HISTORY:

The Department of Pathology of the Civil Hospital, Ahmedabad was established in the year 1946 and has been recognized by MCI since 1948, is one of the pillars for diagnostic work at the Civil Hospital. The Department consists of different sub laboratories such as Surgical Pathology, Haematology and Clinical Pathology, OPD Pathology laboratory, Emergency laboratory, Cytology Pathology laboratory and Autopsy laboratory. The Department has one of the best museum. (752 specimen - mounted and wet) and teaching sections for Under Graduate, Post Graduate and Paramedical students. The Department consists of a Professor and Head, one Professor, five Associate Professors, eight Assistant Professors and 14 Tutors. There is an annual intake of  28 Residents  every year  for the Post Graduate degree course in Pathology. Each sub-section has separate paramedical staff to support

The Department started F.N.A.C. services for early cancer detection before 25 years i.e, first in Gujarat. The Department has high-tech laboratory with latest equipmentThe Pathology Department has been accredited by NABL, ISO 15189 since 2010. It is one of the first Pathology Department among all government run health service delivery set up in Gujarat having accreditation for over highest 107 scope for pathology tests.

The Department is having Laboratory Information System (LIS) - the best software program for daily reporting, quality management, inventory and maintenance of the laboratories, since 5 years. The LIS is connected to all laboratory services (i.e. Pathology, Microbiology and Biochemistry). The LIS also provides tremendous opportunities for academic and research actions.  The HIMS is linked with LIS so doctors can access patients' reports instantly.

We also have setup a COVID  during the First Wave and the lab was totally allocated to  COVID patients. Approximately 336072+ tests are run till date (i.e 31/12/21).

31 COVID Autopsies have been conducted in our autopsy department till date(31/12/2021).

GOAL:

To provide the students comprehensive knowledge of the mechanisms and cause of disease in order to enable them in achieving in-depth understanding of the natural history and clinical manifestations, evidences and end result of disease in term of repair or cure, complications and consequences.

VISION :

To be the center of excellence providing best medical education facility and best patient health care facility together with emphasis on preventive aspects of diseases.

MISSION :

To create an environment where all three core missions of academics i.e medicine teaching, research and clinical excellence interact to deliver highest level of patient care and medical Innovation through accessible, cost effective, high quality, comprehensive and preventive health, by highly competent and compassionate professionals to ensure equal opportunities and access for all people, particularly those who are most needy, poor and vulnerable resulting in best patient /user satisfaction.

SIGNIFICANCE:  

Pathology is a fundamental clinical knowledge service for modern medical practice and health care. The diagnosis based on pathological tests are essential for prevention ,early detection, clinical procedures and consultations for treatment of key public health challenges.

MESSAGE FROM HEAD OF THE DEPARTMENT :

Pathology is fundamentally clinical knowledge service for modern medical practice and health care.

Diagnosis based on pathological tests is essential for prevention, early detection, clinical procedure and treatment for health challenges.

Pathology is the backbone for medicine, surgery, paediatrics and gynaecology for understanding clinical subjects. Practitioners should be well versed with the basic pathology of diseases to conclude and treat various diseases.

Our civil hospital is one of the largest and oldest tertiary care centre and teaching institute spread in 110 acres land with OPD of 10 lack patients per year and more than 1 lack indoor admissions per year.

It was in 2008 that we started to get accreditation of our laboratory from NABL. I am proud that In 2010 Our Laboratory services under one roof as per ISO-15189-2012 got the certificate of accreditation for Quality, Speedy and accurate reports for Clinicians to conclude and render fast, best and effective treatment to our patients.

FACILITIES IN THE DEPARTMENT :

SECTIONS OF PATHOLOGY DEPARTMENT:

  • Central Clinical Laboratory
  • Histopathology Laboratory
  • Cytopathology Laboratory
  • FNAC Room –OPD 76
  • Autopsy Department
  • Practical Class 1 (Haematology & Clinical Pathology Practical)
  • Practical Class 2 (Histopathology Practical)
  • Lecture Theatre
  • Seminar Room
  • Demonstration Room (4)

ACADEMIC FACILITIES

 

Number

Capacity

 

Facilities

Lecture theatre-Smart Classroom

01

181 seats

Gallery type, Blackboard, OHP, Computer, Projector, Public addressing of system with Audio Visual Aids

Demonstration Room

04

60-70 seats

Strip chair, Whiteboard, OHP, Computer, Projector, A/V system

Museum

1

80-100

1081 specimens, 43 catalogues, 80 charts, 52 models

Seminar Room/ Library

1

25-30 seats

178 Books, 5 Journals

Practical lab (Student)

2

75

Microscopes, Microscopic slides, Charts, Models, Black board

Research lab

1

  

Binocular Research Microscope with immune-fluorescence


PATHOLOGY DEPARTMENT- LIST OF DIAGNOSTIC SERVICES OFFERED

SECTION

NABL ACCREDITATED TEST

NOT ACCREDITATED TEST

HEMATOLOGY

(TOTAL  TESTS: 20)

 

1.HB ESTIMATION

1.OSMOTIC FRAGILITY

2.TOTAL LEUCOCYTE COUNT

2.SICKLING

3.DIFFERNTIAL LEUCOCYTE COUNT

3. G6PD

4.ESR

  

5.RBC CELL INDICIES

  

6.PLATELET COUNT

  

7.RETICULOCYTE COUNT

 

8.PHERIPHERAL SMEAR EXAMINATION

 

9.ABSOLUTE NEUTROPHIL COUNT

 

10.ABSOLUTE EOSINOPHIL COUNT

 

11.ABSOLUTE LYMPHOCYTE COUNT

 

12.RBC COUNT

 

13.HCT

 

14.RDW

 

15.MPV

 

16.BONE MARROW ASPIRATION

 

17.BONE MARROW BIOPSY

 

CLINICAL PATHOLOGY

(Total Tests: 19)

1.URINE PH

1.URINE 24 HRS PROTEIN

2.URINE SPECIFIC GRAVITY

2.SPUTUM R/M

3.URINE SUGAR

3.BENCE JONES PROTEIN

4.URINE PROTEIN

  

5.URINE BILIRUBIN

  

6.URINE KETONE BODIES

 

7.URINE BLOOD

 

8.URINE R/M

 

9.STOOL R/M

 

10.STOOL OCCULT BLOOD

 

11.CSF R/M

 

12.CSF P2ROTEIN

 

13.CSF SUGAR

 

14.BODY FLUIDS R/M

 

15.SEMEN R/M

 

16.SEMEN FRUCTOSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COAGULATION PROFILE

 (Total Tests: 8)

1.PROTHROMBIN TEST

  

2.APTT

  

3. D-DIMER TEST

 

4.FACTOR VIII

 

5. FIBRINOGEN

 

6.LA TEST

 

7.BLEEDING TIME

 

8.FACTOR IX

  

HISTOPATHOLOGY

(Total Tests: 5)

1.SURGICAL BIOPSY

1.FROZEN SECTION
 

2.IMMUNOHISTOCHEMISTRY

 

3.SPECIAL STAIN

 

4.IMMUNOFLUROSCENCE

CYTOPATHOLOGY

(Total Tests: 4)

1.FNAC

1.CSF CYTOLOGY

2.PAPS SMEAR

 

3. FLUID CYTOLOGY(BODY FLUIDS EXCEPT CSF)

 

AUTOPSY

(Total Tests: 2)

 

1.MEDICOLEGAL AUTOPSY

 

2. PATHOLOGICAL AUTOPSY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACHIEVEMENTS :

  • Post Graduate Pathology seats increased from 20 to 28 from 2020-21 academic year which is highest in India.
  • AIICME-2020 –International Pathology Conference in Association with AIPNA (Association of Indian Pathologist of North America) and ICP (Indian College of Pathologist) was held from 31st Jan to 2nd Feb, 2020 at Pandit Din Dayal Upadhyay Auditorium, Bodakdev, Ahmedabad. Highest no of Delegates participated (763) history of this conference which was silver jubilee conference of the association. This Silver jubilee conference was held for the 1st time in Gujarat. There were 13 international speakers and 14 national speakers from various prestigious institutions.
  • State Pathology Undergraduate Quiz 1st time in Gujarat held with total 21 Medical Colleges of Gujarat Participated in it.
  • Work shop on flow cytometry by international faculty at department of Pathology was held on 3rd Feb 2020.
  • Started dedicated Covid Pathology Laboratory (Working 24X7 hours) at 1200 bed Covid hospital since June, 2020
  • Covid Pathological Research Autopsy started as research Project and till to date 09 Autopsies Performed.
  • DNB Pathology Practical Examination Centre
  • Awarded for Skoch order of Merit in December 2015, for Laboratory Information System.
  • Paperless Quality Managemnet System awarded since 2016.
  • Our Pathology laboratory is accredited by NABL as per ISO 15189, since 2010.First pathology department of Asia’s one of the largest Tertiary care teaching hospital having accreditation over 107 tests and increasing with each Re-assessment.

 

FACULTY DEVELOPMENT PROGRAMS-

  • Revised Basic Course
  • Research Methodology Training 
  • Case Presentation
  • Clinicopathological correlation
  • QMS and Internal Audit Training
  • CISP Training
  • PGQM-AHO training
  • Webinars
  • Seminars
  • Conferences
  • Continuing Medical Education(CME)
  • Biomedical Research Training

SUBJECT CURRICULUM :

Syllabus:

A course of lectures, demonstrations, practical skills in microbiology are taught over period of three semesters (1 year).

Teaching Learning Methods:

  • Structured interactive sessions
  • Small group discussion
  • Practical including demonstrations
  • Problem based exercises
  • Clinical case studies
  • MCQs
  1. For MBBS
  2. Theory and Practical, SGD, SDL, IT and Tutorials

THEORY LECTURES COVERED IN 1ST TERM

Sr. No.

Topic

1

Introduction to Pathology

2

Cell Injury and Adaptation

3

Amyloidosis

4

Inflammation

5

Healing and Repair

6

Hemodynamic Disorder

7

Infection and Infestations

8

Genetic and Pediatric diseases

9

Environmental and Nutritional diseases

10

Microcytic Anaemia

11

Macrocytic Anaemia

12

Hemolytic Anaemia

13

Aplastic Anaemia

14

Leucocytic disorders

15

Hemorrhagic Disorders

16

Blood Banking and Transfusion

 

Total competencies  = 78, Total Lectures=45

THEORY LECTURES COVERED IN 2nd  TERM

Sr. No.

Topics

1

Clinical Pathology

2

Neoplasia

3

Immunopathology and AIDS

4

Hepatobiliary System

5

Respiratory System

6

Cardiovascular System

7

Urinary Tract

8

Breast

 

Total competencies  = 104, Total Lectures=45

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRACTICALS COVERED IN 1ST TERM AND 2ND TERM

Sr. No.

Topics

1

Clinical Pathology(Practical 1 to 21)

2

Histopathology(Practical 1 to 25)

 

 

 

 

 

 

 

SMALL GROUP DISCUSSION(SGD) COVERED IN 1ST TERM

Sr No.

TOPICS

1

Neoplasia-Introduction and Nomenclature

2

Neoplasia-Oncogenesis and Molecular basis of carcinoma

3

Neoplasia-Carcinogenesis and Clinical Aspects

4

Respiratory System-COPD

5

Respiratory System-Tuberculosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SMALL GROUP DISCUSSION(SGD) COVERED IN 2nd TERM

Sr No.

TOPICS

1

Neoplasia-Introduction and Nomenclature

2

Neoplasia-Oncogenesis and Molecular basis of carcinoma

3

Neoplasia-Carcinogenesis and Clinical Aspects

4

Respiratory System-COPD

5

Respiratory System-Tuberculosis

 

 

 

INTERNAL ASSESSMENT

Gujarat University

Second M.B.B.S. Internal Marks scheme

 

Theory

Practical

Internal Examination

30

30

Preliminary Examination

30

30

Formative Evaluation

40

40

Total

100

100

Formative Evaluation

Day to day assessment/

System ending

(20 marks)

Day to day assessment/

skill assessment

(20 marks)

Log book / SDL

(10 marks)

Journal + AETCOM

(10 marks)

Attendance (10 marks)

Attendance (10 marks)

RECOMMENDED BOOKS:

  1. Kumar.V, Abbar.A.K, Aster.J.C. Robbins and Cotran Pathologic basis of Disease.10thed, c.
  2. Walter.J.B&Talbot.I.C. General Pathology.7thed, Elsevier; 1996
  3. Rubin.R, Strayer.D.S.Rubin'sPathology. 6thed, Wolters Kluwer, Lippincott Williams and Wilkins; 2012.
  4. O'Dowd G, Bell S & Wright S. Wheater's Pathology. 6thed, Elsevier; 2020.
  5. Saxena.R, Pati.H.P, Mahapatra.M, Firkin.F, Chesterman.C&Ponington.D et.al. DeGruchy`s Clinical Haematology in Medical Practice. 6thed, Wiley India; 2012.
  6. Nayak.R&Rai.S. Essentials in Haematology and Clinical Pathology. Jaypee Brothers; 2017.
  7. Carman. H. R. Handbook of Medical Laboratory Technology. Christian Medical Association of India. 2013.
  8. Singh T. Atlas and Text of Hematology. 4thedAvichal Publishing Company 2018.
  9. Reid R, Roberts F &Macduffe. Pathology Illustrated. 7thed Churchill Livingstone, Elsevier; 2011.
  10. Curran R C, Jones E L. Gross Pathology- A Color Atlas. 4th ed. Harvey Miller Publishers.
  11. Underwood’s pathology: a clinical approach 7thed,
  12. Harsh Mohan Textbook of Pathology

REFERENCE BOOKS:

LEVEL 1:

  1. McKenzie.S.B,Williams.J.L.Clinical laboratory Haematology.2ed, Pearson; 2009
  2. Bain.J.B,Bates.I, Laffan.M.A.Dacie and Lewis PraticalHaematology, 12ed ,Elsevier; 2017
  3. Damjanov.I,Linder.J.Anderson`s Pathology.10ed,Elsevier; 2019
  4. McPherson.R.A.Henry`s Clinical Diagnosis and Management by Laboratory Methods. 23ed, Elsevier; 2016

LEVEL 2:

  1. Greer.J.P,Arber.D.A,Glader.B,List.A.F,Means.R.J,Paraskevas.F et.al. Wintrobe`s Clinical Haematology.13ed WoltersKluwer, Lippincott Williams and Wilkins, 2013
  2. Rosai.J.Rosai and Ackerman`s Surgical Pathology. 11ed,Elsevier ; 2018
  3. WHO Classification of Tumors Series
  4. https://whobluebooks.iarc.fr/