) GER and oesophageal transit—nuclear scintigraphy 06.11.09 (Fri) Radiation safety–I 13.11.09 (Fri) Radiation safety–II 20.11.09 (Fri) RIA–I 27.11.09 (Fri) RIA–II 04.12.09 (Fri) Preparation of radiopharamceuticals–I 11.12.09 (Fri) Preparation of radiopharamceuticals–II 18.12.09 (Fri) Scan reading

Speaker Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho Dr Swagat Dash Dr S. Dureja Dr Ishita B. Sen Dr Ritu Verma Dr Ehel S. Belho

Tutorial/Case Review and Discussion Time: 3 p.m.–4 p.m. Venue: Gamma Camera Room/ Consultants’ Room, Nuclear Medicine Department Teaching Coordinator: Dr Ishita Sen Date: 1st and 3rd Thursdays of all months Interesting cases of the fortnight will be presented and discussed in detail.

64

OBSTETRICS AND GYNAECOLOGY

Advisor: Dr S.K. BHANDARI Chairperson: Dr I. GANGULI Vice Chairperson: Dr K. GUJRAL Teaching Coordinator: Dr HARSHA KHULLAR

Date 07.07.09 08.07.09 09.07.09 10.07.09 11.07.09

Brief Outline The DNB programme is a 3-year course after internship. Students get training in clinical work; they learn to present cases, participate in Journal Clubs and prepare seminars. They do research and write a dissertation. They work as junior residents and do emergency duties twice a week. Students who have already passed the DGO are trained for one year and are given the work of third-year junior residents. They rotate in different departments for two weeks. They perform various minor and major operations in which seniors assist them.

It is mandatory for the students to maintain a log book.

Examinations Terminal examinations are held every three months. The dates for the external examinations will be set by the National Board of Examinations. Every month on last Saturday an examination is held from the topics discussed.

Academic Programme Journal Club/ Seminar Lecture Ward Round

Auditorium Doctors’ Duty Room, 1st Floor Maternity General Ward

Bedside teaching will be done on the topics for that month Topics for JULY Colposcopy Adolescent problem Multiple pregnancy Normal labour Infertility Date Day Time 01.07.09 (Wed)

Topic

02.07.09 (Thur) 8–9 a.m.

Case presentation (Bedside) Unit–I Cervical cancer screening/ preinvasion lesion of cervix

03.07.09 04.07.09 05.07.09 06.07.09

(Fri) (Sat) (Sun) (Mon) Obst

Speaker

HOLIDAY

Normal labour

12.07.09 13.07.09 14.07.09 15.07.09 16.07.09 17.07.09 18.07.09 19.07.09 20.07.09 21.07.09

Requirements

Venue:

OBSTETRICS AND GYNAECOLOGY

Dr Kotwani

22.07.09 23.07.09 24.07.09 25.07.09 26.07.09 27.07.09 28.07.09 29.07.09 30.07.09 31.07.09

Day Time Topic (Tues) 1:30–2:30 p.m. Paediatric meeting (Wed) (Thur) (Fri) (Sat) Case presentation (Bedside) DUB HOLIDAY (Sun) (Mon) Vaginal discharge P/V (Tues) (Wed) 2–3 p.m. Seminar—Puberty and adolescent problems (Thur) (Fri) Case presentation— infertility (Sat) HOLIDAY (Sun) (Mon) 8–9 a.m. Normal labour continued (Tues) 8–9 a.m. Case presentation—multiple pregnancy (bedside) (Wed) 2–3 p.m. Case presentation— Discharge P/V (Thur) (Fri) (Sat) Monthly examination HOLIDAY (Sun) (Mon) 8–9 a.m. STDs (Tues) (Wed) 2–3 p.m. Journal Club (Thur) (Fri)

65

Speaker

Unit–II

Dr Chadha Dr Deepshikha

Unit–IV-A

Dr Kotwani Unit–III Dr Vrinda

Dr Chadha Dr Neha

Bedside teaching will be done on the topics for that month Topics for AUGUST Menopause Previous LSCS Amenorrhoea Abnormal presentation Contraception 01.08.09 02.08.09 03.08.09 04.08.09 05.08.09 06.08.09

(Sat) (Sun) (Mon) 8–9 a.m. (Tues) (Wed) (Thur) 8–9 a.m.

07.08.09 (Fri) 08.08.09 (Sat)

HOLIDAY

Occipito posterior

Dr Kotwani

HOLIDAY

Case presentation— Unit–I Management of menopause

OBSTETRICS AND GYNAECOLOGY

66

Date 09.08.09 10.08.09 11.08.09 12.08.09 13.08.09 14.08.09 15.08.09 16.08.09 17.08.09 18.08.09 19.08.09

Day (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed)

Time

Speaker

HOLIDAY

8–9 a.m. 1–2:30 p.m.

Contraception Paediatic meeting

Dr Chadha

8–9 a.m. 8–9 a.m.

IUCD/Ligation (Bedside)

Unit–II

HOLIDAY HOLIDAY HOLIDAY

8–9 a.m.

Transverse lie

Dr Kotwani

2–3 p.m.

Seminar—Hormonal contraception

Dr Erum

20.08.09 (Thur) 21.08.09 (Fri) 8–9 a.m. 22.08.09 (Sat) 23.08.09 (Sun) 24.08.09 (Mon) 8–9 a.m. 25.08.09 26.08.09 27.08.09 28.08.09 29.08.09 30.08.09 31.08.09

Topic

OBSTETRICS AND GYNAECOLOGY

(Tues) 8–9 a.m. (Wed) 2–3 p.m. (Thur) (Fri) (Sat) (Sun) (Mon) 8–9 a.m.

Case presentation— Pr. amenorrhoea

Unit–IV-B

HOLIDAY

Secondary amenorrhoea

Dr Chadha

Previous LSCS (Bedside) Unit–III Breech (Case presentation) Dr Deepshikha

Monthly examination HOLIDAY

Unstable lie/shoulder presentation

Dr Kotwani

Bedside teaching will be done on the topics for that month Topics for SEPTEMBER Disease of the urinary system Preterm labour 01.09.09 02.09.09 03.09.09 04.09.09 05.09.09 06.09.09 07.09.09 08.09.09 09.09.09 10.09.09

(Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur)

2–3 p.m. 8–9 a.m.

Molar pregnancy RPL

GDM Hysteroscopy

Seminar—Molar pregnancy Dr Rimple RPL (Case presentation) Unit–I HOLIDAY

8–9 a.m. UTI in pregnancy (Bedside) Dr Chadha 1:30–2:30 p.m. Paediatric meeting 8–9 a.m.

Date Day 11.09.09 (Fri) 12.09.09 (Sat)

67

Time

Topic

Speaker

8–9 a.m.

Ureter/urodynamics and physiology of micturition

Unit–II

8–9 a.m.

Obstetrics—shoulder dystocia Dr Kotwani

2–3 p.m.

GDM (Case presentation)

Dr Erum

8–9 a.m.

Hysteroscopy (Bedside)

Unit–V

13.09.09 14.09.09 15.09.09 16.09.09 17.09.09 18.09.09 19.09.09 20.09.09 21.09.09 22.09.09 23.09.09 24.09.09

(Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur)

25.09.09 26.09.09 27.09.09 28.09.09 29.09.09 30.09.09

(Fri) (Sat) (Sun) (Mon) (Tues) 8–9 a.m. (Wed)

HOLIDAY

HOLIDAY HOLIDAY

8–9 a.m. 2–3 p.m. 8–9 a.m.

Preterm labour Unit–III Journal Club Dr Vrinda Bleeding in early pregnancy Unit–II (Case presentation) HOLIDAY HOLIDAY HOLIDAY

Monthly examination

Bedside teaching will be done on the topics for that month Topics for OCTOBER CA endometrium Jaundice in pregnancy/ Anaemia in pregnancy Ectopic pregnancy IUGR Prolapse 01.10.09 02.10.09 03.10.09 04.10.09 05.10.09 06.10.09 07.10.09 08.10.09 09.10.09 10.10.09 11.10.09 12.10.09 13.10.09 14.10.09 15.10.09 16.10.09

(Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri)

1st Clinical Meeting HOLIDAY

HOLIDAY

8–9 a.m.

Jaundice in pregnancy

Dr Chadha

2–3 p.m. 8–9 a.m.

Seminar—CA endometrium Dr Vrinda IUGR Unit–I

HOLIDAY

8–9 a.m. Instrumental delivery 1:30–2:30 p.m. Paediatic meeting

Dr Kotwani

8–9 a.m.

Unit–II

Prolapse

OBSTETRICS AND GYNAECOLOGY

68

Date 17.10.09 18.10.09 19.10.09 20.10.09 21.10.09 22.10.09 23.10.09 24.10.09 25.10.09 26.10.09 27.10.09 28.10.09

Day (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed)

Time

Topic

OBSTETRICS AND GYNAECOLOGY

Speaker

HOLIDAY HOLIDAY

8–9 a.m. 2–3 p.m.

Anaemia in pregnancy

Dr Chadha

Prolapse (Case presentation) Dr Rimple Unit–IV-A HOLIDAY

8–9 a.m. 8–9 a.m. 2–3 p.m.

29.10.09 (Thur) 30.10.09 (Fri) 31.10.09 (Sat)

Destructive operations Dr Kotwani Antepartum foetal surveillace Unit–III Ectopic pregnancy Dr Vrinda (Case presentation)

Monthly examination

Bedside teaching will be done on the topics for that month Topics for NOVEMBER Fibroid PIH VVF DUB PROM Mass abdomen Heart disease in pregnancy 01.11.09 02.11.09 03.11.09 04.11.09 05.11.09

(Sun) 8–9 a.m. (Mon) (Tues) (Wed) 2–3 p.m. (Thur) 8–9

06.11.09 07.11.09 08.11.09 09.11.09 10.11.09 11.11.09 12.11.09 13.11.09 14.11.09 15.11.09 16.11.09 17.11.09 18.11.09

(Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed)

19.11.09 (Thur)

HOLIDAY

Seminar—PROM/ PPROM Heart disease in pregnancy (Bedside)

Dr Neha Unit–I

HOLIDAY

8–9 a.m. DUB 1:30–2:30 p.m. Paediatic meeting

8–9 a.m.

Fibroid uterus

Dr Chadha

Unit–II

HOLIDAY

8–9 a.m.

D&C

1:30–2:30 p.m. Mass abdomen (Case presentation)

Dr Kotwani Dr Deepshikha

Date 20.11.09 21.11.09 22.11.09 23.11.09 24.11.09 25.11.09 26.11.09 27.11.09 28.11.09 29.11.09 30.11.09

Day (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon)

Time 8–9 a.m.

Topic Male infertility

69

Speaker Unit–IV-B

HOLIDAY

8–9 a.m. VVF 8–9 a.m. PIH (Case presentation) 1:30–2:30 p.m. Journal Club 8–9 a.m.

Dr Chadha Unit–III Dr Rimple

Monthly test HOLIDAY

8–9 a.m.

ECV/interval podilic version Dr Kotwani

Bedside teaching will be done on the topics for that month Topics for DECEMBER Adnexal mass Epilepsy in pregnancy Laparoscopy Carcinoma vulva APH PID PPH 01.12.09 02.12.09 03.12.09 04.12.09 05.12.09 06.12.09 07.12.09 08.12.09 09.12.09 10.12.09 11.12.09 12.12.09 13.12.09 14.12.09 15.12.09 16.12.09

(Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed) (Thur) (Fri) (Sat) (Sun) (Mon) (Tues) (Wed)

1:30–2:30 p.m. Carcinoma vulva 8–9 a.m. APH (Case presentation)

Dr Deepshikha Unit–I

HOLIDAY

8–9 a.m. PID 1:30–2:30 p.m. Paediactric meeting

Dr Chadha

8–9 a.m.

Unit–II

Epilepsy in pregnancy HOLIDAY

8–9 a.m.

Abnormal labour

1:30–2:30 p.m. Adnexal mass (Case presentation)

17.12.09 (Thur) 18.12.09 (Fri) 8–9 a.m. Laparoscopy 19.12.09 (Sat) HOLIDAY 20.12.09 (Sun) 21.12.09 (Mon) 8–9 a.m. Ca vulva/vagina 22.12.09 (Tues) 23.12.09 (Wed) 1:30–2:30 p.m. Seminar—PIH 24.12.09 (Thur) HOLIDAY 25.12.09 (Fri) 26.12.09 (Sat) Monthly examination

Dr Kotwani Dr Erum

Unit–V

Dr Chadha Unit–III Dr Rimple

OPHTHALMOLOGY

OBSTETRICS AND GYNAECOLOGY

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Date Day 27.12.09 (Sun) 28.12.09 (Mon) 29.12.09 (Tues) 30.12.09 (Wed) 31.12.09 (Thur)

Time

Topic

Speaker

HOLIDAY

8–9 a.m.

Deep transverse arrest

Dr Kotwani

1:30–2:20 p.m. Seminar—Germ cell tumour Dr Neha

* There will be monthly tests on last Saturday or the month from the topics covered in that month. Case presentations will be according to the availability of the cases. The following cases will be discussed: Obstetrics APH PIH Twins Hydramnios Breech Transverse lie IUGR DM Heart disease Anaemia BOH Prematurity Jaundice Puerperium Unit–I Unit–II Unit–III Unit–IV-A Unit–IV-B Unit V

Gynaecology DUB Fibroid Prolapse VVF Carcinoma cervix Carcinoma body of the uterus Adnexal mass (carcinoma ovary/ PID/ ectopic) Tuberculosis Cervical erosion Vaginal discharge Carcinoma of the vulva Postoperative cases Cervical dysplasia

Dr I. Ganguli/ Dr Mala Srivastava/ Dr Mamta Dagar Dr S.K. Bhandari/ Dr H. Khullar/ Dr Geeta/ Dr Kanika/ Dr Neeti Dr K. Gujral/ Dr Chandra/ Dr Nidhi Dr M. Kochhar/ Dr Sandeep Talwar Dr Abha/ Dr Shweta Dr Vivek Marwah/ Dr Punita Bhardwaj (Endoscopic Surgery)

Postings Postgraduates are posted in the Departments of Neonatology and Ultrasound for two weeks each, and in the ICCU, ICU, Department of Nephrology and laboratories for one week each.

71

Chairperson: Dr A.K. GROVER Teaching Coordinator: Dr S.N. JHA The teaching schedule of the Department of Ophthalmology will include regular lectures by the consultants of the Department, clinical teaching by the senior residents and presentation of seminars and Journal Clubs by residents. Residents also present clinical cases of interest in the presence of the faculty of the Department.

Fellow of National Board (FNB) in Vitreo retina Every 2nd Staturday there will be a V.R. Case pesentation from 8.00 a.m. to 9.00 a.m. and on every 4th Saturday there will be a Journal Club presented by a Vitreo retina Fellow of the National Board.

Requirements All students are required to maintain log books which document both minor clinical procedures carried out in the OPD and surgical procedures in the Operation Theatre.

Examinations Examinations are held on every 3rd Saturday from 2 p.m. to 4 p.m.

Academic Programme Daily clinical classes are held in the OPD where residents present short cases to the consultant. The evening round on new admissions is supervised by a senior resident. Cases of clinical interest, Journal Clubs and seminars are presented by the residents on Wednesday.

Academic Schedule DNB Residents Dr Gagan Dr Parul Singh Dr Pallavi Raj

1 2 3

Dr Garima Dr Shivani Anand Dr Neetu Negi

4 5 6

New Resident 1 New Resident 2

NR 1 NR 2

New Resident 3 New Resident 3

NR 3 NR 4

Vitreo Retina Fellows Fellow-1 Fellow-2

Dr Nidhi Tanwar Dr Paromita Dutta

OPHTHALMOLOGY

OPHTHALMOLOGY

72

Date Day 01.07.09 (Wed)

Symp

08.07.09 (Wed)

CP

15.07.09 (Wed)

Symp

22.07.09 (Wed)

CP

29.07.09 (Wed)

Symp

05.08.09 (Wed)

CP

12.08.09 (Wed)

Symp

26.08.09 (Wed)

Symp

02.09.09 (Wed)

CP

09.09.09 (Wed)

Symp

16.09.09 (Wed)

CP

23.09.09 (Wed)

Symp

30.09.09 (Wed)

JC

07.10.09 (Wed)

Symp

14.10.09 (Wed)

CP

21.10.09 (Wed)

Symp

29.10.09 (Wed)

CP

04.11.09 (Wed)

Symp

11.11.09 (Wed)

CP

18.11.09 (Wed)

Symp

25.11.09 (Wed)

JC

Topic Moderator Colour vision: Physiology and anomalies 1 Tests of colour vision 2 5 6 Errors of refraction 3 Myopia, HMIA 4 1 2 IIIrd nerve palsy: Anatomy and causes 5 Clinical features and management 6 3 4 Cranial nerve palsy IV (Fourth) 2 VI (Sixth) 1 Papilloedema: Aetiology and presentation 4 Management 3 1 2 Optic neuritis: Clinical features and prognosis 6 Management 5 3 4 Miscellaneous optic neuropathies Toxic NR 1 Drug NR 3 SR 2 AION Aetiology and clinical features NR 2 Diagnosis and management NR 4 1 2 Pupil Anisocoria: Classification, work-up NR 3 Horner, Adie, ARP NR 1 4 3 Disorders of chiasma Pituitary adenoma NR 4 Craniopharyngioma and meningioma NR 2 5 6 Nystagmus: Classification and causes 1 Management 2 SR NR1

Date Day 02.12.09 (Wed)

Symp

09.12.09 (Wed)

CP

16.12.09 (Wed)

Symp

23.12.09 (WD)

CP

30.12.09 (Wed)

Symp

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Topic Anterior segment trauma Cornea and lens Iris, hyphema, glaucoma

Moderator 3 4 2 1

Posterior segment trauma: Pathophysiology Management of retinal detachment and supra-choroidal haemorrhage following trauma

5 6

4 3 Orbital trauma: Classification, evaluation Management

NR 1 NR 2

Consultant's Lecture Date 07.07.09 05.08.09 07.09.09 12.10.09 10.11.09 02.12.09 28.12.09

Day (Tues) (Wed) (Mon) (Mon) (Tues) (Wed) (Mon)

Topic Ectropion/ entropion management CME Multifocal intraoccular lens (IOLs) C/C of contact lens Management of blunt ocular trauma Complications of vitrectomy LASIK/ EPILASIK

Speaker Dr A.K. Grover Dr S.N. Jha Dr H. Lal Dr Shalini Mohan Dr Shaloo Dr Tinku Bali Dr Ashima

Lectures will be held from 8 a.m. to 9 a.m. on respective days.

Vitreo Retina Date 11.07.09 25.07.09 15.08.09 29.08.09 12.09.09 26.09.09 10.10.09 24.10.09 14.11.09 28.11.09 12.12.09 26.12.09

Topic Case Presentation Journal Club Case Presentation Journal Club Case Presentation Journal Club Case Presentation Journal Club Case Presentation Journal Club Case Presentation Journal Club

Speaker Fellow–1 Fellow–2 Fellow–2 Fellow–1 Fellow–1 Fellow–2 Fellow–2 Fellow–1 Fellow–1 Fellow–2 Fellow–2 Fellow–1

Ward Round Ward round by Senior Residents every Monday and Friday from 6 p.m. to 7 p.m.

74

ORTHOPAEDICS

ORTHOPAEDICS

75

Head of the Department: Dr S.P. MANDAL Teaching Coordinator: Dr SHANKAR ACHARYA

Date Day 27.08.09 (Thur)

Topic Fracture of the pelvis

Presenter Dr Lokesh

03.09.09 (Thur) 10.09.09 (Thur)

Acetabulum fracture Dislocation and fracture of the hip

Dr Nikunj Dr Daman

Requirements

17.09.09 (Thur)

Femoral and distal femoral fractures

Dr Siddhant

The students will maintain books in which all cases presented, lectures/ seminars/ Journal Clubs and emergencies attended during duties will be recorded. The log book will be checked once a week by the Head of the Unit and once a month by the Head of the Department.

24.09.09 (Thur) 01.10.09 (Thur)

Patella and proximal tibial fractures Fractures of the ankle and tibia shaft

Dr Deepak Dr Umair

08.10.09 (Thur)

Principle of nomunion and malunion

Dr Lokesh

15.10.09 (Thur) 22.10.09 (Thur)

Biomechanics of the spine Fractures of the cervical spine

Dr Nikunj Dr Daman

29.10.09 (Thur)

Fracture of dorsal and lumbar spine

Dr Siddhant

05.11.09 (Thur) 12.11.09 (Thur)

Disc degeneration Spinal stenosis

Dr Deepak Dr Umair

19.11.09 (Thur)

Failed back syndrome

Dr Lokesh

26.11.09 (Thur) 03.12.09 (Thur)

Spondylolisthesis Congenital amomalies of the spine

Dr Nikunj Dr Daman

10.12.09 (Thur) 17.12.09 (Thur)

Scoliosis Fractures in children—I and II

Dr Siddhant Dr Deepak

24.12.09 (Thur)

Orthosis and prosthesis

Dr Umair

31.12.09 (Thur)

Principles of amputations

Dr Lokesh

Attendance A minimum attendance of 75% is needed for all the above-mentioned disciplines in the Orthopaedic Training Schedule, failing which DNB students will not be issued the certificate necessary to appear in the examination.

Radiology Conference Each postgraduate will be required to attend the Radiology Conference held every week on Thursday. Postgraduates are also required to attend an interdisciplinary clinical meeting of all the departments in the hospital held once a month. They will also attend other disciplines as per schedule in the DNB course rotation.

Examinations

Grand Round

A theory test is held on the last Friday of February, April, June, August, October and December covering topics according to the schedule.

There will be a Grand Round of 2 hours once a month conducted by Dr S.P. Mandal.

Seminar/ Journal Club

Case Demonstration

Time: 8 a.m.–9 a.m., Wednesday Venue: Auditorium, Hall B Moderator: Dr Shankar Acharya

Time: 11:30 a.m.–12:30 p.m., Thursday Venue: Auditorium, Hall B Moderator: Dr R. Bhalla

Time: 11 a.m.–12 noon Case demonstration will be held during every general OPD from Monday to Saturday. Each postgraduate will present a case attached to the particular unit conducting the OPD. This will be followed by a Ward Round.

Date Day 02.07.09 (Thur)

Topic Presenter MRI and other imaging in orthopaedics Dr Deepak

09.07.09 (Thur)

Bone graft and substitutes

Dr Umair

Ward Round

16.07.09 (Thur) 23.07.09 (Thur)

Fracture healing Principles of internal fixation

Dr Lokesh Dr Nikunj

Venue: Starts from B Block, 3rd Floor The ward round is taken every day at a time specified for each unit.

30.07.09 (Thur)

Open fractures

Dr Daman

06.08.09 (Thur) 13.08.09 (Thur)

Compartment syndrome Fractures of shoulder girdle and lumens

Dr Siddhant Dr Deepak

20.08.09 (Thur)

Fracture and dislocations of elbow and forearm

Dr Umair

Day/Unit

Time

Monday/ Unit–I

12 noon–1 p.m.

Tuesday/ Unit–II 12 noon–1 p.m. Wednesday/ Unit–III 12 p.m.–3 p.m.

Supervisor(s) Dr Bhalla/ Dr Sarabjeet Dr Nijhawan/ Dr Manish Dr Mandal/ Dr Chadha/ Dr Vasdev

OTORHINOLARYNGOLOGY (ENT)

ORTHOPAEDICS

76

Day/Unit

Time

Supervisor(s)

Thursday/ Unit–IV

1 p.m.–2 p.m.

Dr O.N. Nagi

Friday/ Spine Unit

12 noon–1 p.m.

Dr K.L. Kalra/ Dr S. Acharya/ Dr R.S. Chahal Dr V.B. Bhasin/ Dr Amarjeet/ Dr Prateek K. Gupta

Saturday/ Unit–VI

2 p.m.–3 p.m.

Senior Resident Teaching All senior residents will take regular ward rounds with DNB students for bedside teaching. The senior residents will take one class per week in rotation.

Postings Each postgraduate is posted in the following departments: Department

Duration

Plastic Surgery General Surgery Neurosurgery

One month One month One month

Each postgraduate will be on night duty as well as daytime emergency duty, which will include casualty work at least twice a week.

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Chairperson: Dr AJAY SWAROOP Teaching Coordinator: Dr A.K. L AHIRI Brief Outline The DNB course in ENT is spread over 3 years. The aim is to produce a complete Ear, Nose and Throat Specialist, well-versed in the theoretical aspects, as well as a competent and safe surgeon. An attempt is made during the period of the course to impart an overview of the standard teachings as well as recent advances in the specialty. The student is actively involved in various surgical procedures and total patient care, ranging from OPD work-up, writing of case records, surgery and postoperative care. The faculty members are ever willing to take regular classes, ward rounds and share their experiences with the student. A well-equipped Temporal Bone Laboratory is maintained by the Department, where postgraduate students are provided hands-on training in various microsurgical procedures on cadaveric temporal bone, under the supervision of consultants.

Requirements The DNB student maintains a log book in which all cases seen and discussed, all operations assisted or performed, are entered and countersigned by the consultant. The student is supposed to attend the hospital 6 days a week from 8 a.m. to 4 p.m. The student does one emergency duty per week on an average, with Sunday duty by rotation.

Examinations Every two months, a multiple choice examination of the topics covered is held and grades are assigned. Every six months, a clinical examination consisting of long and short cases, is taken.

Case Discussion Time: 1:15 p.m.–2:15 p.m., alternate Monday Venue: ENT OPD, Lecture Hall B, Nurses’ Hostel

Journal Club Time: 1:15 p.m.–2:15 p.m., alternate Thursday Venue: ENT OPD, Lecture Hall B, Nurses’ Hostel Journals discussed: Journal of Otolaryngology Laryngoscope ENT Clinics of North America Archives of Otolaryngology

78

OTORHINOLARYNGOLOGY

(ENT)

Postings Each student is posted by rotation for 2 weeks in ancillary departments such as Pathology, Haematology and Radiology.

Seminar Time: 1:30 p.m.–2:30 p.m., alternate Thursday Venue: Lecture Hall B, Nurses’ Hostel Date 02.07.09 09.07.09 16.07.09 23.07.09 30.07.09 06.08.09 13.08.09 20.08.09 27.08.09 03.09.09 10.09.09 17.09.09 24.09.09 01.10.09 08.10.09 15.10.09 22.10.09 29.10.09 05.11.09 12.11.09 19.11.09 26.11.09 03.12.09 10.12.09 17.12.09 24.12.09 31.12.09

Day (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur)

Topic Thesis checking Journal Club Journal Club Seminar I Bedside case presentation Case discussion Case discussion Seminar II Journal Club Bedside case presentation Case discussion Case discussion Seminar II Journal Club Seminar II Bedside case presentation Case discussion Journal Club Case discussion Bedside case presentation Journal Club Thesis checking Journal Club Journal Club Bedside case presentation Journal Club Theory examination

1st teaching day of every month: Theory/practical examination

Date 20.07.09 27.07.09 03.08.09 10.08.09 17.08.09 24.08.09 31.08.09 07.09.09 14.09.09 21.09.09 28.09.09 05.10.09 12.10.09 19.10.09 26.10.09 02.11.09 09.11.09 16.11.09 23.11.09 30.11.09 07.12.09 14.12.09 21.12.09 28.12.09

Day (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon) (Mon)

( ENT)

Time: 1:30 p.m.–2:30 p.m., alternate Monday Venue: Lecture Hall B, Nurses’ Hostel Day (Mon) (Mon)

Subject Case discussion Seminar I

79

Subject Bedside case discussion Case discussion Seminar II Journal Club Case discussion Case discussion Bedside case discussion Journal Club Case discussion HOLIDAY HOLIDAY

Journal Club Case discussion Case discussion Bedside case discussion HOLIDAY

Journal Club Case discussion Case discussion Journal Club Case discussion Case discussion Thesis checking Practical examination

1st teaching day of every month: Theory/practical examination

Ward Round Time: 9 a.m.–11 a.m. Venue: ENT General Ward Day Mon/ Thur Tues/ Fri Wed/ Sat

Supervisor Dr Ajay Swaroop/ Dr Anil K. Monga/ Dr Alok Agarwal Dr A.K. Lahiri/ Dr Shalabh Sharma Dr K.D. Gupta/ Dr Nitin

General OPD Time: 9 a.m.–11 a.m.

Lecture

Date 06.07.09 13.07.09

OTORHINOLARYNGOLOGY

Day Mon Tues/ Fri Wed/ Sat Thurs

Unit Dr A.K. Monga / Dr Nitin Aggarwal Dr Ajay Swaroop/ Dr Alok Agarwal Dr A.K. Lahiri/ Dr Shalabh Sharma Dr Devender Rai/ Dr Manish Munjal

80

PATHOLOGY

Chairperson: Dr N.C. NAYAK

PATHOLOGY

81

Academic Schedule for DNB students Venue: Department of Pathology

The Department of Pathology started the DNB course in June 2001; 1 to 2 new candidates are admitted in June every year. Besides a wide range of academic activities designed for DNB trainees in Pathology as detailed below, the Department also provides academic inputs in various running and ad hoc academic programmes of the hospital involving individual and combined disciplines. DNB pathology trainees are required to participate in the following programmes: •

Gross specimen conference

•

Histopathology slide conference

•

Cytopathology slide conference

•

Haematology seminar

•

Journal Club

•

Student seminars on current topics of interest Pathology meeting: Case discussions on clinicopathological aspects Neuropathology in neurosciences Liver transplant pathology conference Clinicopathological conference (CPC) Clinical meeting

•

• • • • •

Slide seminar on nephropathology with nephrology residents

12 noon–1 p.m. on the 1st Monday of the month 12 noon–1 p.m. on the 2nd Friday and 4th Thursday of the month 12 noon to 1 p.m. on the 3rd Friday of the month Once a month (Haematology Department) 2:30 p.m.–3:30 p.m. on the 2nd Thursday of the month Conference Room (Administration) Twice a week (Pathology Department) 2:15 p.m.–3.15 p.m. on the 1st and 3rd Thursday of the month 1–2 p.m. on every Monday and Thursday of the month Twice a month 2:30 p.m.–3:30 p.m., 6 times a year 11:30 a.m.–12:30 p.m. on every Tuesday and Friday of the month 9 a.m.–10 a.m. on every Tuesday of the month (Pathology Department)

DNB trainees from following disciplines are posted for short term in the department. • • • • •

Orthopaedic pathology Obstetric and gynaecological pathology Ophthalmic pathology Gastrointestinal pathology ENT

Date 02.07.09 06.07.09 09.07.09 10.07.09 18.07.09 22.07.09 23.07.09 03.08.09 06.08.09 12.08.09 13.08.09 22.08.09 26.08.09 27.08.09 07.09.09 03.09.09 10.09.09 11.09.09 19.09.09 23.09.09 24.09.09 01.10.09 05.10.09 08.10.09 09.10.09 16.10.09 21.10.09 22.10.09 03.11.09 05.11.09 12.11.09 13.11.09 21.11.09 25.11.09 26.11.09 03.12.09 07.12.09 10.12.09 11.12.09 19.12.09 23.12.09 24.12.09

Topic Thursday Pathology meeting Gross conference Journal Club Histopathology slide seminar Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar Gross conference Thursday Pathology meeting Histopathology slide seminar Journal Club Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar Gross conference Thursday Pathology meeting Journal Club Histopathology slide seminar Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar Thursday Pathology meeting Gross conference Journal Club Histopathology slide seminar Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar Gross conference Thursday Pathology meeting Journal Club Histopathology slide seminar Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar Thursday Pathology meeting Gross conference Journal Club Histopathology slide seminar Cytopathology slide seminar Haematology slide seminar Histopathology slide seminar

Moderator Dr Shashi Dhawan Dr S. Roy Dr Somika/ Dr V. Kumar Dr Shashi Dhawan Dr K. Verma Dr A. Saraf Dr Varsha Dr P. Chopra Dr S. Jain Dr S. Jain Dr Aruna/ Dr P. Chopra Dr P. Bakshi Dr V. Kumar Dr P. Chopra Dr S. Jain Dr P. Chopra Dr Moumita/ Dr S.Jain Dr S. Bhalla Dr K. Verma Dr S. Narayan Dr S. Roy Dr Varsha Manucha Dr Sunita Bhalla Dr Shashi/ Dr Swasthi Dr Shashi Dhawan Dr K. Verma Dr Tina Dr Varsha Manucha Dr Shashi Dhawan Dr S. Bhalla Dr Amrita/ Dr Bhawna Dr Sunila Jain Dr P. Bakshi Dr V. Kumar Dr P. Chopra Dr S. Roy Dr Varsha Manucha Dr Pooja/ New Resident Dr S. Bhalla Dr K. Verma Dr Amrita Dr S. Roy

PLASTIC AND COSMETIC SURGERY

PATHOLOGY

82

Journal Club

Chairperson: Dr R.K. KHAZANCHI

Time: 2:15–3:15 p.m., every second Thursday Venue: Board Room

Teaching Coordinator: Dr M AHESH MANGAL

Date 09.07.09 06.08.09 10.09.09 08.10.09 12.11.09

Speaker Dr Somika Dr Aruna Dr Maumita Dr Swati Dr Bhavna

Moderator Dr Vijay Kumar Dr P. Chopra Dr Sunila Jain Dr Shashi Dhawan Dr Amrita

The Department of Plastic Surgery has 4 units. The Department comprises an Emeritus consultant, 3 senior consultants, 1 associate consultant, 5 junior consultants and 2 clinical assistants. The Department is recognized for DNB training and 3 postgraduates are attached to it. There is 1 regular registrar in the Department and, occasionally, 1 postgraduate on rotating duty from the Department of General Surgery. There is a Surgical Skills centre with an operating microscope to learn microvascular surgery and endotrainer to learn endoscopic surgery.

Seminar Time: 11 p.m.–12 noon, Monday Venue: Department of Pathology Date 06.07.09 13.07.09 20.07.09 27.07.09 03.08.09 10.08.09 17.08.09 24.08.09 31.08.09 07.08.09 14.09.09 05.10.09 12.10.09 19.10.09 26.10.09 09.11.09 16.11.09 23.11.09 30.11.09

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Topic Solid ovarian tumours Cystic ovarian tumours Cytological evaluation of ovarian tumours Polycystic ovary syndrome Preneoplastic lesions of the cervix HPV vaccination Advances in gynaecological cytology Hormones, endometrial hyperplasia and cancers Trophoblastic tumours and tumour-like conditions Proliferative breast disease Reporting and staging of breast cancer Liver abscess—pathology and pathogenesis Pathogenesis and pathology of alcoholic liver disease Sequelae of hepatitis B and C infection Gross, microscopic and laboratory diagnosis of HCC Pathogenesis of pancreatitis Unusual tumours of the pancreas Non-neoplastic and neoplastic lesions of the gall bladder Differential diagnosis and pathology of pseudomyxoma peritonei

Seminars will be presented by the DNB students and moderated by the Consultants.

The ward round in the units starts at 9 a.m. on Monday, Wednesday and Fridays. The Department has three operating days on Tuesday, Thursday and Saturday. The Department runs a charity project—Smile Train Sir Ganga Ram Hospital Celft Project for free operations of poor patients with cleft lip and palate. The Department conducts its academic meetings on Mondays, Fridays and on second Wednesdays. The faculty takes part in delivering lectures and coordinating seminars with DNB students.

Brief Outline of the Academic Programme The curriculum of the Department of Plastic Surgery aims to make the trainees independent surgeons with basic training and knowledge of Plastic Surgery. The trainee is required to do the following: • • • • •

• •

To be highly competent in the field of Plastic Surgery To be able to function independently as a Plastic Surgeon in a teaching or non-teaching hospital To acquire skills to diagnose, investigate, plan and execute surgical treatment of patients requiring plastic surgical procedures To acquire skills to do basic and clinical research in Plastic Surgery To acquire teaching skills to be able to propagate Plastic Surgery and transfer knowledge and technical skills to postgraduates, undergraduates and nursing students To acquire the ability for self-learning, critical appraisal of the literature and modern developments in Plastic Surgery To be competent in the intensive and subsequent care of severe burnpatients.

Teaching Schedule Cleft lip and palate clinic Departmental seminar Journal Club

11 a.m.–12 noon, Wednesday 1 p.m.–2 p.m. Friday, twice a month 1 p.m.–2 p.m. Friday, twice a month

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PLASTIC AND COSMETIC SURGERY

Clinical presentation Monthly Audit

1 p.m.–2 p.m., every Monday 2nd Wednesday, every month

Syllabus General principles

• • • • • • • • • • • • • • • • • • • • •

History of Plastic Surgery and its broad scope at present Anatomy and function of the skin Split-skin grafts and full-thickness skin grafts, their ‘take’ and subsequent behaviour Local skin flaps Pedicled skin flaps and tubes Unstable scar and scar contracture Care of wounds, dressings, techniques and splints Wound healing Grafts—fat, fascia, tendon, nerve, cartilage and bone Infective skin gangrene Hospital infections Suture materials Surgical instruments Implant materials used in Plastic Surgery Principles of genetics and general approach to the management of congenital malformations Flaps—fasciocutaneous, muscle, musculocutaneous, osteomyocutaneous Local anaesthesia, nerve blocks, regional anaesthesia Principles of anaesthesia for infants, adults, hypothermia, hypotensive anaesthesia Tissue expansion Keloids, hypertrophic scars Endoscopy in Plastic Surgery

Face

• • • • • • • • • • •

Growth and developmental changes in the face, anatomy of the facial skeleton Structure and development of the teeth Leprosy deformities of the face Temporomandibular joint dysfunctions Fractures: Nose, maxilla, mandible, zygoma, orbit—early management and treatment of sequelae Corrective rhinoplasty Reconstructive rhinoplasty Facial paralysis Reconstruction of the external ear Reconstruction of the eyelids, ptosis Congenital deformities of the face and jaw bone

PLASTIC AND COSMETIC SURGERY

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Cleft lip and palate and craniofacial anomalies

• • • • • • • •

Embryology of the head and neck (excluding central nervous system) Regional anatomy of the head and neck Embryogenesis of cleft lip and palate Cleft lip and palate, alveolar clefts Velopharyngeal incompetence Orthodontics, speech therapy in cleft lip and palate Principles of craniofacial surgery Rare craniofacial clefts, Tessier, clefts, craniosynostosis, hypertelorism, craniofacial microsomia

Tumours of the head and neck and skin

• • • • • • • •

Vasoformative lesions of the skin and adnexae Jaw tumours Cancer of the upper aerodigestive system Reconstruction of the mandible Reconstruction of the maxilla Malignant and benign tumours of the head and neck Tumours of the skin Principle of prosthetic replacement of jaw defects

Trunk

• • •

Reconstruction of full-thickness defects of the abdomen and thorax Decubitus ulcer Breast reconstruction

Aesthetic surgery • • • • • • • •

Chemical peeling and dermabrasion Blepharoplasty Face lift Abdominoplasty Body contouring, liposuction Reduction mammoplasty Augmentation mammoplasty Lasers in Plastic Surgery

Lower extremity

• • • •

Functional anatomy of the foot Lymphoedema Reconstructive surgery of the lower extremity Leprosy deformities of the leg and foot

Genitourinary system

•

Embryology of the male and female external genitalia

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• • • • • •

PLASTIC AND COSMETIC SURGERY

Anatomy of the male and female external genitalia Hypospadias Epispadias and ectopia vesicae Reconstruction of the external genitalia Vaginoplasty Trans-sexualism (intersex)

Hand

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Functional anatomy of the hand Embryology of the upper extremities Examination of the hand General principles of hand surgery Principles of reconstruction in mutilating hand injuries Treatment of acute hand injuries Principles of treatment of old and neglected hand deformities Rheumatoid arthritis of the hand Hand infections Flexor tendon injuries Extensor tendon injuries Congenital deformities of the hand, finger and thumb Peripheral nerve injuries: Electrodiagnostic tests Rehabilitation after hand injuries: Prosthesis Fractures and dislocation of the hand—metacarpals and phalanges Fingertip injuries Nail—injuries, grafting Problem of small joints Nerve compression syndromes Surgery for the spastic and tetraplegic hand Vasospastic disorders of the hand Ischaemic conditions of the upper extremity Dupuytren disease Finger pollicisation Thumb reconstruction Lymphoedema in the upper extremity Tendon transfers for radial, ulnar and median nerve injuries Brachial plexus injury Innervated flaps Physiotherapy in the upper limb Leprosy deformity of the hand Benign and malignant tumours of the hand

Microsurgery

• • • •

Principles of microsurgery and its applications in Plastic Surgery Reimplantation and revascularization surgery Free flaps Microvascular tissue transfers

PLASTIC AND COSMETIC SURGERY

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Burns

• • • • • • • • • • • • •

Organization of a burns unit Principles of planning in the event of a burn disaster Pathophysiology of burn shock Nutrition in burns Burn wound infection, sepsis Thermal burns Electrical burns Chemical burns Radiation burns Tangential and sequential excision Facial burns Reconstruction of a burnt hand and upper extremity Post-burn contractures—treatment of sequelae

Time: 1 p.m.–2 p.m. Venue: Auditorium Date 03.07.09 06.07.09 08.07.09 10.07.09 13.07.09 17.07.09 20.07.09 24.07.09 27.07.09 31.07.09 03.08.09

Day (Fri) (Mon) (Wed) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon)

Topic Journal Club Case Presentation Audit Finger tip injury Case Presentation Journal Club Case Presentation Journal Club Case Presentation Journal Club Seminar (Tissue expansion) 07.08.09 (Fri) Case Presentation 10.08.09 (Mon) Seminar (Skin flaps) 12.08.09 (Wed) Audit 14.08.09 (Fri) HOLIDAY 17.08.09 (Mon) Scalp defect 21.08.09 (Fri) Journal Club 24.08.09 (Mon) Case Presentation 28.08.09 (Fri) Case Presentation 31.08.09 (Mon) Skin bank 04.09.09 (Fri) Journal Club 07.09.09 (Mon) Case Presentation

Moderator Dr M. Mangal Dr R.K. Khazanchi – Dr S.S. Saha Dr A. Aggarwal Dr R.K. Khazanchi Dr Vivek Kumar Dr S.S. Saha Dr L. Chaudhary Dr M. Mangal Dr S. Mahendru

Presenter Unit–I Dr Udit Bhanu – Dr Siddharth Dr Siddharth Unit–II Dr Siddharth Unit–II Dr U. Krishna Unit–I Dr Siddharth

Dr S.S. Gambhir Dr Siddharth Dr R.K. Khazanchi Dr U. Krishna – – Dr Sunil Sharma Dr A. Aggarwal Dr M. Mangal Dr Vivek Kumar Dr L. Chaudhary Dr S.S. Saha Dr S. Mahendru

Dr U. Krishna Unit–II Dr Siddharth Dr U. Krishna Dr Siddharth Unit–III Dr Siddharth

Date 09.09.09 11.09.09 14.09.09 18.09.09 21.09.09 25.09.09 28.09.09 02.10.09 05.10.09 09.10.09 12.10.09 14.10.09 16.10.09 19.10.09 23.10.09 26.10.09 30.10.09 02.11.09 06.11.09 09.11.09 11.11.09 13.11.09 16.11.09 20.11.09 23.11.09 27.11.09 30.11.09 04.12.09 07.12.09 09.12.09 11.12.09 14.12.09 18.12.09 21.12.09 25.12.09 28.12/09

PSYCHIATRY

PLASTIC AND COSMETIC SURGERY

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Day (Wed) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Wed) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Wed) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon) (Wed) (Fri) (Mon) (Fri) (Mon) (Fri) (Mon)

Topic Audit Case Presentation Inhalation burns Case Presentation

Moderator – Dr S.S. Gambhir Dr Sunil Sharma Dr A. Aggarwal

Presenter – Dr Uma Dr Siddharth Dr U. Krishna

HOLIDAY

Case Presentation

Dr R.K. Khazanchi Dr Siddharth

HOLIDAY HOLIDAY

Case Presentation Case Presentation Journal Club Audit Brachial plexus Anatomy of the face Case Presentation Journal Club Expanders

Dr Vivek Kumar Dr L. Chaudhary Dr M. Mangal – Dr S.S. Gambhir Dr S.S. Saha Dr R.K. Khazanchi Dr S.S. Saha Dr L. Chaudhary

Dr U. Krishna Dr Siddharth Unit–I – Dr Siddharth Dr U. Krishna Dr Siddharth Unit–III Dr Siddharth

Dr Vivek Kumar Dr R.K. Khazanchi – Dr Sunil Sharma Dr S. Mahendru Dr M. Mangal Dr M. Mangal Dr S.S. Saha Dr A. Aggarwal Dr R.K. Khazanchi Dr A. Aggarwal – Dr Vivek Kumar Dr L. Chaudhary Dr S.S. Saha Dr Sunil Sharma

Dr U. Krishna Unit–II – Dr Siddharth Dr U. Krishna Dr Siddharth Unit–I Dr Siddharth Dr U. Krishna Dr Siddharth Unit–II – Dr Siddharth Dr U. Krishna Unit–III Dr Siddharth

Dr M. Mangal

Unit–I

HOLIDAY

Case Presentation Journal Club Audit Case Presentation Finger tip injuries Case Presentation Journal Club Nose defect Case Presentation Lasers in plastic surgery Journal Club Audit Case Presentation Case Presentation Journal Club Case Presentation HOLIDAY

Journal Club

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Chairperson: Dr J.M. WADHAWAN Teaching Coordinator: Dr ANITA MAHAJAN The Department of Psychiatry is recognized for a DNB programme. The Department has 2 active units. In addition to various academic activities of the department, some programmes are carried out under the aegis of the Department of Medicine. A DNB student also attends the teaching programme of the departments of Neurology, Paediatrics, General Medicine and Radiology. • Bedside teaching

Daily, during ward rounds

• Clinical combined round, with other medical units

11:30 a.m.–12:30 p.m. Tuesday and Friday

• Journal Club and clinical grand rounds alternately with Department of Medicine

1:30 p.m.–2:30 p.m. every Saturday

• Clinical meeting—Department of Neurology (Case discussion and Journal Club)

3 p.m.–4 p.m. (Tuesday/Friday)

• Clinical case discussion 9 a.m.–11 a.m. Monday and Thursday Tuesday and Friday

—Dr J.M. Wadhawan —Dr Anita Mahajan

11 a.m.–12:30 p.m. Wednesday

—Dr S.C. Malik

12 noon–2 p.m. Wednesday

—Dr V. Kumar

2 p.m.–4 p.m. Monday and Saturday

—Dr Deepak Gupta

10 a.m.–12 noon Saturday

—Dr A. Mukherjee

Seminar Time: 11:30 a.m.–12:30 p.m., 2nd and 4th Monday Topic • Alcoholism • Somatoform disorders • Projective testing • Anxiety disorder • Personality disorders

Moderator Dr J.M. Wadhwan Dr J.M. Wadhwan Dr Arti Anand Dr Anita Mahajan Dr Anita Mahajan

PULMONOLOGY (CHEST MEDICINE)

PSYCHIATRY

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Topic

Moderator

• Behaviour disorders • Psychotic disorders in children • Formal thought disorders • Childhood schizophrenia • Autism • Drug abuse • Behaviour therapy • Play therapy • Mental Health Act • Autism • Psychological theories of neurosis

Dr Arti Anand Dr Deepak Gupta Dr Anita Mahajan Dr Deepak Gupta Dr Deepak Gupta Dr Anita Mahajan Dr Arti Anand Dr Roma Kumar Dr Wadhawan Dr Roma Kumar Dr Arti Anand

Monthly Departmental meeting Departmental statistics and case analysis Time: 11:30 a.m.–12:30 p.m., 1st Monday

Clinical case discussion

• • •

Bedside teaching Seminar Clinical meeting

•

Journal Club and Clinical grand rounds Radiology class

Friday (9 a.m.–10 a.m.)/ (2 p.m.–3 p.m.) as per schedule 1st Friday—Dr Ujjwal Parakh/ Dr Amit Dhamija 2nd Friday—Dr Neeraj Jain 3rd Friday—Dr Bobby Bhalotra 4th Friday—Dr A.K. Basu Daily, during ward rounds Every Friday as per schedule 11:30 a.m.–12:30 p.m. with other medical units on Tuesdays and Fridays With other medical units Every Friday (9 a.m.–10 a.m.)

Time: 9 a.m.–10 a.m., Tuesday

Psychotherapy case discussion Time: 3 p.m.–4 p.m., 1st and 3rd Wednesday

Clinical Case Conference Time: 3 p.m.–4 p.m., 2nd and 4th Wednesday

Clinical Grand Rounds Time: 2 p.m.–3 p.m., every Friday

4th Friday

•

Seminar

Time: 11:30 a.m.–12:30 p.m., 3rd Monday

Topic Clinical psychiatry Clinical psychology Combined academics with monthly DPS meeting Therapeutics

Chairperson: Dr ARUP BASU Teaching Coordinator: Dr BOBBY BHALOTRA

•

Journal Club

Day 1st Friday 2nd Friday 3rd Friday

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Moderator Dr Sugandha Psychology students Dr Ridhima/ Dr Sugandha Dr Ridhima/ Dr Sugandha

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13 14. 15. 16. 17. 18. 19. 20. 21. 22.

Topic Physiology of lungs–I PFT congenital lung diseases Lung in tropics Pulmonary tuberculosis–I Approach to a patient with cough Management of haemoptysis Pulmonary tuberculosis–II Physiology of lungs–II Mediastinal lesions–I Mediastinal lesions–II CAP—diagnosis HAP—management Pneumonia in immunocompromised host Chest pain Hernia in thorax Empyema Treatment of HIV Diagnosis of HIV and lungs Diaphragm Chest wall lesions Endobronchial lessions ARDS

Moderator Dr Ujjwal Parakh Dr Neeraj Jain Dr Bobby Bhalotra Dr Amit Dr Neeraj Jain Dr A.K. Basu Dr Bobby Bhalotra Dr Ujjwal Parakh Dr Neeraj Jain Dr A.K. Basu Dr Bobby Bhalotra Dr Amit Dr Neeraj Jain Dr A.K. Basu Dr Bobby Bhalotra Dr Ujjwal Parakh Dr Neeraj Jain Dr A.K. Basu Dr Ujjwal Parakh Dr Neeraj Jain Dr A.K. Basu Dr Bobby Bhalotra

The postgraduate presenting the seminar is decided on a monthly basis.

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RADIODIAGNOSIS

Head of the Department: Dr K.K. SAXENA Teaching Coordinator: DEEPAK CHAWLA The 3-year DNB course in Radiodiagnosis is aimed at imparting training in both conventional radiology and modern imaging techniques so that the candidate is fully competent to practise, teach and do research in the broad discipline of radiology including ultrasonography, computed tomography and magnetic resonance imaging. On completing the course, a resident should be able to acquire a good basic knowledge of various subspecialties of radiology, to independently conduct and interpret all routine and special radiological and imaging investigations.

RADIODIAGNOSIS

93

pathologist. In addition, all residents are required to attend clinical meetings held every Tuesday and Friday.

Seminars Time: 3 p.m.–4 p.m., Monday Venue: Seminar Room Date

Topic

Speaker

Moderator

06.07.09 Production of X-rays and advances Dr Mitesh in X-ray tube technology

Dr Seema

13.07.09 X-ray generator and image intensifier 20.07.09 X-ray film, film processing and artifacts

Dr Ajit

Dr Aditi

Dr Ruhani

Dr K.K. Saxena

27.07.09 Basic interactions of X-rays

Dr Shrishti

Dr M. Chandra

03.08.09 Screens 10.08.09 Grids

Dr Mitesh Dr Ajit

Dr Samarjeet Dr Kishan

Requirements

17.08.09 Filters and attenuation

Dr Ruhani

Dr Seema

A log book will be maintained by each resident in which he/she is required to record investigations performed independently, case discussions, Journal Clubs and seminars presented. The log book will be signed by the respective consultant at the end of each rotation and will be presented to external examiners at the time of the final examination.

24.08.09 Radiographic image quality 31.08.09 Digital radiography

Dr Shrishti Dr Mitesh

Dr K.K. Saxena Dr Buxi

07.09.09 Principle of US and advances in transducer technology and US artifacts

Dr Ajit

Dr Chawla

14.09.09 Principles of Doppler and its advances including US contrast agents 21.09.09 Principles of CT and its advances

Dr Ruhani

Dr Arun

Dr Shrishti

Dr Tarun

05.10.09 Principle of MRI

Dr Mitesh

The training is spread over three years and includes the following components: 1. Rotational posting in various subspecialties 2. Seminars, case discussions, Journal Clubs, film quiz 3. Research methodology and dissertation

Attendance A minimum attendance of 75% is needed in all postings in various subspecialties.

Dr Seema

12.10.09 Recent advances in MRI pulse Dr Ajit sequences and MRI contrast media 26.10.09 Tubercular infections of the urinary Dr Ruhani tract

Dr Samarjeet

02.11.09 Non-tubercular infections of the urinary tract

Dr Shrishti

Dr Chawla

09.11.09 Imaging in renal cystic disease 16.11.09 Pathology and imaging in renal tumour

Dr Mitesh Dr Ajit

Dr Kishan Dr M. Chandra

23.11.09 Imaging in urinary bladder and urethra

Dr Ruhani

Dr Aditi

Clinical Meetings/Conferences These are held regularly every 2nd and 4th Thursday. The consultants present cases of academic interest and discussions are held along with the clinician and

30.11.09 Imaging of prostate gland 07.12.09 Imaging in adrenal gland

Dr Shrishti Dr Mitesh

Dr Samarjeet Dr Chawla

Academic Programme Weekly seminars, Journal Clubs and case discussions will be held where the residents are required to prepare pre-selected topics under the guidance of a consultant and present it to the full house. In addition, day-to-day assessment of performance of the procedure and reporting by the resident will be done by the consultants in various subspecialties. At the end of each posting, the resident will be assessed by a film quiz. Residents are also posted in the Department of Pathology to study specimens so as to correlate the gross morphology of pathological conditions with imaging features.

Dr Buxi

RADIODIAGNOSIS

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RADIODIAGNOSIS

Date Topic Speaker 14.12.09 The retroperitoneum Dr Ajit 21.12.09 Imaging of scrotum, male infertility Dr Ruhani and erectile dysfunction

Moderator Dr Kishan Dr K.K. Saxena

28.12.09 Imaging in gynaecological malignancy

Dr M. Chandra

Dr Shrishti

X-ray film reading Time: 3 p.m.–4 p.m., every Tuesday Venue: Radiology Department

CT/MRI film reading Time: 3 p.m.–4 p.m., every Wednesday Venue: Radiology Department

Journal Club Time: 3 p.m.–4 p.m., Friday Venue: Seminar Room

Film Quiz

Date 03.07.09

Journal Radiographics

Speaker Dr Ruhani

Moderator Dr Tarun

10.07.09

Radiology

Dr Shrishti

Dr Samarieet

17.07.09

Dr Mitesh

Dr Buxi

24.07.09

American Journal of Roentgenology IJR

Dr Ajit

Dr R. Malhotra

31.07.09

Radiographics

Dr Ruhani

Dr K.K. Saxena

07.08.09 21.08.09

Radiology American Journal of Roentgenology

Dr Shrishti Dr Mitesh

Dr Arun Dr Kishan

28.08.09

IJR

Dr Ajit

Dr Samarieet

04.09.09 11.09.09

Radiographics Radiology

Dr Ruhani Dr Shrishti

Dr Aditi Dr Tarun

18.09.09

American Journal of Roentgenology

Dr Mitesh

Dr R. Malhotra

25.09.09 09.10.09

IJR Radiographics

Dr Ajit Dr Ruhani

Dr K.K. Saxena Dr Buxi

16.10.09

Radiology

Dr Shrishti

Dr Aditi

23.10.09

Dr Mitesh

Dr Samarjeet

30.10.09

American Journal of Roentgenology IJR

Dr Ajit

Dr M. Chandra

06.11.09

Radiographics

Dr Ruhani

Dr Samarjeet

13.11.09 20.11.09

Radiology American Journal of Roentgenology

Dr Shrishti Dr Mitesh

Dr Buxi Dr Arun

27.11.09

IJR

Dr Aiit

Dr K.K. Saxena

04.12.09 11.12.09

Radiographics Radiology

Dr Ruhani Dr Shrishti

Dr Arun Dr R. Malhotra

Time: 3 p.m.–4 p.m., 2nd and 4th Saturday Venue: Seminar Room

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RENAL TRANSPLANT SURGERY

RENAL TRANSPLANT SURGERY

(xv) Self-doubt, self-audit, self-reliance—optimizing the competence/confidence ratio. ‘This above all—to thine own self be true’

Chairperson: Dr H. JAUHARI The Department of Renal Transplant Surgery has been in existence since 1988 and has conducted over 2000 successful live-donated renal transplants. It has also conducted cadaveric kidney transplants. It has a number of ‘firsts’ to its credit, e.g. the introduction of CAPD in India.

(xvi) Polytrauma (xvii) Hand–eye coordination (xviii) Approach to a child as a surgical patient (xix) Approach to a woman as a surgical patient

There are no postgraduate students in the Department and therefore there is no formal teaching programme. However, the Department participates in and conducts lectures/seminars and has informal teaching sessions for PGs in the Departments of Nephrology, Urology and Surgery. Dr H. Jauhari has been appointed coordinator for conducting an interactive hands-on course on the art of surgery and basic surgical skills for DNB and post-fellowship students of all surgical specialties.

97

(xx) Approach to selecting a suitable incision (xxi) Ward procedure skills (xxii) Biopsy—how to take a slice (xxiii) Ultrasound in the OT—vascular / non-vascular B.

The surgeon and his tools ‘Give me the tools and I will finish the job.’

Interactive training programme on the ‘Art of Surgery’

1. Knives and blades—slicing through 2. Needles—making a point

Each session will consist of two parts:

3. Scissors—the cutting edge 4. Needle holders—holding on

A. Concepts and attitudes: An audiovisual presentation on the following topics:

5. Forceps and other instruments

(i) Introduction to the concept of the ‘Art of Surgery’

6. Sutures and knots—all sewn up

(ii) Surgical department and opinions—‘I think, therefore I am’

7. Ambidexterity—a game that two can play

(iii) Conceptualization and visualization of an operation

8. Stumps—tied up in knots

(iv) The OT—sterilization techniques, conduct consistent with sterilization techniques. Effective scrubbing

9. Catheters and drains 10. Painting, draping and positioning

—‘When you think you have scrubbed enough—scrub once more.’

11. Dressings 12. Anastomosis

(v) Know your instruments: Plan your operation

13. Cautery

(vi) Anaesthesia and the surgeon (vii) Surgery and the anaesthetist

•

The order of topics covered may be changed with prior notice.

(viii) Panic and the surgeon—‘to fuse or defuse’

•

Students of all surgical disciplines are expected to attend.

(ix) Sudden, massive, unexpected haemorrhage

•

Suggestions and additions to the above-mentioned topics are welcome.

(x) Time-saving techniques—make haste slowly

•

Interested consultants and registrars are also welcome to attend and participate.

•

A dedicated OT skill centre has been opened based on the above course in the OT complex, for training and skill upgradation of all those involved in surgical specialties.

(xi) Join the race or get left behind—staying abreast (xii) Tissue handling—‘gently does it’ (xiii) Ward procedure skills (xiv) The art of assistance—‘standing beside you’

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SURGICAL GASTROENTEROLOGY

SLEEP MEDICINE

Chairperson: Dr MANVIR BHATIA

Chairperson: Dr S. NUNDY

The Department does not have any DNB student. However, the academic programme is for residents and postgraduates of the Departments of Medicine, Neurology and Pulmonology.

Brief Outline

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Seminar

The purpose of the programme is to train residents to manage patients with complex surgical disorders of the gastrointestinal tract, liver and pancreas. They will witness different operative procedures and there will be stress on the practical as well as the academic approach to such problems. The trainee will have to maintain good records, both paper and electronic, and should be able to derive messages as well as write papers after analysing these. We have an active liver transplant programme.

Time: 2 p.m.–3 p.m., 1st Friday Dr Neeraj Jain, Dr Bobby Bhalotra

Requirements

These topics will be covered over this period:

Residents are expected to attend all ward rounds, operating sessions, lectures and seminars.

The seminars will be covered with the departments of Neurology and Pulmonology.

•

Importance of history taking in sleep disorders

Dr Sanjay Manchanda

•

Polysomnography and its interpretation

Dr Manvir Bhatia

Weekly Audit

•

Insomnia and related conditions

Dr Sanjay Manchanda

•

Sleep disorderrs in women

Dr Manvir Bhatia

Time: 12 noon, Saturday Venue: R. No. 2221, Surgical Gastroenterology Office Moderator: Dr S. Nundy

•

Sleep disorders in adolescence

Dr Sanjay Manchanda

•

Sleep disorders in ageing

Dr Manvir Bhatia

•

Complex sleep apnoea: Treatment challenges

Dr Sanjay Manchanda

•

REM—behaviour disorders

Dr Manvir Bhatia

•

Anaesthesia implications of OSA

Dr Sanjay Manchanda

The elective and emergency operations performed in the previous week are discussed in this meeting. The resident conducting the audit presents the cumulative statistics of all operations performed since the beginning of the year. This is followed by a brief presentation on each emergency and elective operation done during the previous week. Major deficiencies in management and the possible lessons that can be learned are reviewed. This audit is undertaken to improve the care of patients and to consider whether current management policies need to be changed.

Case Presentation/ Viva Time: 8 a.m., Wednesday Venue: Seminar Room Moderators: Dr S. Nundy/ Dr A. Chaudhary/ Dr A. Soin/ Dr V. Kumaran/ Dr R. Mohanka/ Dr Amanjeet Singh/ Dr N. Mehta A formal case presentation is done to prepare the resident for the ‘Long Case’ in the clinical examination. The progress on the research projects will be assessed and new research protocols discussed.

Journal Club Time: 8 a.m.–9 a.m., Thursday Venue: Seminar Room Moderators: Dr S. Nundy/ Dr A. Chaudhary/ Dr A. Soin/ Dr V. Kumaran/ Dr R. Mohanka/ Dr Amanjeet Singh/ Dr N. Mehta

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SURGICAL GASTROENTEROLOGY

The purpose of the Journal Club is to discuss recent advances in gastrointestinal surgery and train the resident to discriminate between good and bad medical literature. A resident discusses two interesting articles from a journal assigned a week earlier. The articles are first summarized in a structured manner (background, methods, results and conclusions). The work is then critically assessed according to whether it is original, the methods appropriate and conclusions valid, whether the message is important and whether the Department should change its management policies as a result of the publication.

SURGICAL GASTROENTEROLOGY

Date Day Topic 12.08.09 (Wed) Viva

07.10.09 (Wed) 14.10.09 (Wed) 21.10.09 (Wed) 28.10.09 (Wed) 04.11.09 (Wed) 11.11.09 (Wed) 18.11.09 (Wed)

Case Viva Case Viva Case Viva Case

Presenter Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao

25.11.09 (Wed) 02.12.09 (Wed) 09.12.09 (Wed) 16.12.09 (Wed) 23.12.09 (Wed) 30.12.09 (Wed)

Viva Case Viva Case Viva Case

Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao Dr Tanveer/ Dr Rao

19.08.09 (Wed) Case 26.08.09 (Wed) Viva 02.09.09 (Wed) Case 09.09.09 (Wed) Viva

Topic Discussion/ Research Projects Time: 8 a.m.–9 a.m., Saturday Venue: Seminar Room Moderator: Dr S. Nundy/ Dr A. Chaudhary/ Dr A. Soin/ Dr V. Kumaran/ Dr R. Mohanka/ Dr Amanjeet Singh/ Dr N. Mehta A topic for discussion is allotted to a resident two weeks in advance, which is usually related to a special problem encountered in the ward. The resident is expected to review the literature and provide a summary in 30 minutes from which a clear message can be drawn. A powerpoint presentation is made using an LCD projector. Visiting GI Surgeon Round: On the 4th Thursday of the month we will try and invite a GI surgeon from another hospital to conduct the teaching programme and to take a ward round.

Schedule

Case Presentation/Viva Time: 8 a.m.–9 a.m., Wednesday Venue: Seminar Room Date Day Topic 01.07.09 (Wed) Viva 08.07.09 (Wed) Case 15.07.09 (Wed) Viva 22.07.09 (Wed) Case 29.07.09 (Wed) Viva 05.08.09 (Wed) Case

Presenter Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao Dr Azhar/ Dr Tanveer/ Dr Rao

Moderator Dr S. Nundy/ Dr Aman Dr A. Chaudhary/ Dr Ravi Dr A. Soin/ Dr Naimish Dr V. Kumaran/ Dr Aman Dr S. Nundy/ Dr Ravi Dr A. Chaudhary/ Dr Naimish

16.09.09 (Wed) Case 23.09.09 (Wed) Case 30.09.09 (Wed) Viva

101

Moderator Dr A. Soin/ Dr Aman Dr V. Kumaran/ Dr Ravi Dr S. Nundy/ Dr Naimish Dr A. Soin/ Dr Aman Dr V. Kumaran/ Dr Ravi Dr S. Nundy/ Dr Naimish Dr A. Chaudhary/ Dr Aman Dr A. Soin/ Dr Ravi Dr V. Kumaran/ Dr Naimish Dr S. Nundy/ Dr Aman Dr A. Chaudhary/ Dr Ravi Dr A. Soin/ Dr Naimish Dr V. Kumaran/ Dr Aman Dr S. Nundy/ Dr Ravi Dr A. Chaudhary/ Dr Naimish Dr A. Soin/ Dr Aman Dr V. Kumaran/ Dr Ravi Dr S. Nundy/ Dr Naimish Dr A. Chaudhary/ Dr Aman Dr A. Soin/ Dr Ravi Dr V. Kumran/ Dr Naimish

Journal Club Time: 8 a.m.–9 a.m., Thursday Venue: Seminar Room Date 02.07.09 09.07.09 16.07.09 23.07.09 30.07.09 06.08.09

Day (Thur) (Thur) (Thur) (Thur) (Thur) (Thur)

Topic Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club

Presenter Dr Shailendra Dr Azhar Dr Rao Dr Tanveer Dr Shailendra Dr Punit

Moderator Dr S. Nundy Dr A. Soin Dr R. Mohanka Dr V. Kumaran Dr A. Chaudhary Dr S. Nundy

SURGICAL GASTROENTEROLOGY

102

Date 13.08.09 20.08.09 27.08.09 03.09.09 10.09.09 17.09.09 24.09.09 01.10.09 08.10.09 15.10.09 22.10.09 29.10.09 05.11.09 12.11.09 19.11.09 26.11.09 03.12.09 10.12.09 17.12.09 24.12.09 31.12.09

Day (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur) (Thur)

Topic Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club Journal Club

Presenter Dr Manoj Dr Azhar Dr Thiagarajan Dr Somnath Dr Mahendran Dr Shailendra Dr Azhar Dr Rao Dr Punit Dr Manoj Dr Thiagarajan Dr Somnath Dr Mahendran Dr Tanveer Dr Shailendra Dr Rao Dr Punit Dr Manoj Dr Thiagarajan Dr Somnath Dr Mahendran

SURGICAL GASTROENTEROLOGY

Moderator Dr V. Kumaran Dr A. Soin Dr Aman Dr V. Kumaran Dr A. Chaudhary Dr S. Nundy Dr Naimish Dr A. Soin Dr R. Mohanka Dr V. Kumaran Dr A. Chaudhary Dr S. Nundy Dr V. Kumaran Dr A. Soin Dr Aman Dr V. Kumaran Dr A. Chaudhary Dr Naimish Dr S. Nundy Dr V. Kumaran Dr A. Soin

Audit Time: 12 noon, Saturday Venue: SGE office Date 04.07.09 11.07.09 18.07.09 25.07.09 01.08.09 08.08.09 15.08.09 22.08.09 29.08.09 05.09.09 12.09.09 19.09.09 26.09.09 03.10.09

Day (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat)

Topic Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit

Presenter Dr Tanveer Dr Tanveer Dr Tanveer Dr Tanveer Dr Punit Dr Manoj Dr Punit Dr Manoj Dr Punit Dr Manoj Dr Punit Dr Manoj Dr Punit Dr Punit

Moderator Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy

103

Date

Day

Topic

Presenter

Moderator

10.10.09 17.10.09 24.10.09 31.10.09 07.11.09 14.11.09 21.11.09 28.11.09 05.12.09 12.12.09 19.12.09 26.12.09

(Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat)

Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit Audit

Dr Shailendra Dr Punit Dr Shailendra Dr Punit Dr Shailendra Dr Punit Dr Shailendra Dr Punit Dr Shailendra Dr Punit Dr Shailendra Dr Punit

Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy Dr S. Nundy

Topic Discussion/Research meet Time: 8 a.m.–9 a.m., Saturday Venue: Seminar Room Date 04.07.09 11.07.09 18.07.09 25.07.09 01.08.09 08.08.09 15.08.09 22.08.09 29.08.09 05.09.09 12.09.09 19.09.09 26.09.09 03.10.09 10.10.09 17.10.09 24.10.09 31.10.09 07.11.09 14.11.09 21.11.09 28.11.09 05.12.09

Day (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat) (Sat)

Topic Topic Discussion Topic Discussion Topic Discussion Research meet Topic Discussion Topic Discussion Topic Discussion Topic Discussion Research meet Topic Discussion Topic Discussion Topic Discussion Research meet Topic Discussion Topic Discussion Topic Discussion Topic Discussion Research meet Topic Discussion Topic Discussion Topic Discussion Research meet Topic Discussion

Presenter Dr Azhar Dr Shailendra Dr Tanveer

Moderator Dr A. Chaudhary Dr S. Nundy Dr A. Soin

Dr Rao Dr Manoj Dr Punit Dr Thiagarajan

Dr V. Kumaran Dr S. Nundy Dr A. Chaudhary Dr R. Mohanka

Dr Somanth Dr Mahendran Dr Azhar

Dr V. Kumaran Dr S. Nundy Dr A. Chaudhary

Dr Shailendra Dr Tanveer Dr Rao Dr Manoj

Dr R. Mohanka Dr V. Kumaran Dr S. Nundy Dr A. Soin

Dr Punit Dr R. Mohanka Dr Thiagarajan Dr V. Kumaran Dr Somnath Dr A. Chaudhary Dr Mahendran

Dr R. Mohanka

Date 12.12.09 19.12.09 26.12.09

THORACIC SURGERY

SURGICAL GASTROENTEROLOGY

104

Day (Sat) (Sat) (Sat)

Topic Topic Discussion Topic Discussion Research meet

Presenter Dr Shailendra Dr Tanveer

Moderator Dr V. Kumaran Dr S. Nundy

105

Chairperson: Dr (COL) S.K. CHADHA A fellowship is due to start in thoracic surgery soon.

Lectures

(The programme will be postponed if there is a holiday)

Time: 2 p.m.–3 p.m., Tuesday Venue: Seminar Room

Ward Rounds The Department will hold the following lectures for DNB students of Surgery, Medicine, Anaesthesia and Paediatrics. These are in addition to the lectures held as per schedule of the Department of General Surgery.

The ward round starts from Ward 3rd A Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Time 8 a.m./6 p.m. 8 a.m./6 p.m. 9 a.m./6 p.m. 9 a.m./6 p.m. 8 a.m./6 p.m. 9 a.m. 9 a.m.

Date

Operations Unit–I Unit–II Liver transplant days

Monday, Thursday, Saturday Monday, Wednesday Tuesday, Wednesday, Friday

OPDs General OPDs Day Unit–I Wednesday Unit–II Saturday

Day

Subject

Speaker

07.07.09 (Tues) Management of a ruptured Dr Varun liver cyst in the pleural cavity

Time 9 a.m.–10:30 a.m. 9 a.m.–10:30 a.m.

Venue F-20 F-20

Moderator Dr S.K. Chadha

21.07.09 (Tues) Management of haemoptysis Dr Varun

Dr S. Agarwal

04.08.09 (Tues) Surgical management of pulmonary Koch disease

Dr Manish

Dr T. Grover

18.08.09 (Tues) Intercostal tube drainage

Dr Manish

Dr S. Agarwal

01.09.09 (Tues) Management of diaphragmatic rupture

Dr Varun

Dr S.K. Chadha

15.09.09 (Tues) Management of chest trauma Dr Varun

Dr T. Grover

29.09.09 (Tues) Management of bullous disease

Dr Manish

Dr S.K. Chadha

13.10.09 (Tues) Management of empyema

Dr Manish

Dr S. Agarwal

27.10.09 (Tues) Surgery of mediastinal masses Dr Manish

Dr T. Grover

10.11.09 (Tues) Surgical management of bronchiectatic lung lesions

Dr S. Agarwal

Dr Varun

Outpatient Clinic Private OPDs Dr S. Nundy Dr A. Chaudhary Dr A.S. Soin

Dr Vinay Kumaran Dr R. Mohanka Dr Amanjeet Singh Dr Naimish Mehta

Day Monday to Friday Monday to Friday Monday to Friday

Time 4 p.m.–6 p.m. 6 p.m.–8 p.m. 2 p.m.–6 p.m.

Venue F-17, 1st Floor F-17, 1st Floor F-17 and F-21 1st Floor Room No. 2222 by prior appointment Monday to Friday 6 p.m.–8 p.m. Room No. 137 Monday to Friday 6 p.m.–8 p.m. F-21, 1st Floor Monday to Saturday 2 p.m.–4 p.m. Room No. 14 Monday to Friday 6 p.m. – 8 p.m. Room No. 141

Time: 11 a.m.–12 noon, Wednesday, Friday Venue: Seminar Room Each outpatient clinic will be followed by a short case presentation by postgraduates.

Operation Days Time: 8 a.m.–4 p.m., Monday / Thursday and Emergencies All surgical cases are discussed with the Radiologist in the Department of CT and MRI and in Radiological meetings.

UROLOGY

106

Chairperson: Dr S.N. WADHWA Teaching Coordinator: Dr AJAY S HARMA Urology is one of the subspecialties with a very fast growth in instrumentation, innovation and practically applicable procedures. These procedures have yielded satisfying results for conditions relating to the entire genitourinary tract. Public awareness about this has placed an ever-growing demand on the knowledge and skills of practising as well as trainee urologists. It is equally important for young trainees in surgery to keep abreast of the current concepts and newer developments, besides the basic principles of urology and time-tested conventional procedures. The present programme aims at educating the trainee in upgrading his or her acumen and skills in the art and practice of urology with a rational approach. For the consultant, it aims at updating knowledge of the latest innovations and techniques in order to offer the best to the patient while monitoring and, where needed, rectifying patient care and teaching and training of the residents.

UROLOGY

107

Journal Club Time: 3 p.m.–4 p.m., 2nd Friday Venue: Seminar Room Date

Day

Moderator

10.07.09

Friday

Dr S.N. Wadhwa

14.08.09 11.09.09

Friday Friday

Dr S. Khanna Dr A. Sharma

09.10.09

Friday

Dr S. Chadha

13.11.09 11.12.09

Friday Friday

Dr Manu Gupta Dr S.N. Wadhwa

DNB Urology Seminars Time: 11:30 a.m.–12:30 p.m., Thursday Venue: Seminar Room Date

Day

Topic/PG

Speaker

Moderator

In spite of easy access to the literature and self-learning opportunities available today, more than ever before, there is a great need for bedside presentations and problem-based discussions, particularly for DNB trainee residents. With the DNB (Urology) having completed four years since inception, the lessons learnt have been utilized in the current Academic Programme. With an increasing number of complicated cases being referred which need special urological care, it is time to start a training programme for operation theatre personnel and nursing staff. Residents can be effectively utilized in this endeavour.

02.07.09 (Thur) Haematuria—evaluation and Dr Nikhil Dr S.N. Wadhwa management of intractable haematuria

Monthly Audit

30.07.09 (Thur) Pathophysiology of UTI

Dr Abdul Dr Manu Gupta

Time: 3 p.m.–4 p.m., First Friday Venue: Seminar Room Moderator: Dr S.N. Wadhwa/ Dr B.K.Vohra

06.08.09 (Thur) PSA—in prostate cancer and new cancer markers

Dr Yusuf

13.08.09 (Thur) Renal replacement therapy

Dr Nikhil Dr S. Chadha

Date

Day Friday Friday

20.08.09 (Thur) Extracorporeal and intracorporeal lithotriptor— mechanism

Dr Neeraj Dr A. Sharma

03.07.09 07.08.09 04.09.09

Friday

27.08.09 (Thur) Ambiguous genitalia

Dr Devesh Dr S. Khanna

02.10.09 06.11.09 04.12.09

Friday Friday Friday

03.09.09 (Thur) Donor evaluation—live and cadaveric

Dr Satya

10.09.09 (Thur) Laser in urology

Dr Abdul Dr S.N. Wadhwa

17.09.09 (Thur) TRUS and its applications in urology

Dr Yusuf

09.07.09 (Thur) Management of urethral trauma

Dr Neeraj Dr A. Sharma

16.07.09 (Thur) Botulinum toxin therapy in urological practice

Dr Devesh Dr S. Khanna

23.07.09 (Thur) Management of exostrophy epispadias complex

Dr Satya

Dr S. Chadha

Dr S.N. Wadhwa

Dr S. Chadha

Dr A. Sharma

Date

PERIPHERAL & ENDOVASCULAR SURGERY

UROLOGY

108

Day

Topic/PG

Speaker

Moderator

109

Chairperson: Dr RAJIV PARAKH

24.09.09 (Thur) Wilm tumour

Dr Nikhil Dr Manu Gupta

01.10.09 (Thur) Pathophysiology of acute and chronic rejection in renal transplant

Dr Neeraj Dr Manu Gupta

A three-year diploma course started in January 2008. Applications for the above course are available from the NBE office, Delhi.

08.10. 09 (Thur) Management of iatrogenic ureteric injury

Dr Devesh Dr S. Khanna

A two-year fellowship programme (recognized by NBE) which was conducted from January 2001 is now withdrawn.

15.10.09 (Thur) Urological pathophysiology in pregnancy

Dr Satya

Lecture

22.10.09 (Thur) Female sexual dysfunction

Dr Abdul Dr S. Chadha

29.10.09 (Thur) Fungal infection in urinary tract

Dr Yusuf

Dr S.N. Wadhwa

Dr A. Sharma

05.11.09 (Thur) Foetal urogenital tract— Dr Nikhil Dr S. Khanna embryogenesis and obstructive uropathy 12.11.09 (Thur) Pathophysiology of BPH and medical management

Dr Neeraj Dr Manu Gupta

19.11.09 (Thur) Post-prostatectomy incontinence

Dr Devesh Dr S.N. Wadhwa

26.11.09 (Thur) Overactive bladder and management

Dr Satya

Dr A. Sharma

03.12.09 (Thur) Urinary fistula—management Dr Abdul Dr Manu Gupta 10.12.09 (Thur) Renal injury and management Dr Yusuf

Dr S. Chadha

17.12.09 (Thur) Surgical anatomy of PCS— relevance to PCNL and URS

Dr Nikhil Dr S. Khanna

24.12.09 (Thur) Endoscopic management of stone

Dr Neeraj Dr S.N. Wadhwa

31.12.09 (Thur) Neurogenic bladder— Dr Devesh Dr A. Sharma pathophysiology and management

Time: 2 p.m.–3 p.m., Tuesday Venue: Seminar Room The Department will hold the following lectures for DNB students of Surgery, Medicine, Anaesthesia and Paediatrics. These are in addition to the lectures held as per schedule of the Department of General Surgery. Date

Day

Subject

Speaker

14.07.09 (Tues) Management of acute limb Dr Manish ischaemia

Moderator Dr R. Parakh

28.07.09 (Tues) Endovascular procedures

Dr Manish

Dr S. Agarwal

11.08.09 (Tues) Management of arteriovenous (AV) malformation/ haemangioma

Dr Varun

Dr T. Grover

25.08.09 (Tues) Management of venous thrombosis

Dr Varun

Dr R. Parakh

08.09.09 (Tues) Angiography: Method, complications and management

Dr Manish

Dr S. Agarwal

22.09.09 (Tues) Diabetic foot

Dr Manish

Dr T. Grover

06.10.09 (Tues) Peripheral vascular duplex

Dr Varun

Dr T. Grover

20.10.09 (Tues) Management of varicose veins

Dr Varun

Dr S. Agarwal

03.11.09 (Tues) Aneurysm and its treatment Dr Manish

Dr R. Parakh

17.11.09 (Tues) Vascular trauma

Dr Manish

Dr S. Agarwal

24.11.09 (Tues) Venous malformation

Dr Varun

Dr S. Agarwal

01.12.09 (Tues) Varicose veins

Dr Manish

Dr T. Grover

Journal Club Time: 1 p.m.–2 p.m., Saturday 11 a.m.–12 noon, Wednesday and Friday Venue: Vascular Laboratory Room No. 150

110

PERIPHERAL AND ENDOVASCULAR SURGERY

Vascular Interventions Time: 8 a.m.–1 p.m., Monday–Saturday Venue: Catheterization Laboratory, 3rd Floor

Vascular Duplex Scan Time: 4 p.m.–6 p.m., daily Venue: Ultrasound Department

Grand Round Time: 12 noon, Wednesday and Saturday Operation days: Monday, Tuesday, Thursday, Friday and emergencies (when they arise) Operation time: 8:00 a.m.–4:00 p.m. All cases for elective surgery are discussed in detail with emphasis on the surgical approach, alternative procedures, angiography and X-ray findings on the day preceding the operation.

Compiled and produced by BYWORD EDITORIAL CONSULTANTS Printed at INDRAPRASTHA PRESS (CBT)

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ACADEMIC PROGRAMME July–December 2009

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ISS MPA CO COMMITMENT

SIR GANGA RAM HOSPITAL NEW DELHI

Cover July - December 2009 Tuesday, June 30, 2009 2:13:00 PM