Institution of Medicine Tribhuvan University Maharajgunj in the

Institution of Medicine Tribhuvan University

Maharajgunj in the early days of IOM Institute of Medicine (IOM) The Institute of Medicine (IOM) was established in 1972 under Tribhuvan University with the mandate and the responsibility of training all the categories of health manpower needed in the country. First building of IOM

Goals of IOM

History

Year 1972 The first decade • 12 campuses – 3 campuses in Kathmandu Valley – 9 campuses outside the Kathmandu Valley • Programs – – – – – Auxiliary Nurse Midwife (ANM) Community Medical Assistant (CMA) Proficiency Certificate Course in General Medicine Pharmacy Radiology Physiotherapy Nursing Health Laboratory Traditional Medicine

Year 1977 The new responsibility of training the tertiary level health professionals • Bachelor of Nursing – Community Nursing – Pediatric Nursing – Adult Nursing.

Year 1978 MBBS program was started – Beginning - 22 students – Now - 76 students

Year 1983 Under construction At present • Trivhuvan University Teaching Hospital was completed in 1983 with support from JICA • Three years Postgraduate Generalist (Family Physician of MD General Practice) Training was started with the collaboration of Calgary University

Year 1984 One - year Postgraduate Diploma in Anesthesiology with the support from the University of Calgary, Canada.

Year 2008 M Ch program started in Surgery – Gastroenterology – Urology – Neurosurgery – Cardiothoracic and Vascular

Year 2009 Forty-five programs – Certificate – Bachelor level – Postgraduate level – M Ch Program 4 11 26 4 Campuses – Constituent – Affiliated 7 10

Year 2013 Forty-nine programs – Certificate – Bachelor level – Postgraduate level – DM / M Ch Program 1 11 26 11 Campuses – Constituent – Affiliated 7 16

Organgram, IOM

Organogram of Institute of Medicine Management and Development Council Faculty Board Dean Implementation Committee Assistant Dean (Planning) 1. Planning Section 2. Foreign Aids 3. Monitoring 4. Projects Faculty Board Standing Committee Assistant Dean (Exam) Assistant Dean (Academic) 1. Examination Section 1. Academic Section 2. Monitoring 3. Academic Activity 2. Subject Committee 3. P. G. Centre 1. Constitutated Campuses 2. TU Teaching Hospital 3. B. P. Koirala Center for Ophthalmic Studies 4. Identified Other Centers 5. HLMC 6. Medical Education Department 7. Affiliated Campuses 8. Information Technology Assistant Dean (Administration) 1. Personnel Administration 2. General Administration 3. Fiscal Section

1. Production of human resources for health services, education and research

2. Provide health services through its health institutions

3. Conduct research in health sciences

Committees of the Dean Office • • Management and Development Council Implementation Committee Faculty Board Standing Committee Monitoring Committee Subject Committees Research Committee Institutional Review Board (IRB)

Departments under the Dean’s office • Research Department • Department of Information Technology (DIT) • National Centre for Health Professions Education (NCHPED)

Other Activities of IOM • IOM – College of Physicians and Surgeons Pakistan (CPSP) Linkage Program • Journal of Institute of Medicine (JIOM) • Hospital Preparedness for Emergencies (HOPE) • Health Learning Materials Centre

Executives of IOM

Dean’s Office Dean Prof. Dr. Rakesh P. Shrivastav Assistant Deans – – Planning Academic Examinations Administration - Prof. Dr. Bimal Kumar Sinha - Prof. Dr. Sarad Raj Onta - Prof. Dr. Bharat Mani Pokharel - Prof. Dr. Sarala Shrestha

Campuses 1. Prof. Dr. Jeevan Kr. Shrestha 2. Mrs. Nira Pandey 3. Dr. Dev Bahadur Rokka 4. Mrs. Bhagabati K. C. 5. Mrs. Mathura Nepal 6. Ms. Bhuvan Kumari Dangol 7. Mrs. Bina Adhikari - Campus Chief, Maharajgunj Campus - Campus Chief, Nursing Campus - Campus Chief, Ayurveda Campus - Campus Chief, Pokhara Campus - Campus Chief, Biratnagar Nsg. Campus - Campus Chief, Birgunj Nsg. Campus - Campus Chief, Nepalgunj Nsg. Campus 8. Prof. Dr. Hari Bhattrai 8. Mrs. Raj Devi Adhikari - Asst. Campus Chief, Maharajgunj Campus - Asst. Campus Chief, Maharajgunj Nursing Campus

Hospital / Centers 1. Prof. Dr. Ishwor Lohani 2. Prof. Dr. Jeevan Kumar Shrestha 3. Prof. Dr. Ratna Raj Poudel 4. Prof. Dr. Jagadish Prasad Agrawal - Act. Executive Director, TUTH - Executive Director, BPKLCOS - Executive Director, MCVTC - Executive Director, NCHPED 5. Prof. Dr. Jeevan Bahadur Sherchand 6. Prof. Dr. Pradeep Vaidya - Director, Research Department - Director, Information Technology Department

Campuses and Programs

Constituent Campuses (n = 7) 1. 2. 3. 4. 5. 6. 7. Maharajgunj Campus, Maharajgunj, Kathmandu Maharajgunj Nursing Campus, Maharajgunj, Kathmandu Ayurved Campus, Kritipur, Kathmandu Nursing Campus, Biratnagar Nursing Campus, Birgunj Nursing Campus, Pokhara Nursing Campus, Nepalgunj

Affiliated Campuses (n = 16) SN Campus Programs 1. Lalitpur Nursing Campus, Sanepa PCL Nursing / BN /B. Sc. Nursing 2. National Medical College, Birgunj MD / MS / MBBS / BN / B. Sc. Nursing 3. Universal College of Medical Sciences, Bhairahawa MD / MS / MDS / MBBS / BDS / BN / B. Pharm / B. Sc. MLT / B. Sc. Nursing 4. Janaki Medical College, Janakpur MBBS / BN / B. Sc. Nursing 5. People’s Dental College and Hospital, Balaju, Kathmandu BDS 6. MB Kedia Dental College, Birgunj BDS 7. KIST Medical College, Kathmandu MBBS / BDS

SN Campus Programs 8. Chitawan School of Medical Sciences, Bharatpur MPH / M. Sc. MLT / MN / MBBS / BDS / BN / B. Pharm / B. Sc. MLT / B. Sc. MIT / B. Sc. Nursing 9. National Model College for Advanced Learning B. Pharma 10. Sunsari Technical College, Dharan B. Pharma 11. Metrix College, Birgunj B. Pharma 12. Janamaitri Foundation, Balaju B. Sc. MLT / BN / B. Sc. Nursing 13. NIST College, Lainchaur B. Pharma 14. Nepali Sena Swasthya Bigyan Sansthan, Sano Bharyang MBBS / BN / B. Sc. Nursing 15. Manmohan Institute of Health Sciences, Nakkhu, Lalitpur B. Sc. MLT / BN / BPH / Pharmacy / B. Sc. Nursing 16. Gandaki Medical College, Pokhara MBBS

Academic programs in IOM

Certificate Level (n = 1) • PCL Nursing

Bachelor level (n = 11) • • • Bachelor in Medicine and Bachelor in Surgery (MBBS) Bachelor in Public Health (BPH) Bachelor in Medical Lab Technology (BMLT) Bachelor in Pharmacy (B Pharm) Bachelor in Optometry (B. Optm. ) Bachelor in Nursing (BN) B. Sc. Nursing Bachelor in Dental Surgery (BDS) B. Sc. Radio Imaging Technology Bachelor in Speech Language Pathology (BASLP) Bachelor in Ayurveda Medicine & Surgery (BAMS)

Postgraduate level (n = 23)

MD : 13 – – – – General practice Internal Medicine Ophthalmology Pediatrics Pathology Gynecology and Obstetrics Psychiatry Radiology Dermatology Anesthesiology Clinical Anatomy Clinical Pharmacology Clinical Physiology

MS : 3 – General Surgery – Orthopedics and Trauma Surgery – Otorhinolaryngology and Head and Neck Surgery

MN: 3 – Adult Nursing – Women Health and Development – Pediatric Nursing Others: 4 – Master in Public Health – Master in Clinical Biochemistry – M. Sc. MLT - Microbiology – M. Phil. In Clinical Psychology

Super specialization (n = 11)

MCH : 5 – Surgical Gastroenterology – Cardiothoracic and Vascular Surgery – Urology – Neurosurgery – Plastic Surgery

DM : 6 – Cardiology – Nephrology – Neurosurgery – Emergency Medicine – Critical Care Medicine

Hospitals

Tribhuvan University Teaching Hospital (TUTH)

About TUTH • Established in 1983 with the cooperation of the Government of Japan. • provides practical field for the academic training programs (basic, graduate and postgraduate). • It has the largest number of medical specialties in any hospital in Nepal with 22 departments. • It has 500 beds and expanding.

Role of TUTH Tribhuvan University Teaching Hospital has been established to fulfill the following roles: – To provide a teaching base for the Institute of Medicine for all types of academic programs. – To provide tertiary level of health services to the patients in Nepal and be a lead national hospital in this area. – To act as the main center to conduct health researches in Nepal and resolve problems in this area in Nepal.

Mission of TUTH • TUTH will provide the best care to every patient through integrated clinical services, education and research. • Services will be provided by a team of compassionate multi-disciplinary, highly trained doctors, nurses, technician and others. • It will provide best quality services to the seekers at an affordable cost within Nepal and serve appropriately to patients who cannot afford it.

Investigative services

Investigative services…. • X-rays • Ultra sounds • Biopsy • Doppler • Trans rectal • Trans vaginal • Echo • Fluoroscopy • C T Scan • Biopsy • C arm Endoscopy • Polypectomy • Stenting • UGIS • Sigmoidoscopy • Colonoscopy • ERCP

BPK Center for Ophthalmic Studies • Established under the umbrella of IOM with the mission of to improve the eye health status of people of Nepal. • With service as priority, the centre has yet another equally important purpose of producing highly skilled ophthalmic human resource determined to fight against blindness. • The struggle of the centre to minimize blindness does not remain confined to the national territory only its also trains ophthalmic manpower for many other developing countries as well.

BPK Center…. • The postgraduation education in ophthalmology at the centre aims to produce specialized medical professionals for nations. • Apart from developing models for prevention of blindness from ocular trauma at primary, secondary and tertiary levels. • the centre also aims to serve as a resource centre for collection and dissemination of information and knowledge through library, museum, instrumentation and documentation facilities.

Manmohan Cardiothoracic Vascular and Transplant Center (MCVTC)

Manmohan Cardiothoracic Vascular and Transplant Center Established on 26 th April 2009 under T. U. Institute of Medicine (IOM) with the following principle objectives: – To provide the best specialized care to the patients with Cardiac, Thoracic and Vascular diseases. – To provide highly skilled human resource in the aforementioned fields and – To carryout continuous research to contribute in the advancement of these services.

MCVTC Facilities Center is running with a overall Bed capacity of: – 61 bed that includes 45 general beds – 6 ICU beds – 8 CCU beds – 8 emergency – 3 general Cabin beds – 1 special CCU cabin.

MCVTC Facilities…. Emergency service – offers cardiothoracic and vascular emergency service for round the clock. – A well equipped 8 bedded emergency care section is specially oriented for Cardiac emergencies. – Patients are taken care by on duty house officers under direct supervision of DM residents and by consultants if required. Operation Theater – recently completed the construction of 3 world class modular operation theatre. – it will also help TUTH extend transplantation services.

MCVTC Facilities…. Cath Lab – Cardiac Cath Lab (Philips) has been installed. – Center is providing all adult and pediatric cardiac intervention. – Perticularly Coronary Angiogram, Elective and Emergency Coronary Angioplasty, Pacemakers including ICD and CRT implantation, device closure of congenital heart disease and many more percutaneous catheter intervention are provided.