Institute of Medicine, the central college of Tribhuvan University is the first medical college of Nepal and is in Maharajgunj, Kathmandu. It was established in 1972 and started to impart medical education from 1978. Other major institutions include Patan Academy of Health Sciences, Kathmandu Medical College, Nepal Medical College, KIST Medical College, Nepal Army Institute of Health Sciences, National Academy of Medical Sciences (NAMS) and Kathmandu University School of Medical Sciences (KUSMS), are also in or around Kathmandu.