21. Medical Education Unit (Constitution) (Specify number of meetings held annually & minutes thereof) PART II – (DEPARTMENTAL INFORMATION) 1 Department inspected : Pulmonary Medicine 2 Date on which independent department ……………………….. of Pulmonary Medicine was created and started functioning (Attach copy of order from Govt/Competent Authorities) 3 Faculty details (From start of department till date) Name Designation PG/ Superspeciality Appointment/Promotion orders Salary Qualification in Details (No…/Date… attach photocopy concerned subject (Year including of Passing, University TDS and College) deducted 4 Particulars of present HOD Name: _______________________Age: _________(Date of Birth)__________________ PG Degree and Year of Institution University Recognized/ Superspecialty passing Not Recognized degree MD/Ms DM/M.Ch. Two years Special Training Teaching Experience ( Give Experience in Pulmonary Medicine not in Respiratory medicine ) – Designation Institution From To Total experience Asstt Professor Assoc Professor/Reader Professor Any Other Grand Total 5 Whether Independent department of Thoracic Surgery &Pulmonary Medicine exists in the institution: Yes/No…….. (If yes……………..Since When………………………..) 6 (a) Purpose of Present inspection: Grant of Permission/ Recognition/ Increase of seats /Renewal of recognition/Compliance Verification Date of last MCI inspection of the department: __________________________ (Write Not Applicable for first MCI inspection)
21. Medical Education Unit (Constitution) (Specify number of meetings held annually & minutes thereof) PART – II (DEPARTMENTAL INFORMATION) 1 Department inspected : Pulmonary Medicine 2 Date on which independent department ……………………….. of Pulmonary Medicine was created and started functioning (Attach copy of order from Govt/Competent Authorities) 3 Faculty details (From start of department till date) Name Designation PG/ Superspeciality Qualification in concerned subject (Year of Passing, University and College) Appointment/Promotion orders (No…/Date… attach photocopy Salary Details including TDS deducted 4 Particulars of present HOD Name: _______________________Age: _________(Date of Birth)__________________ PG Degree and Superspecialty degree Year of passing Institution University Recognized/ Not Recognized MD/Ms DM/M.Ch. Two years Special Training Teaching Experience ( Give Experience in Pulmonary Medicine – not in Respiratory medicine ) Designation Institution From To Total experience Asstt Professor Assoc Professor/Reader Professor Any Other Grand Total 5 Whether Independent department of Thoracic Surgery &Pulmonary Medicine exists in the institution: Yes/No…….. (If yes……………..Since When………………………..) 6 (a) Purpose of Present inspection: Grant of Permission/ Recognition/ Increase of seats /Renewal of recognition/Compliance Verification Date of last MCI inspection of the department: __________________________ (Write Not Applicable for first MCI inspection)