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Internal Medicine


Specialists



Departments



MESSAGE FROM THE CHAIRMAN

Why Internal Medicine Matters More Than Ever

The Internist — “The Physician for the Whole Patient”

Modern healthcare has witnessed extraordinary advances in subspecialty care. While specialists offer deep expertise in individual organ systems, many patients today live with multiple chronic conditions that affect several organs at once. In this increasingly complex environment, the role of the Internist has become more vital than ever.

The Internist is uniquely trained to view the patient as a whole, rather than through the lens of a single disease or organ system. Internists integrate information across specialties, prioritise competing medical problems, prevent fragmented care, reduce unnecessary investigations, and ensure that every treatment decision remains patient-centred.

Whether managing an elderly patient with diabetes, heart disease, kidney dysfunction, and arthritis, or evaluating a young adult with unexplained fever and multisystem illness, the Internist serves as the clinical coordinator, diagnostician, and trusted physician who connects the various components of care.

In an age when patients often consult multiple specialists for individual symptoms, Internal Medicine remains the specialty that brings everything together.

The Internist is not merely a specialist of one organ system — the Internist is the specialist of complexity.

Dr Atul Kakar

Chairman, Department of Internal Medicine

ABOUT THE DEPARTMENT

The Department of Internal Medicine at Sir Ganga Ram Hospital stands among India’s most distinguished centres for adult healthcare, combining a rich legacy of clinical excellence with a forward-looking commitment to innovation, research, education, and patient-centred care.

As the cornerstone specialty of modern medicine, Internal Medicine provides comprehensive evaluation, diagnosis, treatment, and prevention of diseases affecting adults across all organ systems. Our department is the first point of contact for patients with complex, multisystem illnesses, and the central coordinating specialty in multidisciplinary care.

As medicine becomes increasingly specialised, patients need physicians who can integrate knowledge across disciplines, manage multiple coexisting illnesses, coordinate complex care pathways, and maintain a holistic understanding of health and disease. Internal Medicine fulfils this role not simply as another specialty service, but as the central coordinating specialty, the diagnostic leader, and the home of complex care.

Guided by the principles of evidence-based medicine, precision diagnostics, ethical practice, and compassionate healing, our physicians deliver care that meets the highest international standards while remaining deeply personalised to every patient.

Our team of highly experienced consultants, physicians, educators, and researchers provides comprehensive care for acute illnesses, chronic diseases, preventive health needs, and complex diagnostic challenges. Through a unique integration of clinical expertise, advanced technology, academic excellence, and compassionate care, we strive to improve lives and shape the future of medicine — serving as the bridge between specialties, the home of diagnostic excellence, and the centre of comprehensive adult patient care.

OUR VISION

To be a globally recognised centre of excellence in Internal Medicine — advancing patient care, medical education, scientific research, and healthcare innovation.

OUR MISSION

  • Deliver outstanding, evidence-based clinical care.
  • Advance medical knowledge through impactful research.
  • Train the future leaders of medicine.
  • Promote preventive healthcare and healthy living.
  • Foster innovation through digital health and precision medicine.
  • Improve health outcomes for individuals and communities.

CLINICAL SERVICES

The Department of Internal Medicine provides comprehensive care across the entire spectrum of adult disease.

General Internal Medicine

Our specialists provide expert evaluation and management of:

  • Diabetes mellitus and metabolic disorders
  • Obesity — medical management and its complications
  • Hypertension
  • Cardiovascular disease
  • Thyroid and endocrine disorders
  • Respiratory diseases
  • Kidney diseases
  • Liver and gastrointestinal disorders
  • Infectious diseases
  • Neurological disorders
  • Rheumatological and autoimmune diseases
  • Haematological disorders
  • Nutritional and metabolic disorders
  • Fever of unknown origin
  • Complex multisystem diseases

Acute and Emergency Medicine

The department is equipped to manage a wide range of medical emergencies, including:

  • Sepsis and severe infections
  • Acute metabolic emergencies
  • Electrolyte disturbances
  • Acute respiratory illnesses
  • Multi-organ dysfunction syndrome
  • Poisoning and toxicological emergencies
  • Critical conditions requiring rapid diagnosis and intervention

Complex Diagnostic and Undiagnosed Disease Clinic

One of the defining strengths of Internal Medicine is its ability to solve complex diagnostic challenges. The department serves as a referral centre for patients with:

  • Fever of unknown origin
  • Unexplained weight loss
  • Recurrent inflammatory syndromes
  • Multisystem disorders
  • Diagnostic uncertainty despite multiple consultations
  • Rare diseases
  • Autoimmune and autoinflammatory conditions
  • Persistent, unexplained symptoms

Our physicians combine careful clinical evaluation, advanced diagnostics, multidisciplinary collaboration, and evidence-based reasoning to arrive at accurate diagnoses and personalised treatment plans. When symptoms do not fit neatly into a single specialty, Internal Medicine provides the comprehensive approach required to identify the underlying disease.

Geriatric Medicine

Dedicated services for older adults include:

  • Comprehensive geriatric assessment
  • Frailty evaluation
  • Osteoporosis management
  • Dementia and cognitive assessment
  • Polypharmacy review
  • Fall-prevention strategies
  • Healthy-ageing programmes

HIV Medicine, Immunodeficiency and Chronic Infection Programme

The department has extensive experience in the care of people living with HIV, and has witnessed the remarkable transformation of HIV from a fatal illness into a chronic, manageable medical condition.

Today, HIV care extends far beyond viral suppression. Patients frequently require comprehensive management of metabolic disease, cardiovascular risk, renal and liver disease, malignancies, ageing-related conditions, and complex drug interactions. Our services include:

  • HIV screening and early diagnosis
  • Antiretroviral therapy initiation and optimisation
  • Drug-resistance evaluation and treatment modification
  • Management of opportunistic infections
  • Tuberculosis–HIV co-infection management
  • Viral hepatitis co-infection care
  • Adult vaccination and preventive health services
  • Long-term monitoring of treatment toxicity
  • Cardiovascular and metabolic risk reduction
  • Healthy ageing for people living with HIV
  • Comprehensive counselling and adherence support

We are committed to providing evidence-based, confidential, stigma-free, and compassionate care, while upholding the highest standards of clinical excellence and patient dignity.

Rheumatology, Autoimmune and Systemic Disease Programme

The department has developed particular expertise in the diagnosis and management of autoimmune, inflammatory, and multisystem rheumatic diseases, many of which present with complex and challenging clinical manifestations.

Our physicians frequently evaluate patients with undiagnosed systemic illness, prolonged fever, unexplained inflammatory syndromes, vasculitis, connective tissue disease, and immune-mediated organ involvement. Because so many rheumatological illnesses affect multiple organs at once, Internal Medicine provides an ideal framework for comprehensive, coordinated care. Areas of special expertise include:

  • Early inflammatory arthritis clinics
  • Difficult-to-diagnose autoimmune disorders
  • Systemic lupus erythematosus and lupus nephritis
  • ANCA-associated and large-vessel vasculitis
  • Spondyloarthritis and psoriatic arthritis
  • Rheumatoid arthritis and biologic therapy monitoring
  • Sjögren syndrome and connective tissue diseases
  • Myositis and inflammatory muscle disorders
  • Autoimmune neurological and pulmonary manifestations
  • Osteoporosis and metabolic bone disease

Preventive and Lifestyle Medicine

Recognising that prevention is the cornerstone of healthcare, the department offers:

  • Executive health check-ups
  • Comprehensive preventive health assessments
  • Cardiovascular risk screening
  • Diabetes-prevention programmes
  • Obesity and weight-management clinics
  • Smoking-cessation services
  • Lifestyle-modification counselling
  • Personalised wellness programmes

ADVANCED PROCEDURES & POINT-OF-CARE SERVICES

The department incorporates modern bedside diagnostics and minimally invasive procedures to ensure timely diagnosis and effective patient management.

Bedside Ultrasound Assessment

  • Lung disease
  • Pleural effusion
  • Cardiac function assessment
  • Deep-vein-thrombosis screening
  • Fluid-status evaluation
  • Ascites detection

Ultrasound-Guided Procedures

  • Pleural aspiration
  • Ascitic fluid aspiration
  • Joint aspiration
  • Soft-tissue procedures
  • Vascular-access procedures

Additional Diagnostic & Therapeutic Procedures

  • Lumbar puncture — for diagnosis of neurological and infectious disorders
  • Bone-marrow aspiration and biopsy — for haematological disease and unexplained cytopenias
  • Arterial blood gas analysis — for rapid assessment of critically ill patients
  • Central venous access — internal jugular and femoral cannulation, with central venous pressure monitoring

ADULT VACCINATION & IMMUNISATION CENTRE

The Department of Internal Medicine strongly advocates disease prevention through evidence-based adult vaccination. Our dedicated Adult Vaccination Clinic offers comprehensive immunisation services based on national and international recommendations.

Respiratory Vaccines

  • Influenza vaccine
  • Pneumococcal vaccines
  • COVID-19 vaccines
  • RSV vaccine for eligible adults

Routine Adult Vaccines

  • Tetanus, diphtheria and pertussis (Tdap)
  • Hepatitis B vaccine
  • Human papillomavirus (HPV) vaccine
  • Varicella vaccine
  • MMR vaccine

Travel Vaccines

  • Typhoid vaccine
  • Hepatitis A vaccine
  • Yellow fever vaccine
  • Meningococcal vaccine

Special Vaccination Programmes

Dedicated vaccination services for:

  • Elderly individuals
  • Patients with diabetes
  • Immunocompromised patients
  • Healthcare workers
  • International travellers

CENTRES OF EXCELLENCE

Diabetes & Metabolic Health Programme

Comprehensive management of diabetes and metabolic disorders, including advanced glucose monitoring and cardiovascular risk reduction.

Fever & Infectious Diseases Clinic

Expert evaluation of fever of unknown origin, tropical infections, travel-related illness, and antimicrobial stewardship.

Hypertension & Cardiovascular Risk Clinic

Focused care for patients with resistant hypertension, metabolic syndrome, and high cardiovascular risk.

Multisystem Diagnostic Clinic

Evaluation of complex and difficult-to-diagnose medical conditions.

RESEARCH & INNOVATION

Research is an integral part of our mission. The department actively participates in:

  • Clinical research
  • Translational medicine
  • Preventive healthcare research
  • Diabetes and metabolic disease research
  • Infectious disease studies
  • Cardiovascular medicine research
  • Geriatric medicine research
  • Quality-improvement initiatives
  • Artificial intelligence and digital health projects

Through research and innovation, we aim to generate knowledge that improves patient outcomes and advances medical science.

EDUCATION & ACADEMICS

Postgraduate Teaching

The department has conducted postgraduate training under the National Board of Examinations in Medicine since 1984. Each year, six students receive intensive training in internal medicine and its subspecialties. Our postgraduate seats are highly sought after, and the department consistently achieves a very high ranking in the NEET-PG examinations.

Continuing Medical Education — “Medicine Update”

Our “Medicine Update” conference is a true legacy of academic excellence. One of the department’s most distinguished contributions, this flagship continuing medical education programme has been conducted successfully for 37 consecutive years.

Medicine Update is recognised as one of the country’s most respected academic forums, bringing together eminent national and international experts, clinicians, researchers, and healthcare professionals to discuss the latest advances in medicine. Every year, the conference delivers comprehensive, evidence-based updates on:

  • Emerging diseases
  • Breakthrough therapies
  • New clinical guidelines
  • Advances in diagnostics
  • Precision medicine
  • Artificial intelligence in healthcare
  • Preventive medicine
  • Complex clinical challenges

Over nearly four decades, Medicine Update has educated and inspired thousands of physicians and healthcare professionals across the country, helping translate scientific discovery into better patient care. The conference’s continued success reflects the department’s unwavering commitment to lifelong learning, academic excellence, and the advancement of medical practice.

Our Publications

The department maintains a strong academic presence through scholarly publications and scientific contributions. Faculty members regularly contribute to:

  • Peer-reviewed national journals
  • International medical journals
  • Review articles
  • Clinical practice guidelines
  • Consensus statements
  • Book chapters
  • Editorials
  • Case reports
  • Systematic reviews and meta-analyses
  • Scientific position papers

Faculty and trainees frequently present original research at national and international conferences, contributing to the advancement of medical knowledge and evidence-based practice. Our consultants have also authored books for public education; these are available at the hospital reception and on Amazon.

QUALITY & PATIENT SAFETY

Patient safety and quality care are central to our practice. Our initiatives include:

  • Evidence-based clinical protocols
  • Infection-prevention programmes
  • Antimicrobial stewardship
  • Medication-safety systems
  • Clinical audits
  • Quality-improvement projects
  • Outcome monitoring
  • Patient-feedback programmes

WHY CHOOSE THE DEPARTMENT OF INTERNAL MEDICINE?

Comprehensive adult healthcare under one roof

Distinguished faculty with national and international expertise

State-of-the-art diagnostics and advanced technology

Dedicated preventive health and vaccination services

A strong academic and research ecosystem

A prestigious 37-year legacy of Medicine Update

Multidisciplinary, collaborative care

A commitment to quality, safety, and innovation

Personalised, compassionate patient care

SHAPING THE FUTURE OF MEDICINE

More than a clinical department, we are a centre of healing, learning, discovery, and innovation — integrating advanced science with compassionate care to improve lives and advance the future of healthcare.

Advancing Medicine. Transforming Lives. Inspiring Excellence.

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