53rd AIIMS ANNUAL REPORT

20082009

All India Institute of Medical Sciences New Delhi 110029

Edited jointly by:Dr Sunil Chumber, Additional Professor, Department of Surgical Disciplines and Sub-Dean (Academic) Dr Tanuj Dada, Associate Professor, Dr R.P. Centre for Ophthalmic Sciences Dr Venkata Karthikeyan C, Assistant Professor, Department of Otorhinolaryngology (ENT) Dr S.K. Maulik, Professor, Department of Pharmacology Dr Raj D. Mehra, Professor, Department of Anatomy Dr Kameshwar Prasad, Professor, Department of Neurology Dr S. Rastogi, Professor, Department of Orthopaedics Dr Sushma Sagar, Assistant Professor, JPNA Trauma Centre Dr Peush Sahni, Professor, Department of Gastrointestinal Surgery Dr Pratap Sharan, Professor, Department of Psychiatry Dr D.N. Sharma, Assistant Professor, Dr BRA, Institute Rotary Cancer Hospital Dr Subrata Sinha, Professor and Head, Department of Biochemistry Dr Sanjay Kumar Sood, Assistant Professor, Department of Physiology Dr Sachin Talwar, Assistant Professor, Department of C.T.V.S.

February 2010

Printed at Saurabh Printers Pvt. Ltd., A-16, Sector-IV, NOIDA (U.P.)

All India Institute of Medical SciencesThe All India Institute of Medical Sciences (AIIMS) was established in 1956 as an institution of national importance by an Act of Parliament with the objects to develop patterns of teaching in undergraduate and postgraduate medical education in all its branches so as to demonstrate a high standard of medical education to all medical colleges and other allied institutions in India; to bring together in one place educational facilities of the highest order for the training of personnel in all important branches of health activity and to attain self-sufficiency in postgraduate medical education. The Institute has comprehensive facilities for teaching, research and patient-care. AIIMS conducts teaching programmes in medical and para-medical courses both at undergraduate and postgraduate levels and awards its own degrees. Teaching and research are conducted in 50 disciplines. In the field of medical research AIIMS is the leader, having more than 1500 research publications by its faculty and researchers in a year. AIIMS also runs a College of Nursing, training students for B. Sc. (Hons.) Nursing nd B. Sc. Nursing (Post-Certificate) degrees. Twenty-five clinical departments including six super-speciality centres manage practically all types of disease conditions with support from pre-clinical and para-clinical departments. AIIMS also runs a 60-bedded hospital and the Comprehensive Rural Health Centre at Ballabgarh in Haryana and provides health cover to about 7.7 lakh people through the Centre for Community Medicine.

AIIMS AT A GLANCE 20082009Year of establishment 1956Teaching Departments and Centres Faculty members (Sanctioned 625) No. of Undergraduate students No. of Postgraduate students HOSPITAL SERVICES OPD Main Hosp. Dr.R.P. Centre Dr.BRA,IRCH C.T. Centre N.S. Centre C.C.M. JPNAT Centre 1507786 400914 74280 227737 100074 166886 37177 Admission 174353 29642 23822 10614 6396 29033 19226 Surgery 79578 29276 6651 3477 2741 1128 Bed (Gen.) Bed (Pvt.) 1486 280 167 166 166 50 30 125 21 15 14 14 50 446 651 1023 Medical graduates Postgraduates Nursing graduates Publications in journals Chapters in Books/monographs 2276 7111 1638 1592 285

Non-faculty staff (Sanctioned 9312) 7356

Average bed occupancy Average period of hospital stay Net death rate Infection rate (Crude)

79.9% 5.9 days 2.7% 7.60%

CONTENTS 1. 2. 3. 4. 5. 6. 7. 8. 9. 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.11 Directors Review .................................................................................................................. 1 Institute Body, AIIMS ........................................................................................................... 5 Academic Section ............................................................................................................... 12 Examination Section ............................................................................................................ 25 General Administration ........................................................................................................ 31 Main Hospital ...................................................................................................................... 33 College of Nursing .............................................................................................................. 50 Research Section ................................................................................................................ 57 Departments Anaesthesiology .................................................................................................................102 Anatomy ............................................................................................................................. 116 Biochemistry ......................................................................................................................137 Biomedical Engineering ...................................................................................................... 151 Biophysics ..........................................................................................................................156 Biostatistics ........................................................................................................................160 Biotechnol ogy ...................................................................................................................168 Centre for Community Medicine .......................................................................................177 Dermatology and Venereology ...........................................................................................205 Forensic Medicine ..............................................................................................................222

9.10 Endocrinology and Metabolism ..........................................................................................213 9.12 Gastroenterology and Human Nutrition .............................................................................226 9.13 Gastrointestinal Surgery .....................................................................................................238 9.14 Hematology ........................................................................................................................242 9.15 Hospital Administration ......................................................................................................259 9.16 Laboratory Medicine ..........................................................................................................271 9.17 Medicine .............................................................................................................................287 9.18 Microbiology .......................................................................................................................318 9.19 Nephrology .........................................................................................................................334 9.20 Nuclear Medicine ...............................................................................................................341 9.21 Nuclear Magnetic Resonance ...........................................................................................346 9.22 Obstetrics and Gynaecology ..............................................................................................354 9.23 Orthopaedics ......................................................................................................................387 9.24 Otorhinolaryngology (ENT) ...............................................................................................409

9.25 Paediatrics ..........................................................................................................................420 9.26 Paediatric Surgery ............................................................................................................. 448 9.27 Pathology ........................................................................................................................... 462 9.28 Pharmacology .................................................................................................................... 481 9.29 Physical medicine and Rehabilitation ................................................................................. 490 9.30 Physiology ......................................................................................................................... 495 9.31 Psychiatry .......................................................................................................................... 507 9.32 Radio-Diagnosis ................................................................................................................. 516 9.33 Reproductive Biology ........................................................................................................ 535 9.34 Surgical Disciplines ............................................................................................................ 541 9.35 Transplant Immunology and Immunogenetics ................................................................... 554 9.36 Urology .............................................................................................................................. 563 10. Centres 10.1 Cardiothoracic Sciences Centre ......................................................................................... 570 10.2 National Drug Dependence Treatment Centre (NDDTC) ................................................. 615 10.3 Centre for Dental Education and Research........................................................................ 629 10.4 Dr B. R. Ambedkar Institute Rotary Cancer Hospital ....................................................... 638 10.5 Neurosciences Centre ........................................................................................................ 691 10.6 Dr R. P. Centre for Ophthalmic Sciences .......................................................................... 726 10.7 Jai Prakash Narayan Apex Trauma Centre ........................................................................ 745 11. Central Facilities 11.1 B. B. Dikshit Library ......................................................................................................... 789 11.2 Cafeteria ............................................................................................................................ 792 11.3 Central Workshop .............................................................................................................. 794 11.4 K. L. Wig Centre for Medical Education and Technology ................................................ 797 11.5 Computer Facility .............................................................................................................. 802 11.6 Electron Microscope Facility ............................................................................................. 809 11.7 Central Animal Facility ...................................................................................................... 812 11.8 Hostel Section .................................................................................................................... 814 11.9 Ethics Committee .............................................................................................................. 817 12. Budget and Finance 12.1 Finance Division ................................................................................................................ 821 12.2 Audit Report ....................................................................................................................... 898

AIIMSORGANISATIONAL STRUCTURE

Institute Body

Governing Body

Finance Committee

Selection Committee

Academic Committee

Estate Committee

Hospital Affairs Committee

All India Institute of Medical Sciences New Delhi

1. Directors ReviewI am glad to present the Fifty-third Annual Report and audited statement of accounts for the year 2008-2009. The All India Institute of Medical Sciences (AIIMS) was established in 1956 by an Act of Parliament as an institution of national importance. This was in pursuance to the recommendations made by the Bhore Committee in 1946. AIIMS has been entrusted to develop patterns of teaching in undergraduate and postgraduate medical education in all its branches so as to demonstrate a high standard of medical education to all medical colleges and other allied institutions in India; to bring together at one place educational facilities of the highest order for the training of personnel in all important branches of health activity; and to attain self-sufficiency in postgraduate medical education. AIIMS is a deemed university and awards its own degrees. In keeping with the mandate from the Parliament, AIIMS continues to be the torch bearer in the field of medical education, research and patient-care. AIIMS is fully funded by the Government of India. However, for research activities, grants are also received from various sources including national, intergovernmental and other international funding agencies. While the major part of the hospital services are highly subsidized for the patients coming to the AIIMS hospital, certain categories of patients are charged for treatment/services rendered to them. During the 2008-2009 academic session (i.e. for the courses commencing in July 2008 and January 2009), 384 students were admitted to various postgraduate, post-doctoral and super-speciality courses, i.e. MD, MS, MDS, MHA, PhD, MCh, DM, and MSc in various specialities. In the year under review, 1023 postgraduate and post-doctoral students were on the rolls in various courses and 252 students qualified for their degrees. AIIMS provides full time postgraduate and post-doctoral courses in 47 disciplines. The guiding principle of postgraduate training is to train students as teachers, researchers and competent doctors, who can investigate, manage and treat patients independently. As always, appropriate consideration was given to students from Scheduled Castes (SC), Scheduled Tribes (ST) and other backward (OBC) in accordance with Government of India guidlines and Twenty-four SC, 4 ST and 37 OBC students were admitted to MD/MS/MDS courses and 2 SC, 2 ST and 8 OBC students were admitted to MSc courses. This year AIIMS admitted 77 students to its MBBS course (including 11 SC, 6 ST and 19 OBC students), 26 students to the B.Sc. Nursing (post-certificate) course (including 2 SC, 3 ST and 6 OBC students), 64 students to the B.Sc. (Hons) in Nursing course (including 7 SC, 4 ST and 10 OBC students), 15 students to the B.Sc. (Hons.) in Ophthalmic Techniques course (including 1 SC 2 ST and 6 OBC students) and 9 students to the B.Sc. (Hons.) in Medical Technology in Radiography course (including 5 OBC students). AIIMS also provides short/long term training to doctors and other health-trainees from various organizations and state governments, WHO-in-country fellows and foreign students. Four hundred and sixty three (463) candidates received short/long term training in AIIMS during the year. In AIIMS 2007-2008 / 1

addition, elective training was provided to several candidates, including foreign nationals. The Institute also continued to provide consultancy services to several neighboring countries under bilateral agreements or under the aegis of intergovernmental and other international agencies. During 20082009, the Institute trained 60 WHO-sponsored candidates/WHO-in-country fellows to fulfill its international obligations. The details thereof w.e.f. 01.04.2008 to 31.03.2009 are as under:1. 2. 3. 4. 5. 6. Short term training Long term training WHO-in-country fellowship WHO-sponsored foreign nationals Elective training Foreign nationals 460 03 33 27 62 22

The MBBS course is completed in 5 years that is subdivided into four periods. The initial three stages are focused on preclinical (1 year), para-clinical (1 years) and clinical (2 years) subjects, which are followed by 1-year rotating internship. Para-medical courses like B.Sc (Hons.) in Nursing, Ophthalmic Techniques, Medical Technology in Radiography and Speech and Hearing continued to be popular and attracted students from other countries also. The curricula of these courses are under constant scrutiny by the faculty of the Institute for purposes of improvement. The medical college of the Institute has been adjudged the best in the country for the 8th consecutive year by national surveys published in the popular media. The institute organized a number of workshops, symposia, conferences and training programmes in collaboration with various national, intergovernmental and other international agencies during the year. Professionals from various institutions all over the country participated in these seminars and workshops and benefited from updates. Also, guest and public lectures were delivered by visiting experts and faculty of AIIMS. The All India Institute of Medical Sciences is a leader in the field of medical research. Major research projects focus on national priorities. Over 381 research projects were ongoing during this period. Research grants totaling Rs 59 crores (approximately) were received from various intergovernmental, other international and national funding agencies during the year 2008-2009. During the year 2008-2009, the AIIMS hospital catered to patients from India, neighboring countries such as Nepal, Bangladesh, Sri Lanka, Bhutan and other Asian countries. The main hospital provided care to 1,50,7,786 outpatients and 65,867 in-patients and 108,486 patients with emergent conditions; and 79,578 surgical procedures were performed in the hospital. Due to expansion of facilities like OPD, emergency service, private wards and use of innovated methods, AIIMS main hospital has been able to provide better and efficient patient care. Due to quick turnover of patients, number of indoor admissions and surgery performed, have all increased. The average length of stay is around 5.9 days; the average bed occupancy, 79.9% and the net death rate, 2.7%; which is at par with similar parameters in developed countries. With the use of mechanical cleaning devices and active interaction of Hospital Infection Control Committee (HIFCOM), the general hygiene and sanitation AIIMS 2007-2008 / 2

of the hospital is of a high standard. Medicines are supplied to all patients attending the Emergency services free of cost. The Cardiothoracic and Neurosciences Centre (CN Centre) provided services to 227,737 outpatients (92,925 in Cardiology, 34,738 in Cardiothoracic and Vascular Surgery, 68,417 in Neurology and 31,657 in Neurosurgery), and 17,010 inpatients; and 6,218 surgeries were performed at the Centre. The Jai Prakash Narain Trauma Centre has a state-of the-art emergency room with 8 resuscitation bays, observation and triage areas and facilities for managing 20 critically ill patients. The Centre has two functional operation rooms, two 30-bedded wards, a multislice CT scanner, mobile X-ray units and heavy duty automatic processors for radiography, a 1.5 Tesla MRI, a C-Arm X-ray unit with 3-D facility, colour Doppler and well-equipped laboratories. In the year 2008-2009, the Trauma Centre provided services for 37,177 emergency contacts, of whom 19,226 had to be provided inpatient care and 971 had to be operated. A total of 63,186 radiological investigations were conducted at the Centre. The Dr. B.R. Ambedkar Institute Rotary Cancer Hospital has 127 beds. The expanded Dr. BRAIRCH has modern, sophisticated machinery and equipment matching international standards. It is currently functioning through 8 disciplines namely Medical Oncology, Radiation Oncology, Surgical Oncology, Laboratory Oncology, Medical Physics, Anesthesiology, Radiodiagnosis and Preventive and Community Oncology. During 2008-2009, Dr. BRAIRCH attended to 74,280 outpatients (87,93 new cases and 65,487 old cases) and 23,822 inpatients (19,036 short admissions and 4,786 regular admissions); while 6,651 patients received surgical procedures (6,019 minor and 632 major). Dr. Rajendra Prasad Centre for Ophthalmic Sciences attended to 197,928 outpatients in the general OPD, 37,019 emergency contacts, and 165,967 outpatients in specialty clinics, totaling 40,0914 patients during the year 2008-2009. Services were also provided to 29,642 inpatients and surgical procedures were performed on 29,276 patients. The Organ Retrieval Banking Organization, a national facility and nodal centre for the country at All India Institute of Medical Sciences (AIIMS), New Delhi, was created with the objective of encouraging organ donations and fair and equitable distribution and optimum utilization of human organs. A dedicated four-digit-help line 1060 and the website (www.orbo.org) with the facility to download donor forms and email facility for correspondence, are available for round-the-clock public enquiries regarding organ donation and transplantation. The Centre for Dental Education and Research is a full-fledged Dental college under the aegis of AIIMS. It conducts an MDS (postgraduate course) in various dental specialties. It is also the nodal centre for the National Oral Health Policy of the Government of India. The Centre for Behavioural Sciences (National Drug Dependence Treatment Centre), AIIMS, at Ghaziabad is a 50 bedded centre that offers a wide range of services. Community-based programmes have been integral part of the Institutes clinical and research activities. The Centre for Community Medicine has a widely acclaimed model of rural health services at Ballabgarh in the neighbouring state of Haryana. Apart from providing comprehensive health services at the doorsteps of people in the covered villages, the centre also provides secondary health care AIIMS 2007-2008 / 3

services through a 50-bedded hospital as Ballabgarh. This hospital provided services to 166,886 outpatients and 7,009 inpatients and for 22,024 emergency contacts. The project has achieved significant successes in terms of improving health of mothers and children of the area. With Zero Maternal Mortality Rate and Crude Death Rate of 7.2, it is well ahead of targets set by Government of India for 2010. The Urban Health Programme and Family Health Exercise programmes of the Centre for Community Medicine cater to some urban slum areas of Delhi with a population of about 60000. These services are provided through a Mobile Health Clinic that visits these slums 5 times in a week and provides preventive, promotive and primary level curative services; and para-medical staff who provide domiciliary services. The Urban Health Programme and Family Health Exercise programmes attended to 25,901 patients in 2008-09. The Centre for Community Medicine also has a Disease Outbreak Response Cell (DORC) for ensuring a rapid response to infectious disease outbreaks like the swine flu (HINI infection); and an AIDS Education and Training Cell for prevention of HIV/ AIDS. This cell operates a very popular interactive telephone helpline called Shubhchintak and an internet based helpline called e-shubhchintak to answer queries of the general public on HIV/AIDS. The Centre for Community Medicine also runs a Sex and Marriage Counselling Clinic (SMCC) in the AIIMS Hospital. In addition to community services provided by the Centre for Community Medicine, the departments of Obstetrics and Gynecology, Rehabilitation and Physical Medicine, Pediatrics and Dr. Rajendra Prasad Centre for Ophthalmic Sciences serve various rural communities through regular camps. Despite increasing pressures the Institute has constantly endeavored to demonstrate its commitment to professionalism and service to the common people at an affordable cost. Thousands of patients from all over the country come to AIIMS everyday for succour.

Professor R. C. Deka Director, AIIMS

AIIMS 2007-2008 / 4

2. The Institute and its CommitteesINSTITUTE BODY from 1.4.2008 to 31.3.2009 1. Honble Dr Ambumani Ramadoss Union Minister for Health and Family Welfare Nirman Bhawan, New Delhi 110011 Shri R.K. Dhawan Member of Parliament (Rajya Sabha) 141, Golf Links, New Delhi 110003 Professor Vijay Kumar Malhotra Member of Parliament (Lok Sabha) 6, Dr Bishamber Dass Marg, New Delhi 110001 Dr Karan Singh Yadav Member of Parliament (Lok Sabha) C-6 MP Flats, Baba Khadak Singh Marg New Delhi 110001 Dr Deepak Pental Vice Chancellor University of Delhi, Delhi 110007 Shri Naresh Dayal Secretary (Health) Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 Dr R.K. Srivastava Directorate General of Health Services Nirman Bhawan, New Delhi 110011 Dr Shyam Prasad Vice President National Board of Examinations, New Delhi President (demitted his office)

2.

Member

3.

Member

4.

Member

5.

Member (Ex-Officio)

6.

Member

7.

Member (Ex-Officio)

8.

Member

AIIMS 2008-2009 / 5

9.

Dr S.S. Agarwal Central Drug Research Institute Chattar Manzil Palace, Post Box No. 173 Lucknow 226001 (UP) Dr S.S. Agarwal Former Director, SGPGI D-13, Vivekanandpuri, Lucknow 226007 (UP)

Member

10. Professor B.P. Chatterjee Department of Biological Chemistry Indian Association for the Cultivation of Science Jadavpur, Kolkata 700032, West Bengal. 11. Shri R.P. Agrawal Secretary Department of Secondary Education and Higher Education Ministry of Human Resource Development Shastri Bhawan, (Gate No.6), New Delhi 110001

Member

Member

12. Professor K.K. Talwar Director Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012 13. Professor Kartar Singh Director Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGI), Lucknow, Uttar Pradesh 14. Professor R. Surendran Professor and Head Department of Surgical Gastroenterology, Government Stanley Hospital Chennai, Tamil Nadu 15. Dr (Mrs) Nilima Arun Kshirsagar Dean, Professor and Head Department of Clinical Pharmacology Seth G.S. Medical College and K.E.M. Hospital Mumbai, Maharashtra 16. Shri Naved Masood Additional Secretary and Financial Advisor Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 AIIMS 2008-2009 / 6

Member

Member

Member

Member

Member

17. Professor T.D. Dogra Acting Director, AIIMS Professor P. Venugopal Director, AIIMS Professor T.D. Dogra Acting Director, AIIMS Professor R.C. Deka Director, AIIMS 18. Shri Raama Murthy Joint Secretary Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 Shri Pravin Krishan Joint Secretary Ms Shalini Prasad Joint Secretary Shri B.K. Prasad Joint Secretary Dean (Academic), AIIMS Dean (Exams), AIIMS

Member-Secretary 20.12.2007 to 08.05.2008 Member-Secretary 09.05.2008 to 02.07.2008 Member-Secretary 03.07.2008 to 09.03.2009 Member-Secretary from 10.03.2009 Special Invitee up to 15.04.2008

16.04.2008 to 04.05.2008 05.05.2008 to 22.01.2009 from 23.01.2009

19. 20.

Special Invitee Special Invitee

AIIMS 2008-2009 / 7

GOVERNING BODY 1. Honble Dr Ambumani Ramadoss Union Minister for Health and Family Welfare Nirman Bhawan, New Delhi 110011 Shri R.K. Dhawan Member of Parliament (Rajya Sabha) 141, Golf Links, New Delhi 1110003 Dr Karan Singh Yadav Member of Parliament (Lok Sabha) C-6 M.P. Flats, Baba Khadak Singh Marg New Delhi 110001 Shri Naresh Dayal Secretary (Health) Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 Dr R.K. Srivastava Directorate General of Health Services Nirman Bhawan, New Delhi 110011 Shri Naved Masood Additional Secretary and Financial Advisor Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 Dr Shyam Prasad Vice President National Board of Examinations, New Delhi Professor K.K. Talwar Director Postgraduate Institute of Medical Education and Research, Chandigarh Professor Kartar Singh Director Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow (UP) Professor R. Surendran Professor and Head of the Department of Surgical Gastroenterology, Government Stanley Hospital, Chennai AIIMS 2008-2009 / 8 Chairperson

2.

Member (from 21.6.06)

3.

Member

4.

Member

5.

Member (Ex-Officio) Member

6.

7.

Member

8.

Member

9.

Member

10.

Member

11.

Professor T.D. Dogram Acting Director, AIIMS Professor P. Venugopal Director, AIIMS Professor T.D. Dogra Acting Director, AIIMS Professor R.C. Deka Director, AIIMS Shri Raama Murthy Joint Secretary Ministry of Health and Family Welfare Nirman Bhawan, New Delhi 110011 Shri Pravin Krishan, Joint Secretary Ms Shalini Prasad, Joint Secretary Shri B.K. Prasad, Joint Secretary Dean (Academic), AIIMS Dean (Examinations), AIIMS, New Delhi

Member-Secretary up to 08.05.2008 Member-Secretary 09.05.2008 to 02.07.2008 Member-Secretary 03.07.2008 to 09.03.2009 Member-Secretary from 10.03.2009 Special Invitee up to 15.04.2008

12.

16.04.2008 to 04.05.2008 05.05.2008 to 22.01.2009 from 23.01.2009 Special Invitee Special Invitee

13. 14.

AIIMS 2008-2009 / 9

STANDING FINANCE COMMITTEE 1. 2. 3 4. 5. 6. 7. 8. 9. Shri Naresh Dayal Professor Vijay Kumar Malhotra Shri R.K. Dhawan Dr R.K. Srivastava Shri Naved Masood Dr Shyam Prasad Shri R.P. Agrawal Dr S.S. Agarwal Professor T.D. Dogra Professor P. Venugopal Professor T.D. Dogra Professor R.C. Deka Dean, Academic Sh. Raama Murthy Shri Pravin Krishan Ms Shalini Prasad Shri B.K. Prasad Chairperson Member Member Member Member Member Member Member Member-Secretary (up to 08.05.2008) Member-Secretary (09.05.2008 to 02.07.2008) Member-Secretary (03.07.2008 to 09.03.2009) Member-Secretary (from 10.03.2009) Special Invitee Special Invitee (up to 15.04.2008) Joint Secretary (16.04.2008 to 04.05.2008) Joint Secretary (05.05.2008 to 22.01.2009) Joint Secretary (from 23.01.2009)

10 11.

ESTATE COMMITTEE 1. Professor Vijay Kumar Malhotra 2. Professor Karan SinghYadav 3. Dr R.K. Srivastava 4. Dr S.S. Agarwal 5. Shri Naresh Dayal 6. Professor Deepak Pental 7. Shri Naved Masood 8. Shri R.P. Agrawal 9. Professor T.D. Dogra Professor P. Venugopal Professor T.D. Dogra Professor R.C. Deka ACADEMIC COMMITTEE 1. Professor Nilima Arun Kshirsagar 2. Professor R. Surendran 3. Professor Kartar Singh 4. Professor K.K. Talwar 5. Dr R.K. Srivastava 6. Dr Shyam Prasad 7. Professor B.P. Chatterjee 8. Shri R.P. Agrawal 9. Professor. T.D. Dogra

Chairperson Member Member Member Member Member Member Member Member-Secretary (up to 08.05.2008) Member-Secretary (09.05.2008 to 02.07.2008) Member-Secretary (03.07.2008 to 09.03.2009) Member-Secretary (from 10.03.2009)

Chairperson Member Member Member Member Member Member Member Member-Secretary (up to 08.05.2008)

AIIMS 2008-2009 / 10

Professor P. Venugopal Professor T.D. Dogra Professor R.C. Deka HOSPITAL AFFAIRS COMMITTEE 1. Professor S.S. Agarwal Shri R.K. Dhawan Professor S.S. Agarwal 2 Shri R.K. Dhawan 3. Professor Karan SinghYadav 4. Dr R.K. Srivastava 5 Shri Naresh Dayal 6 Shri Naved Masood 7. Professor Nilima Arun Kshirsagar 8. Professor K.K. Talwar Dr Shyam Prasad 9. Professor T.D. Dogra Professor P. Venugopal Professor T.D. Dogra Professor R.C. Deka SELECTION COMMITTEE 1 Professor R. Surendran 2 Professor Karan Singh Yadav 3. Dr R.K. Srivastava 4. Professor K.K. Talwar 5. Professor Kartar Singh 6. Shri R.P. Agrawal 7. Professor Nilima Arun Kshirsagar 8. Dr Shyam Prasad 9. Professor T.D. Dogra Professor P. Venugopal Professor T.D. Dogra Professor R.C. Deka

Member-Secretary (09.05.2008 to 02.07.2008) Member-Secretary (03.07.2008 to 09.03.2009) Member-Secretary (from 10.03.2009)

Chairperson (up to 18.06.2008) Chairperson (19.06.2008 to 18.09.2008) Chairperson (from19.09.2009) Member Member Member Member Member Member Member Member Member-Secretary (up to 08.05.2008) Member-Secretary (09.05.2008 to 02.07.2008) Member-Secretary (03.07.2008 to 09.03.2009) Member-Secretary (from 10.03.2009)

Chairperson Member Member Member Member Member Member Member Member-Secretary (up to 08.05.2008) Member-Secretary (09.05.2008 to 02.07.2008) Member-Secretary (03.07.2008 to 09.03.2009) Member-Secretary (from 10.03.2009)

AIIMS 2008-2009 / 11

3. Academic SectionDean R.C. Deka (upto 24.03.2009) Sub-Dean Sunil Chumber Registrar L.R. Murmu (upto 07.07.2008) V.P. Gupta (from 16.5.2008 and with full powers from 08.07.2008) Rani Kumar (from 25.3.2009)

EDUCATION The Academic Section develops policy, plans and executes academic activities. It also administers intramural research projects. These activities encompass the undergraduate, postgraduate and doctoral programmes for medical, nursing and paramedical courses. These activities are conducted by the undergraduate, postgraduate and paramedical cells. UNDERGRADUATE EDUCATION The Section handles post-admission formalities for new students, develops and revises curricula and administers teaching programmes including internal assessment of undergraduate students. The courses include MB,BS, BSc (Hons) in paramedical courses such as Medical Technology in Radiography and Ophthalmic Techniques, and BSc Nursing (Post-certificate) and BSc (Hons) Nursing courses. Bachelor of Medicine and Bachelor of Surgery (MB,BS) The pattern of education at the undergraduate level was reviewed and implemented from July 2004. The duration of the MB,BS course continues to be 5 years, including one year compulsory internship training. The training during this period is as follows: One year One-and-a-half years Two years One year : : : : Pre-clinical training Paraclinical training Clinical training Rotating internship (compulsory)

From August 2008 27 seats of MB,BS students are increased and now MB,BS seats are 77. Out of 77 seats, 5 seats are reserved for foreign nationals and the screening and admissions for these 5 seats is done on the recommendation of the Ministry of External Affairs, Government of India. For the remaining 72 seats (11 for Scheduled Caste, 6 for Scheduled Tribe, 19 OBC and 36 general category candidates), students are selected on the basis of their performance in an All-India Entrance Examination. Further, 3% seats are reserved for orthopaedic physically handicapped candidates on horizontal basis. During the year, there were 54,276 applicants, and 36,567 candidates appeared in the entrance examination for these 77 seats. The total number of undergraduate students as on 31 March 2009 was 328 including 47 interns. AIIMS 2008-2009 / 12

Merit scholarships of Rs 750 per month and Rs 500 per month were awarded to 6 students who secured first and second position in the 1st, 2nd and final MB,BS examination. Summer fellowships were awarded to nil for research in selected areas. These students were given a stipend of Rs 500 per month. They worked under the supervision of a member of the faculty. Paramedical and Nursing Education All activities pertaining to the admission and training of paramedical and nursing students are handled by this cell. A batch of 64 students was admitted for BSc (Hons) Nursing in August 2008. The current student strength for the nursing and paramedical courses is as follows: Nursing courses BSc Nursing (Post-certificate) BSc (Hons) Nursing Paramedical courses BSc (Hons) Ophthalmic Techniques BSc (Hons) Medical Technology in Radiography POSTGRADUATE EDUCATION The Academic Section looks after all the activities pertaining to admission, selection and training of postgraduate students including junior and senior residents. It also deals with all service matters relating to senior residents. It handles all activities of the PhD, DM, MCh, MD, MS, MDS, MHA, MSc and MBiotech courses in different disciplines. The admission to all postgraduate courses is done by an All-India entrance examination that is held twice a year. Foreign nationals are also admitted through an entrance examination. Postgraduate students from Nepal are admitted under a bilateral agreement between the Governments of India and Nepal. A total of 384 students, including 15 state-sponsored and 14 foreign nationals, were admitted to the above-mentioned courses during the year under review. The total number of postgraduate and doctoral students on 31 March 2009 was 1023. The discipline-wise distribution of postgraduate students is given below. A total of 252 postgraduate students who completed degree courses in MS/MS/MDS/DM/MCh/ PhD/MSc/MBiotech passed out during the year 20082009. PhD Anatomy Biochemistry Biophysics Biostatistics Biotechnology Cardiology Cardiac Biochemistry Forensic Medicine Gastroenterology General 12 42 21 1 18 3 2 1 8 AIIMS 2008-2009 / 13 Sponsored 1 (in service) Number of students 45 218 39 22

Neurosurgery 1 Obstetrics and Gynaecology Haematology 10 CTVS 4 Laboratory Medicine 10 Medical Oncology 5 Medical Physics 3 Medicine 10 Microbiology 30 Neurology 10 Nuclear Magnetic Resonance 2 Nuclear Medicine 4 Otorhinolaryngology (ENT) 1 Ophthalmology 3 Ocular Pharmacology 5 Ocular Microbiology 4 Community Ophthalmology 1 Ocular Pathology 2 Ocular Biochemistry 3 Paediatrics 10 Pathology 11 Centre for Community Medicine 2 Endocrinology 7 Paediatric Surgery 2 Neuro-Biochemistry 5 Pharmacology 14 Physiology 14 Psychiatry 5 Radiation Oncology 2 Reproductive Biology 4 Transplant Immunology and Immunogenetics 9 Total 313 301 DM General Cardiac Anaesthesiology 6 Cardiology 16 Clinical Haematology 5 Endocrinology 8 Gastroenterology 10 Haemato-Pathology 4 Medical Oncology 12 Neonatology 4 Nephrology 8 Neuro-Anaesthesiology 8 Neurology 15 Neuroradiology 2 AIIMS 2008-2009 / 14

2 (in service) 1 (in service) 1 1 2 2 1 12 Sponsored 3 3 2 2 3 3 - 2 4 1 3

Paediatric Neurology Clinical Pharmacology Total 133 MCh Cardiothoracic & Vascular Surgery Gastrointestinal Surgery Neurosurgery Paediatric Surgery Urology Total 72 MD Anaesthesiology Anatomy Biochemistry Biophysics Community Medicine Dermatology and Venereology Forensic Medicine Hospital Administration Laboratory Medicine Medicine Microbiology Nuclear Medicine Obstetrics and Gynaecology Ophthalmology Paediatrics Pathology Pharmacology Physical Medicine and Rehabilitation Physiology Psychiatry Radiodiagnosis Radiotherapy MS Orthopaedics Otorhinolaryngology Surgery MDS Conservative Dentistry and Endodontics Orthodontics Prosthodontics Oral and Macxillofacilal surgery Total 458

6 2 106 General 16 5 27 7 8 63 General 26 13 10 10 17 10 8 4 7 38 10 7 28 75 19 19 10 7 13 18 17 7 13 12 37 6 6 6 5 434

1 27 Sponsored 3 3 1 2 9 Sponsored 2 7 1 1 3 1 1 3 1 2 1 1 1 24

AIIMS 2008-2009 / 15

MSc Anatomy Biochemistry Biophysics Perfusion Technology Biotechnology Nuclear Medicine Technology Pharmacology Physiology Nursing Oncological Nursing Cardiological/CTVS Nursing Nephrological Nursing Neurosciences Nursing Paediatric Nursing Psychiatric Nursing Critical Care Nursing TOTAL 47 Salaries:

General 2 2 4 11 1 5 2 3 2 2 3 3 3 43

Sponsored 1 1 1 1 4

The present salary of residents, as recommended by the Sixth Pay Commission is: Junior Residents Rs 1560039100 + (GP Rs 5400) plus allowances as per rules. Senior Residents Rs 1560039100 + (GP Rs 6000) plus allowances as per rules.

SHORT-AND LONG-TERM TRAINING PROGRAMMES The Section handles activities regarding training programmes of short- and long-term duration for both medical and paramedical personnel. During the year, the Institute had 460 short- and 3 longterm trainees. In addition, 27 WHO Fellows (FN) under WHO fellowship programme and 22 foreign trainees and 33 WHO Fellows (Indian national) for WHO-In-Country Fellowship training programme (20082009) were imparted training in various departments. The section also handles the elective posting of foreign undergraduate medical students. During the year 62 foreign undergraduate medical students underwent elective training. COMMITTEE MEETINGS The Academic Section is responsible for arranging the meetings of the Academic committee, Staff Council, Faculty Meetings and Deans Committee. The details of the meetings held during the year are as under: Academic Committee Staff Council Deans Committee Faculty Meetings 7 1 Nil 7

AIIMS 2008-2009 / 16

RESEARCH The intramural research funds and its allocation is handled by the Section. The details of intramural research conducted during the year is given in Appendix I. 1. The research grant allocated to faculty members ranges from Rs 50,000 to Rs 1,00,000 per annum depending on the research project. 2. Project review by specially review groups15 March. 3. Final recommendations of the Research Committee31 March. 4. Allocation of funds15 April. ORATIONS The Academic Section organized the following Orations during 20082009. S.No. Name of Oration 1 Nineteenth Sarveshwari Memorial Oration Name of Orator Professor Anil Nanda, Chairperson, Department of Neurosurgery, LSU Health Science Centre, Louisiana State University Medical Centre Date of Oration, Time & Venue On Thursday the 19 February 2009 at 4.00 pm. in LTII, AIIMS

CONVOCATION The Annual Convocation of the Institute was held on 7 January 2009. Dr R.K. Pachauri, Chairman, Intergovernmental Panel on Climate Change (IPCC) (UN) and Director, The Energy and Research Institute (TERI) addressed the Convocation. The Chief Guest distributed Institute Medals/Awards to the outstanding students and addressed the gathering. The President, AIIMS and Honble Minister of Health and Family Welfare distributed the degrees.

AIIMS 2008-2009 / 17

Appendix I ACADEMIC SECTION II (Nursing and Paramedical Cell) Intramural research grants for the year 20082009S No Name of the investigator 1. Dr Nand Kumar Assistant Professor Dept. of Psychiatry Title of the project To observe for association between a catechol-O-methyltransferase polymorphism G158A and OCD in Indian subjects and its correlation with neuropsychological findings Amount sanctioned 1,00,000 Duration years 2

2.

Dr S. Rastogi Prognostic factors in the Professor management of Osteosarcoma: Dept. of Orthopaedics A clinical study Dr Raju Sharma Additional Professor Dept. of Radiodiagnosis Dr Shah Alam Khan Assistant Professor Dept. of Orthopaedics Dr Sandeep Guleria Additional Professor Dept. of Surgical Disciplines Dr Purva Mathur Assistant Professor Dept. of Laboratory Medicine Dr Sushma Bhatnagar Associate Professor Dept. of AnaesthesiaIRCH Diagnostic accuracy of coronal whole body diffusion-weighted MRI in oncologic imaging: Comparison with whole body STIR-MRI and FDG-PET-CT. Evaluation of VEGF expression in Osteosarcoma and its correlation with DCE-MRI and FDG-PET-CT Scan as surrogate markers of angiogenesis To study the incidence and assess the risk factors for New Onset Diabetes Mellitus Evaluation of serum procalcitonin levels for diagnosis of sepsis in trauma patients admitted to intensive care units Evaluating the correlation of plasma levels of morphine and its metabolites on pain control in cancer patients

1,00,000

2

3.

60,000

2

4.

1,00,000

1

5.

90,000

1

6.

1,00,000

1

7.

1,00,000

1

8.

Dr Tulika Seth Effect of genetic factors on Assistant Professor variable clinical severity of HbE/B Dept. of Haematology thalassaemia AIIMS 2008-2009 / 18

1,00,000

2

9.

Dr Neeta Singh Assistant Professor Dept. of Obstetrics and Gynaecology Dr Sumit Sinha Assistant Professor Dept. of Neurosurgery

To evaluate the role of endometrial and sub endometrial blood flows in the prediction of pregnancy during in-vitro fertilization treatment Role of simvastatin in prevention of vasospasm and improving functional outcome after aneury smal sub-arachnoid hemorrhage: A randomized double-blind placebocontrolled trial Growth, puberty and carbohydrate metabolism in children and adolescents with cystic fibrosis Effect of CPB on the serum thyroid hormone profile in paediatric patients weighting