Christian Medical College, Vellore The Home of a Healing God (1900-2012) Christian Medical College, Vellore CMC is the home of a healing God. CMC is many things all in one. For someone who comes for treatment, they will see it as a hospital. For someone who comes for training it is a college. For those in outlying areas, it brings an opportunity for change. It is a community of people working together, worshipping together, and serving together”. Christian Medical College, Vellore Structure of this presentation 1. CMC Vellore as an Institution with a Unique Vision 2. CMC Vellore as an Institution with a Unique Mission 1. Clinical & Diagnostic Services 2. Training and Mentoring 3. Outreach 4. Research 5. Human Resource Management & Governance 3. CMC Vellore as an Institution of Unique Relevance 1. As an alternative model of Healthcare in India today 2. As an alternative model for develping Human Resources in Healthcare for tomorrow Christian Medical College, Vellore She chose: Ida Sophia “Not to be Scudder ministered unto (1870-1960) but to minister” CMC VELLORE: AN UNIQUE VISION Christian Medical College, Vellore Aunt Ida and the foundational principles of CMC 1870: Born to Dr. John Scudder (doctor in Tindivanam) Left India for schooling in the US 1890: Returned to India (aged 20 years) to visit ailing mother Three women died in childbirth on one fateful night because she could not respond to their culturally-determined need to have a woman doctor help them Went back to US to train as a doctor Christian Medical College, Vellore Responding to a need and taking the road less travelled 1899: Graduated from Cornel University Medical Centre (among its first batch of women doctors) 1900: Returned to India and laid the foundation of what was to become CMC Christian Medical College, Vellore 1900: One-bed dispensary-Vellore (10 by 12 feet) Christian Medical College, Vellore Life expectancy at the time: 25 years 1902: 40-bed Mary-Taber Schell Memorial Centre for women and children Christian Medical College, Vellore 1924: CMC Hospital in its current location- 267 beds Christian Medical College, Vellore 1960 Christian Medical College, Vellore 2008 Christian Medical College, Vellore 2012 (~2700 beds) Christian Medical College, Vellore Empowering women through training 1903: Training course for compounders 1909: Nursing School: Diploma in nursing Christian Medical College, Vellore Medical School for women 1918: LMP course 1932: Medical School moved to College Hill (Bagayam) Campus Christian Medical College, Vellore Medical College 1942: MBBS course Christian Medical College, Vellore Medical College 1945: Laboratory Technician Training Course 1946: College of Nursing - Degree Course - India's first College of Nursing Christian Medical College, Vellore Medical College 1947: First batch of men medical students Christian Medical College, Vellore THE VISION OF CMC Christian Medical College, Vellore Christian Medical College, Vellore The Objective “The objective of the Christian Medical College, Vellore is the establishment, maintenance and development of Christian Medical College and Hospitals in India, where men and women shall receive an education of the highest grade in the art and science of medicine, nursing, or one or other of the related professions, to equip them in the spirit of Christ for service in the relief of suffering and in the promotion of health”. Christian Medical College, Vellore Sharing the vision • Dr. TH Somervell • 1915-1918: World War I • 1923: Surgical training UCH London • 1922 & 1924: attempted to climb Mt. Everest –came within 300 meters of summit • 1926: Gave up lucrative career as a surgeon in London and worked in Neyoor as Medical Superintendent (now Somervell Memorial CSI Medical College and Hospital) • Wrote a text book of surgery that was the standard at the time • 1949: Head of Surgery Unit III- CMC Vellore • Honoured with the Kaiser-i-Hind in 1938 and the OBE in 1953. • Somervell Memorial Prize in Surgery Christian Medical College, Vellore Sharing the vision • Paul Brand • Born 1914 to English Missionary parents; doctors working in the Kolli Hills (malaria endemic) • “Mother Brand” carried on her husband’s work • 1923 went to Englad for a formal education • Wanted to be carpenter and builder but did a course in tropical medicine; trained as a surgeon in UCH London • 1946 joined CMC as general surgeon and later orthopedics- first Head • Life changing visit to Robert Cochrane’s leprosy sanatorium at Chingelput • Decade of meticulous research on leprosy deformities at the Hand Research Unit at CMC • Continued work at SLRTC-Karigiri (along with Ernest Fritschi) Christian Medical College, Vellore Sharing the vision • Paul Brand • Leprosy: A disease of the nerves- lacked the “gift of pain” • First Reconstructive Surgery for deformities in leprosy Christian Medical College, Vellore Sharing the vision • Paul Brand: Teacher Extraordinaire Christian Medical College, Vellore “I asked for feet, and I have been given wings.” • Mary Verghese • Inspired by Ida Scudder • CMC Batch of 1946; Graduated 1952- wished to do Obs & Gyn • 30th Jan 1954- Car accident while on a picnic- left her paraplegic • Ardous process of finding purpose to her life • Dr. Paul Brand suggested she take up Hand Surgery • India’s famous wheelchair surgeon • Gwenda Lewis- victim of polio- Rehabilitation in Perth • Trained in New York under Dr. Howard Rusk-pioneer in PMR • Started India’s first Deparment of PMR • 1966-Rehab institute; 80 beds; outreach;-community based rehab • Mary Verghese Trust: vocational training • Padma Shree-1972 Christian Medical College, Vellore Standing on the Shoulders of Giants • Dr. Edward Gault: • First Professor of Pathology • Integrated clinical teaching and pathology • Worked with Paul Brand • Building up community life- Men;’s Hostel • Founding member of the Indian Association of Pathologists • Dr. P Kuttumbiah- Clinical Medicine • Dr. Selwyn Baker- Clinical Gastroenterology • Dr. Kamala I. Vythialingam- Cardiology • Dr. T Jacob John- Virology • Dr. Mammen Chandy- Haematology Christian Medical College, Vellore Standing on the Shoulders of Giants • Dr. Jacob Chandy- Neurosurgeon • Dr. KV Mathai- Neurosurgeon • Dr. Jacob Abraham- Neurosurgeon • Dr. Vi Mathan- Gastroenterology • Dr. MS Seshadri- Endocrinology • Dr. Stanley John- Cardiothoracic Surgery • Dr. George Cherian- Cardiology • Dr. Malathi Jadhav & Dr. Sheila Periera- Paediatrics • Dr. LBM Joseph- Surgery • Dr. Prakash Khanduri- Surgery • Dr. AS Fenn- Surgery • Dr. CK Job- Pathology Christian Medical College, Vellore CMC AS AN INSTITUTION WITH A UNIQUE MISSION Christian Medical College, Vellore Christian Medical College, Vellore How many were served? Year Beds Inpatients Outpatients Births Outreach 2002-03 2,049 83,239 12,20,745 12,907 1,85,339 2003-04 2,112 85,977 13,57,816 12,809 2,00,329 2004-05 2,142 89,990 14,30,154 12,827 2,08,085 2005-06 2,234 92,248 14,34,057 12,689 2,25,324 2006-07 2,333 1,02,273 15,63,226 14,202 2,24,566 2007-08 2,409 1,05,935 15,86,879 14,225 2,31,861 2008-09 2,512 1,11,770 16,99,022 15,002 1,78,130 Christian Medical College, Vellore How many were served? 2011 Christian Medical College, Vellore Clinical Christian Medical College, Vellore Meeting unmet needs Out-patient services Christian Medical College, Vellore Compassionate care Inpatient care Staff Christian Medical College, Vellore Cutting edge Technology Christian Medical College, Vellore Still room for a caring touch … Christian Medical College, Vellore Christian Medical College, Vellore 2010-2011 Christian Medical College, Vellore CMC – INCOME, EXPENDITURE, CHARITY & SUBSIDY* (Crores of Rupees) Year Income Expendit Deficit % Charity Educatio ure n subsidy 2002-03 132.2 139.1 5.2 23.6 13.7 2003-04 150.8 157.3 4.3 28.5 16.1 2004-05 174.5 183.2 4.9 32.8 20.2 2005-06 197.7 206.7 4.5 37.5 22.4 2006-07 224.0 233.3 4.1 44.3 23.4 2007-08 286.3 298.2 4.1 49.5 26.4 2008-09 356.6 361.1 1.3 53.9 29.4 Christian Medical College, Vellore Christian Medical College, Vellore Commitment to help the poorest of the poor : reaching the unreached 1906 Christian Medical College, Vellore Commitment to help the poorest of the poor : reaching the unreached Christian Medical College, Vellore Community outreach still core to our mission Christian Medical College, Vellore Community Health & Development Programme (CHAD) PTCHW – Part Time Community Health Christian Medical College,Worker Vellore grass root volunteer Community base providing primary care to >250,000 rural and urban residents Christian Medical College, Vellore Rural Unit for Health and Social Affairs (RUHSA) RUHSA DEPARTMENT C.M.C. VELLORE Christian Medical College, Vellore Low Cost Effective Care & Urban Health Centre Affordable high quality care for urban poor Consultant’s visit Army of volunteers Christian Medical College, Vellore Outreach integral to every department • Community based psychiatry • Homeless mentally ill • School-mental health; learning disabilities • Diabetes education and detection • Stroke service • Surgical outreach • Community based rehabilitation • Eye camps • CONCH (nursing led) • It focuses on a population of 63,199 persons living in 22 villages and 23,000 persons living on the urban periphery of Vellore city Christian Medical College, Vellore Training Christian Medical College, Vellore Christian Medical College, Vellore Christian Medical College, Vellore Christian Medical College, Vellore Christian Medical College, Vellore Christian Medical College, Vellore Fellowship Course Christian Medical College, Vellore Christian Medical College, Vellore Innovative curriculum • Foundation and bridge courses • Integrated with community care • Integrated teaching units • Inte-disciplinary care • Family Medicine • Secondary hospital programme • Distance education • Clerkship • E-learning • Compulsory rural service • Learning by example and by doing • Ethical practice Christian Medical College, Vellore Research Mission statement Christian Medical College, Vellore • The inculcation of an attitude of inquiry • knowledge of basic methods of research • Conduct of research at various levels of health care are a part of the culture of the institution.