::::::::: Vision Statement
 
Vision Statement 20-15-2025 passed in Governing Council of KMIO Dec 2014 (pdf)
 
Introduction


Kidwai Memorial Institute of Oncology was established way back in 1957 as a small cancer centre by the Mayor of Bangalore. The Government of Karnataka took over the Society in 1970. In 1980, it became an Autonomous Institute registered under the Societies Registration Act and was deemed as Regional Cancer Centre in the same year by Government of India. This is one of the 27 Regional Cancer Centers available in our country. It is a member of the UICC (International Union Against Cancer). This Institute is recognized by the WHO as an Institute of Excellence.

This Institute is a Comprehensive Cancer Centre treating almost 20,000 new cancer patients every year with a follow-up of 2,50,000 patients per annum. We have a Cancer Detection Unit, which has got mobile unit apart from the clinic functioning regularly in-house.


Screening & Prevention


At present, we are having a Department of Cancer Detection and Screening Unit which does both hospital based as well as field based cancer detection programmes. We have been conducting cancer detection camps for the last 25 years and the detection rate is 1.5% of proved cancers and 1.5% of suspected cancers. During the camps, apart from screening, cancer health education is also performed in the form of short documentary films, didactic lectures, interactive sessions, posters, etc. to create cancer awareness.
Future


The future would be multi-pronged in the form of:

  1. Direct approach to the individuals by continuing with what has been going on and by increasing the number of staff and mobile cancer detection units.
  2. To set up a cancer detection unit at every medical college as a part of outreach programme in the State of Karnataka by involving the social and preventive medicine departments of every medical college & designate particular geographic area for each medical college so that the whole State of Karnataka can be covered.
  3. To co-ordinate with National Cancer Control Programme and with District Cancer Control Programme units so that more effective measures can be taken in this regard and to avoid unnecessary duplication of work.
  4. Infact, it has been already recommended to the Government of India,Government of Karnataka and the World Health Organization for the development of Oncology Wings in all the Medical Colleges all over the country way back in November 1993 by conducting a Workshop sponsored by WHO and Ministry of Health, Government of India.
  5. The cancer detection unit presently available at KMIO should be expanded to have a full blown department consisting of both medical and paramedical personnel so that a proper co-ordination can be effected/achieved.
  6. Mobile cancer units should increase from one unit at present to three units at the end of 5 years and ultimately to have five units at least at the end of 10 years.

DIAGNOSTICS:


1. Laboratory Services:

a. Histopathology
b. Cytopathology
c. Hematology
d. Cytogenetics & Molecular Biology
e. Biochemistry
f. Microbiology
g. Immunology

Annual Histopathology Statistics:

- Surgical specimens & biopsies 8,000
- Review Slides 4,000
----------
Total 12,000
---------
Immunohistochemistry – Routine 1,000 cases
- ER/PR 800 cases
--------
Total 1,800 cases

Funds required for updating – Pathology Lab. For routine diagnosis

Sl. No.

Equipment

Approx. Cost (in lakhs)

1.

Automated Karyotyping machine with microscope

50,00,000.00

2.

Autostainer

02,00,000.00

3.

Microwave tissue processor

15,00,000.00

4.

Tissue embedding center

15,00,000.00

5.

Microtome

10,00,000.00

6.

Grossing station cabinet

05,00,000.00

7.

Tissue processor

14,00,000.00

8.

Upgradation of Flowcytometer

95,00,000.00

9.

Microscope binocular/trinocular with one image capture

08,00,000.00

10.

Microbalances

03,00,000.00

11.

Laminar Flow

06,00,000.00

12.

Carbon dioxide incubator

05,00,000.00

13.

Power Back System (Generator/UPS System)

25,00,000.00

14.

Computerization & Networking of the Lab.

50,00,000.00

15.

Slide Filing Cabinet

10,00,000.00

Total

3,13,00,000.00

Annual Cytopathology Statistics:

Total number of cases 12,865
Hospital Based 10,897
C.D.Clinic 43
C.D.Camp 44
C.M.H. 1,039
R.S.Slides 842

Total number of Slides 34,837

Sl. No.

Equipment

Approx. Cost (in lakhs)

1.

Autostainer – 1 No.

Rs.10.00 lakhs

2.

Teaching Microsope (2 & 3 Head) – 2 Nos.

Rs.10.00 lakhs

3.

Computer – 2 Nos.

Rs.00.80 lakhs

4.

LCD Projector 1 No.

Rs.00.30 lakhs

5.

Slide Projector 1 No.

Rs.00.25 lakhs

6.

Cytopathology library with internet access

Rs.05.00 lakhs

7.

Establishing Molecular Lab. (common use)

Rs.100.00 lakhs

 
Hematology

 

Annual Statistics of the Hemato-pathology section – Division of Pathology – 1,33,599 tests.

Recurring expenditure towards re-agents per year is Rs.10.00 lakhs.

Equipments required for Hemato-pathology Unit:

Sl.No.

Equipment

Approximate Cost

    1.  

Alfa – Hematology Analysier – 3 pars differential with 18 parameters and capillary moadel

Rs.7.00 lakhs

    2.

16 or 20 tube holding centrifuge – Make – Eppenderf or Remi

Rs.50,000.00

    3.

Sysmex – 3 part differential Analyser with autoloader and bar-coding.

Rs.8.00 lakhs

    4.

Two Bionocular Microsope (Labmed or Leica)

Rs.50,000.00

    5.

Electronic Balance

Rs.10,000.00

 

Blood Transfusionology


Presently, this Institute has a capacity of storing 700 units of blood at a time and is providing blood components in a limited manner. This facility has to be increased by at least 6 folds so that the donated blood can be effectively used in the form of component therapy, frozen plasma, etc. To achieve this, there is a need for separate building as per Government of India guidelines. Personnel with at least 6 technicians, 3 doctors, 2 staff nurses out of which 1 technician and 1 doctors should work for 24 hours.

At present, the staff of blood bank are attending voluntary donation camps which are being sparingly done for logistic reasons, which can be imposed by increasing the personnel and by providing mobile blood donation units having the capacity of store the blood while being transported.

Imaging


At present the following facilities are available in the Departments of Imaging & Nuclear Medicine.

a. Conventional Radiology
b. Sonography
c. CT Scan
d. Nuclear Medicine – Bone Scan, Thyroid Scan, Brain Scan, Liver Scan, Muga Scan etc..

Future –

1. PET CT Scan
2. PET MRI Scan
3. MRI Scan

 

TREATMENT FACILITIES:

Surgery:

  1. Surgical Oncology
  2. Head & Neck Oncology
  3. Oral Oncology
  4. Gynaecologic Onocology
  1. Surgical Oncology:

The Department has 3 units. It is intended to deliver the surgical treatment services in the form of Breast Services, Thoracic Services, GI Services, Genitourinary services, Thyroid services, Bone and soft tissue services.

OperationTheatres
Past
Present
Future
Next 5 Yrs.
Future
Next 10 Yrs.

Major O.T. Rooms

2 – 5

7

10

12

Minor O.T.

2

5

7

10

Endoscopy room

-

1

2
1-diagnostic
1-therapeutic

2

Laser Unit

-

1

2

2

Operating Microscope

-

1

2

2

Laparoscopy

-

Single chip-1
3 Chip - Nil

2

3

Intensive Care Unit:

Presently, the ICU has 10 beds with 2 mechanical ventilators functioning, which should be increased to 20 bedded surgical ICU and 10 bedded intermediate post operative care ward. The ventilator number should correspondingly go higher to a minimum of 5 – 6 by the end of the decade.

Gynaecologic Oncology:

It is a single unit department with 20 beds which need to be increased to 40 bedded 2 unit department. A separate laparascopic gynaecologic oncology section should be developed.

Head & Neck Oncology:

It has got a single unit which has to be developed to a 2 unit department with 40 beds. A separate microsurgery unit which will cater with microlaryngeal work by microvascular flap work. A skull base unit has to be developed in conjuncture with neurosurgeon of NIMHANS.

Oral Oncology:

It has got a single unit department which needs to be increased to 2 units with full staff working with fully equipped reconstruction unit consisting of a microvascular reconstructive surgery.

This department needs a separate laser equipment Implantationology in the post reconstructive mandible should be developed as a part of the rehabilitation process.

Future:

The future of whole of the Department of Surgery is in the advancement of technology and in organ and function preservation. In order to achieve the same robotic surgery and keyhole surgery need to be established.

A separate department of experimental surgery with animal lab. Facilities has to be developed.

Medical Oncology:

It has two divisions at present – Adult Medical Oncology and Paediatric Oncology. Adult Medical Oncology dept. has 2 units which are treating all solid organ malignancies, as well as lymphohemato malignancies. Provisions of stem cell transplant and bone marrow transplantation, both allogenic and autologous and are being currently made.

Future:

The future of Medical Oncology is in developmental molecular therapy and gene therapy For this one has to be establish a gene therapy department comprising of basic scientists and medical oncologists.

Radiation Oncology:

Treatment offered at present in Radiotherapy facility – 300 /350 patients per day and this is expected to increase to 600 per day.

Equipment

Present

Next 5 Yrs.

Next 10 Yrs.

Linear Accelerator

1 Unit

3 Units

6 Units

IMRT Facility

1 Unit

2 Units

4 Units

Simulator

2 Units

4 Units

6 Units

HDR Facility

1 Unit

2 Units

2 Units

IGRT

Nil

1 Units

2 Units

Spiral CT Scan for RT Planning

1 Unit

2 Units

3 Units

Pain & Palliative Care:

The department has a 20 bedded ward and a domiciliary service for oral morphine solution for terminally ill patients which is the first of its kind in India.

To cater to the increasing load, the department has to expand to a 40 bedded unit for pain and palliative care and another 30 bedded unit for terminally ill patients (Hospice).

The department at present has1 Professor and 1 Asst. Surgeon which needs to be increased to 2 Professors, 2 Associate Professors handling terminally ill patients and palliative care separately.

Rehabilitation Services:

Currently, the rehabilitation unit is taking care of post mastectomy rehabilitation, post laryngectomy rehabilitation, speech therapy, physiotherapy, occupational therapy, stoma therapy and psychological counseling.

This unit should be developed into a separate department which not only supports patients physically and psychologically but help them financially. Further it is proposed to provide post amputation prosthesis for all who under go amputations.

Other supportive departments to be developed:

This Institute being a comprehensive cancer center only patients afflicted with cancer are registered in this Institute. It is desired to have the support of the nephrology, cardiology, neurology etc.

Hence, a panel consisting of nephrologists, urologist, neurologist, cardiologist etc. has to be developed to support and augment the standard of care in the intermediate/ postoperative period.

Academic Activities:

The Academic Cell has been in existence since 1987. The main objective and functioning of the Academic Cell is to facilitate continuing Medical Education in the speciality of Oncology. The Institute imparts training in various sub specialties of Oncology to Post Graduate, Undergraduates, internees, nurses and Scientists of allied Sciences from various Medical/Paramedical Institutions in the State / Country.

Courses offered:

In recognition of the facilities available at the Institute for Diagnosis, treatment and Research on Cancer patients, various Post Graduate, Undergraduates, and Diploma courses are offered and these courses are affiliated / Recognised by Rajiv Gandhi University of Health Sciences, Medical Council of India and National Board of Examinations.

I. Post Graduate (Super Speciality) Courses

Courses No. of Seats

  1. M.Ch (Surgical Oncology) - 03
  2. D.M (Medical Oncology) - 02

II. Post Graduate and Diploma Courses (Medical)

1. M.D. (Radiotherapy) - 03
2. Diploma in Radiotherapy - 03
3. DNB (Anaesthesiology) Jan. Session
- Primary - 02
- Secondary - 02
4. DNB (Pathology) July Session
- Primary - 02
- Secondary - 02
5. DNB (Radiodiagnosis) July Session
- Primary - 02
- Secondary - 02

III. Undergraduate Courses

1. B.Sc. Medical Technology - 06
(Medical Laboratory Technology)
2. B.Sc Medical Technology - 06
(Imaging Technology)
3. B.Sc Medical Technology - 06
(Radiotherapy)
4. B.Sc. Operation Theatre Technology - 05
5. B.Sc. Anaesthesia Technology - 05

IV. Fellowship Programme:

1. Paediatric Oncology - 02
2. Head & Neck Oncology - 02
3. Gynaec Oncology - 02
4. Oral Oncology - 02
5. Onco Pathology - 02
6. Palliative Care - 02

V. Nursing Course

1. Post Basic Diploma in Oncology Nursing – 15

The selection of students for the Superspeciality courses D.M and M.Ch, Post Graduate course in Radiotherapy and Diploma in Radiotherapy (DMRT) is through on All India basis common entrance test conducted by Rajiv Gandhi University of Health Sciences. Selection of students for other courses are made by the Institute based on the performance in Walk-in-Interview for DNB course and based on the results of entrance test (conducted by Institute ) and interviews for Undergraduate courses in Allied Sciences. All Post Graduate (including Super Speciality), Diploma (DMRT and DNB) students are paid monthly stipend as per the rules of State Govt. / National Board of Examinations.

In addition to the above, Diploma in Oncology Nursing has been started recently with an intake of 15 seats from January 2009. This course is approved by Govt. of Karnataka and Karnataka Nursing Council. Indian Nursing Council has recognized this course.

The departments of Pathology, Biochemistry, Microbiology and Radiation Physics are recognized for Ph.D programmes under RGUHS. Many students are persuing for Ph.D in these departments.

In addition, the Government of India has recognized this Institute as one of the Institute of National Excellence and has been deputing Medical persons for W.H.O. fellowships for higher education and training in cancer treatment and research. It has among its primary objectives, the promotion of a high standard patient care and aims to provide top notch integrated training programmes in the Oncological Sciences. The Institute has initiated a programme of Professional education, technology and expertise transfer through short term education/training programmes for under graduates, post graduate students from medical colleges/institutions/ nursing colleges of Karnataka as well as from other states of the country. In additions students persuing Post Graduate studies in various disciplines such as Biotechnology, Nursing, Social Work, Clinical Research etc. are posted for short term Orientation Courses as Observers / trainees to the respective departments. The Doctors and Health Workers of DHFWS, Govt. of Karnataka are also trained by the institute with the main objective of imparting knowledge in prevention, early detection and treatment of cancer in their respective areas.

Future Plan envisaged:

Proposals are submitted and clearance awaited for the following courses.

Course / Programme

  1. M.Sc. Oncology Nursing :
    Status: Application submitted to RGUHS requesting for affiliation (10 seats) for Academic year 2010 – 11 and LIC visit is completed and formal sanction availed.
  2. M.Ch – Head & Neck Oncology :
    Status: Application submitted to RGUHS for affiliation for academic year 2010-11 and LIC visit completed.
  3. M.Sc – Radiation Physics :
    Status: Application submitted to RGUHS for affiliation for academic year 2010-11 and LIC visit completed.
  4. Diploma in Psychosocial Intervention :
    Status: Application submitted to RGUHS for affiliation for academic year 2010-11 and LIC visit completed.
  5. Proposal for increase in seats for M.Ch (Surg. Oncology from 2 to 3) :
    Status: Cleared by RGUHS & Govt. of Karnataka. Clearance from Govt. of India and Medical Council of India awaited.
  6. To increase D.M in Medical Oncology seats (from 2 to 3) :
    Status: Proposal submitted to RGUHS and LIC visit is awaited.
  7. Renewal of Affiliation to M.Ch (Gynaec Oncology) with proposal to increase in intake from one seat to two seats :
    Status: Process to be initiated
  8. To increase in No. of seats for UG courses B.Sc (MLT), B.Sc(Imaging Technology) and B.Sc (RT) as there is a constant demand for these courses
    Status: Proposal to be submitted to RGUHS for the next Academic year
  9. A proposal to install Telemedicine facility has already been accepted by Karnataka State Telemedicine Trust and Installation of Hub facility by ISRO is scheduled to take place any time in next couple of months. This will enable not only patient care at the periphery but also will be useful for professional and public education.
  10. Since a number of new courses have been started there is an urgent need to append / enhance the physical infrastructure in terms of lecture halls. Examination room with CCTV facility, fully equipped auditorium with facilities for visual satellite viewing – Tele-Video Conferencing.
  11. To have a new building to house the Nursing College and Hostel with facilities as per the requirement of INC / RGUHS.
  12. To constitute / Reconstitute an Academic Committee to monitor the standards of Academic / Training Programme comparable to High standards.
  13. A detailed proposal tol be submitted to have a Digital Library which provides access to International / National Books / Journal for the students.
  14. To set up an Academic Fund to encourage the teachers and students to participate in National International Conference / Workshops/ Symposium / Training Programmes and to provide support for paper publication in National / International Journals.
  15. The possibility of student exchange programme for training with between International agencies / Universities / Institutions and the Institute to be explored.
  16. To initiate necessary action to get the Net connectivity with other medical colleges / Oncology Centres for CME Programme.
  17. To set up a Counselling cell for students to address their problems pertaining to their course of study.

Resources Required:

  1. A separate wing to house the Academic Cell with the essential facilities like Computers (with Internet connection), Printers, Scanner and Xerox Machine.
  1. Physical Infrastructure for a separate college (including Nursing college) within the campus and also a separate building to have increase hostel facilities for Post Graduate and Undergraduate students / Trainees (Outstation as well as WHO trainees).
  1. Provision to procure Audio Visual Units/ equipments such as state of Art Audio System, LCD Projectors for the use of faculty to conduct Lecture Classes.
  1. To have a separate store of stationery / Computer accessories required for the Academic Cell.
  2. Separate Transport Facility for the Academic Cell to commute to University / Other Institution for official purposes.
  1. Transport facility for the students(Requirement as per MCI/INC/RGUHS) – College Bus / Van.
  1. To start a College Magazine to encourage student fraternity to publish articles and scientific experiences.
  1. To make provision to develop Sports / Cultural activities by building up infrastructure for Indoor and Outdoor activities.
  1. To establish a placement cell to enable the students to secure jobs in their respective area of specialization.

There should be a transfer of technology between our Institution and other Institutions in the country and outside. We are already having such programme in the training of super-speciality students/trainees in surgical oncology and medical oncology by inter-acting with other Institutes in the country like Tata Memorial Hospital, Mumbai, Cancer Institute, Adyar, Chennai, MNJ Cancer Institute, Hyderabad, C.M.C., Vellore.

As a next step it is proposed have interaction with reputed cancer Institutes abroad like MSKCC, M.D.Anderson Cancer Centre, Royal Manderson Hospital, Princes Margaret Hospital etc.

The proposal to depute trainees during the training period to Nebraska University, USA for observation and exposure is already under consideration.

The next level of transfer of technology should occur at the research level in basic research and transnational research.

The third level would be in the form of active inter-action between centers across the world by tele-conferencing.

The skill based training for surgical and allied subjects would necessarily mean that there is a need to have an experimental surgical laboratory like animal lab. etc.

Research Activities:

Basic Research and Translational Research

One thing our country lacks is in the field of basic and translational research which requires lot of funding and support. Apart from that a separate clinical trials unit is required which needs to be formulated and funded by the Institute itself. As of now, the clinical trials are run by sponsored funding as we do not have funding for running our own clinical trials.

Free Medication and Free Treatment:

The ultimate goal of a tertiary center treating cancer afflicted patients should be not to turn away the needy patients for want of financial support. On the contrary, the cost of cancer treatment is alarmingly raising. To overcome this imbalance, one can have the following measures:

        • By directly procuring the drugs from the companies thereby reducing the cost to the tune of 20% to 30% on M.R.P. (which we are already able to do through KCDF).
        • By bringing regular donations to specified organ areas like childhood cancer alone, breast cancer alone etc.
        • By developing a corpus from which regular interest can be obtained for treating the needy patients.

         

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Kidwai Memorial Institute of OncologyDr. M.H Marigowda Road,Bangalore - 560029, Karnataka , India
Phone: 091-080-26094000 , Fax: 091-080-6560723, e-mail:kidwai@nic.in
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