As Per Dci Regulations 2006 & Revised Bds Course Regulations 2007

INSPECTION PROFORMA - 2018

BDS 3rdYEAR RENEWAL

AS PER DCI REGULATIONS 2006 & REVISED BDS COURSE REGULATIONS 2007

(All Points and parameters are to be verified and established in person by the designated Inspectors. All necessary documents to be verified by the Principal/Dean for submission along with the report)

No. of Seats applied for: 100

DCI Ref/ Letter No: DE-______Dated: ______

Date of Inspection:______

Name and Address of Inspectors

______

______

______

______

Note:-

I:This Proforma to be duly typed, filled, printed and NOT hand written.

Each page should be duly signed by the Principal/Dean.
Proforma should be submitted to the Inspectors on their arrival.
Inspector should verify all the contents of the proforma and submit the same alongwith their observation in PEN to the council within 48 hours of Inspection.
All documents should be submitted to the DCI in English or translated in English and certified by the competent authority.

II:No annexure, except consolidated list of teaching staff in the Dental Council of India prescribed format, will be attached alongwith the Inspection Proforma.

Signature of Principal/Dean with seal

I.SCRUTINY OF REQUISITE PERMISSIONS

Name & Postal Address of the Proposed DentalCollege / :
Email Address for Correspondence / :
Telephone & Fax No. / :
Status (mark tick appropriate columns) / : / Government Private
Registration details of the
Society/Trust: / : / ______
State Government Essentiality/ Permission Certificate / : / Issued By:
No. & Date:
Valid Upto:
University Affiliation (Deemed/Govt./Private)
Status of University Affiliation (mark tick appropriate columns) / : / Issued By:______
Name of University:
______
Consent Provisional
No. & Date:
Valid Upto:

II.Date and number of last annual admission with details*

Category / No. Admitted / Dates of Admission
Commence / End / Remarks of Inspector
S.C.
S.T.
Backward
General
Others
Total

*Note: Where admission(s) has/have been done without the permission of the competent authority the reason thereof be given in each and every case separately duly certified by the Principal of the Institution.

Signature of Principal/Dean with seal

III. MEDICAL COLLEGE ATTACHMENT:

Own MedicalCollege / PrivateMedicalCollege / Govt.MedicalCollege

Name & Address of the Medical College______

______

Name of the Principal/Dean: ______

Email address and contact number:______

a.MedicalCollege duly recognized by Medical Council of India.

/ : / Yes / No

Distance from Dental college to Medical college by road (please clarify as to whether you have physically verified /taking the reading of Taxi/Car Meter) by ticking yes or no

/ :
: / ____km
Yes / No

Whether MOU is signed by competent Authorities between Medical and DentalCollege for teaching purpose.

/ : / Yes / No

Validity Period of MOU

/ : / ____yrs

Whether the above mentioned MedicalCollege is attached to any other DentalCollege other than the proposed dental college.

/ : / Yes / No

GOI Notification No. & Dated

/ : / ______

IV. Hospital*:Requirement of the 100 bedded General Hospital for clinical teaching of BDS students drawn up in accordance with the parameters prescribed by BIS/NABH (applicable if Medical College is more then 10 kms away).

Own Hospital / MedicalCollegeHospital / PrivateHospital / Govt. GeneralHospital
Whether the permission of the attached 100 bedded hospital is issued by the competent authority? / : / Yes / No
Name and Full Address of Hospital:
Name of the CMO with Tel No. & Mobile No.:
Name of the Issuing Competent Authority:
Distance of the hospital from the DentalCollege / :
By Road (please clarify as to whether you have physically verified/taking the reading of Taxi/Car Meter)
Number of Beds in Hospital / : / Total:______

Signature of Principal/Dean with seal

Department / Required / Allotted / Occupancy / Remarks of Inspector
During last 6 months / On the day of inspection
General Ward – Medical including allied specialities / 30
General Ward –Surgical including allied specialities / 30
Private Ward (A/C & Non A/c) / 9
Maternity Ward / 15
Paediatric Ward / 6
Intensive Care Services (4% of bed strength) / 4
Critical Care Services (6% of bed strength) / 6

Area Requirements (As per BIS/NABH)

Required / Available / Remarks of Inspector
Covered Area / 20 sq.m./bed
Inpatient Services / 40%
Outpatient Services / 35%
Department and supportive services / 25%

Man Power Requirement

(The consultants in the various departments should have atleast 8 years teaching experience after post graduation)

Medical Staff

Department / Required / Available / Remarks of Inspector
General Surgery / 2
General Medicine / 2
Obstetrics & Gynaecology / 2
ENT / 2
Paediatrics / 2
Anaesthesia / 2
Orthopaedics / 2
Pharmacologist / 1
Radiologist / 1
GDMO / 1
Community Medicine / 1
Hospital Administration / 1

Signature of Principal/Dean with seal

Nursing Staff

Designation / Required / Available / Remarks of Inspector
Matron / 1
Sister Incharge / 6
O.T. Nurses / 6
General Nurses / 20
Labour Room Nurses / 4

Health Staff

Designation / Required / Available / Remarks of Inspector
Female Health Assistant / 1
Extension Educator Paramedical Staff / 1
Lab Technician/Blood Bank Tech / 4
ECG Technician / 1
Pharmacist / 4
Sr. Radiographer / 1
CSSD / 2
Medical Records / 1

Engineering Staff

Designation / Required / Available / Remarks of Inspector
Civil / 2
Mechanical / 2
Electrical / 2
Engineering Aid / 4

Other Staff

Designation / Required / Available / Remarks of Inspector
Drivers / 2
Carpenter / 1
Cooks / 2
Barber / 1
Class IV including chowkiders / 55

Administrative Staff

Designation / Required / Available / Remarks of Inspector
Office Superintendent / 1
Head Clerk / 1
Cashier / 1
Stenographer / 1
UDC / 2
LDC / 4

Signature of Principal/Dean with seal

V. CLINICAL MATERIAL (No. of Patients) to be checked at the end of the OPD and filled by the Inspectors:

ATTACHED HOSPITAL

Attendances / : / During Inspection:______
Average (Last 6 months):______
b. DENTALCOLLEGE HOSPITAL Attendances / : / During Inspection:______
Average (Last 6 months):______

(Attendance Register to be checked & signed at the beginning and end of OPD).

*Minimum requirement of new patient’s is 50 patients per day for the 1st year in the Dental OPD

*Minimum requirement of new patient’s for attach hospital is as per MCI Regulations.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 56Signature of Inspector-2

VI.DENTAL TEACHING STAFF

S.
No. / Designation / Faculty Name / DOB / Original Affidavit with date / DCI UID (if available) & Adhaar No. / Form 16 / Total Service college wise in all the previous Institutes (attach appendix) / DOJ & Experience in present institute / Total Experience as on 15th June of current year / *Present during Inspection with signature or absent
1. / PRINCIPAL/ Dean
from any
specialty

PROSTHODONTICS & CROWNBRIDGE

1. / PROFESSOR
1. / READER
2 / READER

ORAL PATHOLOGY AND ORAL HISTOLOGY

1 / PROFESSOR
2. / READER

Signature of Principal/Dean with seal

CONSERVATIVE DENTISTRY & ENDODONTICS

1 / PROFESSOR
2. / READER
3 / READER

ORAL & MAXILOFACIAL SURGERY

1 / PROFESSOR
2. / READER
3 / READER

PERIODONTICS

1 / PROFESSOR
2. / READER
3 / READER

Signature of Principal/Dean with seal

ORTHODONTICS

1 / PROFESSOR
2. / READER

PEDODONTICS

1. / READER

ORAL MEDICINE

1. / READER

PUBLIC HEALTH DENTISTRY

1. / READER

Signature of Principal/Dean with seal

LECTURERS MDS (25%): ______

S.
No. / MDS with specialty / Faculty Name / DOB / Original Affidavit with date / DCI UID (if available) & Adhaar No. / Form 16 / Total Service college wise in all the previous Institutes (attach appendix) / DOJ & Experience in present institute / Total Experience as on 15th June of current year / *Present during Inspection with signature or absent
Prosthodontics
Prosthodontics
Conservative Dentistry
Conservative Dentistry
Oral Pathology & Microbiology
Oral Pathology & Microbiology
Oral & Maxillofacial Surgery

Signature of Principal/Dean with seal

Public Health Dentistry
Oral Medicine
Orthodontics

TUTORS BDS (75%): ______

S.
No. / Tutors with BDS Qualifications / Faculty Name / DOB / Original Affidavit with date / DCI UID (if available) & Adhaar No. / Form 16 / Total Service college wise in all the previous Institutes (attach appendix) / DOJ & Experience in present institute / Total Experience as on 15th June of current year / *Present during Inspection with signature or absent

Signature of Principal/Dean with seal

Note:- All affidavits of the teaching staff and their requisite documents should be in the same order as mentioned above

*If the teaching staff is on leave, than attach the sanctioned leave by the college authority.

* Less than one year teaching experience will not be considered.

1. Faculty UID No. issued by the Dental Council of India available in

2. The appointment of faculty in private dental colleges should be made through proper selection committee (as per University Act of the concerned State).

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 56Signature of Inspector-2

SUMMARY - DENTAL TEACHING & CLINICAL STAFF

Department / Professor-6* / Reader-13 / Lecturer-10 / Tutor-30
Required / Available / Remarks of Inspector / Required / Available / Remarks of Inspector / Required / Available / Remarks of Inspector / Required / Available / Remarks of Inspector
Prosthodontics / 1 / 2 / 2 / 4
Conservative Dentistry / 1 / 2 / 2 / 4
Oral Pathology & Microbiology / 1 / 1 / 2 / 4
Oral & Maxillofacial Surgery / 1 / 2 / 1 / 4
Periodontics / 1 / 2 / 0 / 3
Pedodontics / 1 / 0 / 3
Public Health Dentistry / 1 / 1 / 2
Oral Medicine & Radiology and diagnosis / 1 / 1 / 3
Orthodontics / 1 / 1 / 1 / 3
Total / 6* / 13 / 10 / 30

* Includes the Principal/Dean who can head any one of the six specialties.

Note: There should NOT be more than ONE Professor in each specialty.

Attach list of entire faculty department-wise in attached DCI prescribed Performa as Annexure-I. Signature of Principal/Dean with seal

VII. MEDICAL TEACHING STAFF (Eligibility will be as per MCI Regulations – Latest)

ANATOMY

PHYSIOLOGY

1. / Reader
1. / Lecturer
2. / Lecturer

Signature of Principal/Dean with seal

BIOCHEMISTRY

PHARMACOLOGY

1. / Reader
1. / Lecturer
2. / Lecturer
3. / Lecturer

Signature of Principal/Dean with seal

GENERAL PATHOLOGY

MICROBIOLOGY

1. / Reader
1. / Lecturer
2. / Lecturer

Signature of Principal/Dean with seal

GENERAL MEDICINE

GENERAL SURGERY

Signature of Principal/Dean with seal

ANESTHESIA

Note:-All affidavits of the teaching staff and their requisite documents should be in the same order as mentioned above

*If the teaching staff is not present, whether the sanctioned leave certificate is attached?

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 56Signature of Inspector-2

SUMMARY - MEDICAL TEACHING STAFF

Departments / Number of Readers / Number of Lecturers
Required / Available / Remarks of Inspector / Required / Available / Remarks of Inspector
Anatomy / 1 / 4
Physiology / 1 / 2
Biochemistry / 1 / 2
Pharmacology / 1 / 3
General Pathology / 1 / 2
Microbiology / 1 / 2
General Medicine / 1 / 3
General Surgery / 1 / 3
Anesthesia / 1 / 1
TOTAL / 9 / 22

Attach list of entire faculty department-wise in attached DCI prescribed Performa as Annexure-I.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 56Signature of Inspector-2

DETAILS OF TEACHING STAFF SPECIALITY WISEAnnexure-I

Name of the Department:

Sr. No. / Name / Present Designation / Date of Birth / Qualification / Details of Teaching Experience in an approved/recognized institution
Degree (Subject) / Year of Passing / University / After P.G
Designation / Place / Date & Years
From / To
1. / Principal/Dean
2. / Professor
3. / Professor
4. / Professor
5. / Professor
6. / Professor
7. / Reader
8. / Reader
9. / Reader
10. / Reader

Signature of Principal/Dean with seal

11. / Reader
12. / Reader
13. / Reader
14. / Reader
15. / Reader
16. / Reader
17. / Reader
18. / Reader
19. / Reader
20. / Lecturer
21. / Lecturer
22. / Lecturer
23. / Lecturer

Signature of Principal/Dean with seal

24. / Lecturer
25. / Lecturer
26. / Lecturer
27. / Lecturer
28. / Lecturer
29. / Lecturer
30. / Tutor
31. / Tutor
32. / Tutor
33. / Tutor
34. / Tutor
35. / Tutor
36. / Tutor
37. / Tutor

Signature of Principal/Dean with seal

38. / Tutor
39. / Tutor
40. / Tutor
41. / Tutor
42. / Tutor
43. / Tutor
44. / Tutor
45. / Tutor
46. / Tutor
47. / Tutor
48. / Tutor
49. / Tutor
50. / Tutor

Signature of Principal/Dean with seal

51. / Tutor
52. / Tutor
53. / Tutor
55. / Tutor
56 / Tutor
57. / Tutor
58. / Tutor
59. / Tutor
60. / Tutor

*Attach additional pages wherever required.

Note: 1. Experience of BDS Tutor will NOT be considered as teaching experience for any higher post in the Institute/ College etc.

2. Teaching experience to be verified by the inspectors themselves(s) and must be attached and forwarded with Inspection Report Proforma.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 56Signature of Inspector-2

VIII.CLINICAL ACTIVITIES

1.Random check of Practical Note Books.

(e.g. General Anatomy, Physiology, Dental Anatomy, Biochemistry, Pathology, Microbiology, Pharmacology, Dental Materials, Oral Pathology etc.)

2.Random check of Clinical Work.

(e.g. Dentures, Restoration, Extractions, Prophylaxis etc.)

3.Random check of Patient’s Case History Sheets (minimum 10 by the end of 3rd year).

4.Random check of Community Dentistry education material and charts etc.

5.Random check of Clinical Work Note Books.

6.BDS student appearing for Final 3rd Year Professional University Examination as per BDS Course Regulations, 1993* and 2007. Should have completed the following clinical work.

Prosthetic – Full Dentures = 2, Partial Dentures = 2
Oral Surgery – Extractions = 30, Minor Surgery Assistant = 1
Prophylaxis = 10
Conservative and Endodontics – Restoration; Amalgam/GIC = 30
Paedodontics – Fillings = 5, Extractions = 3, Prophylaxis = 3, Fluoride Applications = 2
Orthodontia = Removable Appliances = 3

Signature of Principal/Dean with seal
IX.NON-TEACHING STAFF/ MINISTERIAL STAFF*:

Please furnish the details of non-teaching staff available at the said college.

Requirement / Available / Remarks of Inspector
1 / Managers/ Office Suptd. / 7
2. / Assistants / 13
3. / Receptionist / 14
4. / Librarian / 1
5. / D.S.A.(Chair side Attendant) / 20
6. / Dent. Tech. (Dental Mechanic) / 10
7. / Dent. Hygst. / 5
8. / Radiographer / 3
9. / Photographer / 1
10 / Artist / 1
11 / Programmer / 1
12 / Data Entry Operators / 2
13 / Physical Director / 1
14 / Engineer / 1
15. / Electricians / 4
16. / Plumber / 2
17. / Carpenter / 1
18. / Mason / 1
19. / A.C. Tech. / 1
20 / Helpers Electrical / 3
21. / Sweepers & Scavengers / 17
22. / Attenders / 25
23. / Security Personal / 6
24. / Dept. Secretaries / 8
25. / Driver / 5
26. / Nurses / 9
27. / Lab. Technicians / 5
Total / 167

*Note:Identity proof and documents/certificate of the staff to be submitted which should be duly counter signed by the Head of the Institution.

Signature of Principal/Dean with seal

X.CENTRAL LIBRARY

Available / Remarks of Inspector
Total Number of Books (Minimum 600)
6 Titles for all specialties plus 5copies each of all the subjects of first year, 2nd year & 3rd Year / : / ______/ ______
Total Number of Journals No.26
(1 National Journal in each subject of the 9 Dental specialties)
(1 National Journal in each subject of the 8 basic medical science)
1 International Journals for each 9 dental specialty
Back Volumes of all National Journal of 9 Dental Specialties / :
:
:
:
: / ______
______/ ______
______
E- Journals details / : / ______/ ______
Total Area (Minimum 8000 sq.ft.) / : / ______/ ______
Seating Capacity / : / ______/ ______
(it should be minimum 50% of total students strength)
S.No. / Amenities / Available/ Not Available / Sq. Ft.
1 / Reception and waiting
2 / Issue Counter
3 / Photocopying area
4 / Journal Room
5 / Staff Reading Room
6 / Store and Stocking Room
7 / Digital Library
8 / Chief library Room/Assistant Library
9 / Students Cloak Area
10 / Seating Area

XI.DENTAL CHAIRS / UNITS*

(To be filled by the Inspectors)
Electrical Dental Chairs Installed with all the attachments thereon (Required: *200 Dental Chairs) / :
Whether all the chairs and units are functioning and electrically operated? / : / Yes / No
Total No. of functional chairs / : / / 200

*Specification: Electrically operated, Spittoon attachment, Halogen Light with 2 intensity, high power evacuation system, 3 way syringe, X-ray viewer attachment for Airrotor, Micromotor with straight and contrangle Handpiece, instrument tray and suction, Dental operator stool with height adjustment.

Signature of Principal/Dean with seal

XII.MAJOR EQUIPMENTS

DEPARTMENT: PROSTHODONTICS AND CROWN & BRIDGE

Name / Specification / Quantity
Required / Available / Remarks of Inspector
Dental Chairs and Units / As per specification / 34
Semi adjustable articulator / With face bow / 4
Extra oral/intra oral tracer / 4
Dewaxing unit / 2
Curing unit / 2
Dental casting machine / 1
Wax burnout furnace / 1
Pre heating furnace / 1
Surveying unit / 2
Heavy duty hand piece / Lab micromotors / 4
Autoclave / Having wet and dry cycle, which can achieve 135°C with minimum capacity of 20 liters / 2
Needle burner with syringe cutter / 2
CAD CAM / 1(Optional)
LAB
Plaster Dispenser / One each for plaster and stone plaster / 2
Model Trimmer with Carborandum Disc / 1
Model Trimmer with Diamond Disc / 2
Acrylizer / 3
Lathe / 2
Flask press / 4
Deflasking unit / 4
Dewaxing unit / 3
Hydraulic Press / 3
Mechanical Press / 2
Vacuum mixing machine / 1
Curing pressure pot / 1
Hot water sterilizer
Geyser
Phantom heads
Pre-clinical working tables / Compound bath
Gas connection & bunson burner / 2
2
50
100

Signature of Principal/Dean with seal

CERAMIC AND CAST PARTIAL LABORATORY

NAME / SPECIFICATIONS / Required / Available / Remarks of Inspector
Plaster Dispensor / One each for plaster and stone plaster / 2
Duplicator / 1
Pindex System / 1
Circular saw / 1
Burn out furnace / 1
Sandblasting machine / With two containers / 1
Electro-polisher / 1
Model Trimmer with Carborandum disc / 1
Model Trimmer with Diamond disc / 1
Induction casting machine / 1
Programmable porcelain furnace with vacuum pump with instrument kit and material kit / 1
Spot welder with soldering, attachment of cable / 1
Vacuum mixing machine / 1
Steam Cleaner / 1
Spindle Grinder 24,000 RPM with vacuum suction / 1
Wax heater / 1
Wax carver / 1
Curing pressure pot / 1
Milling machine / 1
Heavy duty lathe with suction / 1
Preheating furnace / 1
Palatal trimmer / 1
Ultrasonic cleaner / 5 liters capacity / 1
Composite curing unit / 1
Micro surveyor / 1
PRE-CLINICAL PROSTHETICS LABORATORY / Work table preferably complete stainless steel fitted with light, Bunsen burner, air blower, working stool.
Adequate number of lab micro motor with attached hand piece / 60
20

Signature of Principal/Dean with seal

PLASTER ROOM FOR PRE-CLINICAL WORK
Plaster dispenser / One each for plaster and stone plaster / 2
Vibrator / 2
Lathe / 2
Model Trimmer / 1
Carborandum Disc / 1
Diamond disc / 1

DEPARTMENT : CONSERVATIVE DENTISTRY AND ENDODONTICS