Dr. (Col) Vishal Marwaha

Principal, School of Medicine, Kochi
Head of Department, Rheumatology, School of Medicine, Kochi
Professor, Rheumatology, School of Medicine, Kochi
Qualification: 
MD, MBBS, DNB
Email: 
vishalm@aims.amrita.edu

Dr. (Col) Vishal Marwaha currently serves as Principal and Professor and Head, at Department of Rheumatology, School of Medicine, Kochi. 

Qualification: MBBS, MD, DNB, MNAMS

Education

Year Qualification Affiliation
1984 – 1988 MBBS Pune University (Armed Forces Medical College)
1992 – 1995 a) MD (General Medicine)
b) DNB (Medicine) 1996		 a) Pune University (Armed Forces Medical College),
Awarded Manakkal Silver Medal for standing second in Pune University
b) National Board of Examination, New Delhi
2002 – 2004 (2 Years) Training in Rheumatology AIIMS, New Delhi
2003 (5 Weeks) Observership in Rheumatology Nottingham University, UK (City Hospital & Queen’s Medical Centre)

Professional Appointments

International Level

Year Experience
April 1999 - July 2001 Position Held: Medical Specialist
Employer: Indian Army
Institution: Indo- Bhutan friendship hospital, Thimpu, Bhutan
Main Activities & Responsibilities: Medical Specialist. Involved in treatment of OPD& in hospital patients of Bhutan & Indian nationals in Bhutan. Headed the hospital for one year. Unique experience both clinically & administratively.
April – May 2003​                           Position Held: Observer in Rheumatology
Employer: Indian Army
Institution: Nottingham university, UK (City Hospital & Queen’s Medical Centre)
Main Activities & Responsibilities: 5 Week observership in Rheumatology in Nottingham, UK. Got good exposure to use of biologics & musculoskeletal ultrasound.
August – September 2008​ Position Held: Medical Specialist
Employer: Indian Army
Institution: Command Hospital (Central Command), Lucknow.
Main Activities & Responsibilities: Part of a medical team for 04 weeks which saw patients in remote areas in remote areas in Nepal like Surkhet, Besisahar, Gorkha, Butwal & pokhra.

National Level

Year Experience
December 1988 – December 1989 Position Held: Internee MO
Employer: Indian Army
Institution: Command Hospital (Air Force) Bangalore
Main Activities & Responsibilities: Managed emergencies and accidents in specialties of Surgery, Medicine, Gynaecology and Paediatrics Clinical inpatient and outpatient work in above specialties. Teaching of nursing and paramedic staff.
January 1990 – December 1991                         Position Held: Regimental Medical Officer
Employer: Indian Army
Institution: 11 Armed Regt. (Tank Regt, In Lalgarh Jattan, Rajasthan)
Main Activities & Responsibilities: 
  1. OPD management of unit soldier & their families. On Call during nights for emergencies.
  2. In Hospital care of patients in section hospital.
  3. Classes and training of Paramedical staff.
December 1991 – December 1992

Position Held: Medical Officer
Employer: Indian Army
Place: Alwar, Rajasthan
Main Activities & Responsibilities: 

  1. Inpatient and Outpatient care as well as emergency care and evacuation of troops deployed in operational area.
  2. Administration and management of field unit and participation in war exercise.
December 1992 – December 1995​

Position Held: Medicine
Employer: Indian Army
Institution: Armed Forces Medical College, Pune
Main Activities & Responsibilities: 

  1. Training in Medicine, inpatient as well as outpatient. Dissertation work (exposed to  research methodology) 
  2. Ward administration
  3. Teaching of undergraduates in beside clinics and teaching of nursing and para-medical staff.
December 1995 – March 1999​

Position Held: Medical Specialist
Employer: Indian Army
Institution: 172 Military Hospital (Tibri), Punjab
Main Activities & Responsibilities: 

  1. Management of Medical patient, in patient as well as outpatients of the troops posted in and around  Tibri (Punjab) their families, ex- servicemen
  2. Ward administration
  3. As facilities were limited. One had to rely a lot  on clinical acumen.
Jul 2001 – April 2002​

Position Held: Medical Specialist
Employer: Indian Army
Institution: Command Hospital (Eastern command), Kolkata.
Main Activities & Responsibilities: 

  1. In patient & outpatient care of medicine patients.  PG training of MD students. 
  2. Conducted medical camps for all families in the cantonment.                                                                   
April 2002 – April 2004

Position Held: Rheumatology Trainee (on Study leave from Army)
Employer: Indian Army
Institution: AIIMS, New Delhi
Main Activities & Responsibilities: Received training in field of Rheumatology & Clinical Immunology. Also given exposure in Orthopaedics, transplant Immunology & Physical Medicine & Rehabilitation. Sent for 5 weeks observership in Rheumatology to Nottingham University, UK.                                                                   
April 2004 – June 2007

Position Held: Medical Specialist & Rheumatology
Employer: Indian Army
Institution: Army Hospital (R &R), Delhi Cantt.
Main Activities & Responsibilities: 

  1. Rheumatology  care to all troops and their families referred to the centre (Tertiary referral centre of Armed Forces)
  2. Practice of General Medicine in emergency Care as well as inpatient as per requirements of the hospital.
  3. Teaching of post graduate medical students. Classes as well as clinics in general medicine.
  4. Worked as clinical collaborator in a DBT project & was co –worker in an AFMRC Project.
  5. Used intraarticular Yttrium in patients with recurrent synovitis.
  6. Got exposure  to musculoskeletal ultrasound.
July 2007 – May 2010

Position Held: Medical Specialist & Rheumatologist
Employer: Indian Army
Institution: Command Hospital (Central command) Lucknow
Main Activities & Responsibilities: 

  1. HOD, Rheumatology Department. Rheumatology care to all troops and their families referred to the centre (Tertiary referral centre of Armed Forces)
  2. HIV care to all troops & families in region of  Responsibility.
  3. Teaching of postgraduate medical students MD  (General Medicine).
  4. General Medicine practice & emergency call  duties as per requirement of the hospital.
  5. I went on a 4 week tour in Nepal to see. Medical patients in remote locations in Nepal
June 2010 – August 2014

Position Held: Prof & Senior Adviser (Medicine) & Rheumatologist
Employer: Indian Army
Institution: Command Hospital (Western Command), Chandimandir.
Main Activities & Responsibilities: 

  1. Prof & HOD, Rheumatology department. Rheumatology care to all troops and their families Referred to the centr (Tertiary referral centre of Armed Forces)
  2. HIV care to all troops & families in region of  Responsibility.
  3. Teaching of post graduate medical students MD (General Medicine).
  4. General Medical Practice & emergency call duties and also as per requirement of the hospital.
  5. Did CT guided sacroiliac joint injections the Centre for the first time.

PG Teaching Experience

Year Experience
2001 – 2002 PG Teacher in Medicine or Rheumatology - Command Hospital (EC), Kolkata
2002 – 2004 PG Teacher in Medicine or Rheumatology - AIIMS, New Delhi
2004 – 2007 PG Teacher in Medicine or Rheumatology - Army Hospital (R&R), Delhi Cantt.
2007 – 2010 PG Teacher in Medicine or Rheumatology - Command Hospital, Lucknow
2010 – 2014 PG Teacher in Medicine or Rheumatology - Command Hospital, Chandimandir
2012 Professor of Medicine - Pandit BD Sharma University of Health Sciences, Rohtak
2013 MD Examinership - (MD Medicine) - Pandit B D Sharma University of Health Sciences, Rohtak (Internal)
2014 Professor of Medicine - WBUHS, Kolkata
2014 - 2016 PG Teacher in Medicine or Rheumatology - Command Hospital, Kolkata
2016 MD Examinership - (MD Medicine) -  WBUHS, Convener of MD Exam in Medicine & Internal Examiner
2016 – Present  PG Teacher in Medicine or Rheumatology - Amrita Institute of Medical Sciences
  Post Graduate Guide -  Pandit BD Sharma University of Health Sciences, Rohtak
1 MD Student
Co Guide - 1 MD Student
Post Graduate Guide - WBUHS
Guide - 3 MD Students

Research Projects

  1. Principal Worker – 01 (Armed Forces Medical Research Council Project), 3619/2007 titled. A study to evaluate the prevalence of ANCA in patients with multi system dysfunction and with lung parenchymal disorders and to ascertain the role of ANCA in diagnosis and follow up of patients with systemic vasculitis.
  2. Co- worker – 01 (Armed Forces Medical Research Council Project).

Awards

Military

  1. Chief of Army Staff Commendation for Meritorious Service – 2012
  2. General Officer Commanding – in – Chief Commendation for Meritorious service twice in 2008 & 2010 by GOC – in – C, Central Command.

Civil

  1. Manakkal Silver medal (MD General Medicine) - 1995
  2. Young investigator award (APLAR) Jeju, Korea - 2004
  3. International Scholarship, Japan College of Rheumatology - 2006

International Conferences Attended

  1. British society of Rheumatology (BSR), 2003 – Presented poster on Scleroderma in Manchester, UK.
  2. Japan College of Rheumatology(JCR), 2006 (Awarded International Scholarship) - Presented paper on Leflunomide toxicity in Nagasaki, Japan and was the official delegate from Indian Army.

Professional Membership

  1. Indian Rheumatology Association
  2. Association of Physicians of India

Editorial / Referee

  1. Past Member, Editorial board, Indian Journal of Rheumatology.
  2. Past Referee, Medical Journal Armed Forces of India

Conferences Organization

  1. Organizing secretary, (CME in Medicine in IBFH, Thimpu, Bhutan, 1999, 2000)
  2. Treasurer, CME in Rheumatology, Army Hospital (R & R ), 2006
  3. Treasurer, CME in Emergency Medicine, Command Hospital, Chandimandir, 2013

Publications

Publication Type: Journal Article
Year of Publication Title

2021

Beena Kunheri, J. Lakshmi, Greeshma C. Ravindran, Haridas, and Dr. (Col) Vishal Marwaha, “Helical tomotherapy for prostate cancer radiation therapy: An audit of early toxicity and quality of life”, Journal of Cancer Research and Therapeutics, vol. 17, no. 2, pp. 366 - 371, 2021.[Abstract]


Background: Radiation plays a major role in the management of localized prostate cancer (CaP). There are limited studies reporting the quality of life (QOL) and toxicity with CaP tomotherapy.Materials and Methods: This is a single-institutional prospective observational study evaluating the acute toxicity and QOL of patients with CaP receiving tomotherapy from May 2018 to October 2019. Toxicity assessed using radiation therapy oncology group toxicity grading. QOL assessed using International Prostate Symptom Score (IPSS) and QOL score.Results: A total number of 74 patients received radiation therapy (RT), of which 25 had postoperative RT and 49 had radical RT. The median age was 71 years. During RT, 8 (10.8%) had Grade 2 gastrointestinal (GI) and 4 (5.4%) had Grade 2 genito urinary (GU) toxicities. At 3 months, 1 (1.4%) had Grade 2 GI, 1 (1.4%) had Grade 2 GU, and 1 (1.4%) had Grade 3 GU toxicities. At 6 months, 1 patient had Grade 2 GU and no Grade 2 GI toxicity noted. In postoperative RT Group, 2 (8%) Grade 2 GI and 1 (1.4%) Grade 2 genitourinary toxicity reported during radiation. At 3 months, 1 (1.4%) Grade 2 GI, 1 (1.4%) G2 GU, and 1 (1.4%) G3 GU toxicities noted. At 6 months, no ≥ Grade 2 noted. In radical RT group, during radiation 6 (12.2%) Grade 2 GI and 3 (6.1%) Grade 2 GU recorded. At 3 and 6 months, no ≥ Grade 2 GI/GU toxicity was recorded. No Grade 3/Grade 4 observed in radical RT group. One patient in radical RT and one in postoperative RT had severe IPSS symptom score. Results are comparable to reported studies.Conclusion: Our initial clinical experience with helical tomotherapy in CaP confirms lower rate of toxicities and no significant worsening of QOL with RT.

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2020

Dr. (Col) Vishal Marwaha, Anu Sasidharan, and Greeshma C. Ravindran, “Assessment of the Feedback Questionnaire from Students for a Weekend”, Indian Journal of Forensic Medicine & Toxicology, vol. 14, no. 2, pp. 158-163, 2020.[Abstract]


Competency Based Medical Education (CBME) and Curriculum Implementation Support Program (CISP) are gaining a lot of momentum in India. Lecture still remains as a very important large group teaching method. Attendance of the students was seen to be reduced in weekend lectures. The primary objective of this research work was to estimate the understanding of learning objectives of the previous weekend lecture; and to get the students’ feedback on ‘status of attendance’, ‘relevance of weekend lectures’, ‘acceptance as adult learners’ and ‘marking proxy attendance in lectures’. The secondary objective was to find the association of the answers with that of ‘status of attendance’. The tertiary objective was to check if any association existed between students’ responses of ‘relevance of weekend lectures’, ‘marking of proxy attendance in lectures’ and ‘acceptance as adult learners’. A feedback questionnaire tool post validation was conducted unannounced following the weekend lecture and students voluntarily participated in the same – sample size was 82. The students who had attended the lecture had given the maximum number of correct responses. The largest group of responses were ‘not answered’ and they belong to those who had not attended the lecture. All these interpretations of associations were found to be highly significant statistically - p < 0.001. There was an association between responses of ‘acceptance as adult learners’ with that of ‘marking proxy attendance in lectures (as bad attitude)’ - p < 0.049.

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