The department provides training for the following courses:

M.D. (General Medicine) :

Maharashtra University of Health Sciences – 3 year course (23 students /year )

Admissions are held once in a year in May- June every year through All india and Maharashtra PGM CET Examinations.

All residents registered for MD are enrolled into a 3 year residency program which is as follows:

First Year :

Second Year (sequence of posts may vary) :

Third Year :

1-3 months observership is available in General Medicine as well as its subspecialties including Medical Intensive Care Unit, Rheumatology, Geriatrics and Nuclear medicine.

Three categories of Observerships are available :

1. Undergraduate medical students seeking elective postings.
2. Doctors doing residency in Internal Medicine wanting to spend some time in a leading Indian teaching hospital.
3. Doctors in practice, wanting to upgrade their clinical skills and knowledge.

Doctors wanting to apply under the 3rd category should apply on plain paper to the Head, Department of Medicine, K E M Hospital, Parel, Mumbai 400 012.

Applicants seeking admission under categories 1 and 2 should forward their application through their head of department/institution to:

The Dean,
G.S. Medical College and K.E.M. Hospital,
Parel, Mumbai 400 012.

In the application please indicate the number of weeks you would like the observership to be – minimum 4 weeks, maximum 12 weeks, as also the subspecialty/ies you would like to observe. You will be notified the acceptance or otherwise of the application along with the alloted time slot.

On the day of the commencement of the course, observers will have to pay a fee as applicable. Residents in training could seek waiver of this fee in their application form. Unfortunately, it is not possible for the institution to arrange for accommodation and observers from outside town are advised to arrange for the same before their arrival in the city.

Besides access to clinical work, observers will be encouraged to participate in the Department’s teaching activities including Clinical seminars, journal club, bedside clinics etc.

On successful completion of the course, an appropriate certificate will be issued by the institution.

Time table for above activities are displayed on the department notice board for the entire year as well for the coming week.

• 4 bedside clinics for undergraduate students per week.
• Teaching rounds 4 times a week for undergraduates as well as postgraduate students.
• Lecture schedule for Nursing students, Occupational therapy, Physiotherapy and III MBBS students.

Location :

OPD Number 26, 1st floor, Multistorey Building.

Timing:

8:00 am to 12:30 pm

The outpatient clinic is conducted daily from Monday to Saturday. Each unit consults one day per week.

The outpatient clinic is conducted daily from Monday to Saturday Each unit consults one day per week.

Patients attending the OPD for the first time will have to get an OPD case paper which is issued at the registration counter outside the OPD (026) from 7.30am to 10.30am. Only patients who have been specifically referred to the Medicine OPD from other OPDs or by the family doctor or private consultant will be issued OPD paper. Patients who have not been referred to Medicine OPD are first seen in the General Practice OPD (OPD No 006) and if necessary, referred to OPD 026.

Patients attending OPD for second and subsequent visits will have to get their case papers stamped at the registration counter and then attend OPD. Patients with case papers of a particular unit will only be seen on the OPD day of that particular unit.

Patients requiring elective (nonurgent) hospital admission are admitted from the OPD.

Average work load:

In the year 2015 a total of 2,13,547 patients (95,412 new patients and 1,18,135 follow-up cases) attended the OPD.

Unit wise wards

EMS (Wd 20 gr. Floor main hospital building):

1. 15 beded with well equipped and attached lab, ECG ,Xray,USG,CT scan facilities
2. 24 hrs round the clock residents posted
3. Observed for 24 hrs then shift to wards or other ICU

MICU (Ward 22 2^nd floor main hospital building):

1. 23 bedded MICU with Multipara & Ventilator
2. Caters to serous patients of all the hospital
3. Round the clock doctors posted

The Emergency Ward ( Ward No 20 – emergency room) has 15 beds and is located on the ground floor next to casualty. This is staffed by lecturers and resident doctors round the clock. Patients requiring urgent attention are first seen by the casualty officer and then referred to the emergency ward. Here, they are evaluated by the doctor on duty and a decision is made regarding admission to the various wards like general ward, Medical ICU, ICCU etc. Specialist opinion may also be obtained prior to admission. Emergency cases – the very seriously ill, are initially admitted to this ward and stabilized before being shifted to other areas of the hospital.

The emergency services are managed by the 6 medical units as follows :

Average work load :

Approximately 400-600 patients are referred here every day and 80-100 patients require admission to the emergency ward. In the year 2005-2006 more than one lac patients were referred to the Emergency room for treatment and more than 2000 patients were admitted in the emergency ward.

Patients requiring hospital admission are admitted either from the Out Patient Clinic, or from the emergency room. Patients admitted from the OPD are admitted under the OPD unit. All patients attending the emergency services on a particular day are admitted under the unit that is on emergency duty. If they have old case papers of another unit (OPD or indoor) then they are subsequently transferred under the care of their original consultant.

The distribution of beds in medical wards is as follows :

Average work load:

Approximately 60 patients are admitted to the medical wards every day on emergency basis and 8 from the outpatient clinic. In the year 2005 – 2006, 17459 patients were admitted, with 3205 deaths.

Faculty :

OPDs :

Saturday-8.00 am to 12.30 pm (CVTS bldg, ground floor)
Tuesday – 8.30 am to 12.00 pm (MSB first floor 13)

Established in the year 1977. In the year 2005, 1871 new patients and 4578 old patients attended the OPD and 355 patients required indoor admission

Rheumatology OPDs and review clinic are conducted twice a week. In addition Scleroderma, backache and lupus clinics are held every week. Patients are offered medical care, education about their disease and Rehabilitation therapy in collaboration with the Occupational Therapy, Physiotherapy and Social Service Department

An Immunology laboratory (Department of Pathology) with facilities for conducting tests like RF, CRP,ANA, dsDNA, A.N.C.A., A.C.L.A.,HLA B 27, estimation of C3, C4, and Synovial fluid analysis is available. Registries for Rheumatoid Arthritis and Seronegative Spondyloarthropathy have been maintained.

Geriatric Medicine Clinic: (1992-2018)

Out patient department (OPD):

Location: Multi storey building, 1st Floor, Room No 13.
Timing: Thursday- 1:30 pm to 3:00 pm

Activities:

• Examination, investigations of the patients.
• Counseling and Therapeutic advice.
• Preventive geriatrics.
• Health education.
• Psychiatric, Physiotherapy, Occupational therapy, Dietician, Social worker reference.
• Referrals to other relevant specialties.
• Regular follow up of the patients.

Hypertension Clinic

Faculty :

Head : Dr. Santosh Salagare

Other consultant: Dr. Vinayak Pai

OPD :

• OPD 201 Wednesday – 9.00 am -12.30 pm (multi-storey bldg, gr floor).

The clinic has an attendance of 2500 to 3000 patients (including 393 new cases seen in 1998) every year. Patients are investigated for essential and secondary hypertension, and individualized therapy is provided. Patients are closely monitored for complications. Consultancy services are provided for hypertensive patients referred from various specialty wards and clinics of the hospital.

Infectious Diseases Clinic

Place : Medicine OPD (MSB Room No.13)

Day : Friday

Time : 1:30 PM

Staff : Dr. Ravindra N. Sahay (Professor)
Fellow in Infectious Diseases
Residents from Dr. RNS’s unit

Collaboration:
Microbiology Dept.
Clinical Pharmacology Dept.

Objectives:
1. To develop new diagnostic tests for various infectious diseases in collaboration with Microbiology Dept.
2. To follow up chronic infectious diseases on long-term.
3. To develop protocols for common infections/conditions.
4. To study drug- resistance pattern in various infections.
5. To integrate the clinic with other such centers for clinical exchanges by meetings.

Case referral:
Medicine Dept: Drug-resistant malaria, complicated enteric fever, leishmaniasis, Hemorrhagic fevers, FUO, non-HIV cryptococcosis and toxoplasmosis, extra-intestinal amoebiasis, echinococcosis, filariasis, tropical eosinophilia, neurocysticercosis, viral encephalitis, extra-pulmonary tuberculosis, etc.

Referrals from other departments like Surgery, Gynaec, GE Medicine, GESS, Haematology, Dermatology, etc.

Development of Lab Tests:
Hepatitis A & E
Toxoplasmosis
Dengue Elisa
Leptospirosis – MAT
HSV, etc.

Vaccine Advise Center for Adults

Medical Intensive Care Unit

Faculty :

Workload :

• Total admissions – 1130 (mortality 31%)

Established in 1985 as a 7 bed ICU, in 1993 this was expanded into a 17 bed ICU and renamed as Jayantilal Chandulal Mehta Medical – Neurology – Neurosurgery Intensive Care Unit. This is a multidisciplinary ICU which is located on the second floor of the main building.

Patients from medical, Obstetrics, neurology, neurosurgery and neuroradiology are referred to the unit for intensive care. The patients admitted to the unit are attended to round the clock by 1 senior resident and 1 junior resident from the Medicine department. In addition, residents from neurology and neurosurgery are readily available for consultation. The unit gets about 1000 to 1100 admissions annually and provides advanced intensive care to patients with a wide variety of medical and tropical diseases including severe malaria, tetanus, leptospirosis, poisoning, snakebite, scorpion sting, Guillain Barre syndrome, myasthenia gravis, subarachnoid hemorrhage,Status epilepticus and cerebral cortical venous thrombosis, Ecclampsia and other obstetrics emergencies.

The ICU is in the process of acquiring equipment for full invasive hemodynamic monitoring, Bronchoscopy and a dialysis machine for continuous renal replacement therapy.

The MNICU regularly gets observers from different countries who require exposure to acute medicine in a tropical setting.

Medical Intensive Care Unit

Faculty :

OPD: