::Departments : MEDICAL SPECIALITIES : GENERAL MEDICINE

FACULTY OF GENERAL MEDICINE


"To have striven, to have made an effort, to have been true to certain ideals - this alone is worth the struggle." "Gentlemen, if you want a profession in which everything is certain you had better give up medicine."- Sir William Osler


Dr.R.Geetharani MD; Chair Professor & Head Department of General Medicine


Message of the Chair: The Department of General Medicine, started in 1968 with 75 graduate students ayear, now has 150 students a year. The department was upgraded as a Postgraduate Department of General Medicine in 1980. Presently we take 9residents a year. We at the Department of General Medicine, look towardsachieving the goal of delivering a Complete Clinical Experience to ourpatients. Our faculty are especially skilled in the management of patients whohave undifferentiated or multi-system disease processes in both hospitalizedand ambulatory patients and play a major role in teaching and research.


HISTORY


Succession of Heads of Department

Dr.V.Venkataraman,M.D.

1968

1971

Dr.P.Vasudeva Rao,M.D.

1971

1973

Dr.V.Venkataraman,M.D.

1973

1977

Dr.A.Sailapathy,M.D.

1977

1984

Dr.G.V.Seshanarayanan,MD.

1984

1988

Dr.G.Sankaralingam,M.D.

1988

1996

Dr.J.Rajkumar Edwin,M.D.

1996

1997

Dr.T.Sundararaj,M.D.

1997

2001

Dr.T.S.Kannan,M.D.

2001

2002

Dr.S.Paramasivan,M.D.

2002

2003

Dr.V.Umadevi,M.D.

2003

2008

Dr.J.Kanirajpeter,M.D.

2008

2011

Dr.R.Geetharani,M.D.

2011

 


STATISTICS OF THE DEPARTMENT


Year

2007

2008

2009

2010

OUT PATIENT

632025

677608

692432

693122

INDOOR

39949

41822

42499

44406

SPECIAL OP

107193

108401

113482

115836


ACADEMICPROGRAMS


GRADUATEACADEMIC PROGRAMS: Graduate Clinical Clerkship - OPD: The Students on clerkship postings tothe department begins their day with a clinical demonstration engagement withthe Professor at the OPD, to discuss clinical interview of patient history andshort systemic examinations. Clinical Clerkship - Indoor: After the OPD time they divide into sevenbatches and are assigned to one of the seven treating units of the Department,in small groups of eight to ten each. The students of the finals semesters ofclerkship undertake detailed clinical discussions with the Professors andentertain discussions of treatment and management. The young medical graduatestudent in 3rd & 4th semester undergo undergointroductory explanatory sessions in examinations of systems and patientinterview. Students from 6th and 7th semester are train periodically. Ourstudents are well trained in life saving & support, emergency recovery andA&E management.

Graduate Teaching: Theory teaching entails didactic lecture, integratedsessions, symposia and seminar are held five days a week during each of thesemester based on a predetermined schedule. The department is introducing a newteaching method Mentored Clinical Training Program: this year. Studentsare also encouraged to participate in CME & Conferences. Students areencouraged to engage in short term research. Students undergo assessments everymonth both theory and clinical with feedback given to them.

RESIDENCY PROGRAMS: The residency training schedules inour department is considered one of the toughest well marked schedules. Theresident day begins at 7.30A.M where they undertake OPD consults under theguidance of a team of senior consultants, and engages in diagnostic evaluation,prescription and advice to the patient and discussion on a case to case basiswith the unit Professor. On general non admitting days they are expected toland up at the indoor department at 8.00am for detailed evaluation of thepatients admitted the previous day and to discuss with the faculty thediagnosis and management of them. It is both an academic exercise and anefficient step towards better patient care. Resident Discussions: Clinical discussion class (between 12Noon and 2pmon all days) conducted by the Professors of Medicine or Sub-specialties.Journal Club: Once a month as a joint session of all residents and facultymembers to discuss journal references. Physician Conference: Once a week Physicians Conference is held onThursdays, where interesting cases are presented from every unit with currentliterature by Postgraduates and is discussed by the faculty of the department.Grand Rounds: This is the best session of the Department where all professorsmake a joint discussion of interesting therapeutic dilemma for the benefit ofthe residents. CME: A regular session of invited guest lectures, demo sessions areconducted in the department. Radiology Meet: A monthly meets of Physicians and Radiologist meet todiscuss interesting films and relevant clinical data. Internal Assessment:Every month the Residents take clinical and theoretical assessments withfeedback.


HOSPITAL SERVICES


EmergencyServices:
DGM@TVMC Medical Center, is Level II Trauma Center in North South Corridor ofthe Indian National Highways system. We provide emergency treatment to adultswith critical illnesses through a designated 108 rescue responder team whoreach them to our facility in the golden hour. The facility is open 24x7 readyto respond to the most serious illness. We have a 20 bed Intensive Medical CareUnit and a 6 bed Intensive Coronary Care Unit. The Intensive units havemulti-system IC program and a dedicated team.

Toxicology Services:
DGM@TVMC is staffed by physicians and nurses trained in toxicology based onyears of toxicology experience and a customized regional database. They areprovided 24-hour access to regional, national & international toxicologyinformation centers.

General Patient Care Services:
DGM@TVMC supports a strong patient care service supported by

 

  • General Medicine Indoor Department has 210 beds with 7 treating units with separate wards for men and women patients. This makes us the biggest general Medicine treating unit in the south of the State of Tamilnadu.
  • Division for Noninvasive Cardiac Assessment includes ECG, Echocardiogram, Doppler Studies, Treadmill Assessment and TE Echo studies. Lipid-lowering trials and the Preventive Cardiology Clinic, with evaluation and management of congestive heart failure, Pacemaker placement and follow-up clinics for CHD.
  • Division for Digestive Diseases Assessment with expertise which focuses on diseases of the gastrointestinal tract and liver. Faculty members specialize in disorders of the esophagus, stomach, liver, gallbladder, pancreas, small intestine, colon and rectum. Evaluations, diagnostic and therapeutic outpatient endoscopy services serve referrals from the region. Non-endoscopic studies, and evaluation and management of liver disease patients are also provided by this group.
  • Division of Renal Failure Assessment offers clinical care through hemo-dialysis, peritoneal dialysis and rehabilitation program, with a dedicated Renal Transplant Program in the offing.
  • Division of Diabetic Assessment which includes dynamic and continuous follow up, advice, treatment and advance management of diabetics both juvenile and adult, IDDM & NIDDM with a free insulin dispensing, periodic Hba1c Assessment, and renal parameter assessment.
  • Division of Hypertension Assessment with a dynamic and continuous outpatient service for assessment and treatment of hypertension, periodic lipid profiling and risk factor assessment and advice.
  • Division of Rheumatology with supportive and advisory care outpatient services with assessment and treatment of rheumatological diseases with rehabilitation advice.
  • Division of Geriatric Assessment which is a OPD service for assessment and advice of geriatric patients with long term debility and chronic illness with special core references in palliation management.
  • Division of Endocrinology Assessment with indoor and OPD services at assessment of endocrine dysfunctions with specific core interests in Thyroid Disease profiling, advice and management.

MEDALS & CITATIONS:


Thedepartment has five gold medal awards presented to the best of our graduatestudents and postgraduate residents every year

  • Dr.V. Seshagiri Rao Endowment Gold Medal
  • Dr.J. Rajkumar Edwin Endowment Gold Medal
  • Dr. Kandaswamy Endowment Gold Medal
  • Department of Medicine Gold Medal for MBBS
  • Department of Medicine Gold Medal for MD

RESEARCH PROJECTS:


  • Comparative study of Lipoprotein (a) levels in Diabetics and Non Diabetic patients with Acute Coronary Syndrome
  • Serum Sodium and Potassium levels in newly diagnosed patients with essential hypertension.
  • Hyper-Homocysteinemia in young patients with Acute Myocardial Infarction
  • Study of correlation of Fever with platelet count.
  • Correlative study of Serum Amylase Level in organo-phosphorus poisoning.
  • Analysis of outcome of thrombolysis of Acute Myocardial Infarction in Hypertensive patients.
  • Study of correlation of HSCRP and Lipoprotein(a) in Metabolic Syndrome
  • A study of incidence, management and outcome of arrhythmias in the Golden hour of Acute Myocardial Infarction
  • Correlative study of Liver function tests in patients with Congestive Heart Failure
  • Correlative study of GFR  and Chronic Liver Disease
  • Study of the incidence of Hematological abnormalities in de-compensated liver disease
  • Study of respiratory function tests in asymptomatic smokers
  • Study on the clinical profile of Right Ventricular Myocardial Infarction
  • Clinical Outcome of Stroke in correlation to the glycaemic status of the patient
  • Study of significance of activity and time of occurrence of stroke & evaluation of risk factors of stroke
  • Correlation of serum uric acid level in acute myocardial infarction
  • Study of clinical profile of patients with super-vasmol poisoning.
  • Study of clinical profile of tuberculosis in diabetes mellitus patients.
  • Study of ECG changes in Oleander seed Poisoning.
  • Study of Subclinical Hypothyroidism in overweight and obese females.
  • Study of incidence, causes and types of seizures presenting for treatment in the Intensive care unit of TVMC
  • Study of incidence and significance of Micro-Albuminuria in non Diabetic and non Hypertensive CAD patients
  • Study of Thyroid dysfunction in CKD
  • Study of the incidence, management of urinary tract infections in Diabetes mellitus
  • Correlation of serum magnesium levels with lipid profile in Diabetes Mellitus
  • Study of Pseudocholinesterase in OPC poisoning
  • Study of risk factor in causation of hepatotoxicity following HAART Therapy

 

 


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