Rajiv Gandhi Institute of Medical Sciences (RIMS) is situated in Adilabad, Telangana. This college was founded by the Government of Andhra Pradesh in 2008. The RIMS Medical College & Hospital , the dream institute of our former Hon’ble Chief Minister –Dr. Y.S. Raja Shekar Reddy. This Medical Institute started functioning from 24th August 2008.The first batch of Under Graduates admitted in August 2008. RIMS Adilabad was established in 53.5 acres of land side by NH–7 in the year of 2008, work was started on 1-2-2008. The principal objective of establishment of this institute is to improve quality of health care in this backward region and make medical education accessible to all the eligible students of the region. The Government of Andhra Pradesh had taken special interest in allocation of budget to this institute, close monitoring of quality of construction and completion of project within given time frame. Such an infrastructure is not available anywhere in the State. The first MCI Inspection took place in 2008 and was followed by another 4 inspections. Very few colleges in the state have 100 admissions per year. The MCI Inspectors were also astonished seeing infrastructure & equipment provided to the institute. The Institute has passed through all the MCI inspections successfully without any interruption. The first batch of Under Graduates admitted entered final MBBS. The Team constituted by Dr. NTR University of Health Sciences inspected the college in July 2010. Sudden budding of new institutions all over the country, availability of limited Post Graduate seats in the country and other conditions made acute shortage of Qualified Staff throughout the country. For any new budding institute, satisfying the norms of MCI regarding staff is an Herculean Task. The Corporate Medical Colleges are attracting the qualified hands with attractive salaries and with other benefits. Hence, majority of Government Medical Colleges are without adequate qualified hands. Government of AP made alternate arrangements to attract more number of qualified hands by introducing semiautonomous regulations to the Faculty wherein lumpsum salaries are paid without pension benefits and other service facilities. The continuous efforts of Director of Medical Education & RIMS Authorities succeeded to recruit reasonably good number of qualified hands. The staff position in the institute is reasonably good compared to other Government and Private Medical Colleges. Specialist’s services are very essential at Tertiary Level Care Hospitals like RIMS. The Administrators are facing difficulty in recruiting Specialists especially in Radio diagnosis & Radiotherapy, Psychiatry and General Medicine. In the past, RIMS Hospital was a secondary level care hospital i.e., District Hospital. It was located in Adilabad town. Now the daily out patient’s attendance has reached 1200. Specialty services: General Medicine, General Surgery, OBGY, Pediatrics, Orthopedics, Skin & STD, TB & CD, Anesthesia, Lab services in Pathology, Microbiology & Biochemistry, Radiology, Psychology, ENT, Ophthalmology, Dentistry, Casuality, MICU & SICU, RICU, PICU, NICU