56th AIIMS Annual Report 2011-2012 - All India Institute of Medical

536 Pages·2013·1.5 MB·English

th
56
AIIMS
ANNUAL REPORT
2011-2012
All India Institute of Medical Sciences
New Delhi 110029
Edited jointly by :
Dr Sandeep Agarwala, Department of Paediatric Surgery
Dr Sanjay Arya, Department of Hospital Administration & Registrar
Dr Rohit Bhatia, Department of Neurology
Dr Shakti Kumar Gupta, Dr R.P. Centre for Ophthalmic Sciences
Dr Rakesh Lodha, Department of Paediatrics
Dr Kalpana Luthra, Department of Biochemistry
Dr Govind Makharia, Department of Gastroenterology
Dr S. Ramakrishnan, Department of Cardiology
Dr Peush Sahni, Department of Gastrointestinal Surgery
Dr Pratap Sharan, Department of Psychiatry
Dr Rakesh Yadav, Department of Cardiology & Sub-Dean (Acad.)
March 2013
Printed at :
Malhotra Enterprises : 9211402090, 9810492991
E-mail : [email protected]
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 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 the undergraduate and postgraduate levels and awards its own degrees.
Teaching and research is conducted in 52 disciplines. AIIMS is a leader in the field of medical research 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 and B. Sc. Nursing (Post-Certificate) degrees.
Thirty-eight departments and seven super-speciality centres manage practically all types of disease conditions with
support from pre-clinical and para-clinical services. AIIMS also runs a 50-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
2011-2012
Year of establishment 1956
Teaching Departments and Centres 52 Medical graduates 2596
Faculty members (Sanctioned 823) 498 Postgraduates 7943
Non-faculty staff (Sanctioned 10847) 8702 Nursing / paramedical graduates 2481
No. of Undergraduate students 673 Publications in journals/abstracts 1733
No. of Postgraduate students 1383 Chapters in Books / monographs 240
Hospital Services
Hospital/Centre Outpatient Surgery Bed Bed Total
Attendance Admission (Operations/ (Gen.) (Pvt.) Bed
(including Procedures) Strength
Casualty)
Main Hosp. 1522821 77055 73851 982 165 1147
Dr.R.P. Centre 397538 33881 32879 281 21 302
Dr.BRA,IRCH 84071 28872 6085 167 15 182
C.T. Centre 145497 11537 4252 174 32 * 206
N.S. Centre 109504 6876 3129 174 31 205
NDDTC 73070 875 0 50 0 50
C.C.M. 218064 7527 1572 50 0 50
JPNAT Centre 78077 4904 5026 186 0 186
CDER 127896 143 10589 0 0 0
Total 2756538 171670 137383 2064 264 2328
*1 bed (pvt.) is used 6 months by CT Centre and 6 months by NS Centre
Average Length of stay* : 5.5 days
Average Bed Occupancy rate (%)* : 81.6%
Net Death Rate (%)* : 2.2%
Combined Crude Infection Rate (%)* : 8.3%
*These figures are for AIIMS Main Hospital only.
CONTENTS
1. Director’s Review ....................................................................................................................................1
2. Institute Body, AIIMS..............................................................................................................................5
3. Academic Section ..................................................................................................................................10
4. Examination Section...............................................................................................................................16
5. General Administration ...........................................................................................................................21
6. Main Hospital.........................................................................................................................................24
7. College of Nursing .................................................................................................................................44
8. Research Section ...................................................................................................................................51
9. Departments
9.1 Anaesthesiology .....................................................................................................................................53
9.2 Anatomy ................................................................................................................................................57
9.3 Biochemistry ..........................................................................................................................................64
9.4 Biomedical Engineering...........................................................................................................................71
9.5 Biophysics..............................................................................................................................................74
9.6 Biostatistics............................................................................................................................................77
9.7 Biotechnology ........................................................................................................................................82
9.8 Centre for Community Medicine.............................................................................................................86
9.9 Dermatology and Venereology................................................................................................................94
9.10 Emergency Medicine..............................................................................................................................97
9.11 Endocrinology and Metabolism ..............................................................................................................99
9.12 Forensic Medicine................................................................................................................................103
9.13 Gastroenterology and Human Nutrition.................................................................................................106
9.14 Gastrointestinal Surgery and Liver Transplantation................................................................................ 113
9.15 Haematology........................................................................................................................................ 116
9.16 Hospital Administration.........................................................................................................................121
9.17 Laboratory Medicine............................................................................................................................125
9.18 Medicine..............................................................................................................................................136
9.19 Microbiology........................................................................................................................................142
9.20 Nephrology..........................................................................................................................................151
9.21 Nuclear Medicine.................................................................................................................................156
9.22 Nuclear Magnetic Resonance...............................................................................................................158
9.23 Obstetrics and Gynaecology.................................................................................................................161
9.24 Orthopaedics .......................................................................................................................................172
9.25 Otorhinolaryngology (ENT)..................................................................................................................176
9.26 Paediatrics ...........................................................................................................................................180
9.27 Paediatric Surgery................................................................................................................................200
9.28 Pathology.............................................................................................................................................205
9.29 Pharmacology ...................................................................................................................................... 211
9.30 Physical Medicine and Rehabilitation ....................................................................................................216
9.31 Physiology............................................................................................................................................219
9.32 Psychiatry ............................................................................................................................................226
9.33 Pulmonary Medicine and Sleep Disorders ............................................................................................231
9.34 Radiodiagnosis.....................................................................................................................................234
9.35 Reproductive Biology...........................................................................................................................244
9.36 Surgical Disciplines...............................................................................................................................248
9.37 Transplant Immunology and Immunogenetics ........................................................................................258
9.38 Urology................................................................................................................................................263
10. Centres
10.1 Cardiothoracic Sciences Centre ...........................................................................................................268
10.2 Centre for Dental Education and Research ...........................................................................................288
10.3 Dr B. R. Ambedkar Institute Rotary Cancer Hospital ...........................................................................294
10.4 Dr R. P. Centre for Ophthalmic Sciences..............................................................................................312
10.5 Jai Prakash Narayan Apex Trauma Centre ...........................................................................................326
10.6 National Drug Dependence Treatment Centre (NDDTC) .....................................................................352
10.7 Neurosciences Centre..........................................................................................................................358
11. Central Facilities
11.1 B. B. Dikshit Library............................................................................................................................378
11.2 Cafeteria ..............................................................................................................................................380
11.3 Central Animal Facility..........................................................................................................................382
11.4 Central Workshop................................................................................................................................384
11.5 Computer Facility.................................................................................................................................386
11.6 Electron Microscope Facility................................................................................................................391
11.7 Hostel Section......................................................................................................................................393
11.8 Institution Ethics Committee .................................................................................................................396
11.9 K.L. Wig Centre for Medical Education and Technology......................................................................399
12. Publications........................................................................................................................................402
13.1 Finance Division................................................................................................................................477
13.2 Audit Report......................................................................................................................................526
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-sixth Annual Report and audited statement of accounts for the year 2011–2012. The
achievements of the All India Institute of Medical Sciences (AIIMS) community reflect a shared dedication to core
values of education, research and service. I am pleased to highlight in this report a few of the past year’s remarkable
accomplishments, and I am privileged to acknowledge my debt to the many members of the AIIMS community who
serve it in so many ways.
Established in 1956 by an Act of the Indian Parliament with the objective of developing a strong curricular foundation
for undergraduate and postgraduate healthcare education in India, AIIMS continually seeks to achieve a high standard
of healthcare education, research and service. It is recognized in India and globally, as a healthcare institution that best
combines excellent medical education with cutting edge research and quality healthcare.
Education: Leaders in India and seeking global partnerships
AIIMS has a manpower of over 10,000 including 750 faculty members, supported by resident doctors, nurses,
paramedics, scientists, non-medical officers and staff. It produces a large number of specialists (MD/MS), super-
specialists (DM/MCh), PhD scholars and allied health and basic sciences experts, including nurses and paramedical
professionals. In the year 2011–2012 it awarded 465 degrees in various disciplines. Under its short term training
scheme, the institute provided postgraduate training to 649 short and 5 long-term trainees. In addition 32 WHO
Fellows (Foreign National) under WHO fellowship programme, 12 WHO Fellows (Indian National) for WHO-In-
Country Fellowship training programme (2011–12), 51 postgraduate and 35 undergraduate foreign nationals were
imparted training at AIIMS.
To prepare tomorrow’s leaders, AIIMS continually reviews how medicine based on science and technology is taught.
It tries to integrate the best in medical education in the world with wisdom honed from dedicated training in India.
During 2011–2012, AIIMS and Meiji Pharmaceutical University, Japan, signed a memorandum of understanding for
collaborative development of mutually agreed areas of health sciences. The areas of cooperation will include exchange
of faculty members, training and exchange of students, cooperation in research activities, organising academic programmes
on mutually agreed topics and sharing of scientific knowledge based on research and experience in both institutions.
The institute also introduced new postgraduate courses (DM, MCh, MD) in Pulmonary Medicine, Surgical Oncology
and Geriatric Medicine during the year. Newer skill acquisition methods through medical simulation systems for practical
skill development in experimental laboratories and surgical situation are being put into operation for the benefit of
students and resident doctors. We also have a strong rural healthcare training programme at Ballabgarh community
hospital for training both under- and postgraduate students in rural and public health practices.
It is due to its single-minded devotion to developing dynamic leaders with creativity, intellectual rigour and professionalism
fit for 21st century healthcare, that AIIMS, retained its position at the top of the India Today’s Best Medical Schools
survey even when the league table saw major upheavals in the subsequent positions. AIIMS continued to be the most-
respected medical institute in India in an overwhelming majority of parameters assessed: funding, staff, students, values,
reputation, teaching, research and clinical care. Our scholars lead institutes of medicine, science and education and
biomedical laboratories in India and abroad. Importantly, they also serve on many expert groups on healthcare issues
of national importance. It is, therefore, not surprising that the central government has recently opened MBBS courses
modelled on our curriculum in six AIIMS-like institutions in different states. AIIMS is likely to play a major role in
nurturing and mentoring these institutions through collaboration with national knowledge network using communication
technology and establishing virtual learning environments.
In an effort to foster a culture that values and promotes diversity inclusion, mentoring and service, AIIMS appointed a
Students’ Welfare Officer to look after the interests of its diverse student community. It also finalized a new orientation
programme for newly admitted MBBS students for their personality and academic enrichment.
AIIMS 2011-2012/1
Research: State of the Art research with an Indian touch
The Institute is committed to high quality basic and clinical research. Over 600 research projects were conducted in the
year 2010–2011 and the institute attracted extramural research grants of more than Rs. 65 crores, a creditable increase
of over 25% from last year. Our faculty have succeeded in bringing significant international research grants in frontier
and cutting edge biomedical areas such as structural biology, viral hepatitis, immunology, biotechnology, virology,
neonatology, foetal medicine, diabetes, epidemiology and cancer. Hopefully, these projects would lead to impressive
results and benefit our people. During the year the faculty and the scientists of the institute published over 1700
research papers in national and international journals and over 200 monographs, chapters in books and books. Various
departments organised over 150 medical conferences, workshops, CMEs, both national and international, during the
year.
AIIMS continues to be active in its partnership with the Wellcome Trust, the Department of Biotechnology, Department
of Science and Technology and Indian Council of Medical Research, Government of India, to support research and
develop projects that would provide innovative healthcare products at affordable costs. Similarly, AIIMS continued to
play an important role in the Stanford-India Biodesign Programme funded by the Department of Biotechnology, Ministry
of Science and Technology, and Stanford University. National bodies like the Indian Council of Medical Research
regularly request different departments of AIIMS to conduct studies on health issues of public importance and national
relevance.
AIIMS took up key initiatives to encourage integration and collaboration across disciplines to accelerate translational
breakthroughs. The Convergence Centre will foster broad clinical and translational collaborations while identifying
ways to speed new therapies to patients. It will serve as a knowledge hub by generating databases for various research
activities, including clinical experiences at AIIMS and house additional facilities for the departments of anatomy,
pathology, physiology, biochemistry, pharmacology and microbiology.
In an effort to develop animal-friendly infrastructure, AIIMS upgraded enclosures and run in spaces for animals housed
in its central animal facility. Some old animals were also rehabilitated at Sanjay Gandhi Animal Care Centre. AIIMS
also introduced a training programme for its technical assistants on animal upkeep and hygiene.
Essential to the enterprise of discovery and learning at AIIMS is the constant drive to develop effective new methods
for educating the next generation of physicians and scientists, teaching them how to incorporate both the art and
science of medicine into practice to meet the demands of a rapidly evolving healthcare profession. To lead this effort,
the Research Section was augmented and reorganized under the Dean and Sub Dean, Research. Intramural grants to
the tune of Rs. 3 crores disbursed to talented young faculty for undertaking 126 new projects in areas such as stroke,
brain tumour, stem cell studies, drug designing, protein research, genetics and immunology, clearly indicate the success
of these efforts.
The unparalleled size and scope of the research enterprise sometimes obscures the countless stories of long hours, late
nights, insights, setbacks and advances. The research highlighted below provides a small glimpse into the breadth of
exploration and discovery at AIIMS. The paediatrics department prepared a medicine that can prevent neonatal deaths
from infant respiratory distress syndrome (IRDS). The orthopaedics department developed a new non-surgical healing
technique that involves injection of platelets in fracture sites as an alternative to bone graft surgery in non-healing fractures.
The cardiology department as a part of a multicentre study from India demonstrated that SeQplasty, a balloon like device
coated with drugs, could be a good replacement for stents in many cases. Oncologists at AIIMS have demonstrated the
utility of ginger root powder in reducing the severity of chemotherapy induced nausea and vomiting. An animal study
conducted at the pharmacology department suggested that coriander plays a significant therapeutic role in managing
rheumatoid arthritis. A study conducted by clinical psychologists suggested that strict enforcement of rules and regulations,
user-friendly public transport, and practical (e.g. avoiding rush hours, taking alternative routes) and emotional (e.g. listening
to music, distracting oneself) coping strategies could help in preventing cases of road rage.
AIIMS 2011-2012/2
As a tribute to high achievers in biomedical sciences in India and abroad, AIIMS awarded prestigious orations (Dr
Urmil B.K. Kapoor Oration, Dr L.K. Bhutani Oration, Professor Kesho Ram Laumas Memorial Oration, Sarveshwari
Memorial Oration, and N. Gopinath Oration) to the following scientists and doctors: Dr Mayil Vahanan Natarajan,
Vice Chancellor, Tamilnadu MGR University, Chennai; Dr Y.K. Chawla, Director, PGIMER, Chandigarh; Dr Sujoy
K. Guha, Professor of Biomedical Engineering, School of Medical Science and Technology, IIT, Kharagpur; Dr
Takeshi Kawase, Hon. Professor, Department of Neurosurgery, School of Medicine, Keio University, Tokyo; and Dr
Shitij Kapur, Dean and Head of School, Institute of Psychiatry, King’s College, London, UK. It is noteworthy that Dr
Shitij Kapur trained as an undergraduate at AIIMS.
Clinical care: quality with compassion
The AIIMS main hospital and its centres—the Cardiothoracic and Neurosciences Centre (CN Centre), the Jai Prakash
Narain Apex Trauma Centre (JPNATC), the Dr B.R. Ambedkar Institute–Rotary Cancer Hospital (Dr BRAIRCH),
the Dr Rajendra Prasad Centre for Ophthalmic Sciences (RAPCOS), the Centre for Dental Education and Research
(CDER) and the Centre for Behavioural Sciences (National Drug Dependence Treatment Centre, NDDTC)—have a
total bed strength of over 2400, including day care beds. During the year 2010–2011, the institute attended to over 25
lakh OPD patients, admitted about 1.7 lakh patients and performed close to 1.4 lakh surgical procedures, which
included highly sophisticated procedures. The Institute has maintained an ideal parameter in patient care services with
an average bed occupancy of over 80%, and average hospital stay of about 6 days. The AIIMS hospital reported a net
death rate of below 3%. With its inclusive approach, the AIIMS community embraces the developing world without
borders. An increasing number of foreigners are coming for treatment to AIIMS, mostly from South and South East
Asia. This trend was particularly salient in the departments of neurosurgery, orthopaedics, oncology and surgery.
Work on building the new AIIMS campus at Jhajjar, Haryana, has started. In addition to service provision, the campus
will house centres for excellence in infectious diseases, molecular medicine, nutrition, control of non-communicable
diseases including cancer, vaccine development and regenerative sciences. A Geriatric Medicine department was
created at AIIMS to support the National Programme for Health Care of Elderly (NPHCE). The NPHCE programme
envisages establishment of geriatric wards, rehabilitation centres and geriatric clinics at various levels in the district
healthcare delivery system; and introduction of preventive, curative and rehabilitative interventions in geriatrics.
Keeping up with advancements in technology, AIIMS replaced its existing gamma knife with a new gamma knife for
treatment of brain disorders. Gamma knife treatment involves delivering a single, high dose of radiation to a small and
critically located target in the brain. The new state-of-the-art machines radically expand the reach of treatment to a
wider range of anatomical structures. The new technology promises less trauma, faster recovery, shorter hospital stays
and fewer surgery-related complications. AIIMS has also acquired a new intra-operative MRI machine also known as
‘brain suites,’ that would help improve the outcome of brain surgeries and ensure speedy recovery. It will enable
doctors to watch live multiple 3D-scans of the area of the brain while they operate, thus increasing the precision of
surgery. Detection of breast cancer is all set to get better with the entry of breast tomosynthesis, a quicker, and more
accurate and detailed 3-D imaging technology, now available at AIIMS. Breast tomosynthesis bridges the gap between
conventional imaging and the high-end imaging technology like MRI and CT scan. AIIMS employed platform-based
technologies for diagnosis of diseases in pathology and laboratory medicine, besides research in cell biology, vaccine
development and biotechnology. These innovations have brought high quality patient care delivery within the reach of
each citizen of the country.
People must be at the heart of advances in health and delivery of healthcare. The uniqueness of AIIMS stems from its
being people-centric in its functioning. In line with the Planning Commission’s Expert Group on Universal Health
Coverage recommendation regarding ensuring availability of free essential medicines by increasing public spending on
drug procurement, the Governing Body and the Institute Body of AIIMS have approved the plan for setting up an
integrated medicine management system, under which a pharmacy will dispense ‘essential medicines’ free of cost to
AIIMS 2011-2012/3