Professor Dr Yogendra Man Shakya (HOD,
Associate Professor: Dr Yagya Laxmi Shakya,
Lecturers: Dr Tirtha Man Shrestha,
Dr Sanjeeb Tiwari (General Secretary Nepal Medical Association 2080),
Dr Sanjay Kumar Gupta ,
Dr Ishu Gajurel
Supervisor Nurse Geeta Satyal, Nursing In charge : Ranju Khanal GP, Incharge Menuka Shrestha Observation ward, Chandra Prabha Khatiwada, Staff Nurse Binita Acharya, Ramesh Bharel,, Phool Maya , Shreejana Chaulagain, Bipin Chaudhary
Department of General Practice as HOD .
Our program is First Post Graduate Program MD (GP) from 1982AD in this country, because of the high demand of such in Ministry of Health, Nepal Govt for all districts of Nepal. We have previous past 10-14 residents per year on demand on request by Medical council and ministry health. But from last year we have the numbers of MD GP &EM 4 Residents .
Our Dept has been already running program of DM Emergency Medicine course first in South East Asia since Sep 2011 AD . Till now 9 DM Emergency Medicine graduated and 2 are in program, runs under the department of General Practice.
However, We were seeing on average 55,400 patients per year in under the program of MD General Practice & Emergency Medicine. Where we are doing
- General Health check up unit.
- Out patients morning 75 new quota & unlimited old, and day 20 new quota & old unlimited follow up cases,
- Staff Clinic
- Emergency observation ward 23 beds , including 2 staffs beds
This department has been providing quality services since time of establishment of department in TU Teaching Hospital since 1982 AD, Till date 313 MD GP &EM graduated including 24 student from Christian Academic of Medical Science, CMC Vellore India whose certificate had been awarded from Institute of Medicine. This was the only Post graduate program which were collaboration in India. Since establishing emergency room in TUTH, General Practice specialist are providing continue their services in Observation ward room.
This department started General Health check up clinic with facilities of blood draw and ECG within the clinic and USG & X ray chest in Ganesh Man Building, make very comfortable for those patients visiting for General check up, providing reports in two days. Since 2001,
( Category II :test including CBC, Sugar, urea, creatinine, uric acid, SGPT, lipfd profile, VDRL, urine RE, stool RE, ECG, X ray chest ,USG, in 3000 rs and blood grouping.( EHS 4000rs), and cat III including TFT in 4000(EHS 5000) foreigner other than SAARC 6000(EHS 8000).
Category I CBC, Sugar, urea, sgpt, VDRL, urine RE, stool RE, X ray chest, ECG, blood grouping, in 2000 rs.( EHS 3000rs), foreigner other than SAARC 4000 (ehs 6000).
we are providing General Practice outpatient services. General practice OPD started dayshift also from this year 2071 Baisakh.(April 2014) Simultaneously we are happy to share the loads of other departments. As flow of patients increases in emergency room day by day, this dept felt to have more spacious emergency room. On initiation of this department, (faculty, nursing and staffs), new emergency service is running smoothly from first 1 falgun 2068 (12thfeb 2012). For this we are heartily obliged to Mr Min Bahadur Gurung ,owner of Bhat Bhatani, chain of supermarket, and to authorities of our Institute, Dean, Hospital Executive Director as well as Campus Chief of Maharajgunj Medical campus. After that, patients came to emergency felt very comfortable, care, spacious, clean.
Various Academic Activities of Department:
1. DM Emergency Medicine Program started in September 2011(Bhadra 2068BS) with 2 seats. Till today, Nine DM candidates have successfully completed the course in consecutive years 2014, 2015 and 2017, 2018,2019 ,2022, 2023 three of them in the TUTH, MMC as faculty members, currently there are 1 DM residents, is in 2nd year and 1in first year.
2. MD GP &EM Post Graduate Program: Currently there are 8 MD GP&EM students appeared in exam in this year (2021-2024) batch. Now total residents in 3rd year 8, 2nd year 6, 1st year 4, make together 18 residents (MMC) and 8 medical colleges having GP & EM program, including NAIHS, UCMS, GMC, NMC, CMC, KIST, JANAKI total 31 seats in this year.
3. MBBS program: – This department takes care on regular basis to Junior Intern posting in MD General Practice & Emergency Medicine program for 7 days. Student has to present one bed side case before completing posting, marks will add into surgery subject. And 15 days in Internship period
4. MD Clinical Pharmacology for 1.5 months
5. BAMS Bachelor Ayurvedic Medical Science for 3 weeks.
6. Bachelor in Pharmacology
7. B SC MIT course: taking theory as well as practical sessions on regular basis.
MD In General Practice and Emergency Medicine Program:
Posting of GP residents
First year:
Medicine,, Psychiatry,, Pediatric,(tuth, Kanti children), Dermatology,, Forensic, GP OPD, Exam
For 2nd year GP residents:
Tansen mission hospital For surgery and Orthopedic:,
Pokhara and Bheri Zonal hospital(2015AD) ,orthopedic in TUTH.
Gynae posting in Pokhara hospital ,& TUTH
Elective USG/ ENT , exam
For third year district community posting 12 weeks in Surkhet, , Myagdi Beni ,Bardibash , Okhaldhunga, Dang ,Baglung
Anesthesia +ICU , Emergency , GHC and GP OPD ,
III). MBBS program,
This department takes care on regular basis to Junior Intern posting in emergency room for7 days. Student has to present one bed side case before completing posting and internship for 15 days
Other activities: Service by this department on regular basis:
| 2080-81 | |||
| Emergency | Male | ||
| Female | |||
| Total | 38808 | ||
| Observation Ward | Male | 762 | |
| Female | 999 | ||
| Total | 1761(4.53%) | ||
| Discharge | 1332 (75.6%) | ||
| Admission | 135 (7.66%) | ||
| Back to ER | 155 (8.8%) | ||
| DOPR | 101 (5.7%) | ||
| LAMA | 38 (2.1%) | ||
| General Practice OPD Routine | New Patients | Male | 9460 |
| Female | 11591 | ||
| Total | 21051 | ||
| Old Patients | Male | 7378 | |
| Female | 10993 | ||
| Total | 18371 | ||
| Total | 39422 | ||
| General Practice OPD (EHS) | New Patients | Male | |
| Female | |||
| Total | |||
| Old Patients | Male | ||
| Female | |||
| Total | |||
| Total | 3260 | ||
| General Health Check up | Routine | 958 | |
| EHS | 1038 | ||
| Total | 1996 | ||
| Staff OPD | New | ||
| old | |||
| Total | 2028 | ||
| Grand Total | 48467(Excluding Emergency) |
Publications:
Audit of observation ward supporting emergency room at tertiary care hospital: Kathmandu, Nepal
Audit of observation ward of an emergency room
- Visit Ireland: paper presentation: WADEM Congress on Disaster and Emergency Medicine · 9-12 May 2023 · Killarney, Ireland
Abstract 252 – “Role of General Practice led observation ward to support Emergency ward to improve the outcomes at a major Kathmandu Hospitals in Nepal”.
- Chair the session in invitation to be present at 30th WFUMB COE Workshop and 20th AFSUMB Workshop in Dhaka, Bangladesh on 1 & 2 March 2024, Friday and Saturday on “Leading Edge Ultrasonography”. By Prof. Kanu Bala MBBS, PhD, FRCP Director, WFUMB Center of Education: Bangladesh World Federation for Ultrasound in Medicine and Biology Former President and Foreign Liaison Personnel Bangladesh Society of Ultrasonography 10/26 Eastern Plaza, 9th Floor, Hatirpool, Dhaka 1205, Bangladesh
- Present topic in “IMPORTANCE OF POINT OF CARE ULTRASOUND (POCUS) In General Practice & Emergency”in Dhaka Bangladesh 1st march 2024
- As examiner to BHUTAN: “ invitation letter for Professor Dr. Yogendra Man Shakya of your esteemed organization as our external examiner for the final year examination of MDGP program under Khesar Gyalpo University of Medical Sciences of Bhutan from from 1st June 2024 to 5th June 2024 and last year 11th to 16th June 2023. Invitation by prof Dr. G. P DhakalDean
Faculty of Postgraduate Medicine,Khesar Gyalpo University of Medical Sciences of Bhutan.
JDWNRH, Thimphu, Bhutan.
