Status of Compliance with MSR for M.

Ch Hepato Pancreato Biliary Surgery

Part A: Departmental Informations & Facilities

1. Name of the Department : Hepato Pancreato Biliary Surgery

2. Name of the Course : M.Ch Hepato Pancreato Biliary Surgery
3. Total no. of beds in the department. : 20 Beds
4. No. of Units in the department. : One

5. Unit wise teaching staff

1. Dr. Philip Joseph
2. Dr. Frederick Lorence Vyas
3. Dr. Dhiraj John Sonbare
4. Dr. Arul Kumar S.
5. Dr. AbhilashaAnand
Professor of HPB Surgery
Professor of HPB Surgery
Asst. Professor of HPB Surgery
Senior Resident
Senior Resident

6. Available Clinical Material:

 Average daily OPD. : 220 per week

 Average daily IPD. : 16
 Average daily bed occupancy rate : 80%
 Average daily operations: Major 3-4 per week Non Major 4 per week
 Year-wise available clinical materials (during previous three years).

Outpatient services / Inpatient services 2015 2014 2013

Total number of outpatients 8863 7844 7562

Total number of Inpatient 579 602 579
Operation done 425 390 361

7. Intensive Care facilities

I. ICU Available
II. ICCU Available
III. NICU Available
IV. PICU Available
V. Dialysis Available

8. Specialty clinics and services being provided by the department.

 HPB Surgery clinic on Mondays & Thursdays

 HPB Oncology clinic on Mondays & Thursdays (newly started)
 Liver transplant clinic on Wednesdays
 Pancreatic & Biliary multi-disciplinary team meeting on Thursdays
 Liver multi-disciplinary meeting on Saturdays
 Combined rounds with Gastroenterology on Mondays & Thursdays
9. Teaching facilities:

Number Size Sitting capacity

Seminar 1 15
Rooms
Demonstration 2 Room 19 20
Rooms Skills lab 15

Audiovisual Aids: Adequate

10. Departmental Library:

 Total No. of Books. : 146

11. Departmental Research Lab.

 Space - BMPLII - 500 sq ft
Stem cell - 500 sq ft
 Equipment
S. No List Of Equipments Nos
1. ELISA Reader (Biotek,USA) 1
2. Electronic Balance ( ScaItec, Germany ) 1
3. Table top centrifuge (Eppendorf, Germany) 1
4. Centrifuges Table Top High Speed ( Spinwin, India ) 1
5. Electrophoresis system ( Biorad, UK ) 1
6. -70C Freezer ( Krispcold, India ) 1
7. Forma Scientific Freezer -20C 1
8. Forma Scientific Freezer -86C 1
9. Heating Block (Techne,England) 1
10. CO2 Incubators (Forma Scientific) 1
11. Thermalcycler (Applied Biosystems, USA) 1
12. Module Cooling (Biorad, USA) 1
13. Ph Meter (Corning, USA) 1
14. Power Supply Regulated Electrophoresis ( Biorad, USA ) 1
15. Gel Documentation system ( Biorad, USA ) 1
16. Belly Dancer( Corning, USA ) 1
17. Stirer (Spint, USA) 1
18. Electrophoresis cell PFGE, Biorad, UK 1
19. Electronic Balance ( Sartorius,USA ) 1
20. Waterbath with 4 racks (Remi,India) 1
21. Cyclo Mixer (Tarson, India) 1
22. Quick Read CRP Testing unit (Orion Diagnostica,Finland) 1
23. Microscope Trinocular (Leica, Germany) 1
24. Laboratory Centrifuge (Remi,India) 2
25. Biosafety Hood (Klenzaid,India) 1
26. HI Loop Auto Sterilizer (Himedia, India) 1
27. Bacteriological Incubator (Remi, India) 1
28. API Bacterial Identification system (Biomerieux, France) 1
29. Micro-oven ( Kenstar, India) 1
30. Hot Air Oven (Sciencehouse, India) 1
31. Autoclave (NAT Steel, India) 1
32. Lyophilizer (Martin Christ, Germany) 1
33. Refrigerator 350 L (Whirlpool India) 1
 34. Vertical Cooler (VestFrost, USA) 1
35. Air Conditioners (O General, USA) 3
36. Personal Computer with Printers (HCL, India) 2
37. Gene Path PFGE System ( Biorad, USA ) 1
38. Real time PCR (Applied Biosystems, USA) 1
39. Bactec 9060 Blood culture system (BD, USA) 1

12. No. of publications from the department during the last three years. 10

13. OPD Space:

 No. of rooms 5
 Patient Exam. arrangement: In the individual clinic rooms
 Teaching Space Demonstration / class room
 Waiting area for patients. Adequate
 Indoor Space: Adequate

14. Office Accommodation:

 Departmental Office Yes
 Space 825 Sq. Ft
 Staff (Steno /Clerk).
Secretary 1 ; Hospital attendant 1

 Computer/ Typewriter: Yes – 4 computers

15. Office Space for Teaching Faculty:

 HOD 1 room (55 Sq. Ft)

 Professor 1 room (55 Sq. Ft)
 Assoc. Prof./ Reader 1 room
 Lecturer/ Asst. Professor 1 room (shared)
 Resident duty room 150 Sq. Ft
16. Equipments:

List of important equipments available and their functional status.

Cavitron Ultrasonic Aspiration System including laparoscopic tip

Fibreoptic Choledochoscope
Advanced laparoscopic equipment
Rigid Dresden scope for hepatolithiasis
Maquet fluid warmers
Operative microscope
Radio Frequency Ablation generator and probes – shared with Radiology
Level 1 transfusion system
Steiber rib grip retractor
Aloka Ultrasond machine for intra-operative ultrasonography
Laparoscopic ultrasound probe & Digital probe
Hot Dog patient warming device
Head lights
Birtcher argon beam coagulator
Harmonic scalpel
Ligasure small jaw
Image intensifier

Functional status - ALL FUNCTIONAL

 Part B: Institutional Informations & Facilities

1. Institution Running PG courses and their sanctioned intake by MCI:

Under Graduate Course

S.No Course Seats

1 MBBS 100

Postgraduate Diploma Courses

S.No Course Seats

1 Diploma in Obstetrics and Gynaecology 6
2 Diploma in Clinical Pathology 2
3 Diploma in Child Health 8
4 Diploma in Medical Radio Diagnosis 3
5 Diploma in Medical radio Therapy 3
6 Diploma in Anaesthesia 8

S. No Course Seats
7 Diploma in Psychological Medicine 6
8 Diploma in Dermatology, Venerology and Leprosy 1
9 Diploma in Orthopaedics 4
10 Diploma in Ophthalmology 2
11 Diploma in Oto Rhino Laryngology 2

Postgraduate Degree Courses

S. No Course Seats
1 MD ‐ General Medicine 16
2 MD ‐ Pathology 8
3 MD ‐ Microbiology 4
4 MD ‐ Physiology 4
5 MD ‐ Pharmacology 2
6 MD ‐ Paediatrics 8
7 MD ‐ Radio Diagnosis 6
8 MD ‐ Radio Therapy 5
9 MD ‐ Anaesthesiology 11
10 MD ‐ Dermatology, Venerology & Leprosy 3
11 MD ‐ Biochemistry 2
12 MD ‐ Community Medicine 6
13 MD ‐ Geriatrics 1
14 MD ‐ Pulmonary Medicine 2
15 MD ‐ Psychiatry 6
16 MD ‐ Physical Medicine & Rehabilitation 4
17 MD ‐ Transfusion Medicine 3
18 MD ‐ Anatomy 4
19 MD ‐ Nuclear Medicine 1

S.No Course Seats

1 MS ‐ General Surgery 10
2 MS ‐ Orthopaedic Surgery 8
3 MS ‐ Ophthalmology 7
4 MS ‐ ENT 6
5 MS ‐ Obstetrics and Gynaecology 6
 Postgraduate Higher Specialty Courses

S.No Course Seats

1 DM ‐ Neurology 2
2 DM ‐ Cardiology 6
3 DM ‐ Nephrology 4
4 DM ‐ Medical Gastroenterology 5
5 DM ‐ Clinical Haematology 4
6 DM ‐ Endocrinology 2
7 DM ‐ Rheumatology 1
8 DM ‐ Hepatology 1
9 DM ‐ Neonatology 2

S.No Course Seats

1 M.Ch ‐ Cardio Thoracic Surgery 4
2 M.Ch ‐ Neuro Surgery 4
3 M.Ch ‐ Plastic Reconstructive Surgery 3
4 M.Ch ‐ Urology 5
5 M.Ch ‐ Paediatric Surgery 4
6 M.Ch ‐ Endocrine Surgery 1
7 M.Ch ‐ Vascular Surgery 1

2. Department - wise bed strength in the Hospital(s) owned and managed by the Institute.

S. No Department No. of Beds Available

1 Dermatology 40
2 General Medicine 160
3 Geriatric Medicine 30
4 Paediatrics 160
5 Psychiatry 110
6 PMR 105
7 Radiotherapy 70

S. No Department No. of Beds Available

8 Tuberculosis and Respiratory 40
9 Community Medicine 96
10 Palliative Medicine 30
11 Family Medicine 85
12 ENT 60
13 General Surgery 134
14 Obstetrics and Gynaecology 246
15 Ophthamology 100
16 Orthopaedics 150
17 Cardiology 61
18 Endocrinology 40
19 Gastroenterology 60
20 Hepatology 20
21 Haematology 80
22 Neurology 30
23 Nephrology 40
24 Neonatology 20
25 Rheumatology 20
26 Critical Care Medicine 31
 27 Paediatric Neurology 20
28 Medical Genetics 20
29 Infectious Diseases 20
30 Reproductive Medicine 20
31 Cardio Thoracic Surgery 60
32 Endocrine Surgery 20
33 Genito Urinary Surgery 73
34 Neurosurgery 62
35 Paediatric Surgery 41
36 Plastic Surgery 30
37 Vascular Surgery 20
38 Gynaecological Oncology 20
39 Hand Surgery 20
40 Hepato Pancreatico Biliary Surgery 20
Total 2464

3. Average daily patients attendance at Christian Medical College

 OPD: 8313

 IPD : 2071

 Average Bed occupancy rate. Teaching Beds : 85 %

Including Non - Teaching Beds: 78.91%

 Year-wise average daily patient attendance (during previous period three years).

2016 OPD: 2024938 IPD: 110086

2015 OPD: 1903944 IPD: 110132

2014 OPD: 1744529 IPD: 106423

4. Central Library:

 Total No. of Books. 21128

 Purchase of latest editions in last 3 years. 4247
 Journals: 288
Indian: 58 + 45 Online
Foreign: 230 + 1159 Online
 Year/month upto which Indian Journals available up to September 2016
 Year/ month upto which Foreign journals available. up to September 2016

5. Lecture theatres (give type & seating capacity of each):

College Campus
Name of the Lecture Theatre Seating capacity
Scudder Auditorium (Gallery type) 964
Senate Hall 118
CHTC Theatre (Gallery type) 120
Hospital Campus
Name of the Lecture Theatre Seating capacity
Norman Auditorium (Gallery type) 250
Wheeler Hall 100
Kutumbiah Hall (Gallery type) 120
J.C. David Hall 120
Grace Koshy Hall 120
E-learning class room 70
Jacob Chandy Hall 136
CK Job Hall 86

6. Hostel facilities : Avalable

7. Residential staff quarters : Available
8. College Council : Available
9. PG Committee : Available
10. Ethical Committee : Available
11. Medical Education Unit : Available

12. Emergency / Casualty Department

 Available Space : 1010 Sq. M

 No. of beds : 43 Beds
 Equipment(s) : List Given Below
Oxygen supply, Ventilation, Defibrillator, Fully equipped disaster trolleys
Pulse / Cardiac Monitors: 7
Mechanical Ventilators: 4 (+ 2 spare)
BiPAP / CPAP: 1
Defibrillators: 2
Vascular Doppler: 1
Portable Ultrasound Machine - 1
ABG machine -1
Ventilators – 3
Nebulizers – 15
Infusion Pumps - 15
Monitors - 18
 Available staff (Medical/Paramedical) : CMO – 30
Nurses – 68
Attenders – 12
Sweepers – 6
 No .of cases (Average daily attendance of patients).: 180 – 200 & 110 admissions
 Investigative facilities available (round the clock). : Centralized
(round the clock)
 Facilities available : Trauma Centre,
Advanced airway management,
Facilities available for All
Emergencies
13. Blood bank
 Valid License : Yes - Ref. No. 7790/D2/4/2011, Dated: 27.01.2015
 No. of blood units available: 729
 Average blood units consumed daily: 150-190
 Facilities of blood components available:Yes – Specified area, Equipment & Storage
facilities.
 Nature of Blood storage facilities (Whether as per specifications). Yes
 All blood Units tested for Hepatitis C,B,HIV: Yes

14. Central Laboratory

 Controlling Department. General Pathology,
Clinical Pathology,
Clinical Biochemistry,
Microbiology
 Working Hours. Round the clock
 Investigative work load. 39,498 Laboratory Tests / Day

15. Central Research Lab.

 Whether there is any Central Research Lab. Yes

William's building (separate Research building) with 5 floors where major research
facilities are available in the hospital campus. One basic sciences research laboratory
is available in the college campus. In addition many departments have their own
research laboratory.
 Administrative Control

There is a research committee, which approves and monitors research projects.There

is also the Vice Principal (Research).
 Staff

Research staff (approximately 45) are appointed on the Institution budget and on
project funds
 Equipment

The Wellcome Trust Research Laboratory of the Division of

Gastrointestinal Sciences is located in the five storey Williams Building and
has well-equipped biochemistry, microbiology, molecular biology,
immunology and pathology laboratories. The laboratories have bacterial,
viral and tissue culture facilities in addition to centrifuges, ultracentrifuges,
microscopes equipped with fluorescence and phase contrast optics, gel
documentation and imaging systems, software for image analysis, HPLC,
refrigerators, balances, pH meter, micro centrifuges, refrigerated
centrifuges, ELISA plate readers, 8 thermal cyclers, power supplies,
electrophoresis apparatus, UV transilluminator, liquid nitrogen freezer, CO2
incubators, laminar flow hoods, inverted microscopes and microscopes,
scintillation counters, spectrophotometers; ice makers, freezers
andalyophilizer. The pathology laboratory has facilities for tissue processing
and examination by light microscopy and electron microscopy (including a
new Tecnai TEM purchased in 2011), in addition to immunohistochemistry,
tissue PCR and in situ PCR, there are 4 real time PCR machines including a
 Quant studio. The immunology laboratory has a BD Accuri and a
FACSAria III. There are dedicated air-conditioned freezer rooms in which -
70 C freezers (n=20) and -20 freezers (n=14) are kept. All laboratories and
the freezer room have emergency power supply connected to the hospital
generators.

 Work load.

Twenty-four hour work pattern – eight hour shifts for each person.

16. Investigative facilities (Approx. number of investigations done daily)

I. Radiology
 Plain X-rays: 1417
 CT Scan; 137
 MR Scan 120
 Mammography 13
 Ba Studies/IVP 24
 Ultra-sonography 385
 Others. 192
II. Radiotherapy

 Radiotherapy
 Teletherapy 190
 Brachy therapy 2-3 / Day

III. Pathology

 Haematology 4008
 Histopathology 194
 FNAC 15
 Cytology 59

IV. Microbiology

 Bacteriology 671
 Serology 15
 Mycology 22
 Parasitology 142
 Virology 457
 Immunology 188

V. Biochemistry

 Blood Chemistry 5225

 Endocrinology 626
 Other fluids 365
17. Operation Theatres:
 AC/Non AC : AC
 Numbers: 34
 Equipment(s)
LIST OF EQUIPMENTS IN THE THEATER

1. Electro surgical generators – standard diathermy x 6

2. Electro surgical generator – diathermy + Argon Beam Coagulator
3. Electro surgical generator – diathermy + Vessel sealing
4. Harmonic Scalpel (Ultrasonic shears) x 2
5. Laparoscopic equipment stack x 4
(a) High definition camera
(b) Xenon light source
(c) Carbon dioxide insufflator
6. Flexible Choledochoscope – Camera unit + light source + monitor
7. Flexible and Rigid sigmoidoscope
8. Operating Head lights x 3
9. Nephroscope
10. CUSA
11. Leica F40 Microscope
12. Diagnostic Ultrasound
13. Endovenous laser ablation (EVLA) unit
14. Endovenous RFA Unit
15. Fluid warmer
16. Freezer box
17. Intelligent Tourniquet
18. Basin stand with Heater
19. Electronic weighing scale x 2
20. Camera Unit for teaching – Head mounted
21. Camera Unit for teaching – Over head light mounted
22. Hot Dog body heating system
23. Hug-U-Vac patient positioned
24. Sequential Pneumatic compression device

 Pre-Anaesthetic Clinic Yes

 Post-anaesthetic care area. Yes
 Resuscitation arrangement Adequate
 ICU Yes
 Pain Clinic Yes
 Total Anaesthesia staff Professor – 7
Associate Professor – 5
Assistant Professor – 34
Senior Resident – 5
Junior Resident - 42
 Average No. of cases operated daily
Major : 75
Minor : 44
18. Central Supply of Oxygen/Suction: Available.

19. Central Sterlization Dept. Adequate

20. Laundry : Mechanical.

Service: Adequate.
21. Kitchen Available
Cooking by Gas
22. Incinerator
 Outsourced

Our Institution has an MOU with an Agency called Ken Bio-Links which is
approved by the Pollution Control Board of Tamil Nadu

23. Generator Facility: Available

Capacity: Details Given Below

TOTAL HT SERVICES IN CMC

SANCTIONED TRANSFORMER GENERATOR SOLAR

S.NO LOCATION DEMAND IN CAPACITY IN CAPACITY POWER
KVA KVA IN KVA IN KW
1 HOSPITAL TOWN CAMPUUS 4500 8690 7375 50
2 SCHELL EYE CAMPUS 130 250 250
COLLEGE OF NURSING,
3 120 500 180
KAGITHAPATTARAI CAMPUS
WOMENS HOSTEL SIDE,
4 400 630 1000
BAGAYAM CAMPUS
MEN'S HOSTEL SIDE,
5 120 200 442.5
BAGAYAM CAMPUS
REHAB INSTITUTION,
6 250 630 820
BAGAYAM CAMPUS
7 RUHSA CAMPUS 80 250 170

24. Medical Record Section: Computerized.

25. Animal House Available and adequate

CENTRALIZED ANIMAL HOUSE (CMCH) (Registration Number 88/1999/CPCSEA)

Animal House with permission to breed and maintain small laboratory animals and rabbits.
Currently the animal population includes New Zealand white rabbits, Wistar rats, Sprague
Dawley rats, Swiss Albino mice, C57 BL 6J black mice, Balb C mice.

There are 11 rooms over 2800 sq feet of floor space. Three rooms of 21.5 x 9.5 feet, 6 rooms of
27.5 x 9.5 feet, feed room and store of 27.5 x 9.5 feet and corridor of 62 x 6 feet.

Animal Holding Rooms : 6 air-conditioned rooms

Animal Procedures : 1 air-conditioned room (Operating room with table and instruments).
Wash Room : 1 room
Store for Feed : 1 room
Store for cages etc : 1 room
Bathroom :1

ANIMAL HOUSE (COLLEGE CAMPUS)

There is a separate animal breeding and housing facility on the college campus.

It has a total area of about 278.71 sq.m.

There are 13 rooms in all. The following are the details of the animal house.
 1. No. of animals kept and bred:

266 rats, 218 mice and 7 rabbits

2. Facilities for experimental work :

Operating room with table and Instruments

Procedure Room
Staff for Animal house: :
1. Veterinary Officer 1
2.Animal Attendant 1
3.Technician for animal operation room(Co-ordinator) 1
4. Sweeper 2

26. Recreational facilities:

 Play grounds Adequate facilities available in the campus

The dimensions of the CMC playground are 185m x 145m. It has a 400 m track, 1 football
field, 1 hockey field and 1 cricket pitch. The college campus has 1 basketball court, 1 tennis
court, 1 throw-ball court, 1 semi-indoor badminton court, and 1 table tennis room.
Outdoor Track & field, football, cricket, Hockey,
Basket ball, Volleyball, Throw ball, Tennis
Indoor Table Tennis, Shuttle Badminton, Carom,
Tennikoit and Chess
House matches, Integrated Sports, College Sports conducted throughout the year and also
participate intermural games. intramural
 Gymnasium
Multi gymnasium with all the necessary equipments - one each in college campus and
hospital campus. The gymnasium in the college campus has: four station gyms, bench-
press stand with weight plates, two abdominal boards, a rowing machine and fourteen
dumb-bells In hospital campus has six station gym Bench press with weight plates
abdominal board rowing machine elliptical trainer two exercise bikes twister abdominal
crunch and bench leg trainer.
 Auditorium

Name of the auditorium Seating capacity

Scudder Auditorium 964

Senate Hall 119
Norman Auditorium 250
Wheeler Hall 100

Kutumbiah Hall 120

CHTC Auditorium 120

Seminar Halls – 2 20

J.C. David Hall 120

Telemedicine Hall 50
Jacob Chandy Hall 136
CK Job Hall 86