53rd AIIMS ANNUAL REPORT 2008–2009

914 Pages·2010·2.91 MB·English

53rd
AIIMS
ANNUAL REPORT
2008–2009
All India Institute of Medical Sciences
New Delhi 110029
Edited jointly by:
Dr Sunil Chumber, Additional Professor,
Department of Surgical Disciplines and Sub-Dean (Academic)
Dr Tanuj Dada, Associate Professor, Dr R.P. Centre for Ophthalmic Sciences
Dr Venkata Karthikeyan C, Assistant Professor, Department of Otorhinolaryngology (ENT)
Dr S.K. Maulik, Professor, Department of Pharmacology
Dr Raj D. Mehra, Professor, Department of Anatomy
Dr Kameshwar Prasad, Professor, Department of Neurology
Dr S. Rastogi, Professor, Department of Orthopaedics
Dr Sushma Sagar, Assistant Professor, JPNA Trauma Centre
Dr Peush Sahni, Professor, Department of Gastrointestinal Surgery
Dr Pratap Sharan, Professor, Department of Psychiatry
Dr D.N. Sharma, Assistant Professor, Dr BRA, Institute Rotary Cancer Hospital
Dr Subrata Sinha, Professor and Head, Department of Biochemistry
Dr Sanjay Kumar Sood, Assistant Professor, Department of Physiology
Dr Sachin Talwar, Assistant Professor, Department of C.T.V.S.
February 2010
Printed at Saurabh Printers Pvt. Ltd., A-16, Sector-IV, NOIDA (U.P.)
All India Institute of Medical Sciences
The All India Institute of Medical Sciences (AIIMS) was established in 1956 as an institution
of national importance by an Act of Parliament with the objects to develop patterns of teaching
in undergraduate and postgraduate medical education in all its branches so as to demonstrate
a high standard of medical education to all medical colleges and other allied institutions in
India; to bring together in one place educational facilities of the highest order for the training
of personnel in all important branches of health activity and to attain self-sufficiency in
postgraduate medical education.
The Institute has comprehensive facilities for teaching, research and patient-care. AIIMS
conducts teaching programmes in medical and para-medical courses both at undergraduate
and postgraduate levels and awards its own degrees. Teaching and research are conducted in
50 disciplines. In the field of medical research AIIMS is the leader, having more than 1500
research publications by its faculty and researchers in a year. AIIMS also runs a College of
Nursing, training students for B. Sc. (Hons.) Nursing nd B. Sc. Nursing (Post-Certificate)
degrees.
Twenty-five clinical departments including six super-speciality centres manage practically
all types of disease conditions with support from pre-clinical and para-clinical departments.
AIIMS also runs a 60-bedded hospital and the Comprehensive Rural Health Centre at
Ballabgarh in Haryana and provides health cover to about 7.7 lakh people through the Centre
for Community Medicine.
AIIMS AT A GLANCE
2008–2009
Year of establishment 1956
Teaching Departments and Centres 50 Medical graduates 2276
Faculty members (Sanctioned 625) 446 Postgraduates 7111
Non-faculty staff (Sanctioned 9312) 7356 Nursing graduates 1638
No. of Undergraduate students 651 Publications in journals 1592
No. of Postgraduate students 1023 Chapters in Books/monographs 285
HOSPITAL SERVICES
OPD Admission Surgery Bed (Gen.) Bed (Pvt.)
Main Hosp. 1507786 174353 79578 1486 125
Dr.R.P. Centre 400914 29642 29276 280 21
Dr.BRA,IRCH 74280 23822 6651 167 15
C.T. Centre 227737 10614 3477 166 14
N.S. Centre 100074 6396 2741 166 14
C.C.M. 166886 29033 — 50 —
JPNAT Centre 37177 19226 1128 30 —
Average bed occupancy 79.9%
Average period of hospital stay 5.9 days
Net death rate 2.7%
Infection rate (Crude) 7.60%
CONTENTS
1. Director’s Review.................................................................................................................. 1
2. Institute Body, AIIMS........................................................................................................... 5
3. Academic Section............................................................................................................... 12
4. Examination Section............................................................................................................ 25
5. General Administration........................................................................................................ 31
6. Main Hospital...................................................................................................................... 33
7. College of Nursing.............................................................................................................. 50
8. Research Section................................................................................................................ 57
9. Departments
9.1 Anaesthesiology.................................................................................................................102
9.2 Anatomy.............................................................................................................................116
9.3 Biochemistry ......................................................................................................................137
9.4 Biomedical Engineering......................................................................................................151
9.5 Biophysics ..........................................................................................................................156
9.6 Biostatistics........................................................................................................................160
9.7 Biotechnology ...................................................................................................................168
9.8 Centre for Community Medicine .......................................................................................177
9.9 Dermatology and Venereology...........................................................................................205
9.10 Endocrinology and Metabolism..........................................................................................213
9.11 Forensic Medicine..............................................................................................................222
9.12 Gastroenterology and Human Nutrition.............................................................................226
9.13 Gastrointestinal Surgery.....................................................................................................238
9.14 Hematology........................................................................................................................242
9.15 Hospital Administration......................................................................................................259
9.16 Laboratory Medicine..........................................................................................................271
9.17 Medicine.............................................................................................................................287
9.18 Microbiology.......................................................................................................................318
9.19 Nephrology.........................................................................................................................334
9.20 Nuclear Medicine...............................................................................................................341
9.21 Nuclear Magnetic Resonance ...........................................................................................346
9.22 Obstetrics and Gynaecology..............................................................................................354
9.23 Orthopaedics ......................................................................................................................387
9.24 Otorhinolaryngology (ENT) ...............................................................................................409
9.25 Paediatrics..........................................................................................................................420
9.26 Paediatric Surgery ............................................................................................................. 448
9.27 Pathology........................................................................................................................... 462
9.28 Pharmacology.................................................................................................................... 481
9.29 Physical medicine and Rehabilitation................................................................................. 490
9.30 Physiology ......................................................................................................................... 495
9.31 Psychiatry.......................................................................................................................... 507
9.32 Radio-Diagnosis................................................................................................................. 516
9.33 Reproductive Biology........................................................................................................ 535
9.34 Surgical Disciplines............................................................................................................ 541
9.35 Transplant Immunology and Immunogenetics................................................................... 554
9.36 Urology.............................................................................................................................. 563
10. Centres
10.1 Cardiothoracic Sciences Centre......................................................................................... 570
10.2 National Drug Dependence Treatment Centre (NDDTC)................................................. 615
10.3 Centre for Dental Education and Research........................................................................ 629
10.4 Dr B. R. Ambedkar Institute Rotary Cancer Hospital....................................................... 638
10.5 Neurosciences Centre........................................................................................................ 691
10.6 Dr R. P. Centre for Ophthalmic Sciences.......................................................................... 726
10.7 Jai Prakash Narayan Apex Trauma Centre........................................................................ 745
11. Central Facilities
11.1 B. B. Dikshit Library......................................................................................................... 789
11.2 Cafeteria ............................................................................................................................ 792
11.3 Central Workshop.............................................................................................................. 794
11.4 K. L. Wig Centre for Medical Education and Technology ................................................ 797
11.5 Computer Facility.............................................................................................................. 802
11.6 Electron Microscope Facility ............................................................................................. 809
11.7 Central Animal Facility ...................................................................................................... 812
11.8 Hostel Section.................................................................................................................... 814
11.9 Ethics Committee .............................................................................................................. 817
12. Budget and Finance
12.1 Finance Division ................................................................................................................ 821
12.2 Audit Report....................................................................................................................... 898
AIIMS
ORGANISATIONAL STRUCTURE
Institute Body
Governing Body
Finance Selection Academic Estate Hospital Affairs
Committee Committee Committee Committee Committee
All India Institute of Medical Sciences
New Delhi

1. Director’s Review
I am glad to present the Fifty-third Annual Report and audited statement of accounts for the year
2008-2009.
The All India Institute of Medical Sciences (AIIMS) was established in 1956 by an Act of Parliament
as an institution of national importance. This was in pursuance to the recommendations made by the
Bhore Committee in 1946.
AIIMS has been entrusted to develop patterns of teaching in undergraduate and postgraduate medical
education in all its branches so as to demonstrate a high standard of medical education to all medical
colleges and other allied institutions in India; to bring together at one place educational facilities of the
highest order for the training of personnel in all important branches of health activity; and to attain
self-sufficiency in postgraduate medical education. AIIMS is a deemed university and awards its own
degrees. In keeping with the mandate from the Parliament, AIIMS continues to be the torch bearer in
the field of medical education, research and patient-care.
AIIMS is fully funded by the Government of India. However, for research activities, grants are also
received from various sources including national, intergovernmental and other international funding
agencies. While the major part of the hospital services are highly subsidized for the patients coming
to the AIIMS hospital, certain categories of patients are charged for treatment/services rendered to
them.
During the 2008-2009 academic session (i.e. for the courses commencing in July 2008 and January
2009), 384 students were admitted to various postgraduate, post-doctoral and super-speciality courses,
i.e. MD, MS, MDS, MHA, PhD, MCh, DM, and MSc in various specialities. In the year under
review, 1023 postgraduate and post-doctoral students were on the rolls in various courses and 252
students qualified for their degrees. AIIMS provides full time postgraduate and post-doctoral courses
in 47 disciplines. The guiding principle of postgraduate training is to train students as teachers,
researchers and competent doctors, who can investigate, manage and treat patients independently.
As always, appropriate consideration was given to students from Scheduled Castes (SC), Scheduled
Tribes (ST) and other backward (OBC) in accordance with Government of India guidlines and
Twenty-four SC, 4 ST and 37 OBC students were admitted to MD/MS/MDS courses and 2 SC, 2
ST and 8 OBC students were admitted to MSc courses.
This year AIIMS admitted 77 students to its MBBS course (including 11 SC, 6 ST and 19 OBC
students), 26 students to the B.Sc. Nursing (post-certificate) course (including 2 SC, 3 ST and 6
OBC students), 64 students to the B.Sc. (Hons) in Nursing course (including 7 SC, 4 ST and 10
OBC students), 15 students to the B.Sc. (Hons.) in Ophthalmic Techniques course (including 1 SC 2
ST and 6 OBC students) and 9 students to the B.Sc. (Hons.) in Medical Technology in Radiography
course (including 5 OBC students).
AIIMS also provides short/long term training to doctors and other health-trainees from various
organizations and state governments, WHO-in-country fellows and foreign students. Four hundred
and sixty three (463) candidates received short/long term training in AIIMS during the year. In
AIIMS 2007-2008 / 1
addition, elective training was provided to several candidates, including foreign nationals. The Institute
also continued to provide consultancy services to several neighboring countries under bilateral
agreements or under the aegis of intergovernmental and other international agencies. During 2008-
2009, the Institute trained 60 WHO-sponsored candidates/WHO-in-country fellows to fulfill its
international obligations.
The details thereof w.e.f. 01.04.2008 to 31.03.2009 are as under:-
1. Short term training 460
2. Long term training 03
3. WHO-in-country fellowship 33
4. WHO-sponsored foreign nationals 27
5. Elective training 62
6. Foreign nationals 22
The MBBS course is completed in 5½ years that is subdivided into four periods. The initial three
stages are focused on preclinical (1 year), para-clinical (1½ years) and clinical (2 years) subjects,
which are followed by 1-year rotating internship. Para-medical courses like B.Sc (Hons.) in Nursing,
Ophthalmic Techniques, Medical Technology in Radiography and Speech and Hearing continued to
be popular and attracted students from other countries also. The curricula of these courses are under
constant scrutiny by the faculty of the Institute for purposes of improvement. The medical college of
the Institute has been adjudged the best in the country for the 8th consecutive year by national
surveys published in the popular media.
The institute organized a number of workshops, symposia, conferences and training programmes in
collaboration with various national, intergovernmental and other international agencies during the
year. Professionals from various institutions all over the country participated in these seminars and
workshops and benefited from updates. Also, guest and public lectures were delivered by visiting
experts and faculty of AIIMS.
The All India Institute of Medical Sciences is a leader in the field of medical research. Major
research projects focus on national priorities. Over 381 research projects were ongoing during this
period. Research grants totaling Rs 59 crores (approximately) were received from various
intergovernmental, other international and national funding agencies during the year 2008-2009.
During the year 2008-2009, the AIIMS hospital catered to patients from India, neighboring countries
such as Nepal, Bangladesh, Sri Lanka, Bhutan and other Asian countries. The main hospital provided
care to 1,50,7,786 outpatients and 65,867 in-patients and 108,486 patients with emergent conditions;
and 79,578 surgical procedures were performed in the hospital. Due to expansion of facilities like
OPD, emergency service, private wards and use of innovated methods, AIIMS main hospital has
been able to provide better and efficient patient care. Due to quick turnover of patients, number of
indoor admissions and surgery performed, have all increased. The average length of stay is around
5.9 days; the average bed occupancy, 79.9% and the net death rate, 2.7%; which is at par with
similar parameters in developed countries. With the use of mechanical cleaning devices and active
interaction of Hospital Infection Control Committee (HIFCOM), the general hygiene and sanitation
AIIMS 2007-2008 / 2