PHARMACY COUNCIL OF INDIA
STANDARD INSPECTION FORM PHARM.D PHARM.D. and PHARM.D (POST BACCALAUREATE)
General Information pertaining to:1.
College and teaching hospital (Pharmacy Practice site)
2.
Courses of Study leading to: - Pharm D and Pharm D (PB)
Name of Institution
:
Parul Institute of Pharmacy and Research
Place and Address
:
Post Limda, Tal. Waghodia, Dist. Vadodara- 391760.
Principal/Dean
:
Dr. T. Y. Pasha
Tel. No. Off
:
02668-260287
Res
:
--
Fax
:
02668 -260201
Mobile No
:
+91 9825629186
Email
:
[email protected]
Name and address of Affiliating University
:
Parul University, Limda (Post), Vadodara.
Date:
Signature of Dean/Principal
-----------------------------------------------------------------------------------------------------
Signature of the Head of the Institution
Signature of the Inspectors 1
PHARMACY COUNCIL OF INDIA Standard Inspection Format (S.I.F) for Pharm. D. Programme Or Pharm. D. and Pharm. D. (Post Baccalaureate) Programmes (SIF-D)
PART – I A - GENERAL INFORMATION A – I. 1 Application for Pharm. D./
Pharm. D./
Pharm. D. and Pharm. D. (Post Baccalaureate) (Tick the relevant Box) A – I .2 Year of Establishment of the Institution A – I .3 Name of the Institution: Complete Postal address: STD code Telephone No Fax No. E-mail A – I .4 Status of the course conducting body: Government / University / Autonomous / Aided / Private (Enclose copy of Registration documents of Society/Trust) A – I .5 Name, address of the Society/Trust/ Management (attach documentary evidence) STD Code: Telephone No: Fax No: E-mail Web Site:
Pharm. D. and Pharm. D. (Post Baccalaureate) 2005 Parul Institute of Pharmacy & Research P.o.limda, Tal. Waghodia, Vadodara – 391 760 Tel: 02668 – 260300 / 260287 Fax: 02668 – 262327, 260201
[email protected] University ANNEXURE – I Parul University Parul University P.o.limda, Tal. Waghodia, Vadodara – 391 760 Tel: 02668 – 260300 / 260287 Fax: 02668 –260201
[email protected] www.parul.ac.in ANNEXURE - II
Signature of the Head of the Institution
Signature of the Inspectors 2
A – I .6 Name, Designation and Address of person to be Dr. Devanshu J. Patel, contacted Vice President , Name Parul University, Designation P.o.limda, tal.waghodia, vadodara 391760 Address
STD Code Telephone No. Office Residence Mobile No. Fax No. E-Mail
TEL: 02668 – 260300 / 260287 (O) 0265 – 2340014 (R) 09879105597 (M) FAX: 02668 – 260201
[email protected]
A – I .7 Name and Address of the Head of the Institution
Dr. T. Y. Pasha Principal Parul Institute of Pharmacy and Research Post Limda, Tal. Waghodia, Dist. Baroda – 391 760.
A – I .8 Name of the Examining Authority Complete Postal Address
The Registrar Parul University P.O. Limda, Ta. Waghodia, Dist. Vadodara. Pin391760.- Gujarat 02668 260 260201 registrar@ paruluniversity.ac.in www.parul.ac.in
STD Code Telephone No. Fax No. E-Mail Website
Signature of the Head of the Institution
Signature of the Inspectors 3
A – I .9 APPLICATION FOR SEEKING AFFILIATION/CONTINUATION OF AFFILIATION FOR PHARM. D. OR PHARM. D. AND PHARM.D. (POST BACCALAUREATE) PROGRAMME a. DETAILS OF AFFILIATION FEE PAID Affiliation Fee/Inspection fee for/up to the year
Name of the Course
Amount
D.D. No
Dated
011112
20/08/2015
Pharm. D. 2016-17 2,00,000-00 Pharm. D. (POST BACCALAUREATE) Copies of affiliation fee paid are enclosed. Annexure: III.
b. APPROVAL STATUS OF THE INSTITUTION Name of the Course
Intake Approved and Admitted
Approved up to
PCI
STATE GOVT
NO: 32-554/2014EMS/102007 Approval Letter PCI/23316-18 Dated dated on No. and Date 15/1/2005 02/09/2015 B.Pharm
2015-16
Pharm. D
-
ANNEXURE: IV
Approved Intake Actually Admitted Approval Letter No. and Date Approved Intake Actually Admitted
UNIVERSITY
Remarks of the Inspectors
Parul University ANNEXURE: IV
ANNEXURE: IV
100
100
100
100
-
-
-
-
-
-
Parul University ANNEXURE: V
A –I. 10 Whether other Educational Institutions/Courses are also being run by the Trust / Society in the same Building / Campus? If yes, give details Yes No A – I. 10 a Status of the Pharmacy course: Independent Building
Yes
Wing of another college
No
Separate Campus
Yes
Multi Institutional Campus
Yes
Any Other, please specify
-
Signature of the Head of the Institution
Signature of the Inspectors 4
A – I. 10 b STATUS OF APPLICATION Intake
Remarks
Course Permissible
Proposed Intake
Pharm. D.
30
30
Pharm. D. (POST BACCALAUREATE)
10
10
B - Details of the Institution B –I .1 Name of the Principal/Head Qualification * Qualification/ Experience
M. Pharm
Yes
Ph. D
Yes
Dr. T. Y. Pasha Teaching Experience Required 16 years, out of which 6 years as Prof. / HOD 10 years, out of which at least 05 years as Asst. Prof
Actual Remarks of the experience Inspectors Ph. D. with 24 years experience of which 5 Years as Asst. Prof. : Documents enclosed. ANNEXURE: VI
* Documentary evidence should be provided B –I .2 For institution seeking extension of approval Course
Date of last Inspection
Remarks of the last Inspection Report
Deficiencies rectified / Not rectified
Intake reduced/Stopped in the last 03 years*
-
-
-
NA
(a) Pharm. D. (b) Pharm. D. (Post Baccalaureate) * Enclose Documents (write NA if not applicable): B –I .3 Type of Institution
Self Financed
Details of the Governing Body
Enclosed (Annexure: VII)
Minutes of the last Governing council Meeting
Enclosed (Annexure: VIII)
B –I .4 Pay Scales: Staff Teaching Staff Non-Teaching Staff
Scale of pay AICTE/UGC/State Govt. AICTE/UGC/State Govt.
PF
Gratuity
Pension benefit
Yes
Yes
No
No
Yes
Yes
No
No
Signature of the Head of the Institution
Remarks of the Inspectors
Signature of the Inspectors 5
B –I .5 Co – Curricular Activities / Sports Activities Whether college has NSS Unit (Yes/No)?
Yes
NSS Programme Officer’s Name
Dr. Mahesh Mahida
Whether students participating in University level cultural activities / Co- curricular/sports activities
Yes
Physical Instructor
Available
Sports Ground
Available
Signature of the Head of the Institution
Signature of the Inspectors 6
C - FINANCIAL STATUS OF THE INSTITUTION Audited financial Statement of Institute should be furnished C –1.1 Resources and funding agencies (give complete list) C –1.2 Please provide following Information Receipts Sl. Particulars Amount No. 1. Grants a. Government b. Others 2. Tuition Fee 13018600-00
Sl. No.
Expenditure Particulars
Amount
CAPITAL EXPENDITURE 1.
Building
3.
Library Fee
2.
Equipment
35283-00
4.
Sports Fee
3.
Others
168492-00
5.
Union Fee
6.
Others
REVENUE EXPENDIUTRE 10984-00
1
Salary
10332608-00
2.
MAINTENANCE EXPENDITURE i College
-
ii Others University Fee (If any) Apex Bodies Fee Government Fee Deposit held by the College Others Misc.Expenditure Total
3. 4. 5. 6.
Total
Remarks of the Inspectors
1329584-00
7. 8.
8263-00 195200-00 8,24,000
1865689-00 272070/13300128/-
Note: Details of relevant documents enclosed as Annexure: IX
Signature of the Head of the Institution
Signature of the Inspectors 7
PART- II PHYSICAL INFRASTRUCTURE 1. a. Availability of Land for the Pharmacy College : Available - 2.5 acres a) 2.5 acres District HQ/Corporation/Municipality limit b) 0.5 acre for City / Metros b. Building
:
Own
c. Land Details to be in name of Trust and Society Records to be enclosed Sale deed :
Enclosed (ANNEXURE - X)
d. Building†: i) Approved Building plan, to be enclosed
Enclosed (ANNEXURE- X)
:
e. Total Built Area of the college building in Sq.mts
: Built up Area
2398
Amenities and Circulation Area
1536
Total Area
3934
2. Class rooms: Total Number of Class rooms available and number provided for Pharm. D. or Pharm. D. and Pharm. D. (Post Baccalaureate) Programme
Class B.Pharm.
Pharm. D. *
Required
Available Numbers
4
4
75 sq mts essential
1
90 Sq.mts. each (Desirable) 75 Sq.mts. each (Essential)
1
Required Area for each Class Room
Available Area in Sq.mts. 320 Sq.mts
Remarks of the Inspectors
90 Sq.mts
Pharm. D. 1 1 30 30 Sq.mts ( Post Baccalaureate) (* To accommodate 30 students for Pharm. D. and 10 students for Pharm. D. (Post Baccalaureate)).
Signature of the Head of the Institution
Signature of the Inspectors 8
3. Laboratory requirement for Pharm. D. or Pharm.D. and Pharm.D. (Post Baccalaureate) Programme* Sl. No.
Infrastructure
1
Laboratory Area (8 Labs)
2
- Pharmaceutics and Pharmacokinetics Lab - Life Science (Pharmacology, Physiology, Pathophysiology) - Phytochemistry or Pharmaceutical Chemistry - Pharmacy Practice
3
4 5 6 7 8 a) b)
c) d)
9.
†
Preparation Room for each lab (One room can be shared by two labs, if it is in between two labs) Area of the Machine Room
Minimum requirement as per Norms
Available No. & Area in Sq.mts.
75 Sq.mts. each
12 (1136)
2
02 (259)
2
02 (175)
2
02 (175)
2
02 (175)
10 Sq.mts. (Minimum)
80-100 Sq.mts 80 Sq.mts with Central Instrument Room AC 1 (Area 100 Sq Store Room – I mts) Store Room – II 1 (Area 20 Sq (For Inflammable chemicals) mts) 300 bedded Hospital with teaching facility – hospital. Tertiary (Please tick) Care Hospital Own desirable Medicine (Compulsory) Teaching Hospital approved by (Any three of the MCI* or University * below) Surgery Govt. Hospital * Pediatrics Corporate type * Gynecology and Obstetrics Psychiatry * Attach a copy of MOU between institution Skin and VD Orthopedics & Hospital. Enclosed MOU as Annexure: XI Dept. of Pharmacy Practice/Clinical 3 Sq.mts. per Pharmacy in Hospital student
Remarks of the Inspectors
10 Sq.mts. available in each lab 1 ( 104 sq mts) 1 ( 80 sq mts) 1 ( 100 sq mts) 1 (20 sq mts)
1423 bed Government medical college, Vadodara, SSG hospital with tertiary care facilities with following departments. Medicine Surgery Pediatrics Gynecology and Obstetrics Psychiatry Skin and VD Orthopedics
120 Sq.mts.
The Institutions shall not be affiliated if the above course is run in rented/leased building. 1. All the Laboratories should be well lit & ventilated 2. All Laboratories should be provided with basic amenities and services like exhaust fans and fuming chamber to reduce the pollution wherever necessary. 3. All the laboratories should be provided with safety measures like fire safety, chemical exposure safety and bio safety. 4. The workbenches should be smooth and easily cleanable preferably made of non-absorbent material. Signature of the Head of the Institution
Signature of the Inspectors 9
5. The water taps should be non-leaking and directly installed on sinks Drainage should be efficient. 6. Balance room should be attached to the concerned laboratories. 4. Administration Area:
Sr. No.
Name of infrastructure
1
Principal’s Chamber
2
Office – I - Establishment
3
Office – II - Academics
4
Confidential Room
Requirement as per Norms in number
Requirement as per Norms, in area
01
01
Available No.
Area in Sq .mts
30 Sq .mts
01
30 sq.mts
60 Sq. mts
01
70 sq.mts.
Remarks/ Deficiency
5. Staff Facilities: Sr. No.
Name of infrastructure HOD Rooms for Pharm. D and Post Baccalaureate Programme Faculty Rooms for Pharm. D. and Pharm. D. Post Baccalaureate Programme
1
2
Requirement as per Norms in number
Requirement as per Norms in area
Minimum 4
20 Sq mts x 4
-
10 Sq mts x n (n=No of teachers)
Available Area in No. Sq. mts 4 20 Sq mts x4 1
Remarks of the Inspectors
30 Sq mts
6. Museum, Library, Animal House [should have approval of the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA)] and other Facilities: Sr. No.
Name of infrastructure
Requirement as per Norms in number
Requirement as per Norms in area
Available No.
Area in Sq. mts
1
Animal House
01
80 Sq. mts
01
150 Sq.mts
2
Library
01
150 Sq. mts
01
254 Sq.mts
01
50 Sq.mts
01
300 capacity
01
0.5 acres
Remarks of the Inspectors
50 Sq. mts 3 4 5
Museum Auditorium / Multi Purpose Hall (Desirable) Herbal Garden (Desirable)
01 01 01
(May be attached to the Pharmacognosy lab)
250 – 300 seating capacity Adequate Number of Medicinal Plants
Signature of the Head of the Institution
Signature of the Inspectors 10
7. Student Facilities: Sl. No. 1 2
Name of infrastructure
Requirement as per Norms in number
Girl’s Common Room (Essential) Boy’s Common Room (Essential)
01
Available
Requirement as per Norms in area
No.
Area in Sq. mts
60 Sq. mts
01
82 Sq. mts
60 Sq. mts
01
01
82 Sq. mts
3
Toilet Blocks for Boys
01
24 Sq. mts
04
96 Sq. mts
4
Toilet Blocks for Girls
01
24 Sq. mts
04
96 Sq. mts
5
Drinking Water facility – Water cooler (Essential).
01
-
01
-
6
Boy’s Hostel (Desirable)
01
9 Sq. mts/ Room Single occupancy
01
25 Sq. mts/ Room 50 rooms
01
25 Sq. mts/ Room 20 rooms
01
-
7
Girl’s Hostel (Desirable)
01
9 Sq. mts / Room (single occupancy) 20 Sq mts / Room (triple occupancy)
8
Power Backup Provision (Essential)
01
-
Remarks of the Inspectors
8. Computer and other Facilities: Available Name
Required 01
Area in Sq. mts 100 Sq.mts
30
-
05
-
No. Computer Room
100 Sq.mts.
Computers (Latest configuration)
1 system for every 10 students 1 printer for every 10 computers
Printers Multi Media Projector
01
06
-
Generator (5KVA)
01
01 (5 KVA)
-
Remarks of the Inspectors
9. Amenities (Desirable) Name
Requirement as per Norms in area
Available
Not Available
Principal’s quarter
120 Sq. mts
01
Area in Sq. mts 125 Sq.mts
Staff quarters
16 x 80 Sq mts
12
1200 Sq.mts
-
Canteen
100 Sq. mts
01
100 Sq.mts
-
No.
-
Parking Area for staff and students
-
01
100 Sq.mts
-
Bank Extension Counter
-
01
Available
-
Signature of the Head of the Institution
Remarks of the Inspectors
Signature of the Inspectors 11
Co operative Stores Guest House
80 Sq. mts
01
Available
-
01
125 Sq.mts
-
Auditorium
-
01
400 Sq.mts
-
Seminar Hall
-
03
150 Sq.mts
-
Transport Facilities for students
-
60 buses
Available
Medical Facility (First Aid)
-
01
Available
-
10. A. Library books and periodicals The minimum norms for the initial stock of books yearly addition of the books and the number of journals to be subscribed are as given below: Sl. No.
Item
Available
Titles (No)
Minimum Volumes (No) 1500 adequate coverage of a large number of standard text books and titles in all disciplines of pharmacy
1
Number of books
150
2
Annual addition of books
-
150 books per year
3
Periodicals Hard copies / online
-
20 National 10 International periodicals
4
CDS
-
Adequate No’s
-
Yes/No (Minimum ten Computers)
5
6
Internet Browsing Facility Reprographic Facilities: Photo Copier Fax Scanner
-
Title
No.
1667
11007
77
295
Remarks of the Inspectors
59 hard copies 502 Online (87 N + 415 Int) 68
01 01 01
7
Library Automation and Computerized System (desirable)
8
Library Timings:
Yes Adequate
Available Available Available SOUL 2 SOFTWARE ENABLED AND Automated 9:30 AM – 4:30 PM
Signature of the Head of the Institution
Signature of the Inspectors 12
10. B. Subject wise Classification of books available: Available Sl. No
Subject
1
Pharmacognosy
Titles 53
2
Pharmacy Practice
22
58
3
Human Anatomy & Physiology
57
479
4
Pharmaceutics (Dispensing & General Pharmacy)
5
Pharmaceutical Organic Chemistry
9 114
888
6
Pharmaceutical Inorganic Chemistry
24
333
7
Pharmaceutical microbiology
42
268
8
Pathophysiology
19
149
9
Applied Biochemistry & Clinical Chemistry
56
447
10
Pharmacology
135
880
11
Pharmaceutical Jurisprudence
24
201
12
Pharmaceutical Dosage Forms
27
51
13.
Community Pharmacy
8
56
14.
Clinical Pharmacy
43
156
15.
Pharmacy
102
639
16.
Pharmacotherapeutics
21
36
17.
Pharmaceutical analysis
331
1660
18.
Medicinal Chemistry
66
270
19.
Biology
6
7
Computer Science or Computer Application in pharmacy Mathematics/Statistics
23
114
45
354
20. 21
Numbers 964
Remarks of the Inspectors
2997
10. C. Library Staff: Sr. No.
Staff
Qualification
Required
Available
1
Available
2
Available
1
Librarian
M. Lib, UGC NET Dec. 2012 2013
2
Library Attainders
10 +2 / PUC
Signature of the Head of the Institution
Remarks of the Inspectors
Signature of the Inspectors 13
PART III: ACADEMIC REQUIREMENTS Course Curriculum: 1. Student Staff Ratio: (Required ratio --- Theory → 30:1 and Practical → 15:1) If more than 20 students in batch 2 staff members to be present provided the lab is spacious. Class
Theory
Practical
Pharm. D.
1:30
1:15
Pharm. D. ( Post Baccalaureate)
1:10
1:10
Remarks of the Inspectors
2. Academic Calendar: Proposed date of Commencement of session / sessions for PHARM. D Commencement
Commencement
DD/MM/YY 25/07/2016
DD/MM/YY 25/07/2016
No of Days 3. Proposed Vacation for Pharm. D Programme.
21
Summer:
4. Proposed Total No. of working days for PHARM. D. (Requirement not less than 200 working days/year)
No of Days Winter:
14
200
Commencement
Completion
DD/MM/YY
DD/MM/YY
25/07/2016
15/04/2017
5. Date of Commencement of session for Pharm.D. Post Baccalaureate: Commencement
Commencement
DD/MM/YY 25/07/2016
DD/MM/YY 25/07/2016
No of Days 6. Vacation for Pharm.D. Post Baccalaureate:
Summer:
7. Total Number of working days for Pharm.D. Post Baccalaureate (Requirement not less than 200 working days/year):
No of Days 21
Winter:
200
8. Proposed Time Table copy Enclosed:
(Tick √)
a. Pharm. D. course
Yes
No
-
b. Pharm.D. Post Baccalaureate Course
Yes
No
-
Signature of the Head of the Institution
14
Signature of the Inspectors 14
TIME TABLE PARUL INSTITUTE OF PHARMACY AND RESEARCH FIRST SEMESTER, B.PHARM 2015
w.e.f.:25/07/2016 Revision: 00
TIME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
Remedial Mathematics / Biology Mr. Hemal/Mr. Hemant
Medicinal Biochemistry Dr. Sunil Patel
Pharmaceutical Organic Chemistry Ms. Jignasha Derasari
Pharmaceutics Mr. Arun
09:30am to 10:15am
Pharmaceutical Inorganic Chemistry Dr. Rashmi
Pharmaceutical Inorganic Chemistry Dr. Rashmi
Pharmaceutical Organic Chemistry Tutorial Ms. Jignasha Derasari Remedial Mathematics / Biology Mr. Hemal/Mr. Hemant Medicinal Biochemistry Dr. Sunil Patel
Human Anatomy And Physiology Tutorial Mrs. Snigdha Mandal
Remedial Mathematics / Biology Mr. Hemal/Mr. Hemant
Medicinal Biochemistry Dr. Sunil Patel
Pharmaceutical Inorganic Chemistry Dr. Rashmi
Pharmaceutics Tutorial Mr. Arun
Pharmaceutical Organic Chemistry Ms. Jignasha Derasari
Human Anatomy And Physiology Mrs. Snigdha Mandal
Remedial Mathematics / Biology Tutorial Mr. Hemal/Mr. Hemant
Medicinal Biochemistry Tutorial Dr. Sunil Patel
Human Anatomy And Physiology Mrs. Snigdha Mandal
Pharmaceutics Mr. Arun
Pharmaceutical Organic Chemistry Ms. Jignasha Derasari
Human Anatomy And Physiology Mrs. Snigdha Mandal
Pharmaceutics Tutorial Mr. Arun
Pharmaceutical Inorganic Chemistry Tutorial Dr. Rashmi
Medicinal Biochemistry Batch: A Dr. Sunil Patel Library Hours Batch: B
Biology
10:15am to 11:00am
11:00am to 11:45pm
11:45pm to 12:30pm
12:30pm to 01:15pm
01:15pm to 04:15pm
RECESS
Pharmaceutical Inorganic Chemistry Batch: A Dr. Rashmi Human Anatomy And Physiology Batch: B Mrs. Snigdha Mandal
Human Anatomy And Physiology Batch: A Mrs. Snigdha Mandal Pharmaceutical Inorganic Chemistry Batch: B Dr. Rashmi
Pharmaceutical Organic Chemistry Batch: A Ms. Jignasha Derasari Pharmaceutics Batch: B Mr. Arun
Signature of the Head of the Institution
Pharmaceutics Batch: A Mr. Arun Pharmaceutical Organic Chemistry Batch: B Ms. Jignasha Derasari
Signature of the Inspectors 15
Batch: A Mr. Hemant Medicinal Biochemistry Batch: B Dr. Sunil Patel
10. Whether the prescribed numbers of classes per week are being conducted as per PCI norms.* - NA First Year Pharm D: Subject
1
No of Theory Classes Prescribed No of Hrs 2
Practical’s Tutorials Total No. of classes No of Hours No of Hours Prescribed Prescribed No of Hours conducted Conducted Conducted No of Hrs No of Hrs Conducted No. of classes x 5 3 4 6 7 hours per class
Human Anatomy and Physiology
3
3
Pharmaceutics
2
3
Medicinal Biochemistry
3
3
1
Pharmaceutical Organic Chemistry Pharmaceutical Inorganic Chemistry Remedial Mathematics/ Biology Total Hours
3
3
1
2
3
1
3
3**
1
16
18
6=(40)
1 NA
1
* Write NA if not Applicable ** for Biology
Signature of the Head of the Institution
Signature of the Inspectors 16
Remarks of the Inspectors
Second Year Pharm D: No of Theory Classes
Subject
Prescribed No of Hrs 2
1
Practical’s
Tutorials
Total No. of classes No of Hours Prescribed No of Hours Prescribed No of Hours conducted Conducted No of Hrs Conducted No of Hrs Conducted No. of classes x 3 4 5 6 7 hours per class 1
Pathophysiology
3
Pharmaceutical Microbiology Pharmacognosy & Phytopharmaceuticals Pharmacology-I
3
3
3
3
3
-
1
Community Pharmacy
2
-
1
Pharmacotherapeutics-I
3
3
1
17
9
6=32
Total Hours
1 NA
Signature of the Head of the Institution
1
Signature of the Inspectors 17
Remarks of the Inspectors
Third year Pharm D: Total No. of classes No of Hours Prescribed No of Hours Prescribed No of Hours conducted Conducted No of Hrs Conducted No of Hrs Conducted No. of classes x 3 4 5 6 7 hours per class 3 1
No of Theory Classes
Subject
Prescribed No of Hrs 2
1
Practical’s
Tutorials
Pharmacology-II
3
Pharmaceutical Analysis
3
3
Pharmacotherapeutics-II
3
3
Pharmaceutical Jurisprudence
2
-
-
Medicinal Chemistry
3
3
1
Pharmaceutical Formulations
2
3
1
Total Hours
16
15
5=36
1 NA
Signature of the Head of the Institution
1
Signature of the Inspectors 18
Remarks of the Inspectors
Fourth year Pharm D:
Subject
1 Pharmacotherapeutics-III
No. of Hours of Total No. of No of Theory Classes Practical/Hospital Tutorials classes Posting conducted Prescribed No of Hours Prescribed No of Hours Prescribed No of Hours No. of classes x No of Hrs Conducted No of Hrs Conducted No of Hrs Conducted hours per class 2 3 4 5 6 7 3 3 1
Hospital Pharmacy
2
3
1
Clinical Pharmacy
3
3
1
2
-
3
3
1
2
-
1
15
12
6=33
Biostatistics & Research Methodology Biopharmaceutics & Pharmacokinetics Clinical Toxicology
NA
Signature of the Head of the Institution
1
Signature of the Inspectors 19
Remarks of the Inspectors
Fifth year Pharm D:
1 Clinical Research
No. of Hours of Total No. of Seminars Hospital Posting * classes conducted No of Hours Prescribed No of Hours Prescribed No of Hours Conducted No of Hrs Conducted No of Hrs Conducted No. of classes x hours per class 3 4 5 6 7 1
No of Theory Classes
Subject
Prescribed No of Hrs 2 3
Pharmacoepidemiology and Pharmacoeconomics Clinical Pharmacokinetics & Pharmacotherapeutic Drug Monitoring
3
-
Remarks of the Inspectors
1
2 -
1
NA
Clerkship *
-
-
1
Project work (Six Months)
-
20
-
8
20
4=32
Total Hours * Attending ward rounds on daily basis.
11. Work load of Faculty members for Pharm. D. and Pharm.D. Post Baccalaureate: NA Sl. No Name of the Faculty Subjects taught Pharm. D. Pharm. D. Post Baccalaureate Total work load Remarks of the Inspector Th
Pr
1.
Th Not Applicable
Signature of the Head of the Institution
Pr
Signature of the Inspectors 20
12. Work load of Faculty members per week for Pharm. D. Sl. No
Name of the Faculty
Pharm. D.
Subjects taught
Pharm.D.
Total work load
Remarks of the Inspector
I
II III IV V Th Pr Th Pr Th Pr Th Pr Th Pr Not Applicable.
13. Workload of Faculty members per week for Pharm. D. and Pharm. D. (Post Baccalaureate) Sl. No
Name of the Faculty
Subjects taught
Pharm.D. and Pharm.D. (Post Baccalaureate) I II III Th Pr Th Pr Th Pr
Total work load
Remarks of the Inspector
Not Applicable. 14. Percentage of students qualified in GATE in the last Three Years Year 2012-13
Year 2013-14
Year 2014-15
No. of Students Appeared
35
22
35
No. of Students Qualified
5
06
01
Percentage
14
27.27
2.85
Details
15. Whether Professional Society Activities are conducted Yes
No
Signature of the Head of the Institution
Signature of the Inspectors 21
PART IV - PERSONNEL TEACHING STAFF. 1. Details of Teaching Faculty available with the institution for teaching for B.Pharm. And M.Pharm. Courses to be enclosed in the format mentioned below: Sr. No
Name
1.
Dr. T. Y Pasha
2.
Dr. Dipti Patel
Designatio Qualificati n on
Date of Joining
Teaching Experience After PG
State Pharmacy Council Reg No.
Professor & Principal Associate. Prof.
M.Pharm. 22/11/2012 24.4 Years , Ph.D.
17491(K)
M.Pharm. 22/11/2008 9.9 Years Ph.D.
G-20780
M.Pharm. , Ph.D. M.Pharm. M.Pharm. M.Pharm. M.Pharm.
10/06/2011 6.9 Years
G- 19057
Ms. Pinkal.J.Patel Mrs. Rupal Jani Mr. Virag Gophane Ms. Tanvi Dodiya
Associate. Prof. Asst. Prof Asst. Prof Asst. Prof Asst. Prof
01/10/2007 16/11/2006 16/08/2010 07/01/2016
G-18862 G-22231 85054 G-25998
8. Mr. Stavan Master
Asst. Prof
M.Pharm. 01/08/2009 6.1 years
9. Ms. Disha Prajapati 10. Mrs. Jignasa Modi 11. Mr. Rakesh Parmar 12. Ms. Khushbu Suthar 13. Mrs Jaswandi Mehetre 14. Mr. Amish Gandhi 15. Ms Ankita Patel 16. Mr. Neelang Trivedi 17. Dr. Asha Patel
Asst. Prof
M.Pharm. 22/06/2015 10 Months
Asst. Prof Asst. Prof
M.Pharm. 01/09/2011 7.8 Years M.Pharm. 04/03/2016 6.10 Years
G-27609 G-29289
Asst. Prof
M.Pharm. 19/01/2015 3.1 Years
G-45670
Asst. Prof
M.Pharm. 01/07/2015 4.3 Years
G-64468
Asst. Prof Asst. Prof Asst. Prof
M.Pharm. 06/01/2016 4.6 Years M.Pharm. 01/07/2015 3.3 Years M.Pharm. 07/01/2016 2.3 Years
G-48898 G-40914 G-33975
Associate Prof. Asst. Prof Asst. Prof Asst. Prof Asst. Prof
M.Pharm. , Ph.D. M.Pharm. M.Pharm. M.Pharm. M.Pharm.
11/02/2016 6 Years
G-24259
16/02/2016 3 Months 01/05/2016 01/05/2016 18/06/2007 8.1 Years
G-55195
3. Dr. Deepa Patel 4. 5. 6. 7.
18. 19. 20. 21.
Ms. Vidhi Mistri Mr. Parth Chauhan Ms. Ekta Patel Ms. Jignasha Derasari
Signature of the Head of the Institution
10.1 Years 8.9 Years 5 Years 7.10 Years
Signatu Remar re of the ks of faculty the Inspect ors
Under Process
G- 31042
Signature of the Inspectors 22
2. Details of Teaching Faculty exclusively available for teaching for Pharm. D. Course to be enclosed in the format mentioned below: S. N o 1
2
3
4 5
Name Dr. Priyanka Patil Ms. Snighdha Das Mandal Dr. Sunil B. Patel Mr. Arun N.A. Dr. Rashmi
State Teaching Pharmacy Designation Qualification Experience Council Reg No. Associate. Ph.D. 02/08/2010 7.2 Years 83915 Prof. M.Pharm. Date of Joining
Asst. Prof
M.Pharm.
01/06/2007 8.2 Years
158 (Chhattisgarh)
Asst. Professor
Pharm. D
01/05/2016 -
Applied
Asst. Professor
M.Pharm Pharmacy Practice Pharm. D
01/05/2016 -
49376(K)
01/05/2016 -
47404(Kerala)
Asst. Professor
Signature Remarks of the of the faculty Inspectors
3. Details of Teaching Faculty available for teaching for Pharm. D. and Pharm. D. (Post Baccalaureate) Course to be enclosed in the format mentioned below:
S. N o 1
2
3
4 5
Name Dr. Priyanka Patil Ms. Snighdha Das Mandal Dr. Sunil B. Patel Mr. Arun N.A. Dr. Rashmi
State Teaching Pharmacy Designation Qualification Experience Council Reg No. Associate. Ph.D. 02/08/2010 7.2 Years 83915 Prof. M.Pharm. Date of Joining
Asst. Prof
M.Pharm.
01/06/2007 8.2 Years
158 (Chhattisgarh)
Asst. Professor
Pharm. D
01/05/2016 -
Applied
Asst. Professor
M.Pharm Pharmacy Practice Pharm. D
01/05/2016 -
49376(K)
01/05/2016 -
47404(Kerala)
Asst. Professor
Signature of the Head of the Institution
Signature Remarks of the of the faculty Inspectors
Signature of the Inspectors 23
4.
Qualification and number of Staff Members Qualification B. Pharm M. Pharm -
-
25
PhD
1- Pharm D
5
-
-
Others Part time 2
5. Staff Pattern for Pharm. D. or Pharm. D. and Pharm. D. (Post Baccalaureate) courses department wise for full duration of course/courses*: : Professor: Asst. Professor: Lecturer Department/Division
Department of Pharmaceutics
Department of Pharmaceutical Chemistry (Including Pharmaceutical Analysis)
Department of Pharmacology
Department of Pharmacognosy
Department of Pharmacy Practice
Name of the post
No. Required
Provided by the institution
Professor
1
Asst. Professor
1
Lecturer
2
Professor
1
Asst. Professor
1
1
Lecturer
3
1
Professor
1
Asst. Professor
1
1
Lecturer
2
1
Professor
1
Asst. Professor
1
Lecturer
1
Professor
1
-
Asst. Professor
2
-
Lecturer
3
1
Remarks of the Inspectors
1
* Year wise availability will be assessed. 6. Selection criteria and Recruitment Procedure for Faculty: a.
Whether Recruitment Committee has been formed
b.
Whether Advertisement for vacancy is notified in the Newspapers
c.
Whether Demonstration Lecture has been conducted
d.
Whether opinion of Recruitment Committee Recorded Signature of the Head of the Institution
Yes / No Yes / No Yes / No Yes / No
Signature of the Inspectors 24
7. Details of Faculty Retention for: Name of Faculty Member Ms. Pinkal.J.Patel Dr. Dipti Patel Dr. Deepa H Patel Dr. Priyanka Patil Mrs. Rupal Jani Mr. Virag Gophane Ms. Snighdha Das Ms. Jignasha Derasari Dr. Vishalkumar R. Patel Mr. Stavan Master Mr. Nishit Gohel Mrs. Jignasa Modi All other mentioned in Part IV (1)
8. Details of Faculty Turnover: Name of Faculty Member
Dr. T. Y. Pasha Ms. Pinkal.J.Patel Dr. Dipti Patel Dr. Deepa H Patel Dr. Priyanka Patil Mrs. Rupal Jani Mr. Virag Gophane Ms. Snighdha Das Ms. Jignasha Derasari Dr. Vishalkumar R. Patel Mr. Stavan Master Mr. Nishit Gohel Mrs. Jignasa Modi Ms. Sejal Patel Ms. Khushbu Suthar Ms Ankita Patel Mrs Nirali Modha Mrs Jasvandi Mehetre Mrs. Rucha Ghode
Period Duration of 15 yrs. and above Duration of 10 yrs. and above Duration of 5 yrs. and above
% NA NA 63.15 %
Less than 5 yrs.
36.84 %
Period
More than 50%
November 2012 to till date October 2007 to till date November 2008 to till date June 2011 to till date August 2010 to till date November 2006 to till date August 2010 to till date June 2007 to till date June 2007 to till date July 2008 to till date August 2009 to till date March 2010 till date September 2011 to till date September 2013 to till date January 2015 to till date Joining from 01/08/2015 July 2015 to till date July 2015 to till date July 2015 to till date
Signature of the Head of the Institution
√ √ √ √ √ √ √ √ √ √
50%
25%
Less than 25% √
√
√
Signature of the Inspectors 25
√ √ √ √ √ √
9. Number of Non-teaching staff available for Pharm. D. or Pharm. D. and Pharm. D (Post Baccalaureate course) for full duration of course/courses*. Sl. No. 1 2
Designation
Required Number
Laboratory Technician Laboratory Assistants or Laboratory Attainders
1 for Dept
each
Required Qualification D. Pharm
1 for each Lab SSLC (minimum)
Available Number
Qualification
05
D.Pharm/ B.Pharm
7
SSLC
3
Office Superintendent 1
Degree
01
B. Com
4
Accountant
Degree
01
B. Com
1
1
D. Pharm or a Bachelor degree recognized by a 01 University or institution. BCA or Graduate with Computer 01 Course
B. Sc., DMLT
5
Store keeper
6
Computer Operator
7
Office Staff I
1
Degree
01
MBA
8
Office Staff II
2
Degree
02
B.Com BCA
9.
Peon
2
SSLC
02
SSLC
10
Cleaning personnel
Adequate
-
Adequate -
11
Gardener
Adequate
-
Adequate -
Data
1
Remarks of the Inspectors
B. E. with Computer Course
* Year wise availability will be assessed.
Signature of the Head of the Institution
Signature of the Inspectors 26
10. Scale of pay for Teaching faculty (to be enclosed): Sl. No
Name
Qualification
Designation
Basic pay Rs.
DA Rs.
HRA Rs.
CCA Rs.
Bank A/C No Deductions PT
TDS
EPF
PAN No
EPF A/c no.
Total
GJ/BRD/65413/00
81800
1
Dr. T. Y. Pasha
M.Pharm,Ph.D
Principal and Professor
54000
20900
6400
500
200
5910
780
56020100000875
2
Dr. Dipti Patel
M.Pharm,Ph.D
Assoc. prof.
33810
15215
3381
500
200
1940
1800
56870100001182
APPPP8650P
GJ/BRD/65413/45
52906
3
Dr. Deepa Patel
M.Pharm,Ph.D
Assoc. prof.
31860
14337
3186
500
200
1600
1800
56870100000319
ASSPP8598C
GJ/BRD/65413/37
49833
4
Dr. Priyanka Patil
M.Pharm,Ph.D
Assoc. prof.
22955
10330
2296
500
200
560
1800
56870100000491
AXMPP1683P
GJ/BRD/65413/33
38537
5
Dr. Vishal Patel
M.Pharm,Ph.D
Assoc. prof.
23720
10674
2372
500
200
600
1800
O1880100021882
AXRPP7193H
GJ/BRD/65413/22
37266
6
Mrs. Pinkal Patel
M.Pharm
Assi. Prof.
25380
11421
2538
500
200
660
1800
56020100001186
ANOPP9998H
GJ/BRD/65413/42
39839
7
Mrs. Rupal Jani
M.Pharm
Assi. Prof.
25020
11259
2502
500
200
650
1800
56020100000633
AJFPJ7726A
GJ/BRD/65413/30
39281
8
Mrs. Snigdha Das Mandal
M.Pharm
Assi. Prof.
24280
10926
2428
500
200
660
1800
56020100001235
AVMPM7153L
GJ/BRD/65413/18
38134
AAHPY3897J
9
Mr. Stavan Mastar
M.Pharm
Assi. Prof.
23380
10521
2338
500
200
390
1800
56020100000475
ATJPM8088Q
GJ/BRD/65413/29
41739
10
Mr. Nishit Gohel
M.Pharm
Assi. Prof.
24090
10841
2409
500
200
570
1800
56020100000439
AQNPG9765B
GJ/BRD/65413/31
37840
11
Mr.Virag Gophane
M.Pharm
Assi. Prof.
22700
10215
2270
500
200
2440
1800
56020100000305
APAPG4487J
GJ/BRD/65413/34
35685
12
Ms. Jignasha Derasari
M.Pharm
Assi. Prof.
23570
10607
2357
500
200
450
1800
56020100001042
APAPD0849M
GJ/BRD/65413/12
37034
13
Ms. Jignasa Modi
M.Pharm
Assi. Prof.
22700
10215
2270
500
200
570
1800
56020100001033
BCPPM1124F
GJ/BRD/65413/43
35685
14
Ms. Sejal Patel
M.Pharm
Assi. Prof
21600
9720
2160
500
200
930
0
56020100000870
CDAPP3214Q
-
34534
M.Pharm
Assi. Prof
21600
9720
2160
500
200
1120
0
19800100022708
FYCPS8918E
-
33980
M.Pharm
Assi. Prof
21600
9720
2160
500
200
-
-
07510100013813
BRTPP8106P
-
25000
M.Pharm
Assi. Prof
21600
9720
2160
500
200
-
-
165901500226
ANRPM6088Q
-
33980
M.Pharm
Assi. Prof
21600
9720
2160
500
200
-
-
56870100000782
AQGPG0624G
-
20000
M.Pharm
Assi. Prof
21600
9720
2160
500
200
16
Ms. Khushbu Suthar Ms. Ankita Patel
17
Mrs. Nirali Modha
15
18 19
Mrs. Jaswandi Mehetre Mrs. Rucha Ghode
12000
1. Whether facilities for Research / Higher studies are provided to the faculty? - Yes (Inspectors to verify documents pertaining to the above) 2. Whether faculty members are allowed to attend workshops and seminars? - Yes (Inspectors to verify documents pertaining to the above) 3. Scope for the promotion for faculty: Promotions
4. Gratuity Provided
Yes
No
Yes Signature of the Head of the Institution
No Signature of the Inspectors
27
Signature
5. Details of Non-teaching staff members (list to be enclosed): Sr. No 1
Name
Designation
Qualification
Date of Joining
BUNKAR ANJANA
LIBRARIAN
1/2/2005
2 3 4 5 6 7
ATUL D PANDYA MANOJ KUMAR J ROHIT NIKUNJ H JADAV SAMEER P RANA JAYESH N PATEL KANDARP D RAMANUJ
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
SHINDE ANKITA TEVAR PRATIK PATEL DINESH MACHHI PIYUSH PATEL DARSHANA PATEL DHARMENDRA VANKAR MANOJ VIPUL SOLANKI ARJUN PARMAR SURYAKANT PARMAR RANJEET VANKAR BHAILALBHAI PARMAR MAYANK MANSURI HUSEIN BARIYA VIKRAM MOCHI GIRISH DHIRU BHAI
OFFICE SUPRITENDANT OFFICE STAFF I OFFICE STAFF II OFFICE STAFF II ACCOUNTANT COMPUTER DATA OPERATOR CLERK STORE KEEPER LAB.TECH LAB.TECH LAB.DEMO LAB.TECH PEON PEON PEON PEON PEON PEON PEON PEON PEON PEON PEON
MLISC,NET DEC-2013 L.L.B M.COM B.COM B.COM BCA B.COM DIPLOMA MECHANICAL MBA B.SC,MLT B.SC,MLT B.SC,MLT M.SC S.Y.B.S.C 12 PASS 12 PASS 10 PASS 10 PASS 10 PASS 5 PASS 12 PASS ITI 10 PASS 10 PASS 10 PASS
Experience ( Years) 11
01/08/2009 19/08/2008 03/09/2008 09/07/2012 07/08/2009 19/05/2008
30 08 17 09 28 12
02/06/2014 4/8/2006 1/8/2006 18/11/2007 1/5/2010 27/6/2013 25/6/2007 01/01/2009 6/7/2009 1/1/2010 1/6/2010 13/9/2011 2/12/2013 03/02/2015 04/04/2015 01/05/2015 01/01/2006
3 16 14 8 5 2 7 6 6 5 5 4 1 2 1 1 10
Signature
6. Whether Supporting Staff (Technical and Administrative) are encouraged for skill up gradation programs.
Signature of the Head of the Institution
Signature of the Inspectors 28
Remarks Inspectors
Yes/ No
of
the
PART V - DOCUMENTATION Records Maintained: Essential
Sr. No
Records
Yes
No
1
Admissions Registers
Yes
-
2.
Individual Service Register
Yes
-
3.
Staff Attendance Registers
Yes
-
4.
Sessional Marks Register
Yes
-
5.
Final Marks Register
Yes
-
6.
Student Attendance Registers
Yes
-
7.
Minutes of meetings- Teaching Staff
Yes
-
8.
Fee paid Registers
Yes
-
9.
Acquaintance Registers
Yes
-
10.
Accession Register for books and Journals in Library
Yes
-
11.
Log book for chemicals and Equipment costing more than Rupees one lakh
Yes
-
12.
Job Cards for laboratories
Yes
-
13.
Standard Operating Procedures (SOP’s) for Equipment
Yes
-
14.
Laboratory Manuals
Yes
-
15.
Stock Register for Equipment
Yes
-
16.
Animal House Records as per CPCSEA
Yes
-
Signature of the Head of the Institution
Remarks of the Inspectors
Signature of the Inspectors 29
PART - VI 1. Financial Resource allocation and utilization for the past three years: (Audited Accounts for previous year to be enclosed) ANNEXURE XII Sr. Expenditure in Rs. Expenditure in Rs 2012-13 Audited
No.
Total Recurring budget sanctioned 1,25,00,000/-
1,14,46,982/-
Expenditure in Rs.
2013-14 audited
Remarks of the Inspectors*
2014-15 audited
Non Recurring
Total budget sanctioned
Recurring
Non Recurring
Total budget sanctioned
7,61,866/-
1,50,00,000/-
1,11,21,775/-
28,07,183/-
1,50,00,000/-
Recurring
Non Recurring
2. Total amount spent on chemicals and glassware for the past three years: Sr.
No.
Expenditure in Rs.
Expenditure in Rs
Expenditure in Rs.
2012-13
2013-14
2014-15
Total Sanctioned budget allocated 4,00,000/Chemicals 3,50,000/Glassware
Incurred
3,82,972/3,12,308/-
Total budget allocated Chemicals Glassware
Sanctioned
Incurred
3,00,000/1,00,000/-
3,29,352/1,04,393/-
3. Total amount spent on equipments for the past three years: (Enclose purchase invoice) Sr. Expenditure in Rs. Expenditure in Rs 2012-13
No.
Total Sanctioned budget allocated 9200/Equipment
Total budget allocated Chemicals Glassware
9200/-
Total budget allocated Equipment
Incurred
3,00,000/1,00,000/-
2,36,168/1,00,000/-
Incurred
23,000/-
23,000/-
Total budget allocated Equipment
Sanctioned
Incurred
0
0
Signature of the Inspectors 30
Remarks of the Inspectors*
2014-15
Sanctioned
Signature of the Head of the Institution
Sanctioned
Expenditure in Rs.
2013-14
Incurred
Remarks of the Inspectors*
4. Total amount spent on Books and Journals for the past three years: Sr. Expenditure in Rs. Expenditure in Rs. 2012 –13 2013 –14 No. Total Sanctioned Incurred Total Sanctioned budget budget allocated allocated 4,50,000/12970/247470/1 Books Books 2,00,0000/171699/115000/2 Journals Journals *Last three years including this academic year till the date of inspection
Signature of the Head of the Institution
Expenditure in Rs
Incurred
247470/112760/-
Total budget allocated Books Journals
Sanctioned
Incurred
200000/122160/-
162490/118929/-
Signature of the Inspectors 31
Remarks of the Inspectors*
2014 –15
PART VII – EQUIPMENT AND APPARATUS
Department wise List of Minimum equipments required for Pharm. D and Pharm. D Post Baccalaureate A. DEPARTMENT OF PHARMACOLOGY: I. Equipment: Sr. No. 1 Microscopes
Name
Minimum required Nos.
Available Nos.
15
20
Working Yes / No Yes
2
Haemocytometer with Micropipettes
20
36
Yes
3
Sahli’s haemocytometer
20
37
Yes
4
Hutchinson’s spirometer
01
01
Yes
5
Spygmomanometer
05
05
Yes
6
Stethoscope
05
05
Yes
7
Permanent Slides for various tissues
One pair of each tissue One pair of each tissue Organs and endocrine glands Organs and endocrine glands One slide of each organ system One slide of each organ system
Yes
8
Models for various organs
One model of each organ system
One model of each organ system
Yes
9
Specimen for various organs and systems
10
Skeleton and bones
One model for each organ system One set of skeleton and one spare bone
One model for each organ system One set of skeleton and one spare bone
11
Different Contraceptive Devices and Models
One set of each device
Available
12
Muscle electrodes
01
01
Yes
13
Lucas moist chamber
01
01
Yes
14
Myographic lever
01
01
Yes
15
Stimulator
01
01
Yes
16
Centrifuge
01
01
Yes
Signature of the Head of the Institution
Yes Yes
Signature of the Inspectors 32
Yes
Remarks of the Inspectors
17
Digital Balance
01
02
Yes
18
Physical /Chemical Balance
01
01
Yes
10
24
Yes
10 10 10 01
24 24 10 04
Yes Yes Yes Yes
20 21 22 23
Sherrington’s Kymograph Machine or Polyrite Sherrington Drum Perspex bath assembly (single unit) Aerators Computer with LCD
24
Software packages for experiment
01
01
Yes
25
Standard graphs of various drugs
Adequate number
Available
Yes
26
Actophotometer
01
01
Yes
27
Rota rod
01
01
Yes
28
Pole climbing apparatus
01
01
Yes
29
Analgesiometer (Eddy’s hot plate and radiant heat methods)
01
01
Yes
30
Convulsiometer
01
01
Yes
31
Plethysmograph
01
01
Yes
32
Digital pH meter
01
01
Yes
19
II. Sr. No 1
Apparatus: Name Folin-Wu tubes
Minimum required Nos. 60
60
Working Yes / No Yes
Available Nos.
2
Dissection Tray and Boards
10
24
Yes
3
Haemostatic artery forceps
10
10
Yes
4
Hypodermic syringes and needles of size 15,24,26G
10
10
Yes
5
Levers, cannulae
20
55
Yes
Remarks of the Inspectors
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department. Signature of the Head of the Institution
Signature of the Inspectors 33
B. DEPARTMENT OF PHARMACOGNOSY: I. Equipment: Sr. No. 1
Name Microscope with stage micrometer
Minimum required Nos. 15
20
Working Yes / No Yes
Available Nos.
2
Digital Balance
02
02
Yes
3
Autoclave
02
02
Yes
4
Hot air oven
02
02
Yes
5
B.O.D.incubator
01
01
Yes
6
Refrigerator
01
01
Yes
7
Laminar air flow
01
01
Yes
8
Colony counter
02
02
Yes
9
Zone reader
01
01
Yes
10
Digital pH meter
01
01
Yes
11
Sterility testing unit
01
01
Yes
12
Camera Lucida
15
20
Yes
13
Eye piece micrometer
15
20
Yes
14
Incinerator
01
01
Yes
15 16 17 18
Moisture balance Heating mantle Flourimeter Vacuum pump Micropipettes (Single and multi channeled) Micro Centrifuge Projection Microscope
01 15 01 02
01 15 01 02
Yes Yes Yes Yes
02
02
Yes
01 01
01 01
Yes Yes
19 20 21
Signature of the Head of the Institution
Signature of the Inspectors 34
Remarks of the Inspectors
II. Apparatus: Sr. No. 1
Name Reflux flask with condenser
Minimum required Nos. 20
20
Working Yes / No Yes
Available Nos.
2
Water bath
20
20
Yes
3
Clevenger’s apparatus
10
10
Yes
4
Soxhlet apparatus
10
10
Yes
6
TLC chamber and sprayer
10
10
Yes
7
Distillation unit
01
01
Yes
Remarks of the Inspectors
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department. C. DEPARTMENT OF PHARMACEUTICAL CHEMISTRY: I. Equipment: Sr. No. 1
Minimum required Nos.
Available Nos.
Hot plates
05
05
Working Yes / No Yes
2
Oven
03
03
Yes
3
Refrigerator
01
01
Yes
4
Analytical Balances for demonstration
05
28
Yes
5
Digital balance 10mg sensitivity
10
10
Yes
6
Digital Balance (1mg sensitivity)
01
01
Yes
7
Suction pumps
06
06
Yes
8
Muffle Furnace
01
01
Yes
9
Mechanical Stirrers
10
10
Yes
10
Magnetic Stirrers with Thermostat
10
10
Yes
Name
Signature of the Head of the Institution
Signature of the Inspectors 35
Remarks of the Inspectors
11
Vacuum Pump
01
01
Yes
12
Digital pH meter
01
01
Yes
13
Microwave Oven
02
02
Yes
II. Apparatus: Sr. No. 1 2 3
Name Distillation Unit Reflux flask and condenser single necked Reflux flask and condenser double/ triple necked
Minimum required Nos.
Available Nos.
Working Yes / No
02
02
Yes
20
20
Yes
20
20
Yes
4
Burettes
40
60
Yes
5
Arsenic Limit Test Apparatus
20
20
Yes
6
Nesslers Cylinders
40
40
Yes
Remarks of the Inspectors
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Signature of the Head of the Institution
Signature of the Inspectors 36
D. DEPARTMENT OF PHARMACEUTICS : I. Equipment: Sr. No. 1
Name Mechanical stirrers
Minimum required Nos. 10
10
Working Yes / No Yes
Available Nos.
2
Homogenizer
05
05
Yes
3
Digital balance
05
05
Yes
4
Microscopes
05
05
Yes
5
Stage and eye piece micrometers
05
20
Yes
6
Brookfield’s viscometer
01
01
Yes
7
Tray dryer
01
01
Yes
8
Ball mill
01
01
Yes
9
Sieve shaker with sieve set
01
01
Yes
10
Double cone blender
01
01
Yes
11
Propeller type mechanical agitator
05
10
Yes
12
Autoclave
01
01
Yes
13
Steam distillation still
01
01
Yes
14
Vacuum Pump
01
02
Yes
15
Standard sieves, sieve no. 8, 10, 12,22,24, 44, 66, 80
10 sets
10 sets
Yes
16
Tablet punching machine
01
01
Yes
17
Capsule filling machine
01
01
Yes
18
Ampoule washing machine
01
01
Yes
19
Ampoule filling and sealing machine
01
01
Yes
20
Tablet disintegration test apparatus IP
01
01
Yes
Signature of the Head of the Institution
Signature of the Inspectors 37
Remarks of the Inspectors
21
Tablet dissolution test apparatus IP
01
02
Yes
22
Monsanto’s hardness tester
01
03
Yes
23
Pfizer type hardness tester
01
04
Yes
24
Friability test apparatus
01
01
Yes
25
Clarity test apparatus
01
01
Yes
26
Ointment filling machine
01
01
Yes
27
Collapsible tube crimping machine
01
01
Yes
28
Tablet coating pan
01
01
Yes
29
Magnetic stirrer, 500ml and 1 liter capacity with speed control
05 EACH 10
05 EACH 10
Yes
30
Digital pH meter
01
01
Yes
31
All purpose equipment with all accessories
01
01
Yes
32
Aseptic Cabinet
01
03
Yes
33
BOD Incubator
02
02
Yes
34
Bottle washing Machine
01
01
Yes
35
Bottle Sealing Machine
01
01
Yes
36
Bulk Density Apparatus
02
02
Yes
37
Conical Percolator (glass/copper/ stainless steel)
10
10
Yes
38
Capsule Counter
02
02
Yes
39
Energy meter
02
02
Yes
40
Hot Plate
02
02
Yes
41
Humidity Control Oven
01
01
Yes
42
Liquid Filling Machine
01
01
Yes
43
Mechanical stirrer with speed regulator
02
02
Yes
Signature of the Head of the Institution
Signature of the Inspectors 38
44
Precision Melting point Apparatus
01
01
Yes
45
Distillation Unit
01
01
Yes
II. Apparatus: Sr. No. 1
Name Ostwald’s viscometer
Minimum required Nos. 15
15
Working Yes / No Yes
Available Nos.
2
Stalagmometer
15
15
Yes
3
Desiccators*
05
05
Yes
4
Suppository moulds
20
20
Yes
5
Buchner Funnels (Small, medium, large)
05 each
05 each
Yes
6
Filtration assembly
01
01
Yes
7
Permeability Cups
05
05
Yes
8
Anderson’s Pipette
03
03
Yes
9
Lipstick moulds
10
10
Yes
Remarks of the Inspectors
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Signature of the Head of the Institution
Signature of the Inspectors 39
E. DEPARTMENT OF PHARMACEUTICAL BIOTECHNOLOGY: Sr. No. 1
Orbital shaker incubator
Minimum required Nos. 01
01
Working Yes / No Yes
2
Lyophilizer (Desirable)
01
01
Yes
3
Gel Electrophoresis(Vertical and Horizontal)
01
01
Yes
4
Phase contrast/Trinocular Microscope
01
01
Yes
5
Refrigerated Centrifuge
01
01
Yes
6
Fermenters of different capacity (Desirable)
01
01
Yes
7
Tissue culture station
01
01
Yes
8
Laminar airflow unit
01
01
Yes
9
Diagnostic kits to identify infectious agents
01
01
Yes
10
Rheometer
01
01
Yes
11
Viscometer
01
01
Yes
12
Micropipettes (single and multi channeled)
01 each
Available
Yes
13
Sonicator
01
01
Yes
14
Respinometer
01
01
Yes
15
BOD Incubator
01
01
Yes
16
Paper Electrophoresis Unit
01
01
Yes
17
Micro Centrifuge
01
01
Yes
18
Incubator water bath
01
01
Yes
19
Autoclave
01
01
Yes
20
Refrigerator
01
01
Yes
21
Filtration Assembly
01
01
Yes
Name
Signature of the Head of the Institution
Available Nos.
Signature of the Inspectors 40
Remarks of the Inspectors
22
Digital pH meter
01
01
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department. F. DEPARTMENT OF PHARMACY PRACTICE: Equipment: Sr. No. 1
Colorimeter
Minimum required Nos. 2
Available Nos. 2
Working Yes / No Yes
2
Microscope
Adequate
Available
Yes
3
Permanent slides (skin, kidney, pancreas, smooth muscle, liver etc.,)
Adequate
Available
Yes
4
Watch glass
Adequate
Available
Yes
5
Centrifuge
1
1
Yes
6
Biochemical reagents for analysis of normal and pathological constituents in urine and blood facilities
Adequate
Available
Yes
7
Filtration equipment
2
2
Yes
8
Filling Machine
1
1
Yes
9
Sealing Machine
1
1
Yes
10
Autoclave sterilizer
1
1
Yes
11
Membrane filter
1 Unit
Available
Yes
12
Sintered glass funnel with complete filtering assemble
Adequate
Available
Yes
13
Small disposable membrane filter for IV admixture filtration
Adequate
Available
Yes
14
Laminar air flow bench
1
1
Yes
15
Vacuum pump
1
1
Yes
16
Oven
1
1
Yes
17
Surgical dressing
Adequate
Available
Yes
18
Incubator
1
1
Yes
Name
Signature of the Head of the Institution
Signature of the Inspectors 41
Remarks of the Inspectors
19
PH meter
1
1
Yes
20
Disintegration test apparatus
1
1
Yes
21
Hardness tester
1
1
Yes
22
Centrifuge
1
1
Yes
23
Magnetic stirrer
1
1
Yes
24
Thermostatic bath
1
1
Yes
NOTE: 1. Computers and Internet connection (Broadband), six computers for students with internet and staff computers as required. 2. Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and the department. G. CENTRAL INSTRUMENTATION ROOM: S.No.
Name
Minimum required Nos. 01
Available Nos. 01
Working Yes / No Yes
1
Colorimeter
2
Digital pH meter
01
01
Yes
3
UV- Visible Spectrophotometer
01
01
Yes
4
Flourimeter
01
01
Yes
5
Digital Balance (1mg sensitivity)
01
01
Yes
6
Nephelo Turbidity meter
01
01
Yes
7
Flame Photometer
01
01
Yes
8
Potentiometer
01
01
Yes
9
Conductivity meter
01
01
Yes
10
Fourier Transform Infra Red Spectrometer (Desirable)
01
-
-
11
HPLC
01
01
Yes
12
HPTLC (Desirable)
01
-
-
Signature of the Head of the Institution
Signature of the Inspectors 42
Remarks of the Inspectors
13
Atomic Absorption and Emission spectrophotometer (Desirable)
01
-
-
14
Biochemistry Analyzer (Desirable)
01
-
-
15
Carbon, Hydrogen, Nitrogen Analyzer (Desirable)
01
-
-
16
Deep Freezer (Desirable)
01
01
Yes
17
Ion- Exchanger
01
01
Yes
18
Lyophilizer (Desirable)
01
01
Yes
Signature of the Head of the Institution
Signature of the Inspectors 43
H. Hospital Requirements for running Pharm D or Pharm.D. and Pharm.D. (Post Baccalaureate) courses: Hospital Details S.No.
Name/ Infrastructure *
1
2
3
4
Hospital with teaching facility Minimum 300 bedded Hospital
Minimum required Nos.
Provided
Nature of Hospital - Own - Teaching hospital recognized by MCI - Govt. Hospital not below the level of district Hospital
- Corporate Hospital
Place for Minimum carpet area of 3 sq.mts. per student along with Pharmacy Practice consent to provide the professional manpower to support the Department * programme. Medicine (Compulsory) (Any three of the following) Surgery Available specialties ++
Remarks of the Inspectors
120 Sq. Mt.
Pediatrics
Gynecology and Obstetrics
Psychiatry
Skin and VD
Orthopedics
Within the same limits of Corporation or Municipality or Location of the Located outside the Campus with Medical Faculty involvement as adjunct campus Within the same Hospital faculty Give details. limits of Corporation * Approval letter of the Hospital Authority to be annexed along with MOU. - Details Enclosed. ANNEXURE: XI + Inspectors are required to personally verify the space provided at the hospital and meet the hospital administrators for interaction. ++ To be certified by the Dean/Director/Medical Supdt. Of the hospital.
Signature of the Head of the Institution
Signature of the Inspectors 44
45
Unit wise Medical Staff: Unit: Medicine
Sr. No
Designation
Bed strength: 260
Name with Date of Birth
Nature of employment Full time/part time/Hon.
Experience Date wise teaching/Professional experience with designation & Institution
UG/PG QUALIFICATION Subject with Year of passing
Institution
University
Designation
Resident Assi. Prof./ Lecturer 1
Asso. Prof
Dr. MAHENDRA PARMAR (10/11/1961)
M.D. [General Medicine ]
B J Medical College, Ahmedabad
Assi. Prof./ Lecturer Assi. Prof./ Lecturer Professor Tutor/ Demonstrator
2
Asso. Prof
Dr.PALUBHAI BHAYJUBHAI THORAT (14/05/1954)
Sr. Resident M.D. [General Medicine ]
Medical College, Baroda
Assi. Prof./ Lecturer Assi. Prof./ Lecturer Tutor
3
Asso. Prof & Head
Dr. JAYA MADAN MOHAN PATHAK (03/07/1973)
Registrar M.D. [General Medicine ]
Medical College, Baroda Asst. Prof Asst. Prof
Signature of the Head of the Institution
Institution
B J Medical College, Ahmedabad Medical College, Baroda Government Medical College, Bhavnagar Medical College, Baroda GMERS Medical College, Dharpur Patan Medical College, Baroda Medical College, Baroda Medical College, Baroda Government Medical College, Surat Medical College, Baroda Medical College, Baroda Government Medical College, Bhavnagar Medical College, Baroda
Signature of the Inspectors 45
From
To
01/01/1984
31/12/1987
26/05/1989
08/05/2007
09/05/2007
24/08/2007
25/08/2007
22/04/2010
11/02/2012
29/06/2012
01/01/1980
31/12/1981
01/01/1982
31/12/1983
26/11/1984
11/02/2009
12/02/2009
17/08/2009
01/01/1997
31/12/1999
08/05/2000
20/01/2007
21/01/2007
24/08/2007
25/08/2007
21/02/2011
Perio d
46
Sr. Resident
4
Asso. Prof & Head
Dr.ARCHANA U GANDHI (20/11/1972)
M.D. [General Medicine ]
Kesarsal Medical College & Research Institute, Ahmedabad
Asst. Prof Asst. Prof Asst. Prof
Kesarsal Medical College & Research Institute, Ahmedabad Medical College, Baroda MP Shah Medical College,Jamnagar Medical College, Baroda
Unit: Orthopedics and Pediatrics Dept Sr. No
1
2
3
Designation
Asso. Prof & Head
Asso. Prof & Head
Asst. Prof
Name with Date of Birth
Dr. Y.C.Patel 28/02/70
Dr. Vishwanath Chawli 22/11/74
Dr. Gaurang M.Patel 10/01/81
Nature of employment Full time/part time/Hon.
10/07/1996
10/07/1999
26/04/2000
22/01/2008
23/01/2008
10/06/2008
11/06/2008
04/03/2011
Bed strength: 130 Experience Date wise teaching/Professional experience with designation & Institution
UG/PG QUALIFICATION Subject with Year of passing
Institution
MS [Orthopedics ]
Medical College, Baroda
MS[Orthopedics ]
MS [ Orthopaedics ]
Medical College, Baroda
Medical College, Baroda
Signature of the Head of the Institution
University
Designation
Institution
Jr. Resident
Medical College, Baroda
Sr. Resident
Medical College, Baroda
Asst. Prof
Medical College, Baroda
Resident
Medical College, Baroda
Asst. Prof
U.P. Rural Institute of Medical Sciences & Research, Etawah
Asst. Prof
Medical College, Baroda
Asst. Prof
Government Medical College, Surat
Asst. Prof
Medical College, Baroda
Jr. Resident
Medical College, Baroda
Sr. Resident
Medical College, Baroda
Assi. Prof./ Lecturer
Government Medical College, Surat
Signature of the Inspectors 46
From
To
01-101993 01-101996 11-052002 14-071998
30-091996 30-091997 11-102007 23-032002
24-112006
19-072007
09-082007 12-042008 07-062008 14-062006 14-062009 13-072009
11-042008 06-062008 22-032012 13-062009 12-072009 10-102009
Period
47
4
Asst. Prof
Dr.Hardik K Tailor 22/08/87
MS [ Obstetrics and Gynaechology ]
Medical College, Baroda
Assi. Prof./ Lecturer
Government Medical College, Surat
12-102009
27-042010
Sr. Resident
Medical College, Baroda
15-042010
04-052013
Unit: Surgery
Sr. No
Designation
Bed strength: 260
Name with Date of Birth
Nature of employment Full time/part time/Hon.
UG/PG QUALIFICATION Subject with Year of passing
Institution
University
Experience Date wise teaching/Professional experience with designation & Institution Designation
Tutor/ Demonstrator
Sr. Resident Assi. Prof./ Lecturer Asso. Prof 1
Asso. Prof
Dr. DILIP B CHOKSI (22/10/1961)
MS [ General Surgery ]
Government Medical College, Surat
Asso. Prof Asso. Prof Asso. Prof Asso. Prof Asso. Prof
Jr. Resident 2
Asso. Prof
Dr. DHARMENDRA K SHAH (15/11/1966)
MS [ General Surgery ]
Medical College, Baroda
Tutor/ Demonstrator Assi. Prof./ Lecturer
Signature of the Head of the Institution
Institution Government Medical College, Surat Government Medical College, Surat Medical College, Baroda Medical College, Baroda Government Medical College, Surat Medical College, Baroda Government Medical College, Bhavnagar Medical College, Baroda Government Medical College, Surat Medical College, Baroda Medical College, Baroda Pramukhswami Medical College, Karmsad
Signature of the Inspectors 47
From
To
01/02/1984
31/12/1986
01/01/1987
31/12/1987
21/08/1989
29/07/1997
30/07/1997
18/07/1999
18/07/1999
08/05/2000
09/05/2000
19/07/2002
20/07/2002
30/09/2003
01/10/2003
08/05/2007
09/05/2007
24/08/2007
17/08/1992
16/08/1995
17/08/1995
26/06/1996
27/06/1996
29/04/1998
Period
48
Assi. Prof./ Lecturer Assi. Prof./ Lecturer Asso. Prof Asso. Prof Asso. Prof Asso. Prof Asso. Prof
Asso. Prof
Tutor/ Demonstrator 3
Asso. Prof
Dr. ADEESH P JAIN (13/01/1972)
MS [ General Surgery ]
Medical College, Baroda
Sr. Resident Assi. Prof./ Lecturer Tutor/Demonstrator Sr. Resident
4
Asso. Prof
Dr. NIMISH J SHAH (17/06/1967)
MS [ General Surgery ]
Assi. Prof./ Lecturer Medical College, Baroda
Asso. Prof Asso. Prof Asso. Prof
Signature of the Head of the Institution
B J Medical College, Ahmedabad Medical College, Baroda Medical College, Baroda B J Medical College, Ahmedabad Medical College, Baroda Government Medical College, Surat Medical College, Baroda Pandit Deendayal Upadhyay Medical College, Rajkot Medical College, Baroda Medical College, Baroda Medical College, Baroda Medical College, Baroda Medical College, Baroda Medical College, Baroda Medical College, Baroda Pandit Deendayal Upadhyay Medical College, Rajkot Medical College, Baroda
Signature of the Inspectors 48
30/04/1998
11/02/1999
12/02/1999
18/10/2002
19/10/2002
10/05/2004
11/05/2004
18/01/2005
19/01/2005
11/04/2008
12/04/2008
06/06/2008
07/06/2008
10/10/2009
12/10/2009
08/04/2010
01/07/1995
30/06/1998
01/07/1998
30/06/1999
11/04/2002
25/07/2006
17/08/1990
16/08/1993
17/08/1993
23/11/1993
24/11/1993
09/05/2000
10/05/2000
17/04/2006
18/04/2006
24/08/2007
25/08/2007
22/04/2010
49 Unit: Skin & VD
Sr. No
Designation
Bed strength: 30
Name with Date of Birth
Nature of employment Full time/part time/Hon.
Experience Date wise teaching/Professional experience with designation & Institution
UG/PG QUALIFICATION Subject with Year of passing
Institution
University
Designation
Institution
Sr. Resident
1
Dr.R.M.Patel 27/07/1960
Asst. Professor
Government Medical College, Surat
Asso. Prof & Head Asst. Professor Sr. Resident
2
3
4
Dr.Nipul Vara 15/03/1974
Medical College, Baroda
Dr.Mukesh V. Rathwa 08/07/1978
Pramukhswami Medical College, Karamsad
Dr.Nandita Maitra 18/09/1961
Government Medical College, Surat MP Shah Medical College, Jamnagar Government Medical College, Surat Medical College, Baroda Medical College, Baroda Government Medical College, Surat Government Medical College, Surat
Medical College, Baroda
From
To
Period
-
31/12/1988
5 Years.
15/02/1990
-
7.8 Years.
-
-
2.2 Years
-
-
3.8 Years
13/07/2001
24/02/2002
7.1 Months
Assi. Prof/Lecturer
25/02/2002
15/02/2007
4.11 Years
Resident
19/08/2002
20/08/2005
3 Years
Asst. Prof
-
13/02/2013
1.11 Years
Sr. Resident
-
-
7.1 Months
Asst. Prof/Lecturer
16/01/1992
-
9.10 Years
Asso. Professor
-
-
3 Years
Asso. Professor & Head
-
-
4.2 Years
Government College Surat Medical College,Baroda Medical College,Baroda Medical College,Baroda Medical College,Baroda
Details Enclosed. Annexure: XIII
Signature of the Head of the Institution
Signature of the Inspectors 49
50
Other Ancillary staff available:
Epidemiologist :
01
Statistician :
01
Physiotherapists:
05
Available Clinical Material:
Average daily OPD.:
1423
Average daily IPD.:
1041
Average daily bed occupancy rate: 93 %
Average daily operations: Major: 50
Year-wise available clinical materials (during previous three years): Details Enclosed.
Minor: 10
ANNEXURE: XIV
Intensive Care facilities I.
ICU No. of beds: 05
Equipment: Available as per norms
Average bed occupancy: 80%
II. ICCU No. of beds: 05
Equipment: Available as per norms
Average bed occupancy: 80%
III. NICU No. of Beds: 36
Equipment: Available as per norms
Average bed occupancy: 80%
IV. PICU No. of beds: 36
Equipment : Available as per norms
Average bed occupancy : 80%
Signature of the Head of the Institution
Signature of the Inspectors 50
51 V. Dialysis: No. of beds : 05
Equipment: As per norms.
Average Dialysis/month: 50-60 Dialysis/month
Specialty clinics and services being provided by the department. Cardiac clinic Rehabilitation clinic Diabetes clinic Endocrinology clinic
Details of Pharm.D. Student and faculty. A. Accommodation Faculty
Area in Sq. mtr.
Pharmacy Practice Area
120
Dispensary
40
Drug Information Centre
20
Computer/Internet facility
40
B. Library – Departmental Library standard text and references indexing and abstracting services for DI services commenced in the hospital C. Pharmacy Practice staff details at the hospital – Identified for First Year Pharm. D. & Pharm. D. Post Baccalaureate Course. Name Dr. Priyanka Patil
Qualification
Ms. Snighdha Das Mandal
Ph.D. M.Pharm. M.Pharm.
Dr. Sunil B. Patel
Pharm. D
Mr. Arun N.A.
M.Pharm Pharmacy Practice
Dr. Rashmi
Pharm. D
Signature of the Head of the Institution
Signature of Faculty
Signature of the Inspectors 51
52 INSPECTION REPORT {Pharm.D/ Pharm. D. (Post Baccalaureate)} TEACHING PROGRAMME/INTERNSHIP PROGRAMME 1. Prescribed mode of admission to Pharm.D. Course: As per the Guidelines of Admission Committee for Professional Courses and Parul University. 2. Academic Activities, please mention the frequency with which each activity is held.
Case presentation.
Journal Club.
Seminar
Subject Review
ADR meeting
Lectures (separately held for Pharm. D students):
Guest lecturers:
Video film:
Others:
3. Log book of Pharm.D. Students: 4. Whether Pharm.D. Students participate in bedside counseling or not? 5.
Summary of Inspection report – (check list) to be completed by the Inspector.
Date of inspection: Name of Inspector:Name of the institution
Name of the Principal/Head of the Institution)
1
2
Signature of the Head of the Institution
Signature of the Inspectors 52
53 3
Date of last inspection of the institution: Number of admission at Pharm. D Staff position for Pharm. D Other deficiency, if any
4
Total Teachers in the Pharmacy Practice Department (with requisite qualifications & Experience
-
5
Designation
Number
Professors
01
Asst. Professors
01
Lecturers
04
Name
Total Experience
All teachers should be physically identified. Detailed Performa (with photograph affixed) in respect of every teacher must be obtained signed by the concerned teacher, HOD and Head of institution To ensure that staff is full time and not working in any other institution simultaneously.
Requisite important information of the Hospital Number of department in the Hospital Teaching complement in each Dept. Total number of beds Dept. wise Instruments and other expected facilities Bed side teaching Laboratory Technician Department Research Laboratory Departmental Library – Book/Journals
Central Library – Books/Journals pertaining to the department 6 Indoor wards (Units/Department) & OPD space Offices for Faculty members Class Rooms and seminar rooms Dept. Library in the hospital supporting Drug Information Services 7
Clinical Material
8
No of publications from the department during 3 years
9
Examination conduct Standard of Examination
Signature of the Head of the Institution
Signature of the Inspectors 53
54 10
Year-wise number of Pharm.D students admitted and available staff during the last 5 years Pharm D.
11 Other relevant facilities in the Institution: 12.
Specific remarks if any by the Inspector: (No recommendations regarding permission/recognition be made) Give factual position only).
Signature of the Inspector __________________________________________________________________________________ Note : Specific mention of required facilities as per PCI norms and commensurate with the degree under consideration must be made specifying whether these are Available/Not available.
Signature of the Head of the Institution
Signature of the Inspectors 54
55 Compliance of deficiencies reflected in last Inspection Report: Faculty with Pharm. D. qualification appointed. Specific observations if not rectified: Nil Observation of the Inspectors:
1. Signature of Inspectors: 2. Note: 1. The Inspection Team is instructed to physically verify the details and records filled up by the college in the application form submitted by the college, which is with you now and record the observations, opinions and recommendations in clear and explicit terms. 2. The team is requested to record their comments only after physical verification of records and details.
Signature of the Head of the Institution
Signature of the Inspectors 55
56
Gujarat Medical Education and Research Society Medical College, (GMERS Medical College) Gotri Main Road, Gotri, Vadodara-390021 Gujarat (State)
Signature of the Head of the Institution
Signature of the Inspectors 56
