1 Mci Database Dec 2010 - Form i to IV

7/27/2019 1 Mci Database Dec 2010 - Form i to IV

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FORM 1

FORMATE FOR PARTICULARS OF THE COLLEGE/INSTITUTE FOR THE EXISTING

MEDICAL COLLEGE/PROPOSED TO ESTABLISH NEW MEDICAL COLLEGE/PROPOSED

TO INCREASE THE SEATS

1 NAME OF THE APPLICANT

(STATE GOVERNMENT./UNION

TERRITORY/UNIVERSITY/ SOCIETY

/TRUST)

Surat Municipal Corporation

Name of the college:

Surat Municipal Institute of Medical

Education & Research (SMIMER-)

2 ADDRESS NO., STREET, CITY, PIN CODE,

TELEPHONE NOS.

FAX NO.


Education & Research (SMIMER)

Opp. Bombay Market, Umarwada,

Surat-395 010. Gujarat (India)

Phone No: 091-261- 2368040 to 43;

FAX No: 091-261- 2343241

3 ADDRESS OF REGISTERED OFFICE

NO., STREET, CITY, PIN CODE,

TELEPHONE NOS.

FAX NO.


Muglisara Daria Mahal,

Surat 395003

0261-2423751 to 56 & 2422285 to 87

0261- 2451935 &2422110

4 CONSTITUTION

(STATE GOVERNMENT/UNION

TERRITORY / UNIVERSITY

AUTONOMOUS BODY, SOCIETY, TRUST)


(Local self government-Autonomous Body)

5 REGISTRATION/INCORPORATION

(NUMBER AND DATE)

Not Applicable To Surat Municipal

Corporation

6 NAME OF AFFILIATING UNIVERSITY: Veer Narmad South Gujarat University,

(VNSGU), Surat


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7 CATEGORY OF APPLICANT

(STATE GOVERNMENT/UNION TERRITORY/

UNIVERSITY /SOCIETY /TRUST)


(Local self government autonomous body)

8 BASIC INFRASTRUCTURALFACILITIES

AVAILABLE FOR MEDICAL COLLEGE AND

ATTACHED HOSPITAL (PLEASE ADD A SEPARATE

SHEET IF NECESSARY)

Annexure-I

9 MANAGERIAL CAPABILITY:-Composition of the Society /Trust Particulars of Members of the

Society/Trust, Head or Project Director of the Proposed Medical College, Head of the Existing Hospital

Their Qualification and Experience in the Field of Medical Education.

Item College Dean Medical

Superintendent

Name Surat Municipal Institute of

Medical Education &

Research

Dr. Kalpana

A Desai

MD (Anesthesia)

Dr. Vandana Desai

MD (Paediatrics)

Address Umarwada,

Near Bombay Market, Surat

SMIMER,

Umarwada, Near

Bombay Market, Surat

SMIMER,

Umarwada, Near

Bombay Market, Surat

State Gujarat Gujarat Gujarat

Pin Code 395010 395010 395010

Phone

Office 0261-2368040-42

(EPBX)

0261-2366367 (Direct) 0261-2368040-43

Ext 1600

Res -- 0261-2252858 0261-2236849

Fax 0261-2343241 0261-2343241 0261-2360306

Mobile 09724345012 09724345013

E-mail deansmimer@ gmail.com [email protected]

[email protected]

10 FINANCIAL CAPABILITY

Balance sheet for the last 3 years to be provided if the

applicant is a society / trust.

Owned and completely Financed by Surat

Municipal Corporation

Please refer Annexure- VI


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PART II

11 NAME AND ADDRESS OF THE EXISTING

MEDICAL COLLEGESurat Municipal Institute of Medical

Education and Research (SMIMER)


Surat - 395 010 (Guj)-India.

12 MARKET SURVEY AND ENVIRONMENTAL

ANALYSIS

a) Give the main features of the state medical

education policy.

b) Availability of trained medical manpower in the

state and need for increase in the provision of

medical manpower

c) Gap analysis and how the gap will be reduced.

d)

Catchment area in terms of patients for the

proposed medical College / hospital.

e) No. of hospitals/primary health centres/private

clinics available in the Catchment area.

SMIMER medical college is in existence

since 2000-2001

f) State how will the existing medical facilities get

augmented by the establishment of proposed

medical college.

Merging of new areas & surrounding villages

into the Municipal Corporation

13 SITE CHARACTERISTICS AND AVAILABILITY OF EXTERNAL LINKAGES.

a) Topography Please refer Annexure- III

(Master plan of the Medical College

Complex)

b)

Plot size

T.P.S. NO. / F.P. NO. Area in Sq. mtrs.

T.P.S NO. 8/ F.P. NO. 64 108472.00T.P.S NO. 8/ F.P. NO. 64 30728.00

R.S. NO. / F.P. NO.

R.S. NO. 125 Paikee + 127/F.P.

No. 30/A & 30/B, etc

92719.00

c) Permissible floor space index As per GDCR norms of State Govt.

d) Ground coverage As per GDCR norms of State Govt.

e) Building height College: A, B, C blocks (Academic blocks

with 3 floors each)

Administrative block with two floors

Hospital: G+6 floorsf)

Road access Medical College is in the center of the city

and easily approachable to general public

with well road connectivity.

g) Availability of public transport Approachable with all modes of

transportation

h) Electric supply Round the clock facilities are available.


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i) Water supply Continuous round the clock water supply is

ensured.

j) Sewage connection Yes

k) Communication facilities Yes

14 EDUCATIONAL PROGRAMME

a) Proposed annual intake of students Recognized Seats 100

Permitted for additional seats 50

Please see the Annexure XIII

b) Admission criteria Combined Std. 12 and GUJCET marks as per

MCI norms

In case of NRI seats as per MCI norms

Please see the Annexure XIV

c) Method of admission Centralized admission criteria as laid down by

Govt. of Gujarat & MCI.

d) Reservation/preferential allocation of seats:As per Govt. norms: Local quota: 70, AllGujarat quota: 57 seats it includes reservation

for 15 % ST, 7 % SC, 27% OBCs)

( NRI: 15 % (23 seats)

Department wise and year wise curriculum of studies. - South Gujarat University, Surat has

adopted revised regulations of undergraduate medical education as prescribed by Medical

council of India.

Names of Subjects Duration of study

First M.B.B.S. Anatomy,

Physiology,

Biochemistry

One year

(1st& 2nd semesters)

Second M.B.B.S. Pathology

Pharmacology

Forensic Medicine

Microbiology

One and half year

(3rd

, 4th

& 5th

semesters)

Final M.B.B.S.

Part-I ENT

Ophthalmology,

Community Medicine

(6th

& 7th

semesters)

Part-II Medicine (Including

Paediatrics)

Surgery (Including

Orthopedics)

Obstetrics & Gynecology

(8th& 9thSemesters)


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15 FUNCTIONAL PROGRAMME

Department wise & service wise functional

requirements As per MCI recommendations

Area distribution and room wise sitting capacity

16 EQUIPMENT PROGRAMME:

Room wise list of Equipments complete with yearwise schedule of quantities and specifications

(a) Medical (b) Scientific (c) Allied Equipments

As per MCI recommendations

Please see Annexure I C

17 MAN POWER PROGRAMME

Department wise and year wise requirements of

(a)

Teaching staff (full time)As per MCI recommendations

Please see Annexure I D(b) Technical staff

(c) Administrative staff

(d) Ancillary staff

(e) Salary structure As per SMC resolutions (Annexure- XV)

(f)

Recruitment procedure By publishing the advertisement.

Selection through recruitment committee andthrough DPC constituted by University as per

MCI norms / SMC rules & regulations.

(g) Recruitment calendar As and when required.

18 BUILDING PROGRAMMEBuilding wise built up area of

(a) Medical college (departments, lecture theatre,

museum etc.)Medical college: 19179.67 Sq.mts

(Kindly refer Annexure 1A)

(b) Examination hall 398.40 Sq.mts

(c)

Faculty and staff housing Teaching staff 5840.72 Sq.mts

Nursing & Paramedical staff 7037.66 Sq.mts

(d) Staff and students hostels 14396.42 Sq.mts

(e) Administrative office College : 1348.45 Sq.mts

Hospital : 632.48 Sq.mts

(f) Library 2347 sq.mts

(g) Auditorium Surat Municipal Corporation Auditorium is of

1200 capacity, available for use for SMIMER.

(h) Animal house 142 Sq.mt

(i) Mortuary402.53 Sq.mts

(j) Cultural and recreational centre Available in the campus

(k) Sport complex 10067.21 Sq.mts

(l) Others (state name of the facility) --

19 PLANNING AND LAYOUT

(a) Master plan of the medical college complexFor copy of master layout plan

Kindly refer Annexure III(b) Layout plans, sections

(c) Elevations and floor wise area calculations of the


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medical colleges and ancillary buildings.

20 PHASING AND SCHEDULING

Month wise schedule of activities indicating

COMPLETED

(a)

Commencement & completion of building design

(b) Local body approvals

(c) Civil construction

(d) Provision of engineering services and equipment

(e) Requirement of staff

(f)

Phasing of commissioning

21 PROJECT COST

100% funded by the Surat Municipal Corporation

a) Capital cost of land

b)

Buildings

c) Plant and machinery

d) Medical, scientific and allied equipment

e) Furniture and fixtures

f) Preliminary and preoperative expenses

22 MEANS OF FINANCING THE PROJECT The entire project cost is incurred by Surat

Municipal Corporation.

(a)

Contribution of the applicant --(b)

Grants --

(c) Donations --

(d)

Equity --

(e) Term loans --

(f) Other sources (if any) --

23 REVENUE ASSUMPTIONS

(a) Fee structure Please see Annexure - XVII

(b) Estimated annual revenue from various sources Please see Annexure - XVIII

24 EXPENDITURE ASSUMPTIONS

(a) Operating expenses

Rs. 6.31 cr.(b)

Depreciation

25 OPERATING RESULTS

(a)

Income statement

Kindly refer Annexure - VI(b) Cash flow statement

(c) Projected balance sheets

NOTE - For Items 14 to 18 a comparative statement showing the relevant Medical Council of India norms vis--

vis infrastructure/faculty available and/or proposed to be made available should be annexed.


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PART III

26 NAME AND ADDRESS OF THE

EXISTING HOSPITAL


Education and Research (SMIMER)


Surat - 395 010 (Gujarat)-India.

27 DETAILS OF THE EXISTING HOSPITAL INCLUDING

a) Bed strength ( Total teaching beds) 686

b) Bed distribution, bed occupancy and

whether a norm of 5 in patients per student

would be fulfilled.

Yes

a) Medicine & Allied Specialties Number of

Teaching

Beds

Number

of Units

Average bed

occupancy/ day

(% of Teaching beds)(Apr 09-

Mar 10)

(Apr 10-

Oct10)

1) General Medicine 150 05 85.60 % 103.43%

2) Pediatrics 90 03 126.01% 105.05%

3) Tuberculosis & Respiratory Disease 30 01 45.60 % 68.85%

4) Dermatology, Venerology & Leprosy 13 01 45.11 % 64.68%

5) Psychiatry 13 01 23.86 % 30.87%

Total 296 11 65.24 %

b) Surgery & Allied Specialties Number of

Teaching

Beds

Number

of Units

Average bed

occupancy/ day

(% of Teaching beds)

(Apr 09-

Mar 10)

(Apr 10-

Oct10)

1) Gen. Surgery including Paediatrics

Surgery

150 05 84.74 % 77.62%

2) Orthopaedics 90 03 86.14 % 68.79%

3) Ophthalmology 30 01 39.07 % 37.38%

4) Oto-rhino-laryngology 30 01 56.90 % 90.32%

Total 300 10 66.71 %

c) Obstetrics & ANC Gynecology Number of

Teaching

Beds

Number

of Units

Average bed

occupancy/ day

(% of Teaching beds)

(Apr 09-

Mar 10)

(Apr 10-

Oct 10)

1) Obstetrics & Gynecology 90 03 86.95 % 79.08%

Grand Total 686 24 72.97 %


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c) Built up area 44115 sq.mt (Annexure I B)

d) Clinical and Para-clinical disciplines (Annexure I A)

e) OPDs and IPD attendance department wise Annexure II

f) Architectural and layout plans Annexure III

g)

List of medical/allied equipments Annexure - ICh) Capacity and configuration of engineering

servicesAvailable

i) Hospital services, administrative services,

other ancillary and support services

(category wise staff strength)

Annexure - IB

Up-gradation And Expansion Programme:

Structural and function capacity of Surat Municipal Institute of Medical Education & Research, is for 150

undergraduate seats and hospital capacity is 750 beds so there is no need to upgrade or expansion of

college or hospital building in short coming days.


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28 DETAILS ABOUT THE ADDITIONAL LAND FOR EXPANSION OF THE EXISTING

HOSPITAL

a) Land particulars

b) Distance from the proposed medical

college

c) Plot size

d)

Authorized land usagee) Geography

f) Soil condition

g) Road access

h) Availability of public transport

i) Electric supply

j) Water supply

k)

Sewage connection

l) Communication facilities

29 UPGRADED MEDICAL PROGRAMME :- Year wise details of the additional clinical &

Para clinical disciplines envisaged under the expansion programme30 UPGRADED FUNCTIONAL

PROGRAMME

a) Specialty wise and service wise

functional requirements

b) Area distribution

c) Specialty wise bed distribution


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31 BUILDING EXPANSION PROGRAMME: Year wise additional built-up area to be provided

for

a) Hospital

b) Staff housing

c) Staff and students hostels

d)

Other ancillary buildings

32 PLANNING AND LAYOUT: Upgraded master plan of the hospital complex along with

a) Layout plans

b) Sections

c) Elevations

d) Floor wise area calculation of the

hospital

e) Floor wise area calculation of

ancillary buildings

33 DETAILS ABOUT UPGRADATION OR ADDITION IN THE CAPACITY AND

CONFIGURATION OF ENGINEERING SERVICES AND HOSPITAL SERVICES

34 EQUIPMENT PROGRAMME Upgraded room wise list of

a) Medical and allied equipments

b)

Schedule of quantities

c) Specifications

35 UPGRADED MANPOWER PROGRAMME Category wise distribution of

a) Medical staff

b) Para-medical staff

c)

Other staff

36 PHASING AND SCHEDULING OF THE EXPANSION OF SCHEME Month wise schedule of

activities indicating

a) Commencement and completion of

building design

b)

Local body approvals

c) Civil construction

d)

Provision of engineering & hosp. services

e) Provision of medical & allied equipment

f) Recruitment of staff


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37 PROJECT COST OF THE EXPANSION SCHEME- Cost of additional

a) Land

b) Buildings

c) Engineering services

d) Hospital services

e)

Medical and allied equipments

f) Furniture and fixtures

g) Preliminary and pre-operative expenses

38 MEANS OF FINANCING THE PROJECT

a) Contribution of the applicant

b)

Grants

c)

Donations

d) Equity

e) Term loans

f) Other sources, if any

39 REVENUE ASSUMPTIONS: Income from

a) Various procedures and services

b) Upgraded service loads

c)

Other sources

40 EXPENDITURE ASSUMPTIONS

a) Operating expenses

b) Financial expenses

c) Depreciation

41 OPERATING RESULTS

a) Income statements

b) Cash flow statements

c)

Balance sheet

(Signature of Applicant)


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SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION &

RESEARCH (SMIMER), SURAT

LIST OF ANNEXURES ATTACHED

ANNEXURE- I BASIC INFRASTRUCTURAL FACILITIES AVAILABLE FOR MEDICAL COLLEGE AND

ATTACHED HOSPITAL

ANNEXURE- I A EXISTING INFRASTRUCTURE AT MEDICAL COLLEGE SMIMER, SURAT

ANNEXURE- I B EXISTING INFRASTRUCTURE AT SMIMER HOSPITAL, SURAT

ANNEXURE- I C LIST OF INSTRUMENT / EQUIPMENTS

ANNEXURE- I D DEPARTMENT WISE AND YEAR WISE REQUIREMENTS OF TEACHING STAFF ,TECHNICAL STAFF, ADMINISTRATIVE STAFF & ANCILLARY STAFF

ANNEXURE- II OPDS AND OPD ATTENDANCE DEPARTMENT WISE

ANNEXURE- III MASTER PLAN OF THE MEDICAL COLLEGE COMPLEX

ANNEXURE- IV

(ENCLOSURE-1)

COPY OF BYE LAWS / MEMORANDUM AND ARTICLES OF ASSOCIATION / TRUST

DEED

ANNEXURE- V

(ENCLOSURE-II)

COPY OF CERTIFICATE OF REGISTRATION/INCORPORATION.

ANNEXURE- VI

(ENCLOSURE-III)

ANNUAL REPORTS AND AUDITED BALANCE SHEETS FOR THE LAST THREE YEARS

ANNEXURE- VII

(ENCLOSURE-IV)

COPY OF THE TITLE DEEDS OF THE TOTAL AVAILABLE LAND AS PROOF OF

OWNERSHIP.

ANNEXURE- VIII

(ENCLOSURE-V)

COPY OF ZONING PLANS OF THE AVAILABLE SITES INDICATING THEIR LAND USE

ANNEXURE- IX

(ENCLOSURE-VI)

PROOF OF OWNERSHIP OF EXISTING HOSPITAL

ANNEXURE- X

(ENCLOSURE-VII)

CERTIFIED COPY OF THE ESSENTIALITY CERTIFICATE ISSUED BY THE

RESPECTIVE STATE GOVERNMENT/UNION TERRITORY ADMINISTRATION.

ANNEXURE- XI

(ENCLOSURE-VIII)

CERTIFIED COPY OF THE CONSENT OF AFFILIATION ISSUED BY A RECOGNISED

UNIVERSITY.

ANNEXURE- XII(ENCLOSURE-IX)

AUTHORIZATION LETTER ADDRESSED TO THE BANKERS OF THE APPLICANTAUTHORIZING THE CENTRAL GOVERNMENT./MEDICAL COUNCIL OF INDIA TO

MAKE INDEPENDENT ENQUIRIES REGARDING THE FINANCIAL TRACK RECORD OF

THE APPLICANT.

ANNEXURE-XIII PROPOSED ANNUAL INTAKE OF STUDENTS

ANNEXURE- XIV ADMISSION CRITERIA , METHOD OF ADMISSION & RESERVATION/PREFERENTIALALLOCATION OF SEATS

ANNEXURE- XV SALARY STRUCTURE

ANNEXURE- XVI PROJECT COST

ANNEXURE- XVII FEE STRUCTURE

ANNEXURE- XVIII ESTIMATED ANNUAL REVENUE FROM VARIOUS SOURCES


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Form II

Essentiality Certificate; Permanent Affiliation by Government of Gujarat


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FORM III

Essentiality Certificate; Permanent Affiliation by VNSG University, Surat


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Essentiality Certificate; Permanent Affiliation by VNSG University, Surat


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FORM IV

Undergraduate Degrees Recognition for 100 seats by Govt. of India

Letter No.U.12012/ 34/99-ME (P-II) Dated 1st July 2005


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1 Mci Database Dec 2010 - Form i to IV

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Transcript of 1 Mci Database Dec 2010 - Form i to IV