Introduction

a) History of the Department

The Government Mohan Kumaramangalam Medical College was started in 1986. The foundation stone was laid by late Sri. Rajiv Gandhi, the Prime Minister, in 1987. MCI recognition was received in 1996.

Our hospital is the tertiary care centre catering to patients from the surrounding 4 districts. The Department of Thoracic Medicine functions as a separate Outpatient Department, Inpatient unit, Bronchoscopy suite, procedure suite and Pulmonary Function Lab. We have Pulmonology wards (10+10), Tuberculosis wards (10+10) and MDR‑TB wards (2+1). We see around 40,000 outpatients per year, with admissions of more than 500 patients per year.

We have trained faculty for interventional pulmonology to perform bronchoscopic procedures (bronchial wash, BAL, endo-bronchial toileting, biopsy and PBBx) as well as pleurocentesis, intercostal drainage, pleurodesis and sonographic-guided procedures. We have a portable video bronchoscope for bronchoscopic procedures, and spirometry / peak flow meters for airway disease assessment. We run special clinics for airway diseases (Asthma and COPD) and Pulmonary Rehabilitation, and conduct the National Tuberculosis Eradication Programme along with the Pilot Project of Kasanoi Erapilla Thittam (KET).

b) Former Head of Department

Prof. Dr. Sridhar, M.D., DTCD

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Admin

a) Name & Designation of Faculties (with Respiratory Technicians)

S.No	Designation	Name of the Faculty
1	HOD	—
2	Assistant Professor	Dr. A. Sivaprakasam, DNB (Chest)., DTCD Dr. P. Anandeswari, MD (Chest) Dr. P. Kalicharan, MD (Chest)
3	Senior Resident	Dr. S. Samundran, DTCD

b) Address for Communication

Department of Thoracic Medicine, Government Mohan Kumaramangalam Medical College Hospital, Salem – 636001

c) Department Email

chestmedicinegmkmch@gmail.com

d) Website In-charge

Dr. A. Sivaprakasam, DNB, DTCD

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Services Provided / Facilities Available

a) OP Service

All days except Sunday, 8:00 AM – 12:00 Noon, OPD No. 6

b) Special Clinics

Name of Clinic	Weekday	Timings	OPD No.
Asthma / COPD Clinic	Friday	8:00 AM – 12:00 Noon	6
Pulmonary Rehab. Clinic	Saturday	8:00 AM – 12:00 Noon	6

c) IP — Bed Strength

Pulmonology Ward — 20 beds (Male 10, Female 10)
Tuberculosis Ward — 20 beds (Male 10, Female 10)
MDR‑TB Ward — 3 beds (Male 2, Female 1)
Bronchoscopy Suite — 1
Procedure Room — 1

Census — 2022

Month	OP	Pulmonology (IP)	TB (IP)	MDR‑TB (IP)
Jan ‑22	3337	22	Nil	Nil
Feb ‑22	3042	26	Nil	Nil
March ‑22	3619	38	16	1
April ‑22	3275	29	29	5
May ‑22	2010	31	15	1
June ‑22	1817	30	29	3
July ‑22	3640	44	21	5
Aug ‑22	3878	38	18	0
Sep ‑22	3829	45	21	2
Oct ‑22	4029	43	23	1

PFT / Spirometry — 96 (Jan ‑22 to Oct ‑22)
Bronchoscopy — 40 (Jan ‑22 to Oct ‑22)
CMCHIS — 128 (Jan ‑22 to Oct ‑22)

d) Advanced Procedures

Bronchoscope & Bronchoscopic Procedures
Pleurocentesis
Intercostal Drainage & Pleurodesis
Sonographic-guided Procedures

e) Equipment — Spirometry

Spirometry Equipment — Spirometry Unit VIEW

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Academic Activities / Teaching Programme

Courses Handled

M.B.B.S. — First Clinical MBBS & Pre-final Year MBBS
Post Graduate — M.D.
Respiratory Therapy Technicians

Undergraduate & Postgraduate Training

Two weeks of clinical posting and 20 theory classes for Pre-final Year MBBS students are handled by department faculty:

20 theory classes
15 days of clinical classes — students are taught to examine patients, make a clinical diagnosis and present the case
Observation of procedures and PFT

Clinical orientation programme for First Clinical MBBS students — 15 days.

Post Graduate M.D. Students

15 days clinical posting for 1st year M.D. General Medicine
1 month clinical posting for 2nd year M.D. General Medicine, with clinical teaching schedule followed
Clinical case presentation for Post Graduate M.D. students — once every three weeks

C.R.R.I.

All undergraduate students undergo training in Thoracic Medicine during their internship for one week. Once a week we hold a group clinical discussion on an interesting case.

Respiratory Therapy Technician Students

RTT students attend OP and wards for their clinical posting, and are posted in IMCU and Physical Medicine & Rehabilitation on a rotation basis. They are also trained in bronchoscopy and other procedures, with daily theory classes taken by department faculty.

Library

A spacious and well-furnished library with books and journals is available in our department.

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Research Activities / Projects

TN‑KET (Tamil Nadu — Kasanoi Erapilla Thittam) — Pilot Project
NTEP (National Tuberculosis Eradication Programme)

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Paper / Poster Presentation

A Case of Spina Ventosa Masquerading as Enchondroma — Poster Presentation, NAPCON 2018 — Dr. S. Samundran

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Awards / Medals / Prizes

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Publications

Diagnostic Yield of Direct Smear, Concentrated Smear, Liquid Culture and Gene Xpert by Sputum Induction in Smear-Negative Pulmonary Tuberculosis Patients — A. Sivaprakasam, V. Gangadharan, P. Anandeswari, G. Karthiga — Indian Journal of Respiratory Care

Effect of COPD on Left Ventricular Function and its Correlation with Severity of Disease — A Prospective Study — R. Hariprasad, G. Ravikumar, A. Sivaprakasam, S. Balamurugan — IOSR Journal of Dental and Medical Sciences

A Study on Perinatal Outcomes in Antenatal Mothers with Abnormal Pulmonary Function Test — Subha Sivagami Sengodan, Anandeswari Palanivelu, Anbarasi Pandian — International Journal of Reproduction, Contraception, Obstetrics and Gynecology

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