::Departments : Super Specialities : Nephrology
 
Medical
 
Short History of the Department
 
 
Nephrology Department as a separate sub-Speciality was started by Prof. M.S. Amaresan in 1972.The Department had a lecturer, a tutor, three Staff Nurses and two Technicians. Gradually the bed strengths was expanded to 23. D.M.Nephrology Course was started in 1978 with one candidate per year which was increased to two from the academic year 1980-81. The Department moved to the Specialities Block from the old building where it occupies I & II floor from 1979.
The bed strength was increased to 50 and additional staff was sanctioned. In 1987, the department was taken after by Prof.M.A.Muthusethupathi. Under his leadership regular kidney transplantation Programme was started on July 1987.  From the beginning only related Kidney donors were accepted. In 1996, first Cadaver Kidney transplantation was done
Milestones of Nephrology
1969  -  First dialysis started
1972  -  Separate department of Nephro established
1979  -  Moved to first  and second floors of specialties block
1987  -  Regular renal transplant begun
1991  -  Organized ISN conference at Chennai
1992  -  Won two prizes in Asia Pacific Congress of Nephrology at Delhi
1993  -  Organized inauguration of Leptospirosis  Diagnostic Laboratory at TN Dr.MGR Medical University
1995  -  Conducted South Asian Workshop for Diagnosis of Leptospirosis ’95.
1995  -  Organized ISN – SC conference at Kodai
1996  -  First Cadaver Kidney transplantation  at GH
1997  -  Organized collaboration with Corporation of Chennai in Lab Diagnosis and for assisting in Epidemiological work in Leprospirosis
1997  -  Silver Jubilee celebrations; MMC Nephrology Alumni association formed.
2000  -  First CAPD  programme started
2000  -  Prof. M.A.Muthusethupathi Gold Medal Instituted.
2001 -   water  Treatment plant installed and Semi Auto analyzer  purchased for laboratory
2002  -  D.M. course recognized by MCI
2005  -  Conducted SC – ISN –Silver Jubilee Conference of the Southern Chapter with Prof.J.J.Weening, President of the International Society of Nephrology as a Special Invitee
2006  -  First World Kidney day Celebrated – Organized Public Forum on Kidney Diseases Dialysis Technology – Certificate Course started
2008  -  Regular Cadaver Transplant programme started
 
Academic activities
 
 
Type of course:  Medical
 
 
 
Name of the courses offered: D.M Nephrology
 
 
o Eligibility: Candidates for admission to the first year D.M Nephrology  Post-graduate Higher
Speciality Degree Courses shall be required to have  a Degree in M.D (Internal Medicine)
Or M.D (Pediatrics).  The DNB Candidates have to obtain one year research experience after obtaining the DNB qualification in the subject in a medical institute to consider them at par with MD qualifications awarded by Indian Universities as per the norms of the Medical Council of India, New Delhi / court directions.
a) Must have qualified Post-graduate degree of this University or any other Universities recognised as equivalent thereto by the authority of this University and the Indian Medical Council and should have obtained permanent registration from any of the State Medical Councils.
b) The admitting authorities of the Institutions will strictly ensure that every candidate admitted to the D.M/M.Ch Post-Graduate Super Specialty Degree courses has obtained permanent registration certificates (both for M.B.B.S and Post-graduate Degree) from any one of the State Medical Councils.
 
 
o Course duration: 3 years
 
o Sanctioned number of seats : 6
Affiliated University: The Tamil Nadu Dr.MGR Medical University.
Selection Procedure : Through common entrance examination
University Examination Details:
DM Nephrology University Examination Consists of theory, clinical and oral examination.
 
(a) THEORY:
 
At the end of second academic year 
Paper I: Basic Sciences as applied to Nephrology
At the end of DM Nephrology course
Paper II: Clinical Nephrology
Paper III: Dialysis and Transplantation
Paper IV: Recent Advances
Duration: 3 Hours
Marks for each paper: 100
(ii) Type of questions
1 Essay question for 20 marks
8 Short questions for 10 marks each
(Or)
10 Short questions for 10 marks each
Desirable - Minimum of 3 questions in short notes should be
clinical problem solving.
 
(b) CLINICAL AND ORAL EXAM(only at the end of DM Nephrology course)
There should not be more than 3 candidates per day.
There will be 2 external and 2 internal examiners.
 
(c) PATTERN OF EXAMINATION
 
(i) Clinical
1 long case - 1 hour
2 Short Cases - 30 minutes each.
Ward Rounds (4 cases)
 
(ii) Oral Examination
Viva
2 Histopathology slides
2 Radio imaging projections
 
(d) TOTAL MARKS
 
(i) Theory
Paper I - 100 Marks
Paper II - 100 Marks
Paper III - 100 Marks
Paper IV - 100 Marks
Total - 400 Marks
(separate minimum marks required to pass theory exam = 200 marks)
 
(ii) Clinical
Long Case - 100 x 1 = 100
Short Case - 50 x 2 = 100
Ward Rounds - 25 x 4 = 100
Total = 300
_______________________________________
(separate minimum marks required to pass clinical exam = 150 marks)
(iii) Oral
Viva - 50 Marks
2 Histopathology slides – 25 Marks
2 Radio imaging projections – 25 Marks__
Total - 100 Marks_
(separate minimum marks is not necessary but will be added to the theory
marks)
Hence Total marks are as follows:
Theory: 4 papers of 100 marks each 400
Orals: 100
______________
Total 500
______________
Minimum Marks Required is 250 / 500
Clinical: Total 300
Minimum marks required is 150 / 300
 
M.D. (Gen.Med.) qualified post graduates are being trained for D.M. Nephrology degree. An intensive structured teaching programme is part of the training schedule. Apart form Nephrology postgraduates, the following students are also trained in Nephrology.
 
Medical:
Undergraduates – M.B.B.S
Postgraduates – M.D. (Gen. Medicine & Geriatrics),
Diploma (Diabetology),
D.M. (Rheumatology),
Nursing:
Diploma, B.Sc., M.Sc.,
Nutrition: B.Sc.
Dialysis Technology
 
 
 
Periodic academic activities held in the department
 
The faculty members of department will be primarily responsible for teaching. In addition the following departments will be involved in the teaching Programme of DM Nephrology Post Graduates.
a. Urology
b. Internal Medicine
c. Radio Diagnosis
d. Pathology including Immuno Pathology
e. Micro-biology
The teaching schedule will be as follows, however the details may
change time to time depending on the evolving circumstances.
 
The Teaching Programme will include:
1. Urology Lectures
2. Lectures in Statistics
3. Diet in Renal Disease
 
VI. DISSERTATION
1. The candidates will carry out one research project under the guidance of Professor. He or she will submit 6 copies of
dissertation at the end of 2 ¾ years from the beginning of the course. The topic will be allotted in the first 3 months after joining the course. The work of dissertation will be supervised periodically by Professor and HOD. The submission of dissertation is a partial fulfillment for appearing in the final examination, but will not carry marks. However its approval is mandatory for passing the examination.
2. The Professor and Associate Professor should supervise to ensure that the candidate make atleast 2 presentations in the regional, national or International conferences during the period of Post Graduation.
Log book will be maintained by the candidates and will be submitted at time of clinical examination
 
Research and Publications ( National and International - for the past 5 years / year wise)
 
  • Epidemiologic Trend Changes in Acute Renal Failure—A Tertiary Center      Experience from South India - M. Jayakumar, M. Ram Prabahar*, Edwin M. Fernando.,R. Manorajan, R.      Venkatraman,  V. Balaraman    Renal Failure, 28:405–410, 2006
  • Nephrocalcinosis in Siblings – Familial   Hypomagnesemia, Hypercalciuria with Nephrocalcinosis (FHHNC Syndrome) - M Ram Prabahar*, R Manorajan**, ME Fernando**, R Venkatraman**, V Balaraman**,M Jayakumar***    J Assoc of Physicians India.  2006 ; 54:497–500.
  • Severe Extraosseous Calcification in    Chronic Kidney Disease- Ram Prabahar M ,*; Sivakumar KG,*; Manorajan R,**; Jayakumar M,***             Dialysis & Transplantation 2006;35 (12) : 772-776
  •  Leptospirosis in Chennai  changing profile – correspondence   - Ram Prabahar M,,  Jayakumar M  J Assoc of Physicians India.  2006 ; 54 : 965.
  • Churg Strauss syndrome with renal involvement  –Ram Prabahar M,*;; Manorajan R,**; Jayakumar M,*** Indian journal of Nephrology 2006;16:177-1798.
  • Prediction of tubulo interstitial injury by Doppler Ultrasound in Glomerular     diseases: Value of resistive and atrophic indices- Ram prabahar M £  Udayakumar.R**  Jamila Rose*   Edwin M Fernando ¥     Venkatraman R ¥ Balaraman V¥ Manorajan R ¥ Edwin Amalraj. R  €   Jayakumar M ¤ J Assoc of Physicians India 2008:56:21-26
  • Chronic Inferior Venacava thrombosis in Membranous Nephropathy Images  in Nephrology  - Ram Prabahar M*   Soundararajan P  Jayakumar M ** Nephrology dialysis & transplantation 2008:23:2422-2423
 
Prizes and Award constituted by the Department
           The department of Nephrology conducts a gold medal prize examination in nephrology for M.D. postgraduates every year. This medal is named as Prof. M.A.Muthusethupathi Gold Medal in honor of the founder chairman.
           From 2012 onwards the department is conducting undergraduate nephrology quiz to sow the seeds of nephrology at the beginning of their career itself.
 
 
 
Prizes and Awards won
 
 
CMEs’, Workshops / conferences conducted by the department ( past 5 years / year wise)
 
 
  1. 2009 – CME on Cadaveric transplant, Nephsil 2009
  2. 2011 – CME on HCV and Kidney
           Professor M.S. Amaresan Endowment Lecture.
 
  1. 2012 – Regional Conference ISNSCCON 2012
           CME, Nephsil 2012
           Professor M.S. Amaresan Endowment Lecture
 
 
Services Offered
No of units in the department:2
 
 
 
OP day’s and timings :                       Unit – I                                        Unit –II
 
General Nephrology OP          Monday & Thursday                        Tuesday & Friday
                                                 (11 Am to 1PM)                                  (11 Am to 1PM)
 
Renal Transplant OP                  Wednesday 
                                                (11 Am to 1PM)         
 
 
IPUit & Amissn ayUitis)
 
 Unit – I                                  Unit –II
                                                                                   
Mon  / wed /  Thurs                 Tue / Fri / sat
Bed Strength of Department :
UNIT I = 30 beds;   UNIT II = 30 beds
 
Wards No. of beds
Male ward 26
Female ward 15
Hemodialysis room 10
Peritoneal dialysis room 5
Intensive renal care unit 2
Post renal transplant room 12
 
Dialysis   : No. of beds – 10
Average O.P                              Average I.P
 
 
  2009 2010 2011 Up to Oct. 2012
INPATIENT 12034 14086 15657 13261
OUT PATIENT 28745 30935 31268 28363
HEMODIALYSIS 4612 4073 5080 4538
PERITONEAL DIALYSIS 1477 1569 1274 1143
KIDNEY TRANSPLANTATIONS 64 66 64 63
 
 
 
Special Clinics conducted by the Department
 
 
General Nephrology OP at Institute of Obstetrics and Gynaecology at egmore on Monday, Thursday and Friday between 10 Am to 12 noon.
 
List of Laboratory tests performed (for Laboratory attached departments):
 
Biochemistry Tests
 
Blood Urea
S.Creatinine
S.Uric Acid
S.Cholesterol
S.Total Protein
S.Albumin
S. Globumin
Bl.Sugar(F)
S.Sodium
S.Potassium
S.Calcium
S.Phosphorous
24 Hrs Urine Volume
Urine Protein
Urine Creatinine
Cr.Clearance
U.Sodium
U.Phosphorous
U.Uric Acid
Clinical Pathology
Complete Haemogram
Urine Complete Analysis
Urine For Bence Jones Protein
Urine For Chyle
 
Average laboratory statistics (average tests conducted / annum): 241363
 

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