|
|
|
YES/NO |
Number |
|
| Qualifications of team |
| Qualification (MD Medicine or DNB Med or DM Endo) |
Yes
No
|
|
| Experience in diabetes hospital / teaching hospital / endocrinology unit / medicine unit with specialty diabetes clinic more than 5 years |
Yes
No |
|
| Supporting faculty and staff |
| Visiting or full time ophthalmologist |
Yes
No |
|
| Visiting or full time cardiologist |
Yes
No |
|
| Full time dietician/nutritionist |
Yes
No |
|
| Other paramedical – diabetes educator/podologist |
Yes
No |
|
| Visiting or full time surgeon |
Yes
No |
|
| Infrastructure requirement |
| Patient load |
Yes
No |
|
| Files or electronic case records |
Yes
No |
|
| Ophthalmic unit with : Funduscopy , refraction , tonometry |
Yes
No |
|
| Foot clinic: with: VPT,Doppler |
Yes
No |
|
| Dietetics Dept. with Capability for demonstrating diets, measurements, and foods |
Yes
No |
|
| Number of rooms for candidates |
Yes
No |
|
| BP apparatus |
Yes
No |
|
| Height measure |
Yes
No |
|
| Weight |
Yes
No |
|
| Measuring tape |
Yes
No |
|
| Tuning fork |
Yes
No |
|
| Monofilament |
Yes
No |
|
| Ophthalmoscope |
Yes
No |
|
| Hammer for DTRs |
Yes
No |
|
| Minor OT with Table, sterilization, facility for suturing and equipment for minor surgical procedures |
Yes
No |
|
| ECG room with 12 lead ECG facility |
Yes
No |
|
| Minimum life support and resuscitation facility |
Yes
No |
|
| Radiology unit with facility for Minimum 200 mA X- ray machine with X-ray technician and visiting / full time radiologist |
Yes
No |
|
| Lab |
| Facilities for estimation of |
Yes
No |
|
| Blood Glucose, Hb TLC, DLC ESR, HbA1C |
Yes
No |
|
| Lipids, KFT, LFT, Microalbumin |
Yes
No |
|
| Urinalysis including Ketones |
Yes
No |
|
| Serum electrolytes |
Yes
No |
|
| Technician with minimum Diploma in medical lab technology and a visiting Biochemist/ Pathologist |
Yes
No |
|
| Whether Accredited lab or not |
Yes
No |
|
| Indoor:- number of beds / access to same within 5 kms in a diabetes hospital /medicine unit of a general hospital admitting diabetic patients |
Yes
No |
|
| Separate room for patient education |
Yes
No |
|
| Seminar / teaching room with audio visual facilities |
Yes
No |
|
| Library with: Text books/ reference books of Basic Medical science, Medicine, clinical Methods , Diabetes , Diabetic foot, Nutrition, Cardiology |
| Number : at least 50 books |
Yes
No |
|
| Journals: |
Yes
No |
|
| Internet facility for access to major journals |
Yes
No |
|
| Attach supporting documents |
| Attachment 1 |
|
| Attachment 2 |
|
| Attachment 3 |
|
| Attachment 4 |
|
| |
|
|