::Departments : Clinical : General Medicine
DEPARTMENT OF GENERAL MEDICINE

 
        The basic clinical functions of the Department of General Medicine have been made available from the first  day of inception  of  this  college from 1st April 2010, with the requisite faculty and infrastructure  stipulations as laid  down  by  the  MCI.
         Over the subsequent period, till now, as per the guidelines and principles laid down in MCI regulations and the norms of the Tamil Nadu Dr.MGR Medical University, the department has been documenting  a progressive pace of growth in the spheres of  development, patient care, academic and research activities.
        This had been made possible only by the constant support and guidance of the Directorate of Medical Education. For the past 9 years this Department has been served and guided by various eminent Professors and doyens in the field of medicine.
        The Emergency Medical ward in casualty  is functioning round the clock and is well equipped to tackle all emergencies. The critical care wards viz. Medical Intensive care unit , Intensive  coronary  care  unit , and Respiratory Intensive care units are functioning round the clock in our Medical College with 20 beds.
        The course offered in our college is the undergraduate medical degree  course  (MBBS) awarded by the Medical University as  per  rules and regulations with  an  annual  intake  of 100 MBBS students.The rules, regulations and syllabus governing the undergraduate degree course are strictly followed as per guide lines from  the Tamil Nadu Dr MGR Medical university  and the Medical Council of India.
 

Staff Position:
Professor 1
Associate Professor 4
Assistant Professor 7
Senior Resident 4
Junior Resident 8
 
        Total number of medical units – 4. Each unit is headed by a Professor/ Associate Professor.
        1st unit   is  headed  by a professor  who  is also  the  HOD  of  the  department, have  an Associate  professor  as  his  deputy, have  1  asst  professor, 1  senior resident, 2 junior  residents.
        2nd , 3rd,4th, units  are  headed by an Associate  professor &  have two Assistant Professors, one Senior Resident and two Junior residents .
Out Patient services:
        Out Patient services in the Department of Medicine is being conducted on all days including Government holidays from 7.30am to 12.00 noon by Assistant professors/Senior residents.    
        If admitted, all critically ill patients are attended by Casualty medical officers initially to triage and subsequently  handed over to duty Assistant Physicians (DAP) – on  24 hrs duty daily.

 
Emergencypatients.

        Emergency patients are attended at casualty 24hours/ 7 days a week by Casualty Medical Officers  and subsequently seen by DAP(Duty Assistant Physician). After triaging, patients are shifted to the appropriate  facility ( AE ward/IMCU/ICCU/IRCU/Medical wards) for further management.
Admission days:
Monday Unit I / IV on alternate weeks.
Tuesday Unit II
Wednesday Unit III
Thursday Unit IV
Friday Unit I
Saturday Unit II/III  on alternate weeks
Sunday Unit I / II/III/ IV on alternate weeks
 
Special clinics 
        The various systemic diseases of vital importance with life threatening potential are attended to at our services offered in various  special clinics.
Special clinics are  as follows:
  1. Cardiology clinic (Monday, Thursday)  -  attended by Specialist
  2. Neurology clinic (Tuesday, Friday) -  attended by Specialist
  3. Nephrology Clinic (Monday, Wednesday)  -  attended by Specialist
  4. Geriatric clinic (Daily)  -  attended by Specialist
  5. Diabetic clinic  (NCD clinic on all days in Medicine OPD)
  6. Hypertension clinic (NCD clinic on all days in  Medicine OPD)
  7. Gastroenterology Clinic (Wednesday in Medicine OPD)
  8. Endocrinology Clinic (Friday in Medicine OPD)
  9. Master Health Check up
Cardiology clinic:
        Cardiology clinic is conducted on Mondays and Thursdays between 10am and 12noon. 
          Coronary Artery disease patients are followed up regularly and given monthly medicines.
        I H D patients, Rhuematic heart disease and congenital heart disease patients are followed up and new patients are registered  for regular care.
Regularly ECHO cardiogram, TMT is being done by the cardiologist in the IP building, three days a week.
 
Neurology clinic :
        Neurology  clinic  is conducted  on Tuesdays and Fridays between 10am and 12noon  Here  the patients who are under regular follow up for stroke, peripheral  neuropathy and chronic degenerative,& demyelinating disorders and seizure disorders are monitored periodically and given monthly medicines.
Regularly EEG, Nerve conduction studies are being done two days a week in the IP building.

Diabetology and Hypertension clinic:
        Diabetic and Hypertension patients are seen on all days in NCD clinics between 10am and 12noon and given regular monthly medicines when  they  come  for  review.

Geriatric Clinic :
        Geriatric clinic is conducted on all days between 8am and 12noon.    All type of Geriatric patients are seen daily in the OPD and special care is being given to them by an  qualified Geriatric physician.

 Nephrology Clinic:
        Conducted on Mondays and Wednesdays between 10am and  12noon.  All  cases of CKD are being followed up regularly in this clinic.
          Daily Hemodialysis / Peritoneal Dialysis is being done in the dialysis ward (II floor IP building) for all CKD/AKIpatients.

Masterhealthcheckup:

          It functions  on all government working days between 8.00 am to 12.00 noon. Comprehensive health care screening is done for all the patients here and referred to appropriate departments if needed.
 
ACADEMIC ACTIVITIES 
          The 1st , 2nd and final clinical year medical students OP clinics are conducted  by the Professors, Associate Professors, Assistant Professors in turn from 8-00am to 10 am on all Government working days.
        IP clinics for 1st, 2nd and final year students are conducted by the same faculty from 10-00 am to 12-00 noon on all Government Working days.  Weekly assessment sessions are held for the students on Saturdays from 10-00 am to 12-00 noon by Associate professors and Professor. In the IP sessions, clinical demonstration is being done for all basic clinical procedures and clinical signs is being taught to all the students.  
       
 
        Theory classes for 1st clinical,  2nd clinical year students and final year students are conducted in the post lunch session as per the MGR Medical University syllabus in the lecture hall of GTMCH.

FOLLOWING ACADEMIC ACTIVITIES ARE DONE IN DEPARTMENT OF GENERAL MEDICINE:
MONTHLY  CME
MONTHLY  SYMPOSIUM
WEEKLY PHYSICIAN MEET  - EVERY WEDNESDAY
ALTERNATE  WEEK  JOURNAL  CLUB  - ALTERNATE TUESDAYS

MEDICAL QUIZ-   YEARLY ONCE FOR    2nd YR
                                                         PRE FINAL YEAR
                                                         FINAL YEAR STUDENTS

MEDAL EXAM – FINAL YEAR UG STUDENTS –
        Gold medal exam is conducted every year for the final MBBS students in the month of December.
CRRI TRAINING PROGRAMME
        The department has a structured training programme for CRRI’s which ensures global skill and knowledge development. The salient features of the programme are as follows:

 
CLINICAL KNOWLEDGE.
  • Approach to Acutely febrile patient.
  • Approach to chest pain.
  • Approach to acutely dyspnoeic patient.
  • Approach to Diabetes, management techniques.
  • Approach to Hypertension and management.
  • Approach to Ischemic heart disease and management.
  • Approach to Stroke and management.
  • Approach to a Poisoned individual.
  • Approach to coma and patient with altered mentation.
  • Approach to GI Diseases including Diarrhoea , Liver disorders,etc.
  • Approach to seizure disorder.
CLINICAL PROCEDURE SKILLS.
  • THORACENTESIS.
  • ABDOMINAL  PARACENTESIS.
  • LUMBAR PUNCTURE.
  • BONE MARROW ASPIRATION.
  • ENDOTRACHEAL INTUBATION.
  • LIVER ABSCESS DRAINAGE.
  • IV  LINE  ACCESS
  • INVESTIGATIONAL SKILLS.
  • Interpretation of ECG.
  • Interpretation of Chest Xray.
  • Interpretation of Arterial Blood Gas Analysis.
  • ETHICAL AND MANAGERIAL SKILLS.
  • Breaking the bad news.
  • Declaration of death to relatives.
  • Explanation of prognosis to the patient / relatives.
  • Reassurance of anxious patients and relatives.
ACHIEVEMENTS:
    1)DR.M.Nataraj , senior  faculty of  the  department  has delivered a talk  on  various  topics in  various  conferences &  forums .
Has got the  best  doctor  award in  2017  from  the  TAMIL NADU  GOVT, FROM  THE  HONOURABLE  HEALTH  MINISTER OF  TAMIL  NADU.
         a) “cardiac tobaccoism” on  Anti – tobacco day
         b) “Anti microbial  crisis in the current  era “ in symposium  conducted
             in  GTMCH.
         c) “SGLT2 INHIBITORS “ IN TIMACON – 2018
         d) “ ABC OF  CBC “ in  various  IMA  conferences.
         e) “ The  role of  GLIPTINS in treatment  of  diabetes “ in  ACP MID             
               TERM  Conference in Kumbakonam.
         f) Has  authored  many chapters related  to  diabetes in API UPDATE
            BOOK.
         g) Has  authored a  chapter  on  “ MEGALOBLASTIC  ANEMIA “ IN  API 
            MONOGRAPH IN 2017.
         h) Has  authored  a  chapter  on  “ INFECTIOUS  DISEASES – UPDATE
            “ in  yearbook  of  medicine in API.
2) DR.G.KARTHIKEYAN  senior  faculty member  of the  dept  has given  a    
    talk  on
  1. “ APPROACH  TO  HYPONATREMIA “ IN  IMA  conference  in 
     pattukottai.
  1. “ THE  ROLE  OF  GLIPTINS  IN  DIABETES “ in  IMA conference in    Tiruvarur.
  2. “ MIGRATION  RELATED  HEALTH  ISSUES – FASCIOLOPSIS  BUSKI “ in  IMA conference in Tiruvarur
  3. “ BLOOD TRANSFUSION REACTIONS “ IN CME programme  in         
GTMCH.
List of CME Conducted

 Date		 Topic
January 2018 Pyrexia of unknown origin
February 2018 Blood transfusion
March 2018 Chronic kidney disease
April 2018 Hemophilia
May 2018 Bronchial Asthma
July 2018 Obesity
September 2018 Hypertension
November 2018 Diabetes mellitus
December 2018 AIDS
January 2019 Viral Diseases (Dengue, H1N1)
March 2019 Trends in emerging and reemerging infectious diseases in India
April 2019 Parkinsonism
June 2019 Viral Hepatitis
 
 
 

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