Teaching learning activities for Undergraduates:
I. Forensic Museum with self learning modules assisted by Lecturer/ Associate professor:
: Posters of various Medico-legal cases and autopsy findings.
: Drugs of abuse and utility of various chemicals used in investigationof trace evidence.
: Weapons of offence.
: Postmortem Instruments.
II. Teaching and self learning of X-ray films available at the department of Forensic Medicine and Toxicology, Kathmandu medical College, for diagnosis of injury to bones, grossly visible pathological lesions of bones and estimation of age from union of epiphyses.
III. Two weeks compulsory posting for 7th semester Undergraduate students provisioned in medico-legal centre at KMC, Duwakot for exposure in autopsy techniques demonstrated by faculties of the department and observed/assisted by undergraduate students.
IV. General and X-ray examination of individual bearing medico-legal history brought to medico-legal centre at KMC, Duwakotby investigating officers for Age Estimation.
V. Examination of skeletal remains for the purpose of identification by deducing age, race, stature and sex from exhumed/procured bones brought by investigating officers to medico-legal centre at KMC, Duwakot.
VI. Teaching and guiding students to prepare various medico-legal documents mentioned below:
VII. Exhibition and recording of Histo-pathology slides and provide knowledge on various plant poisons and irritants.
- Theory classes:
- Theory classes for VI and VII Semester students were taken online due to covid-19 restrictions by above mentioned faculties of Department of Forensic Medicine, KMC.
- Four classes per week, each for an hour, were conducted as per our lesson plan and curriculum of Kathmandu University.
- Tutorial and revision classes were conducted on Problem Based Learning method at the end of every topic followed by assignments/ assessments.
- Students were allowed to liberally visit faculties present at the Department during college hours, in case any individual help is required for better understanding of any topics.
- Practical/ Demonstration:
- Two weeks compulsory posting for 7th semester Undergraduate students provisioned in medico-legal centre at KMC, Duwakot for exposure in autopsy techniques demonstrated by faculties of the department and observed/assisted by undergraduate students.
- A log book is to be maintained by students which will be weekly evaluated to be later included in marking system of Board Examination.
Recently the department has been expended into into Medico-Legal Centre and initiated Medico-legal Services at KMC, Duwakot, Bhaktapur. There is facility of autopsy examination at the center. There is also a separate room for clinical forensic examination (sexual assault including victims and perpetrator, age estimation). This services are offered following request from police station. The center is also training site for medical students (3rd year), who will learn process of autopsy and other medico-legal works.
Services at KMC, Sinamangal offer preparation of fitness certificate, health certificate and injury examination certificates, following requisition from police stations in and outside Kathmandu valley for victims examined in KMCTH Sinamangal premises.
- Plans
To establish a well-equippedone stop crisis management center (OCMC) at the premises of KMC, Duwakot catering the victims of gender based violence in collaboration with the Ministry of Health and Population.
- Technology and infrastructures
The Medico-legal center, department of Forensic medicine KMCTH at Duwakot has all the necessary equipments for forensic autopsy examination, clinical forensic examination and sample collection. There are three autopsy tables in the autopsy room. There is also a separate room in the department for clinical forensic examination (sexual assault victim, perpetrator, age extimation). Similarly, refrigerator is also available at the medico-legal center to store the dead body.
At the department of Forensic Medicine, KMCTH, Sinamangal there is a Forensic Museum. Specimen of forensic significance are displayed in the museum. There are various weapon of offence, auotpsy instruments hume bones and toxicology specimens which are useful for teaching learning puropse.
A. CLINICAL SERVICES
- Regular Services
- 24 hours emergency service for Obstetrics & Gynecology
- OPD service 6 days a week
- Indoor service
- Operation theatre service three days a week for routine cases on Monday/Wednesday/Friday and 24 hours OT service for emergency cases.
- Expanded Health Care Service every day
- Duwakot community hospital services every day.
- Specialty Clinics & special services
- Family planning services
- Counseling for all forms of contraception
- Norplant insertion and removal
- IUD insertion and removal
- Mini lap tubal ligation
- Non- scalpel vasectomy
- Subfertility Services: - 2 days a week (Monday/Thursday)
- Menopause clinic : 2 days a week – Tuesday/ Friday
- Oncology Clinic : 2 days a week – Sunday/ Wednesday
- Safe abortion service for first and second trimester by both surgical and medical methods within the legal parameters every day.
- Post-abortion care service-everyday
- Colposcopic service - Monday, Wednesday and Friday
- Gynaecological endoscopic surgery every Mon/Wed and Friday
- Pain less delivery
B. TEACHING/LEARNING ACTIVITIES
- Under Graduate Programme
- MBBS Programme
- Lectures- 7/week
- Clinical Teaching- Every day (5th/6th /8th /9th semester)
- Tutorials- Every day - (8th/9th semester)
- End Posting Examination- (Every 3 weekly for 5th, 6th 8th and 9th semester)
- Nursing (Bsc) Progaramme
- Lecture classes- For second year – 20 hours per year
- MBBS Programme
- Post Graduate Progaramme
-
- Journal Club- Every Sunday
- Topic Presentation- 2nd and 4th Tuesday of the month
- Case Presentation- Every Thursday
- Perinatal Mortality Audit- Monthly (Tuesday)
- Maternal Mortality and Morbidity- Monthly (Tuesday)
- Seminar- 2 monthly(on Tuesday)
- Guest Lecture- 6 monthly (on Tuesday)
-
Future Plan:
1) Development of fetal medicine unit
2) Development of Subfertility Unit (IUI/IVF)
Neurosurgery deals with surgical management of disorders of nervous system involving brain, spine and peripheral nerves. Various pathologies like traumatic, vascular, degenerative, neoplastic, developmental, infectious and autoimmune are managed at Kathmandu Medical College Teaching Hospital in an evidence-based team approach. A comprehensive management strategy by availing latest technology for diagnosis, intervention and rehabilitation and employing services of various allied specialties are being offered.
At present, following services are available
- Neuro-trauma (brain, spine, peripheral nerves)
- Neuro-oncology (Adult and pediatric tumours)
- Neuro-vascular (Stroke, vascular malformations and aneurysm, moya-moya, carotid artery stenosis)
- Spine care (degenerative leading to disc prolapse, congenital, traumatic, tumours)
- Pediatric neurosurgery (developmental, vascular, hydrocephalus)
- Functional neurosurgery: (Epilepsy, Movement disorders, Pain)
- Restorative neurosurgery: (Brachial plexus injuries)
- Minimal invasive and endoscopic services (Brain, spine and peripheral nerves)
The Department was the first to introduce operating microscope with fluorescence imaging in Nepal. It was also the first to introduce endoscopic endonasal surgery for pituitary tumors and spine and is presently advanced level endoscopic services. It has the privilege of having operated the largest number of patients with brachial plexus injuries with good results, in the country.
In 2021, KMC would see a major upgradation in the department of Neurosurgery with major emphasis on providing latest and best in the field of neurosciences with validated equipment and evidence-based comprehensive team practice. Staffs of Neurosurgery, Neurology and Psychiatry, would be offering services as Advance Neurosciences Centre under one roof. To enhance the services, various equipment is being commissioned
- Latest neuro-navigation devices: for precise localization of deep-seated lesions and structures
- Robotics (first in Nepal): for navigated precise surgery of brain and spine
- Intra-operative CT scan (first in SAARC): to allow Intra-operative confirmation of steps of surgery
- Neuro-monitoring devices: to keep patient functionally intact during general anesthesia and perform mapping of functional areas of brain
- Transcranial Magnetic Stimulation (first in SAARC region): to map the functions of brain, prior to surgery, to enable safe resection of pathologies. This shall also allow therapeutic management of psychiatric ailments.
- Intra-operative 3Tesla MRI: to allow confirmation of complete removal of tumour and allow mapping of functions and structures
- Hybrid Cath lab (first in Nepal): to allow comprehensive management of vascular problems of brain and spine
- 3-D navigated robotic C arm (first in Nepal): to allow intra-operative confirmation of correct placement of spine instruments. This shall also allow platform for mobile Cath lab.
- CUSA: to quickly aspirate tumours without harming surrounding structures
- Navigated drills: to cut open bones and to punch holes precisely under navigational guidance
- 4K endoscopic and Exoscopic equipment (first in Nepal): for enhanced visualization and AI enabled augmented reality superimposition of radiological images on real time operative field
- Navigated high end microscope
- To house these latest equipment, modular brain suits are being designed
- Skill labs: to train the next generation of doctors
These combined with expertise and experience of the staffs would provide a benchmark for care of neurological problems in not only Nepal but in South east Asia.
- Regular health services activities in the department
- Routine Outpatient services (OPD), Sinamangal: 4 days in a week (except Sunday and Wednesday) Duwakot: presently halted due to COVID
- EHS Outpatient services (OPD), Sinamangal: all weekdays (8-9AM and 2-4 PM)
- Emergency services including operative services: 24 hours a day and 365 days in a year in both Sinamagal and Duwakot complexes
- In-patient services: 15 bed critical care units and 15 general beds
- Specialized Services:
- Neuro-trauma
- Neuro-oncology
- Neuro-vascular
- Spine diseases including percutaneous and endoscopic surgery
- Pediatric neurosurgery
- Minimal invasive neurosurgery
- Functional Neurosurgery for epilepsy, pain and movement disorders
- Restorative Neurosurgery for brachial plexus injuries
- Teaching/learning Activities details
- Under graduate - MBBS classes on neurosurgical topics. Bed side teachings one per week and tutorials one per week.
- Internship- 2 weeks posting in neurosurgery where they were exposed to critical care, routine and operative scenarios
- B. Sc Nursing- 6 sessions on neurosurgical topics
- Nursing training program (in-service) training programs
- Medical Officers, after being trained as “stick on-duty” for 2 weeks are not only taking responsible care of the patients but also get involved in research and academic activities.
- Post graduate- MS (General Surgery) Resident rotate for 3 months. PG assist in OR, manage cases in wards and ICU, perform audit and departmental research activities.
- CME on POCUS (Point of care ultrasound courses), Neuro spine and Neurosurgical topics
- Research activities (Randomized Clinical Trial)
- Ongoing: ENRICH-AF: The EdoxabaN foR IntraCranial Hemorrhage survivors with Atrial Fibrillation (ENRICH-AF) study. It is a prospective, randomized open-label, blinded end-point (PROBE), investigator-initiated, phase IV study that will define the efficacy and safety of edoxaban compared with standard of care (no antithrombotic therapy or antiplatelet monotherapy) for stroke prevention in high-risk AF patients and previous intracranial hemorrhage. This is sponsored by Hamilton Health Sciences (through Population Health Research Institute (McMaster University, Hamilton, Canada)
- Completed: Synapse-ICU Trial. Intracranial pressure monitoring in the intensive care unit: the international prospective observational study on intracranial pressure in intensive care
- Completed: CRASH 3 TRIAL: Tranexamic acid for the treatment of significant traumatic brain injury: an international randomized, double blind placebo-controlled trial.
- Publications: last year 20, for details see
SN |
Names of the faculty |
ORCID |
1 |
Dr Amit Thapa |
|
2 |
Dr Bidur KC |
|
3 |
Dr Bikram Shakya |
|
4 |
Dr Bibesh Pokhrel |
|
5 |
Dr Rupesh Chakradhar |
-
- Publications for 2020
- World Neurosurgery 2020. Amit Thapa, COVID-19 and the role of neurosurgeons in Nepal, https://doi.org/10.1016/j.wneu.2020.05.093 (http://www.sciencedirect.com/science/article/pii/S1878875020310640)
- The Lancet Global Health 8(5):e635-e636. Phuyal S, Poudel R, Shrestha GS, Dawadi K, Rauniyar VK, Thapa L, Adhikari RB, Thapa A, Sedain G, Acharya SP, Jalan P, Pandey CR. Endovascular management of acute ischaemic stroke in Nepal. https://doi.org/10.1016/S2214-109X(20)30071-1
- NJNS 2020;17(1):1-4. Thapa A. Nepal and COVID 19: A strange case and the Dilemma. https://doi.org/10.3126/njn.v17i1.28334
- NJNS. 2020;17(1):10-20. Thapa A, Shakya B, KC B, Chakradhar R. WeMPiC protocol to prevent Deep Venous Thrombosis in patients with neurosurgical diseases. https://doi.org/10.3126/njn.v17i1.28337
- NJNS. 2020; 17(1):41-43. Pokhrel B, Thapa A. Pituitary Apoplexy with raised intracranial pressure. https://doi.org/10.3126/njn.v17i1.28341
- NJNS. 2020; 17(1):59-62. Chakradhar R, Thapa A. Endoscopic Thoracic sympathec- tomy for Primary Palmar hyperhidrosis. https://doi.org/10.3126/njn.v17i1.28347
- NJNS. 2020;17(1):66-71. Thapa A, Sharma K, Shrestha P. Standard Operating Procedure: Operating on COVID-19 patients. https://doi.org/10.3126/njn.v17i1.28534
- World Neurosurg. X (2020) 6:100059. FC Robertson, IN Esene, AG Kolias, P Kamalo, Collaborative Working Group. Task-Shifting and Task-Sharing in Neurosurgery: An International Survey of Current Practices in Low-and Middle-Income Countries. https://doi.org/10.1016/j.wnsx.2019.100059
- NJNS. 2020;17(3):1-3. Thapa A. Neurosurgical training: adapting to the new normal. https://doi.org/10.3126/njn.v17i3.33094
- NJNS. 2020;17(3):68-70. Shrestha S, Pokhrel B, Thapa A. An Infant with infected Cephalohematoma. https://doi.org/10.3126/njn.v17i3.33131
- Journal of Nepal Health Research Council, 2020;18(3):556-559. Thapa A. Need of Integrating Sonoscopy in Undergraduate Medical Education in Developing Countries. https://doi.org/10.33314/jnhrc.v18i3.2689
- NJNS. 2020;17(2):1-3. Thapa A. Adversity Quotient in neurosurgical training. https://doi.org/10.3126/njn.v17i2.30109
- NJNS. 2020;17(1):65-68. Pokhrel B, Thapa A. Primary central nervous system diffuse large B-cell lymphoma: a report on unusual presentation with acute onset diplopia and proptosis. https://doi.org/10.3126/njn.v17i2.30178
- World Neurosurgery 2020;139:629-631. Amit Thapa, COVID-19 and the role of neurosurgeons in Nepal, https://doi.org/10.1016/j.wneu.2020.05.093. (http://www.sciencedirect.com/science/article/pii/S1878875020310640)
- The Lancet Global Health 8(5):e635-e636. Phuyal S, Poudel R, Shrestha GS, Dawadi K, Rauniyar VK, Thapa L, Adhikari RB, Thapa A, Sedain G, Acharya SP, Jalan P, Pandey CR. Endovascular management of acute ischaemic stroke in Nepal. https://doi.org/10.1016/S2214-109X(20)30071-1
- NJNS 2020;17(1):1-4. Thapa A. Nepal and COVID 19: A strange case and the Dilemma. https://doi.org/10.3126/njn.v17i1.28334
- NJNS. 2020;17(1):10-20. Thapa A, Shakya B, KC B, Chakradhar R. WeMPiC protocol to prevent Deep Venous Thrombosis in patients with neurosurgical diseases. https://doi.org/10.3126/njn.v17i1.28337
- NJNS. 2020; 17(1):41-43. Pokhrel B, Thapa A. Pituitary Apoplexy with raised intracranial pressure. https://doi.org/10.3126/njn.v17i1.28341
- NJNS. 2020; 17(1):59-62. Chakradhar R, Thapa A. Endoscopic Thoracic sympathectomy for Primary Palmar hyperhidrosis. https://doi.org/10.3126/njn.v17i1.28347
- NJNS. 2020;17(1):66-71. Thapa A, Sharma K, Shrestha P. Standard Operating Procedure: Operating on COVID-19 patients. https://doi.org/10.3126/njn.v17i1.28534
- Publications for 2020
- Honour/Award received
- Prof Amit Thapa
- Elected as Chairman of Spine Section of Nepalese Society of Neurosurgeons (NESON)
- Appointed as Editor in Chief, Nepal Journal of Neurosciences
- Scientific Co-Chair, NESONCON 2020
- Prof Amit Thapa
- Technologies and Infrastructure of the Department
|
Present |
To be installed |
Operating Microscope with fluorescence imaging |
1 |
1 (navigational) |
Endoscope |
1 |
Upgraded version |
Operating Drills |
2 |
2 (navigational) |
Intra- operative Neuromonitoring System (IONM) |
1 |
1 |
C arm |
1 |
|
Operating Room and Table |
2 |
1 (all 3 to be upgraded to brain suite) |
Frameless Navigation System |
|
1 |
Micro-debrider |
|
1 |
Intra-operative CT |
|
1 |
Intra-operative MRI |
|
1 |
Exoscope |
|
1 |
High end CUSA |
|
1 |
Intra-operative USG |
|
1 |
Micro-doppler system |
|
1 |
Spine Endoscopy system |
|
1 |
Frame based stereotaxy system |
|
1 |
BIS monitoring system |
|
2 |
Robot for cranial and spinal surgery |
|
1 |
- Future Plans for the Department.
-
- Start “Neuro Centre”, an Advance Neurosciences Centre in PN Pant Building at Sinamangal
- Fully integrated services with Neurosurgery, Neurology, Psychiatry, Radiology and Physical Rehabilitation
- Start Epilepsy & Functional neurosurgery program
- Start Comprehensive Stroke Centre
- Start M.Ch. (Neurosurgery) program
-
We would like to welcome you to our services.
The department mostly addresses the issues related to surgical reconstruction that are commonly seen in a typical LMIC setting.
There are plans to further develop aesthetic breast surgery and reconstructive breast surgery. Which would include microsurgical free tissue transfer for both breast reconstruction and other areas of the human body.
Dr.Sandesh Prakash Maskey.
- Consultant Plastic Surgeon. (Clinical Lecturer)
Academic Qualifications:
- MD. Doctor Of Medicine
- MS General Surgery,
- Fellowship Plastic and Reconstructive Surgery
Areas of Special Interest:
- Acute Burns and Burn Reconstruction.
- Wound Care, Diabetic Foot Reconstruction.
- Cleft Lip and Palate.
- Skin Cancer Surgery.
- Lower Extremity Reconstruction.
- Soft tissue (skin) coverage in hand trauma.
Dr. Amir Bajracharya
Academic Qualifications: MBBS, MS, MCh.
Specialty:
Cosmetic Surgery, Mammoplasty, Breast Reconstruction
Professional Experience:
- Assistant Professor in Plastic Surgery, Kathmandu Medical College, Kathmandu University
- Fellowship in Breast Reconstruction, Plastic Surgery, Asan Medical Center, Seoul, South Korea
- Former Assistant Professor in General Surgery, B.P.Koirala Institute of Health Sciences, Dharan.
Areas of Special Interest:
Reconstructive Surgery
- Breast Reconstruction due to Breast Cancer, Poland`s Syndrome
Aesthetic Surgery
- Breast Augmentation
- Breast Reduction
- Breast Lift
- Inverted Nipple
- Male Breast Reduction (Gynecomastia)
Body Contouring Surgery
- Liposuction
- Abdominoplasty
Others
- Scar Revision, Birthmark Removal, Osmidrosis Axillae
Departmental Activities:
The out-patient and in-patient services are regular and ongoing from Sunday to Friday from 9 am to 2:30 pm at KMCTH, Sinamangal as well as Duwakot, Bhaktapur by consultant dermatologists and Extended Hospital Services from 2 – 4 at KMCTH, Sinamangal.
Special Services:
Super Speciality services have been added apart from the Normal OPD services. The Department has started the leprosy Clinic (Monday and Thursday) and the sexually transmitted infection and HIV clinic (Tuesdays and Fridays).
Dermatology procedures-lasers, cryotherapy, radiofrequency, electrocautery, ionotophoresis, skin biopsies, excision of moles, scar revision and other cosmetic and minor surgeries are done regularly.
Teaching learning Activities:
Under Graduate:
On line and Out patients learning and teaching activities are held for MBBS 6th and7th Semester students. and Nursing 3rd year students.
Post Graduate:
Seminars/ Topic Presentations/ Journal Club/Case Presentations and Clinical Grand Rounds are taken ae per as per KU Guidelines both Online and in the hospital
Nursing Students
Online, Bedside and Out patients learning of 3rd Year Students.
Future Plans:
- Planning for KMC- Aesthetic and Laser Clinic (KMC-ALC) with sophisticated lasers and cosmetic services.
- Start hair transplantation surgery.
Services provided from the department:
- General ENT OPD: Every Sunday to Friday.
- Operation Days: Every - Sunday / Tuesday / Friday.
Teaching – Learning activities:
- MBBS Theory Classes – Every Monday / Thursday.
- Tutorial for MBBS students – Every morning 10am to 12noon.
- BSc. Nursing Classes – As scheduled
- BDS Classes – As scheduled
- Classes for Post Graduate Students:
ü Every Monday (1:00pm-2:00pm) – Topic Presentation
ü Every Thursday (1:00am-2:00pm) – Journal Club or Case Presentation / 3 monthly Thesis Review
- Morning Round and Bed side teaching:
ü Every day at (9:00 - 10:00) hours in ENT Ward.
- Grand Round:
ü Every Monday and Wednesday mornings (9:00 – 10:00) hours
Upcoming projects in the department:
ü To install and start LASER services in the department.
ü To develop sub specialty as Otology, Rhinology, Laryngology, Paediatric Otolaryngology and Head and Neck Oncology Reconstruction in near future.
ü To establish a Cochlear implant service in near future.
ü Plan to improve on the academic as well as clinical activities in the department.
Technologies and infrastructures of the Department:
ü Well established OPD with Endoscopy and Stroboscopy services
ü Audiometry services with speech therapy
ü Harmonic surgeries
ü Endoscopic nasal and ear surgeries
ü Microscopic surgeries of ear and larynx
ü Head and Neck surgeries
ü Aesthetic Surgeries
ü Sleep lab services and surgeries
Regular Departmental Activities
Day |
Admission Day |
OPD Day |
Consultation |
Round |
Sunday |
UNIT I |
UNIT I |
UNIT II/ Pulmonology/Nephrology /Cardiology |
UNIT I/II/ III |
Monday |
UNIT II |
UNIT II |
UNIT III/ Pulmonology/ Nephrology/Cardiology |
UNIT I/II/ III |
Tuesday |
UNIT III |
UNIT III |
UNIT I/ Pulmonology/ Nephrology/Cardiology |
UNIT I/II/ III |
Wednesday |
UNIT I |
UNIT I |
UNIT II/ Pulmonology/ Nephrology/Cardiology |
UNIT I/II/ III |
Thursday |
UNIT II |
UNIT II |
UNIT III/ Pulmonology/ Nephrology/Cardiology |
UNIT I/II/ III |
Friday |
UNIT III |
UNIT III |
UNIT I/ Pulmonology/ Nephrology/Cardiology |
UNIT I/II/ III |
Saturday |
Round of respective units and Admission comes in rotation between units |
UNIT I |
UNIT II |
UNIT III |
Prof. Dr. Mathura KC |
Prof. Dr. Subodh Sagar Dhakal |
Prof. Dr. Laxman Adhikary
|
Dr. Subash Pant
|
Assoc.Prof. Dr. Mahesh Bhattarai |
Assoc. Prof. Dr. Anil Pokhrel |
Dr. Sujan Chandra Poudel |
Dr. Nimesh Poudel |
Dr. Hema Chand Thakuri
|
Dr. Tulsi Ram Bhattarai |
Dr. Navin Kumar Mishra |
|
Regular Departmental Activities
-
- 24 hours emergency service for Medicine.
- Every day medicine consultantation for the patients entering the hospital
- OPD service 6 days a week.
- Indoor service Everyday
- Extended Health care service everyday
Special Services
- Haemodialysis
- Pulmonary Function Test
- Bronchoscopy
- Sleep study
- Echocardiography
- Tread Mill test
- Holter monitoring
- Ambulatory BP monitoring
- HFNC service to in patient
- 6 minutes walk test
- Portable USG
- Portable ECHO
- ABG
- BCM
- Plasma Pheresis
Teaching Learning Activities
Undergraduate Teaching Activities
- Bedside Teaching in the ward everyday for 5th-9th semester (6 days a week)
- Regular Tutorial class everyday for 5th-9th semester (6 days a week)
- Regular Lecture classes for 5th – 9th semester as per schedule
- Regular Lectures for BDS students
- Regular bedside teaching to BDS Students
Postgraduate Teaching Activities
- Daily round discussions
- Specialty posting case presentation as per schedule
- Interdepartmental case discussion every month as per requirement
- Respective unit case presentation weekly as per schedule
- Mortality review as per schedule as per necessary
Academic Activities For PG Students |
|
||||
Day |
Programmes |
Specialty |
Organizer |
Time |
Moderator |
Sunday |
Journal club |
Internal Medicine
|
All Unit |
2 pm to 3pm |
All Unit |
Monday |
Topic review |
Internal Medicine
|
All Unit |
2 pm to 3 pm |
All Unit |
Tuesday |
Case Presentation |
Pulmonology |
All Unit |
2 pm to 3 pm |
All Unit |
Wednesday |
Seminar
|
Cardiology |
All Unit |
2 pm to 3 pm |
All Unit |
Thursday
|
Topic review |
Internal Medicine |
All Unit |
2 pm to 3 pm |
All Unit |
Thursday
|
Topic review |
Nephrology |
All Unit |
2 pm to 3 pm |
All Unit |
Friday |
Case Presentation |
All Units |
All Unit |
2 pm to 3 pm |
All Unit |
Upcoming projects in the department
- DM Cardiology
- DM Pulmonology
- DM Nephrology
Departmental involvement
- Ethical Committee – Member Prof. Dr. Mathura KC
- Task force Leader – Prof. Dr. Subodh S Dhakal
- Editorial member JKMC- Asst. Prof. Dr. Subash Pant
- Coordinator BDS –Dr. Sujan C Poudel
RegularDepartmental Activities
Regular Services
-
- 24 hours emergency service for Neurology.
- Every day Neuro medicine consultantation for the patients entering the hospital
- OPD service 3 days a week.
- Indoor service Everyday including In patients
- Duwakot Community Hospital Service for neurology
- Extended Health care service everyday
Day |
Admission Day |
OPD Day |
Consultation |
Round |
|
Sunday |
Every day |
Every day |
Every day |
Every day |
|
Monday |
Every day |
Every day |
Every day |
||
Tuesday |
Every day |
Every day |
Every day |
Every day |
|
Wednesday |
Every day |
Every day |
Every day |
||
Thursday |
Every day |
Every day |
Every day |
Every day |
|
Friday |
Every day |
Every day |
Every day |
||
Saturday |
Every day |
- |
Every day |
Every day |
|
Special Services
- EEG/ EMG
- Nerve Conduction Test
- CT Scan plain and contrast
- USG and Doppler study of the vessels
- Laboratory investigation support for the Neuro Patients
- Thrombolytic Therapy
- VEP, BERA
Undergraduate Teaching Activities
- Bedside Teaching in the ward everyday for 5th-9th semester (6 days a week)
- Regular Tutorial class everyday for 5th-9th semester (6 days a week)
- Regular Lecture classes for 5th – 9th semester as per schedule
- Regular Lecture classes for ICM as per schedule
- Regular Lectures for B.Sc Nusring students
- Regular Lectures for BDS students
- Regular bedside teaching to BDS Students
Postgraduate Teaching Activities
- Daily round discussions
- Specialty posting case presentation as per schedule
- Interdepartmental case discussion every month as per schedule
- Respective unit case presentation weekly as per schedule
- Mortality review as per schedule as per necessary
Academic Activities For PG Students |
|
||||
Day |
Programmes |
Specialty |
Time |
Moderator |
|
Sunday
|
OPD clinical exposure |
Neurology |
9 AM to 4 PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Monday |
Journal club
|
Neurology |
2 pm to 3 PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Tuesday |
OPD clinical exposure
|
Neurology |
9 AM to 4 PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Wednesday |
Topic review
|
Neurology |
2 PM to 3 PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Thursday
|
OPD clinical exposure
|
Neurology |
9 AM to 4 PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Friday |
Case presentation |
Neurology |
2PM to 3PM |
Dr. RS/Dr. KD/Dr. DS/DR. AD |
|
Upcoming projects in the department
- DM programmes in Neurology in near future
- Establishment of MRI
- Neuro Rehabilitation
- Neuro Ophthalmology seminar (in coordination with Department of ophthalmology)
- Neuro otology seminar (in coordination with Department of otology)
- Seminar on Neuro radiology( in coordination with Department of radiology)
- Seminar on Neuro Pathology( in coordination with Department of Pathology)
- Community service
- Research (community based research in collaboration with community medicine department)
- Research in Neurology (Departmental)
Departmental involvement
- Library Committee – Member Prof. Dr. Rabindra Shrestha
- DM , MCH coordinator- Assoc. Prof. Dr. Krishna Dhungana
- Mortality review Committee Member Asst. Prof. Dr. Dipesh Shakya
- Editorial member KMC times- member Asst. Prof. Dr. Dipesh Shakya
- Infection control committee – member Dr. Dipesh Shakya
- Blood bank committee- member Dr. Alok Dhungel
Ophthalmology Services
- Vision Test
- Refraction
- Orthoptic services
- Cataract Services
- Paediatric Ophthalmology and Strabismus Services
- Medical Retina Services
- Uveitis Services
- Oculoplasty Services
- Glaucoma Services
- Humphrey Visual Field
- B Scan/ A scan (ultrasound)
- Synoptophore Services (Diagnosis of strabismus/ Eye Exercises)
- Laser Services
- Applanation tonometry (Intraocular pressure measurement )
Regular Departmental Activities
Day |
Admission & OPD Day |
Consultsants & Sub-Specialty OPD |
Round |
Sunday |
UNIT I |
UNIT I (Arthroscopy & Sports Injury) |
UNIT I/II/III |
Monday |
UNIT II |
UNIT II (Tumor /Hand / Arthroplasty) |
UNIT I/II/III |
Tuesday |
UNIT III |
UNIT III (Spine) |
UNIT I/II/III |
Wednesday |
UNIT I |
UNIT I (Arthroscopy & Sports medicine)/ |
UNIT I/II/III |
Thursday |
UNIT II |
UNIT II ( Tumor/ Hand /Arthroplasty) |
UNIT I/II/III |
Friday |
UNIT III |
UNIT III (Spine) |
UNIT I/II/III |
Saturday |
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OPD Consultants |
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Unit I (Sunday/Wednesday) |
Unit II (Monday /Tuesday) |
Unit III (Tuesday/Friday) |
Dr. Rajeev Raj Manandhar (Associate Professor)
|
Prof. Dr. Kiran Prasd Rijal (Professor) |
Prof. Dr. Rabindra Lal Pradhan (Professor & HoD) |
Dr. Krishna Raj Khanal (Lecturer)
|
Dr. Sashmit Sharma (Assistant Professor) |
Dr. Bimal Kumar Pandey (Associate Professor)
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Dr. Tanup Prasai (Lecturer)
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Regular Department Activities
- 24 hours emergency service
- Every day consultation for patients entering the hospital
- OPD service 6 days a week
- Extended Health care services every day
- Indoor services every day
- Surgery/Operation theatre services every day
- Emergency Surgery/Operation theatre services 24 hrs for emergency
Subspecialty /Super specialty Services by Fellowship trained Surgeons
- General Trauma.
- Complex Trauma.
- All spinal disorders (trauma, degenerative, deformity, tumor)
- Arthroscopy & Sports Injury
- Musculoskeletal Surgical Oncology
- Hand Surgery including Microsurgery
- Paediatric Orthopaedics
Teaching Learning Activities
Undergraduate Teaching Activities.
- Bedside teaching /tutorials 5th -9th semester (Morning ) (6 days a Week) consultant
- Lectures for 5th -9th Semester as per Schedule.
- Tutorials (evening) for 5th-9th Semester by JR III.
Postgraduate Teaching Activities.
- Daily Round Discussion.
- Daily OPD Discussion /evaluation / Teaching
- Mortality review as necessary.
- Interdepartmental case discussion as necessary.
Day |
Activities |
Time |
Moderator |
Monday |
Journal club |
1-2 PM |
All Unit |
Wednesday |
Seminar /Topic presentation |
1-2 PM |
All Unit |
Friday |
Clinical Presentation |
1-2 PM |
All Unit |
Future Plans of Department
- To run fellowship programme on Spine Surgery.
- To run fellowship programme on Arthroscopy and sports Medicine.