Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
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CENTRAL COUNCIL OF HOMOEOPATHY
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JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM - A
General Information Pertaining to :College and Teaching Homoeopathic Hospital and any other Hospital
(with whom MoU exists).
Name of Institution/College
Complete Address
with PIN
Telephone numbers
with STD code
Fax
E-Mail
Web-site
Name of affiliating University
Courses run
UG
PG
(Specialty
Subjects)
Information furnished here-in is correct to the best of my knowledge.
Signature of Principal/Director
[Seal]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
COLLEGE
Particulars of Principal/Director :
Name
Qualifications
with year of
award &
Name of
awarding
authority
Regn. No.
with date
and name
of
Council/
Board.
Teaching
Experience (with
subject), Cadrewise with name of
college where such
experience is
gained
Administrative
Experience
Nature
(Regular/
Temp./
officiating)
& date of
appointment
Other
(if
any)
GENERAL INFORMATION
Year of establishment of the
College/Institution
Management
(Govt. /Local Body/Private) with Name
If private, give details including Registration
particulars under Trust / Society Acts
Intake capacity allowed
BHMS
(by CCH/ Govt. of India)
BHMS (GDC)
course wise
MD(Hom)
Specialty Organon of Medicine
Materia Medica
Repertory
Practice of Medicine
Pharmacy
Paediatrics
Psychiatry
University affiliation status
(Temp./ Provisional/Permanent)
Year of recognition
BHMS
by C.C.H. / Central BHMS Graded
Government
MD(Hom) with name
of Specialty subjects
Date of last Inspection by CCH
Name of Medical Inspectors / Visitors
Up to
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Qualification awarded to the students of this
College is included /not included in second
Schedule of H.C.C. Act. 1973.
No. of migrated students (Course-wise &
class-wise) during last one year.
From Other Colleges
From the College to other Colleges
(List along with copies of NOC/Permission for migration
from CCH or other authorities be enclosed)
FINANCIAL STATUS OF THE COLLEGE
Financial Capability
S. No.
Particulars
1
Fixed Deposits
2
Current Account
3
Saving Bank Accounts
Budget for the College (year 20
Operating Expenses
- 20
Current year
Next year
Current year
Next year
)
S. No.
Particulars
1
Pay & Allowances, Wages etc.
2
Fee payable authorities (CCH, University etc.)
3
Stationary & Printing
4
Consumable items
5
Telephone, Electricity & Postage
6
Repair & Maintenance
7
Seminar, Workshop, Conferences etc.
8
Sports & Cultural Programmes
9
Bank Charges
10
Contingencies
11
Miscellaneous
12
Others
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Capital Expenses
S. No.
Particulars
1
Furniture & Fixtures
2
Library Books
3
Equipment/Instruments etc.
4
Hospital Equiment/Appliances etc.
5
Budget for the Hospital
6
Others
Revenue Sources
S. No.
1
Fee Receipts
Particulars
2
Collection from Hospital
3
Estimated Annual Revenue from Other Sources
Current year
Next year
Current year
Next year
Enclose Audited Balance sheets for the College & Hospital for the last 03 years.
STAFF
No. of Staff
available.
(Enclose the list of teachers (duly attested by the
Principal/Director) showing their Names, Designation, Professors
Department, whether Full Time/Guest Faculty, Associate Professors /
Qualification, Awarding authority with year of Award, Readers
Date of Birth, Registration Number & Date of
Assistant Professors/
Registration with name of Council/Board with which
Lecturers
Registered, Experience in each Teaching Cadre and
Total
duration & Name of Institution where such experience
was gained).
No. of Teaching Staff:
Full
Time
Guest
Faculty
No. of Administrative Staff of College:
(Enclose the list having name, designation, qualification
and experience)
No. of Hospital Staff:
(Enclose the list including names, designation,
qualifications and experiences along with Registration
numbers for Medical doctors.
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
COURSE OF STUDY
i.
ii.
Pre-requisites for admission
for course(s) run
Method of selection for Course(s) run
iii. Minimum percentage of marks for
admission in each course
No. of actual working days for the College :
College timings (Enclose copies of time table for
each course/class).
Annual fee charged per student for each course
Criteria of Admission:Number of beds in the attached Homoeopathic
Hospital for UG and PG courses.
No. of average patients in O.P.D./day.
Average daily bed occupancy in I.P.D.
Criteria of P.G. admission – Student – Guide
ratio:
Guide as Professor:
Guide as Reader :
Guide as Lecturer :
Information about admissions made during the last 03 years:Year 
Undergraduate
BHMS
Boys
Girls
Graded BHMS Boys
Girls
Postgraduate
Boys
Girls
Total number of students on the roll
BHMS (DDC)
(course wise):
BHMS (GDC)
MD (Hom)
Total number of Seats occupied
A-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Details of land & Accommodation:
a. Total Land Area
b. Total Floor Area
c. Ownership of Land & Building
Sq. M / Sq. Ft./Acres
Sq. M / Sq. Ft
Own / on lease for _____ years.
In the name of ________________________________
________________________________
(Enclose copy of land Registration/lease deed)
Information about infrastructure of College for ______ intake capacity.
1. Administrative Section:
This shall include Principal Room, Reception, Visitors
Room, Committee Room, Administration and Account
Section, Record Room, separate Toilet for male and female.
2. Lecture Halls:
There shall be 5 Lecture Halls with capacity to accommodate
60 / 100 students with proper facilities for Electricity AudioVisual Aids, Fans/Coolers with separate toilet for Boys and
Girls on each Floor:
Space :
Sitting Capacity in each :
Sitting type :
3. Seminar/Examination Hall
Auditorium with sitting capacity
4. Central Library with sitting capacity of at least 50 – 60
students with reading room for teachers, separate reading
room for P.G. students, Librarian Room. Library shall
have at least 2000 Books on prescribed subjects. The
Library shall have newspaper, periodical, journal.
Department
5. Teaching
Anatomy
Department
Physiology
Homoeopathic
Pharmacy
Pathology
Section
Area provided
Department Room
Museum
Dissection Hall
Histology Demonstration
Storage for Cadaver
Department Room
Museum
Lab Physiology
Lab Biochemistry
Demonstration space
Department Room
Museum
Laboratory
Demonstration Room
Department Room
Laboratory
Demonstration Room
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Department
5. Teaching
FMT
Department
Community
Medicine
Practice of
Medicine
Gynaecology &
Obstetrics
Surgery
Homoeopathic
Materia Medica
Organon of
Medicine
Repertory
Psychiatry
Paediatrics
Section
Area provided
Department Room
Museum
Demonstration Room
Department Room
Museum
Demonstration Room
Department Room
Museum
Demonstration Room
Student Discussion Room for PG
Department Library for PG
Department Room
Museum
Demonstration Room
Department Room
Museum
Demonstration Room
Department Room
Museum
Student Discussion Room for PG
Department Library for PG
Department Room
Museum
Demonstration Room
Student Discussion Room for PG
Department Library for PG
Department Room
Computer Laboratory
Demonstration Room
Student Discussion Room for PG
Department Library for PG
Department Room
Museum
Demonstration Room
Student Discussion Room for PG
Department Library for PG
Department Room
Museum
Demonstration Room
Student Discussion Room for PG
Department Library for PG
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
6. Common Rooms for Boys and Girls
7. Canteen facility in
premises
8. Examination Hall
the
college
INFORMATION ABOUT CENTRAL LIBRARY:
Time & Working
No. of Books
i. Text
ii. Reference
Details of Journals subscribed subject wise
a. Indian
b. Foreign
No. of Journals with back issue
Library Staff with Qualification
Facility for Internet
Facility for Photocopier
Book Bank
No. of Books in the Book Bank
No. of books specifically purchased for
M.D. (Hom) Course subject if so indicate
their no. and enclose a list thereof :
MISCELLANOUS INFORMATION:Messing & Canteen arrangement
Details of Hostel facilities
Residential facility
Categories
Number
Sports and recreation facilities
Indoor
Outdoor
Any other Information
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
WEBSITE OF THE COLLEGE:
Details of Director or Principal and
Medical Superintendent including their
name, age, registration number,
qualification , date of joining, complete
address with telephone or mobile numbers
and subscriber trunk dialing code, fax and
E-mail, etc;
Details of teaching staff along with their
photograph, registration number, date of
birth, qualification, experience, Department
etc;
Non-teaching staff of college and hospital
staff along with their department
Details of the sanctioned intake capacity of
various courses, undergraduate, as well as,
Post Graduate;
List of students admitted, merit-wise,
category-wise (Under Graduate and Post
Graduate) for the current and previous
academic years
Any research publications during last one
year;
Details of any Continuous Medical
Education programme, conferences and/ or
any academic acclivities conducted by the
institution
Details of any awards and achievement
received by the students or faculty;
Details of the affiliated University and its
Vice-Chancellor and Registrars
Result of all the examinations of last one
year
Detailed status of recognition of all the
courses
Details of clinical material in the hospital.
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
HEALTH CENTRES INFORMATION IN BRIEF:Rural
Number
Location
Distance from College
and attached Hospital
Staff
Utility for Students
Urban
Number
Location
Distance from College
and attached Hospital
Staff details
Utility for Students
TEACHING COLLEGIATE HOSPITAL
Name of Collegiate No. of Name & qualification of
Homoeopathic
beds
Superintendent & other
Hospital
attending doctors
Hospital faculty
Full Time/Part Time/ On Call
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Details of Statutory Recognition from the State Govt./Union Territory/Local Administration.
Number of Teaching Faculty imparting
clinical Training to students:Number of P.G. students if any involved in
clinical training to students & interns:Distribution of Beds:
Medicine & Pediatrics
(Acute & Chronic Medical cases) :
Surgery
Obstetrics & Gynecology
ANNUAL BUDGET FOR HOSPITAL: ( Year 20 ___-20____ )
Current year
Next year
Pay of Staff & Establishment
Medicine & Sundries
Diet
Others
CLINICAL MATERIAL DURING THE LAST ONE YEAR:*Outdoor *Indoor –
Old (Follow up Patients)
New Patients.
Average daily Attendance
Annual Admission
Annual Discharge
Mortality
Total bed occupancy during
the last one year
Percentage of bed occupancy
Medical Camps held:
*Attach statement for the last one year.
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING FACILITIES:Homoeopathic Hospital
Details of OPDs
Details of IPD wards
Clinical Class Room
Super Specialty Hospital (of
Modern Medicine)
Name of Teacher who
Supervise
No. of Students &
Programme Details for
Clinical Teaching
UG
PG
REGISTRATION/RECORD FILLING:Central Registration
Departmental OPD
IPD
Staff
Computerization System
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
CLINICAL LABORATORIES:
Equipment
Investigation done & Charges of
Investigations (Enclose a list)
Staff
OPERATION FACILITIES:
Operation theatres
Arrangement for Anesthesia
Number
Equipment
No. of Operations done
Types of Operations done
Pre-aneasthetic care
Nature of Aneasthesia used
Post-Operative Care
Post operative Ward
Resuscitation facilities
Intensive care unit
Labor room facilities
General Sterilization facilities (in brief)
X – RAY WING:
Staff details
Equipment
Utility Report of one year
Dark – room arrangement
Protective measures :
A-13
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
PHARMACY :
Average number of prescriptions dispensed
per day
Stock of Medicines.
(List be enclosed)
Expenditure on medicines & sundries in last
one year.
OPD
IPD
KITCHEN:
Own/on contract
MoU WITH SUPER SPECIALITY HOSPITAL OF MODERN MEDICINE:
Name & address of Super Speciality
Hospital
Period for which MoU done
(A copy of MoU to be enclosed)
Facility available
Utility for students
Other information
RESULTS OF EXAMINATIONS:
(Give number and % of passed out students during the preceding 3 years).
UNDERGRADUATE COURSES
B.H.M.S. (Direct Degree):BHMS (DDC)
YEAR_______
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary Regular Supplementary
Exam.
(a) First
Professional
(b) Second
Professional
(c) Third
Professional
(d) Fourth
Professional
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
B.H.M.S. (Graded Degree):BHMS (GDC)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
YEAR_______
Regular
(a) First
Professional
(b) Second
Professional
POST GRADUATE COURSES
MD (Hom) - Organon of Medicine
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
Part-1
Part-2
MD (Hom) - Homoeopathic Materia Medica
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
Part-1
Part-2
YEAR_______
Regular
YEAR_______
Regular
MD (Hom) – Repertory
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
YEAR_______
Regular
Part-1
Part-2
MD (Hom) - Practice of Medicine
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary
Regular
Supplementary
Exam.
YEAR_______
Regular
Part-1
Part-2
MD (Hom) – Homoeopathic Pharmacy
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
YEAR_______
Regular
Part-1
Part-2
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STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
MD (Hom) – Paediatrics.
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary
Regular
Supplementary
Exam.
YEAR_______
Regular
Part-1
Part-2
MD (Hom) – Psychiatry.
MD(Hom)
YEAR_______
YEAR_______
Regular
Supplementary Regular
Supplementary
Exam.
YEAR_______
Regular
Part-1
Part-2
INTERNSHIP TRAINING:
Total number of Interns
Whether they have Provisional
Registration with State
Homoeopathic Board/ Council.
Duration of Internship Training
Rotation Programme.
(Copy of intern’s roaster be
enclosed)
Department
Practice of MedicineA Rotation in Psychology
sections.
B Rotation in Respiratory
section
C Rotation in GastroIntestinal section
D Rotation in
Endocrinology section
E Rotation in Skin & VD
section
F Loco-motor section
G Cardiology section
H Paediatrics section
Rotation in Surgery
Rotation in Obstetrics &
Gynaecology - (including
Duration
Reproductive & child health care)).
Rotation in Community
medicine (including PHC/CHC)
A-16
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Hospital Duty by Internee
A Number of days of posting in OPD per month
B Number of days of Posting in IPD per month
C Duty in Community Medicine
D Self Preparation in Library
E Other duty posting
Supervision of Interns
A Direct supervision of Head of Department concerned
B Resident Medical Officer
C If not the details thereof
Whether the internee students are allowed to prescribe the .
treatment including medicines,
Whether the internee students are allowed to issue any
medico legal document under his/her signatures.
Regulation of Training of Interns
A Principal in consultation with concerned Heads of
Departments
B Regulated by the R.M.O.
C If not the details thereof.
Whether the internee students are maintaining a record of
work
Monitoring of Records
A Head of concerned department
B Resident Medical Officer under whom the internee is
posted
Whether the scrutiny of record is done in an objective
way to update the knowledge, skill and aptitude of
internee.
Adequate stress area during the internship training
A Case taking,
B Evaluation of symptoms,
C Nosological and miasmatic diagnostic analysis,
D Repertorisation
E Management of sick people based on principles of
Homoeopathy
Weekly Seminars
A Number of Weekly seminar held during reporting
year
B Internee presentation of cases in Rotation
C Discussion on cases
D Assessment by concerned teacher/RMO on
performance of each internee
A-17
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Exposure to Clinico-pathological Work
A Acquisition of Skill in taking Sample and doing routine
blood – examination, blood smear for parasites, sputum
examination, urine and stool examination.
B Training to correlate laboratory findings with diagnosis
and management of sick people.
Learning on Diagnostic Technique
A X-Ray with co-relate their findings with diagnosis and
management of cases
B Ultrasonography with co-relate their findings with
diagnosis and management of cases
C ECG with co-relate their findings with diagnosis and
management of cases
D Spiro meter with co-relate their findings with diagnosis
and management of cases
E Others
Learning on Issue of Medico-legal Certificates
A Medical & Fitness Certificates
B Death Certificates
C Birth Certificates
D Court Procedures
E Other
Maintenance of records
A 40 acute cases complete in all manner including follow
up in Practice of Medicine,
B
25 chronic cases complete in all manner including
follow up in Practice of Medicine,
C Record of 5 antenatal check-up and 3 delivery cases
attended by him/her in Department of Obstetrics and 3
cases of Gynaecology;
,D Records of 5 surgical cases assisted by him (and
demonstration knowledge of dressings) in Surgery
department
E Records of knowledge gained in Primary Health centre.
F
Records of knowledge gained in Community Health
Centre
G Records of knowledge gained in Other Health
Programme
Proving of at least one drug during the period of Internship
by each Internee students
A-18
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Elective Assignments
A
liberty to choose an elective assignment on any
subject,
B
furnished in writing by the internee
C
Submission of Assignments by Internee to Principal
A
Learning on Maintenance of Statics and Records
B
Familiarized with research methodology.
Percentage of Attendance during the internship
Total number of hours per day during the compulsory
internship training.
No. of interns shifted (if any)(a)
from the College to other College(s).
(b)
from other College(s) to the College.
If Yes, list in respect of (a) & (b) above be attached showing
their names & period.
Other information (if any)
PARTICULARS OF CANDIDATES ENROLLED FOR M.D.(HOM) COURSE
Doing House job
To Appear in I-M.D.(Hom) Exams
Passed I-M.D.(Hom) Exams
To Appear in II-M.D.(Hom) Exams
Passed II-M.D.(Hom) Exams
Details of titles of approved Dissertations – students wise.
Details of allocated work during House job
A-19
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
COLLEGE COUNCIL
Number of Members
(Copy of order of constitution of College Council be
enclosed)
Number of Meetings held in last one year.
Copy of minutes of meetings held in last one year be
enclosed.
CURRICULUM OF STUDIES.
Curriculum of the subject prescribed by the University
(in view of C.C.H. Regulations)
Is the above curriculum followed properly.
Does the Curriculum of studies adopted by University
differ materially from that as prescribed by the Central
Council of Homoeopathy.
If so, what are the variations
Other information (if any)
Signature of Medical Supdt.
STANDARD INFORMATION FORMS
Signature of Principal
A-20
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – B
On the
Facilities for teaching and training in the subject of
ANATOMY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
_________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
B-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
B-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Name
Date of
appointment
on the post
TEACHING STAFF:
Professor
A.
Full
time /
Guest
Faculty
Remarks
Signatures of H.O.D.
Qualification
Experience
, year in
(state period)
which
As teacher; As examiner;
awarded &
state in what state subject,
awarding
capacity &
& name of
authority.
in which
examination
College.
with year.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
B-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No.
Name
Designation
Remarks
INFRASTRUCTURAL INFORMATION
Anatomy Department Room
HOD Room
Dissection hall
Wash basin
Ventilation
Storage for cadaver
Museum
Facility of histology demonstration (Space/Room)
EQUIPMENT PROVIDED:
Details of items/Equipment etc available as per Schedule-III of HCC(MSR) Regulations, 2013.
S. No.
1
1
Items
Required
Dissection Tables with marble tops or 04
stainless steel (6’x’1’x2’x3’)
2
Dissection set (complete)
As required
3
Saw for sectioning body and limbs
01
4
Storage tanks to hold cadavers
As required
5
Teaching materials
As required
Models
As required
Charts
As required
Diagrams
As required
Slides
As required
Soft part (Wet)
As required
Soft Part (Dry)
As required
Skeleton (Articulated)
As required
Bones (Loose)
As required
Mummified bodies
As required
Diagrams
As required
6
Microscope (Medical)
25
2 Number of additional items
3 No. of Cadavers available
4 Whether College covered under the provisions of Anatomy Act.
Available
B-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME
1 Total no. of theoretical teaching hours
2 Total no. of teaching hours for Practical
3 Advance teaching programme prepared
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminar held on Anatomy
7 Tutorial Classes provision with no. of
students in each batch
8 Maintenance of Dissection Card
9 Availability of Teaching Materials and their
utilization.
10 Time table
11 Interaction with Department of Physiology
Any facility for Education for P.G. students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:Place :
Signature of H.O.D.
B-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – C
On the
Facilities for teaching and training in the subject of
PHYSIOLOGY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
C-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
C-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./
Reader
Name
TEACHING STAFF:
Professor
A.
Date of
appointment
on the post
Full
time /
Guest
Faculty
Remarks
Signatures of H.O.D.
Qualificatio
Experience
n, year in
(state period)
which
As teacher; As examiner;
awarded &
state in what state subject
awarding
capacity & in & name of
authority.
which
examination
College.
with year.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
C-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No. Name
Designation
Remarks
INFRASTRUCTURAL INFORMATION
Physiology Department Room
HOD Room
Physiology Laboratory
Biochemistry Laboratory
Museum
Demonstration room
EQUIPMENT PROVIDED
Details of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013.
S. No.
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Items
For human experiments:
Medical Microscope
Equipment
for
ESR
estimation/
Westergren’s pipette for ESR on stand
Haematocrit tubes
Auto Analyzer or Semi Auto Aalyzer
Haemoglobinometer (Sahli)
Haemocytometer
Sphygmomanometer
Stethoscope
Clinical thermometer (Digital)
Knee hammer
Tuning forks to test hearing (32-10000 hzs)
Stethographs or pneumographs
Electrocardiograph (ECG Machine)
Electronic Stop Watches (1/10 sec.)
Glass Distillation (double) apparatus
Centrifuge (Medium speed)
Colorimeter (photo electric)
pH Meter (electric)
Colour perception lantern (Edridge Green)
Incubator
Required
Available
25
25 (with spare
pipettes)
30 (with spares)
01
25(with spare)
25(with spare)
25
25
25
25
01 set
05
01
04
01
02
02
01
01
01
C-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
21
2
3
4
5
Educational CD
As required
DVD
As required
Films
As required
Slides
As required
Models
As required
Audio Visual Aids
As required
22 Perimeter
03
23 Spirometer
01
24 Tonometer
01
25 Handgrip dynamometer
01
26 Bicycle Ergometer
01
Facility for Animal Experiments demonstration with the help of Audio-visual Aids.
Number of additional items available
Biochemistry
1
Electronic/Monopan Balance
01
2
Centrifuge
01
3
Balance, chemical/ordinary
02
4
Water baths
02
5
Urinometer
25
6
Hydrometer (0.700 to 1.00)
02
7
Albuminometers
10
8
Glucometer
10
9
Thermometer
10
10 Colorimeter
01
11 Hot air oven 14”x14”x14” (Electric)
01
12 Double Distillation apparatus (Glass)
01
13 Centrifuge, medium speed (electric)
01
14 Glass ware like
As required
Pipette,
Beakers,
Burettes,
Wire gauze with asbestos
As required
Centre hot plate
As required
Stove
As required
Syringes
As required
Burners
As required
Rubber tubing
As required
Stands
As required
Clamps
As required
Flask
As required
15 pH meter
01
Number of additional items available
Total number of Charts
C-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME
1
Total no. of theoretical teaching hours
2
Total no. of teaching hours for Practical
3
Advance teaching programme prepared
4
Teaching diary maintenance
5
Practical Records of Students
6
Seminars held on Physiology
7
Tutorial Classes provision with
no. of students in each batch
8
Demonstration on Animal
Experimentation
9
Time table
7
Interaction with Department of
Anatomy
Any facility for P.G. Education for students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:-
Date:
Place :
Signature of H.O.D.
C-6
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – D
On the
Facilities for teaching and training in the subject of
PATHOLOGY & MICROBIOLOGY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
D-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
D-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof.
/ Lecturer
Associate
Prof./
Reader
Name
Date of
Full time
appointment / Guest
on the post Faculty
TEACHING STAFF:
Professor
A.
Remarks
Signatures of H.O.D.
Qualification,
Experience
year in which
(state period)
awarded &
As teacher;
As examiner;
awarding
state in what state subject &
authority.
capacity & in
name of
which
examination
College.
with year.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
D-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S. No.
Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Pathology Department Room
HOD Room
Laboratory
Museum cum Demonstration Room
EQUIPMENT PROVIDED
Details of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013.
S. No.
1
2
3
4
1
2
3
4
Items
o
Hot air oven (50 C)
Centrifuge Machine electric (Rotofix)
Water Bath (Electric)
Glass ware
Stains
Chemical Reagents for Histopathology
5
Incubator
6
Haemocytometer with RBC & WBC Pipettes
7
Haemoglobinometer (Sahli’s Type)
8
Autoclave (Electric)
9
Anaerobic apparatus
10 Stopwatch (½ sec)
11 pH meter
12 Microscope with oil immersion
13 High Speed Centrifuge for serological/Hematological work
14 ESR (Westergreen/ wintrobe)
15 Colony Counter
16 Material for preparation of media
17 Material for preparation of Stain
18 Coplin Jars
19 Computer with accessories
20 Machine for estimation of blood sugar/serological test
21 Pathological Specimens
Total Number of Charts
Total number of Models
Number of Additional Items
Required
Available
01
02
04
As required
As required
As required
02
25
25
02
02
02
01
25
01
02 sets each
01
As required
As required
02
01
01
25
D-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME
1
2
3
4
5
6
7
8
9
10
11
Total no. of theoretical teaching hours.
Total no. of teaching hours for Practical.
Advance Teaching Programme prepared or not.
Teaching diary maintenance.
Practical Records of Students.
Seminars held on Pathology.
Tutorial Classes provision with no. of students in each batch.
Facilities for Clinical Pathology in Teaching Hospital.
Time table.
Publications by the members of the staff during the last 03 years.
Interaction with other Departments.
Teaching Materials Availability & Utilization
S.
No.
1
2
3
4
5
6
Teaching Material
Availability
Utilization
Morbid Anatomy Material
Materials from Surgeries and Autopsies
Bacteriology Number of specimens and the various tests
Cultures, Serology, Sugar Reactions etc.
Clinical
Hematological
Pathology
Stool
Urine
Miscellaneous
Chemical
Number of specimens
Pathology
Types Of Investigation
Microbiology Number of specimens and various tests
Any facility for P.G. Education for students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:-
Date :
Place :
STANDARD INFORMATION FORMS
Signature of HOD
D-5
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – E
On the
Facilities for teaching and training in the subject of
FORENSIC MEDICINE AND TOXICOLOGY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
E-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
E-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof.
/ Lecturer
Associate
Prof./
Reader
Name
Remarks
Signatures of H.O.D.
Date of
Full time Qualificati
Experience
appointment on / Guest on, year in
(state period)
the post
Faculty
which
As teacher; As examiner;
awarded &
state in what state subject
awarding
capacity &
& name of
authority.
in which
examination
College.
with year.
TEACHING STAFF:
Professor
A.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
E-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No.
Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Forensic Medicine & Toxicology Department Room
HOD Room
Museum-cum-Demonstration Room
EQUIPMENT PROVIDED
Details of items/ Equipment etc. available as per Schedule-III of HCC(MSR) Regulations, 2013
S. No.
Items
Required
Available
1 1
Weighing Machine (Dial Type)
01
2
Equipment for measuring height
01
3
Vernier Calipers
01
4
Weapons
20
Blunt
Sharp
Pointed
5
Models
10
6
SPECIMENS- (Organic, Inorganic, Poisons &
35
Chemicals)
2 Acts / legislations (including Medico-legal) and Regulations available.
1
Homoeopathic Central Council Act 1973
2
Consumer Protection Act 1986
3
Workmen’s Compensation Act 1923
4
Employees State Insurance Act, 1948.
5
Medical Termination of Pregnancy Act, 1971
6
Dangerous Drug Act.
7
Mental Health Act, 1987
8
Indian Evidence Act, 1872
9
Lunacy Act.
10 Borstal Schools Act.
11 The Prohibition of Child Marriage Act, 2006.
12 Public Health Act.
13 Injuries Act.
14 The Drugs and Magic Remedies (Objectionable
Advertisements) Act, 1954.
15 Homoeopathic Practitioners (Professional Conduct, Etiquette
and Code of Ethics) Regulations, 1982.
3 Total number of Charts
4 Number of Additional items available
E-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME
1 Total no. of theoretical teaching hours.
2 Total no. of teaching hours for Practical.
3 Advance teaching programme prepared
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminars held on FMT
7 Tutorial Classes provision with no. of
students in each batch
8 Facilities for Demonstration
9 Facilities for Visits Courts
Post mortem centres
Others
10 Time table
11 Publications by the members of the staff
during the last three years
12 Interaction with other Departments
Any facility for P.G. Education for students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date :
Place :
Signature of HOD
E-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – F
On the
Facilities for teaching and training in the subject of
PRACTICE OF MEDICINE
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
F-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
F-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Name
TEACHING STAFF:
Professor
A.
Date of
Full time
appointment / Guest
on the post Faculty
Qualificatio
n, year in
which
awarded &
awarding
authority.
As
teacher;
state in
what
capacity &
in which
College.
Remarks
Signatures of H.O.D.
As examiner;
state subject &
name of
examination
with year.
Experience
(state period)
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
F-3
SUPPORTIVE STAFF
S.No. Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Practice of Medicine Department Room
HOD Room
Museum-cum-Demonstration Room
PG Student Discussion Room
Departmental Library
EQUIPMENT PROVIDED
1
2
3
4
5
6
Total number of Charts
Number of Equipment for identification
Total Number of Specimens
Models
Number of books in Departmental Library
Additional Items
TEACHING PROGRAMME (UG)
1
2
3
4
5
6
7
8
9
10
11
12
13
Total no. of theoretical teaching hours
Total no. of teaching hours for Practical/Clinical
Advance teaching programme prepared
Teaching diary maintenance
Practical Records of Students
Seminars held on Practice of Medicine
Tutorial Classes provision with no. of students in
each batch
Facilities for Demonstration at Bed side in College
Hospital
Facilities for Demonstration at Bed side in Super
specialty Hospital
Bed side training on applied Homoeopathic Materia
Medica
Time table
Publications by the members of the staff during the
last three years
Interaction with Other Departments
F-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME (PG)
1 Total no. of theoretical teaching hours
2 Total number of hours for clinical OPD for each PG
Student
Total number of hours for clinical IPD for each PG Student
Clinical Discussion
Maintenance of Log Book
Seminars
Journal club meetings
Clinical Presentation by PG Students
3
4
5
6
7
8 No. of Project work allotted to each PG Student
9 Documentation
10 Research Facilities for P.G. Course
Teaching Materials Availability & Utilization
S.
No.
1
2
3
4
5
6
7
Teaching Material in
Availability
Utilization
General Medicine
Acute Diseases
Chronic Diseases
Pediatrics
Geriatrics
Mental Diseases
Any other
Name of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
In case the number of students admitted annually has
increased subsequent to last inspection, state, if
additional facilities have been provided for teaching
and training, and whether they are sufficient.
Remarks:
Date :
STANDARD INFORMATION FORMS
Signature of HOD
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Place :
F-5
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – G
On the
Facilities for teaching and training in the subject of
SURGERY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
G-1
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
STANDARD INFORMATION FORMS
To what extent remedied
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
STANDARD INFORMATION FORMS
Signatures of H.O.D.
As examiner;
state subject
& name of
examination
with year.
A.
TEACHING
STAFF:
Experience
Remarks
(state period)
G-2
Any other
Teaching
staff
Asstt. Prof.
/ Lecturer
Associate
Prof./
Reader
Professor
Post
Name
Date of
Full time Qualificatio
appointment / Guest
n, year in
on the post Faculty
which
awarded &
awarding
authority.
As
teacher;
state in
what
capacity &
in which
College.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
G-3
SUPPORTIVE STAFF
S.No. Name
Designation
INFRASTRUCTURE INFORMATION
Surgery Department Room
HOD Room
Museum-cum-Demonstration Room
STANDARD INFORMATION FORMS
Remarks
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
EQUIPMENT PROVIDED
1 Total number of Charts
2 No. of Equipment for identification
3 Total Number of Specimens
4 Additional Items
TEACHING PROGRAMME
1 Total no. of theoretical teaching hours
2 Total no. of teaching hours for Clinical
exposure
3 Advance teaching programme prepared
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminar held on Surgery
7 Tutorial Classes provision with no. of
students in each batch
8 Facilities for Demonstration in College
Hospital
9 Facilities for Demonstration in Super
specialty Hospital
10 Training on applied Homoeopathic Materia
Medica
11 Time table
12 Publications by the members of the staff
during the last three years
13 Interaction with Other Department
G-4
Teaching in Hospital
S. No.
Facility
1
No. of beds for surgery in College Hospital
2
No. of beds for surgery in Super Specialty Hospital
3
Average No. of internees & students posted at a
time for clerkship
4
Transport arrangement
5
Utilisation of
General Surgery
beds
Ophthalmology
Orthopedics
STANDARD INFORMATION FORMS
Average Attendance
Utility
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
E.N. & T
Dental Diseases
Any facility for P.G. Education for students of other specialty subjects.
(To be filled in by the H.O.D. in collaboration with Hospital authorities)
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
Signature of H.O.D.
G-5
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
FORM – H
On the
Facilities for teaching and training in the subject of
COMMUNITY MEDICINE
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
H-1
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
STANDARD INFORMATION FORMS
Signatures of H.O.D.
(state
period)
As
examiner;
state subject
& name of
examination
with year.
A.
TEACHING
STAFF:
Experience Remarks
H-2
Any other
Teaching
staff
Asstt. Prof.
/ Lecturer
Associate
Prof./
Reader
Professor
Post
Name
Date of
appointment
on the post
Full
time
/Guest
Faculty
Qualification,
year in which
awarded &
awarding
authority.
As
teacher;
state in
what
capacity &
in which
College.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
H-3
SUPPORTIVE STAFF
S.No. Name
Designation
INFRASTRUCTURE INFORMATION
Community Medicine Department Room
STANDARD INFORMATION FORMS
Remarks
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
HOD Room
Museum-cum-Demonstration Room
EQUIPMENT PROVIDED
S.No.
Items
Required
1 1 Barometer (Fortein)
01
2 Lactometer
01
3 Hydrometer
01
4 Hydrometer wet and dry bulb
01
5 Filter Pasteum chamberland complete set
01
6
MUSEUM
Models
As Required
Charts & Diagrams
As Required
Material
Communicable diseases
As Required
concerning
Diet
As Required
Prophylactics
As Required
National Health programmes. As Required
Immunization
As Required
7 Display of
information
Community health
As Required
concerningFamily welfare
As Required
Bio-statistics
As Required
Research Methodology
As Required
Sociology
As Required
01
8 Slow Sand filter model/Filter Berk Field
01
9 Smokeless Chullah model
01
10 Rapid Sand filter model
01
11 Ideal well model
01
12 Refrigerator
13 Additional Items
Available
H-4
2
3
Arrangements Health Check-up Camps
for Visit of
Water Purification Plant
Students
Milk Pasteurization Plant
Industries (to make them
understand about the
Industrial Health Hazards).
Whether any Village has been adopted.
If yes, details therof.
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
4
Total Number of Specimens
Family Welfare devices,
Sources of nutrition
Sources of Vitamins
TEACHING PROGRAMME
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Total no. of theoretical teaching hours.
Total no. of teaching hours for Practical.
Advance teaching programme prepared
Teaching diary maintenance
Practical Records of Students
Seminars held on Community Medicine
Tutorial Classes provision with no. of
students in each batch
Facilities for Demonstration in College
Hospital
Training on applied Homoeopathic Materia
Medica
Time table
Publications by the members of the staff
during the last three years
Interaction with other Departments.
Workshop for Health Education
Provision for students and staff Health
Service
Vital Statistics
Environmental sanitation
Control of communicable diseases
Public Health Laboratory Service
Maternity & Child Health & Family
Planning an Immunization
H-5
20
21
22
23
24
25
26
School Health Service
Health Survey
Clinical Social case reviews
Study of Family & Community
Study of Family constitution and function
Family case studies
Others
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Any facility for P.G. Education for students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
Signature of H.O.D.
H-6
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
FORM – I
On the
Facilities for teaching and training in the subject of
OBSTETRICS AND GYNAECOLOGY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
I-1
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
STANDARD INFORMATION FORMS
Signatures of H.O.D.
A.
TEACHING
STAFF:
Experience Remarks
(state
period)
As
examiner;
state subject
& name of
examination
with year.
I-2
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Professor
Post
Name
Date of
appointment
on the post
Full
time /
Guest
Faculty
Qualification,
year in which
awarded &
awarding
authority.
As teacher;
state in what
capacity &
in which
College.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
I-3
SUPPORTIVE STAFF
S.No. Name
Designation
INFRASTRUCTURE INFORMATION
Gynaecology & Obstetrics Department Room
HOD Room
Museum-cum-Demonstration Room
STANDARD INFORMATION FORMS
Remarks
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
EQUIPMENT etc. PROVIDED
1
Total number of Charts
2
Total number of Models
3
No. of Equipment for identification
4
Total Number of Specimens
5
Additional Items
TEACHING PROGRAMME
1 Total no. of theoretical teaching hours
2 Total no. of teaching hours for Clinical.
3 Advance teaching programme prepared
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminar held on OBG
7 Tutorial Classes provision with no. of students in
each batch
8 Facilities for Demonstration in College Hospital
9 Facilities for Demonstration in Super specialty
Hospital
10 Training on applied Homoeopathic Materia Medica
11 Time table
12 Publications by the members of the staff during the
last three years
13 Interaction with other Departments.
Special Records
S.No.
Records On
1
Antenatal care
2
Postnatal care
3
Abnormal labours
4
Gynaecological Examination
Number
I-4
Teaching in Hospital
S.No.
1
2
Facility
No. of Beds for Obs./ Gynae. in
College Hospital
No. of Beds for Obs./ Gynae. in Super
Specialty Hospital
STANDARD INFORMATION FORMS
Average daily
attendance of
Patients
Utility
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
3
4
5
Average No. of internees & students
posted at a time for clerkship
Transport arrangement
Utilisation of Gynecology
of beds
Obstetrics Antenatal
Labour.
Postnatal
Nursery
Others
Any facility for P.G. Education for students of other specialty subjects.
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
Signature of H.O.D.
I-5
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
FORM – J
On the
Facilities for teaching and training in the subject of
HOMOEOPATHIC PHARMACY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
J-1
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
STANDARD INFORMATION FORMS
Signatures
of H.O.D.
A.
TEACHI
Remarks
NG
STAFF:
J-2
S. No.
Name
STANDARD INFORMATION FORMS
Designation
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Professor
Post
Name
Date of
appointment
on the post
Full
Qualification
time /
, year in
Guest
which
Faculty awarded &
awarding
authority.
As
As examiner;
teacher;
state subject &
state in
name of
what
examination
capacity &
with year.
in which
College.
Experience
(state period)
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
J-3
SUPPORTIVE STAFF
Remarks
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
INFRASTRUCTURE INFORMATION
Homoeopathic Pharmacy Department Room
HOD Room
Laboratory
Museum
Demonstration Room
PG Student Discussion Room
EQUIPMENT PROVIDED
Details of items/ Equipment etc available as per Schedule-III of HCC(MSR)
Regulations, 2013
S. No.
Items
Required
Available
1 1
Pill tiles
25
2
Porcelain dishes
25
3
Crucibles with tongs
25
4
Pestles and mortars (Iron, Glass, Porcelain) 25
5
Water bath, metal/electric
25
6
7
8
9
10
11
12
13
14
15
16
17
18
Microscope (Student type)
Glass apparatus for filtration with vacuum
Thin layer chromatography apparatus
pH meter
Stop watch
Hydrometer
Alcoholometer
Lactometer
Electric potentiser (for P.G. Course)
Electric Triturator (for P.G. Course)
Water Still (Distilled Water Plant)
Percolater `
Macerator
05
02
01
02
25
05
05
05
02
02
01
05
05
J-4
19
20
21
Botanical slides
Colorimeter (for P.G. Course)
Spectro Scope (for P.G. Course)
STANDARD INFORMATION FORMS
As required
01
01
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
22
23
24
25
26
27
28
29
30
2
3
4
5
6
7
8
9
Dissecting Microscope
02
Distillation Apparatus (Glass)
01 set
Pyknometer (Specific Gravity Bottle)
02
Electronic Balance
01
Hot Air Oven
01
Chemical Balance
10
Physical Balance
01
Measuring glasses, all sizes
As required
Miscellan Chemicals
As required
eousDrugs
As required
Glass Phials
As required
Glass Rods
As required
Funnels
As required
Filter Papers
As required
Others
As required
Total number of Charts
Number of books in Departmental Library
Total number of Models
Total
Vegetable
Number of Animal
Specimens Chemical
Details of
Solids
Vehicles
liquids
available
Semisolids
Alcohol
Alcohol/Spirit license/Permission
available or not.
If yes, whether it is renewed or not.
Whether Homoeopathic Pharmacopoeias (including
Homoeopathic Pharmacopoeia of India) are available
Herbal Garden
No. of species planted
Plants on pots
Irrigation facility
Educational Tours conducted during the last year.
J-5
TEACHING PROGRAMME (UG)
1
Total no. of theoretical teaching hours
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
2
Total no. of teaching hours for Practical
3
Advance teaching programme prepared
4
Teaching diary maintenance
5
Practical Records of Students
6
Seminars held on Pharmacy
7
Tutorial Classes provision with no. of
students in each batch
Facilities for Demonstration
8
9
11
Facilities for Demonstration at Bed side in
Hospital
Training on Pharmacy applied to
Homoeopathic Materia Medica
Preparation of Mother Tincture
12
Trituration
13
15
Potentisation of drugs
( Decimal, Centesimal & 50 Millesimal)
Microscopic study of trituration up to 3x
potency
Pharmacological Demonstrations
16
Time table
17
19
Visit of students to Homoeopathic Medicine
Manufacturing Industry, (name of Industry
visited, date etc. be indicated)- whether
students maintain records of such visit.
Publications by the members of the staff
during the last three years
Interaction with Other Departments
20
Any other
10
14
18
J-6
TEACHING PROGRAMME (PG)
1 Total no. of theoretical teaching hours
2 Total number of hours for clinical OPD for each
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
PG Student
Total number of hours for clinical IPD for each
PG Student
Clinical Discussion
Maintenance of Log Book
Seminars
Journal club meetings
Clinical Presentation by PG Students
3
4
5
6
7
8 No. of Project work allotted to each PG Student
9 Documentation
10 Research Facilities for P.G. Course
Name of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
Signature of H.O.D.
J-7
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – K
On the
Facilities for teaching and training in the subject of
HOMOEOPATHIC MATERIA MEDICA
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
K-1
1.
2.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
3.
4.
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
K-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./
Reader
Name
Date of
Full time Qualification,
appointment / Guest year in which
on the post Faculty
awarded &
awarding
authority.
TEACHING STAFF:
Professor
A.
As examiner;
state subject
& name of
examination
with year.
Remarks
Signatures of H.O.D.
As
teacher;
state in
what
capacity &
in which
College.
Experience
(state period)
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
K-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No. Name
Designation
Remarks
INFORMATION REGARDING INFRASTRUCTURE & TEACHING MATERIALS
Homoeopathic Materia Medica Department Room
HOD Room
Museum-cum-Demonstration Room
PG Students Discussion Room
Departmental Library
S.No.
Item
Required
Available
1
Total
Charts on medicines of
25
Number Ophidia group, Spider
of Charts family, Nosodes and
Sarcodes.
Typical Picture-wise
10
presentation of drugs.
2
Total Number of Specimens for identification
3
Number of books in Departmental Library
4
Additional Items
TEACHING PROGRAMME (UG)
1 Total no. of theoretical teaching hours
2 Total no. of teaching hours for Practical
3 Advance teaching programme prepared ?
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminar held on Homoeopathic Materia Medica
7 Tutorial Classes provision with no. of students in each
batch
8 Facilities for Demonstration
9 Facilities for Demonstration at Bed side in Hospital
10 Training on applied aspects of Homoeopathic Materia
Medica
11 Time table
12 Publications by the members of the teaching staff
during the last three years
13 Interaction with Other Department
K-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME (PG)
1 Total no. of theoretical teaching hours
2 Total no. of hours for clinical OPD for each PG
Student.
Total no. of hours for clinical IPD for each PG
student.
3 Clinical Discussion
4 Maintenance of Log Book
5 Seminars
6 Journal club meetings
7 Clinical Presentation by PG Students
8 No. of Project work allotted to each PG Student
9 Documentation
10 Research Facilities for P.G. Courses.
Name of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
STANDARD INFORMATION FORMS
Signatures of H.O.D.
K-5
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – L
On the
Facilities for teaching and training in the subject of
ORGANON OF MEDICINE AND
HOMOEOPATHIC PHILOSOPHY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
L-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
L-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Name
TEACHING STAFF:
Professor
A.
Date of
appointment on
the post
Full
time /
Guest
Faculty
As examiner;
state subject
& name of
examination
with year.
(state period)
Remarks
Signatures of H.O.D.
Qualificatio Experience
n, year in
which
awarded &
As teacher;
awarding
state in what
authority.
capacity &
in which
College.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
L-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No.
Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Organon of Medicine Department Room
HOD Room
History of Medicine Museum cum Demonstration
Room
PG Student Discussion Room
Departmental Library
ITEMS PROVIDED
Details of items available as per Schedule-III of HCC(MSR) Regulations, 2013
S. No.
ITEMS
Available
1
Photographs of
PIONEERS
1
Dr. Samuel Hahnemann
Founder and
2
Dr.J.T.Kent
Philosophers in
3
Dr.Constantine Hering
the field of
4
Dr.Stuart Close
Homoeopathy
5
Dr.Herbert A. Roberts
mentioning the
6
Dr.J.H. Allen
Date of
7
Dr.T.F. Allen
Birth/Death.
8
Dr.H.C Allen
9
10
11
12
13
14
15
16
17
18
19
20
21
2
3
4
5
Dr.Richard Hughes
Dr.C.V. Boenninghausen
Dr.M.L. Tyler
Dr.William Boericke
Dr.C.M. Boger
Dr.J.H. Clarke
Dr.C. Dunham
Dr.E.A. Farrnington
Dr.E.B. Nash
Dr.R.E. Dudgeon
Dr.Mahendra Lal Sirkar
Babu Rajendra Lal Dutta
Others
Other Charts
Number of books in Departmental Library
Charts on History of Medicine
Books on History of Medicine
L-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
TEACHING PROGRAMME (UG)
1 Total no. of theoretical teaching hours
2 Total no. of teaching hours for Practical
3 Whether advance teaching programme prepared
4 Teaching diary maintenance
5 Practical Records of Students
6 Seminars held on Organon of Medicine
7 Tutorial Classes provision with no. of students in
each batch
8 Facilities for Demonstration
9 Facilities for Demonstration at Bed side in
Hospital
10 Training on applied aspect of Organon of
Medicine
11 Time table
12 Publications by the members of the staff during
the last three years
13 Interaction with other Departments
14 Co-relating Anatomy, Physiology, Pathology,
Medicine, Surgery, Gynaecology and Obstetrics,
Materia Medica with Organon of Medicine
15 Others
TEACHING PROGRAMME (PG)
1
Total no. of theoretical teaching hours
2
Total no. of hours for clinical OPD for each PG
Student
Total no. of hours for clinical IPD for each PG
Student
3
Clinical Discussion
4
Maintenance of Log Book
5
Seminars
6
Journal club meetings
7
Clinical Presentation by PG Students
8
No. of Project work allotted to each PG Student
9
Documentation
10 Research Facilities for P.G. Courses
11 Applied Organon of Medicine
12 Homoeopathic Philosophy
13 Kent’s lectures on Homoeopathic Philosophy
L-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Name of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
In case the number of students admitted
annually has increased subsequent to last
inspection, state, if additional facilities
have been provided for teaching and training,
and whether they are sufficient.
Remarks:
Date:
Place:
Signatures of H.O.D.
L-6
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
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CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – M
On the
Facilities for teaching and training in the subject of
REPERTORY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
M-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
M-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof.
/ Lecturer
Associate
Prof./
Reader
Name
Date of
appointment
on the post
TEACHING STAFF:
Professor
A.
Full
time/
Guest
Faculty
Qualification,
year in which
awarded &
awarding
authority.
As teacher;
state in what
capacity & in
which
College.
Remarks
Signatures of H.O.D.
As examiner;
state subject &
name of
examination
with year.
Experience
(state period)
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
M-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No. Name
Designation
Remarks
INFRASTRUCTURE AVAILABLE
Repertory Department Room
Computer Lab.
Demonstration Room
Discussion Room for PG Students
Departmental Library
ITEMS PROVIDED
S.
No.
1
2
3
4
5
6
Items
Available
Total number of Computers
Total Number of Software
Details of Computer Lab.
Total number of Charts
Number of books in Departmental Library
Other Items
TEACHING PROGRAMME (UG)
1
Total no. of theoretical teaching hours
2
Total no. of teaching hours for Practical
3
Advance teaching programme prepared
4
Teaching diary maintenance
5
Practical Records of Students
6
Seminar held on Repertory & Case Taking
7
Tutorial Classes provision with no. of students
in each batch
8
Facilities for Demonstration
9
Facilities for Demonstration at Bed side in
Hospital
10
Training on applied aspect of Case Taking &
Repertory
11
Time table
M-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
12
13
14
15
16
17
18
19
20
21
22
23
24
Publications by the members of the staff
during the last three years
Interaction with Other Departments
Principles & Practice of Homoeopathic
Repertory
History of repertories & type of Repertories
Demonstrations on Kent’s, Boger’s
Boenninghausen’s & Card Repertories
Computerized Repertorisation.
Case Taking
Analysis & Evaluation of symptoms.
Totality of Symptoms
Repertorial Totality (Rubrics) and Repertorial
Analysis.
Co-relating Anatomy, Physiology, Pathology,
Medicine, Surgery, Gynaecology and
Obstetrics With Applied Materia Medica
Clinical & Regional Repertory
Any other
TEACHING PROGRAMME (PG)
1 Total no. of theoretical teaching hours
2 Total no. of hours for clinical OPD for each
PG Student
Total no. of hours for clinical IPD for each PG
Student
3 Clinical Discussion
4 Maintenance of Log Book
5 Seminars
6 Journal club meetings
7 Clinical Presentation by PG Students
8 No. of Project work allotted to each PG
Student
9 Documentation
10 Research Facilities for P.G. Course
11 Principles & Practice of Homoeopathic
Repertory
12 History of repertories & type of Repertories
M-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
13 Demonstrations on Kent’s, Boger’s
Boenninghausen’s & Card Repertories
14 Computerized Repertorisation.
15 Case Taking
16 Analysis & Evaluation of symptoms.
17 Totality of Symptoms
18 Repertorial Totality (Rubrics) and
Repertorial Analysis.
19 Clinical & Regional Repertory
20 Any other
Names of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
TEACHING OF REPERTORY IN HOSPITAL
S.No.
Teaching Aspect
1
2
3
4
5
Students in
Batch
Utilization
Hospital Teaching Programme in Case
Taking
Hospital Teaching Programme in
Repertorization
Acute Cases repertorised
Chronic Cases repertorised
Bedside Clinics
In case the number of students admitted annually
has increased subsequent to last inspection, state,
if additional facilities have been provided for
teaching and training, and whether they are sufficient.
Remarks:
Date:
Place:
STANDARD INFORMATION FORMS
Signatures of H.O.D.
M-6
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – N
On the
Facilities for teaching and training in the subject of
PAEDIATRICS
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
N-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
N-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./
Reader
Name
TEACHING STAFF:
Professor
A.
Date of
appointment
on the post
Full
time /
Guest
Faculty
Remarks
Signatures of H.O.D.
Qualification,
Experience
year in which
(state period)
awarded &
As teacher;
As
awarding
state in what examiner;
authority.
capacity & in state subject
which
& name of
College.
examination
with year.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
N-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.No. Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Department Room
HOD Room
P.G. Teaching Faculty Room
Museum-cum-Demonstration Room
Discussion Room for PG Students
Departmental Library
EQUIPMENT PROVIDED
1
2
3
4
5
Total number of Charts
Number of Equipment for identification
Total Number of Specimens
Number of books in Departmental Library
Additional Items
TEACHING PROGRAMME (PG)
1
2
3
4
5
6
7
8
9
10
Total no. of theoretical teaching hours
Total no. of hours for clinical OPD for each PG
Student.
Total no. of hours for clinical IPD for each PG
Student.
Clinical Discussion
Maintenance of Log Book
Seminars
Journal club meetings
Clinical Presentation by PG Student.
No. of Project work allotted to each PG Student.
Documentation
Research Facilities for P.G. Course.
N-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Teaching Materials Availability & Utilisation
S.No.
1
2
3
4
5
6
7
Teaching Material
General Medicine
Acute Diseases
Chronic Diseases
Pediatrics- Clinical
Pediatrics- Surgical
Pediatrics -Mental
Any other
Availability
Utilisation
Name of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
Remarks:
Date:
Place:
Signature of H.O.D.
N-5
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
dsUæh; gksfe;ksiSFkh ifj’kn~
CENTRAL COUNCIL OF HOMOEOPATHY
tudiqjh] ubZ fnYyh&58
JANAKPURI, NEW DELHI-58
STANDARD INFORMATION FORM
FORM – O
On the
Facilities for teaching and training in the subject of
PSYCHIATRY
Name of Institution _________________________________________________________
Countersigned by
Principal
[signature]
H.O.D.
[signature]
__________________________________________________________________________
This form shall be precisely filled in and sent by the institution to C.C.H. in specified time. A copy of each
Form of it shall also be handed over by the Principal, to the team of Inspectors or Visitors who shall then
examine the entries and send them with their observation to the Secretary, Central Council of
Homoeopathy. As far as possible, all information should be contained in the forms and list may be added
wherever necessary. College shall send one copy each of these forms duly filled to Central Council too.
O-1
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
1.
2.
3.
4.
Date of Inspection/Visitation:
_____________________________
Names of Inspectors or Visitors: _____________________________
_____________________________
_____________________________
Date of last Inspection/Visitation: _____________________________
Names of last Inspectors/Visitors: _____________________________
_____________________________
_____________________________
Defects pointed out in the last
Inspection/Visitation
To what extent remedied
O-2
STANDARD INFORMATION FORMS
STANDARD INFORMATION FORMS
Post
Any other
Teaching
staff
Asstt. Prof. /
Lecturer
Associate
Prof./ Reader
Name
TEACHING STAFF:
Professor
A.
Date of
appointment
on the post
Remarks
Signatures of H.O.D.
Full
Qualification,
Experience
time / year in which
(state period)
Guest
awarded &
As teacher; As examiner;
Faculty
awarding
state in what state subject
authority.
capacity &
& name of
in which
examination
College.
with year.
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
O-3
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
SUPPORTIVE STAFF
S.
No.
Name
Designation
Remarks
INFRASTRUCTURE INFORMATION
Department Room
HOD Room
P.G. Teaching Faculty Room
Museum-cum-Demonstration Room
Discussion Room for PG Students
Departmental Library
EQUIPMENTS PROVIDED
1 Total number of Charts
2 Number of Equipments for identification
3 Number of books in Departmental Library
4 Additional Items
TEACHING PROGRAMME (PG)
1
2
3
4
5
6
7
8
Total no. of theoretical teaching hours
Total no. of hours for clinical OPD for each
PG Student.
Total no. of hours for clinical IPD for each
PG Student.
Clinical Discussion
Maintenance of Log Book
Seminars
Journal club meetings
Clinical Presentation by PG Student.
No. of Project work allotted to each PG
Student.
9 Documentation
10 Research Facilities for P.G. Course.
O-4
STANDARD INFORMATION FORMS
Central Council of Homoeopathy, Edition No. 1, Document No. CCH/I.C-01-A/Issue date 01.05.2013.Revision date: 12/12/2013
Teaching Materials Availability & Utilisation
S.No.
1
2
3
4
5
6
7
Teaching Material
Psychiatry
Acute Diseases
Chronic Diseases
Pediatrics
Geriatrics
Mental Diseases
Any other
Availability
Utilisation
Names of Guides and Co-Guides in the subject for P.G. Students
1
2
3
4
Remarks:
Date:
Place:
Signature of H.O.D.
O-5
STANDARD INFORMATION FORMS