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Self Study Report
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Quality Assurance

Self Study Report

1. Are there clearly defined vision, mission, goals, and objectives of the Institution in written?
Yes, Chitwan Medical College (CMC) has clearly defined vision, mission, goals and objectives (VMGO) written in its planning and statutory documents. Additionally, Memorandum of Association (MOA), the main legal document of the institution submitted in Company Registrar Office under Government of Nepal defines the objectives of CMC in terms of medical, education, paramedical and allied health education, and respective hospitals services.
2. Are there clearly defined plans, programs and strategies to achieve its specific goals and objectives?
Yes, CMC has clearly defined plans, programs and strategies to achieve its specific goals and objectives written in its planning documents. The college Strategic Plan (2018-2022) has kept the provision of plans, existing and future programs, policies and strategies. Similarly, CMC Memorandum of Association describes the various activities that the institution should carry forward to achieve its objectives. There are six major activities and sixteen sub-activities mentioned in clause-4 of CMC MOA.
3. Are there duly formed organizational structures where the policies of the Institution are formulated, reflected, reviewed and updated?
Yes, CMC has duly formed and defined organization structure as written in its statutory documents. CMC is established as per the Company Act 2063 of Nepal. The major documents of the company are Memorandum of Association (MOA) and Article of Association (AOA). These two documents describe the structure of relationship of power, authorities and responsibility of Board of Directors (BOD), Management Team and Employees. The Shareholders’ General Assembly or Annual General Meeting (AGM) is the supreme body that delegates power and authorities to Board of Directors (BOD) elected through majority voting system and appoints the Chairman/ Managing Director and the Chairman/ Managing Director is responsible for overall operation of the organization and implementation of policies formulated by AGM. The Managing Director appoints the Hospital Director and Academic Director and they are responsible for running the hospital and college respectively. Academic Director delegates authority to College Principal and Principal delegates authority to Vice Principals and so on. The Company’s Article of Association (AOA) describes the provisions related to the selection of Board of Directors, appointment of Chairman and Managing Director, terms and tenure of Directors and rights and duties of Company Directors. Additionally, the College has a Faculty Recruitment, Promotion and Professional Development Policy approved by college BOD and there is a CMC Organogram which is formulated as per the need of human resource management in this institution and has been regularly reviewed and updated by CMC Board of Directors.
4. Has the Institution adopted any mechanism/process for internal quality monitoring and checks?
Yes, the institution has an Internal Quality Assurance Committee (IQAC) that has been formulated under the chairmanship of Chairman/Managing Director. The committee has a monitoring role and acts as the academic evaluator of its key faculties to foster enhancement in the academic performance of the institution. Various Academic Departments are formed as per the requirement of course and curriculum. These academic departments are responsible for workload division, curriculum evaluation, quality monitoring and quality enhancement of the concerned subjects and departments. Also, these departments regularly conduct meetings to formulate planning of Academic Calendar and evaluate the progress to see whether the standards have been met or not. The Heads of Departments (HODs) are appointed and their duly defined job descriptions mention the provision of internal quality checks and monitoring. HODs are responsible for curriculum implementation and evaluation of results as well as students’ performance measurement. The College Organogram depicts the provision of Department Heads in the Organization.
5. Is there any document of the institution to specify the job responsibilities of departments, units and individuals?
Yes, CMC has developed a job description (JD) booklet of 156 pages that mentions the available departments, positions and units in CMC and gives details of job responsibility of departments, unit and individuals. This booklet is the foundation of the clarity of roles and responsibilities of Chairman, MD, Principal, Department Heads, Chief Administrative Officer (CAO) and other professionals working in the organization. Additionally, CMC Article of Association describes the roles and responsibilities of BOD, Chairman, Managing Director and CAO.
6. Is there any defined and written scheme to evaluate the pre-defined job responsibilities of departments, units and individual staff?
Yes, CMC has developed and implemented an Employee Administrative Regulation- (2070) comprising of 33 page document. This regulation clearly mentions the scheme of evaluation of pre-defined job responsibility of departments and individual staffs. It is included in Annex 9 (ka) of Employee Administrative Regulation- (2070). There are 16 domains of performance in case of evaluation of Doctors and 18 domains of performances in case of employees, that are rated in five dimensions. Attendance and punctuality, clients relationship, knowledge of work, peer relationship, work volume, integrity etc among others are the main domains of evaluation.
7. Does the institution have strategic plan and action plan emphasizing on team work and participatory decision making and a scheme for information sharing?
Yes, the CMC Strategic Plan (2018-2022) has emphasized the team work and participatory decision-making for information sharing and organizational effectiveness. In Strategic Plan section 1.8 (d), the organization development strategies which focus on group work, team learning and information sharing for better organization development have been mentioned. Moreover, CMC, in practice, has various committees working together to achieve their specific goals and responsibilities. CMC is exemplary for team work; CMC has a culture of team work and the participatory decision-making process. Every major decision is taken in meeting of Board of Directors with sufficient discussions and justifications. Hospital employees and college employees work together to achieve the overall goals of CMC. Being a company with more than forty shareholders, CMC has the practice of sharing information within the members in every Annual General Meeting. It prepares the Annual Progress Report and Audit Report which are distributed to each shareholder for information sharing.
8. Does the institution have program(s) to strengthen the regular academic programs through other self-sustaining programs/courses and others?
Yes, CMC has a separate teaching hospital that runs a number of self-sustaining programs and departments like surgery department, general medicine, dental, laboratories, pharmacy etc. These departments/ programs are helpful for clinical teaching/ practices and also for financial support to college. As reported in Audit Report of CMC, major portion of CMC revenue has been generated from the hospital services.
9. Are there any formal provisions under which the institution brings stakeholders or community feed backs and orientation in its activities?
Yes, CMC has the practice of taking feedbacks and suggestions from stakeholders and community members from time to time regarding the planning, policies and activities of the college. Chitwan Secondary School provided the land to hospital in lease as rental. Hence, CMC Board has nominated the Chairman of Chitwan Secondary School as Member of the Management Committee. CMC conducts frequent meetings with Mayor, Deputy Mayor and Ward Chairperson of Bharatpur Metropolitan City. Such meetings and interactions provide feedbacks and suggestion to college for improvements and community activities. These suggestions are addressed by the college administration. For example, CMC has started free OPD tickets to women since Chiatra 24, 2075 for treatment of gynecology related diseases, considering the request of Renu Dahal, Mayor of Bharatpur Metropolitan City.
10. Were any committees/external agencies appointed during the last three years to improve the organization and management?
Yes, CMC has been working together with various external agencies and consultancies for improvement of its management and education delivery. For example, recently it made an agreement with Real Solution (Human Resource Consulting) firm to improve the Human Resource Management System of the college. After detailed observations and study of college and hospital, this consulting firm has provided a Report with the details of the descriptions and recommendations. The recommendations of the report are being implemented gradually. Similarly, CMC has been accredited through ISO 9001-2015. CMC hospital is going to be accredited through Joint Commission International (JCI).
11. Are the students involved in institution management system and quality assurance?
Yes, CMC has a provision of students’ class representatives (CR) from each class. They are engaged with college management team and faculties to discuss with course related activities and for their planning of educational excursion, field visits, community works etc. These student representatives actively involved in controlling the class discipline. Further, they are called in college management meetings for some special issues related to the students’ welfare like, solving the student-centered problem if exist. Moreover, students are also involved in classroom monitoring. Students meeting are conducted before any field and industrial visits and community clinical.
12. Has there been an academic audit? Justify it.
Yes, CMC conducts academic audit of hospital and college regularly by ISO 9001:2015. The recent academic audit report of ISO 9001:2015 has been presented in this document. Besides, the Institute of Medicine (IOM) also conducts visit for fulfillment of criteria of admission each year.
13. Is there any specific mechanism to combine teaching and research?
Yes, CMC publishes its journal bi-annually for disseminating findings of research work carried out by faculties. CMC faculties engage in research and publication activities. CMC organizes national/ international conferences and seminars where college faculties involve in paper presentations. Students also get to participate in such workshops/ conferences. Besides, students have compulsory provision of graduate research projects guided by college faculties which is expected to link the teaching and research. Faculty promotion policy adheres to the rule of promotion based on count of research publication in various indexed journals; it also encourages the faculties to combine research and teaching.
14.Have you observed any positive outcomes of combination of teaching and research?
Yes, with combination of research and teaching, students’ learning capacities have been enhanced. The rate of pass percentage of graduates have increased. Faculties’ capacity of research and teaching has strengthened. It has also increased the reputation of CMC.
15. Provide institution specific other innovations which have contributed to its growth and development.
CMC recently has developed an innovative learning method for MBBS, BDS and other students in which video conference of various procedures and surgeries are networked in classrooms whereby students directly learn the procedures and live operation from OT. It has been transmitted through projectors to classroom. Additionally, CMC has launched Hybrid International Emergency Medicine (HIEM) program to the interested MBBS students. HIEM is the first collaborative international Emergency Medicine (EM) training developed in the UK, in which trainees will go through 4 years of training (1st and 4th year in Nepal and 2nd and 3rd year training in the UK). HIEM training is recognized by RCEM-UK, and trainees on successful completion of the process will be able to work as specialists.
16. Is there any provision for ensuring consistency of teaching and learning with the academic goals and objectives of the institution? 
 Yes, CMC has developed a Teaching Protocol and all the faculties and staffs are advised to follow the guidelines of the Protocol so that the consistency of teaching and learning activities be ensured with coherence of academic goals of the institution. Weekly academic team meeting is conducted to discuss the issues related to teaching learning activities. Additionally, departmental meets, academic meets of the faculties with academic directors and principal help to ensure the coherence of teaching and learning with organizational goals.
17. Are programs flexible enough to offer students the following benefits? 
Yes, Clinical posting of Nursing and MBBS students are scheduled as per the student convenience. In addition, community field postings are kept considering weather condition for example most of the field posting are scheduled in summer and winter seasons avoiding rainy season. Regards horizontal mobility, CMC follows the rules and regulations of University, Thus we don’t have horizontal mobility of programs. The institution offers some elective courses to students in UG and PG courses. For example, the students that joined in Master of Nursing program have elective options in the courses offered in Psychiatric Nursing, Women's Health Nursing, Pediatric Nursing, etc. 
18. Indicate the efforts to promote quality of education with provision of skills transfer among the students. 
Yes, the students have provision of learning and skill transfer through clinical posting, internship program, computer training, and language classes for communicative skills, and they play important role in group works like class presentations, camps, field visits etc. MBBS students have to complete their one and half year in internship while they take participation in clinical practices with senior doctors. Moreover, they should do mandatory research projects and other activities in a team and independently. Students in para medical courses also need to participate in community and field works, hospital clinical and others for better skill transfer 
19. Are there any additional focused programs and electives offered by the institution? 
Yes, CMC has offered a focused program called Hybrid International Emergency Medicine (HIEM) course of four years duration. The course is designed by QiMET UK. Trainees will follow Royal College of Emergency Medicine (RCEM) curriculum and Fellowship in Quality improvement (FQim) modules as part of the training. At the end of the training process, trainees will sit for Member of Royal College of Emergency Medicine MRCEM exam, will receive two qualifications (MRCEM and FQim).The degree of MRCEM will be awarded by Royal College of Emergency Medicine. The degree of FQim will be awarded by International Academy of Medical Leadership (IAML). HIEM training is recognized by RCEM-UK, Currently, the first batch of six students have started their second year in UK and the Second Batch of students have joined in the program at CMC. Additionally, students are offered language classes like Occupational English Test, IELTS, PTE, Communication skills training etc. to promote their language skills.  
20. Has the institution taken any initiative to contribute/feedback to the curriculum of the university? Give evidence with the examples of last 4-5 years 
 Yes, CMC has forwarded Feedbacks and Suggestions to Institute Of Medicine (IOM), Tribhuvan University (TU) as regards to curriculum development and revision, by formulating a committee for curriculum review. This committee has submitted reports to IOM, TU for revision in curriculum.
21. Is there any mechanism to obtain feedback from academic peers and employers? 
Yes, During Departmental Meetings, Faculties share their experiences and ideas to improve the class room performances and give feedbacks for improvement in examination and curriculum.  
22. Give details of institution-industry-neighborhood networks if any? 
Yes, CMC has MOU contract with various organizations for upgrading its industry and community networks. CMC has been constantly involved in industry neighborhood networks as it provides free hospitalization and medication for residents of Chitwan Manaw Sewa Ashram, and free consultation and services for geriatric patients from Devghat Dharmartha Hospital. CMC runs specialty service at Baghauda Hospital, Madi, in collaboration with Madi Municipality and has tied up with Nepal Red Cross Society for Blood transfusion unit at CMC. CMC is also tied up with government for health delivery under PPP Model. CMC has network with Sunrise Bank which provides banking services like ATM inside the CMC premises. CMC has network with other health posts and health centers to extend its scope of services. For example, it has been providing frequent health checkup programs to the dwellers of Ratnanagar area in association with Bakulahar Hospital, Tandi, Chitwan. Similarly, students frequently participate with community and neighborhoods for different health related awareness program and camps. Futher, students of Bachelors in Pharmacy visit various pharmaceutical company as a part of their curriculum.  
23. Does the institution inculcate civic responsibilities among the students? Give brief explanation in terms of activities 
Yes, CMC strives to inculcate civic- responsibility among students through various activities. For example, college offered food donation to the psychiatric patients sheltered in Chitwan Manav Shewa Ashram. Students from Master of Nursing, Psychiatric Department involved in the various civic responsibility program. Students are encouraged to participate in programs like Art of Living, Meditation etc. for boosting their moral value. Various programs are designed to engage the students to support the society. As part of civic responsibility, CMC engages the students in the following activities regularly.
Food Donation Program
Blood Donation
Traffic Controlling
Awareness against drugs abuses
Awareness about saving the environment -Save the Life
Awareness for the Sanitation  
24. What are the efforts of the institution towards all-round personality development of the learners? Give brief explanation in terms of activities. 
For overall personality development of learners, CMC arranges various programs like extracurricular activities, sports, cultural programs, debate and quiz competition, graduation program, college annual day etc. Students are encouraged to participate in all of these programs. CMC organizes games and sports competition. It also organizes workshops/seminars and panel discussions for all-rounded development of our students. Outstanding students in games and sports are given incentives like financial and fringe benefits 
25. What are the practices of the institution to impart moral and ethical value-based education? Give examples of some practices 
Yes, CMC has practices to impart moral and value-based education among students through various activities and guest classes. For example, CMC had arranged Art of Living Session for students of CMC and interested students participated in the session. CMC celebrates the “Guru Purnima”, “Saraswoti Puja” that helps students in inculcating civic education. 
 26. Which of the following methods do you apply in admitting the new graduates?
 All of the methods (Academic Records, Written Entrance Tests, Interviews) except group discussions are applied while admitting new graduates in CMC. Primarily, CMC receives Admission List published from IOM TU and admission is done on merit basis. No students are admitted without fulfilling the criteria of academic records and admission test. Students first of all need to pass in entrance examination held by IOM, then for admission procedures, they need to screen out through interviews and other tests.
 27. Is there any provision for assessing students’ needs and aptitudes for a course
Yes, Students need and aptitude for the course is judged through their involvement in class, examination and other activities. Faculties are assigned to take regular class test and evaluate the performance of students. After each internal assessment results, faculty meeting is to be held to identify weak students and to arrange few extra classes for them. Interaction with parents and counseling of students is done after each internal assessment. In MBBS & BDS Program, students who are unable to pass 2nd years exam even after supplementary exam have to repeat classes with junior batch and weekly assessments are arranged for them by MBBS Coordinators. Attendance in revision/extra class for students appearing in supplementary exam must be compulsory. All of these provisions are mentioned in teaching protocol and it is mandatory for all faculties to abide by the protocol. 
 28. Does the institution provide bridge/remedial courses to the academically weak and disadvantaged students?
 Yes, CMC provides remedial classes to academically weak and disadvantaged students. As per CMC Protocol, Chance Exam should be taken for weak students to make them eligible for final exams. Therefore, each student performing poor results should compulsorily join the remedial classes for final exam. CMC teaching Protocol clearly mentions the provision of remedial classes to MBBS and BDS second year students who need to rejoin and repeat with junior batch if they are unable to pass after the supplementary exam.
 29. Does the institution encourage the teachers to make a teaching-plan?
 Yes, CMC teaching protocol urges the faculties to prepare working schedules and log book. Hence faculties develop their annual teaching plan and micro curriculum. The faculties have to prepare their weekly teaching plan and get it approved from respective heads of the department. HODs can monitor their progress and provide them feedback if required.
 30. Are syllabi in harmony with the academic/teaching calendar?
 Yes, syllabi are in harmony with the academic calendar. For example, IOM, TU demands 120 teaching hours classes for 100 marks course in BPH program. CMC offers not less than 120 hours for the course. It follows the guideline of teaching hours, internal and external examination, evaluation and other curricular aspects of university strictly.
 31. How does the institution supplement the lecture method of teaching with other teaching methods with specific weightage in terms of hours? (directed studies, assignments, presentations)
 CMC supplements the lecture methods with other teaching methods like problem-based learning, correlation seminars, workshops, assignments, case studies, field reports, presentations etc. All these supplementary methods are exercised as per the requirement of curriculum.
 32. Is there a facility to prepare audio visuals and other teaching aids?
 Yes, CMC conducts audio visuals classes through multimedia projectors, video conferencing etc. Hospital Operation Theatre (OT) is linked with class room through video conferencing and students are able to observe live surgery and procedures as a part of their learning process. Additionally, nursing and science faculties prepare various teaching aids to encourage students to engage in prompt learning.
 33. Furnish the following for the last two years (Information furnished in 2076/2019)
 Teaching days per semester or per year against the requirement: 292
Working days per week against the requirement: 6 days
Work load per week (for full time teachers): 40 hours
Work load per week (for part time teachers): NA
Ratio of full-time teachers to part-time teachers: 100 percent
Ratio of teaching staff to non-teaching staff: 190/71
Percentage of classes taught by full-time faculty: 100 percent
Number of visiting professors/practitioners:15
 34.a. Are the students oriented to the program, evaluation system, codes of conduct other relevant institutional provisions and requirements?
 Yes, CMC orients students about the program, evaluation system and other codes for successful completion of the batch in CMC. These orientations are normally conducted at the beginning of academic sessions. However, faculties provide such advice throughout the year to the students if they require.
 34.b. Are evaluation methods communicated to students at the beginning of the academic session?
 Yes, students are communicated with evaluation methods at the beginning of academic sessions. They are provided the weightage of internal and external evaluation. They are given hands out of model question and university evaluation scheme so that they could be aware in the matter.
 35. Does the institution monitor the overall performance of students periodically?
 Yes, CMC conducts at least two internal exams of students before their final examination. These evaluations help to know the academic performances of students. Additionally, different class tests, group presentations, project reports etc are evaluated by concerned faculties and reports are provided to department heads.
 36.In the case of new appointment of the teaching faculty made by the institution itself, select among the following funding criteria that are evidential in your institution.
 
  Vacancy Category    Operational Mechanism   
Job Advertisement    Selection Committee Formation  Examination by Selection Committee  Evaluation of Demo Classes  Interview by Selection Committee  Job Contract Through Formal Appointment Letter
 Self-Funded  √  √  √  √  √  √
 Government Funded            
  CMC funding criteria in case of new appointment of teaching faculty is self- funded. Being a private institution, it has no any other sources of funding.     
  37.Provide the following information (in number) about the teaching staff recruited during the last two years.
 
Teaching staff recruited from …
the same district it operates from other districts
same institution   institutions
 Year 2074: Nil  Year 2074: 05  Year 2074: 15
 Year 2073: Nil  Year 2073: 06  Year 2075: 16
 38.a. Does the institution have the freedom and the resources to appoint and pay temporary/ad hoc teaching staff? Are such provisions defined in the institution act/board decision/minute?
 Yes, The Institution has authority to appoint temporary staff. It appoints teaching faculties and staffs as per the need of institution through formal recruitment procedures. College provides salary and benefits to the faculties and teaching staffs not less than the basic facilities declared by government of Nepal.
 38.b. Does the institution have provision and practice for inviting visiting/guest faculty on regular basis?
 Yes, CMC invites guest lecturers frequently to deliver classes in Nursing, MBBS, public health programs etc. Normally, visiting faculties are invited from national and international universities of repute.
 39. Number of teaching staff who have attended seminars/conferences/workshops as participants/resource persons/organizer in the last two years:
 Participants  Resource  
 Institutional level  60  12
 National level  5  6
 International level  6  0
Yes, CMC faculties attend national and international conferences each year for their faculty development. Faculties are encouraged to investigate and publish the papers in their fields. When they develop their working papers, they attend national / international conferences and publish their papers in reputed journals.  
 40.Does the institution follow the self-appraisal method to evaluate the performance of the faculty in teaching, research and extension program?
 Yes, faculties are encouraged to follow self- appraisal method to evaluate their own academic performances. They evaluate themselves through fill up of self appraisal form during promotion and performance appraisal procedures of CMC.
 41. Does the institution follow any other teacher performance appraisal method?
 Yes, performance evaluation of teaching faculty is the assigned responsibility of Department Heads and Academic Directors. CMC has developed a teacher performance evaluation form and it has been implemented periodically. The domain of performance evaluation of faculties and non teaching staffs are mentioned in CMC employee Administration regulation page no 30 and 31.
 42. Does the institution collect student evaluation on institution experience?
 Yes, college gets feedbacks of students on their college experiences through various means. It has developed a student feedback form in which student share their institution experiences and these feedbacks are taken as instrumental for improvement in management and policy formulation of college.
 43. Does the institution conduct refresher courses/seminars/conferences/symposia/workshops/programs for faculty development?
 Yes, CMC runs faculty development program. It conducts research, workshops and seminars which are considered most beneficial for teaching faculties.
 44. Give details of faculty development programs and the number of teachers who benefited out of them, during the last two years.
 
Faculty Development Programs No. of Beneficiaries
August 10th & 11th 2018 Thesis Supervision Workshop 25
July 8-13, 2018 Embracing Innovation for Enhancing Students Learning 30
December 8-13, 2019 8 th faculty Development- Imparting essentials of medical education for facilitating students learning 30
CMC conducts regular faculty development programs to update knowledge and skills of all faculty.
  45. Furnish information about notable innovations in teaching.
 Yes, CMC recently has developed an innovative teaching method for MBBS, BDS and other students in which video conference of various procedures and surgeries are networked in classrooms whereby students learn the operations and procedures live. It has been very fruitful for students. It has been transmitted through projectors.
 46.What are the national and international linkages established for teaching and/or research?
 CMC has linkage with national and international organizations for teaching and research.
  47. Research budget of the institution in % of total operating budget.
 Yes, the institution allocates academic/ research budget about 2.5% of academic income of CMC
 48. How does the institution promote research?
 CMC has Health Profession Education Research Center (HPERC). This center is headed by Professor Dr. Gopendra Prasad Deo. There are other three institutions under HPERC, they are Research Committee, Institutional Research Council (IRC) and Journal of Chitwan Medical College (JCMC) coordinated by Associate Professor Raj Kumar Mehta respectively. Researchers are provided with seed money for further research depending upon the project. IRC approves the seed money for researcher after evaluation of their work. The HPERC operation manuals and guidelines describes the process of research work and funding modality. CMC promotes research through all the above approaches.
 49. Is the institution engaged in PhD level programs
 Not Applicable, But plan to propose in future.
 50. What percentage of teachers is engaged in active research - guiding research scholars, operating projects, publishing regularly, etc.? Give details.
 As per university norms and CMC rules, all the faculties have to be engaged in some kind of research work. To get promoted to Associated Professor or Professor, one has to publish original research article in peer reviewed journals. Also, CMC has post graduate and fellowship program and they have to guide students in their thesis work.
 51. Mention the admission status of the MPhil/PhD graduates in your institution.
 Not Applicable
 52. How many PhDs have been awarded during the last five years?
 Not Applicable
 53. Does the institution provide financial support to research students?
 CMC allocates financial support to postgraduate research students based on the requirements.
 54.Provide details of the ongoing research projects:
 Fifty- Three (till date)
 55. Give details of ongoing research projects funded by external agencies.
 
 Funding agency  Amount (Rs.)  Duration (Years)  Collaboration, if any
 Centre of Molecular Dynamics, Kathmandu, Nepal.  NPR 594000.00  18 months  CMC
 56. Does the institution have research/academic publication? If yes, give details of publications in the last two years.
 Thirty-Two Issue
 57.Does the institution offer consultancy services?
 Yes, CMC faculties provide consultancies to other institutions as per their request. CMC faculties are often involved in setting of question papers of various examinations by IOM TU. Similarly these faculties are senior consultants of their specialty and involve themselves in health check up, diagnosis and operation theatre services in various hospitals of Chitwan. These services are helpful for improvement of quality of health services provided by those organizations.
 58. Does the institution have a designated person for extension activities?
 Yes, CMC has developed a designation for extension activities. Mr Parash Adhikari has been appointed as Operations Manager and manages all extension activities of CMC. He is a full time employee. Depending upon the nature of extension activities, he is being supported by other staffs and faculties.
 59. Indicate the extension activities of the institution and its details:
 Yes, CMC has been involved in extension programs like- Medical Camps, Blood donation camps Community development program, health and hygiene awareness, AIDS awareness, environment awareness, etc. It has been actively participating in the relief camp of various national calamities like storm/ tornado victims of Bara districts, earthquake victims of Gorkha District etc.
 60. Are there any outreach programs carried out by the institution (for example, Population Education Club, Adult Education, National Literacy Mission, etc.)?
 Yes, CMC has been engaged in health service-related outreach programs. For example, it often conducts awareness and health camp in Kushma Bajar of Parvat district in association with lion's club of Himalaya Kushma Parbat.
 61. How are students and teachers encouraged to participate in extension activities? Any defined approaches?
 Bachelors of Public health (BPH), Bachelor of Nursing (BN) and some other education programs have compulsory provisions of participations in extension activities as part of their curriculum and evaluation. Therefore, faculties and students frequently participate in such programs. Teachers and students are encouraged by providing paid leaves, also they are given daily allowance (amount depends upon the faculty post), in addition to all logistic facilities.
 62. Does the institution work and plan the extension activities along with NGO’s and GO’s? Give details of last 3 years.
 Yes, CMC has been working in various extension activities for fulfilling its social responsibility. For example; it has been working with Red Cross Society, Bharatpur Branch Nepal, to run Blood Bank for emergency and surgery patients. Hundreds of patients got benefited from this blood bank during last three years.
 63. Does the institution have a comprehensive master plan indicating the existing buildings and the projected expansion in the future?
 Yes, CMC has developed and approved Master Plan of existing buildings and projected infrastructures. CMC has already completed academic blocks, hostels facilities and staff quarters but it still has to complete swimming pools, treatment plants, HOD quarters and health centers. These all facilities are taken as planning phase for coming years.
 64.a. How does the institution plan to meet the need for augmenting the infrastructure to keep pace with academic growth?
 CMC has separate engineering unit headed by Senior Engineer Achyut Koirala and this unit is devoted to assessment of infrastructure need and developing plan for infrastructure as per the requirement of academic/ hospital blocks.
 64.b. What support facilities are available for conducting the education programmers in the institution?
 Yes, CMC has supporting facilities for conducting education program. It has library, hostels, housekeeping, laboratory, IT facilities, Security Services, Rehabilitation Facilities etc. that support students’ teaching learning activities
 65. Does the institution have provision for regular maintenance of its infrastructure? Provide scheme.
 Yes, the engineering unit of CMC is responsible for regular maintenance of its infrastructures. It plays a vital role to keep the various facilities up to date. The CMC board has given authority to engineering unit to develop plan of infrastructure maintenance. Engineering unit assesses the condition of infrastructure and develops plan for its maintenances. The plan is submitted to Chief Administrative Officer at the beginning of the fiscal year. These plans are incorporated in Budget of institution and approved by the Board. The plan is implemented by engineering unit.
 66. How does the institution ensure optimum utilization of its infrastructure facilities?
 CMC ensures the optimum utilization of infrastructures. College and hospital buildings are fully occupied from morning to evening session. Hostels and library buildings are also utilized in fullest capacity. Auditorium hall is also utilized at different functions of college. Class rooms, waiting rooms, laboratories have specified number of seats and CMC admits the students to occupy to its full capacity.
 67. Does the institution encourage use of the academic facilities by external agencies?
 Yes, CMC encourages various external agencies to use its academic facilities. Agencies can use its IT facilities, laboratories facilities etc. to run various workshops and trainings. For example, National Association of Critical Nurses conducted a workshop at CMC lecture hall three on 16-2-2019. A total of forty nurses and faculties attended the program. However, CMC is yet to develop formal regulation to use academic facilities.
 68. What efforts are made to keep the institution clean, green and pollution free? Give details
 CMC has made following efforts to keep campus clean, green and pollution free.
The pathway around the college premises has been graveled to make it a dust free environment. Moreover, the tiling work of ground way outside the hospital premises has been completed.
A garden has been cultivated besides the path-way of hospital where many species of flower and trees have been planted.
A separate housekeeping is assigned the responsibility to tend the garden.
Dustbins have been placed in different corners of college and hospital premises
“No noise” signages are placed at entrance gate of college and hospital.
“No smoking” signings are kept in hospital and college premises.
 69. Are there computer facilities in the institution that is easily accessible to students and faculty?
 Yes. The college has managed a computer lab with internet facilities where 25 computers have been kept which are easily accessible to students. Likewise, each department office has been equipped with computers which are accessible to the consultant's doctors and faculties. Also, the college has managed an E-library facility as well.
 70. Give the working hours of the computer centre and its access on holidays and off hours.
 The computer center is accessible for all students at 7.00AM to 11.00 PM. In this timing, regular students visit the library and benefit by using their off hours even at hostel time. Library Incharge and IT Incharge is responsible for functioning of computer center.
 71.a. How many departments have computers of their own?
 All the departments in college and hospital have sufficient numbers of computers available. Currently, all of these departments have altogether 298 computers in operation
 71.b. Does the institution have provisions of internet/intercom/CC TV/other facilities ?
 Yes, CMC has provision of internet, intercom and CCTV facilities within college premises. The students and faculties can use these facilities for improving their teaching learning activities.
 72. Explain the output of the centre in developing computer aided learning packages in various subjects during the last three years?
 The computer center of college in coordination with faculty members has produced various teaching materials which are useful for students to inculcate their learning. For example, number of hands out, teaching notes, photocopies of foreign books, old question papers and Power Point Presentation (PPT) etc have been developed by the center and distributed to students.
 73. Is there any provision for maintaining/updating the computer facilities? Provide the details of the system.
 Yes. The college has provisions for maintaining/updating the computer facilities. The IT unit is responsible for maintaining and updating the computer facility. Generally, these activities are being conducted by hiring the technicians in AMC contract and currently this contract is done with MIDAS software company which is responsible for updating the computers as per requirement.
 74. Does the institution make use of the services of inter-university facilities?
 Yes, CMC uses services of inter-university facilities basically for clinical posting. For example, students of Oasis Medical College did their clinical practices in CMC as per the requirement of University Examination of PU.
 75. What are the various health services available to the students, teacher and other staff?
 The college teaching hospital provides all types of treatments to students, teacher and staffs at subsidized rate. Generally, up to 75 % discount is provided for major treatments and full discount for primary treatments. These provisions are mentioned in minutes of college board.
 76. What are the physical and infrastructural facilities available in the sports and physical education centre?
 The CMC has some physical facilities for sports and physical education which are as follows;
Basket Ball Court
Badminton Court/ ground
Volleyball Court/ ground
Cricket ground
 77. What are the incentives given to outstanding sports persons?
 The outstanding sports persons are given different incentives to encourage and inspire them. They are also provided different medals and certificates.
 78. Give details of the student participation during the last year at the university, regional, national and international meets.
 
   Participation of Students  Outcomes
 District  -  -
 National  Kist Medical College, Kathmandu  -
 National  SYNAPSE, Dharan  Runner-up
 International  -  -
  79. Give details of the hostel facilities available in the institution?
 CMC has hostel facilities separately managed for girls and boys, where it can accomodate more than 500 students.
 80. Give details of the facilities for drinking water and toilets
 Yes. The college has managed the facility of clean drinking water supplied through Nepal Drinking Water Board. Besides, it has constructed a deep bore for supply of drinking water. It has managed toilets in each floor as per the proportion of students, teachers and staff in college. All these facilities are at par with university standards.
 81.a. What are the working hours of the library?
 On working days 7:00 am-11:00pm On holidays = 10 am-4pm Prior to examinations 7am-12pm
 82.b. Does the library provide open-access to students?
 Yes, all students and faculties have open access to varoius articels, journals and textbooks.
 83. Mention the total collection of documents.
 a. Books=21362
b. Journals= 425
c. References=4245
d. Textbooks=17117
e. Back volume journals= 130
f. CDs/DVDs= 825
g. Database= Online
h. Online Journals= Yes
i. AV Resources Yes
 84. Give the number of books/journals/periodicals that have been added to institution library during the last two years and their cost.
 
   The year before last   The year before 
   Number  Total cost  Number  Total cost
 i. Text books  1741  Rs 7124510.00  2289  Rs 7898112.00
 ii. Other books  42  Rs 23450.00  60  Rs 40999.00
 iii. Journals/periodicals        
 Any others        
 iv. References  30  Rs 88221.00  329  Rs 458142.00
 84 . Mention the following details?
a. Total carpet area of the institution library (in sq.mts.)= 793 sq m
b. Total number of departmental libraries =8
c. Seating capacity of the library=330
d. Open access to library =Yes
e. Budget: The college has allocated about 1 % of total annual budget for library.  
  85. Give the organizational structure of the library.
 As per the decision of Board of Directors of CMC, the library committee is formed under the chairmanship of college principal and the head of the library works as the member secretary and other three members from procurement department and faculties constitute the library committee.
 86. Staff development programs for library .
 Yes. CMC has staff development Programme for library. All library staffs have undergone training on online software by Manorial software company located at Kathmandu. They are provided opportunity for their career and professional development as per the college rule.
 87.Are the library functions automated?
 Yes. Name the application software used is cmclib.mavorion.com
 88. What is the percentage of library budget in relation to the total budget of the Institution?
CMC has allocated about 1 % of total annual budget for library.
 89. Does the library provide the following services/facilities?
 Circulation Services= Yes
Maintenance Services= Yes
Reference/referral service= Yes
Information display and notification services= Yes
Photocopying and printing services= Yes
User Orientation/Information Literacy =Yes
Internet/Computer Access= Yes
Inter-Library Loan services = Not Applicable
Networking services = Yes
Power Backup facility= Yes
 90. Furnish details on the following?
 a. Average number of books issued/returned per day.= >500
b. Average no. of users visited / Documents consulted per month = 4500
c. Please furnish the information on no. of Log- ins in to the E-Library Services/E- Documents delivered per month= mavorion.com
d. Ratio of Library books to number of students enrolled =15:1
 91. Furnish the following details ?
 a. Percentage of regular students appearing for the exam. = 100%
b. Dropout rate (drop out from the course) = NIL
c. Progression to further study (Bachelors to Master, Master to Mphil/PhD) = 58 and above
d. Prominent positions held by alumni= 10
 92. How many students have passed the following examinations in the last five years?
 a. Nepal Civil Services Examinations= 4 above
b. Other employment related examinations=NA
c. International level entrance examination= 13 and above.
The college is planning for tracer study of the pass-out students. So, the detail information related to this is yet to update.
 93. Does the institution publish its updated prospectus annually?
 Yes. The college publishes its updated prospectus called Chitwan Medical College Occasionally, which includes its academic programs, admission process, eligibility, salient features, extracurricular activities, provision of scholarship etc.
 94. What kind of financial aids are available to students from the government, the institution and others?
 The institution has been providing fee waiver to the students who are scholar, financially weak, disabled, Dalit, Janajati and marginalized. As per the provision of IOM guidelines, CMC has allocated 10% of tuition fee as scholarship for the students. The students studying MD program get up to 75% scholarship as per the rule of government of Nepal.
 95. Mention the number of students who have received financial aid during the last two years.
 
 Financial aid  2075  2074
 i. Merit scholarship  30  27
 ii. Merit-cum-Means  -  -
 Any others  -  -
 96. Does the institution have an employment cell and a placement officer who offers career counseling to students
 Yes. The CMC has an Employment cell led by CAO Pratap Devkota. Also, it has appointed Mr.Hari Bohara as a placement officer. The role of Employment Cell and Placement officer are as follows;

Role of Employment Cell:
a. Assess carrier needs, and match it with available carrier opportunities in the national and international jo market.
b. Conduct career counseling workshops and seminars to graduates
c. Run seminars with students and employers to bridge the gap between industry and academia
d. Archive in library of the magazines, online job portal and newspapers which explore and disclose the different carrier opportunities and vacancy announcement
e. Conducting detail career counseling service for the UG and PG students to formulate career goal and career path.

Role of Placement Officer:
a. Observe vacancy related news published in various media.
b. Assessing the skills and qualifications of graduates as required by the jobs advertised.
c. Running learning modules to fit the graduates into various placement offers.
d. Counseling graduates into the various aspects of further studies and job placement
 97. Do teachers participate in academic and personal counseling?
 Yes. the CMC faculties from related disciplines do participate in counseling during exam preparation and classroom performance. Besides, the faculties counsel the students and guardians after the final result of under graduate degree for developing them to enter into job market.
 98. How many students were employed through placement service during the last year?
 Even though, there is no proper records of UG and PG students employed in various organizations, it is observed that many graduates from this institution are getting employment in various local, national and international organizations.
 99. Does the employment cell motivate the students to seek self-employment?
 Yes, the employment cell conducts various activities to motivate graduates to seek self-employment. Final year students of UG and PG program are targeted for counseling. As a result, a number of CMC graduates are involved in their self-employment activities. Some of the graduates are running their own nursing homes, clinics and hospitals at various territories of the country. However, no tracer study has been conducted till the date so details are not available.
 100. Does the institution have an Alumni Association?
 Yes, the CMC has an Alumni Association that help the institution in various activities like blood donation, community awareness and HIV campaign etc. The Alumni Association has been formed with following members;
Dr Nimesh Poudel: Chairman
Dr Promod Dash: Member
Dr Prashann Lamsal: Member
Dr Suman Bhurtel: Memeber
Dr Rubina Shrestha: Member
 101. How the policies and criteria of admission are made clear to prospective students?
 The college clarifies the policies and criteria of admission to the prospective students through its prospectus and websites. Besides, admission, counseling, interaction programs, advertisements on mass media viz radio, Television, website, social networks, newspaper, souvenir, hoarding boards etc, are widely used to inform prospective students about college policies and admission criteria.
 102. State the admission policy of the institution with regard to international students.
 CMC currently has enrolled 4 international students from India at MBBS level. These students get enrolment as per the guidelines mentioned by IOM and Ministry of Education of Nepal. Moreover, the college has been affiliated to Tribhuvan University, so it applies the enrollment policy as per the rules and regulations of Tribhuvan University for International Students.
 103. What are the support services given to international students?
 a. International studetn service office: Yes
b. Special accomodation: Yes
c. Induction courses: Yes
d. Social- cultural activities: Yes
e. Welfare Program: Yes
f. Policy clearance: Yes
g. Visa support: Yes
 104. What are the recreational / leisure time facilities available to students?
 a. Indoor games: Yes
b. Outdoor games: Yes
c. Nature clubs: Yes
d. Debate clubs: Yes
e. Student Magazine: Yes
f. Cultural Program: Yes
g. Audio Visual facilities: Yes
h. Community Visit: Yes
i. Clinical Practice: Yes
 105. Is there any cell in the institution to analyze and record various academic data?
 Yes. CMC has an examination unit under administrative department. The unit is headed by Pushpa Raj Adhikari and the roles and responsibilities of exam head is mentioned in the appointment letter of employee. This unit is responsible to collect and record overall academic data related to Internal Evaluation and Board Examinations. Data related to the faculty performance and their personal files are maintained by Mr Kumar Adhikari, Asst. Officer of Administration Department. Financial information related to the college is kept in the Finance Department. The examination unit analyzes the exam related data of student's level wise and subject wise regularly.
 106. What are the areas on which such analysis is carried out?
 College analyzes the academic records of students related to their attendance, internal performance, extracurricular activities and performance in board examinations. The CMC has provision of applying such academic records in performance evaluation of faculties and staff as well.
 107. How these analyzed data are kept in the institution records?
 The analyzed data are archived in examination unit and dispatched to HODs for further analysis to support policy making. The student progress report is maintained in examination unit. The student's profile is kept separately in Administrative Department.
 108. Are this information open to the stakeholders?
 Yes, the information is opened to the stakeholders. The college publishes students’ progress in college notice board regularly. All information related to academic administrative and student activities are published in social media and local newspaper. The newspapers are available to the students, faculties, guardians, campus management committee and neighboring organizations at free of cost.
 109. Are the methods of study and analysis also open to the stakeholders?
 Yes, the method of study and analysis are open to the stakeholders. The students, guardians and stakeholders can approach and ask to concerned HODs, or college administrator if they desire to acquire the methods of study and analysis.
 110. Is there any mechanism to receive comments or feedbacks on the published data?
 CMC has developed a feedback form and the concerned stakeholders can provide feedbacks time to time to college administration. Moreover, it has kept the suggestion box in the premises of college and hospital and any stakeholder can suggest through it. The college also has an authorized website, email and Face Book page to get feedback from the stakeholders. Similarly, the college conducts meeting and discussion programs with different student time to time where they can provide feedbacks to college administration about the published data.
 111. What are the impacts of such information system on decision making process?
 The information system concerning academic data and performance appraisal of faculty has positive impact in decision making process of college. For example, data on Internal and Board examination have been used for policy making in designing extra classes, remedial classes and formulating scholarship policies as well. The data fetched from information system is supportive to performance evaluation of faculties and their promotion policy.
 112. Give examples of quality improvements initiated due to the use of information system
 The College information system has positive impact on improvement in quality of education and hospital services.
Examples;
a. Examination data: Students results improvement over the period.
b. Administrative data: Faculty performance evaluation and promotion policy
c. Engineering data: Physical development and infrastructure improvement
d. Procurement data: Ease in procurement of equipments.
e. Hospital data: Improvement in services of laboratories, OT and other departments
 113. Is there public information cell within the institution?
 Yes, CMC has formed a Public Information Cell (PIC) in the leadership of Dr Daya Ram Lamsal, in a capacity of Hospital Director. The cell has three members.
a. Coordinator- Dr Daya Ram Lamsal
b. Member – Parash Adhikari
c. Member- Arun Koirala
The cell is responsible for disseminating academic, administrative, financial and examination related information of the college to the users and general public as per requirement. The cell organizes public discussions and interactions program to collect feedbacks and responses from students, guardians, teachers and other stakeholders periodically. The cell has different mechanism to disseminate the information to the stakeholders and general public. The following are the various ways to reach to the public:
a. Citizen Charter
b. Management of Social medias
c. Annual progress report publication
 114. What are the areas of information published by the cell?
 The PIC of CMC publishes the information regarding the following aspects of college:
a. Academic Areas: PIC disseminates examination results, admission criteria, academic programme, faculty development programme and extracurricular activities through college websites and social sites like Face Book.
b. Administrative Areas: PIC disseminates information on admission procedures, time table, and academic calendar, code of conduct, organogram, schedules of internal and external examination, scholarship notices, public notices regarding procurement and construction work, vacancy announcement notices and information related to library services.
c. Financial: PIC collects budget and audit reports of the college and disseminates financial information to tax office, company registrar office and other users as per their demand. The financial information disseminated by PIC are budgets, audit reports, fee structure etc.
 115. Where are this information published?
 The information related to the campus activities are published in newspapers, CMC newsletter, CMC social sites (e.g. Face Book pages) and the OSANK magazine published by students.
 116. How often are this information published?
 This information is published annually. CMC publishes News Letters to disseminate information related to CMC activities. Recently it has published a newsletter that embraces various activities of CMC and helpful to inform to stakeholders.
 117. Mention all such publications of last two years
 
 Areas  Year 1, place of publication  Year 2, place of publication
 Academic  CMC journals, Prospectus, Academic Calendar, Published at Bharatpur, Chitwan.  CMC journals, Newsletter, Academic Calendar, Published at Bharatpur, Chitwan.
 Administrative  CMC, Prospectus, Calendar, Chitwan  CMC Newsletter, Calendar, Citizen Charter, Chitwan
 Financial  Budget, and Audit Report Chitwan  Budget, and Audit Report, Chitwan
  118. Does the cell also collect responses, if any, on the published information?
 Yes. The cell collects responses on published information from various methods such as interaction Programme with students, faculty and staff meeting, meeting with local people, meeting with alumni etc. Similarly, responses are collected from social networking sites like face book pages, CMC websites and email etc.
 119. Is there any system to evaluate the impact of public information on quality improvements?
 Yes. CMC has a system to evaluate the impact of public information on quality improvements. The Public Information cell collects responses about published information from the stakeholders and forwards these to CMC Board which in turn evaluates them and incorporates in their decision making.
 120. Mention some positive impacts made by the public information practice.
 CMC has achieved the following positive impacts from the public information practices:
a. CMC public image has been substantially expanded.
b. The student's feel proud to institution and enrollment has been increased.
c. HR commitments towards CMC have been increasing.
Due to best practices of public information, CMC has been succeeded to develop student friendly physical facilities and infrastructures
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