Tracking Number: SIF/2014/100516
PHARMACY COUNCIL OF INDIA
STANDARD INSPECTION FORM
- PHARM.D - PHARM.D. and PHARM.D (POST BACCALAUREATE
General Information pertaining to :- 1. College and teaching hospital (Pharmacy Practice site)2. Courses of Study
leading to :-Pharm D. course
Name of Institution
..................................................................
Place and Address
..................................................................
Principal/Dean
..................................................................
Tel. No. Off
........................Res......................Fax................
Mobile No
..................................................................
Email
..................................................................
Name and address of Affiliating
University
..................................................................
Date:
Signature of Dean/Principal
...............................................................................................................................................................
This form shall be precisely filled in, verified and signed by the Head/Principal, of the institution and forwarded in
triplicate to the Secretary, Pharmacy Council of India. The entries should be as required under the PCI (Pharm.D.)
regulations and norms.
Signature of the Head of the Institution
Signature of the Inspectors
PHARMACY COUNCIL OF INDIA
Standard Inspection Format (S.I.F) for Pharm D Programme Pharm.D. and Pharm. D. (Post Baccalaureate) Programme (To be filled an
submitted to PCI by an organization seeking approval of the course / continuation of the approval)
(SIF
To be filled up by P.C.I
To be filled up by inspectors
Inspection No. :
Date of Inspection:
FILE No.
NAME OF THE INSPECTORS: 1. (BLOCK LETTERS)
2.
PART-1
A-GENERAL INFORMATION
A - I.1
Applicant is for
--
A - I.2
Year of Establishment
2006
A - I.3
Name of the institution
Sree Krishna College of Pharmacy & Research Centre,
Complete postal address:
Telephone number with STD Code
Near Parassala Railway station. (Mulluvila), Parassala
P.O.,Thiruvananthapuram -695 502.
0471 2204747
Fax No
04712205733
Email
skcprc_tvm@yahoo.co.in
A - I.4
Status of the course conducting body
Trust
(Enclose copy of Registration documents of
Society/Trust)
A - I.5
Name of the Society/Trust/Management
SreeSankara National Institute of Educational Trus
Address
Aradhana, Convent Road Alumoodu , Neyyattinkara,
Thiruvananthapuram - 695121
0471 2129777
Telephone Number with STD Code
Fax No
Email
skcprctvm@gmail.com
Website
www.skcprc.org
(Attach documentary evidence)
A - I.6
Name of th person to be contacted
Dr.C.D.Shaji Selvin
Designation
Principal
Address
Sree Krishna College of Pharmacy & Research Centre, Near Parassala
Railway station. (Mulluvila), Parassala P.O.,Thiruvananthapuram -695
502.
Telephone Number with STD Code
Office
04712129777
Residence
0471 2205757
Mobile
9489828550
Fax No
04712205733
Email
shajimpharm@gmail.com
A - I.7
Name of the Head of the Institution
Dr.C.D.Shaji Selvin
Address
Sree Krishna College of Pharmacy & Research Centre, Near Parassala
Railway station. (Mulluvila), Parassala P.O.,Thiruvananthapuram -695
502.
A - I.8
Examining Authority
Complete Postal address: STD code Telephone No. Fax
No. E-mail Website
The Registrar, Kerala University of Health Sciences, Thrissur
A - I.9
APPLICATION FOR INSTITUTION SEEKING APPROVAL FOR PHARM. D. OR PHARM. D. AND PHARM.D. (POST
BACCALAUREATE) PROGRAMME (Tick appropriate box)
a. DETAILS OF INSPECTION/AFFLIATION FEE PAID
Name of the Course
(a)Pharm D
Affiliation Fee/Inspection fee for/up to the year
2014-2015
(b)Pharm. D. (Post Baccalaureate)
2014-2015
D.D. No.
Dated
23252 12/09/201
23252
12/09/201
b. APPROVAL STATUS OF THE INSTITUTION
Name of
Intake
Approved
the
Approved and
Upto
Course
Admitted
2014-2015
Approved
Letter No &
Date
D Pharm
Approved
Intake
Actually
Admitted
2014-2015
Approved
Letter No &
Date
B Pharm
Approved
Intake
Actually
Admitted
PCI
17-1/2012PCI/ 60389723, 12-102012
60
60
17-1/2012PCI/ 60389723, 12-102012
60
60
State Govt
University
GO(RT) No.
Ac.1/3/Pharma/2013,062179/05/H&FWD 2705-2013
07-2005
60
60
60
60
GO(RT) No.
Ac.1/3/Pharma/2013,062179/05/H&FWD 2705-2013
07-2005
60
60
60
60
Remarks o
the
Inspectors
Note: Enclose relevant documents
A - I.10
Whether other educational institutions/courses are also being run by the trust/instiutuion in the same building/campus?
If yes, give status
No
A - I.10 a
Status of the Pharmacy Course:
Independent Building
Yes
Wing of Another College
No
Separate Campus
Yes
Multi Institutional Campus
No
A - I.10 b
STATUS OF APPLICATION
Course
Pharm D
IntakePermissible
30
RemarksProposed Intake
0
Pharm. D. (P B)
10
0
Signature of the Head
of the Institution
Signature of the Inspectors
B - DETAILS OF THE INSTITUTION
B - I.1
Dr.C.D.Shaji Selvin
Name of the Principal / Head
Qualification*
Qualification/
Experience
M. Pharm
PhD
Actual
Remarks of t
experience
Inspectors
Yes 15 years in teaching or Research out of
15
which 5years should be as Professor.
Yes
Teaching ExperienceRequired
* Documentary evidence should be provided
B - I.2
For institution seeking continuation of affliation
Course
(a)Pharm D
Date of
lastInspection
28/04/2014
Deficiencies
rectified / Intakereduced/Stopp
Not
in the last 03 years*
rectified
AICTE Pay sacles are
Yes
No
not implimented, Few
Remarks of the
Previous
InspectionReport
28/04/2014
(b)Pharm. D. (Post Baccalaureate)
of the deficient
equipment mentioned
in the previous
inspection not been
procured, More
Pharmacy Practice
related books and
Journals- yet to
procure, Senoir Staff
has to be appointed, In
Practicals the batch
size should be 1:20,
Cleanliness of the
laboratory
AICTE Pay sacles are
not implimented, Few
of the deficient
equipment mentioned
in the previous
inspection not been
procured, More
Pharmacy Practice
related books and
Journals- yet to
procure, Senoir Staff
has to be appointed, In
Practicals the batch
size should be 1:20,
Cleanliness of the
laboratory
Yes
No
* Enclose Documents(write NA if not applicable)
B - I.3
Type of Institution
Trust
Details of the Governing Body
Enclosed
Minutes of the last Governing council Meeting
Enclosed
B - I.4
Pay Scales
Staff
Teaching Staff
Non-Teaching Staff
Scale of pay
PF Gratuity
AICTE/UGC/State Yes No
No
Govt.
AICTE/UGC/State Yes Yes
No
Government
B - I.5
Co-Curricular Activities / Sports Activities
Whether college has NSS Unit
Yes
NSS Program Officer's Name
John Wesley I
Whether students participating in University level
culturalactivities/Co-curricular/Sports activities
Yes
Pension benefit
No
No
Remarks of the Inspectors
Physical Instructor
Available
Sports Ground
Individual
Are you Associated with other
Organization/Institution/Trust/Society Running
Pharmacy Course
Organization/Institution/Trust/Society Name
Yes
Complete Postal Address.
Telephone No.
Nature of Association
Signature of the
Head of the
Institution
Signature of the Inspectors
C - FINANCIAL STATUS OF THE INSTITUTION
Audited financial Statement of Institute should be furnished
C -1.1 Resources and funding agencies (give complete list)
C -1.2 Please provide following Information
Receipts
Sl. No. Particulars
Amount
1.
Grants
Expenditure
Remarks of the Inspector
Sl. No. Particulars
Amount
CAPITAL EXPENDITURE
a. Government
0.00
b. Others
0.00
2.
Tuition Fee
27335875.00
1.
Building
51832617.00
3.
Library Fee
58496.00
2.
Equipment
5914209.00
4.
Sports Fee
20000.00
3.
Others
4848404.00
5.
Union Fee
40000.00
6.
Others
25102116.00
Total
52556487.00
REVENUE EXPENDITURE
1.
Salary
10256967.00
2.
Maintenance Expenditure
i. College
739235.00
ii. Others
793648.00
3.
University Fee
1464121.00
4.
Apex Bodies Fee
1214575.00
5.
Government Fee
0.00
6.
Misc. Expenditure
8156780.00
Total
52556487.00
Note: Enclose relevant documents
Signature of the Head
of the Institution
Signature of the Inspectors
PART- II PHYSICAL INFRASTRUCTURE
1.
a. Availability of Land for Pharmacy College
5.08 Acres Availab
b. Building
Own
c. Land Details to be in the name of Trust and Society
Enclosed
i). Own Records to be enclosed
Sale deed/relevant document
d. Building
Approved Building plan
Enclosed
e. Total Built Area of the college building in sq. mts
Built up Area
f. Amenities and Circulation Area in Sq. mts
886
6515
2. Class Rooms
Total Number of Class rooms available and number provided for Pharm. D. or Pharm.D. and Pharm. D. (Po
Baccalaureate) Programme
Available
Required Area * for each
Available Area Remarks of th
Class
Required
Numbers
class room
in Sq. mts
Inspectors
D.Pharm
0
0
B.Pharm
Pharm D
Pharm D (Post
Baccalaureate)
4
02
5
365
90 sq. mts each (Desirable)75
sq. mts each (Essential)
2
365
100
[* To accommodate 30 students for Pharm D and 10 for Pharm. D. Post Baccalaureate ]
3. Laboratory requirement for both Pharm. D. or Pharm.D. and Pharm.D. (Post Baccalaureate) Programme*
Sl.No.
1
2
3
4
5
6
Infrastructure for
Laboratory Area
Pharmaceutics and Pharmacokinetics Lab
Life Science Pharmacology Physiology Pathophysiology
Phytochemistry or Pharmaceutical Chemistry
Pharmacy Practice
Preparation Room each lab
Requirement As Per Norms
75 Sq.mts. each
2
2
2
2
10 Sq.mts. (Minimum)
Available No.
23
3
2
4
2
4
Area in Sq. mts
3432
194
250
222
180
60
Rema
The Institutions will not be permitted to run the above course in rented/leased building.
1.
All the Laboratories should be well lit & ventilated.
2.
All Laboratories should be provided with basic amenities and services like exhaust fans and fuming chamber to
reduce the pollution whenever necessary.
All the laboratories should be provided with safety measures like fire safety, chemical exposure safety and bio
safety.
The workbenches should be smooth and easily cleanable prefebly made of non-absorbant material.
3.
4.
5.
The water taps should be non-leaking and directly installed on skins Drainage should be efficient.
6.
Balance room should be attached to the cocerned laboratories.
4. Administration Area
Sl.
Name of Infrastructure
No.
Requirements Requirements
as per Norms as per Norms
(in Number)
(in Area)
Available
30 Sq. mts
1
Area in
Sq.mts
39
60 Sq. mts
1
40
3 Office - II - Academics
1
40
4 Confidential Room
1
14
1 Principal's Chamber
01
2 Office - I - Establishment
No.
Remarks
the
Inspecto
5. Staff Facilities
Sl.
No. Name of Infrastructure
1 HODs for Pharm. D. and Post
Baccalaureate Programme
2 Faculty Rooms for Pharm. D. and
Pharm.D. Post Baccalaureate
Programme
Requirements Requirements
as per Norms as per Norms
(in Number)
(in Area)
Minimum 4
Available
20 Sq. mts x 4
4
Area in
Sq.mts
90
10 Sq. mts x n
(n=No. of
teachers)
5
125
No.
Remarks
the
Inspecto
6. Museum, Library, Animal House [should have approval of the Committee for the Purpose of Control and Supervision of Experiments on
Animals (CPCSEA)] and other Facilities:
Sl.
Name of Infrastructure
No.
Requirements Requirements
as per Norms as per Norms
(in Number)
(in Area)
Available
1 Animal House
01
80 Sq. mts
1
Area in
Sq.mts
110
2 Library
01
150 Sq. mts
1
167
3 Museum
01
1
50
4 Auditorium/ Multi Purpose Hall
(Desirable)
01
1
504
5 Herbal Garden (Desirable)
01
50 Sq. mts
(Maybe
attached to the
Pharmacognosy
lab)
250 - 300
seating
capacity
Adequate
Number of
Medicinal Plants
1
150
No.
Remarks
the
Inspecto
7. Student Facilities
Sl.
Name of Infrastructure
No.
Requirements Requirements
as per Norms as per Norms
(in Number)
(in Area)
Available
1 Girls's Common Room
(Essential)
2 Boy's Common Room (Essential)
01
60 Sq. mts
1
Area in
Sq.mts
50
01
60 Sq. mts
1
50
3 Toilet Blocks for Girls
01
24 Sq. mts
1
25
4 Toilet Blocks for Boys
01
24 Sq. mts
1
25
No.
Remarks
the
Inspecto
5 Drinking Water facility - Water
cooler (Essential)
6 Boy's Hostel (Desirable)
01
--
2
2
01
1
500
7 Girls's Hostel (Desirable)
01
1
1500
8 Power Backup Provision
(Desirable)
01
9 Sq.
mts/Room
Single
occupancy
9 Sq.mts/Room
(Single
occupancy) or
20
Sq.mts/Room
(Triple
occupancy)
--
1
25
8. Computer and other Facilities
Available
Name
Required
Computer Room
100 Sq.mts.
1
Area in
Sq.mts
50
Computer (Latest Configuration)
45
35
7
7
Multi Media Projector
1 system for
every 10
students
1 printer for
every 10
computers
01
3
3
Generator (5KVA)
01
1
1
Printers
No.
Remarks
the
Inspecto
9. Amenities(Desirable)
Area in Sq.mts
Not
Available
Principal Quarters
Requirment
as per Norms
No.
in area
120 Sq. Mtr.
0
0
NA
Staff Quarters
16 x 80 Sq mts 0
0
NA
Canteen
100 Sq. mts
1
100
Available
Parking Area for staff and students
1
150
Available
Bank Extension Counter
0
0
NA
Cooperative Stores
0
0
NA
1
90
Available
Auditorium
1
350
Available
Seminar Hall
1
135
Available
Transport Facility for students
1
1
Available
Medical Fecilities(First Aid)
1
1
Available
Name
Guest House
80 Sq. mts
Available
Remarks
the
Inspecto
10.A. Library Books and PeriodicalsThe minimum norms for the initial stock of books yearly addition of the books and the number of
journals to be subscribed are as given below:
Sl. Item
Titles(No)
Minimum
Available
Remarks
No.
Volumes(No)
1
Number Of Books
150
1500 adequate
coverage of a
large number of
standard text
books and titles
in all disciplines
of pharmacy
150 books per
year
20 National10
International
periodicals
Adequate Nos
2
Annual Addition of Books
3
Periodicals Hard Copies/Online
4
CDS
5
Internet Browsing Facilities
6
7
Reprographic
Facilities:PhotoCopierFaxScanner
Library Automation and Computrized System (desirable)
8
Library timings
Minimum ten
Computers
010101
Title
No.
1413
4334
68
188
42
42
59
59
the
Inspecto
Available
AvailableAvailableAvailable
Available
09:00 am to 05:30 pm
10.B.Subject wise Classification
Sl. No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Subject
Available Titles
Pharmacognosy
Pharmacy Practice
Human Anatomy & Physiology
Pharmaceutics (Dispensing & General Pharmacy)
Pharmaceutical Organic Chemistry
Pharmaceutical Inorganic Chemistry
Pharmaceutical microbiology
Pathophysiology
Applied Biochemistry & Clinical Chemistry
Pharmacology
Pharmaceutical Jurisprudence
Pharmaceutical Dosage Forms
Community Pharmacy
Clinical Pharmacy
Hospital Pharmacy
Pharmacotherapeutics
Pharmaceutical analysis
Medicinal Chemistry
Biology
Computer Science or Computer Application in pharmacy
Mathematics/Statistics
146
97
172
121
164
54
54
33
66
129
12
50
21
12
14
78
95
37
36
78
48
Available Numbers
Remarks of the Inspectors
362
299
529
420
476
164
143
66
204
280
51
124
50
77
42
200
325
89
77
125
91
10.C.Library Staff
Staff
Qualification
Required
Available
1
Librarian
M.Lib.
1
Available
2
Assistant Librarian
D.Lib.
1
Available
3
Library Attenders
10+2 / PUC
2
Available
Reamrks
the
Inspecto
Signature of the Head
of the Institution
Signature of the Inspectors
PART III ACADEMIC REQUIREMENTS
Course Curriculum
1. Student Staff Ratio:
(Required ratio --- Theory → 30:1 and Practicals → 30:1) If more than 20 students in a batch 2 staff members to be
present provided the lab is spacious.
Class
Theory
Practicles
Pharm. D.
1:30
2:30
Pharm. D. Post Baccalaureate
1:10
1:10
Remarks of the Inspectors
2. Academic CalenderProposed date of Commencement of session / sessions for PHARM. D.:
Commencement
Completi
06/08/2014
14/08/20
No of Days
3. Vacation for Pharm D
Summer :
4. Total No. of working days for Pharm D(Requirement
not less than 200 working days/year)
No of Days
10
Winter :
10
200
5. Date of Commencement of session/ sessions for Pharm D Post Baccalaureate
Commencement Completi
14/08/2013
No of Days
6. Vacation for Pharm D Post Baccalaureate
Summer :
7. Total No. of working days for Pharm D Post
Baccalaureate(Requirement not less than 200 working
days/year)
20
14/08/20
No of Day
Winter :
10
200
8. Time Table copy Enclosed:
a. Pharm. D. course
Yes
b. Pharm.D. Post Baccalaureate Course
Yes
9. Whether the prescribed numbers of classes per week are being conducted as per PCI norms.*
Pharm D I
No of Theory Classes
Total No. of
classes
Remark
Prescribed
Prescribed
Prescribed
Subject1
of the
No of Hours
No of Hours
No of Hours conductedNo.
No of
No of
No of
Conducted3
Conducted5
Conducted7 of classes x Inspecto
Hours2
Hours4
Hours6
hours per class
Human
Anatomy and
Physiology
Pharmaceutics
Medicinal
Biochemistry
Practical Classes
Tutorial Classes
3
75
3
75
1
25
175
2
50
3
75
1
25
150
3
75
3
75
1
25
175
Pharmaceutical
Organic
Chemist
Pharmaceutical
Inorganic
Chemi
Remedial
Mathematics/
Biology
3
75
3
75
1
25
175
2
50
3
75
1
25
150
3
75
3
0
1
25
100
Pharm D II
No of Theory Classes
Subject1
Pathophysiology
Pharmaceutical
Microbiology
Pharmacognosy &
Phytopharmaceu
Pharmacology-I
Community Pharmacy
PharmacotherapeuticsI
Total No. of
classes
Remar
conductedNo.
Prescribed
Prescribed
Prescribed
of the
No of Hours
No of Hours
No of Hours
of classes x
No of
No of
No of
Inspect
Conducted3
Conducted5
Conducted7
hours per
Hours2
Hours4
Hours6
class
3
75
3
75
3
75
3
2
75
50
3
75
Practical Classes
Tutorial Classes
0
1
25
100
3
75
1
25
175
3
75
1
25
175
0
0
3
1
50
25
125
75
75
3
50
200
3
Pharm D III
No of Theory Classes
Subject1
Pharmacology-II
Pharmaceutical
Analysis
PharmacotherapeuticsII
Pharmaceutical
Jurisprudence
Medicinal Chemistry
Pharmaceutical
Formulations
Practical Classes
Tutorial Classes
Total No. of
classes
Remar
conductedNo.
Prescribed
Prescribed
Prescribed
of the
No of Hours
No of Hours
No of Hours
of classes x
No of
No of
No of
Inspect
Conducted3
Conducted5
Conducted7
hours per
Hours2
Hours4
Hours6
class
3
75
3
75
1
25
175
3
75
3
75
1
25
175
3
75
3
75
1
25
175
2
50
0
50
3
75
3
75
1
25
175
2
50
3
75
1
25
150
0
Pharm D IV
No of Theory Classes
Subject1
PharmacotherapeuticsIII
Hospital Pharmacy
Clinical Pharmacy
Biostatistics &
Research Metho
Biopharmaceutics &
Pharmacokin
Clinical Toxicology
Pharm D V
Practical Classes
Tutorial Classes
Total No. of
classes
Remar
conductedNo.
Prescribed
Prescribed
Prescribed
of the
No of Hours
No of Hours
No of Hours
of classes x
No of
No of
No of
Inspect
Conducted3
Conducted5
Conducted7
hours per
Hours2
Hours4
Hours6
class
3
75
3
75
1
25
175
2
3
50
75
3
3
75
75
1
1
25
25
150
175
2
50
0
1
25
75
3
75
75
1
25
175
2
50
0
1
25
75
3
No of Theory Classes
Subject1
Total No. of
classes
Remar
conductedNo.
Prescribed
Prescribed
Prescribed
of the
No of Hours
No of Hours
No of Hours
of classes x
No of
No of
No of
Inspect
Conducted3
Conducted5
Conducted7
hours per
Hours2
Hours4
Hours6
class
Clinical Research
Pharmacoepidemiology
and Pharm
Clinical
Pharmacokinetics
Clerkship
Project work
Practical Classes
Tutorial Classes
3
75
0
1
25
100
3
75
0
1
25
100
2
50
0
1
25
75
0
0
0
250
1
25
0
25
250
20
10. Work load of Faculty members for Pharm. D. and Pharm.D. Post Baccalaureate
S.No.
Name of Faculty
Subjects Taught
1
2
Dr. BABITHA M
Dr. NITHIN MANOHAR.R
3
Dr. SHAJI SELVIN C D
4
5
6
Dr. SOORAJ.R.S. NAIR
Miss. DEEPTHI MV
Miss. DHANYA.H
Miss. MERIN LEVY
PHILIPS
Miss. SNEHA LETHA.S
Clinical PharmacyPathophysiology
Hospital PharmacyPathophysiology
BiopharmaceuticsClinical Pharmacokinetic &
Pharmacotherapeutic Dru
Human Anatomy PhysaiologyPharmacology I
Pharmaceutical Chemistry III
Clinical ResearchPharmacotherapeutic III
Clinical PharmacyPharmacoepidomology &
Pharmacotherapeutics
Pharmaceutics IPharmaceutics V
Human Anatomy and PhysiologyIndustrial Business
ManagementPharmacology II
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Mr. AJITH RAJ R S
Mr. GIRISA CHANDRAN
Pharmacognosy III
R
Mr. JASLIN EDWARD J
Pharmacognosy IPharmacognosy II
Mr. JAYACHANDRAN
Pharmacology I
NAIR C V
Mr. JOHN WESLEY.I
Pharmaceutical FormulationPharmaceutics III
Mr. M JERUBIN
Pharmaceutical Chemistry IIPharmaceutical Organic chemistry
WELSINGH
Mr. M P SUBASH
Pharmaceutical Industrial ManagementPharmaceutics
CHANDRAN
IIIPharmaceutics IV
Mr. NISHAD V M
Pharmaceutical AnalysisPharmaceutical Analysis I
Mr. RAJU.A
Pharmacology IPharmacology II
Mrs. AMBIKA GANESH
PharmacognosyPharmacognosy II
Mrs. JAGHATHA T
Pharmaceutics IPharmaceutics II
Mrs. KAVITHA K V
Clinical ToxicologyPharmacology II
Mrs. LEKSHMI.N.G
Bio Pharmaceutics & Pharmacokinetic
Mrs. M S PADMAJA DEVI
Medicinal ChemistryPharmaceutical Chemistry IV
Mrs. NEETHU J
PathophysiologyPharmacotherapeutics I
Mrs. OLIVER ARNOLD H
Pharmacology II
Mrs. REMYA S B
PharmaceuticsPharmaceutics VI
Mrs. S.M.SANDHYA
Pharmaceutical Chemistry IIPharmaceutical Chemistry III
Mrs. SEEJA S RAJ
Pharmaceutical Analysis IIPharmaceutical Inorganic Chemistry
Mrs. SHEEBA JASMIN T
Medicinal Chemistry
S
Mrs. SHEEJA REKHA A
Pharmaceutical Inorganic ChemistryPhrmaceutical Chemistry I
G
Mrs. SMITHA J C
Pharmaceutical Chemistry VPharmaceutical Jurispudence
Mrs. SOUMYA R V
Community PharmacyPharmacy Practice
Mrs. VEENA VIJAYAN G
Pharmacotherapeutics II
Pharm. D.
Theory Practical
02
01
302
60
Pharm. D. Post
Baccalaureate
Theory
Practical
40
30
30
30
Total Work
Load
Theory Practical
42
31
332
90
302
00
32
00
334
00
44
0
340
30
0
06
00
0
33
00
0
03
44
0
643
30
0
09
402
60
42
30
444
90
00
00
00
00
00
00
300
300
000
000
300
300
0
0
0
0
0
0
00
00
00
00
00
00
2
0
0
0
2
0
30
00
00
00
30
00
03
03
00
00
03
03
000
000
000
000
000
000
40
00
40
30
208
20
30
04
0
30
00
03
00
00
30
00
00
6
00
03
0
30
00
00
00
00
00
00
20
3
00
00
0
00
00
00
00
00
00
00
00
3
00
00
0
00
00
00
40
00
40
30
228
23
30
04
0
30
00
03
00
00
30
00
00
9
00
03
0
30
00
00
4
0
0
0
4
0
00
30
00
00
00
30
02
30
4
00
00
0
00
00
2
00
00
3
02
30
6
00
00
3
Remarks of
Inspector
12. Work load of Faculty members for Pharm. D.
S.No.
Name of Faculty
Subjects Taught
Pharm D
Total Work
Remarks of
I
1
2
Dr. BABITHA M
Dr. NITHIN MANOHAR.R
3
Dr. SHAJI SELVIN C D
4
5
6
8
Dr. SOORAJ.R.S. NAIR
Miss. DEEPTHI MV
Miss. DHANYA.H
Miss. MERIN LEVY
PHILIPS
Miss. SNEHA LETHA.S
9
Mr. AJITH RAJ R S
10
11
Mr. GIRISA CHANDRAN R
Mr. JASLIN EDWARD J
Mr. JAYACHANDRAN
NAIR C V
Mr. JOHN WESLEY.I
Mr. M JERUBIN
WELSINGH
Mr. M P SUBASH
CHANDRAN
Mr. NISHAD V M
Mr. RAJU.A
Mrs. AMBIKA GANESH
Mrs. JAGHATHA T
Mrs. KAVITHA K V
Mrs. LEKSHMI.N.G
Mrs. M S PADMAJA DEVI
Mrs. NEETHU J
Mrs. OLIVER ARNOLD H
Mrs. REMYA S B
Mrs. S.M.SANDHYA
Mrs. SEEJA S RAJ
Mrs. SHEEBA JASMIN T S
Mrs. SHEEJA REKHA A G
Mrs. SMITHA J C
Mrs. SOUMYA R V
Mrs. VEENA VIJAYAN G
7
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Clinical PharmacyPathophysiology
Hospital PharmacyPathophysiology
BiopharmaceuticsClinical Pharmacokinetic &
Pharmacotherapeutic Dru
Human Anatomy PhysaiologyPharmacology I
Pharmaceutical Chemistry III
Clinical ResearchPharmacotherapeutic III
Clinical PharmacyPharmacoepidomology &
Pharmacotherapeutics
Pharmaceutics IPharmaceutics V
Human Anatomy and PhysiologyIndustrial Business
ManagementPharmacology II
Pharmacognosy III
Pharmacognosy IPharmacognosy II
Pharmacology I
Load
Inspectors
Total Work
Load
Remarks of th
Inspectors
II
III
IV
V
Th Pr Th Pr Th Pr Th Pr Th Pr
00 01 02 00 00 00 00 00 00 00
00 00 02 00 00 00 30 30 00 00
00 00 00 00 00 00 30 00 02 00
40 30 04 00 00 00 00 00 00 00
0 0 0 0 0 0 0 0 0 0
00 00 00 00 00 00 04 03 30 00
00 00 00 00 00 00 40 30 02 00
00 00 00 00 00 00 00 00 00 00
300 300 000 000 000 000 000 000 000 000
0 0 0 0 0 0 0 0 0 0
00 00 00 00 00 00 00 00 00 00
0
0
2
0
0
0
0
0
0
0
Pharmaceutical FormulationPharmaceutics III
00 00 00 00 30 00 00 00 00 00
Pharmaceutical Chemistry IIPharmaceutical Organic chemistry
03 03 00 00 00 00 00 00 00 00
Pharmaceutical Industrial ManagementPharmaceutics
000 000 000 000 000 000 000 000 000 000
IIIPharmaceutics IV
Pharmaceutical AnalysisPharmaceutical Analysis I
00 00 00 00 40 00 00 00 00 00
Pharmacology IPharmacology II
00 00 00 00 00 00 00 00 00 00
PharmacognosyPharmacognosy II
00 00 40 30 00 00 00 00 00 00
Pharmaceutics IPharmaceutics II
30 00 00 00 00 00 00 00 00 00
Clinical ToxicologyPharmacology II
00 00 04 00 04 00 20 00 00 00
Bio Pharmaceutics & Pharmacokinetic
0 0 0 0 0 0 2 3 0 0
Medicinal ChemistryPharmaceutical Chemistry IV
00 00 00 00 30 00 00 00 00 00
PathophysiologyPharmacotherapeutics I
00 00 04 03 00 00 00 00 00 00
Pharmacology II
0 0 0 0 0 0 0 0 0 0
PharmaceuticsPharmaceutics VI
30 30 00 00 00 00 00 00 00 00
Pharmaceutical Chemistry IIPharmaceutical Chemistry III
00 00 00 00 00 00 00 00 00 00
Pharmaceutical Analysis IIPharmaceutical Inorganic Chemistry 03 00 00 00 00 00 00 00 00 00
Medicinal Chemistry
0 0 0 0 4 0 0 0 0 0
Pharmaceutical Inorganic ChemistryPhrmaceutical Chemistry I 00 30 00 00 00 00 00 00 00 00
Pharmaceutical Chemistry VPharmaceutical Jurispudence
00 00 00 00 02 00 00 00 00 00
Community PharmacyPharmacy Practice
00 00 30 00 00 00 00 00 00 00
Pharmacotherapeutics II
0 0 0 0 4 0 0 0 0 0
13. Workload of Faculty members per week for Pharm.D. (Post Baccalaureate)
S.No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Pharm D (Post
Baccalaureate)
I
II
III
Th Pr Th Pr Th Pr
Dr. BABITHA M
Clinical PharmacyPathophysiology
40 30 00 00 00 00
Dr. NITHIN MANOHAR.R
Hospital PharmacyPathophysiology
30 30 00 00 00 00
Dr. SHAJI SELVIN C D
BiopharmaceuticsClinical Pharmacokinetic & Pharmacotherapeutic Dru 30 00 02 00 00 00
Dr. SOORAJ.R.S. NAIR
Human Anatomy PhysaiologyPharmacology I
00 00 00 00 00 00
Miss. DEEPTHI MV
Pharmaceutical Chemistry III
0
0
0
0
0
0
Miss. DHANYA.H
Clinical ResearchPharmacotherapeutic III
03 03 30 00 00 00
Miss. MERIN LEVY PHILIPS
Clinical PharmacyPharmacoepidomology & Pharmacotherapeutics
40 30 02 00 00 00
Miss. SNEHA LETHA.S
Pharmaceutics IPharmaceutics V
00 00 00 00 00 00
Human Anatomy and PhysiologyIndustrial Business
Mr. AJITH RAJ R S
000 000 000 000 000 000
ManagementPharmacology II
Mr. GIRISA CHANDRAN R
Pharmacognosy III
0
0
0
0
0
0
Mr. JASLIN EDWARD J
Pharmacognosy IPharmacognosy II
00 00 00 00 00 00
Mr. JAYACHANDRAN NAIR
Pharmacology I
0
0
0
0
0
0
CV
Mr. JOHN WESLEY.I
Pharmaceutical FormulationPharmaceutics III
00 00 00 00 00 00
Mr. M JERUBIN WELSINGH
Pharmaceutical Chemistry IIPharmaceutical Organic chemistry
00 00 00 00 00 00
Mr. M P SUBASH
Pharmaceutical Industrial ManagementPharmaceutics IIIPharmaceutics 000 000 000 000 000 000
Name of Faculty
Subjects Taught
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
CHANDRAN
Mr. NISHAD V M
Mr. RAJU.A
Mrs. AMBIKA GANESH
Mrs. JAGHATHA T
Mrs. KAVITHA K V
Mrs. LEKSHMI.N.G
Mrs. M S PADMAJA DEVI
Mrs. NEETHU J
Mrs. OLIVER ARNOLD H
Mrs. REMYA S B
Mrs. S.M.SANDHYA
Mrs. SEEJA S RAJ
Mrs. SHEEBA JASMIN T S
Mrs. SHEEJA REKHA A G
Mrs. SMITHA J C
Mrs. SOUMYA R V
Mrs. VEENA VIJAYAN G
IV
Pharmaceutical AnalysisPharmaceutical Analysis I
Pharmacology IPharmacology II
PharmacognosyPharmacognosy II
Pharmaceutics IPharmaceutics II
Clinical ToxicologyPharmacology II
Bio Pharmaceutics & Pharmacokinetic
Medicinal ChemistryPharmaceutical Chemistry IV
PathophysiologyPharmacotherapeutics I
Pharmacology II
PharmaceuticsPharmaceutics VI
Pharmaceutical Chemistry IIPharmaceutical Chemistry III
Pharmaceutical Analysis IIPharmaceutical Inorganic Chemistry
Medicinal Chemistry
Pharmaceutical Inorganic ChemistryPhrmaceutical Chemistry I
Pharmaceutical Chemistry VPharmaceutical Jurispudence
Community PharmacyPharmacy Practice
Pharmacotherapeutics II
00
00
00
00
20
3
00
00
0
00
00
00
0
00
00
00
2
00
00
00
00
00
3
00
00
0
00
00
00
0
00
00
00
3
00
00
00
00
00
0
00
00
0
00
00
00
0
00
00
00
0
00
00
00
00
00
0
00
00
0
00
00
00
0
00
00
00
0
00
00
00
00
00
0
00
00
0
00
00
00
0
00
00
00
0
00
00
00
00
00
0
00
00
0
00
00
00
0
00
00
00
0
14. Percentage of students qualified in GATE in the last Three Years
Details
No of Students Appeared
Year : 2012-2013
10
Year : 2013-2014
0
2
0
No of Student Qualified
Percentage
Year : 2014-201
5
2
20
15. Whether Professional Society Activities are Conducted (Enclose Details) (ISTE, IPA, APTI, ICTA and Related Societies)
Signature of the Head
of the Institution
Signature of the Inspectors
PART IV - PERSONNEL
TEACHING STAFF
1. Details of Teaching Faculty available with the institution for teaching for D.Pharm., B.Pharm. and M.Pharm.
Courses to be enclosed in the format mentioned below:
S.No.
1
2
Name
M JERUBIN
WELSINGH
M P SUBASH
CHANDRAN
Designation
Lecturer
Lecturer
3
M S PADMAJA DEVI
Lecturer
4
OLIVER ARNOLD H
Lecturer
5
JASLIN EDWARD J
Asstt. Professor
6
GIRISA CHANDRAN R
Professor &
HOD
7
JAGHATHA T
Lecturer
8
AMBIKA GANESH
Asstt. Professor
Qualification
M Pharm, B
Pharm,
M Pharm, B
Pharm,
B Pharm, M
Pharm,
M Pharm, B
Pharm,
B Pharm, M
Pharm,
B Pharm, M
Pharm,
B Pharm, M
Pharm,
M Pharm, B
Pharm,
Date of
Joining
Teaching Experience (In
Years)
State Pharmacy Coun.
Reg No.
20/02/2008
6.5 + 0.0
1949A1
04/06/2009
5.3 + 0.8
14389A1
05/04/2010
4.4 + 0.0
39289
04/10/2010
3.9 + 2.3
14355A1
01/12/2010
3.8 + 4.6
8203A1
01/07/2011
3.2 + 29.6
7168
04/10/2010
3.9 + 0.0
7382A1
01/08/2011
3.1 + 4.1
65724
Signature of
Faculty
Remarks
Inspecto
2. Details of Teaching Faculty exclusively available teaching for Pharm. D. Course to be enclosed in the format
mentioned below:
S.No.
Name
Designation
1
AJITH RAJ R S
Lecturer
2
MERIN LEVY
PHILIPS
Lecturer
Qualification
M Pharm, B
Pharm,
B Pharm, M
Pharm,
Date of
Joining
Teaching Experience (In
Years)
State Pharmacy Coun. Reg
No.
03/01/2011
3.7 + 0.0
37662
17/08/2011
3.0 + 0.0
38395
Signature of
Faculty
Remarks o
Inspector
3. Details of Teaching Faculty available for teaching for Pharm. D. and Pharm.D. (Post Baccalaureate) Course to b
enclosed in the format mentioned below:
S.No.
Name
Designation
1
AJITH RAJ R S
Lecturer
2
MERIN LEVY
PHILIPS
Lecturer
Date of
Joining
Qualification
M Pharm, B
Pharm,
B Pharm, M
Pharm,
Teaching Experience
State Pharmacy Council
Reg No.
After UG In
Years
After PG In
Years
03/01/2011
3.7
0.0
37662
17/08/2011
3.0
0.0
38395
Signature of the
Faculty
Remarks of th
Inspectors
4. Qualification and Number of Staff Members
Qualification
B Pharm
62
M Pharm
PhD
50
3
2
Others
Part Tim
5. Staff Pattern for Pharm. D. or Pharm.D. and Pharm. D. (Post Baccalaureate) courses department wise f
full duration of course/courses*: : Professor: Asst. Professor: Lecturer
Department / Division
Name of
the post
For strength of
60 students
Provided by the
institution
Department of Pharmaceutics
Professor
1
177
Asst. Professor
1
Lecturer
4
Professor
1
Asst. Professor
1
Lecturer
4
Professor
1
Asst. Professor
1
Lecturer
3
Professor
1
Asst. Professor
1
Lecturer
2
Department of Pharmaceutical Chemistry
(including Pharmaceutical Analysis)
Department of Pharmacology
Department of Pharmacognosy
Remarks of the
Inspectors of inspectio
team
017
055
022
* Yearwise availability will be assessed.
6. Selection criteria and Recruitment Procedure for Faculty
a. Whether Recruitment Commitee has been formed
Yes
b. Whether Advertisement for vacancy is notified in the Newspapers
Yes
c. Whether Demonstration Lecture has been conducted
Yes
d. Whether opinion of Recruitment Committee Recorded
Yes
7. Details of Faculty Retention for:
Name of Faculty Member
Period
Percenta
N.A
Duration of
15 year and
above
N.A
Duration of
10 year and
above
Mr.Jerubin Welsingh
Duration of 5 0
year and
above
Prof. Girisa Chandran Mr. J. Jaslin Edward Mr. M.P. Subhash Chandran Mrs. T. Jagatha Mr.H. Oliver Arnold Mrs. Less than 5
Ambika Ganesh Miss. Merin Levy Philip Miss. S.Daphne Sherine Mr. R.S. Ajithraj . Mrs. M.S Padmaja Devi
years
Mrs.L.S Sreeleena. Mrs.Smitha.J.C Mrs.Babitha.M Mrs.Neethu Mr.Jayachandran Nair Mrs.Seej S Raj Mrs.Remya
Dr.C.D Shaji Selvin Mrs.Pravitha Mrs.Sheeja Rekha Mrs.Kavitha Mr.Nishad,V.M Mrs.Deepthy Miss.Anjali Mohan
Mrs.Sheeba Jasmin Mrs.Ambika Ganesh
100
8. Details of Faculty Turnover
Name of Faculty Member
Period
More than 50%
50% 25% Less than 25%
% of faculty retained in last 3 yrs
Yes
No
No
No
9. Number of Non-teaching staff available for Pharm. D. or Pharm.D. and Pharm.D (Post Baccalaureate
course) for full duration of course/courses*.
Sl
No.
Designation
Required
Number
Required Qualification
Available
1
Laboratory technician
1 for each Dept
D. Pharm
4
2
Labortory Assistants/
Attenders
1 for each Lab
(minimum)
SSLC
13 Pree Degree
3
Office Superintendent
1
Degree
1
4
Accountant
1
Degree
1
Degree
5
Store keeper
1
D.Pharm or a Bachelor degree
1
recognized by a University or institution.
Degree
6
Computer Data
Operator
1
BCA / Graduate with Computer Course
0
7
Office Staff I
1
Degree
0
8
Office Staff II
2
Degree
2
BLisc
9
Peon
2
SSLC
1
SSLC
10
Cleaning personnel
Adequate
---
3
0
11
Gardener
Adequate
---
1
0
Number Qualification
Remarks of the
Inspectors
Dparm
BA
- Inspectors to verify whether the Non teaching staff requirements for D.Pharm., B.Pharm. and M.Pharm. courses conducted by the
institution are complied with or not. * Yearwise availability will be assessed.
10. Scale of pay for Teaching faculty (to be enclosed):
S.No.
Name
1
AJITH RAJ R S
2
AMBIKA GANESH
3
4
5
MERIN LEVY
PHILIPS
M JERUBIN
WELSINGH
M P SUBASH
CHANDRAN
Qualification
M Pharm, B
Pharm,
M Pharm, B
Pharm,
B Pharm, M
Pharm,
M Pharm, B
Pharm,
M Pharm, B
Pharm,
Designation
Lecturer
CCA &
Basic
Other
D.P. DA HRA Additional
Deductions
Pay
Allowances
Pay
PT TDS EPF
Bank A/C No
PAN No
EPF
A/C Total Sign
No
16600
0
830
0
0
0
0
0
0 12140100130889
0
17430
Asstt. Professor 16600
0
830
0
0
0
0
0
0 10270100163804
0
17430
0
17430
Lecturer
16600
0
830
0
0
0
0
0
0 10270100164224
Lecturer
21100
0 1060
0
0
0
0
0
0 10270100145769
22160
Lecturer
20600
0 1030
0
0
0
0
0
0 10270100119954
21630
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
M S PADMAJA
DEVI
B Pharm, M
Lecturer
17100
Pharm,
PHD, M
SHAJI SELVIN C D
Pharm, B
Principal/Director 37400
Pharm,
SHEEBA JASMIN M Pharm, B
Asstt. Professor 15600
TS
Pharm,
B Pharm, M
NEETHU J
Lecturer
15600
Pharm,
B Pharm, M
SEEJA S RAJ
Lecturer
16100
Pharm,
M Pharm, B
SOUMYA R V
Asstt. Professor 15600
Pharm,
DEEPTHI MV
B Pharm,
Lecturer
15600
VEENA VIJAYAN B Pharm, M
Lecturer
15600
G
Pharm,
B Pharm, M
KAVITHA K V
Asstt. Professor 15600
Pharm,
B Pharm, M
REMYA S B
Asstt. Professor 15600
Pharm,
SHEEJA REKHA A B Pharm, M
Asstt. Professor 15600
G
Pharm,
NISHAD V M
B Pharm,
Lecturer
15600
JAYACHANDRAN B Pharm, M
Asstt. Professor 16100
NAIR C V
Pharm,
B Pharm, M
SMITHA J C
Lecturer
16100
Pharm,
Pharm D, B
BABITHA M
Lecturer
15600
Pharm,
NITHIN
B Pharm,
Asstt. Professor 15600
MANOHAR.R
SNEHA LETHA.S
B Pharm,
Asstt. Professor 15600
DHANYA.H
B Pharm,
Asstt. Professor 16150
OLIVER ARNOLD M Pharm, B
Lecturer
16600
H
Pharm,
JASLIN EDWARD B Pharm, M
Asstt. Professor 17600
J
Pharm,
GIRISA
B Pharm, M
Professor &
38400
CHANDRAN R
Pharm,
HOD
B Pharm, M
JAGHATHA T
Lecturer
16600
Pharm,
SOORAJ.R.S.
B Pharm,
Asstt. Professor 15600
NAIR
S.M.SANDHYA
B Pharm,
Asstt. Professor 19070
RAJU.A
B Pharm,
Asstt. Professor 19070
JOHN WESLEY.I
B Pharm,
Asstt. Professor 19070
LEKSHMI.N.G
B Pharm,
Asstt. Professor 15600
0
855
0
0
0
0
0
0 10270100154829
0 1870
0
0
0
0
0
0
0
780
0
0
0
0
0
0 10270100172078 ADVPM66NIL
16380
0
0
780
0
0
0
0
0 14400100086707
16380
0
805
0
0
0
0
0
0 10270100166302
16905
0
0
780
0
0
0
0
0
0
780
0
0
0
0
0
0 10270100172417 0000000000
0
16380
0
780
0
0
0
0
0
0 10270100172755 0000000000
0
16380
0
0
780
0
0
0
0
0
ADVPM6687P
16380
0
0
780
0
0
0
0
0
ADVPM66NIL
16380
0
0
780
0
0
0
0
0
ADVPM6687P
16380
0
780
0
0
0
0
0
0 10270100172755 ADVPM66NIL
16380
0
805
0
0
0
0
0
0 10270100165288
16905
0
805
0
0
0
0
0
0 10270100168068
16905
0
780
0
0
0
0
0
0
16380
0
780
0
0
0
0
0
0 10460100134083 crcps49994
0
16380
0
0
780
850
0
0
0
0
0
0
0
0
0
0
0 14290100147439 crcps49994
0
crcps49994
0
0
16380
17000
0
830
0
0
0
0
0
0 10270100159646
0
17430
0
880
0
0
0
0
0
0 10270100159885
00 17430
0 1920
0
0
0
0
0
0 10270100163408
0
40320
0
830
0
0
0
0
0
0 10270100158036
0
17430
0
780
0
0
0
0
0
0 10270100189551 crcps49994
0
16380
0
0
0
0
930
930
930
780
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
crcps4999d
0
0
crcps49994
0 16840100024422 APIPI2023C
0
AVFPN3553P
0
0
0
0
20000
20000
20000
16380
1027
17955
ADVPM6687P
0
ADVPM6687P
39270
16380
11. Whether facilities for Research / Higher studies are provided to the faculty?
Yes
No
Yes
No
Yes
No
Yes
No
(Inspectors to verify documents pertaining to the above)
12. Whether faculty members are allowed to attend workshops and seminars?
(Inspectors to verify documents pertaining to the above)
13. Scope for the promotion for faculty: Promotions
14. Gratuity Provided
15. Details of Non-teaching staff members (list to be enclosed)
Name
Designation
Qualification
Date of Joining
Experience
Mrs.Jama
Laboratory Technician
Dparm
04/10/2006
4
Mrs.Preethakumari.S
Accountant
Degree
07/11/2005
5
Mr.Aneesh.O.P
Second Division Assistant
BLisc
27/09/2006
4
Mr.Padmakumar.P.R
Laboratory Technician
DCA
04/10/2006
4
Mrs.Bini.V.P
Labortory Assistants
Pree Degree
04/10/2006
4
Mr.Deepthikumar.C.L
Labortory Assistants
ITI
01/02/2008
3
Mrs.Reshmi.R
Labortory Assistants
Degree
31/05/2007
3
Mrs.Seena.K.S
Labortory Assistants
Post Graduate
15/10/2008
2
Mrs.Sreeja.S.S
Labortory Assistants
Hsc
07/09/2009
1
Mrs.Bindhu.V
Laboratory Technician
Degree
06/01/2010
1
Mrs.Girija Kumari.S
Labortory Assistants
SSLC
04/03/2010
1
Mr.Sajukumar.R.S
Labortory Assistants
Plus Two
01/02/2010
1
Mr.Keerthikumar.M.P
Labortory Assistants
Plus Two
11/01/2010
1
Mrs.Rajam.P
Cleaning personnel
0
27/09/2006
4
Mrs.Geetha Devi.N
Cleaning personnel
0
03/12/2007
3
Mr.Appukuttan.P
Gardener
0
04/10/2006
4
Mr.Jeyasankar.R.J
Laboratory Technician
D Pharm
09/09/2010
0
Mr.Jino Baptist.A
Labortory Assistants
Plus Two
16/09/2010
0
Mrs Sandhya P.
Labortory Assistants
Degree
01/11/2010
0
Mrs. Rinu R.S.
Second Division Assistant
BA
11/06/2011
0
Mr. Sukumaran Nair K.R.
Office Superintendent
BA
12/09/2011
34
Mrs. Sreeja S.J.
Labortory Assistants
HSC
14/03/2011
0
Mrs.A.Sumangal Devi
Store keeper
Degree
25/01/2012
0
Mrs.Sree Renjini
Labortory Assistants
Plus Two
01/10/2011
0
Mrs.Sreelekha.S
Labortory Assistants
SSLC
10/11/2011
0
Mr.Pramod G Nair
Peon
SSLC
01/12/2011
0
Mrs.Preetha.V.R
Cleaning personnel
SSLC
29/02/2012
0
Signature
16. Whether Supporting Staff (Technical and Administrative) are encouraged for skill up
gradation programs.
Signature of the
Head of the
Institution
Remarks of the Inspecto
Yes
No
Signature of the Inspectors
PART V - DOCUMENTATION
Records Maintained (Essential)
Sl.
No.
1
2
Records
Yes/No Remarks of the Inspectors
Admission Registers
Yes
Individual Service Register
Yes
3
Staff Attendance Registers
Yes
4
Sessional Marks Register
Yes
5
Final Marks Register
Yes
6
Student Attendance Registers
Yes
7
Minutes of meetings-Teaching Staff
Yes
8
Fee Paid Registers
Yes
9
Acquittance Registers
Yes
10
Accession Register for books and Journals in Library
Yes
11
Yes
12
Log Book for chemicals and Equipment costing more thanRupees one
lakh
Job Cards for laboratories
13
Standrad operating Procedures (SOP's) for Equipment
Yes
14
Laboratory Manuals
Yes
15
Stock Register for Equipment
Yes
16
Animal House Records as per CPCSEA
Yes
Signature of the
Head of the
Institution
Yes
Signature of the Inspectors
PART - VI
Financial Resource Allocation and Utilization for the past Three years(Audited Accounts for previous year to be
enclosed)
Expenditure in Rs.2012-2013
Expenditure in Rs.2013-2014
Expenditure in Rs.2014-2015
Remarks
the
Inspecto
Total
Total
Total
Non
Non
Non
budget Recurring
budget Recurring
budget Recurring
Recurring
Recurring
Recurring
sanctioned
sanctioned
sanctioned
8899000
4955500
3943500
9684250
5172450
4511800
3909240
2050000
1859240
Total amount spent on Chemical, Glassware, Equipments, Books and Journals for the past Three
Years(Enclose purchase invoice)
Total
Total
Total
Remarks
budget Sanctioned Incurred budget Sanctioned Incurred budget Sanctioned Incurred the
allocated
allocated
allocated
Inspector
Chemicals 2100000
141479
Chemicals 2143390
255139
Chemicals
500000
439079
Glassware
700000
273000
Glassware
743390
386660
Glassware
250000
222490
Equipment
755500
85113
Equipment
798890
198773
Equipment
750000
731280
Books
1300000
277939
Books
1343390
391593
Books
500000
424816
Journals
100000
57500
Journals
143390
171160
Journals
50000
41575
*Last three years including this academic year till the date of the inspection
Signature of the Head
of the Institution
Signature of the Inspectors
PART VII – EQUIPMENT AND APPARATUS
1 . Department wise List of Minimum equipments required for Pharm D & Pharm D Post Baccalaureate
Department of Pharmacology
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Name
Microscopes
Haemocytometer with Micropipettes
Sahli’s haemocytometer
Hutchinson’s spirometer
Spygmomanometer
Stethoscope
Permanent Slides for various tissues
Models for various organs
Specimen for various organs and systems
Skeleton and bones
Different Contraceptive Devices and Models
Muscle electrodes
Lucas moist chamber
Myographic lever
Stimulator
Centrifuge
Digital Balance
Physical /Chemical Balance
Sherrington’s Kymograph Machine or Polyrite
Sherrington Drum
Perspex bath assembly (single unit)
Aerators
Computer with LCD
Software packages for experiment
Standard graphs of various drugs
Actophotometer
Rotarod
Pole climbing apparatus
Analgesiometer (Eddy’s hot plate and radiant heat methods)
Convulsiometer
Plethysmograph
Digital pH meter
Minimum required
Nos.
Available
Nos.
Working
15
20
20
1
5
5
0
0
0
0
0
1
1
1
1
1
1
1
10
10
10
10
1
1
0
1
1
1
1
1
1
1
20
20
20
1
10
12
100
10
10
3
5
1
1
1
1
1
1
2
20
20
20
20
1
2
5
1
1
1
1
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Remarks of the Inspector
Appratus:
Sl.
Minimum required
Available
Name
No.
Nos.
Nos.
1 Folin-Wu tubes
60
60
2 Dissection Tray and Boards
10
20
3 Haemostatic artery forceps
10
10
4 Hypodermic syringes and needles of size 15,24,26G
10
20
5 Levers, cannulae
20
20
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Working
Remarks of the Inspector
Yes
Yes
Yes
Yes
Yes
Department of Pharmaceutics
Equipments:
Sl.
No.
1
2
3
4
5
6
7
Name
Mechanical stirrers
Homogenizer
Digital balance
Microscopes
Stage and eye piece micrometers
Brookfield’s viscometer
Tray dryer
Minimum required
Nos.
10
5
5
5
5
1
1
Available
Nos.
10
5
5
5
5
1
1
Working
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Remarks of the Inspector
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Ball mill
Sieve shaker with sieve set
Double cone blender
Propeller type mechanical agitator
Autoclave
Steam distillation still
Vacuum Pump
Standard sieves, sieve no. 8, 10, 12,22,24, 44, 66, 80
Tablet punching machine
Capsule filling machine
Ampoule washing machine
Ampoule filling and sealing machine
Tablet disintegration test apparatus IP
Tablet dissolution test apparatus IP
Monsanto’s hardness tester
Pfizer type hardness tester
Friability test apparatus
Clarity test apparatus
Ointment filling machine
Collapsible tube crimping machine
Tablet coating pan
Magnetic stirrer, 500ml and 1 liter capacity with speed control
Digital pH meter
All purpose equipment with all accessories
Aseptic Cabinet
BOD Incubator
Bottle washing Machine
Bottle Sealing Machine
Bulk Density Apparatus
Conical Percolator (glass/copper/ stainless steel)
Capsule Counter
Energy meter
Hot Plate
Humidity Control Oven
Liquid Filling Machine
Mechanical stirrer with speed regulator
Precision Melting point Apparatus
Distillation Unit
1
1
1
5
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
2
1
1
2
10
2
2
2
1
1
2
1
1
1
1
1
5
1
1
1
10
1
1
1
1
2
2
1
1
1
1
1
1
1
5
1
1
1
2
1
1
2
10
2
2
4
1
1
2
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Appratus:
Sl.
Minimum required
Available
Name
No.
Nos.
Nos.
1 Ostwald’s viscometer
15
15
2 Stalagmometer
15
15
3 Desiccator
5
5
4 Suppository moulds
20
20
5 Buchner Funnels (Small, medium, large)
0
5
6 Filtration assembly
1
1
7 Permeability Cups
5
5
8 Andreason’s Pipette
3
3
9 Lipstick moulds
10
10
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Working
Remarks of the Inspector
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Department of Pharmaceutical Chemistry
Equipments:
Sl.
No.
1 Hot plates
2 Oven
3 Refrigerator
Name
Minimum required
Nos.
5
3
1
Available
Nos.
5
3
1
Working
Yes
Yes
Yes
Remarks of the Inspector
4
5
6
7
8
9
10
11
12
13
Analytical Balances for demonstration
Digital balance 10mg sensitivity
Digital Balance (1mg sensitivity)
Suction pumps
Muffle Furnace
Mechanical Stirrers
Magnetic Stirrers with Thermostat
Vacuum Pump
Digital pH meter
Microwave Oven
5
10
1
6
1
10
10
1
1
2
15
10
1
6
2
10
10
1
1
2
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Appratus:
Sl.
Minimum required
Available
Name
No.
Nos.
Nos.
1 Distillation Unit
2
4
2 Reflux flask and condenser single necked
20
20
3 Reflux flask and condenser double/ triple necked
20
20
4 Burettes
40
40
5 Arsenic Limit Test Apparatus
20
20
6 Nesslers Cylinders
40
40
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Working
Remarks of the Inspector
Yes
Yes
Yes
Yes
Yes
Yes
Central Instrumentation Room
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Name
Colorimeter
Digital pH meter
UV- Visible Spectrophotometer
Flourimeter
Digital Balance (1mg sensitivity)
Nephelo Turbidity meter
Flame Photometer
Potentiometer
Conductivity meter
Fourier Transform Infra Red Spectrometer (Desirable)
HPLC
HPTLC (Desirable)
Atomic Absorption and Emission spectrophotometer (Desirable)
Biochemistry Analyzer (Desirable)
Carbon, Hydrogen, Nitrogen Analyzer (Desirable)
Deep Freezer (Desirable)
Ion- Exchanger
Lyophilizer (Desirable)
Minimum required
Nos.
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Available
Nos.
1
1
1
1
1
1
1
1
1
1
1
0
0
1
0
0
1
0
Working
Remarks of the Inspector
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
Yes
No
No
No
No
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Department of Pharmaceutical Biotechnology
Equipments:
Sl.
No.
1
2
3
4
5
6
7
Name
Orbital shaker incubator
Lyophilizer (Desirable)
Gel Electrophoresis (Vertical and Horizontal)
Phase contrast/Trinocular Microscope
Refrigerated Centrifuge
Fermenters of different capacity (Desirable)
Tissue culture station
Minimum required
Nos.
1
1
1
1
1
1
1
Available
Nos.
1
0
1
1
1
1
1
Working
Yes
No
Yes
Yes
Yes
Yes
Yes
Remarks of the Inspector
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Laminar airflow unit
Diagnostic kits to identify infectious agents
Rheometer
Viscometer
Micropipettes (single and multi channeled)
Sonicator
Respinometer
BOD Incubator
Paper Electrophoresis Unit
Micro Centrifuge
Incubator water bath
Autoclave
Refrigerator
Filtration Assembly
Digital pH meter
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Department of Pharmacy Practice
Equipments:
Sl.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Name
Colorimeter
Microscope
Permanent slides (skin, kidney, pancreas, smooth muscle, liver etc.,)
Watch glass
Centrifuge
Biochemical reagents for analysis of normal and pathological constituents in urine and
blood facilities
Filtration equipment
Filling Machine
Sealing Machine
Autoclave sterilizer
Membrane filter
Sintered glass funnel with complete filtering assemble
Small disposable membrane filter for IV admixture filtration
Laminar air flow bench
Vacuum pump
Oven
Surgical dressing
Incubator
PH meter
Disintegration test apparatus
Hardness tester
Centrifuge
Magnetic stirrer
Thermostatic bath
Minimum required
Nos.
Available
Nos.
Working
2
0
0
0
1
2
10
50
35
1
Yes
Yes
Yes
Yes
Yes
0
20
Yes
2
1
1
1
0
0
0
1
1
1
0
1
1
1
1
1
1
1
2
1
1
1
15
10
10
1
2
1
10
1
1
1
1
1
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Remarks of the Inspector
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Department of Pharmacognosy
Equipments:
Sl.
No.
1
2
3
4
Name
Microscope with stage micrometer
Digital Balance
Autoclave
Hot air oven
Minimum required
Nos.
15
2
2
2
Available
Nos.
15
2
2
2
Working
Yes
Yes
Yes
Yes
Remarks of the Inspector
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
B.O.D.incubator
Refrigerator
Laminar air flow
Colony counter
Zone reader
Digital pH meter
Microscope with stage and oil immersion objective
Sterility testing unit
Camera Lucida
Eye piece micrometer
Stage micrometer
Incinerator
Moisture balance
Heating mantle
Flourimeter
Vacuum pump
Micropipettes (Single and multi channeled)
Micro Centrifuge
Projection Microscope
1
1
1
2
1
1
20
1
15
15
20
1
1
15
1
2
2
1
1
1
1
1
2
1
1
20
1
15
15
20
1
1
15
1
2
2
1
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Appratus:
Sl.
Minimum required
Available
Name
No.
Nos.
Nos.
1 Reflux flask with condenser
20
20
2 Water bath
20
20
3 Clavengers apparatus
10
10
4 Soxhlet apparatus
10
10
5 TLC chamber and sprayer
10
10
6 Distillation unit
1
1
NOTE: Adequate number of glassware commonly used in the laboratory should be provided in each laboratory and department.
Working
Remarks of the Inspector
Yes
Yes
Yes
Yes
Yes
Yes
2. Hospital Requirements for running Pharm D or Pharm.D. and Pharm.D. (Post Baccalaureate) courses
Hospital Details
S.No. Name/ Infrastructure
Minimum required Nos.
1
Nature of Hospital
Hospital* with teaching
facility Minimum 300 bedded
Hospital
Provided
- Own
- Teaching hospital recognised by MCI or
University
- Govt. Hospital not below the level of district
Hospital
- Corporate Hospital
2
Place for Pharmacy Practice
Department +
Minimum carpet area of 3 sq.mts. per student
along with consent to provide the professional
manpower to support the programme.
3
Available specialties ++
Medicine (Compulsory)
(Any three of the following)
Surgery
Pediatrics
In the
Medicine
Ward
Remarks of t
Inspectors
Gynecology and Obstetrics
Psychiatry
Skin and VD
Orthopedics
4
Location of the Hospital Give
details.
Within the same limits of Corporation or
Municipality or Campus with Medical Faculty
involvement as adjunct faculty
Same Limit
* Approval letter of the Hospital Authority to be annexed alongwith MOU. + Inspectors are required to
personally verify the space provided at the hospital and meet the hospital administrators for interaction.
++ to be certified by the Dean/Director/Medical Supdt. of the hospital.
3. Unit Wise Medical Staff
Unit
S.No.
1
2
3
4
5
6
7
8
Bed Streng
Name
Designation
ProAsst
Professor Dr Regi David
fessor
Dr Sareena
Professor
Mathew
Dr
Professor
Raveendran K
Dr Peter
Asst
Manohar
Professor
Chellappa
Asst
Dr Biju
Professor
Mathew
Professor
DrCSulekha
and HOD
Dr Christo S
Professor
Rasalam
Dr Mohandas
Professor
MK
Date of
Birth
Nature of
employment
Subjects
Year Of
Passing
25/05/1981
Full Time
PG MD
2008
16/02/1949
Full Time
MCH
1983
14/08/1949
Full Time
MS
1991
28/02/1957
Full Time
PG MS
1985
20/05/1961
Full Time
PG MCH
1996
12/01/1949
Full Time
MD
1983
23/09/1949
Full Time
DCH
1974
09/10/1951
Full Time
MD
1991
9
Associate
Professor
Dr Dr Babu
Raj S
01/06/1964
Full Time
PG MD
1995
10
Senior
Resident
Dr Maneksh
01/11/1972
Kumar
Full Time
PG DCH
2004
11
Professor
20/09/1951
Full Time
PG MD
1987
12
Asst
Professor
29/08/1959
Full Time
PG
MBBS
1983
13
Professor
29/02/1948
Full Time
MS
1978
14
Professor
01/03/1948
Full Time
MCH
15
Professor
29/03/1949
Full Time
16
Professor
Dr Vimala A 14/11/1952
17
Asst
Professor
Dr
Unnikrishnan 10/05/1978
LS
Dr P S
Mathew
Dr Mariam
Philip
Dr B K
Easwara Pillai
Dr R R
Rajaraja
Varma
Dr Mathew
Thomas
Experience Date wise teaching/Professional experien
with designation & Institution
UG/PG QUALIFICATION
Institution
Raja Muthiah
Medical College
Chithambaram
Medical College
Trivandrum
Medical College
Trivandrum
Madurai Medical
College
Govt Medical
College Calicut
Medical College
Trivandrum
Medical College
Trivandrum
Medical College
Trivandrum
Kasthurbha
Medical College
Manipal
University
Designation
Annamalai
University
ProAsst
Professor
fessor
Kerala
University
Kerala
University
Madurai
Kamaraj
University
Calicut
University
Kerala
University
Kerala
University
Kerala
University
MAHE
University
Medical College
Trivandrum
Medical College
Trivandrum
Medical College
Trivandrum
The TN DR
MGR
Uiversity
Kerala
University
Kerala
University
Kerala
University
1980
Medical College
Trivandrum
Kerala
University
PG MD
1975
Medical College
Trivandrum
Full Time
PG MD
DM
1981
Madras Medical
College
Full Time
PG MD
2007
Govt Medical
College
Rajasthan
Kerala
University
The TN DR
MGR
Uiversity
Rajasthan
University of
Health
Sciences
CMC Vellore
Professor
Professor
Asst
Professor
Institution
From
To
Raja Muthiah
Medical College 17/07/2008 18/09/2010
Chithambaram
Medical College
07/01/1981 10/10/1995 5
Trivandrum
Medical College
10/06/1997 10/06/2002 1
Trivandrum
Madurai Medical
14/04/1982 23/03/1985 1
College
Asst
Govt Medical
02/02/1986 02/10/1989
Professor
College Calicut
Professor and Medical College
14/07/2001 30/04/2004
HOD
Trivandrum
Medical College
Professor
12/07/2001 30/04/2003
Trivandrum
Medical College
Professor
04/01/2002 14/10/2004
Trivandrum
Kasthurbha
Associate
Medical College 01/06/1992 30/06/1995
Professor
Manipal
Senior
Resident
Professor
Asst
Professor
Professor
P
CMC Vellore
1
1
1
1
04/06/2001 22/04/2004 1
Medical College
02/10/2006 01/10/2007
Trivandrum
Medical College
31/01/1992 01/02/1993
Trivandrum
Medical College
30/12/1985 16/08/1996 3
Trivandrum
Professor
Medical College
08/12/1982 21/01/1992 3
Trivandrum
Professor
Medical College
09/04/1984 03/06/1994 3
Trivandrum
Professor
Madras Medical
15/03/1987 24/03/1991 1
College
Asst
Professor
Govt Medical
College
Rajasthan
01/08/2007 22/02/2008
18
Associate
Professor
19
Associate
Professor
20
21
22
23
24
25
26
27
28
29
Full Time
PG MS
1988
Medical College
Trivandr
Full Time
PG MS
2000
Christian Medical
College Vellore
Asst
Dr Leon John
14/03/1972
Professor
Selvaraj
Full Time
PG MD
2008
Raja Muthiah
Medical College
Chithambaram
Asst
Professor
Dr
Jayakrishnan 12/02/1979
KS
Full Time
PG MD
2008
Sarojni Naidu
Medical College
Agra
Asst
Professor
Dr Samantha 20/05/1982
Full Time
PG MD
2009
Standly Medical
College
13/01/1976
Full Time
PG MD
2004
Medical College
Trivandrum
02/09/1977
Full Time
PG MD
2007
CMC Ludhiyana
Asst
Professor
Asst
Professor
Asst
Professor
Dr Jacob
15/09/1950
Thomas
Dr Punitha
Thetrarauvoli 21/05/1972
M
Dr Renju
Thomas
Dr Sundar
Singh
Dr Simi P S
Dr Gopakumar
S
Dr Joan
Asst
Pelicita
Professor
Samson
Dr Annamma
Professor
Chacko
Asst
Dr Rajeesh K
Professor
B
Professor
09/05/1981
Full Time
PG MD
2008
15/11/1953
Full Time
PG MD
1981
14/10/1978
Full Time
PG DNB
2007
10/02/1945
Full Time
PG MD
1969
17/02/1975
Full Time
PG MS
2006
Kerala
University
The TN DR
MGR
Uiversity
Associate
Professor
Medical College
02/04/1999 25/07/2001
Trivandr
Associate
Professor
Christian Medical
02/11/2001 01/11/2010 3
College Vellore
Annamalai
University
Asst
Professor
Raja Muthiah
Medical College 09/08/2008 18/09/2010
Chithambaram
Asst
Professor
Sarojni Naidu
Medical College 18/07/2008 18/09/2010
Agra
Asst
Professor
Standly Medical
14/08/2009 18/09/2010
College
Asst
Professor
Asst
Professor
Asst
Professor
Medical College
03/05/2001 19/05/2004 1
Trivandrum
Medical College
Trivandrum
Medical College
Trivandrum
Dr BR
Abmedkar
University
Agra
The TN DR
MGR
Uiversity
Kerala
University
Baba Farid
University
Kerala
University
Kerala
University
Medical College
Trivandrum
Kerala
University
Medical College
Trivandrum
Medical College
Trivandrum
Kerala
University
Kerala
University
Professor
Asst
Professor
Professor
Asst
Professor
CMC Ludhiyana 01/01/2004 31/12/2006 1
Medical College
14/02/2005 28/05/2008 1
Trivandrum
Medical College
08/05/1991 20/03/2000 3
Trivandrum
Medical College
01/01/2003 23/06/2006 1
Trivandrum
Medical College
14/12/1982 01/07/1994 4
Trivandrum
Medical College
08/12/2006 01/02/2008
Trivandrum
Other Ancillary staff available
Epidemiologist
1
Statistician
1
Physiotherapies
4
Available Clinical Material
Average daily OPD
1210
Average daily IPD
407
Average daily bed occupancy rate
80
Average daily operations
Major
36
Minor
44
Year-wise available clinical materials (during
previous three years)
Intensive Care facilities
ICU
No. of beds
16
Equipment
Avilable
Average bed occupancy
80
II. ICCU
No. of beds
4
Equipment
Avilable
Average bed occupancy
80
III. NICU
No. of beds
15
Equipment
Avilable
Average bed occupancy
90
IV. PICU
No. of beds
6
Equipment
Avilable
Average bed occupancy
90
V. Dialysis
No. of beds
3
Equipment
Avilable
Average bed occupancy
90
Specialty clinics and services being provided by the department
1) Medicine 2) Surgery. 3) Paediatrics. 4) Skin & VD
Details for Pharm.D. student and faculty.
A.Accomodation
Faculty
Area in Sq.mtr
Pharmacy Practice Area
Dispensary
Drug Information Centre
Computer/Internet facility
B.Library-Departmental Library standard text and references Indexing and Abstracting services for DI
services
should be included as separate annexure. C.Pharmacy Practice staff details at the hospital-
Name
Qualification
Signature of Faculty
Signature of the Head of the Institution
Signature of the Inspectors
STANDARD INSPECTION FORM(Pharm.D)TEACHING PROGRAMME/INTERNSHIP PROGRAMME
1.Prescibed mode of admission to Scheduled PharmD Course.2.Academic Activities please mention the frequency with which each activity is held.









Case presentation.
Journal Club.
Seminar.
Subject Review.
ADR meeting.
Lectures(separately held for Pharm.D students)
Guest lectures.
Video film.
Others.
3.Log book of Pharm.D.students:
4.Whether Pharm.D. students participate in beside counselling or not? :
Summary Of Inspection report-(check list) to be completed by the Inspector.
Date of inspection:Name of Inspector:Name of theinstitution
Name and other particulars of Intitution(Principal/Head)
Qualification detail.
1
Experience:Adequate/Inadequate
Age
Name of theinstitution
Name and other particulars of Intitution(Principal/Head)
Qualification detail.
2.
Experience:Adequate/Inadequate
Age
Date of last insoection of the institution :
3
4
Number of admission at B.Pharm.
Staff position for B.Pharm.
Sufficient/Insufficient
Other deficiency,if any
Yes
Total Teachers in the Pharmacy Practice Department (with requisite qualifications & Experience)
Designation
Number
Name
Toatal Experience
Professors
Asst.Profeesors
Lecturers
- All teachers should be physically identified.- Detailed proforma (with photograph affixed) in respect of every teacher must be obtained signed by the concerned teacher,
and Head of institution.- To ensure that staff is full time, paid and not working in any other institution simultaneously.
5
Requisite important information of the Hospital
Number
Teaching complement in each Dept.
Full\Partial
Total number of beds Dept.wise
Instruments and other expected facilities
Adequate\Inadequate
Bed side teaching
Yes\No
Laboratory Technician
Number and Names
Department Research Laboratory
Departmental Library - Books\Journals
Central Library - Books\Journals pertaining to the department.
6
Space for Pharmacy Practice Department at the Hospital
Adequate\Inadequate
Indoor wards(units/Department ) & OPD space
Adequate\Inadequate
Offices for Faculty members
Adequate\Inadequate
Class Rooms and seminar rooms
Adequate\Inadequate
Dept.Library in the hospital supporting Drug Information Services
Adequate\Inadequate
7
Clinical Material
8
No of publications from the department during 3 years
9
Standard of Examination
Year-wise number of Pharm.Dstudents
admitted and availablestaff during the
last 5 years
Satisfactory/Not Satisfactory
Year
No. of Pharm.Dstudents admitted
No. of staff available
2008
10
2009
2010
2011
2012
11
Other relevant facilities in the Institution
12.
Specific remarks if any by the Inspector: (No recommendations regarding permission/recognitionbe made) Give factual position
only).text
Compliance of deficiencies reflected in last Inspection Report Label
Specific observations if not rectifiedLabel
Observations of the Inspector:
Signature of Inspectors:
1.
2.
Note:1.The Inspection Team is instructed to physically verify the details and records filled up by the college in the application form subitted
the college, which is with you now and record the observations,opinions and recommendations in clear and explicit terms.2. The team is
requested to record their comments only after physical verification of records and details.
Signature of the Head of the Institution
Signature of the Inspectors