CHRISTIAN (CMC VELLORE) MEDICAL COLLEGE

Christian Medical College & Hospital

Christian Medical College and Hospital, Vellore (CMC Vellore) is one of the largest medical centres in India. And also CMC Vellore ranked 2nd top medical college in India next to AIIMS, Delhi. This century-old Christian institution was founded by Ida S. Scudderand is in the city of Vellore in the southern state of Tamil Nadu, India.

The idea of starting a hospital came to Ida Sophia Scudder in the late 19th century, when Ida visited her medical missionary father, John Scudder, Jr., at his post in Tamil Nadu. One night, Ida was asked to help three women struggling in difficult childbirth. Custom prevented their husbands from accepting the help of a male doctor and, being untrained at that time, Ida could do nothing. The next morning she was shocked to learn that the women had died. She believed that it was a calling and a challenge set before her by God to begin a ministry dedicated to the health needs of the people of India, particularly women and children. Consequently, Ida went back to America, entered medical training and, in 1899, was one of the first women graduates of the Weill Medical College of Cornell University.

Shortly thereafter, she returned to India and opened a one-bed clinic in Vellore in 1900. In 1902, she built a 40-bed hospital. In 1909, she started the School of Nursing and, in 1918, a medical school for women was opened under the name Missionary Medical School for Women. The medical school was upgraded into a university affiliated medical college granting the degree of M.B.B.S. in 1942, under the name Christian Medical College. Men were admitted to this college in 1947, ten in a class of 35.

In addition to the medical and nursing schools that she founded, Dr. Ida frequented outlying villages and started a roadside dispensary in 1916. Over the years, these roadside dispensaries were upgraded into rural health and development programs.

The hospital now caters to 5500 outpatients, 2500 inpatients, 75 surgical procedures, 22 clinics, and about 30 births every day. CHAD, CONCH, and RUHSA workers go to the villages and rural areas to raise awareness of disease prevention, health care and community empowerment.

Each year 60 students, of which at least 25 are women, are admitted for the undergraduate medical course (M.B.B.S. of the Tamil Nadu Dr. M.G.R. Medical University).

The Christian Medical College is a referral tertiary care hospital. CMC graduates stay on to work in hospitals affiliated to the Christian Medical Association of India.

The college is owned and administered by the Christian Medical College Vellore Association which is a Society registered under the Societies Registration Act of India. The association is made up of 54 churches and other Christian medical organisations. The Christian Medical College Council, which comprises the members of the association and other Indian and foreign organisations, governs the CMC Vellore Association. Vellore Christian Medical college is owned by The Vellore Christian Medical College Foundation Inc] a private company located at New York. The Vellore Christian Medical College Foundation Inc is headed by Mr.Anish Mathai as Chairman and George Varughese as treasurer.

Scholarships are available to students who need financial assistance. The students and the faculty live in a residential campus. Training in Community Medicine involves daily village visits to collect data about disease prevention awareness, child malnutrition, living conditions, socio-economic status and education status.

No. Beds: 2,695; of which 46 are Emergency, 168 are in ICUs, 248 are in community facilities, 85 are for long-stay rehabilitation of physically disabled. Patients: 1.9 million outpatients and 120,000 in-patients per year; comm. outreach to 340,000 people Daily: 125 operations; 45 births; 25,635 laboratory tests. Education: More than 110 courses including MBBS, Nursing, Allied Health Sciences, many Postgraduate medical specialities, plus distance learning courses and PhD programmes. Research: 230 publications in indexed peer reviewed journals, the second largest number of medical research papers of any medical college in India. Financial: Annual running expenses Rs.4,679 million; charitable subsidies: Rs.657 million (healthcare) and Rs.357 million (education).

The city of Vellore, Tamil Nadu, lies between Chennai and Bangalore. It has a spectacular fort, and increasingly attracts pilgrims to the “Golden Temple” at nearby Sripuram. However it is known the world over as the home of the Christian Medical College – a centre of excellence in medical services, research and education. Every day it attracts more than 5,000 people from all over India and other parts of the subcontinent.

CMC Vellore was founded by an American missionary, Dr. Ida S. Scudder. Born in South India in 1870, she spent most of her childhood in the US and was educated there. Although her grandparents, parents and most other members of her extended family had served as missionaries in India, this was not the life that she wanted for herself. However one night, while visiting her parents at their home in India, her life was turned around. Three well-to-do men came to the house one after the other, with the same desperate story. Each of them had a young wife in the throes of childbirth, but unable to deliver. The traditional midwife had been unable to help. Would the young missy come and help deliver the baby? Ida had no medical training at that point, and suggested that her doctor father should go. However, owing to the social and religious customs of the day, each of these men went away sadly saying that it was impossible for another man to see their wives. With no doctor to look after them, these three women and their babies all died that night. Ida took this as a clear signal from God that she should strive to help the women and children of India. She returned to the US to study as a doctor, graduating from Cornell University Medical College in 1899 among the first batch of women. She started her medical work in Vellore in 1900 using one room in her parents’ bungalow as a one-bedded clinic-cum-dispensary. In view of her earlier experience, her focus was on women and children; at that time there were hardly any women doctors in India.

Gradually her reputation grew and with it the demand for her services. In 1902 she opened the 40-bedded Mary Taber Schell Memorial Hospital, built using funds donated in the USA. In 1924 a 267-bedded hospital was opened on a different site, which has continued to expand there ever since. Today there are more than 2,500 beds across four campuses, and the hospital caters to nearly every medical speciality. It is equipped with a vast array of sophisticated equipment, including two MRI and two CT scanners, two advanced Linear Accelerators, a PET-CT Scan and the latest auto analysers in the laboratories. Education and Training Right from the beginning Ida Scudder knew that she could have little impact working on her own, and her vision was not just to treat, but also to train others. So she began teaching “compounders” (modern day pharmacists) and nurses. The first formal nursing course was started over a hundred years ago in 1909. Medical training for women began in 1918 with a Licensed Medical Practitioner course. In 1942 the MBBS degree course was started and in 1947 the College became coeducational. Today CMC Vellore offers, in addition to MBBS and Nursing BSc and Diploma courses, 66 post graduate medical degrees, 35 Allied Health Science courses, 8 further Nursing programmes and PhD programmes in various disciplines. Training is available in fields as diverse as Dialysis Therapy, Medical Records Science and Neurosurgery. In 2010 CMC was voted “2nd best Medical College in India” (perceptual) and top rank (factual) in the annual India Today survey and is consistently listed amongst the top colleges for MBBS.

CMC has over 7,600 staff, including over 1,200 doctors and 2,400 nurses. Most of these people are involved in providing medical care although they may have teaching and research responsibilities. Almost every clinical specialty is catered to, and many departments are subdivided into units each of which may have particular expertise in specific areas as well as providing services of a more general nature. For example the Division of Surgery is further broken down into eight units specializing in Head and Neck Surgery, Endocrine Surgery, Vascular Surgery, Colorectal, etc.

CMC is particularly well known for certain departments such as Gasteroenterology, Neurosciences and Haematology (where it is a national leader in the treatment of rare blood disorders and bone marrow transplantation). It also gives high importance to less prominent specialties such as Rheumatology, Physical Medicine and Rehabilitation, Developmental Paediatrics and Palliative Care. Ophthalmology and Psychiatry departments are located on different campuses, as is the Rehabilitation Institute.

There are 95 wards including 15 ICUs. About 76% of the beds are in general wards and are subsidised to reduce the financial burden on patients. There are 39 major operation theatres and a further 18 facilities for minor procedures. An average of 125 operations are carried out each day.

Diagnostic services are provided in house by the Radiology Department, Nuclear Medicine and the Laboratories. Radiology reporting is through a filmless digital system (PACS), enabling doctors to view X-rays and scans on any computer on the network. All laboratory test results are available through the hospital intranet, as part of the “clinical workstation” hospital information system.

Many of CMC faculty and alumni have received national and international rewards for their humanitarian efforts and research contributions. The hospital itself was given the National Citizens Award as India’s best employer in 2003, the MM Award for Excellence in Healthcare and the Gurukulijyoti Award in 2007. In 2010 it was voted first runner up for the award “India’s Best Multi Specialty Tertiary Care Hospital”, and “India’s Most Socially Responsible Hospital” in the CNBCTV18s India Healthcare Awards.

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