About

History

       The Department of Medicine was established with the establishment of the new college in 1996 when the post of Professor was filled. The department is situated at present on the building that houses the DTC. Initially there were only two units, on of which was headed by Honorary Assistant Professor but in due course regular teacher took over the unit. Initially the department faced a lot of problems in the form of lack of teachers and basic infrastructure. Now the department has all the facilities for undergraduate and post graduate teaching. Post Graduation was started in 2003 with the admission of two students. Facilities in the Department include the treadmill, a well equipped ICCU and a Dialysis unit, in fact the Dialysis Unit has become the USP of the Hospital with largest number of Dialysis in any of the Government Medical College in Gujarat. The department also runs two Diabetes Clinics, one in the Sir Takhatsinghji Hospital and another at the UHTC (Urban Health Training Center) in the heart of the city.

Head Of The Department:

Designation	Head Of The Departments
Professor & Head of the Department	Dr. P.R. Jha
Associate Professor	Dr. P.M. Baviskar
Associate Professor	Dr. Deepak Gupta
Associate Professor	DR. N. P. Gopinath
Assistant Professor	Dr. Panna Kamdar
Assistant Professor	Dr. Madhu Panjwani
Assistant Professor	Dr. Alpesh Vora
Assistant Professor	Dr. Neerav Chavda

Infrastructure

Infrastructure	Description
OPD NO. 62, 63, 64	Consultant sitting
	Resident sitting
	Separate examination room for male and female patients
	Lockers for Consultants and Residents
OPD Teaching Room
	Large room that can accommodate around 30 students
	Teaching aids like Glass board and White board
	Full facilities to use OHP and Multimedia Projector
Indoor Facilities
	Male ward
	Female ward
	ICCU
	ICU
	Infectious Disease Ward
	Procedure room with both Male & Female ward
	Teaching room with both Male & Female ward
	Resident room
	Nursing room
	Female ward
Indoor Facilities Dialysis Room
	Five fully Computerized Haemodialysis Machines
	Ultra modern RO Plant with 300 Liters/Hr. capacity
	Procedure room
	Nursing Staff room
	Store
Indoor Facilities infectious Disease Ward
	24 beds
	Four separate beds for Tetanus patients

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College Achievements

Teaching Staff

Dr. Pramod Ramnandan Jha ( Professor & Head Of The Department )	more...
Qualification : M.D. ( General Medicine ) Experience : 27 Years Date of Joining : 1983-02-28
Dr. S. J. Panjwani ( Associate Professor )	more...
Qualification : M.D. ( General Medicine ) Experience : 4 Years Date of Joining : 2006-04-20
Dr. Panna Kamdar ( Associate Professor )	more...
Qualification : M.D. ( General Medicine ) Experience : 2 Years Date of Joining : 2008-01-19
Dr. Madhu Panjwani ( Associate Professor )	more...
Qualification : M.D. ( General Medicine ) Experience : 2 Years Date of Joining : 2008-08-01
Dr. Alpesh Vora ( Assistant Professor )	more...
Qualification : M.D. ( General Medicine ) Experience : 10 Years Date of Joining : 2000-03-10 Field of Research : Respiratory Diseases
Dr. Viral Shah ( Assistant Professor )	more...
Qualification : Experience : 2 Years Date of Joining : 2008-05-09
Dr. Sarita Parmar ( Assistant Professor )	more...
Qualification : Experience : 1 Years Date of Joining : 2009-01-23
Dr. Minal Shashtri ( Assistant Professor )	more...
Qualification : Experience : 1 Years Date of Joining : 2009-01-22

Non Teaching Staff

Facility

Hospital services

• The Department of Medicine at Sir Takhatsinghji Hospital is totally dedicated to serve the poor patients of the society. It is not that other patients do not come. Patients come here for the specialized treatment of Acute and Chronic Renal Diseases, and whole spectrum of the society is reflected here.
• Patients are treated on outdoor and indoor basis. Outdoor patients are treated in OPD no. 62, 63, 64 and indoor patients in wards 2, 10, Emergency Ward, ICCU and the Infectious Disease ward.
• The department runs OPD on all six working days. As there are three units so each unit runs the OPD twice a week.
• Emergency services are provided 24 X 7 including national holidays.
• Besides this the Diabetic Clinic OPD is run every Tuesday in room number 62 from 4 P.M. to 6 P.M. at UHTC it is run on every Friday from 4 P.M. to 6 P.M. The idea to run Diabetes Clinic at UHTC is to provide facilities near theire home in the heart of the city.

Dialysis Unit

• Dialysis unit has become the pride of the hospital and the Department.
• Since its inception in July 1996 it has progressed tremendously as can be seen from the table.
• It is equipped by five fully computerized machines that are the best available in the country.
• The first two machines were donated by Shree Veenu Bhai Sanghvi and her wife with a small contribution from the Government.
• These machines were non computerized but served their purpose well till July 2001.
• At this time two fully computerized machines were given by the Government under the Oret project.
• These machines are still running well.
• In 2001 the Unit was shifted from the old building, where only one room was there to its present place which was big and had ample scope for future expansion.
• It had separate room for procedure, staff, RO Plant, store and the doctor.
• Since then the department has received donations from various philanthropists and has acquired three more fully computerized machines.
• The old machines have since been phased out. RO Plant of 300 l/hr capacity was also donated in February 2005.
• Before that we were using DM water manufactured under the supervision of scientists of Central Salt and Marine Chemical Research Institute (CSMCRI) Bhavnagar.
• The staff is dedicated and works round the clock in case of emergency.
• This is the only Medical College Hospital in Gujarat where the number of daily Dialysis is around ten.
• Since Dr. Deepak Gupta has taken charge of the Unit the number of patients has increased tremendously as can be appreciated from the table given below.
  
  

  Year	No. of Dialysis
  1996 (July onwards)	40
  1997	439
  1998	478
  1999	464
  2000	792
  2001	1028
  2002	1273
  2003	1825
  2004	2344
  2005	3172
  2006 (Till July)	1830

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Diabetes Clinic

Diabetes Clinic was started in April at two places. The first was started at Sir T. Hospital in room no. 62 it runs on every Tuesday from 2-4 p.m. simultaneously a second clinic was started at UHTC at Sir Jaswantsinghji Dispensary in the heart of the city. The idea to start second clinic was to provide service to the patient at their door steps. Both these clinics are run by Dr. Deepak Gupta Associate Professor in Medicine along with Mr. Jayesh Andharia (male nurse). The idea to start Diabetes Clinic was to provide comprehensive care to the patients of Diabetes, the number of which is increasing day by day. The second aim was to screen patients for peripheral Neuropathy and Vasculopathy so as to prevent Diabetic Foot complication. Diabetes is the main cause of all non traumatic amputation in the world. Dr. Deepak Gupta and Mr. Jayesh Andharia received training in Identification and Management of Diabetic Foot at Mumbai by the Diabetic Foot Society of India. It was a two term course which they successfully completed and are now putting it to practical application. The response has been overwhelming. Even the foot ware is modified to off load the wound. The clinic has basic facilities and plans are afoot to acquire various instruments for providing better care to the patients.

Special Services Provides By The Department

Medicine Department is active not just in treatment of the patients but also on the social front. The department was active in organizing the Silver Jubilee APGCON in 2003. This was the first time that the Annual Conference of the Association of Physicians was held in Bhavnagar. In fact Dr. P.R. Jha was the Chairman of the Reception Committee and Dr, Deepak Gupta was the Organising Secretary.

Besides this our department is participating in various health checkup camps organized by the government as well as the NGOs. Special services in the form of dietary advice and chart to Diabetic and Renal patients are also provided. Even foot ware is modified for the Diabetic Foot patients.

Emergency Services

Emergency services are provided round the clock by the department 24x7. One Assistant Professor is on call round the clock besides the Residents which are available in the hospital itself. We are proud to say that this is the only Government Medical College in Gujarat where the facility for Haemodialysis is provided round the clock 24x7.

Stress Test

The Department has facility for doing Treadmill Stress Testing of Cardiac and suspected Cardiac pain chest patients. Dr. Alpesh Vora is looking after this and performs them twice a week. The machine is fully computerized.

Teaching Facilities

This Department has adequate teaching facilities for both undergraduates and postgraduates. It has a fully equipped seminar room for seminars & lectures. It is used for P.G teaching and presentations by the Post Graduates.

Undergraduate Teaching

This institution initially had 50 admissions for the undergraduate course that has now been increased to 100 from 2006 admissions every year. It gives a very comprehensive schedule for training undergraduate students in the field of Medicine. The training includes theoretical teaching with main thrust on diseases more common in India. Besides this bedside clinical training is given that also includes interpretation of Lab results and bedside procedures. Besides, there is a healthy academic atmosphere for free discussion on clinical cases among faculty and resident staff.

• Integrated lectures in Medical College once a week covering all topics relevant to the curriculum.
• Active participation of Postgraduate students for Undergraduate teaching.
• Theory lectures in the field of Medicine by the Senior as well as Junior staff are conducted regularly.
• Tutorials are held every week that covers ECG and X-Ray interpretations as well as lab diagnosis of various common illnesses.

Healthy Practices

• Regular monthly clinical meetings of CSI & API - Bhavnagar Branch are held in which the PG Students and Faculty present their interesting and problematic patients in front of all the members to discuss and share clinical knowledge.
• Social service participation - Full participation in diagnostic and therapeutic camps organized by Government and NGO's is done by the PG Students and the Faculty.

Future Plans

• To start 2 D Echo Doppler facility
• To fully computerize Diabetes Clinic
• To purchase a new Dialysis Machine
• To start Diagnostic and Therapeutic Gastroscopy

Subject Curriculum

Basic

• Genetic aspect of Disease
• Pain
• Headache
• Cardinal Manifestation of Disease
• Basic Physiology

CVS

• Cardinal manifestation of Cardio Vascular Diseases
• Non Invasive Techniques in CVS
• Cardiac Arrhythmias and Anti Arrhythmic Agents
• Heart Failure and drugs used in its management
• Ischemic Heart Disease and drugs used in its management
• Valvular Heart Disease
• Congenital Heart Disease
• Hypertension
• Disease of Pericardium
• Cardiomyopathies
• Rheumatic Fever and its Prophylaxis
• Infective Endocarditis

CNS

• Basic Anatomy and Cardinal Manifestations of CNS Diseases
• Diagnostic Techniques in CNS
• Epilepsy and other Convulsive disorders
• Cerebrovascular Disorders
• Infections of CNS including Slow Virus Diseases
• Parkinsonism Disease
• Muscular Dystrophy and other Myopathies
• Neuro Muscular Junction Disorders
• Disease of Peripheral Nervous System
• Demylenating diseases of the CNS
• Organic Psychosis

GIT

• Cardinal Manifestations of GIT disorders
• Diagnostic Techniques in GIT disorders
• Oesophageal Disease
• Acid Peptic Disorders
• Inflamatory Bowel Diseases
• Pancreatitis
• Disorders of Absorption
• Hepatitis
• Cirrhosis of Liver
• Hepatic Failure
• Diseases of Gall Bladder

Respiratory System

• Cardinal Manifestations of Pulmonary Diseases and
• Pulmonary Function Testing
• Ventillation Control and ABG Analysis
• Bronchial Asthma
• COPD
• Pneumonias
• Occupational Lung Diseases
• Pulmonary Tuberculosis including DOTS
• Restrictive Lung Diseases
• Lung Malignancies
• ARDS

Endocrinal Disorders

• Thyroid Function Test
• Hypothyroidism
• Hyperthyroidism
• Thyroiditis & Misc. disorders
• Parathyroid disorders
• Adrenal Functions and its evaluation
• Adisonian Crisis
• Cushing Syndrome
• Conns Disease & Misc. disorders
• Diabetes Mellitus
• Pituitary Disorders

Renal Disorders

• Renal Function Tests & normal Renal Physiology
• Glomerulonephritis
• Acute Renal Failure
• Chronic Renal Failure
• Nephrotic Syndrome
• Dialysis & Renal Transplant
• Misc. Nephropathies

Infectious Diseases

• Antibiotics & there mechanism of action
• PUO
• Septicemia
• Enteric Fever
• HIV Infection
• Food borne Disease
• Nosocomial Infections
• Malaria
• Misc. Disorders

Haematology

• Diagnostic & Therapeutic approach to Haematological Disorders
• Iron Deficiency Anaemia
• Macrocytic Anaemia
• Platelet Disorders including Purpura
• Homeostasis, Blood Coagulation & Coagulation
• Disorders
• Hereditary Anaemias
• Haemolytic Anaemias
• Leukemia
• Lymphoma - Hodgkins & Non Hodgkins
• Multiple Myeloma

Rheumatology

• Approach to a patient with painful joints
• Infective Arthritis

Topics To Be Covered During Clinical Posting In Medicine

• Introduction, Welcome to the department, Distribution & basic guidelines of the working pattern of the department.
• During the first posting basic history taking is taught and the students are encouraged to take detailed history and each student has to present at least two history during the first posting. During their ward leaving they have to show at least five histories at the time of ward leaving and 50% marks of ward leaving are there for the history. Correct way to doing General Systemic examination is emphasized upon.
• During the second posting respiratory, Cardiovascular and Gastrointestinal systems are taught. Cases of the above system are shown in detail along with the relevant investigations.
• During the third and final posting remaining systems are taught along with investigations.
• Emphasis is laid on the Art of history taking during each posting. During ward leaving 50 % of marks are for the history that the students take.
• OPD setup is also shown to the students but more emphasis is on the examination of the patients in the ward.
• Students are shown various bed side procedures by the PG Students.
• Instruments used in Medicines are also shown to the students.
• X- Ray and ECG are also taught during the final posting.

Extra Activity

Actively participated in various cultural events at Medical College and won many Prizes and Certificates of appreciation. Actively participated and Organized Science of Life Exhibition at R.N.T. Medical College Udaipur and was awarded Merit Certificate for the same. Participated in Various All India Inter Medical College meets at AIIMS New Delhi and S.M.S. Medical College, Jaipur and won Prizes. Actively participated in various G.K. Competitions organized by the U.S.O. and was awarded Merit Certificate.

Dr. S.J. Panjwani:

Dr. Panjwani is working as Associate Professor of Medicine in this department since April 2006. previously he had worked as Assistant Professor of Medicine at the same institute and at M.P. Shah Medical College Jamnagar.

Dr. Panna Kamdar:

Dr. Panna is working as Assistant Professor of Medicine.

Dr. Madhu Panjwani:

Dr. Madhu is working as Assistant Professor of Medicine.

Dr. Alpesh Vora:

Dr. Vora is working as Assistant Professor of Medicine since 01/04/2002. he was associated with the Department of Medicine as Tutor in Medicine from 16/03/2000 to 31/03/2002. he did his M.B.B.S and M.D. from M.P. Shah Medical College Jamnagar. He passed his M.B.B.S. in the year 1994 and M.D. in 1999. he is Life Member of API & IMA. He was an active Executive member during the organization of Silver Jubilee APGCO held in Bhavnagar in 2003. His hobbies include Reading, Music and Traveling.

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