Application Form for M.P.T 08-11-08 (1)

8/6/2019 Application Form for M.P.T 08-11-08 (1)

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INDIAN ASSOCIATION OF PHYSIOTHERAPISTS

APPLICATION FORM FOR AFFILIATION OF

POSTGRADUATE COURSE IN PHYSIOTHERAPY

Application for the first time affiliation / continuation of affiliation ( Tick whichever is applicable)to the existing Postgraduate course from the academic year ____________.

1) Name and address of the College /Institute

Tel.No. Telegram:Fax No. Email Address:

Name ,Address and Tel.No. of the person whom to contact -Prof &HOD /Principal / Dean /Director

2.1]- Establishment conducting BPTh programme --

a]-Since when? _____________________with Intake capacity -------------(Please attach the copy of

the Government permission letter

-)---------------------------------------------------------------------

b]- Is it recognized by the IAP ? Yes /No /Pendingc]-If b] is Yes then mention the duration of affiliation specifying academic years

d]-If b]-is Pending then give reason

e]- Complyment report and Action Taken Report for the University Inspections for past 3 years .Complyment report of the Government Inspection as well as the IAP inspection in the past .

2.2]-If the Establishment not conducting BPTh programme :

Specify if it is a 'Premier Institute' in the country as per Central or State Government withPhysiotherapy as a Teaching/ Research Department .Attach a statement detailing the Departmental

achievements activities to justify the claim


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DETAILS ABOUT THE PROPOSED AFFILIATION]

1]-Nomenclature of the Postgraduate programme --------------------[specify specialty/elective subjects ]

2]-Name of the college & address___________________________3]-Name & address of the Trust ---------------------------------------------

4]- Intake capacity per Elective : Not to exceed 6 in any single Elective Paper

5]--Total intake capacity at admission :Not to exceed 15 .

6]-i ) Audited Statement of accounts for past 3 yearsii) Budget provision------[attach details Head wise for next 2 years ]

Expenditure on salaries of Teaching staff and non-teaching staff on Roll / to be recruited

Laboratories and Equipment: Expansion and Replacement /Addition / Servicing

Books /Any new space / Research and Development /staff benefit schemes etc :

7]-University approval Yes / Pending [attach necessary documents]

a]-UGC approval if it is a Deemed university [-----do------------]

b]-Council / Central Government /State Government permission

8]-State Govt Approval-------------------------[---------do----------]

9]-Is the examination pattern of the proposed course as per IAP criteria If any changes specify

What steps are taken by the College to modify existing pattern ?

Any amendments proposed ?Please specify.

Do the College Teachers have any representation at the Council / University -BoA , Faculty.Academic Council ,Senate / Syndicate

10]-Eligibility Criteria for admission to the course :

a]-Are Eligibility criteria as per IAP norms ?

Are desirable criterion of 1 year experience followed for PG admission ?State percentage of fresh

graduates admitted to the course .


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11]-Infrastructure: [attach information in details]

A]-Details of theArea Total as well as per student area in Class rooms -----Tutorial Rooms

Total area Auditorium Common Rooms

Laboratories In-house: Name specifying area

Facilities acquired

Library UG PG

Office and Staff Rooms

Hostel accommodation Boys Girls

B]- Equipment / Laboratories[speciality wise ] as per IAP UG Recommendation to establish 6Departments with 2 Laboratories .

a)Dept. of Movement Sciences :Section Biomechanics ; kinesiotherapeutics .Labs

b) Dept. of Electrotherapeutics with Labs. Clinical Departments

c) Musculo-skeletal and Sports

d) Neurophysiotherapy -Adults and Pediatric

e)Dept. of Cardio-respiratory PT ; Exercise fitness and Analysis .

f)Dept. of Community Physiotherapy :

Sections -Women's Health ;Ergonomics ; Health Promotion ;Geriatrics .

Link up Laboratories facilities with D] below -the PG Teachers clinical teaching experienceEach Department be headed by Asstt .Professor and have one more Lecturer as per IAP norms .

C] Clinical facilities- i) Minimum 250 beds Own Hospital with specialities for UG/PG training : Bed strengthspecialitywise.

ii) Any Tie-up arrangement with other teaching hospitals MCI recognised ? Name suchSpecialities .Attach MOU.

iii) Any tie-up with non-teaching Speciality hospitals as per MCI pattern ? Attach MOU.

For i), ii), and iii ) can the College Teachers plan ,prescribe and implement / supervisePhysiotherapy evaluation and treatment ?

iv) Proportion of inpatient / outpatient clinical experience per student 1:4 ;2:3 ;3:2; 4;1; any

other?.


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v) Is there operational Mobile Physiotherapy unit for Community Physiotherapy? Spell outnature of CBR experience / Camps

vi) Is there any exposure to Disaster Medical Assistance Team ? Have the students in the past

completed First-Aid training as a part of College Syllabus ?

Are the PG students oriented in resuscitation procedures on entry to PG course ?

vii) Is there access to 30 beds / ward exclusively for Physiotherapy ?

viii) Does Physiotherapy OPD provide facility to patients referred only for Physiotherapy by theMedical practitioners in the community :

Allopathic / Ayurvedic /Homeopathic /Naturopathy and Yoga/

Physiotherapists /Occupational Therapists / Speech Therapists ?

To the patients self -referred for Physiotherapy only directly ?

D]-Details offull-timepostgraduate teaching staff :Do provide a separate sheet for every individual Teacher in PG unit with the followinginformation ,an attached photograph and an undertaking that he / she has not taken any full-Time jobwith any other College / University as a PG Teacher .

Do state IAP registration numbers in case of all the Teachers in the College for UG and PGprogrammes.

i]Qualificationsii] Teaching experience at UG level :

Name of Staff IAP Regn.Number Years ofExperience Clinicalsubjects

teaching

Name ofInstitute/

Institutes

University


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iii] Teaching experience at PG level

Name of Staff IAP

RegistrationNumber

Years of

Experience

Clinical

subjectsteaching

Name of

Institute/Institutes

University

iv]Department wise distribution of Teachers .Do Specify the Guides .

E] Is Guide-teacher : Student Ratio 1 : 3 ?

Is there ceiling on total admissions to 15 ?

Do the Elective Paper /speciality allotment to PG students and the PG Teachers UG / PG

experience in these Papers match ?

If not what arrangement is made to satisfy it in future ?This may be linked up toDepartmentation.

F] Library :NumberTextbooks

Reference books

Journals- Minimum 5 indexed international journals

Additional as per Elective Papers /Specialty,Books exclusively at the stock of Physiotherapy Library

Books having common access from the Central Library

Digital Library : Specify facilities


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12 ]-Syllabus of the course Do attach a copy of the same.

13 ]-Scheme of Evaluation : Internal Assessment :Specify Hours / week for Assignments / Journal club / Log-book / Case

presentation / Clinical Work

Participation in UG teaching / Participation in Community services etc

Grading of the performance

a]-eligibility for admission to the Final examination-Internal assessment reports ; submission ofcompleted and certified dissertation project.

b]- Pattern of examination---

c]-Criteria of passing the examination

14 ]Do the teachers participate / represent in Management ?a )On Governing Council

b)Redressal / Disciplinary Committee

c) Ethical Committee for Research and Servicesd) College Academic Committee

15 ] Students' Participation / Representation in various College activities .

Are PG students oriented in Ethics/ Teaching methodology /Research / and Community services

on entry to PG course ?

Date

Signatures with Designation and seal

Chairman / Secretary of the Trust Principal

Applications for recognition of the Institute by INDIAN ASSOCIATION OF HYSIOTHERAPISTSshould be completed enclosing all the additional information as required and sent toDr. Bhanwar Singh Takhar, P.T ,Convenor, Post-Graduate Studies and Research of IAP

Room No:203, Calgiri Eye Hospital Campus,Malviya Nagar, Jaipur, RajastanE mail: [email protected]: 00-91-9414832655Kindly enclose a Demand Draft forRs.20,000/- favoring "The Indian Association ofPhysiotherapists" and the Demand Draft payable at Indore as the inspection fees. Kindlydownload the criteria of recognition of institutions by IAP from the websitewww.physiotherapyindia.org or write to the secretary for the needful.

Documents

Application Form for M.P.T 08-11-08 (1)