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Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013

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STANDARD INFORMATION FORM

FORM - AGeneral Information Pertaining to :-

College and Teaching Homoeopathic Hospital and any other Hospital (with whom MoU exists).

Name of Institution/College

Complete Address with PIN Telephone numbers with STD codeFaxE-MailWeb-siteName of affiliating UniversityCourses run UG

PG(Specialty Subjects)

Information furnished here-in is correct to the best of my knowledge.

Signature of Principal/Director [Seal]

__________________________________________________________________________This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then examine the entries and send them with their observation to the Secretary, Central Council of Homoeopathy. As far as possible, all information should be contained in the forms and list may be added wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.

A-1STANDARD INFORMATION FORMS


COLLEGEParticulars of Principal/Director :

Name Qualifications with year of

award & Name of awarding authority

Regn. No. with date and name

of Council/ Board.

Teaching Experience (with subject), Cadre-

wise with name of college where such

experience is gained

Admini- strative Exper- ience

Nature (Regular/

Temp./ officiating) & date of

appointment

Other (if

any)

GENERAL INFORMATIONYear of establishment of the College/InstitutionManagement (Govt. /Local Body/Private) with NameIf private, give details including Registration particulars under Trust / Society ActsIntake capacity allowed (by CCH/ Govt. of India) course wise

BHMSBHMS (GDC)MD(Hom) Specialty Organon of Medicine

Materia MedicaRepertoryPractice of MedicinePharmacyPaediatricsPsychiatry

University affiliation status (Temp./ Provisional/Permanent)

Up to

Year of recognition by C.C.H. / Central Government

BHMSBHMS GradedMD(Hom) with name of Specialty subjects

Date of last Inspection by CCH Name of Medical Inspectors / Visitors



Qualification awarded to the students of this College is included /not included in second Schedule of H.C.C. Act. 1973.No. of migrated students (Course-wise & class-wise) during last one year.(List along with copies of NOC/Permission for migration from CCH or other authorities be enclosed)

From Other CollegesFrom the College to other Colleges

FINANCIAL STATUS OF THE COLLEGE

Financial Capability

S. No. Particulars Current year Next year1 Fixed Deposits

2 Current Account

3 Saving Bank Accounts

Budget for the College (year 20 - 20 )Operating Expenses

S. No. Particulars Current year Next year1 Pay & Allowances, Wages etc.

2 Fee payable authorities (CCH, University etc.)

3 Stationary & Printing

4 Consumable items

5 Telephone, Electricity & Postage

6 Repair & Maintenance

7 Seminar, Workshop, Conferences etc.

8 Sports & Cultural Programmes

9 Bank Charges

10 Contingencies

11 Miscellaneous

12 Others

A-3

STANDARD INFORMATION FORMS


Capital Expenses S. No. Particulars Current year Next year1 Furniture & Fixtures

2 Library Books

3 Equipment/Instruments etc.

4 Hospital Equiment/Appliances etc.

5 Budget for the Hospital

6 Others

Revenue SourcesS. No. Particulars Current year Next year1 Fee Receipts

2 Collection from Hospital

3 Estimated Annual Revenue from Other Sources

Enclose Audited Balance sheets for the College & Hospital for the last 03 years.

STAFF No. of Teaching Staff: (Enclose the list of teachers (duly attested by the Principal/Director) showing their Names, Designation, Department, whether Full Time/Guest Faculty, Qualification, Awarding authority with year of Award, Date of Birth, Registration Number & Date of Registration with name of Council/Board with which Registered, Experience in each Teaching Cadre and duration & Name of Institution where such experience was gained).

No. of Staff available.

FullTime

Guest Faculty

Professors

Associate Professors / ReadersAssistant Professors/ Lecturers

Total

No. of Administrative Staff of College: (Enclose the list having name, designation, qualification and experience)

No. of Hospital Staff: (Enclose the list including names, designation, qualifications and experiences along with Registration numbers for Medical doctors.

A-4



COURSE OF STUDY

i. Pre-requisites for admission for course(s) run

ii. Method of selection for Course(s) run

iii. Minimum percentage of marks for admission in each course

No. of actual working days for the College :

College timings (Enclose copies of time table for each course/class).Annual fee charged per student for each course

Criteria of Admission:- Number of beds in the attached Homoeopathic Hospital for UG and PG courses.No. of average patients in O.P.D./day.

Average daily bed occupancy in I.P.D.

Criteria of P.G. admission – Student – Guide ratio:

Guide as Professor:Guide as Reader :Guide as Lecturer :

Information about admissions made during the last 03 years:-

Year Undergraduate BHMS Boys

GirlsGraded BHMS Boys

GirlsPostgraduate Boys

GirlsTotal number of students on the roll (course wise):

BHMS (DDC)BHMS (GDC)MD (Hom)

Total number of Seats occupiedA-5



Details of land & Accommodation:a. Total Land Area Sq. M / Sq. Ft./Acresb. Total Floor Area Sq. M / Sq. Ftc. Ownership of Land & Building Own / on lease for _____ years.

In the name of ________________________________ ________________________________ (Enclose copy of land Registration/lease deed)

Information about infrastructure of College for ______ intake capacity.1. Administrative Section:

This shall include Principal Room, Reception, Visitors Room, Committee Room, Administration and Account Section, Record Room, separate Toilet for male and female.

2. Lecture Halls: There shall be 5 Lecture Halls with capacity to accommodate 60 / 100 students with proper facilities for Electricity Audio-Visual Aids, Fans/Coolers with separate toilet for Boys and Girls on each Floor:

Space :

Sitting Capacity in each :

Sitting type :3. Seminar/Examination Hall

Auditorium with sitting capacity4. Central Library with sitting capacity of at least 50 – 60

students with reading room for teachers, separate reading room for P.G. students, Librarian Room. Library shall have at least 2000 Books on prescribed subjects. The Library shall have newspaper, periodical, journal.

Department Section Area provided5. Teaching

DepartmentAnatomy Department Room

MuseumDissection Hall Histology Demonstration Storage for Cadaver

Physiology Department RoomMuseumLab PhysiologyLab BiochemistryDemonstration space

Homoeopathic Pharmacy

Department RoomMuseumLaboratoryDemonstration Room

Pathology Department RoomLaboratoryDemonstration Room

A-6



Department Section Area provided5. Teaching

DepartmentFMT Department Room

MuseumDemonstration Room

Community Medicine

Department RoomMuseumDemonstration Room

Practice of Medicine

Department RoomMuseumDemonstration RoomStudent Discussion Room for PGDepartment Library for PG

Gynaecology & Obstetrics

Department RoomMuseumDemonstration Room

Surgery Department RoomMuseumDemonstration Room

Homoeopathic Materia Medica

Department RoomMuseumStudent Discussion Room for PGDepartment Library for PG

Organon of Medicine

Department RoomMuseumDemonstration RoomStudent Discussion Room for PGDepartment Library for PG

Repertory Department RoomComputer LaboratoryDemonstration RoomStudent Discussion Room for PGDepartment Library for PG

Psychiatry Department RoomMuseumDemonstration RoomStudent Discussion Room for PGDepartment Library for PG

Paediatrics Department RoomMuseumDemonstration RoomStudent Discussion Room for PGDepartment Library for PG

A-7



7. Common Rooms for Boys and Girls

8. Canteen facility in the college premises

9. Examination Hall

INFORMATION ABOUT CENTRAL LIBRARY:Time & Working

No. of Booksi. Textii. Reference

Details of Journals subscribed subject wisea. Indianb. Foreign

No. of Journals with back issue

Library Staff with Qualification

Facility for Internet

Facility for Photocopier

Book BankNo. of Books in the Book BankNo. of books specifically purchased for M.D. (Hom) Course subject if so indicate their no. and enclose a list thereof :

MISCELLANOUS INFORMATION:-

Messing & Canteen arrangement

Details of Hostel facilities

Residential facility Categories

Number

Sports and recreation facilities Indoor

Outdoor

Any other Information

A-8



WEBSITE OF THE COLLEGE:Details of Director or Principal and Medical Superintendent including their name, age, registration number, qualification , date of joining, complete address with telephone or mobile numbers and subscriber trunk dialing code, fax and E-mail, etc;Details of teaching staff along with their photograph, registration number, date of birth, qualification, experience, Department etc;Non-teaching staff of college and hospital staff along with their departmentDetails of the sanctioned intake capacity of various courses, undergraduate, as well as, Post Graduate;List of students admitted, merit-wise, category-wise (Under Graduate and Post Graduate) for the current and previous academic yearsAny research publications during last one year;Details of any Continuous Medical Education programme, conferences and/ or any academic acclivities conducted by the institutionDetails of any awards and achievement received by the students or faculty;Details of the affiliated University and its Vice-Chancellor and RegistrarsResult of all the examinations of last one yearDetailed status of recognition of all the coursesDetails of clinical material in the hospital.

A-9



HEALTH CENTRES INFORMATION IN BRIEF:-Rural Number

Location

Distance from College and attached HospitalStaff

Utility for Students

Urban Number

Location

Distance from College and attached HospitalStaff details

Utility for Students

TEACHING COLLEGIATE HOSPITALName of Collegiate

Homoeopathic Hospital

No. of beds

Name & qualification of Superintendent & other

attending doctors

Hospital facultyFull Time/Part Time/ On Call

A-10



Details of Statutory Recognition from the State Govt./Union Territory/Local Administration.

Number of Teaching Faculty imparting clinical Training to students:-Number of P.G. students if any involved in clinical training to students & interns:-

Distribution of Beds: Medicine & Pediatrics (Acute & Chronic Medical cases) :SurgeryObstetrics & Gynecology

ANNUAL BUDGET FOR HOSPITAL: ( Year 20 ___-20____ )

Current year Next year

Pay of Staff & EstablishmentMedicine & SundriesDiet Others

CLINICAL MATERIAL DURING THE LAST ONE YEAR:-*Outdoor - Old (Follow up Patients)

New Patients.Average daily Attendance

*Indoor – Annual AdmissionAnnual DischargeMortalityTotal bed occupancy during the last one yearPercentage of bed occupancy

Medical Camps held:

*Attach statement for the last one year.



TEACHING FACILITIES:-

Homoeopathic Hospital Details of OPDs

Details of IPD wards

Clinical Class Room

Super Specialty Hospital (of Modern Medicine)

Name of Teacher who Supervise

No. of Students & Programme Details for Clinical Teaching

UG

PG

REGISTRATION/RECORD FILLING:-

Central Registration

Departmental OPD

IPD

Staff

Computerization System

A-12



CLINICAL LABORATORIES:

Equipment

Investigation done & Charges of Investigations (Enclose a list)Staff

OPERATION FACILITIES:

Operation theatres NumberEquipmentNo. of Operations doneTypes of Operations done

Arrangement for Anesthesia Pre-aneasthetic careNature of Aneasthesia usedPost-Operative Care

Post operative Ward

Resuscitation facilities

Intensive care unit

Labor room facilities

General Sterilization facilities (in brief)

X – RAY WING:Staff details

Equipment

Utility Report of one year

Dark – room arrangement

Protective measures :

A-13



PHARMACY :Average number of prescriptions dispensed per day

OPDIPD

Stock of Medicines. (List be enclosed)Expenditure on medicines & sundries in last one year.

KITCHEN:Own/on contract

MoU WITH SUPER SPECIALITY HOSPITAL OF MODERN MEDICINE:

Name & address of Super Speciality Hospital Period for which MoU done(A copy of MoU to be enclosed)Facility available

Utility for students

Other information

RESULTS OF EXAMINATIONS: (Give number and % of passed out students during the preceding 3 years).

UNDERGRADUATE COURSESB.H.M.S. (Direct Degree):-BHMS (DDC)

Exam.YEAR_______ YEAR_______ YEAR_______

Regular Supplementary Regular Supplementary Regular Supplementary

(a) First Professional (b) Second Professional(c) Third Professional(d) Fourth Professional



B.H.M.S. (Graded Degree):-BHMS (GDC)


Regular Supplementary Regular Supplementary Regular

(a) First Professional (b) Second Professional

POST GRADUATE COURSESMD (Hom) - Organon of MedicineMD(Hom)


Regular Supplementary Regular Supplementary RegularPart-1 Part-2

MD (Hom) - Homoeopathic Materia MedicaMD(Hom)



MD (Hom) – RepertoryMD(Hom)



MD (Hom) - Practice of MedicineMD(Hom)



MD (Hom) – Homoeopathic PharmacyMD(Hom)



A-15



MD (Hom) – Paediatrics.MD(Hom)



MD (Hom) – Psychiatry.MD(Hom)



INTERNSHIP TRAINING:Total number of InternsWhether they have Provisional Registration with State Homoeopathic Board/ Council.Duration of Internship TrainingRotation Programme.(Copy of intern’s roaster be enclosed)

Department DurationPractice of Medicine-A Rotation in Psychology

sections.B Rotation in Respiratory

sectionC Rotation in Gastro-

Intestinal sectionD Rotation in

Endocrinology sectionE Rotation in Skin & VD

sectionF Loco-motor sectionG Cardiology sectionH Paediatrics sectionRotation in Surgery Rotation in Obstetrics & Gynaecology - (including Reproductive & child health care)).Rotation in Community medicine (including PHC/CHC)

A-16



Hospital Duty by InterneeA Number of days of posting in OPD per monthB Number of days of Posting in IPD per monthC Duty in Community Medicine D Self Preparation in LibraryE Other duty postingSupervision of InternsA Direct supervision of Head of Department concernedB Resident Medical OfficerC If not the details thereofWhether the internee students are allowed to prescribe the treatment including medicines,

.

Whether the internee students are allowed to issue any medico legal document under his/her signatures.Regulation of Training of InternsA Principal in consultation with concerned Heads of

DepartmentsB Regulated by the R.M.O.C If not the details thereof.Whether the internee students are maintaining a record of workMonitoring of RecordsA Head of concerned departmentB Resident Medical Officer under whom the internee is

postedWhether the scrutiny of record is done in an objective way to update the knowledge, skill and aptitude of internee.Adequate stress area during the internship training A Case taking, B Evaluation of symptoms, C Nosological and miasmatic diagnostic analysis,D RepertorisationE Management of sick people based on principles of

HomoeopathyWeekly SeminarsA Number of Weekly seminar held during reporting

yearB Internee presentation of cases in RotationC Discussion on casesD Assessment by concerned teacher/RMO on

performance of each interneeA-17



Exposure to Clinico-pathological WorkA Acquisition of Skill in taking Sample and doing routine

blood – examination, blood smear for parasites, sputum examination, urine and stool examination.

B Training to correlate laboratory findings with diagnosis and management of sick people.

Learning on Diagnostic TechniqueA X-Ray with co-relate their findings with diagnosis and

management of casesB Ultrasonography with co-relate their findings with

diagnosis and management of casesC ECG with co-relate their findings with diagnosis and

management of casesD Spiro meter with co-relate their findings with diagnosis

and management of casesE OthersLearning on Issue of Medico-legal CertificatesA Medical & Fitness CertificatesB Death CertificatesC Birth CertificatesD Court ProceduresE OtherMaintenance of records A 40 acute cases complete in all manner including follow

up in Practice of Medicine,B 25 chronic cases complete in all manner including

follow up in Practice of Medicine,C Record of 5 antenatal check-up and 3 delivery cases

attended by him/her in Department of Obstetrics and 3 cases of Gynaecology;

,D Records of 5 surgical cases assisted by him (and demonstration knowledge of dressings) in Surgery department

E Records of knowledge gained in Primary Health centre.

F Records of knowledge gained in Community Health Centre

G Records of knowledge gained in Other Health Programme

Proving of at least one drug during the period of Internship by each Internee students

A-18



Elective AssignmentsA liberty to choose an elective assignment on any

subject,B furnished in writing by the internee

C Submission of Assignments by Internee to Principal

A Learning on Maintenance of Statics and Records

B Familiarized with research methodology.

Percentage of Attendance during the internship

Total number of hours per day during the compulsory internship training.No. of interns shifted (if any)-

(a) from the College to other College(s).(b) from other College(s) to the College.

If Yes, list in respect of (a) & (b) above be attached showing their names & period.

Other information (if any)

PARTICULARS OF CANDIDATES ENROLLED FOR M.D.(HOM) COURSEDoing House job

To Appear in I-M.D.(Hom) Exams

Passed I-M.D.(Hom) Exams

To Appear in II-M.D.(Hom) Exams

Passed II-M.D.(Hom) Exams

Details of titles of approved Dissertations – students wise.

Details of allocated work during House job

A-19



COLLEGE COUNCILNumber of Members(Copy of order of constitution of College Council be enclosed)Number of Meetings held in last one year.Copy of minutes of meetings held in last one year be enclosed.

CURRICULUM OF STUDIES.Curriculum of the subject prescribed by the University (in view of C.C.H. Regulations)Is the above curriculum followed properly.Does the Curriculum of studies adopted by University differ materially from that as prescribed by the Central Council of Homoeopathy.If so, what are the variations

Other information (if any)

Signature of Medical Supdt. Signature of PrincipalA-20






FORM – B

On the Facilities for teaching and training in the subject of

ANATOMY

Name of Institution _________________________________________________________

Countersigned by

Principal H.O.D.[signature] [signature]

_________________________________________________________________This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then examine the entries and send them with their observation to the Secretary, Central Council of Homoeopathy. As far as possible, all information should be contained in the forms and list may be added wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.

B-1



1. Date of Inspection/Visitation: _____________________________2. Names of Inspectors or Visitors: _____________________________

_____________________________ _____________________________3. Date of last Inspection/Visitation: _____________________________4. Names of last Inspectors/Visitors: _____________________________

__________________________________________________________

Defects pointed out in the last Inspection/Visitation

To what extent remedied

B-2



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SUPPORTIVE STAFFS.No

.Name Designation Remarks

INFRASTRUCTURAL INFORMATIONAnatomy Department RoomHOD RoomDissection hall Wash basin VentilationStorage for cadaver Museum Facility of histology demonstration (Space/Room)

EQUIPMENT PROVIDED:

Details of items/Equipment etc available as per Schedule-III of HCC(MSR) Regulations, 2013.S. No. Items Required Available

1 1 Dissection Tables with marble tops or stainless steel (6’x’1’x2’x3’)

04

2 Dissection set (complete) As required3 Saw for sectioning body and limbs 014 Storage tanks to hold cadavers As required5 Teaching materials As required

Models As requiredCharts As requiredDiagrams As requiredSlides As requiredSoft part (Wet) As requiredSoft Part (Dry) As requiredSkeleton (Articulated) As requiredBones (Loose) As requiredMummified bodies As requiredDiagrams As required

6 Microscope (Medical) 252 Number of additional items3 No. of Cadavers available4 Whether College covered under the provisions of Anatomy Act.STANDARD INFORMATION FORMS


B-4

TEACHING PROGRAMME1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminar held on Anatomy7 Tutorial Classes provision with no. of

students in each batch8 Maintenance of Dissection Card9 Availability of Teaching Materials and their

utilization.10 Time table11 Interaction with Department of Physiology

Any facility for Education for P.G. students of other specialty subjects.

In case the number of students admitted annually has increased subsequent to last inspection, state, if additional facilities have been provided for teaching and training,and whether they are sufficient.

Remarks:

Date:- Signature of H.O.D.Place :

B-5






FORM – C


PHYSIOLOGY


Countersigned by


__________________________________________________________________________This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then examine the entries and send them with their observation to the Secretary, Central Council of


Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013Homoeopathy. As far as possible, all information should be contained in the forms and list may be added wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.

C-1



__________________________________________________________





C-2

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SUPPORTIVE STAFFS.No.

Name Designation Remarks

INFRASTRUCTURAL INFORMATIONPhysiology Department RoomHOD RoomSTANDARD INFORMATION FORMS


Physiology LaboratoryBiochemistry Laboratory Museum Demonstration roomEQUIPMENT PROVIDEDDetails of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013.

S. No. Items Required Available1 For human experiments:

1 Medical Microscope 252 Equipment for ESR estimation/

Westergren’s pipette for ESR on stand 25 (with spare pipettes)

3 Haematocrit tubes 30 (with spares)4 Auto Analyzer or Semi Auto Aalyzer 015 Haemoglobinometer (Sahli) 25(with spare)6 Haemocytometer 25(with spare)7 Sphygmomanometer 258 Stethoscope 259 Clinical thermometer (Digital) 2510 Knee hammer 2511 Tuning forks to test hearing (32-10000 hzs) 01 set12 Stethographs or pneumographs 0513 Electrocardiograph (ECG Machine) 0114 Electronic Stop Watches (1/10 sec.) 0415 Glass Distillation (double) apparatus 0116 Centrifuge (Medium speed) 0217 Colorimeter (photo electric) 0218 pH Meter (electric) 0119 Colour perception lantern (Edridge Green) 0120 Incubator 01

C-4

21 Educational CD As requiredDVD As requiredFilms As requiredSlides As requiredModels As requiredAudio Visual Aids As required

22 Perimeter 0323 Spirometer 0124 Tonometer 01


Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/201325 Handgrip dynamometer 0126 Bicycle Ergometer 01

Facility for Animal Experiments demonstration with the help of Audio-visual Aids.2 Number of additional items available3 Biochemistry

1 Electronic/Monopan Balance 012 Centrifuge 013 Balance, chemical/ordinary 024 Water baths 025 Urinometer 256 Hydrometer (0.700 to 1.00) 027 Albuminometers 10 8 Glucometer 109 Thermometer 1010 Colorimeter 0111 Hot air oven 14”x14”x14” (Electric) 0112 Double Distillation apparatus (Glass) 0113 Centrifuge, medium speed (electric) 0114 Glass ware like As required

Pipette, Beakers, Burettes,Wire gauze with asbestos As requiredCentre hot plate As requiredStove As requiredSyringes As requiredBurners As requiredRubber tubing As requiredStands As requiredClamps As requiredFlask As required

15 pH meter 014 Number of additional items available5 Total number of Charts

C-5

TEACHING PROGRAMME1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminars held on Physiology7 Tutorial Classes provision with



no. of students in each batch8 Demonstration on Animal

Experimentation9 Time table7 Interaction with Department of

Anatomy

Any facility for P.G. Education for students of other specialty subjects.


Remarks:-

Date: Signature of H.O.D.Place :

C-6



STANDARD INFORMATION FORMSTANDARD INFORMATION FORMS


FORM – D


PATHOLOGY & MICROBIOLOGY


Countersigned by



D-1



__________________________________________________________





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SUPPORTIVE STAFFS. No. Name Designation Remarks



INFRASTRUCTURE INFORMATIONPathology Department RoomHOD RoomLaboratory Museum cum Demonstration Room

EQUIPMENT PROVIDEDDetails of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013.

S. No. Items Required Available1 1 Hot air oven (50o C) 01

2 Centrifuge Machine electric (Rotofix) 023 Water Bath (Electric) 044 Glass ware As required

Stains As requiredChemical Reagents for Histopathology As required

5 Incubator 026 Haemocytometer with RBC & WBC Pipettes 257 Haemoglobinometer (Sahli’s Type) 258 Autoclave (Electric) 029 Anaerobic apparatus 0210 Stopwatch (½ sec) 0211 pH meter 0112 Microscope with oil immersion 2513 High Speed Centrifuge for serological/Hematological work 0114 ESR (Westergreen/ wintrobe) 02 sets each15 Colony Counter 0116 Material for preparation of media As required17 Material for preparation of Stain As required18 Coplin Jars 0219 Computer with accessories 0120 Machine for estimation of blood sugar/serological test 0121 Pathological Specimens 25

2 Total Number of Charts3 Total number of Models4 Number of Additional Items

D-4

TEACHING PROGRAMME1 Total no. of theoretical teaching hours.2 Total no. of teaching hours for Practical.3 Advance Teaching Programme prepared or not.STANDARD INFORMATION FORMS


4 Teaching diary maintenance.5 Practical Records of Students.6 Seminars held on Pathology.7 Tutorial Classes provision with no. of students in each batch.8 Facilities for Clinical Pathology in Teaching Hospital.9 Time table.10 Publications by the members of the staff during the last 03 years.11 Interaction with other Departments.

Teaching Materials Availability & UtilizationS. No.

Teaching Material Availability Utilization

1 Morbid Anatomy Material2 Materials from Surgeries and Autopsies3 Bacteriology Number of specimens and the various tests

Cultures, Serology, Sugar Reactions etc.4 Clinical

PathologyHematological Stool UrineMiscellaneous

5 Chemical Pathology

Number of specimensTypes Of Investigation

6 Microbiology Number of specimens and various tests



Remarks:-

Date : Signature of HODPlace : D-5


tudiqjh] ubZ fnYyh&58STANDARD INFORMATION FORMS


JANAKPURI, NEW DELHI-58


FORM – E


FORENSIC MEDICINE AND TOXICOLOGY


Countersigned by



E-1


_____________________________



_____________________________3. Date of last Inspection/Visitation: _____________________________4. Names of last Inspectors/Visitors: _____________________________

__________________________________________________________



E-2



A.

TE

AC

HIN

G S

TA

FF:

Rem

arks

Sig

natu

res

of H

.O.D

.

Expe

rienc

e (s

tate

per

iod)

As e

xam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

ati

on, y

ear i

n w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Lec

ture

r

Any

oth

er

Teac

hing

st

aff

E-3





INFRASTRUCTURE INFORMATION

Forensic Medicine & Toxicology Department RoomHOD RoomMuseum-cum-Demonstration RoomEQUIPMENT PROVIDED

Details of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013S. No. Items Required Available1 1 Weighing Machine (Dial Type) 01

2 Equipment for measuring height 013 Vernier Calipers 014 Weapons 20

BluntSharpPointed

5 Models 106 SPECIMENS- (Organic, Inorganic, Poisons &

Chemicals)35

2 Acts / legislations (including Medico-legal) and Regulations available.1 Homoeopathic Central Council Act 19732 Consumer Protection Act 19863 Workmen’s Compensation Act 19234 Employees State Insurance Act, 1948.5 Medical Termination of Pregnancy Act, 19716 Dangerous Drug Act.7 Mental Health Act, 19878 Indian Evidence Act, 18729 Lunacy Act.10 Borstal Schools Act.11 The Prohibition of Child Marriage Act, 2006.12 Public Health Act.13 Injuries Act.14 The Drugs and Magic Remedies (Objectionable

Advertisements) Act, 1954.15 Homoeopathic Practitioners (Professional Conduct, Etiquette

and Code of Ethics) Regulations, 1982.3 Total number of Charts4 Number of Additional items availableSTANDARD INFORMATION FORMS


E-4

TEACHING PROGRAMME1 Total no. of theoretical teaching hours.2 Total no. of teaching hours for Practical.3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminars held on FMT7 Tutorial Classes provision with no. of

students in each batch8 Facilities for Demonstration9 Facilities for Visits Courts

Post mortem centresOthers

10 Time table11 Publications by the members of the staff

during the last three years12 Interaction with other Departments



Remarks:

Date : Signature of HODPlace :



E-5




FORM – F


PRACTICE OF MEDICINE


Countersigned by


__________________________________________________________________________This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then examine the entries and send them with their observation to the Secretary, Central Council of


Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013Homoeopathy. As far as possible, all information should be contained in the forms and list may be added wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.

F-1



__________________________________________________________





F-2

A.

TE

AC

HIN

G

Rem

arks

Expe

rienc

e

As e

xam

iner

; st

ate

subj

ect &

na

me

of

exam

inat

ion

with

yea

r.



STA

FF:

(sta

te

perio

d)

Sign

atur

es o

f H

.O.D

.

As

teac

her;

stat

e in

w

hat

capa

city

&

in w

hich

C

olle

ge.

Qua

lific

atio

n, y

ear i

n w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Le

ctur

er

Any

oth

er

Teac

hing

staf

f

F-3




Practice of Medicine Department RoomHOD RoomSTANDARD INFORMATION FORMS


Museum-cum-Demonstration RoomPG Student Discussion RoomDepartmental Library EQUIPMENT PROVIDED

1 Total number of Charts2 Number of Equipment for identification3 Total Number of Specimens4 Models5 Number of books in Departmental Library6 Additional Items

TEACHING PROGRAMME (UG)1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical/Clinical3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminars held on Practice of Medicine7 Tutorial Classes provision with no. of students in

each batch8 Facilities for Demonstration at Bed side in College

Hospital9 Facilities for Demonstration at Bed side in Super

specialty Hospital10 Bed side training on applied Homoeopathic Materia

Medica11 Time table12 Publications by the members of the staff during the

last three years13 Interaction with Other Departments

F-4

TEACHING PROGRAMME (PG)1 Total no. of theoretical teaching hours2 Total number of hours for clinical OPD for each PG

StudentTotal number of hours for clinical IPD for each PG Student

3 Clinical Discussion4 Maintenance of Log Book5 SeminarsSTANDARD INFORMATION FORMS


6 Journal club meetings7 Clinical Presentation by PG Students8 No. of Project work allotted to each PG Student9 Documentation10 Research Facilities for P.G. Course

Teaching Materials Availability & UtilizationS.

No.Teaching Material in Availability Utilization

1 General Medicine2 Acute Diseases3 Chronic Diseases4 Pediatrics5 Geriatrics6 Mental Diseases7 Any other

Name of Guides and Co-Guides in the subject for P.G. Students 1234In case the number of students admitted annually has increased subsequent to last inspection, state, if additional facilities have been provided for teaching and training, and whether they are sufficient.Remarks:

Date : Signature of HODPlace :

F-5





FORM – G


SURGERY


Countersigned by



G-1



__________________________________________________________





G-2

A.

Rem

arks



TE

AC

HIN

G S

TA

FF:

Sign

atur

es o

f H

.O.D

.

Expe

rienc

e (s

tate

per

iod)

As e

xam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.

As

teac

her;

stat

e in

w

hat

capa

city

&

in w

hich

C

olle

ge.

Qua

lific

ati

on, y

ear i

n w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Lec

ture

r

Any

oth

er

Teac

hing

st

aff

G-3






Surgery Department Room HOD RoomMuseum-cum-Demonstration Room

EQUIPMENT PROVIDED1 Total number of Charts2 No. of Equipment for identification3 Total Number of Specimens4 Additional Items

TEACHING PROGRAMME 1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Clinical

exposure3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminar held on Surgery7 Tutorial Classes provision with no. of

students in each batch8 Facilities for Demonstration in College

Hospital9 Facilities for Demonstration in Super

specialty Hospital10 Training on applied Homoeopathic Materia

Medica11 Time table12 Publications by the members of the staff

during the last three years13 Interaction with Other Department

G-4

Teaching in HospitalS. No. Facility Average Attendance Utility1 No. of beds for surgery in College HospitalSTANDARD INFORMATION FORMS


2 No. of beds for surgery in Super Specialty Hospital3 Average No. of internees & students posted at a

time for clerkship4 Transport arrangement 5 Utilisation of

bedsGeneral SurgeryOphthalmologyOrthopedicsE.N. & TDental Diseases


(To be filled in by the H.O.D. in collaboration with Hospital authorities)


Remarks:

Date: Place: Signature of H.O.D.

G-5






FORM – H


COMMUNITY MEDICINE


Countersigned by



H-1





__________________________________________________________



H-2



A.

TE

AC

HIN

G S

TA

FF:

Rem

arks

Sig

natu

res

of H

.O.D

.

Expe

rienc

e (s

tate

per

iod) A

s ex

amin

er;

stat

e su

bjec

t &

nam

e of

ex

amin

atio

n w

ith y

ear.

As

teac

her;

stat

e in

w

hat

capa

city

&

in w

hich

C

olle

ge.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/Gue

st

Facu

lty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt.

Prof

. /

Lect

urer

Any

oth

er

Teac

hing

st

aff

H-3






Community Medicine Department Room

HOD Room

Museum-cum-Demonstration Room

EQUIPMENT PROVIDEDS.No. Items Required Available1 1 Barometer (Fortein) 01

2 Lactometer 013 Hydrometer 014 Hydrometer wet and dry bulb 015 Filter Pasteum chamberland complete set 016 MUSEUM

Models As RequiredCharts & Diagrams As RequiredMaterial concerning

Communicable diseases As RequiredDiet As RequiredProphylactics As RequiredNational Health programmes. As Required

7 Display of information concerning-

Immunization As RequiredCommunity health As RequiredFamily welfare As RequiredBio-statistics As RequiredResearch Methodology As RequiredSociology As Required

8 Slow Sand filter model/Filter Berk Field 019 Smokeless Chullah model 0110 Rapid Sand filter model 0111 Ideal well model 0112 Refrigerator 0113 Additional Items

H-4



2 Arrangements for Visit of Students

Health Check-up CampsWater Purification PlantMilk Pasteurization PlantIndustries (to make them understand about the Industrial Health Hazards).

3 Whether any Village has been adopted. If yes, details therof.

4 Total Number of SpecimensFamily Welfare devices,Sources of nutrition Sources of Vitamins

TEACHING PROGRAMME 1 Total no. of theoretical teaching hours.2 Total no. of teaching hours for Practical.3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminars held on Community Medicine7 Tutorial Classes provision with no. of

students in each batch8 Facilities for Demonstration in College

Hospital9 Training on applied Homoeopathic Materia

Medica10 Time table11 Publications by the members of the staff

during the last three years12 Interaction with other Departments. 13 Workshop for Health Education14 Provision for students and staff Health

Service15 Vital Statistics16 Environmental sanitation17 Control of communicable diseases18 Public Health Laboratory Service19 Maternity & Child Health & Family

Planning an ImmunizationH-5



20 School Health Service21 Health Survey22 Clinical Social case reviews23 Study of Family & Community24 Study of Family constitution and function25 Family case studies26 Others



Remarks:


H-6






FORM – I


OBSTETRICS AND GYNAECOLOGY


Countersigned by



I-1





__________________________________________________________



I-2STANDARD INFORMATION FORMS


A.

TEA

CH

ING

STA

FF:

Rem

arks

Sig

natu

res

of H

.O.D

.

Expe

rienc

e (s

tate

per

iod)

As

exam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Le

ctur

er

Any

oth

er

Teac

hing

st

aff

I-3





INFRASTRUCTURE INFORMATIONGynaecology & Obstetrics Department RoomHOD Room Museum-cum-Demonstration Room

EQUIPMENT etc. PROVIDED1 Total number of Charts2 Total number of Models3 No. of Equipment for identification4 Total Number of Specimens5 Additional Items

TEACHING PROGRAMME 1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Clinical.3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminar held on OBG7 Tutorial Classes provision with no. of students in

each batch8 Facilities for Demonstration in College Hospital9 Facilities for Demonstration in Super specialty

Hospital10 Training on applied Homoeopathic Materia Medica11 Time table12 Publications by the members of the staff during the

last three years13 Interaction with other Departments. Special RecordsS.No. Records On Number1 Antenatal care2 Postnatal care3 Abnormal labours4 Gynaecological ExaminationSTANDARD INFORMATION FORMS


I-4

Teaching in HospitalS.No

.Facility Average daily

attendance of Patients

Utility

1 No. of Beds for Obs./ Gynae. in College Hospital

2 No. of Beds for Obs./ Gynae. in Super Specialty Hospital

3 Average No. of internees & studentsposted at a time for clerkship

4 Transport arrangement 5 Utilisation of

of bedsGynecologyObstetrics

AntenatalLabour.PostnatalNurseryOthers



Remarks:


I-5STANDARD INFORMATION FORMS





FORM – J


HOMOEOPATHIC PHARMACY


Countersigned by



J-1





__________________________________________________________



J-2



A.

TE

AC

HIN

G S

TA

FF:

Rem

arks

Sig

natu

res

of

Expe

rienc

e

(sta

te p

erio

d)

As e

xam

iner

; st

ate

subj

ect &

na

me

of

exam

inat

ion

with

yea

r.

As

teac

her;

stat

e in

w

hat

capa

city

&

in w

hich

C

olle

ge.

Qua

lific

atio

n, y

ear i

n w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

cult

y

Dat

e of

ap

poin

tmen

t on

the

post

Nam

e



H.O

.D.

Post

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Le

ctur

er

Any

oth

er

Teac

hing

st

aff

J-3

SUPPORTIVE STAFFS. No. Name Designation Remarks


Homoeopathic Pharmacy Department RoomHOD RoomLaboratory Museum Demonstration Room PG Student Discussion Room

EQUIPMENT PROVIDEDDetails of items/ Equipment etc available as per Schedule-III of HCC(MSR)

Regulations, 2013S. No. Items Required Available

1 1 Pill tiles 252 Porcelain dishes 253 Crucibles with tongs 254 Pestles and mortars (Iron, Glass, Porcelain) 255 Water bath, metal/electric 256 Microscope (Student type) 057 Glass apparatus for filtration with vacuum 028 Thin layer chromatography apparatus 019 pH meter 0210 Stop watch 2511 Hydrometer 0512 Alcoholometer 0513 Lactometer 0514 Electric potentiser (for P.G. Course) 02



15 Electric Triturator (for P.G. Course) 0216 Water Still (Distilled Water Plant) 0117 Percolater ` 0518 Macerator 05

J-4

19 Botanical slides As required20 Colorimeter (for P.G. Course) 0121 Spectro Scope (for P.G. Course) 0122 Dissecting Microscope 0223 Distillation Apparatus (Glass) 01 set24 Pyknometer (Specific Gravity Bottle) 0225 Electronic Balance 0126 Hot Air Oven 0127 Chemical Balance 1028 Physical Balance 0129 Measuring glasses, all sizes As required30 Miscellan

eous-Chemicals As requiredDrugs As requiredGlass Phials As requiredGlass Rods As requiredFunnels As requiredFilter Papers As requiredOthers As required

2 Total number of Charts3 Number of books in Departmental Library4 Total number of Models5 Total

Number of Specimens

VegetableAnimalChemical

6 Details of Vehicles available

SolidsliquidsSemisolidsAlcoholAlcohol/Spirit license/Permission available or not.If yes, whether it is renewed or not.

7 Whether Homoeopathic Pharmacopoeias (including Homoeopathic Pharmacopoeia of India) are available



8 Herbal GardenNo. of species planted Plants on pots Irrigation facility

9 Educational Tours conducted during the last year.J-5

TEACHING PROGRAMME (UG)1 Total no. of theoretical teaching hours

2 Total no. of teaching hours for Practical

3 Advance teaching programme prepared

4 Teaching diary maintenance

5 Practical Records of Students

6 Seminars held on Pharmacy

7 Tutorial Classes provision with no. of students in each batch

8 Facilities for Demonstration

9 Facilities for Demonstration at Bed side in Hospital

10 Training on Pharmacy applied to Homoeopathic Materia Medica

11 Preparation of Mother Tincture

12 Trituration

13 Potentisation of drugs( Decimal, Centesimal & 50 Millesimal)

14 Microscopic study of trituration up to 3x potency

15 Pharmacological Demonstrations

16 Time table

17 Visit of students to Homoeopathic Medicine Manufacturing Industry, (name of Industry visited, date etc. be indicated)- whether students maintain records of such visit.

18 Publications by the members of the staff



during the last three years19 Interaction with Other Departments

20 Any other

J-6

TEACHING PROGRAMME (PG)1 Total no. of theoretical teaching hours2 Total number of hours for clinical OPD for each

PG StudentTotal number of hours for clinical IPD for each PG Student

3 Clinical Discussion4 Maintenance of Log Book5 Seminars6 Journal club meetings7 Clinical Presentation by PG Students8 No. of Project work allotted to each PG Student9 Documentation10 Research Facilities for P.G. Course

Name of Guides and Co-Guides in the subject for P.G. Students 1234


Remarks:



Date:

Place: Signature of H.O.D.J-7




FORM – K


HOMOEOPATHIC MATERIA MEDICA


Countersigned by





K-1



__________________________________________________________





K-2

A.

TE

AC

HIN

G

Rem

arks

Expe

rienc

e

As e

xam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.



STA

FF:

(sta

te

perio

d)

Sign

atur

es o

f H

.O.D

.

As

teac

her;

stat

e in

w

hat

capa

city

&

in w

hich

C

olle

ge.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Le

ctur

er

Any

oth

er

Teac

hing

st

aff

K-3



INFORMATION REGARDING INFRASTRUCTURE & TEACHING MATERIALSHomoeopathic Materia Medica Department RoomHOD RoomMuseum-cum-Demonstration RoomSTANDARD INFORMATION FORMS


PG Students Discussion RoomDepartmental LibraryS.No. Item Required Available1 Total

Number of Charts

Charts on medicines of Ophidia group, Spider family, Nosodes and Sarcodes.

25

Typical Picture-wise presentation of drugs.

10

2 Total Number of Specimens for identification3 Number of books in Departmental Library4 Additional Items

TEACHING PROGRAMME (UG)1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical3 Advance teaching programme prepared ?4 Teaching diary maintenance5 Practical Records of Students6 Seminar held on Homoeopathic Materia Medica7 Tutorial Classes provision with no. of students in each

batch8 Facilities for Demonstration 9 Facilities for Demonstration at Bed side in Hospital10 Training on applied aspects of Homoeopathic Materia

Medica11 Time table12 Publications by the members of the teaching staff

during the last three years13 Interaction with Other Department

K-4

TEACHING PROGRAMME (PG)1 Total no. of theoretical teaching hours2 Total no. of hours for clinical OPD for each PG

Student.Total no. of hours for clinical IPD for each PG student.

3 Clinical Discussion4 Maintenance of Log Book5 Seminars



6 Journal club meetings7 Clinical Presentation by PG Students8 No. of Project work allotted to each PG Student9 Documentation10 Research Facilities for P.G. Courses.

Name of Guides and Co-Guides in the subject for P.G. Students 1234


Remarks:

Date:Place: Signatures of H.O.D. K-5




FORM – LSTANDARD INFORMATION FORMS



ORGANON OF MEDICINE ANDHOMOEOPATHIC PHILOSOPHY


Countersigned by



L-1



__________________________________________________________

Defects pointed out in the last To what extent remediedSTANDARD INFORMATION FORMS


Inspection/Visitation

L-2

A.

TE

AC

HIN

G

Rem

arks

Expe

rienc

e (s

tate

per

iod)

As e

xam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.



STA

FF:

Sign

atur

es o

f H

.O.D

.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

ati

on, y

ear i

n w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt. P

rof.

/ Le

ctur

er

Any

oth

er

Teac

hing

staf

f

L-3



INFRASTRUCTURE INFORMATIONOrganon of Medicine Department RoomHOD RoomHistory of Medicine Museum cum Demonstration STANDARD INFORMATION FORMS


RoomPG Student Discussion RoomDepartmental Library

ITEMS PROVIDEDDetails of items available as per Schedule-III of HCC(MSR) Regulations, 2013

S. No. ITEMS Available1 Photographs of

Founder and Philosophers in the field of Homoeopathy mentioning the Date of Birth/Death.

PIONEERS1 Dr. Samuel Hahnemann2 Dr.J.T.Kent3 Dr.Constantine Hering4 Dr.Stuart Close5 Dr.Herbert A. Roberts6 Dr.J.H. Allen7 Dr.T.F. Allen8 Dr.H.C Allen9 Dr.Richard Hughes10 Dr.C.V. Boenninghausen11 Dr.M.L. Tyler12 Dr.William Boericke13 Dr.C.M. Boger14 Dr.J.H. Clarke15 Dr.C. Dunham16 Dr.E.A. Farrnington17 Dr.E.B. Nash18 Dr.R.E. Dudgeon19 Dr.Mahendra Lal Sirkar20 Babu Rajendra Lal Dutta21 Others

2 Other Charts3 Number of books in Departmental Library4 Charts on History of Medicine5 Books on History of Medicine

L-4

TEACHING PROGRAMME (UG)1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical3 Whether advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminars held on Organon of Medicine7 Tutorial Classes provision with no. of students in



each batch8 Facilities for Demonstration 9 Facilities for Demonstration at Bed side in

Hospital10 Training on applied aspect of Organon of

Medicine11 Time table12 Publications by the members of the staff during

the last three years13 Interaction with other Departments14 Co-relating Anatomy, Physiology, Pathology,

Medicine, Surgery, Gynaecology and Obstetrics, Materia Medica with Organon of Medicine

15 Others

TEACHING PROGRAMME (PG)1 Total no. of theoretical teaching hours2 Total no. of hours for clinical OPD for each PG

StudentTotal no. of hours for clinical IPD for each PG Student

3 Clinical Discussion4 Maintenance of Log Book5 Seminars6 Journal club meetings7 Clinical Presentation by PG Students8 No. of Project work allotted to each PG Student9 Documentation10 Research Facilities for P.G. Courses11 Applied Organon of Medicine12 Homoeopathic Philosophy13 Kent’s lectures on Homoeopathic Philosophy

L-5

Name of Guides and Co-Guides in the subject for P.G. Students

1234

In case the number of students admitted annually has increased subsequent to last STANDARD INFORMATION FORMS


inspection, state, if additional facilities have been provided for teaching and training,and whether they are sufficient.

Remarks:

Date:Place: Signatures of H.O.D.

L-6





FORM – M


REPERTORY


Countersigned by



M-1



_____________________________STANDARD INFORMATION FORMS


_____________________________ Defects pointed out in the last Inspection/Visitation


M-2

A.

Rem

arks



TE

AC

HIN

G S

TA

FF:

Sign

atur

es o

f H

.O.D

.

Expe

rienc

e

(sta

te p

erio

d)

As e

xam

iner

; st

ate

subj

ect &

na

me

of

exam

inat

ion

with

yea

r.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time/

G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

r

Ass

ocia

te

Prof

./ R

eade

r

Ass

tt.

Prof

. /

Lect

urer

Any

oth

er

Teac

hing

st

aff

M-3





INFRASTRUCTURE AVAILABLERepertory Department RoomComputer Lab.Demonstration RoomDiscussion Room for PG Students Departmental Library

ITEMS PROVIDEDS.

No.Items Available

1 Total number of Computers2 Total Number of Software3 Details of Computer Lab.4 Total number of Charts5 Number of books in Departmental Library6 Other Items

TEACHING PROGRAMME (UG)1 Total no. of theoretical teaching hours2 Total no. of teaching hours for Practical3 Advance teaching programme prepared4 Teaching diary maintenance5 Practical Records of Students6 Seminar held on Repertory & Case Taking7 Tutorial Classes provision with no. of students

in each batch8 Facilities for Demonstration 9 Facilities for Demonstration at Bed side in

Hospital10 Training on applied aspect of Case Taking &

Repertory11 Time table

M-4

12 Publications by the members of the staff during the last three years

13 Interaction with Other DepartmentsSTANDARD INFORMATION FORMS


14 Principles & Practice of Homoeopathic Repertory

15 History of repertories & type of Repertories16 Demonstrations on Kent’s, Boger’s

Boenninghausen’s & Card Repertories17 Computerized Repertorisation.18 Case Taking 19 Analysis & Evaluation of symptoms.20 Totality of Symptoms21 Repertorial Totality (Rubrics) and Repertorial

Analysis.22 Co-relating Anatomy, Physiology, Pathology,

Medicine, Surgery, Gynaecology and Obstetrics With Applied Materia Medica

23 Clinical & Regional Repertory24 Any other

TEACHING PROGRAMME (PG)1 Total no. of theoretical teaching hours2 Total no. of hours for clinical OPD for each

PG StudentTotal no. of hours for clinical IPD for each PG Student

3 Clinical Discussion4 Maintenance of Log Book5 Seminars6 Journal club meetings7 Clinical Presentation by PG Students8 No. of Project work allotted to each PG

Student9 Documentation10 Research Facilities for P.G. Course11 Principles & Practice of Homoeopathic

Repertory12 History of repertories & type of Repertories

M-5

13 Demonstrations on Kent’s, Boger’s Boenninghausen’s & Card Repertories

14 Computerized Repertorisation.STANDARD INFORMATION FORMS


15 Case Taking 16 Analysis & Evaluation of symptoms.17 Totality of Symptoms18 Repertorial Totality (Rubrics) and

Repertorial Analysis.19 Clinical & Regional Repertory20 Any other

Names of Guides and Co-Guides in the subject for P.G. Students

1234

TEACHING OF REPERTORY IN HOSPITALS.No

.Teaching Aspect Students in

BatchUtilization

1 Hospital Teaching Programme in CaseTaking

2 Hospital Teaching Programme in Repertorization

3 Acute Cases repertorised4 Chronic Cases repertorised5 Bedside Clinics

In case the number of students admitted annually has increased subsequent to last inspection, state,if additional facilities have been provided for teaching and training, and whether they are sufficient.

Remarks:

Date:Place: Signatures of H.O.D.

M-6






FORM – N


PAEDIATRICSName of Institution _________________________________________________________

Countersigned by



N-1





__________________________________________________________



N-2



A.

TEA

CH

ING

STA

FF:

Rem

arks

Sig

natu

res

of H

.O.D

.

Expe

rienc

e

(sta

te p

erio

d) As

exam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

culty

Dat

e of

ap

poin

tmen

t on

the

post

Nam

ePo

st

Prof

esso

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Ass

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./ R

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Ass

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rof.

/ Le

ctur

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Any

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st

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N-3






Department RoomHOD RoomP.G. Teaching Faculty RoomMuseum-cum-Demonstration RoomDiscussion Room for PG Students Departmental Library EQUIPMENT PROVIDED

1 Total number of Charts2 Number of Equipment for identification3 Total Number of Specimens4 Number of books in Departmental Library5 Additional Items

TEACHING PROGRAMME (PG)

1 Total no. of theoretical teaching hours2 Total no. of hours for clinical OPD for each PG

Student.Total no. of hours for clinical IPD for each PG Student.

3 Clinical Discussion4 Maintenance of Log Book5 Seminars6 Journal club meetings7 Clinical Presentation by PG Student.8 No. of Project work allotted to each PG Student. 9 Documentation10 Research Facilities for P.G. Course.

N-4



Teaching Materials Availability & UtilisationS.No.

Teaching Material Availability Utilisation

1 General Medicine2 Acute Diseases3 Chronic Diseases4 Pediatrics- Clinical5 Pediatrics- Surgical6 Pediatrics -Mental 7 Any other

Name of Guides and Co-Guides in the subject for P.G. Students

1234

Remarks:


N-5






FORM – O


PSYCHIATRY


Countersigned by



O-1





__________________________________________________________



O-2



A.

TE

AC

HIN

G S

TA

FF:

Rem

arks

Sig

natu

res

of H

.O.D

.

Expe

rienc

e

(sta

te p

erio

d)

As e

xam

iner

; st

ate

subj

ect

& n

ame

of

exam

inat

ion

with

yea

r.

As t

each

er;

stat

e in

wha

t ca

paci

ty &

in

whi

ch

Col

lege

.

Qua

lific

atio

n,

year

in w

hich

aw

arde

d &

aw

ardi

ng

auth

ority

.

Full

time

/ G

uest

Fa

cult

y

Dat

e of

ap

poin

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the

post

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Post

Prof

esso

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Ass

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./ R

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rof.

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Any

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O-3

SUPPORTIVE STAFFS.

No.Name Designation Remarks


Department RoomHOD RoomP.G. Teaching Faculty RoomMuseum-cum-Demonstration RoomDiscussion Room for PG Students Departmental Library EQUIPMENTS PROVIDED

1 Total number of Charts2 Number of Equipments for identification3 Number of books in Departmental Library4 Additional Items

TEACHING PROGRAMME (PG)

1 Total no. of theoretical teaching hours2 Total no. of hours for clinical OPD for each

PG Student.Total no. of hours for clinical IPD for each PG Student.

3 Clinical Discussion4 Maintenance of Log Book5 Seminars6 Journal club meetings7 Clinical Presentation by PG Student.



8 No. of Project work allotted to each PG Student.

9 Documentation10 Research Facilities for P.G. Course.

O-4

Teaching Materials Availability & UtilisationS.No.

Teaching Material Availability Utilisation

1 Psychiatry2 Acute Diseases3 Chronic Diseases4 Pediatrics5 Geriatrics6 Mental Diseases7 Any other

Names of Guides and Co-Guides in the subject for P.G. Students 1234

Remarks:




O-5


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