Tag Archives: GP
Today, after nearly 70 years of independence, one wonders at what actually went wrong with primary care in the country. More so, one is forced to consider if starting a postgraduate course in family medicine is the way out of it.
This article, one of the chapters of a new TB book called ‘Let’s Talk TB’ aimed at GPs in India (published by GP Clinics, available free at www.letstalktb.org) covers commonly asked questions by the primary care doctor about identification and referral of patients with suspected or confirmed DR-TB.
“We are producing about 50,000 doctors every year, still we have a deficiency of doctors. We don’t know where these doctors are and what they are doing. One thing the Medical Council of India has failed is to keep a track of the registered medical practitioners to know about their whereabouts,” said Keshav Desiraju, former secretary, union ministry of health and family welfare, while speaking at the 2nd National Conference of Family Medicine and Primary Care held recently in New Delhi.
New Delhi: Indian Medical Association (IMA) on Monday organised a workshop to sensitise medical practitioners about the need to notify tuberculosis patients who visit them for treatment.
Raipur: Union Health Minister J P Nadda has emphasised on the need to develop a framework for holistic healthcare and wellbeing, rather than merely sick-care.
It is really a chain-reaction. A non-allopathic doctor does what an allopathic general practitioner should ideally do; therefore an allopathic general practitioner does what a specialist physician should ideally do; a specialist physician in-turn does what another specialist from a different branch should ideally do. If all doctors were to be full-time employees working for fixed salaries commensurate with their degrees, most of the turf-wars would end overnight. That gives an indication as to why turf-wars exist in the first place.
The acute shortage of doctors in India, especially in rural areas, is a nuisance for the government, a problem that has not been successfully tackled till now. The forced compulsion of one year of rural service after five and a half years MBBS course, just to be merely eligible to apply for a PG seat is however a futile, ineffective and vastly unpopular method to fill this shortage. Not surprisingly, the new government has decided to scrap the proposal of one-year compulsory rural-service after completion of MBBS and asked the Medical Council of India (MCI) to include it instead as a part of the PG course. But that alone is not the solution.
India is making steady progress in the field of medical education and advancement. There are hundreds of medical colleges in the country attempting to create a work force for the future. A large number of them are doing a very good job too. Indian medical graduates are respected and admired all over the world for their talent, ability to work hard and adapt to new norms quickly. In terms of technology and its use, India is rapidly bridging the gap with advanced countries. How could India otherwise emerge as a major hub for medical tourism. The challenge now is to disseminate good practice and standardize training so that the “islands of excellence” don’t just remain that.
Can you practice medicine ethically in India? This is a million dollar question facing every Indian doctor. This is also relevant to thousands of medical students who will become doctors of tomorrow and hundreds of thousands of Indian doctors working abroad, who want to return home but are put off by the character of Indian medical practice.