Sanjay Gandhi Postgraduate Institute of Medical Sciences

The institute offers postgraduate medical training and a working hospital that provides inexpensive medical care. It is a tertiary care referral hospital that caters to patients referred from not only the whole of Uttar Pradesh, neighboring states such as Bihar, Madhya Pradesh, Chhattisgarh, Uttarakhand, Orissa, West Bengal, but almost whole of India and neighboring countries including Nepal, Bangladesh, Pakistan, Sri Lanka, Bhutan, and middle Eastern countries. It is also emerging as a destination for medical tourism.

This autonomous institute is a University established under a constitutional act. Located on a sprawling 700 acres, the institute offers its own degrees, which are duly recognised by the Medical Council of India. The Institute offers DM, MCh, MD, PhD, post-doctoral fellowships and post-doctoral certificate courses, and senior residency in various specialties.

The institute has more than 190 faculty members in 29 academic departments. The academic departments are engaged in teaching, training, patient care and research. The institute has a hospital-wide computer network with more than 500 computers spread all over the hospital and departments. Internet connections are available in all the departments. All faculty members, residents and students are provided with e-mail facilities. All the patient care activities are computerised, and the institute was the first amongst all government hospitals in India to implement the Oracle-based HIS system in 1997. The old HIS is now being replaced by a higher capacity internet based HIS- which will be fully integrated with the PAX and tele-medicine network, besides providing opportunity to patients to access their medical records and reports from their homes in a secure and convenient manner. Patients would also be able to more easily schedule consultations, tests and surgery from their home, and deposit money for those.

The institute has the following departments:

Clinical

• Emergency Medicine
• Anaesthesiology Anesthesiology, Intensive Care & Pain Management
• Hematology / hemato-oncology & Bone marrow transplantation unit
• Clinical Immunology & Rheumatology
• Neurosurgery
• Neurology
• Surgical Gastroenterology & Liver Transplantation unit
• Gastroenterology
• Cardio-Vascular & thoracic surgery
• Critical Care Medicine
• Cardiology
• Urology
• Nephrology
• Endocrine & Breast Surgery
• Endocrinology
• Medical Genetics
• Radiotherapy / Radiation and clinical oncology- Regional Cancer Centre
• Bio-statistics and Health Informatics
• Nuclear Medicine
• Pathology
• Pulmonary Medicine
• Microbiology
• Radiology
• Transfusion Medicine
• Plastic Surgery & Burns
• Molecular Medicine
• Maternal & Fetal Medicine
• Pulmonary Medicine
• Pediatric surgical super-specialties
• Hospital administration
• Pediatric gastroenterology

The institute has a Telemedicine unit as part of the School of Tele-Medicine & Biomedical Informatics.

The main auditorium complex is a state of art projection and multimedia theater connected live to all the operation theaters in the institute, AIIMS, PGI Chandigarh and JIPMER in Puducherry. A smaller auditorium with a seating capacity for nearly 140 persons is also available. In addition, each department has seminar room(s) for conducting departmental teaching activities. A new state-of-the-art convention center cum lecture theater and library complex is coming up on the campus.

The institute offers DM/MCh/PDF/PDCC/and senior residency (hospital services) training programs in various specialties. The institute runs doctorate of medicine), M.Ch. (Magister Chirurgi), and MD (Doctor of Medicine) programs, training residents in surgical and medical super specialty and specialty fields. It also runs Ph.D. programs for basic science research and Bsc Nursing 4 years course.

It pioneered the 3 year DM/MCh program at a time when the typical course was two years before MCI mandated that all such training programs should be three years duration. It was the first Indian institution to start DM courses in clinical immunology, medical Genetics and MCh in endocrine surgery.

The institute has a library with more than 21,000 books and subscriptions to nearly 450 scientific journals, a computer network with more than 230 computers, Internet connections, and e-mail facilities. Patient care activities are computerized.

There is a main auditorium, a smaller auditorium, and seminar rooms.

Teaching covers basic, medical, and surgical specialties, with compulsory and optional courses covering areas relevant to all aspects of medicine. There is a strong emphasis on research and training in research methodology in postgraduate courses.

All students have to complete two compulsory courses (Basic Course and Course on Biostatistics), and two optional courses from among those offered, including Scientific Communication, Clinical Decision Analysis, Research Methodology, Laboratory Instrumentation, Computer Applications, Biomedical Literature Search, Bioinformatics, Basic Immunology, Medical Physics, and Molecular Biology, etc., to be eligible for the final examination.

Publications in indexed national/international journals is a basic, mandatory requirement for DM and MCh programs. Thesis is a compulsory part of MD programs.

The senior residents and junior residents (trainee doctors) at SGPGI are selected through a nationwide entrance test conducted twice in a year. Any Indian citizen with medical qualifications recognised by Medical council of India and who fulfills certain age and other criteria is eligible to take the entrance test, which is 100% objective.

The institute is to the southwest of Lucknow City on National highway 24B (Raebareli Road). It is close to the Lucknow airport (approx 12 km), Lucknow Charbagh railway station (approx 14 km) and Lucknow interstate bus terminus (approx 15 km).

The Director is over-all administrative head of the institute. The government of Uttar Pradesh is represented by Chief Secretary as President of SGPGIMS and a special secretary dept of medical education as Additional Director in the institute administration. The academic activities are overlooked by the Dean, who is assisted by four sub-deans, and the office of executive registrar, and examination cell. Research cell, Institute Ethics committee and Animal ethics committee play a vital role in co-ordinating research activities, while the financial matters are handled by office of finance officer, who is a UP state government official. The offices of Joint Director material management co-ordinates all procurements of equipment, while the Hospital revolving fund (pharmacy) and investigations revolving fund co-ordinate procurement of drugs, consumables, investigation & research kits etc. The hospital administration is headed by Chief medical superintendent, under whom medical superintendent, deputy and additional medical superintendent function. Prof. R K Dhiman- a hepatologist is the current Director and Prof. S. K. Misra is the Dean of the institute. Prof. Amit Agarwal is the chief medical superintendent, who is assisted by Dr. A. K. Bhatt who is the medical superintendent.

SGPGIMS campus is spread over an area of 700 acres. Two types of accommodation are available on the campus for student: two hostels that have with single-occupancy rooms and apartments (subject to availability). The campus has an artificial lake, with fountains and walking path around it. Recreational facilities include a swimming pool and sports complex. There is a hobby-centre called "Rang" which also houses the faculty club, a community centre and a large air-conditioned multi-purpose auditorium "Shruti". The campus has a nursery school and a high school up to class X.the campus also features a college of Nursing .

The hospital is located nearly 1 km from the Institute main gate and a regular free shuttle bus makes a to-and-fro trip every 10–15 minutes. The hospital works as a referral hospital and endeavors to work on an appointment system. Though most patients are required to bring a referral slip from the referring physician/ surgeon, but even such patients who have not been referred by a doctor but are suffering from a disease that can be treated at SGPGIMS are also welcome. The referring physicians are requested to indicate the nature of patients' problem, the specialty at the Institute they wish to refer the patient to and the nature of help required from the Institute.

SGPGI is a UP state government owned and run hospital and has some of the best trained and internationally renowned doctors on its payroll. All doctors, nurses, and other personnel are full-time salaried staff, and patients need not pay any amount in form of their professional fees. However, the hospital charges a highly subsidized cost for all investigations, treatment, medications etc., which is about 10% to 25% of costs at corporate/ private hospitals of comparable quality in India.

The Institute hospital endeavors to work on an appointment system. Thus, the patients are expected to re-visit the Institute hospital only on appointed days, except in case of an emergency. Patients once seen are usually provided an appointment for any investigations, outpatient consultation, admission for treatment and surgery. The in-patient treatment at SGPGIMS hospital is highly organized and all efforts are made to reduce inconvenience to patients, that is usually the case at various government hospitals. The on-line health information system of the hospital is synchronized to the online billing system and online pharmacy. Patients are provided all medicines, consumables, surgical material etc. at the bed-side, for which the patients are charged a highly subsidised cost, in most cases- about 30-40% less than the MRP.

The Institute caters for emergencies relating to the specialities existing at the institute but not for general medical emergencies. It does not have a full-fledged emergency medicine/ trauma department, and is not geared to manage acute emergencies and trauma cases. Any such patients received at the emergency receiving station of SGPGI are referred to other hospitals in the city, and are provided only first-aid/ supportive treatment.

The campus has several facilities for patients and their attendants. These include:

• PRA: Patients' relatives' accommodation, available to relatives of patients admitted to the hospital, on payment basis.
• Vishramalaya: A daytime facility for outpatients and relatives with lockers, a place to relax, a restaurant, bathrooms, toilets, etc.
• Cafeteria, bank, post office, shops for drugs and medical consumables.

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