Observership report

1. VELLORE
16 May,2017 – 20 June,2017
VISITOR
OBSERVERSHIP
N.MEGHANA RAO
B.PHARM STUDENT

2. About CMC,Vellore:
MISSION:
• Not to be ministered unto but to minister
This line explains everything, but things to add are:
 Out of the box ideas to serve the poor.
 Several schemes to help the needy.
 The free bed provision in a ward, where the patient is treated for free.
 Mobile clinics to rural areas near Vellore for every 28 days.
 CHAD for low cost treatment to rural people.
 Rusha, Schell are some other centres for the same.
Educating the patients about the drug and administrations.

3. CMC, Vellore:
This building has vivid
departments and their
respective wards
along with different
pharmacy stores.
This block is built in the
memory of Dr. Ida Scudder. As
she was an obstetrician; this
block is mainly for Obstetrics,
Gynaecology and paediatrics.
It also has radiology, chemo
and haematology units.
Basically it is for
Private patients.
It has all
departments
except O&G and
paediatrics.
It is for out- patients
and have various OPD
clinics.

4. Pharmacy in CMC, Vellore:
• They had a total of 29 pharmacy units { 20 inside the campus and 9 in and
around Vellore}.
• They have a systematic segregated units and well organised way of
employment.
• They have a in-house Quality Control department for the quality assurance of
regiments produced by the manufacturing unit of CMC.
• The manufacturing unit produces some small volume parenteral and non -
parenteral preparations.
• They have a patient counselling desk for counselling patients about drugs and
their administration.
• They have DISH for dealing pharmacovigilance cases.

5. Initiatives of CMC,Vellore
1 • To retake the unused medicines from patients and
refunding them.
2 • Patient counselling cell for educating and
instructing patients in their linguistic language.

6. Pharmacy
department
Medical oncology
Nephrology
ART
Gynaecology
Neurology
General medicine
Radiation therapy
Gynaecology,
Neurology
WEEK 1 WEEK 2 WEEK 3 WEEK 4
Mon – Sat
Pharmacy stores and
counselling desk
Mon- Sat
Case studies and
patient interaction
(except in
Nephrology
department),CHAD
– Rural visits.
Mon – Sat
Ward rounds, OPD,
patient Interaction
and Prescription
study.
Mon - Sat
OPD and given a
presentation on 5 FU
and its interaction with
Folic acid.

7. Learning objectives
1. To know about pharmacy field and its scope in
hospitals
2
2. To know which career position suits me better.
3. To learn about Pharmacist role and clinical
Pharmacist duties.
4. To analyse and interpret a Prescription and to
record few case studies.

8. Learning Outcomes:
Practical exposure.
Professional nourishment.
Techniques need to be opted by health
care practitioners.
Case Interpretation.

9. PHARMACY DEPARTMENT:
People I met and interacted with:
 Dr. Sujith Chandy – Head of Pharmacy;
 Mr. Renin Charles – Purchase Officer of Pharmacy
Dr. Judith – Pharm D professional
Dr.Sirisha – Pharm D Professional
Dr. Jayanta Kumar Dev – MD Pharmacology register
Dr. Jeena – MD Pharmacology register
Mrs. Vennila – Pharmacist in A basement pharmacy and staff
Mrs.Ponnumudi – Pharmacist in main pharmacy and staff
Mrs. Chitra – Pharmacist in quality control department and staff
Mrs.Ambaleshwari – Pharmacist in Oncology pharmacy in ISSCC building.
Mrs.Indira – Pharmacist in Level 3 Pharmacy.
Mr. Pradeep, Mrs.Hema – Pharmacists in OPD patient counselling desk.

10. PHARMACY DEPARTMENT:
Places I visited and work I did:
 Been to 13 Pharmacy stores in CMC,Vellore out of 20 In-campus.
 Assisted pharmacists in respective pharmacy stores in dispensing.
 In Patient counselling desk with other pharmacists.
 In ICU rounds along with Pharm D professionals.
 In Quality control department of CMC, Vellore.
 In DISH ( DRUG INFORMATION SERVICES OF HOSPITAL) with Pharm D professionals
and MD Pharmacologists.
Managed to learn basics of Tamil and Bengali for counselling at Patient counselling
desk.
 Got literature for different drugs for study.
 Learned about dosage indications of various drugs in counselling desk
 Interacted with many patients at the counselling desk.
WEEK 1

11. PHARMACY DEPARTMENT:
Exposure
to
different
drugs
Prescription
procedures
& possible
errors.
Information
on
dispensing
Drug
maintenance
and
interactions.
Essence of
patient
counselling
Ward
rounds
with Pharm
D people.
My Insight:
• Collection of knowledge in this
department is equivalent to cells in
beehive, when squeezed together
results in an enriching experience.

12. Sophophilic
times:• Things I have learned and incorporated are:
 Being formal to work informally.
- Dr. Sujith Chandy
Respect each person equally and interact kindly.
- Mr. Renis Charles
 Dispensing a compatible regiment of drugs with well wishes.
- Pharmacists of CMC, Vellore.
 ADME times – Adapting, Discussing , Materialising and Educating a patient.
- Pharmacy counselling desk { OPD and ISSCC}, CMC
Vellore.
Actual ADME -Absorption,
Distribution, Metabolism
and Excretion
(Pharmacokinetics)

13. MEDICAL ONCOLOGY:
People I met :
Dr. Raju Chackos – HOD of Medical Oncology department.
Dr.Anugraha – MD
Work description:
 Interaction with patients in day care centre.
i. Knowing about their symptoms, discussing about their signs with the oncologist.
ii. Analysing their case summary and interpreting their possible side effects with current
chemo drugs.
 Recording cases
1.Pen to paper details:
i. Diagnosis; Clinical detail; scan summary; Investigations; Chemotherapy drugs
( Pharmacological details);
ii. Questions clarification { Dr. Anugraha had clarified all my questions}.

14. My Insight:

15. ANTI-RETROVIRAL THERAPY
People I met and work I did:
Dr. Prasanna
Mr. Imitiaz and staff
I had a brief interaction with patients.
I recorded few case studies.
I got to know about treatments of HIV and TB.
I got to know about innovative techniques used to follow up the TB
medication.

16. My Insight:
• Knowing about different ART
diseases.
• Dispensing procedure.
Observing
Phase
• Interacting with the patient.
• ADE and Posology of drugs.
Working
phase

17. NEPHROLOGY
People I met and work I did:
Dr.Santhosh Varughese – Professor of Nephrology
Mr. Prem – Pharmacist in Nephrology department
 I got few patient charts for study and has recorded
few cases.
 I got to know about various nephro drugs and
dosage indications.

18. Case studies:

21. My Insight:
 Your passion decides your professional growth not your
qualification.
- Mr. Prem ( Nephro Pharmacist.)
Sophophilic times:
Analysing the case summary.
Discussed about pharmacology of various nephro drugs.
Noted various transplant procedures.
Family history involved case studies and their interpretation ,
which has been one of my case study.

22. RADIATION THERAPY
People I met and work I did:
∞Dr. Thomas Samuel Ram
∞Dr. Solly Thomas
∞Dr. Swathi
∞Dr. Jeeba
• I got a presentation homework on a topic – 5FU and its interaction
with Folic acid.
• I had presented a PPT for 40 mins, which was an nourishing
experience.

23. Presentations:

25. o Innovative way of expressing thoughts is success.
- Dr. Thomas Ram.
o Workplace is a second home.
- RT 1 department.
Sophophilic
times:

26. My Insight:
Novel way of
expressing
things.
Innovative way
of delivering
things.
Learning
phase

27. CHAD – RURAL VISITS
People I met and work I did:
◊Dr.Vinod Abraham Anand
◊Dr.Riya Mathew
◊Mr.Jules – Nursing tutor
◊Some PHNs
¥I had been to rural visits for two days with team headed by Dr. Riya. It was a
great experience of work.
¥I could know about vivid rural health statistics and medicaments prescribed
for chronic disease patients and ante-natal patients in those areas.

28. My Insight:
Exposure to the village life
Dispensing of drugs for chronic
diseases.
Dealing with ante-natal patient
prescription and counselling.
Exploring the village clinic life.
Interacting with the patients
and counselling them.
Unique mobile clinic and
Pharmacy running.

29. GYNAECOLOGY
People I met and work I did:
⃝Dr. Elsy Thomas – MS Gynaecology.
⃝Dr. Dibu – O&G
⃝Mr. Nijo – MRO
⃝ Some Clinical assistants at OPD.
o I had a great working experience with Dr. Elsy.
o I got to interact with patients.
o I got a chance to clarify lot of my doubts.
o I had recorded few cases for their study.
o I came to know about various medications and surgeries in O & G.
oI was in about 7 OPDs along with Ma’am.
WEEK 3

30. æ Patience with patients is the secret of success.
- Dr. Elsy Thomas.
Sophophilic
times:
My Insight:
• Dispensing
drugs mainly
the gynaecology
ones.
……..
• Attended and
assisted the
doctor in the
OPD.
……….
• Discussed
about various
operative
procedures.
…………
• Interaction
with the
patients.
………..

31. NEUROLOGY
People I met and work I did:
ⱺDr. Mathew Alexander – Professor of Neurology
ⱺDr.Ajith Sivadasan
ⱺDr.Prabhakar A.T.
 I got a chance to go to ward rounds and be in case discussion.
I was in Dr.Prabhakar and Dr. Ajith Sivadasan OPD’s.
I was in neurology presentations and Dr.Prabhakar’s classes.
 I got a great knowledge and experience in working with Prabhakar sir.
I had recorded few cases.

32. ‫ﻫ‬ Be Bold and Specific.
- Dr. Mathew Alexander.
‫ﻫ‬ Calm and vibrant.
- Dr. Ajith Sivadasan.
‫ﻫ‬ Nothing is done in your life; How you deal with patients is efficiency,
which you can’t merely get through a degree.
- Dr. Prabhakar A.T
Sophophilic
times:

33. My Insight:

34. General Medicine:
People I met and work I did:
• Dr. Tarun K George
ⱺ I got to know about various diseases and the approaches to treat them.
Sophophilic times:
 Quiet conquering is the sign of maturity.
- Dr. Tarun K George.
My Insight:

35. Miscellaneous:
• I had attended few lectures of MBBS students on:
1. Approach to the Anaemia.
2. Leukaemia and Lymphoma in paediatrics.
• I had attended morning prayer session in ART department:
1. Where illustratively learned about Acceptance.
2. We even had read few stories from the holy Bible, in this context.

36. Sophophilic times:
 Soft and Polite must be the watchwords of a human.
- Dr. Anand Zachariah.
 Being specific and apt on a point.
- Dr. Amit
 To be clear and real.
- Dr. Krupa.
 Never say no to the needy nerve.
- CMC Staff.

37. Organisation evaluation:
• Refreshing
• Explorative
ENVIRONMENT
• Helpful
• KindEMPLOYEE
• Co-operative
• Good mentorsDoctors
• Big and ideal
• In- house chapel with divine vibes.Hospital
• Friendly
• CaringStudents

38. Being vigilant, selfless, punctual and formal.
Learning more by observing than asking.
Adapting to a situation in every possibility.
Making even a short period of interaction
intellectually productive.
OBSERVERSHIP PEARLS:

39. Internship effect
Future view
Experience and
Exposure
Personal and
Professional
enrichment
Acquaintance and
being Robin hood.