Community Medicine

Department Of Community Medicine

STAFF LIST
PhotoFULL NAMEQualificationDESIGNATIONUG Registration/UG Registration
Dr. Jayendra KosambiyaMBBS, MDProfessorUG/G - 17178 
PG /G-10315
Dr.Hirenkumar PatelMBBS, MD Associate ProfessorUG/G - 43388 
PG/G -23520
Dr. Nidhi Mangrola MBBS, MDAssociate ProfessorUG/G - 51542 
PG/G - 26499
Dr. Dhwani ChauhanMBBS, MDAssistant ProfessorUG/G - 54892 
PG/G - 34667
Dr. Dhara JahangirporiaMBBS, MDAssistant ProfessorUG/G - 48367 
PG/G - 24960
Dr. Hetal PatelMBBS, MDAssistant ProfessorUG/G - 60792 
PG/G - 32392
Dr.Parth VyasMBBS, MDAssistant ProfessorUG/G - 47297 
PG/G - 24848
Dr.Ila DaveMSc ,Ph.D(Statistician) Assistant ProfessorNA
Dr.Savani KrunalMBBSSenior Resident/TutorUG/G - 72114
Dr. Devayani A PatelMBBSTutorUG/G - 56828
Dr. Vikas AmreliyaMBBSTutorUG/G - 2017/09/4178

Introduction

  • Community Medicine is a specialist branch of medicine which deals with matters relating not to individuals but to groups. It is a branch of Medicine which deals with promotion of health and prevention of diseases, involving people’s participation, utilizing professional management skills. It inculcates a holistic view of health and medical interventions primarily focused on Community Health/Population Health. It is developed as a specialist discipline of medicine which acts as a link between health services and clinical science.

Role of the Department of Community Medicine 

The Community Medicine department plays a major role in academic training of medical students from the beginning of the course i.e., first year till the final completion of the course i.e., internship training through community-based teaching, community service and research. This multidisciplinary approach will help to develop their role as community physicians.  By student centric teaching and learning we provide opportunities to develop skills, knowledge and perspectives to understand the holistic concept of health so as to enable them to provide community health services. 

  • Training - Academic training of medical students as well as field training through field exposure and community interactions
  • Extension & outreach activities - Participation in all ongoing National Health Programs
  • Community health services - Preventive, Curative and Promotive services offered to the community through RHTC & UHTC and Family Adoption Program as per NMC norms
  • Promoting for research -Motivating and guiding undergraduate students for community-based research 
  • Professional training - Organizing and implementing internship training programs and preparing them as Community Physician
  • Health Promotion - By involving the students in finding solutions to endemic/epidemic problems  and celebration of public health days in the community

The core competencies of the department are Epidemiology, Nutrition, Environment, Biostatistics, Communicable and Non-communicable diseases, Maternal and Child Health, National health policies and programs and Occupational health.

Community Engagement

1. Rural Health Training Centre (RHTC):

  • Primary Health Centre (PHC) Sandhier comes under Surat Jilla Panchayat, Government of Gujarat, and is affiliated with the Community Medicine department. This centre is referred to as Rural Health Training Centre by department of Community Medicine, Kiran Medical College, Surat. It is located at a distance of 8.8 kms from Kiran Medical College. Along with it PHC Navi Pardi and PHC Dihen are affiliated with the department for teaching and training of undergraduates, post graduates and interns as per NMC norms. 

2. Urban Health Training Centre (UHTC):

  • Pal Urban Health Centre (UHC), managed by Surat Municipal Corporation is located at a distance of 13 kms from Kiran Medical College. This centre is affiliated with the medical college and is referred to as Urban Health Training Centre by department of Community Medicine, for teaching and training of undergraduates, postgraduates and interns of medical college and other academic activities as per NMC norms.
Details of affiliated health centers
 PHC SandhierPHC DihenPHC Navi PardiUHC Pal
Population38,21116,22531,00081,000
Distance from Kiran Medical College838 kms14 kms21.5 kms13 kms
No. of Subcenters070405-
No. of Anganwadi Centre2824218
No. of ANM7459
No. of ASHA341423-
OPD/month950600-7001000-12004500
ANC/month99110-1250660
Delivery/month1-20-11-211

2. Urban Health Training Centre (UHTC):

  • It begins in the first year of MBBS & continues throughout MBBS. Orientation of FAP is done as a part of the Foundation Course. The villages and the field practice areas not covered under the affiliated PHCs are utilized for FAP where families are identified from the villages as a part of village outreach program for MBBS students. Every student shall adopt families during three years of MBBS curriculum and ensure the improvement in health conditions of the family members, inspire confidence amongst families for the healthcare delivery system and help students to understand the dynamics of rural set-up of that region. Students may be divided into teams and five families per student are allotted. The entire team works under a mentor teacher for the entire training program. The schedule for FAP:
 Number of visitsHours
I MBBS0927
II MBBS0630
III MBBS0516 + 5 hrs in last visit
Total20 Visits78 Hours
  • First MBBS students of ‘Batch-2023’ have adopted 50 families each from villages Masma, Jothan and Vadod. So, overall 150 families have been adopted under the Family Adoption Program. Each family member of the adopted families has been screened for Hypertension, Diabetes, Obesity and Malnutrition by measuring height, weight, mid-upper arm circumference, blood pressure and random blood sugar. The details of villages are as follows.
Sr. NoName of VillageTotal HousesTotal Population
1.Masma6102800
2.Jothan153700
3.Vadod105430

Goals

  • The goal of teaching undergraduate students in Community Medicine is to prepare them to become a community physician and be able to apply the clinical skills to recognize and manage common health problems including their physical, emotional and social aspects at the individual and family levels and deal with medical emergencies at the community level by linking community healthcare services with clinical science.

Objectives

  • During the training, students should acquire knowledge and skills so that he/she can practice medicine in the community providing services that will improve human health and well-being.
  • He/she should be able to conduct epidemiological studies to assess the health problems in the area. For this he. she should be able to design a study, collect data, analyze it with statistical tests, make a report and be able to participate in a health information system.
  • Interact with other members of the health care team and participate in the organization of health care services and implementations of national health programmes. He/she should be able to assess and allocate resources, implement and evaluate the programs.
  • Demonstrate knowledge of principles of organizing prevention and control of communicable and non-communicable diseases.
  • Organize health care services for special groups like mothers, infants, under-five children and school children.
  • Able to coordinate with and supervise other members of the health team and maintain liaison with other agencies.
  • He/she shall be able to identify social factors related to health, disease and disability in the context of urban and rural societies.
  • Be able to describe the health care delivery system including rehabilitation of the disabled in the country.
  • Develop art of communication with people of the community including history taking and exploring medico-social factors
  • Make use of epidemiology as a scientific tool to make rational decisions relevant to community, family and individual public health interventions
  • Diagnose and manage common health problems and emergencies at the individual, family and community levels keeping in mind the existing health care resources and in the context of the prevailing socio-cultural beliefs.

Teaching of community medicine should be both theoretical as well as practical. The practical aspects of the training program should include visits to the health establishments and to the community where health intervention programs are in operation.

Goals

I. Subject duration during entire course

 Semester
MBBS IIII
MBBS IIIIIIV
MBBS III Part 1VVI
MBBS III Part 2VIIVIII
Internship2 months

II. Foundation Course:

Foundation Course is a one-month brief orientation program before beginning the MBBS Curriculum. The purpose of the Foundation Course include:

  • Orienting the students to all aspects of the medical college environment.
  • Equipping them with certain basic, but important, skills required for patient care and enhancing their communication, language, computer and learning skills.

Community Medicine department is supposed to take AETCOM related lectures on

  • Demonstrate the role of effective Communication skills in health in a simulated environment
  • Identify, discuss and defend medico-legal, socio-cultural, professional and ethical issues as it pertains to the physician - patient relationship (including fiduciary duty).

And take students for the field visit to Primary Health Centre and Community Health Centre in order to orient them about healthcare delivery system.

III. Distribution of Teaching Hours for MBBS as per NMC

 LecturesSGLClinical PostingSDLTotal
1st MBBS67
Community Medicine20200040
FAP---2727
2nd MBBS55
Community Medicine15001025
FAP-030030
Final MBBS Part 1176
Community Medicine5570020145
FAP (Visits +log book submission)-2101031

(FAP: Family Adoption Program; SGL: Small Group Lectures; SDL: Self Directed Learning) 
Clinical postings shall be 3 hours per day, Monday to Friday. There will be 15 hours per week for all clinical postings. 
Clinical Posting Schedule in weeks

 II MBBSIII MBBS Part IIII MBBS Part IITotal
Community Medicine4 weeks4 weeks08 weeks

Total hours for Community Medicine: 210 hours 
Total hours for FAP: 88 hours

IV. Details of subject to be covered

  • History of Public Health in global and Indian contexts, evolution of health care
  • Concept of health and diseases, disease and health profile of developed & developing countries, levels of prevention and modes of interventions
  • Epidemiology both general and systemic covering various communicable and non-communicable diseases
  • Concept of screening and its practical applications
  • Various National health programs of India
  • Biostatistics, vital statistics, demography
  • Nutrition its role in health
  • Social sciences in health and diseases, family its functions and role in health & disease, cultural factors influencing health
  • Physical Environment and health
  • Hospital waste management
  • Occupational health for both organized and unorganized industries, related legislations
  • Reproductive and child health – Preventive & Social Pediatrics, Social Obstetrics, Family Planning and related legislations,
  • Genetic diseases especially of public health importance, prevention of their transmission
  • Mental health
  • Communication and Health education
  • Health planning and management, public health administration,
  • Concept & evolution of health care of community
  • International agencies in Health sector

V. Examination Pattern

Essentialities for qualifying to appear in professional examinations. The performance in essential components of training is to be assessed, based on:

  • a. Attendances:  There shall be a minimum of 75% attendance in theory and 80% in practical /clinical for eligibility to appear for the examinations in that subject. In subjects that are taught in more than one phase - the learner must have 75% attendance in theory and 80% in practical in each phase of instruction in that subject. There shall be a minimum of 80% attendance in family visits under Family adoption program. Each student shall adopt a minimum 3 families and preferably five families.
  • b. Internal Assessment: Internal assessment shall be based on day-to-day assessment. It shall relate to different ways in which learners participate in the learning process including assignments, preparation for seminar, clinical case presentation, preparation of clinical case for discussion, clinical case study/ problem solving exercise, participation in projects for health care in the community. Internal assessment shall not be added to summative assessment. However, internal assessment should be displayed under a separate column in a detailed marks card. Learners must secure at least 50% marks of the total marks (combined in theory and practical; not less than 40% marks in theory and practical separately) for internal assessment in a particular subject in order to be eligible for appearing at the final University examination of that subject.

Plan of Internal Assessment in Community Medicine as Per CBME Curriculum of NMC

  • First M.B.B.S./1st and 2nd Semester) - First Internal Exam (Theory + Practical)
  • Second M.B.B.S. / 3rd and 4th Semester) - Second Internal Exam (Theory + Practical)
  • Third M.B., B.S. Part I / 5th and 6th Semester) - Third Internal Exam (Theory + Practical) & Preliminary Exam (Theory & Practical) 
Marks distribution of Internal Examination
Name of   ExamTheory MarksDay to Day Formative Assessment MarksTotal Marks 
of 
Theory
Practical MarksDay to Day Formative Assessment MarksTotal Marks of Practical
First MBBS
1st Internal50 MCQ (Online)10 OSPE5050 (FAP)10 (OSPE/Viva)50
Second MBBS
2nd Internal5010 OSPE5050 (spotting & Viva & Basic statistical Exercise)10 (IMNCI)50
Third MBBS
3rd Internal5010 OSPE5050 (spotting & Viva & Basic statistical Exercise)10 (IP+FS)50
Preliminary200-200100 (spotting & Viva & Basic statistical Exercise)-100

Marks distribution for University Annual Examinations

Theory Exam
Formative Assessment TheoryContinuous Internal Assessment Theory  Cumulative percent of Theory & Practical
1st PCT Theory2nd PCT TheoryPrelims Theory (Paper I & paper II)Home AssignmentSeminarContinuous Class Test (LMS)Museum StudyLibrary AssignmentsAttendance TheoryTotalPercentage Theory (Minimum cut off 40%)Theory +Practical=500+500=1000 
(Minimum cut off 50%)
Self-directed learning(Note: Minimum cut off 40% separately for theory & practical and 50% cumulative in for eligibility in Summative examination
100100200151530151510500% 
Theory Exam
Formative Assessment TheoryContinuous Internal Assessment Theory  Cumulative percent of Theory & Practical
1st PCT Theory2nd PCT TheoryPrelims Theory (Paper I & paper II)Log book (150)Journal (Record book/Portfolio)Attendance TheoryTotalPercentage Theory (Minimum cut off 40%)Theory +Practical=500+500=1000 
(Minimum cut off 50%)
Certifiable skill-based competencies (Through OSPE/ OSCE/ Spots/ Exercises/Others)Family Adoption ProgramAETCOM Competencies(Note: Minimum cut off 40% separately for theory & practical and 50% cumulative in for eligibility in Summative examination
1001001006050404010500% 

Faculty Members of the Community Medicine Department

Sr. no.NameQualificationDesignationJoining Date in current Institute
1.Dr Jayendrakumar Kosmabiya (KMC123)MD Community Medicine (1993), DCM (1996)Professor & Head02/11/2023
2.Dr Hirenkumar B Patel (KMC141)MD Community Medicine (2016)Associate Professor25/04/2024
3.Dr Nidhi Yogeshkumar Mangrola (KMC024)MD Community Medicine (2018)Associate Professor13/09/2022
4.Dr Parth Vyas (KMC138)MD Community Medicine (2015)Associate Professor01/02/2024
5.Dr Hetal Patel (KMC066)MD Community Medicine (2021)Associate Professor16/07/2023
6.Dr. Dhara Jahangirporia (KMC098)MD Community Medicine (2017)Associate Professor10/08/2023
7.Dr. Dhwani Chauhan (KMC085)MD Community Medicine (2022)Associate Professor01/08/2023
8.Dr. Ila Dave (KMC152)MSc (Statistics), PhD (Statistics) (2024)Statistician cum Assistant Professor05/06/2024

Teaching Facilities

Lecture Halls:  Two lecture halls in sharing with Pharmacology and Microbiology, with seating capacity of 200 students each.

Teaching/Demonstration Room:  Two teaching rooms with a seating capacity of 75 students each.

Department Library: 

  • The department library has books and journals related to community medicine subject for both faculties and students
  • The seating capacity of the library is 10-12.
  • Library is equipped with an LCD system and white board to conduct seminars and other scientific and academic discussions.

Museum:

  • Museum is in sharing with Pharmacology and Microbiology department
  • Museum is equipped with an LCD projector and white board to carry out tutorials and for demonstration of equipment and models.
  • There are glass racks available in the museum for arrangement of specimens and models.
  • A round table and 50 stools for students are arranged for small group discussions in the museum.
  • The equipment and specimens available in the Museum are listed in the Annexure.

Research Laboratory:

  • The research laboratory is equipped with microscopes, slide sets and other required equipment for UG and PG teaching and to carry out research activities.
  • The DOAP sessions and practicals are conducted in the laboratory.

Rural Health Training Centre (RHTC) & Urban Health Training Centre (UHTC):

  • Primary Health Centre (PHC) Sandhier is affiliated with the department as RHTC along with two PHCs Dihen and Navipardi and Pal Urban Health Centre (UHC) as UHTC for teaching and training of undergraduates, post graduates and interns as per NMC norms. 

Family Adoption Program

  • First MBBS students of ‘Batch-2023’ have adopted 50 families each from villages Masma, Jothan and Vadod. So, overall 150 families have been adopted under the Family Adoption Program.
  •  

Program Conducted by Department

  • Discussion among faculty members of KMC and Dr. Aditya Gaur, Director, Clinical Research, Infectious Diseases, St. Jude Children Research Hospital, Memphis, USA on 14th February 2024 at KMC, Surat on the topic COVID-19 vaccination today-making informed decisions.
  • Guest Lecture by Dr Aditya Gaur, Director, Clinical Research, Infectious Diseases, St. Jude Children Research Hospital, Memphis, USA and Dr Vikas Desai, Rtd Director, Family Welfare Department, GoG and Rtd Professor & Head, Community Medicine, GMC, Surat  to address UG students on topic “Reflections of Pediatric HIV Care Provider & Researcher on the science and practice of Medicine”

Workshop/Seminar attended:

  • Dr Nidhi Mangrola and Dr Hetal Patel attended a workshop on Child Friendly City Initiate held on 25th August 2023 at ICCC SMC, Vesu with deputy commissioner Ashish Naik, Dr. Vikas Desai and various stakeholders from different NGOs and other related departments.
  • All the faculties of CM department represented KMC at an event of “Baal Samvad '' named Child Friendly Smart City Knowledge Centre organized jointly by UNICEF and SMC on 11th December 2023. Faculties had prepared a stall on the theme “Dog Bite & Rabies Free – Child Friendly Surat '' to sensitize and educate the children of standard 9th to 12th of Suman School No. 6, Udhana Zone. The kids learned about rabies and dog bites, and via participatory exercises with colourful pens and sticky notes, their insightful opinions and recommendations were gathered.
  • Dr. Dhwani Chauhan attended R-software workshop on “ Data science on malaria control & elimination“ conducted by NIH, USA, ICMR-NIMR, AMC & SMC at ICCC SMC, Vesu  on 18th Jan, 2024 & 19th Jan, 2024.
  • Faculty members of CM department attended a lecture series on COVID 19 vaccination and young cardiovascular events conducted by Dr Rikita Patel, Deputy MoH, SMC, Dr Aditya Gaur Director, Division of HIV Medicine & Director, Translational Trials Centre Memphis, TN, and Dr Vikas Desai, Surat Public Health Alliance at SMIMER, Surat on 13th February 2024.
  • Dr. J. K. Kosambiya and Dr. Parth Vyas attended Child-friendly Surat City workshop organized by SMC, UNICEF, and UHCRCE at ICCC (Integrated Command and Control Center, Near Breadliner Circle, Althan, Surat) on 16th March 2024.
  • Dr. J. K. Kosambiya and Dr. Dhwani Chauhan attended investigator meet for clinical drug trial for malaria at Delhi on 2nd May, 2024 & 3rd May 2024.

Participation in National Health Program: 

  • Dr J K Kosambiya and Dr Dhwani Chauhan participated in the World AIDS Day Rally organized by the undergraduate students of GMC, Surat.
  • Dr Jignesh Patel, District Leprosy Officer (DLO) of Surat & Tapi district visited KMC on 8th April 2024. The faculties of CM department provided suggestions to effectively reduce the rising trajectory in the prevalence rate of leprosy in both districts. Dr Parth Vyas and Dr Karuna Vasava compiled all the recommendations and after in-depth analysis created an action plan on Effective Leprosy Case Reduction and shared it with DLO.
  • Dr. J. K. Kosambiya and Dr. Parth Vyas attended a meeting on “Comprehensive Primary Health Care and Routine Immunization in SMC” held by UNICEF & SMC health officials at SMC Headquarters on 8th May 2024

Conferences Attended:

  • Dr J. K. Kosambiya attended the Annual National Conference of IAPSM held in Kasturba Medical College, Mangalore on 8th -10th February 2024. The theme of the conference was “Transformation for achieving SDGs: Innovate, Integrate and Implement”. Received felicitation for Book Release, DRP Log Book, as Chairman,  Acted as Judge , Oral paper presentation, 
  • Dr J. K. Kosambiya, Dr Dhwani Chauhan and Dr Karuna Vasava attended Joint Annual State IAPSM Conference-GC (XXX) & IPHA-GC (XII) on 27th & 28th December 2023 organised by Department of Community Medicine of Smt. N.H.L. Municipal Medical College, Ahmedabad. The theme of the conference was “A New Era in Preventive Healthcare-The Future is Here”

Presentations in Conference:

  • Dr. Dhwani Chauhan presented “IYCF practices and nutritional outcome of children under 5 years among urban slums in field practice area of NCHS: a cohort study” at IAPSM GC on 27th Dec, 2023
  • Dr. Dhwani Chauhan presented “Skin diseases reported at Urban Slum OPD and the field practice area of UHTC, Surat- an observational study” at IAPSM GC on 27th Dec, 2023

Achievements of Community Medicine Department

Papers Published

  • In academic year 2023-24, 06 papers are published in National Journal and 03 papers in International Journal by the faculties of the Community Medicine Department.

Books Published

  • Under guidance of Dr J.K. Kosambiya and his team members including Dr Dhwani Chauhan, the IAPSM District Residency Program Log Book was prepared in order to standardize the training of Community Medicine Post Graduates across India. The logbook was released at the IAPSM National Conference, held in February 2024 in Mangalore. https://www.iapsm.org/pdf/events/IAPSM_DRP_6-Feb-24.pdf
  • Dr Nidhi Mangrola is one of the editors of the undergraduate textbook of Community Medicine named “IAPSM’s Textbook of Community Medicine”; the third edition of which got released at the IAPSM National Conference, held in February 2024 in Mangalore. Along with it, she has also contributed as an author of two chapters in the book.
  • Dr Nidhi Mangrola is an author of a chapter published in Book- “Recent Trends in Medical Science” published by Prime Publications in April 2024.

Ongoing Departmental Projects

  • Community Medicine department is a part of a Multicentric study titled “A randomized, open-label, multi-center, interventional Phase 3 study of the efficacy and safety of tafenoquine compared to primaquine (both co-administered with chloroquine) for the radical cure (relapse prevention) of Plasmodium vivax (P. vivax) malaria in Indian participants (pediatric and adult population)”.
  • Dr Hetal Patel is Principal Investigator (PI) and Dr J K Kosambiya, Dr Nidhi Mangrola, Dr Dhwani Chauhan, Dr Dhara Jahangirporia and Dr Karuna Vasava as Co-PI in ongoing study titled “Expression of Interest for Operational Research on Factors Associated with Poor Adherence of ARV Drugs among PLHIV".
  • Dr Dhara Jahangirporia is PI and Dr J K Kosambiya, Dr Dhwani Chauhan and Dr Karuna Vasava as Co-PI in study titles “Is Diabetes Mellitus a risk factor for relapse among treated Tuberculosis patients in Surat city.”

Departmental Involvement in Institute Development

Sr. no.NameRole & Committee
1.Dr. J. K. Kosambiya1. Nodal Officer, Public Health in NTEP Core Committee 
2. Nodal officer, Committee for Health Camps(under FAP)
2.Dr. Hirenkumar Patel1. Member Secretary, NMC Cell 
2. Member Secretary, Website Committee 
3. MEU Member 
4. Member, Teaching Coordination Committee
3.Dr. Nidhi Mangrola1. Member Secretary, Institutional Ethics Committee 
2. Member, Curriculum Committee 
3. Member, Teaching Coordination Committee 
4. Member, Library Committee 
5. Member, Gender Harassment Committee
4.Dr. Parth Vyas1. Member Secretary, Exam Coordination Committee 
2. Member, NMC Cell 
3. MEU Member 
4. Basic Medical Scientist, Institutional Ethics Committee 
5. Member, Website Committee
5.Dr. Hetal PatelMember Secretary, Family Adoption Program
6.Dr. Dhara JahangirporiaCoordinator, Public Health in NTEP Core Committee
  • Dr Parth Vyas, Dr Nidhi Mangrola and Dr Hetal Patel were involved in the Sports Committee during Annual Function of First MBBS students.

Collaboration of department with Local government bodies/ International Health Agencies/Professional Bodies

  • Dr J K Kosambiya and Dr Parth Vyas contributed as Technical Scoring Committee Members for Evaluation of Best practices, Innovations and Success stories in Medical Education, Pedagogy, Patient Care Administration, Comprehensive Primary Health Care and Clinical Practices amongst Health care providers and Academicians of various medical colleges in Gujarat on 12th -15th February 2024.
  • Dr J K Kosambiya is the OR Committee member in the State Tuberculosis Division and editorial board member of Indian Journal of Community Medicine.
  • Dr Dhwani Chauhan is working as an Executive Council Member in National Body of Community Medicine -Indian Association of Preventive & Social Medicine (IAPSM).
  • Dr Parth Vyas is the Chairperson of the Institutional Ethics Committee of Maliba Pharmacy College, Bardoli.