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Tamil Nadu forcing government doctors to undergo anaesthesia training?

Madurai: Dr P P Ramajeyam, an assistant surgeon posted at Government Hospital, Peraiyur, has filed a writ petition in the Madras High Court Bench alleging that the state government is compelling government doctors possessing MBBS degrees to undergo a Life Saving Anaesthetic Skill (LSAS) training course that leads to a certification authorising them to administer general anaesthesia and spinal anaesthesia to obstetrics and gynaecology patients.

Admitting the writ petition Justice K Venkataraman directed a government counsel to take notice on behalf of the joint director of health services and other official respondents.

“Though the LSAS is only an optional training, all the government doctors with MBBS degrees are being compelled to participate in the training without getting their willingness… I never sent any application to undergo LSAS training. But without any application and without my consent, I was directed by the joint director to join LSAS training at Madurai Medical College,” says Dr Ramajeyam.

According to the petitioner, the LSAS training, spanning for 24 weeks, covers all aspects of clinical anaesthesia and basic sciences. The trainees should complete 100 cases of spinal anaesthesia, 30 cases of general anaesthesia, 10 cases of epidural anaesthesia, and 10 cases of laryngeal mask insertion apart from cardio pulmonary circulatory resuscitation (CPCR) and cannulation on mannequins. [Source: Hindu]

6 Comments

  1. Senthil Senthil Tuesday, July 2, 2013

    before going into all the arguments stated above kindly look into the fact that except for IOG in tamilnadu do other institutions in tamilnadu designated for LSAS training do really impart any training at all to the trainees,especiallly in general anaesthesia, LMA and proper airway management. truth is that the faculties in anaesthesia blatantly refuse to train the trainees with GA skills.especially in Tiruchy medical college, Coimbatore medical college, thanjavur medical college and chenglepet medical college, the net result is that, the trainees turn out to be killers than life savers.

  2. DR. HAQ DAD DURRANI DR. HAQ DAD DURRANI Tuesday, February 12, 2013

    is there any special pay /allowance for anaestetists ? IF YES HOW MUCH ABOVE SURGEON?

  3. Editor Editor Monday, April 23, 2012

    Dear Editor,
    ‘forced’ anaesthesia training for 24 weeks is not an answer to the shortage of anaesthetists. That too for obstetrics cases where two lives are involved. A specialist anaesthetist 24X7 works in a hospital, gets training and experience under senior doctor and practice anaesthesia. At any time when he is in trouble there are seniors to help him in difficult cases.
    The solution for the shortage is, Posting of medical college / Govt. hospital doctors to peripheral hospitals in rotation. (compulsory for all). No political interference. Provide necessary facilities to the doctor.
    Dr.Jaya
    [Note: The comment was sent to editor@aalatimes.com. This is being posted here for wider dissemination.]

  4. S KUMAR S KUMAR Monday, April 23, 2012

    fact is that, after M.D in anaesthesia most od doctor working as senior resident or registar in various institute to continue learing anaesthesia. anaesthesia is a very large subject and (4-yr M.D. in US) Obstetric anaesthesia is most challenging out of them.yes this skill can be helpful some times to save life, but it is not et al sufficient to give anaesthesia.After working nearly 12 yr in anaesthesia, with my personal exprience, I will advice they should not routinly give anasthesia. only they can resuciate the patient and as early as possible they should sift to center where qualified anaesthesiologist(m.d./d.n.b./d.a/) AVAILABLE.

  5. Dr. M C Gupta, Advocate Dr. M C Gupta, Advocate Sunday, April 22, 2012

    What are your comments about the TN Govt. scheme to impart LSAS training to doctors?

    QUESTION—What are your comments about the recent TN Govt. move to impart LSAS training to its doctors without asking for their willingness?

    ANSWER—

    1—The basic facts are as follows:
    a—The Life Saving Anaesthetic Skill (LSAS) training course is a 24 weeks course that covers all aspects of clinical anaesthesia and basic sciences. The trainees should complete 100 cases of spinal anaesthesia, 30 cases of general anaesthesia, 10 cases of epidural anaesthesia, and 10 cases of laryngeal mask insertion apart from cardio pulmonary circulatory resuscitation (CPCR) and cannulation on mannequins. It leads to a certification authorising them to administer general anaesthesia and spinal anaesthesia to obstetrics and gynaecology patients.
    b—The course will presumably be attended by government doctors without any course fee and doctors attending the course would be treated as on duty and will get regular salary.
    c– Dr P P Ramajeyam, an assistant surgeon posted at Government Hospital, Peraiyur, has filed a writ petition in the Madras High Court Bench alleging that the state government is illegally compelling him to join LSAS training at Madurai Medical College even though he never applied for it. His contention is that such a training was ultra vires to the Constitution and contrary to the provisions of the Indian Medical Council Act, 1956, and the Indian Medical Degrees Act, 1916, and was being given to government doctors without the permission of Medical Council of India. “As per medial norms and ethics, a doctor should not practice in a branch of medicine without possessing statutorily prescribed qualification relevant to that branch. The certificate issued after the completion of LSAS training is not statutorily prescribed qualification to give anaesthesia to patients,” the petitioner’s affidavit read.
    The news item can be viewed at—
    http://www.thehindu.com/news/cities/Madurai/article3332604.ece

    2—Anaesthetists are in short supply and India needs more anesthetists. Maternal mortality is high in India and one reason for the same is that anaesthetists are not available when expecting mothers have to be operated. In any case, every doctor posted in a hospital should be able to undertake laryngeal mask insertion apart from cardio pulmonary circulatory resuscitation (CPCR).
    3—When somebody joins government service, he is under an obligation to be posted anywhere. Posting a doctor to the venue of training would be legally covered under such obligation.
    4—A degree or diploma in anesthesia is not a must to administer anesthesia. Army gives similar trains its doctors and such doctors validly give anesthesia to patients.
    4—I think the petitioner will not succeed in his petition if the case is properly argued by the respondents.
    5—Even if he wins, the government would be within its rights to do the following:
    a–Not to post in hospitals those doctors who have not completed the Life Saving Anaesthetic Skill (LSAS) training course.
    b—Not to depute for pursuing MD (Anesthesia) or other postgraduate courses those government doctors who have not completed the Life Saving Anaesthetic Skill (LSAS) training course.
    c—Give a monetary allowance or other incentives to those who undergo such training.
    6—It will be in the interest of doctors themselves, as also of the society, to welcome this opportunity for training and not to oppose it.

    —-Dr. M C Gupta (Former Professor and Dean)
    MD (Medicine), LLM
    Advocate (Delhi Bar Council no. 857/2001)
    Ph: 9999-333-801
    22 April 2012

  6. GovtDoc GovtDoc Sunday, April 22, 2012

    bravo, dr P P Ramajeyam. Would not be surprised if after this ‘optional’ training in LSAS, govt surgeons are asked to give Spinal / LMA anesthesia to pts besides their expected tasks as Gen Surgeon. Ideally whether in Private or Govt hospital , even for minor procedures under local anesthesis – there should be anesthetist available [ even standby in same premises] for expert resuscitation in case of any unexpected adverse event like anaphylaxis, shock etc. Instead of focusing whether clinical branch doctors are having any issues / challenges to perform their duties optimally and addressing these points, it appears strange why these doctors are imparted knowledge & skills of other speciality.

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