GENERAL MEDICINE

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அரசு மருத்துவக் கல்லூரி மற்றும் மருத்துவமணை - திருவள்ளூர்பொது மருத்துவம்

வழங்கப்படும் சேவைகள்

• வெளி நோயாளி சேவை:


• ஆலோசனை மற்றும் மதிப்பீடு


• உள் நோயாளி சேவைகள்


• அவசர சேவைகள்


• மாரடைப்பு நோயாளிகளுக்குத் ரோம்போலிசிஸ்


• பக்கவாதம் நோயாளிகளுக்குத் ரோம்போலிசிஸ்


• விஷம், கடி, மற்றும் கடி மேலாண்மை


• சிறுநீரக செயலிழப்பு நோயாளிகளுக்கு டயாலிசிஸ்


• சேவைகள்


• அனைத்து நோய் வாய்ப்பட்ட மருத்துவ நோய்க்கான


• IMCU பராமரிப்பு


• அனைத்து மாரடைப்பு. கரோனரி தமனி நோயாளிகளுக்கும்


• ICCU LITTLrfiúų


• ஹீமோபிலியா சிகிச்சைக்காக இயங்கும் ஹீமோபிலியா


• கிளினிக்


• NVHCP திட்டத்தின்படி ஒவ்வொரு வியாழக்கிழமையும் வைரஸ் ஹெபடைடிஸ் கிளினிக் இயங்குகிறது


• அனைத்து சுகாதாரப் பணியாளர்களுக்கும் ஹெபடைடிஸ்பி தடுப்பூசி, வைரஸ் ஹெபடைடிஸ் நோயாளிக்கு வைரஸ் தடுப்பு மருந்துகள் வழங்கப்படுகிறது


• நீரிழிவு மற்றும் உயர் இரத்த அழுத்த நோயாளிகளுக்கான ஹிளீம் கிளினிக்


• தைராய்டு பிரச்சனை மேலாண்மை


• திங்கள், புதன் மற்றும் வெள்ளிக்கிழமைகளில் நரம்பியல் மருத்துவமனை இயங்குகிறது


• செவ்வாய், வியாழன் மற்றும் சனிஆகிய நாட்களில் இருதயசிகிச்சை மருத்துவமனை இயங்குகிறது


• ECHO கார்டியோகிராம் திங்கள், புதன் மற்றும் வெள்ளிக்கிழமைகளில் செய்யப்படுகிறது


• தொற்று நோய்பரவல்மேலாண்மை


• கோவிட்பராமரிப்பு

வழங்கப்படாத சேவைகள்

• சிறுநீரகவியல்


• கேத்தரைசேஷன் ஆய்வகம்


• தொற்று நோய்


• வலி மற்றும் நோய்த்தடுப்பு சிகிச்சை


• மருத்துவ புற்றுநோயியல் மருத்துவ காஸ்ட்ரோஎன்டாலஜி


• ஹெபடாலஜி


• வாத நோய்


• உட்சுரப்பியல்


• நச்சுயியல்

DIALYSIS WARD

Dialysis ward consists of 25 beds,15 dialyzer machines.4 sessions (slots) available in a day around 40 to 45 Chronic Kidney Disease patients get their dialysis sessions done per day round the clock the sessions are monitored by Doctors, staff nurses and technicians. Per month more than 1000 Hemo Dialysis cycles are done at dialysis ward. Injections Iron Sucrose weekly once given to CKD Patients with HB less than 8 grams. Injection Erythropoietin given to CKD patients every fortnight. Nonstop RO Supply available in Dialysis area.

CHEST MEDICINE

• At the department of TB and Respiratory Medicine services in regard to TB and general pulmonology diseases are available both on OP as well as IP bases, with facilities to administered intensive respiratory care to needed patients. The OP department is supported with diagnostic facilities – Sputum examination, Culture and sensitivity studies, PFT and Imaging studies special clinics are conducted for diagnosis treatment and patient education for chronic lung diseases like COPD and asthma.


• Tobacco cessation clinic is also conducted in coordination with department of psychiatry and Community Medicine. The district TB Cell is attached to our department. TB services – screening, diagnosis, treatment(DOTS) and follow-up of patients with TB and EPTB are undertaken on OP and IP basis there is an exclusive well ventilated Tb ward for Male and Female with facilities to manage seriously ill B patients(TNKET patients).


• The General Medicine PGs will have adequate training in management of respiratory illnesses. The average monthly OPD census is around 2250 and IP census is around 65 further the Post Graduate will have opportunities to undertake research activities in respiratory Medicine with available resources.

DERMATOLOGY

At the Department of Dermatology per day around 200 patients are treated on OP basis and around 05 to 10 patients are admitted as IP. In dermatology ward around 10 beds available procedures such as PRP, SSS, Fungal KOH mount/Scrapings, Intralesional Steroids, Salicylic acid treatment, Wart PRP, Electro Cautery, MC needling, biopsies etc. are carried out on daily basis.

ART CLINIC

At the department of ART around 50 patients are treated on OPD basis regularly patients tested for various sexually transmitted diseases such as HIV, VDRL etc. Patient diagnosed with AIDS are provided with anti-retro viral drugs on monthly basis (patients with comorbidities) and 3 months once (patients without comorbidities)

PSYCHIATRY

At the department of psychiatry around 50 patients are treated on OPD basis there are 30 beds available in psychiatry ward patients diagnosed with psychotic disorders are given ECT.

CARDIOLOGY

Department of Cardiology is situated in 2nd Floor Main block OPD clinic conducted on Tuesdays, thursdays and Saturdays on OPD days cardiologist treats OPD patients and does 2D echo, TMT exclusively for OP patients on Mondays, Wednesdays and Fridays cardiologists treats IP patients and does 2D echo for the same. Around 150 OP patients are treated.

NEUROLOGY

Department of neurology situated in 1st floor main block. Neurologist runs OP Clinic on Mondays, Wednesdays and Fridays. Neurologist visits IP patients in various wards and gives opinions on Tuesdays, Thursdays and Saturdays. EEG and NCS are done by neurologist for needful patients around 100 to 120 patients are seen and treated on OP basis.

Our Department of General Medicine facilities teaching of:

• Undergraduate MBBS students


• C.R.M.I from Foreign Medical Graduates


• District Residency Program Post graduates from various Government and Private medical colleges and Institutions


• Nursing students and Allied health students.

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Undergraduate MBBS teaching programs

• Our Department of General Medicine conducts theory and practical demonstration classes for Second year and Pre final year MBBS Students and Final year as per NMC Medical education unit guidelines.


• Our Government Thiruvallur Medical College, Thiruvallur has 100 Undergraduate seats each academic year starting from 2022. At present we are having First year, Second year , pre final year and final year students in our college.


• In the morning, In OPD and Wards we are facilitating Early Clinical exposure as per NMC guidelines for Second year pre final year and final year students.


• As per COMPETENCY BASED UNDERGRADUATE CURRICULUM we provide education and clinical skill knowledge through various means from first year to final year.


• Early Clinical Exposure (ECE) is a learning tool that provides medical students with practical experience in a healthcare setting early in their studies.


• Competency-based curriculum: The curriculum is designed to help students develop competencies in working in a healthcare team, practicing medicine, and more.


• Clinical classes are held in second year, prefinal year and final year where proper schedule is based on Curriculum including case discussion, self directed learning and small group teaching


• A summative assessment is made at the end of session testing their competency skills which helps in strengthening their weak areas


• Theory classes were held regularly every month for prefinal years based on Cbme curriculum that includes General Medicine & procedural skills, AETCOM modules , Integration topics

C.R.M.I. from Foreign Medical Graduates

• In our Government Medical College and Hospital, CRMI from Foreign Medical Graduates are posted after completing their Foreign Medical Graduate Examination for past 2 years with each academic year approximately 100 CRMI graduates.


• We are teaching basic clinical exposure and hands on training to all the posted CRMIs to enable them to diagnose and treat common General Medicine ailments. Each CRMIs are trained to have ability to diagnose treat various medical diseases.



All the posted CRMIs are allowed to assist in:



• Endotracheal tube insertion


• Pleural Fluid tapping


• Ascitic Fluid tapping


• Bone marrow aspiration and biopsy


• Lumber Puncture etc

District Residency Program for Post graduates

• As per Post Graduate Medical Education Regulations 2000 (PGMER-2000) vide notification dated 16.09.2020, Post graduate students in various Government and Private Medical Colleges in their second year are posted in New Medical colleges, District Headquarters Government Hospitals and Taluk Hospitals.


• In our Government Medical College and Hospital, Thiruvallur, District Residency Program Post Graduates are regularly posted for the past two years from various Government and Private Medical Colleges.


• Theoretical knowledge (Cognitive domain)


• All the DRP Post graduates posted in our Department are trained under subject specific learning objectives. This will be dealt with under the following headings:


• Practical and clinical skills (psychomotor domain)


• Attitudes including communication skills (Affective domain)


• Writing thesis / Reviewing Research activities (Scholarly activity)


• Training in Research Methodology (Practice based learning, Evidence based practice)


• Professionalism


• Teaching skills



All the DRP PGs are involved in the following academic activities



• Case Presentation- Once a week in the ward and in Outpatient department


• Seminars- Once a week on every Friday


• Journal club- Once a week on every Saturday


• Academic grand ward rounds- Twice a week presentation of cases by residents and clinically applicable discussions


• Quality of training are monitored by log books, supportive supervision and continuous assessment of performance.