MEDICAL STUDENTS EXCHANGE PROGRAM, COMMUNITY MEDICINE DEPARTMENT, B. J. MEDICAL COLLEGE, , , INDIA

Introduction of institute- Ahmedabad Medical School was created in 1871 and it became affiliated with the Civil Hospital in the city of Ahmedabad. The School had humble beginnings, starting with 14 students who pursued hospital assistant training. In 1879, Sir Byramjee Jeejeebhoy donated Rs. 20,000/- and the school was renamed after him as B. J. Medical School. The B. J. Medical College (BJMC), Ahmedabad is one of the largest sources of medically qualified manpower in the country. The college is the centre for the admission of MBBS students in the entire Gujarat State. Each year, some 250 students are admitted to the college receiving the best medical training. The college admits its students through an entrance examination conducted in India. The school offers Postgraduate M.D. courses in 15 branches of medicine, an M.S. course in five branches of surgery, super specialty courses of D.M. in three branches, M.Ch in four branches, postgraduate diploma courses in 10 branches, and many other medical degrees for non-medical persons. It is a centre for the National Board of Medical Examinations for various subjects. The school has made notable contributions in studies with the Indian Council of Medical Research. The World Health Organization (W.H.O.) has recognized the college for its innovation in integrated teaching and training programs in child health services and universal immunization. The alumnis of the college are spread all over the world, providing premiere medical care. Civil hospital Ahmedabad is affiliated to B.J. Medical College. The hospital traces its origins to 1858. Is was the largest hospital in Asia and 5th largest in world. The hospital campus is spread over 110 acres and has 44 wards with 2,800 beds for indoor patients and providing treatment to over 6.5lac patients on OPD basis and over 70000 patients on IPD basis, conducting 26000 surgeries and 6500 deliveries annually. Civil hospital is well equipped with modern apparatus and all type of MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

investigation and treatment are provided free of charge. Few investigations are charged at minimum rate. Civil hospital is part of Medicity campus, which includes following institution, • M & J institute of Ophthalmology • M. P. Shah Cancer research institute (GCRI) • TB demonstration and training centre • Institute of kidney diseases and research centre (IKDRC) • UN Mehta institute of cardiology M & J institute of Ophthalmology is providing primary, secondary and tertiary eye care. Out-patient department provides initial diagnostic and treatment facilities for various eye ailments. Institution has eye bank, cornea unit, retina centre, glaucoma unit, squint & ocular motility clinic, oculoplasty & low vision aid clinic. The hospital has regular programmes of providing services to the people living in remote rural areas, who do not have an easy access to medical care. Specialists of various concerning ophthalmic care, in a self-sufficient mobile van with all diagnostic, treatment and surgical facilities that can possibly be transported, visit these areas. Regular camps are conducted for screening of Diabetic patients. Gujarat Cancer & Research Institute (GCRI) established in the year 1972, is a functional autonomous body. It is one of the largest cancer care centre of the country with modern cancer facilities for diagnosis and treatment. It is a Regional Cancer Centre of Government of India and getting assistance under National Cancer Control Programme. It is an amalgamation of specialties in surgical oncology, medical oncology, radiation oncology, preventive oncology, paediatric oncology, neuro- oncology, gynec-oncology, radio-diagnosis and nuclear medicine, palliative medicine, laboratory and transfusion medicine, pathology and microbiology. CRI also provides other allied services like home hospice care, physiotherapy, stoma clinic, speech therapy, cancer health check-up, prosthesis and rehabilitation. IKDRC was established on October 7, 1981 and Institute of Transplantation Sciences was established as its sister institute in the year of 1997. It has 400 indoor beds for Nephrology, Urology and Transplantation. The primary objective of the institute is to establish, operate, promote, run and manage institutions engaged in

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

service, education and research pertaining to the field of Nephrology, Urology, Transplantation, Haematology, Autoimmune and Genetic disorders. The U N Mehta Institute of Cardiology & Research Centre (UNMICRC) is a grant- in-aid autonomous institute promoted by the Government of Gujarat as a public trust. In UNMICRC, emergency related tertiary care cardiac treatment is rendered to all classes of cardiac patients particularly the poorest of poor cardiac patients. Institute currently having 450 bed with 6 cardiac OTs, 4 cardiac cath labs and other required facilities.

Community medicine department overview Department of community medicine at B. J. Medical College, Ahmedabad is one of the first department to be established in the country under the guidance of Dr. P. D. Paranjpe since 1958. Community medicine department has developed active collaboration with Local, State, National and International agencies and doing commendable work in field of teaching, training, service and research including operational research. Apart from undergraduate and postgraduate teaching, department is recognized for diploma in public health and IGNOU courses (MCH, Geriatric Medicine and Hospital Administration) The department is one of the members of National Public Health consortium under NIHFW as the apex body. It plays a key role in analysing and solving Public Health problems along with regular involvement in all academic & administrative avenues of the college. It is nodal centre of training in filed epidemiology in which training is imparted to Epidemiologist and District Surveillance Officers of Gujarat and other States of India. Department is regional training centre for ‘National Vector Borne Disease Control Program’. Various National and International research projects have also been undertaken by the department. 1. Goal- To ensure that the medical graduate acquires broad public health competencies needed to solve health problems of the community with emphasis on health promotion, disease prevention, cost-effective interventions and follow up 2. Objectives- at the end of the course the graduate doctors should be able to:

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

a. Conceptualize people as the focus of the lifetime service of a doctor and be ready to help always and specially in time of need, minimize the suffering of people and have the ability to “think globally and act locally”. b. Apply the basic epidemiological principles to investigation of diseases, outbreaks, health promotion and disease prevention. c. Contribute to health systems’ performance as a member of the health team in the generation and efficient utilization of human and logistic resources. d. Foster healthy lifestyles in the individual and the community level to prevent environmental degradation and to promote social harmony. e. Identify the health needs of populations and population subgroups through planning, intervention, monitoring and evaluation. f. Provide patient-centred comprehensive primary health care including referral, continuing care and follow-up. g. Ensure research competencies in i. accessing and appraising scientific information ii. preparation of reports and maintaining records iii. presentation of research findings and publishing Facilities in the department for teaching/ training and research • Adequate, well qualified and trained staff according to MCI norms. • Lecture theatre/seminar rooms/tutorial room/demonstration room. • AV Aids with computer facilities. • Vehicle for field visits. • Updated museum. • Updated library with more than 1000 referral books. • Public health laboratory. • Adequate paramedical staff for field training. • Well-equipped training room. Subject curriculum • Concepts in health • Basic Epidemiology • Epidemiology of specific disease

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

• Reproductive and Child health • Demography and family planning • Adolescent and geriatric health • Environmental and occupational health • Role of genetics in health • Social and behavioural science • Nutritional health • Rural /tribal and urban health • Biostatics, health planning and management • Health education • Teaching and training Community medicine teaching and training involve lectures, seminar, group discussion, demonstration, practical and field visit to community, various health agencies, industries, hospitals, participation in various national health programs, health education programs. Department also organise health camps in field practice are on Monday to Friday.

Basic information of public health system The healthcare system in India is organised into primary, secondary, and tertiary levels. At the primary level are Sub Centres and Primary Health Centres (PHCs). At the secondary level there are Community Health Centres (CHCs) and smaller Sub-District hospitals. Top level of public care provided by the government is the tertiary level, which consists of Medical Colleges and District/General Hospitals. • Sub Centres (SC) A Sub Centre is designed to serve extremely rural areas with the expenses fully covered by the national government. Mandates require health staff to be at least two workers (male and female) to serve a population of 5000 people (or 3000 in a remote, dangerous location). Sub Centres also work to educate rural people about healthy habits for a more long-term impact. • Primary Health Centres (PHC) Primary Health Centres exist in more developed rural areas of 30,000 or more (20,000 in remote areas) and serve as larger health clinics staffed with doctors

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

and paramedics. Patients can be referred from local sub centres to PHCs for more complex cases. A major difference from Sub Centres is that state governments fund PHCs, not the national government. PHCs also function to improve health education with a larger emphasis on preventative measures. • Community Health Centres (CHC) A Community Health Centre is also funded by state governments and accepts patients referred from Primary Health Centres. It serves 120,000 people in urban areas or 80,000 people in remote areas. Patients from these agencies can be transferred to general hospitals for further treatments. Thus, CHC's are also first referral units, or FRUs, which are required to have obstetric care, new born/childcare, and blood storage capacities at all hours every day of the week. • District Hospitals District Hospitals are the final referral centres for the primary and secondary levels of the public health system. It is expected that at least one hospital is in each district of India, although in 2010 it was recorded that only 605 hospitals exist when there are 640 districts. There are normally anywhere between 75 and 500 beds, depending on population demand. These district hospitals often lack modern equipment and relations with local blood banks. • Medical Colleges and Research Institutions These are referral hospitals with specialized facilities. Government Medical Colleges are owned and controlled by the respective state governments and also function as referral hospitals.

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

Student exchange program Aim and Objectives: To understand basics of public health. To learn about local health system services. To learn research methodology.

Activities: • Day 1: • Introduction to public health and public health scenario of India and Gujarat. • Discussion with students about their expectations and what they are looking forward to. • Day 2, 3 & 4: • Visit to, . UHTC . Field practice area . Anganwadi . PHC . Immunisation clinic . Health camp, fever OPD • Day 5: • Discussion about visits • Health programs and their importance • Day 6 & 7: • Field visit . Kanoria (KHRC) De-Addiction Centre Gandhinagar, Gujarat . SEWA Rural (NGO) . Hospic (Vasna) . Chetna . Public heath lab . Water workers . Sewage treatment plant

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

. Deepak foundation • Day 8, 9 & 10 • Project . Topic discussion . Data collection . Analysis and preparation of report • Day 11: • Project report discussion • Day 12: • Topic of choice of student • Day 13: • Feedback and discussion

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

Attractions and Places to Visit in Ahmedabad City • Ashram - A Glimpse into The Mahatma’s World • ISKCON Temple - A Step Closer to Divinity • Sardar Vallabhbhai Patel Museum - Archiving A Leader’s Life • Calico Museum - A Rich Play of Colours & Designs • Kankaria Zoo - Ahmedabad’s Most Fun Picnic Spot • - Exhibits of Old, Simple Ahmedabad • Vechaar Utensils Museum - From Kitchens of Different Centuries • Vintage Car Museum - From Horse Carriages to Limos • Rani No Hajiro - A Beautiful Vault for Beautiful Souls • Roza - An Attractive Architectural Complex • - Grand Islamic Architecture • Law Garden Night Market - Late-Night Shopping & Snacks • - The Three-In-One Market Square • Lal Darwaza - For A Shopping Spree with Street Food • Adalaj Step Well - A True Architectural Wonder • - A Delight for Kids and Youngsters • Dada Hari Vav - Every Photographer’s Paradise • Sabarmati Riverfront - For A Relaxing Walk • - The Most Kid-Friendly Side of the City • Open Air Theatre - A Movie Night with Loved Ones • Shreyas Folk Art Museum - A Tour of Ahmedabad’s Rich Heritage • Philatelic Museum - A Stamp Collectors’ Dreamland • Zanzari Waterfall - Unwind

Attractions and Places to Visit in Gujarat • Statue of Unity, Kevadia - World's tallest statue • Sun Temple Modhera - An Architectural Legacy • Laxmi Vilas Palace - Palace of Gaekwad royal family • Champaner- Pavagadh Archaeological Park - UNESCO World Heritage Site • Rani ki Vav (the Queen's Stepwell), Patan - Ancient stepwell

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MEDICAL STUDENTS EXCHANGE PROGRAM, CM DEPT., BJMC, AHMEDABAD, INDIA.

• Dwarka - Dwarkadhish Temple • Somnath temple - One of the 12 Jyotirlinga • Gir National Park - Only place of Asiatic lion • Nalsarovar Bird Sanctuary • Lothal Ancient Harappan Site - Excavated Indus Valley Civilization site • Saputara, The Dangs - Hill station • White desert of Kutch - India's "Wild West"

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