FORM-MCI-13(MICRO)

Standard Assessment Form for Postgraduate courses (Microbiology)

1. Name of Institution:______________________________________________________ Annual Intake for U.G.:

_____________________________________

Reference: _____________________________________________________________

2. Particulars of the Assessor:Name .

Assessment Date______________

Designation Speciality . Name & Address of Institute/College Residential Address (with Pin Code) Phone . (Off) (Resi) (Fax) Mobile No. .. E-mail: .

Signature of Assessor

FORM-MCI-13(MICRO)

3. (Institutional Information) A). Particulars of college

Item Name Address College Chairman/Health Secretary Dean

Medical Superintendent

State Pin Code Phone (Off) (Res) (Fax) Mobile No. E.mail:

B). Particulars of Affiliated University

Item Name Address University Vice Chancellor Registrar

State Pin Code Phone (Off) (Res) (Fax) Mobile No. E.mail:

Signature of Dean/Principal

FORM-MCI-13(MICRO)

4. Details of PG courses and their sanctioned intake by MCI: Department Course

Sanctioned seats Permitted Recognized When No. of When No. of Seats Seats

Diploma in Anesthesia Diploma in Child Health Diploma in Community Medicine Diploma in Clinical Pathology Diploma in Diabetology Diploma in Forensic Medicine Diploma in Health Administration Diploma in Hospital Administration Diploma in Health Education Diploma in Obstetrics & Gynaecology Diploma in Industrial Hygiene Diploma in Immuno-Haematology and Blood Transfusion Diploma in Oto-Rhino-Laryngology Diploma in Radio-Diagnosis Diploma in Radio Therapy Diploma in Medical Virology Diploma in Occupational Health Diploma in Ophthalmology Diploma in Orthopaedics Diploma in Public Health Diploma in Physical Medicine & Rehabilitation Diploma in Psychological Medicine Diploma in Radiation Medicine Diploma in Sports Medicine Diploma in Tuberculosis & Chest Diseases Diploma in Tropical Medicine Health Diploma in Dermatology, Venereology and Leprosy Diploma - Aviation Medicine Diploma in Cardiology Diploma in Microbiology Diploma in Industrial Health MD Anaesthesiology MD/MS - Anatomy MD - Aviation Medicine/Aerospace Medicine MD - Bio-Chemistry MD - Bio-Physics MD - Forensic Medicine MD - General Medicine MD - Community Health Administration MD - Geriatrics MD - Hospital Administration MD - Health Administration MD - Microbiology MD - Nuclear Medicine MD/MS - Obstetrtics & Gynaecology

Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma Diploma MD MD MD MD MD MD MD MD MD MD MD MD MD MD

FORM-MCI-13(MICRO)

MD - Paediatrics MD - Pathology MD - Dermatology , Venereology & Leprosy MD - Pharmacology MD - Physiology MD - Physical Medicine & Rehabilitation MD - Psychiatry MD - Radio Diagnosis/Radiology MD - Radiothrapy MD - Social & Preventive Medicine / Community Medicine MD - Tuberculosis & Respiratory Diseases / Pulmonary Medicine MD - Immuno Haematology & Blood Transfusion MD - Tropical Medicine MD - Pulmonary Medicine MD - Sports Medicine MD - Family Medicine MS - Orthopaedics MS - ENT MS - General Surgery MS - Ophthalmology DM - Neurology DM - Rheumatology DM - Endocrinology DM - Clinical Pharmacology DM - Clinical Haematology DM - Pulmonary Medicine DM - Neuro Radiology DM - Nephrology DM - Neonatology DM - Oncology DM - Gastroenterology DM - Cardiology DM - Clinical Immunology DM - Pul. Med. & Critical Care Med. DM - Cardiac-Anaes. DM - Haematology Pathology DM - Medical Genetics M.Ch - Cardio Thoracic and Vascular Surgery M.Ch - Neuro Surgery M.Ch - Paediatric Surgery M.Ch - Plastic Surgery M.Ch - Surgical Gastroenterology M.Ch - Surgical Oncology M.Ch - Urology/Genito-Urinary Surgery M.Ch - Endocrine Surgery

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MS MS MS MS DM DM DM DM DM DM DM DM DM DM DM DM DM DM DM DM DM MCh MCh MCh MCh MCh MCh MCh MCh

FORM-MCI-13(MICRO)

PART I 5. 6. Department inspected: .. Particulars of HOD Name: Age : University Institution Year Total teaching experience (give details) PG Degree

7.

Previous Assessment of department by MCI, if any: Date Purpose, (for starting/increase of seats/ for recognition) Deficiencies pointed out, if any.

8.

Purpose of present Assessment: Starting of PG.. Degree/diploma/both. Increase in seats...Degree/Diploma/both. Recognition /approval of degree/diploma/ both. Whether the course was started with prior approval of MCI . Date of permission of MCI for Degree/ Diploma/ both Annual intake Sanctioned by MCI for degree/ diploma/both Date of first admission for Degree/diploma/both Date of examination of Ist batch for recognition of course

9. Mode of selection (actual/proposed) of PG students.

6 10. If course already started, yearwise number of PG students admitted and available PG teachers during the last five years. Year Names of PG students admitted Names of recognized PG teachers against whom the students were admitted. Degree Diploma

FORM-MCI-13(MICRO)

11.

Central Library: Total No. of Books. Books pertaining to Microbiology Purchase of latest editions in last 3 years. Microbiology Books Journals: Total Indian Foreign Year/month upto which Indian Journals available Year/ month upto which Foreign journals available. Internet /Medlar/ Photocopy facilities available/ not available. Library opening timings: Reading facility out of routine library hours Accommodation (No. of rooms) available for Microbiology Other Books

12. Hostel facilities:

For U.G. students For Interns For P.G. students

13. Ethical Committee (Constitution)

FORM-MCI-13(MICRO)

14. Medical Education Unit (Constitution). (Specify number of meetings of these bodies held annually & minutes thereof)

15. Blood bank Valid License : No. of blood units available: Average blood units consumed daily: Facilities of blood components available: Yes/No Yes/No

Nature of Blood storage facilities (Whether as per specifications). Yes/No All blood Units tested for Hepatitis C,B,HIV: Yes/No

16. Central Laboratory Controlling Department. Working Hours. Investigative work load.

17. Central Research Lab. Whether there is any Central Research Lab. Administrative Control Staff Equipment Work load. Adequate/ Not adequate

18. Central Sterlization Deptt. 19. Incinerator Available/ Not available. Functional/ not functional Capacity 20. Generator Facility:

Available/ Not available.

FORM-MCI-13(MICRO)

Capacity: 21. Medical Record Section: 22. Animal House Computerized/ Not computerized. Available/ not available adequate / inadequate.

23. Recreational facilities: Play grounds. Gymnasium Auditorium

FORM-MCI-13(MICRO)

PART II (Departmental Information)

Teaching Staff:
S. No. Designation Name with Date of Birth Nature of employment Full time/part time/Hon. PG QUALIFICATION Experience Date wise teaching experience with designation & Institution Designation Institution From To Period

Subject with Year of passing

Institution

University

FORM-MCI-13(MICRO)

1. List of Non-teaching Staff: S.No. Name Designation

10

2. Teaching facilities: Number Seminar Rooms Demonstration Rooms Audiovisual Aids: 3. Departmental Library: 4. Departmental Museum Space: No. of specimens Charts/ Diagrams. Space Equipment No. of publications from the department during the last three years. Indexed Non-indexed. Total No. of Books. Purchase of latest editions in last 3 years. Size Sitting capacity

Adequate / Inadequate.

5. Departmental Research Lab.

6. Office Accommodation: Space Staff (Steno /Clerk). Computer/ Typewriter: Office Space for Teaching Faculty: Departmental Office

FORM-MCI-13(MICRO)

HOD Professor Assoc. Prof./ Reader Lecturer/ Asstt. Professor Resident duty room 7.

11

Equipments: List of important equipments available and their functional status. . . . Facilities for Practicals/Research. Details of facilities to carry out theory and practical classes for UG students as per the recommendations of Medical Council of India.

8.

Details of facilities to carry out additional classes and practicals at PG level.

Details of laboratories and other facilities to carry out research work.

9. Animal House

Available/Not available Adequate/Inadequate

10. Give details of clinical investigation work done by the department for the past three years (Attach annual reports).

11.

List stock cultures.

FORM-MCI-13(MICRO)

12

12.

List test sera:

13.

What Research Projects are under study now. Give title, funding agency.

14.

Is there a separate P.G. Laboratory: List the facilities available there at:

15.

List of publications from the department during the last 3 years in indexed and non-indexed journals. Any other information

16.

FORM-MCI-13(MICRO)

13 PART III POSTGRADUATE EXAMINATION

1. Minimum prescribed period of training.

2. Minimum prescribed essential attendance. 3. Periodic performance appraisal done or not? 4. Details of examiners appointed by Examining University.

5. Whether appointment of examiners & conduct of examination as per prescribed MCI norms or not ?

Signature of Assessor

FORM-MCI-13(MICRO)

14

Summary of Assessment report (check list) to be completed by the Assessor. Date of Assessment:Name of Assessor:1 Name of the institution Name and other particulars of Institution (Dean/Director) PG degree:Recognized/Non-R Experience:Adequate/Inadequate 2 Department Inspected Age: Below/above 65 years Name & other particulars of Head of Department PG degree:Recgonised Non-R Experience:Adequate/Inadequate Age:Below/above 65 years. 3 Date of last Assessment of the Department (with Report): Number of UG admission every year Staff position for UG Sufficient/Insufficient Other deficiency, if any Yes/No Total PG Teachers in the Department (with requisite qualifications & Experience Designation Number Name Total Experience Professors Addl. Professors Assoc. Professors/Readers Asstt. Professors - All teachers should be physically identified. - Detailed proforma (with photograph affixed) in respect of every teacher must be obtained which signed by the concerned teacher, HOD and Head of institution - To ensure that staff is full time, paid and not working in any other institution simultaneously. Requisite important information of the Department Number of units in the department Teaching complement in each unit Total number of beds (Unit-wise) Instruments and other expected facilities Ward side Laboratory Laboratory Technician Department Research Laboratory Departmental Library Book/Journals Central Library Books/Journals pertaining to the department Space for Department Indoor wards(Units/Department) & OPD space Offices for Faculty members & office steno Class Rooms and Demonstration rooms Specific requirements related to the department (Museum/Mortury/Specialized Investigation etc.) Clinical Material

Complete/incomplete Adequate/Inadequate Yes/No Number and Names Yes/No Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate

FORM-MCI-13(MICRO)

15 As per norms of MCI/Not as per norms of MCI Satisfactory/Not satisfactory Year No. of PG No. of recognized PG teachers in students the department admitted (Deg/Dip)

8 9 1 0

No of publications from the department during 3 years Examination conduct Standard of Examination Year-wise number of PG students admitted and available staff during the last 5 years 2002 2001 2000 1999 1998 Other relevant facilities in the Institution

1 1

Radiology facilities Bio-Chemistry facilities (24 hrs emergency lab) Pathology & Microbiology facilities Blood Bank facilities (24 hours open or not blood components available) Incinerator Laundry Hostels for UG & PG students Accommodation for Staff 12.

Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate Adequate/Inadequate

Final remarks by the Assessor: (No recommendations regarding permission/recognition be made) Give factual position only).

Signature of the Assessor Note : Specific mention of required facilities as per MCI norms and commensurate with the degree under consideration must be made specifying whether these are Available/Not available.