KING EDWARD MEMORIAL HOSPITAL
SETH GORDHANDAS SUNDERDAS MEDICAL COLLEGE
बृहन्मुंबई महानगरपालिका रुग्णालय
The Department of Pediatrics was established in KEM Hospital in 1958. Since then, the department has advanced in high quality patient care and management-catering to over 70,000 outdoor patients and more than 5000 indoor patients from all over India every year.
This Department has established high standards in Pediatric medicine with its intensive academic curriculum and state of the art medical facilities with Pediatric EMS, Pediatric ICU and a round the clock team of multi-speciality pediatricians. Over the years, the Department has retained its position as one of the best Pediatric medicine centers in India.
For almost the first three decades of our institution, Pediatrics did not exist as a separate entity.The physicians looking after the health needs of adult patients considered children as miniature adults and treated them. It soon dawned that children and infants have special needs that require specialized attention.
Following the worldwide trend, a separate department of Pediatrics was established in 1958 with two Pediatric Units and a total strength of 48 in-patient beds. The units were headed by two honorary Pediatricians – Dr. P.E. Bharucha and Dr. M.P.Bhagat. They were assisted by an assistant honorary each. Both these stalwarts served the hospital for over 15 years and were responsible for its growth and for the training of a generation of able Pediatricians. In 1967, a third unit was added and the bed strength of the department was increased to 72 beds and later to 90 beds in 1976. Currently the Pediatric wards have total of 120 beds. For a large part of its existence, many more patients were cared for on the floor beds, so that no patient requiring admission was denied the benefit of in-patient care.In the sixties and early seventies, before setting up of the pediatric wards in the peripheral municipal hospitals, the load of patients was tremendous with almost 15000 to 20000 patients seen in the outpatient departments per year and more than 5000 patients were admitted per year. Over the years as the facilities in peripheral Hospitals got established and improved, the patient load at KEM Hospital has shown a decreasing trend. Reduction in patient load coupled with availability of ancillary laboratory and other investigative facilities has resulted in better care of patients and now we are able to accurately diagnose many illnesses and treat many conditions effectively.The aims of department as that of the hospital itself have always been patient care, undergraduate and postgraduate teaching and research.
Till the establishment of this department at KEM Hospital, the undergraduate students had their training from B.J. Wadia Hospital for Children. Now, Their rotation in Pediatrics is divided in these two hospitals. The postgraduate students and interns also work at KEM Hospital and B.J. Wadia Hospital during their training.
The department has been training students for MD Pediatrics Course since 1960 and DCH Course since 1993 (previously under University of Mumbai, and now affiliated to MUHS- Maharashtra University of Health Sciences).Over the years, the department of Pediatrics has evolved and developed in specialty care services. The first amongst its leaps was the Special care area in the pediatric ward for sick children by Dr. P.E. Bharucha in 1958 with two incubators, isolation facilities and separate nursing staff. Initially, the obstetricians took care of all newborns delivered at KEM Hospital in the obstetric wards. In 1968, Pediatricians took over the responsibility. In 1970, a separate Neonatal Care Unit was set up adjacent to the postpartum ward with 10 beds with incubators, phototherapy units, separate pantry and separate staff. The facility was expanded with by the efforts of Dr. N. B. Kumta and Dr. S. F. Irani to provide level II and Level III care in 1991-92, as it was felt that a neonate is not a miniature child but one whose care required knowledge and expertise. The Neonatal unit was given the status of a separate Department in 1994 and it trains postgraduate students for DM Neonatology Course.The Departments of Pediatrics is working at developing other specialties too. A Rheumatology Clinic has been running since 1969 and a Nephrology clinic since 1971, both started by Dr. M. P. Bhagat, Dr. Maharukh K. Joshi and Dr. P. W. Kandoth. The Pediatric Chest Clinic was established by Dr. M.D. Shah in 1979. The Pediatric epilepsy clinic has been a recent addition (2009) to the specialty services provided. The Genetic Clinic and the Pediatric research laboratorywas started in 1979 by Dr. N.B. Kumta. From a fledging start, it later became one of the first fifteen laboratories in India. Here, the patients are investigated for the diagnosis of genetic and metabolic disorders and the clinic gets referrals from all over India. Dr. N.B. Kumta’s successor Late Dr. B.A. Bharucha expanded the facilities by collaborating with similar laboratories from abroad. The Prestige of this clinic has increased over the past years and this facility is considered to be one of the best in the city and the state. This clinic is currently looked after by Dr. Mamta N. Muranjan. Infants born in KEM Hospital are followed up in separate Well Baby Clinic since 1970. The clinic undertakes activities of Under-five care including growth monitoring and healthy promotive activities like advice regarding nutrition, immunization and accident prevention. A Pediatric Intensive Care Unit (PICU) was started in 1992 with 8 beds, which was later renovated and expanded to a 9 bed set-up (2002) and later to 20 beds (currently). It is equipped with modern day equipment like the invasive and non-invasive multichannel monitors, central monitor, ventilators, high frequency ventilator, pulse-oximeters, capnographs, etc and is managed by separate medical and nursing Staff. About 700-800 patients are admitted every year in the Pediatric ICU. Currently the PICU is looked after by Dr. Milind Tullu. The Learning Disabilities Clinic was established in the year 2010. It is a state recognized centre for certification of patients with learning disabilities and is looked after by Dr. Sunil Karande.
The Pediatric units in the Department have been headed by stalwarts including Dr. P.E. Bharucha, Dr. M.P. Bhagat, Dr. N.B.Kumta, Dr. M.D.Shah, Dr. M.K.Jain, Dr. P.W.Kandoth, Dr. S.F.Irani, Dr. R.H.Udani, Dr. J.R.Kamat, Dr. B.A.Bharucha, Dr. Keya Lahiri, Dr. Sandeep Bavdekar, Dr. Mukesh Agrawal and Dr. C. T. Deshmukh. The present day head of the 3 units are- Dr. Sunil Karande, Dr.Rajwanti.K. Vaswani and Dr. Mamta N. Muranjan .
All three units at KEM Hospital are manned by a team of excellent pediatricians & resident medical officers.
Each unit has its constitution as below:
Teaching Faculty
Unit | Faculty |
UNIT I- Dr. Sunil Karande (Professor & HOD) |
Dr. Sunil Karande (Professor & HOD) Dr. Milind Tullu (Professor – Additional / Associate Professor) Dr. Aditi Birje (Assistant Professor) Dr. Aparanta Chandra (Assistant Professor) |
UNIT II- Dr. R.K. Vaswani (Professor) |
Dr. R.K. Vaswani (Professor) Dr. Jane J.E. David (Associate Professor) Dr. Sakshi Rajoria (Assistant Professor) |
UNIT III- Dr. Mamta Muranjan (Professor) |
Dr. Mamta Muranjan (Professor) Dr. Shrikant Jamdade (Assistant Professor) Dr. Yogesh Mokase (Assistant Professor) |
Sr. No. | Designation | Name |
Pediatric Research Laboratory Staff- | ||
1. | Jr. Scientific Officer | Smt. Snehal Salve |
2. | Lab. Technician | Smt. Priyanka Narvekar |
4. | Lab. Technician | Shri N.P. More |
5. | Sweeper | Shri Vijay Koli |
6. | Hamal | Shri Ashok Sawant |
Pediatric Office Staff- | ||
7. | Clerk | Shri Hemant Achrekar |
8. | Helper | Shri Ganesh Dike |
This department is one of the most sought-after institute for post-graduate training in Pediatrics with an intake capacity of 16 MD and 12 DCH students – largest number in any institute of western India. These students are selected for Pediatric Courses through All-India and state-wise merit list of PG Entrance Test. Apart from regular ward work, PG-teaching activities include- clinical rounds, case presentations, audit meetings, clinic-pathological meets, seminars, journal clubs, guest lectures, etc. Also, postgraduates are guided in collecting data, analysis, reference work, and writing of their thesis/ dissertation. In addition to the training in General pediatrics, Postgraduate students here are also rotated to various specialty clinics, Pediatrics Intensive Care Units, Neonatology, Genetic clinic and Learning disability clinics. They are also trained in Pediatric Advanced Life Support Providers course, Neonatal Advanced Life Support Providers course and AIDS patient care/ management. At the end of their course, the PG students metamorphose themselves into well- qualified pediatricians.
The department strictly follows the curriculum and evaluation set by the MUHS, Nashik for the undergraduate students.These students are also rotated to B. J. Wadia Hospital for Children – a allied institute of the department across the road. They are trained to improve their clinical skills through bedside clinics, ward rounds, attending OPDs and observing procedures & emergency care. Their skills are assessed by theory and practical examinations at the end of the tenure. Undergraduate students often take part in the nation-wide Indian Academy of Pediatrics (IAP) Quiz and the ICMR summer projects and have won laurels to the department.
Department of Pediatrics runs Fellowships in Pediatric Intensive Care, Pediatric Neurology & Epilepsy, and Clinical Genetics & its Applications (Two seats each).
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POSTGRADUATE TEACHING: October 2019
SERIAL
NO. |
DATE | EVENT |
1. | 03/10/2019 | PICU statistics / Audit meeting |
2. | 11/10/2019 | Inter-hospital clinical meeting |
3. | 17/10/2019 | Ward statistics |
POSTGRADUATE TEACHING: November 2019
SERIAL
NO. |
DATE | EVENT |
1. | 17/11/2019 | Inter-hospital clinical meeting |
2. | 27/11/2019 | PICU statistics / Audit meeting |
3. | 29/11/2019 | Ward statistics |
POSTGRADUATE TEACHING: December 2019
SERIAL
NO. |
DATE | EVENT |
1. | 06/12/2019 | Ward statistics |
2. | 13/12/2019 | PICU statistics / Audit meeting |
3. | 20/12/2019 | Inter-hospital clinical meeting |
POSTGRADUATE TEACHING: January 2020
SERIAL
NO. |
DATE | EVENT |
1. | 08/01/2020 | PICU statistics / Audit meeting |
2. | 13/01/2020 | Ward statistics |
3. | 24/01/2020 | Inter-hospital clinical meeting |
UNDERGRADUATE TEACHING:
TIMING: 1:00 -2:00 PM
LECTURE THEATRE 5 ON TUESDAY AND THURSDAY [& MLT HALL ON SATURDAY]
UNDERGRADUATE TEACHING: OCTOBER 2019
NO | DATE | TOPIC | FACULTY |
1. | 03/10/19 | Circulatory shock and respiratory failure | Dr. Ashwin |
2. | 05/10/19 | Developmental delay including LD and MR | Dr. Baliram |
3. | 10/10/19 | Tetanus | Dr. Tejasi |
4. | 12/10/19 | Childhood Tuberculosis (except TBM) | Dr. Karthik |
5. | 15/10/19 | Dengue fever | Dr. Priti |
6. | 17/10/19 | Behavioural disorders (including autism and ADHD) | Dr. Vikrant |
7. | 19/10/19 | Malaria | Dr. Ashwin |
UNDERGRADUATE TEACHING: DECEMBER 2019
NO | DATE | TOPIC | FACULTY |
1 | 21/12/19 | Malaria | Dr. Rucha |
2 | 24/12/19 | Intestinal protozoal and helminth infestation | Dr. Sanhita |
3 | 26/12/19 | Breast feeding and IYCF | Dr. Pravin Patil |
4 | 28/12/19 | Fluid and electrolyte balance and disorders | Dr. Disha Patel |
5 | 31/12/19 | Acid base balance and disorders | Dr. Priyanka Hampe |
UNDERGRADUATE TEACHING: JANUARY 2020
NO | DATE | TOPIC | FACULTY |
1 | 4/1/20 | Normal newborn | Dr. Ruchi Nanavati |
2 | 7/1/20 | Essential delivery room and PN care | Dr. Neetu |
3 | 9/1/20 | Neonatal resuscitation | Dr. Dwayne |
4 | 28/1/20 | Prematurity and LBW | Dr. Anitha Ananthan |
5 | 30/1/20 | Perinatal asphyxia | Dr. Anitha Ananthan |
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Instructions for Learning Disability (LD) Certification
The following will help you to understand the procedure for obtaining LD Certification. Please read the instructions completely.
1) How to get an appointment for a student’s assessment in LD Clinic?
2) What are the assessments done in the LD clinic?
The child has to be brought at least three times to the LD Clinic for various assessments as per appointments given.These cannot be combined into a single session as this gets very taxing for the child. The dates of appointments for these testing are given by the Secretary in the LD Clinic and the entire procedure to be followed will be clearly explained by her to each parent.
The first appointment is given for child’s detailed clinical and neurological examination. (which takes about 30 minutes to be completed).
The second appointment is for testing the child’s intellectual capacity (IQ testing). (which takes about 60-90 minutes to be completed).
The third appointment is for the educational testing of the child. (which takes about 60-90 minutes to be completed).
In general the accompanying parent would have to take a half-day off from work / other family responsibilities for each of the three appointments
None of these examinations are painful or inconvenient to the child. The child need not be starving for any of these ‘tests’.
3) What other tests are required to be done before certification?
Vision testing to be done by an Ophthalmologist (Eye Specialist)
Hearing testing (Audiometry) to be done from an ENT Specialist
These two tests can be done at KEM Hospital or at any public hospital near the child’s residence. They can also be done from a private Ophthalmologist or ENT Specialist – if so desired by parent. Both the vision and hearing testing reports should be recent (done in the past 3 months) to be considered valid.
Any questions you may have about these will be answered at the LD Clinic.
4) How long does it take for the entire assessment procedure to be completed?
Generally it takes about three weeks; beginning from the time of the first assessment done in the LD clinic (namely, the child’s detailed clinical and neurological examination). The certificate will be issued to the parent(s) after a meeting with the Counselor in the LD Clinic who will explain the child’s diagnosis and how to help the child achieve his/her maximum potential.
Contact Information
In case you wish to contact Dr Sunil Karande send an email to sunilkarande@kem.edu . We especially welcome feedback on your experience at the LD clinic. This will help us make the clinic more student and parent friendly.
Learning Disability Clinic address: Pediatric Research Laboratory ( PRL ), 2 nd Floor, Above Ward 17/18, (Near Ward 1, Department of Pediatrics, KEM Hospital Main building)
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