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Background History

This department is one of the largest teaching departments and is a busy department which handles outdoor and indoor Internal Medicine patients and also patients attending the Emergency Ward (Emergency Room). In addition, training is imparted to 180 MBBS students and 23 MD students every year.

SCIENTIFIC PROGRAM- 8th-10th November 2022

Professor and Head Dr. Milind Y.Nadkar, MD
Professor Dr. Anjali G. Rajadhyaksha, MD
Professor Dr. Ravindra Nath Sahay
Associate Professor Dr. Santosh B. Salagre, MD, MBA, GSMC FAIMER Fellow
Associate Professor Dr. Archana Sonawale, MD
Associate Professor Dr. Kavita Joshi , MD
Associate Professor Dr. Meghna Vaidya, MD
Associate Professor Dr. Smrati Bajpai, MD
Associate Professor Dr. Vishal Gupta, MD
Associate Professor Dr. Kaustubh Salagre, MD
Assistant Professor Dr. Juhi Kawale, DNB
Assistant Professor Dr. Kiran Ahire, MD
Assistant Professor Dr. Nilakshi Sabnis, MD
Assistant Professor Dr.Nitin Sarate, MD
Assistant Professor Dr. Priya Bhate MD
Assistant Professor Dr. Shraddha More, DNB
Assistant Professor Dr. Vinayak Pai MD
Assistant Professor Dr.Suresh Prasiddhi MD

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 :
General Medicine – wards / OPD / Emergency ward : 9 months
Medical Intensive Care Unit/EMS ICU : 3 months


Second Year (sequence of posts may vary) :
Allied post – Hematology 1months
Allied post –GI medicine 1 month
Allied post –Nephro 1 month
Allied post – Endocrine 1 month
Allied post – Cardiology / ICCU : 2 months
Allied post – Neurology : 2 months
Allied post – Rheumatology 1 months
Allied post – HIV 1 months
Allied post – Dermatology 1 months
Allied post – Pulmonary Medicine 1 months
Third Year :
Senior resident – General Medicine : 9 months
Senior resident – Medical Intensive Care Unit/EMS ICU : 3 months

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.

Academic activities
Monday Journal Club/Dissertation Discussion/Guest Lecture.

– Presented by registrars/faculty on rotation basic

Tuesday Post graduate Case presentation

– Presented by registrars to head of units and faculty on rotation basis

Wednesday Interesting Case presentation by rotation

– Presented by the units on rotation basis.

Thursday Post graduate Case Presentation

– Taken for postgraduate students by faculty members from our department as well as guest speakers from other specialties.

Friday Seminar

– Presented by registrar on new current topic.


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.

Sections Units Branches


Facilities, Equipments & Special services

Patient Care Services

Location :

OPD Number 26, 1st floor, Multistorey Building.


8:00 am to 12:30 pm

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

Unit Head
Other Consultants
Dr. Meghna S. Vaidya Dr. Vishal Gupta
Dr. Priya Bhate
Dr. Archana Sonawale Dr. Nilakshi Sabnis
Dr. Santosh Salagre Dr. Vinayak Pai
Dr. M.Y. Nadkar Dr. Juhi Kawale
Dr. Shraddha More
Dr. Kiran Ahire
Dr. Anjali G. Rajadhyaksha Dr. Nitin Sarate
Dr. Kavita S. Joshi Dr. Smrati R. Tiwari
Dr. R. N. Sahay Dr. Kaustubh Salagre
Dr. Suresh Prasiddhi

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

Unit Male Female
Dr. M.Y. Nadkar 11 4A
Dr. Anjali G. Rajadhyaksha 11 4A
Dr. R.N Sahay 9 4A
Dr. Santosh Salagre 9 4
Dr. Kavita S. Joshi 12 4
Dr.Archana K. Sonawale 12 4A
Dr. Meghna S. Vaidya 11 4

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 2nd 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 :

Unit Head
Other Consultants
Emergency Day
Dr. Meghna S. Vaidya Dr. Vishal Gupta
Dr. Priya Bhate
Dr. Archana Sonawale Dr. Nilakshi Sabnis
Dr. Santosh Salagre Dr. Vinayak Pai
Dr. M.Y. Nadkar Dr. Juhi Kawale
Dr. Shraddha More
Dr. Kiran Ahire
Dr. Anjali G. Rajadhyaksha Dr. Nitin Sarate
Dr. Kavita S. Joshi Dr. Smrati R. Tiwari
Dr. R. N. Sahay Dr. Kaustubh Salagre
Dr. Suresh Prasiddhi
Each unit manages emergency ward from 8.00am to 8.00am the next day.

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 :

Unit Head
Other Consultants
Male Ward
Female Ward
Emergency Day
Dr. Meghna S. Vaidya Dr. Vishal Gupta
Dr. Priya Bhate
11 (#271) 4 (#50)
Dr. Archana Sonawale Dr. Nilakshi Sabnis
12 (#256) 4A (#38)
Dr. Santosh Salagre Dr. Vinayak Pai
9 (#287) 4 (#50)
Dr. M.Y. Nadkar Dr. Juhi Kawale
Dr. Shraddha More
Dr. Kiran Ahire
11 (#271) 4A (#38)
Dr. Anjali G. Rajadhyaksha Dr. Nitin Sarate
11 (#271) 4A (#38)
Dr. Kavita S. Joshi Dr. Smrati R. Tiwari
12 (#256) 4 (#50)
Dr. R. N. Sahay Dr. Kaustubh Salagre
Dr. Suresh Prasiddhi
9 (#287) 4A (#38)

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.


Other Subspeciality Services

Faculty :

Faculty Head : Dr. M. Y. Nadkar
Professor, HOD and Chief, Rheumatology
Other Faculty : Dr. Aanjali Rajadhyaksha

Dr. Archana Sonawale
Associte Professor
Dr. Juhi Kawale

Dr.Kiran Ahire

Dr.Nitin Sarate



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


  • 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.

Outpatient clinics
: 1 ( new patients/follow-up)
: Self, unit patients, from other services
Enrollment : Regular, out-station, consultancy,
Average annual enrollment : 400-500 patients since 1995;follow-up: 60-74 y-60%; 75 and 75+ : 75%
  • Complete physical check-up and evaluation by the GFA members at the initial visit and as desired by them / again annually � Information recorded in pre-designed record card
  • Baseline hematological, biochemical, ECG, XRC
  • Other investigations as indicated � Drug-bank: free drugs are dispensed during the clinic hours by the nurse
  • Health-education/supervisory care by GFA team
  • Follow-up: weekly / monthly / quarterly / biannual / annual
  • Therapeutic Workshop started in 1997-Patients under the guidance of Occupational therapists weekly attend this workshop and do handicrafts and other skilled jobs – exhibition of these articles periodically held(Indoor admissions if needed are done in medical unit ward-beds)
Community Services:
  • Educative Poster Exhibition on elderly care: “Aging and the Aged”
  • Drug Bank for the elderly
  • Health education lecture series in elderly care (Series 1-9)- held at KEMH (in Hindi, Marathi, English.- Also supervised education to the patient during visits.)
  • Audiovisual shows on Elderly care
  • Therapeutic Workshop for the elderly – started in August 1997.
  • Visit to the home for the elderly by the Geriatric functional assessment (GFA) team regularly
  • Gifts distributed to the elderly on 1st October, World Geriatric day
  • February 1999 : Orthogeriatric Services started in collaboration with Dr Devesh Dholakia, Lecturer, Orthopedics, KEMH
  • Easy to read and practice guidelines on elderly care-Wealthy Tips for Healthy aging:1999 (Rs.25/-)
  • All India Radio talks in Marathi and English for non-medical persons
  • Public Lectures: (English or vernacular languages)
  • Participation in National-International conferences
  • Quarterly Bulletin – since October, 1994

Hypertension Clinic

Faculty :

Head : Dr. Santosh Salagare

Other consultant: Dr. Vinayak Pai


  • 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

Microbiology Dept.
Clinical Pharmacology Dept.

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
Dengue Elisa
Leptospirosis – MAT
HSV, etc.

Vaccine Advise Center for Adults

Medical Intensive Care Unit

Faculty :

Dr. Meghna S. Vaidya : Associate Professor
Dr. Vishal Gupta: Associate Professor
Dr. Priya Bhate: Lecturer

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 :

Unit Head : Dr. Kavita S. Joshi
Other consultant : Dr. Smrati Tiwari
Dr. Shraddha More


Venue: Multistoried Building, 1st floor, Room No 13
New patients/ Follow up/ DACEP OPD days – Thursday – 8.30 am to 12 noon


Dept of Microbiology
Dept of Clinical Pharmacology

Attendance :

New pts. 30-40 patients per day
Follow up : 90 patients per day
Total registrations till 2018:- 13000
Total patients on HAART:-4000

Activities :

1. Examination, investigations of the patients
2. Counseling, treatment guidelines Treatment,
3. Follow-up,
4. ADR monitoring
5. Research & various projects
6. Training of Observers

Photo Gallery

Visit on 29 May 23 by Professor Joseph Muenzer, Pediatric Geneticist , University of North Carolina

Workshop on “Principles of Scientific Writing” 12, 13 October 2017, conducted for Pfizer Ltd

Mr Ashnik Chauhan at the DIA meeting in Chicago in June 2017

90 years of Seth GS Medical College and KEM Hospital, January 2016