|
|
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 ( Only Doc, Docx and pdf are allowed.) |
Attachment 1 * |
|
Attachment 2 * |
|
Attachment 3 * |
|
Attachment 4 * |
|
Attachment 5 * |
|
Attachment 6 |
|
Attachment 7 |
|
Attachment 8 |
|
Attachment 9 |
|
Attachment 10 |
|
|
|