Category: After MBBS

Neuro and Spine

The torture of being “Just MBBS”

The average salary of a fresh medical graduate (MBBS) at private hospitals in sizzling cities like Bangalore,

Hyderabad, Chennai and Mumbai is much lower than an entry level call center employee. At most cities this income cannot support a lower middle class living.

Even when we talk about employability in small towns, rural setups and government setups, there is a big dearth of vacancies. In under-developed states like Bihar, for every available post for a salary of USD 400 per month public sector medical officer job there are hundreds of applicants for every district.

The health system clearly does not have necessary capacity to employ the existing workforce of fresh medical doctors passing out every year.

So where exactly the newly qualified doctors are disappearing to? Interestingly majority of the medical graduates are engaged in postgraduate entrance test for the first 5-10 years of their career and youthful lives instead of fruitful engagement with the health system.

I am sure that all of you who have been through the “Just MBBS” phase wouldn’t agree more.

While having an interesting discussion with one of my friends Dr Nitiraj Gandhi (Clinical Services Manager with a prominent Corporate hospital in Bangalore), on the pathetic conditions being faced by Junior doctors in India, one of his statements really gave me an insight on healthcare industry’s perception towards fresh MBBS graduates.

“Today’s MBBS has little to offer in addition to Web MD or such sites. They themselves (more than 90%),are apprehensive at making a diagnosis. In contrast MD and MS are extremely well equipped in terms of knowledge and expertise and at par with the best in world. Its a pity that post MBBS, few are equipped to practice while most are busy preparing for pg and memorizing stuff. The art of apprenticeship is a lost one today.”

Is it that something is wrong with the Medical education system or is it something else?

In India, most fresh graduates are involved in majority of nursing and clerical activities like giving injections, indenting medicines for the ward, doing dressings, putting IV fluids, drawing blood for investigations, transporting them to the lab and collecting results, carrying blood bags from the blood bank to the ward and collecting X rays. This work has to be done 365 days without a single leave, and duty hours extending upto 28-32 hours at a stretch!

This kind of work and work schedule will definitely suck out any left over knowledge, capability to analyze, capability to innovate and above all the capability to diagnose and prescribe medicines in a manner which is optimum for the patient.

There is a widespread resistance to change in the above situation because in a teaching hospital they are a cheap resource available with no prescribed rules on the nature of work, work hours, work days and holidays by the government.

Then you have our so called professional leaders in MCI and senior professors in Medical colleges who think that all of this is fine because that is what they have also been through. This notion that “You got to do it because we did it”, is what is taking the standard of Indian clinicians on a downward spiral.

For all categories of employees in India, we have some rules and laws laid down to prevent human resource exploitation. But to this date nobody bothers to take care of this under paid, over worked and underutilized brilliance we know as CRRIs, “Just MBBS”, “Junior doctors” or “Duty doctors”.  

Let’s Support Thiruvarur Interns:First batch interns in Thiruvarur medical college are threatened by the Dean that he…
Posted by SLAVE CRRI on Thursday, April 9, 2015

References

Kumar R. The leadership crisis of medical profession in India: ongoing impact on the health system. J Fam Med Primary Care [serial online] 2015 [cited 2015 Apr 10];4:159-61. Available from: http://www.jfmpc.com/text.asp?2015/4/2/159/154621

The Arogyada
www.arogyada.in
April 10, 2015 / by drsandeep.net

11 reasons why the current Indian caste based reservation system is out rightly illogical and should have no place in the modern Indian society

Recently the ruling Congress-NCP government in Maharashtra decided to accord 16% reservation for Marathas and 5% for Muslims in government jobs and educational institutions in a last-ditch attempt to woo these two categories of people following the parties’ pathetic performance in Lok Sabha elections. This again raises the same question which we have been choosing to ignore until now, when will this spiraling trend of increasing proportion of caste based reservations end?

Coming from a very moderate background, I have managed to achieve a lot in the prevailing adversity of the Indian caste based reservation system. Until now I have not complained but there has to be a point where you have to say ‘enough is enough’.These type of politically motivated actions are really demotivating and it makes me feel that our coming generation will really have to struggle hard to get quality education and rightful opportunities, if such actions don’t face a strong opposition right now. I am sure that majority of people reading this blog will also resonate with my concerns.

The whole logic of caste based reservations is wrong at so many levels. Below I discuss a few reasons why a caste based reservation system is out rightly illogical and should be discarded.

1. The term ‘backward classes’has not been clearly defined anywhere in the constitution.
What actually constitutes a backward class? What are the determinants of a backward class?  Since a clear definition is lacking, it is being utilized by politicians to lure vote banks.

2. Caste of a person is just a confounding proxy factor to ascertain the backwardness of an individual. 
Instead of a correct identification of actual backward classes, castes system has been conveniently adopted as a proxy without considerations of proper checks to insure the validity of elementary factors like poverty, literacy, occupation and place of habitation. 
3. The Indian caste based reservation system assumes the rest of the population belonging ‘General Category’have normal social indicators and no person is backward if he belongs to the so called‘General Category’!
There many economically worse off children belonging to the general category, many of them may be even living below poverty line; even then they cannot get the fruits of such reservation merely by virtue of belonging to the ‘general’ category. 
4. Currently there are no timelines for this social intervention! 
Once a caste is tagged as backward, for how many years it will continue receiving the preferential status? The roots of the current structure of caste based reservation system can be traced back to the report by the Mandal commission which was established in 1979 by the central government to identify the socially or educationally backward in India and suggest measures for their upliftment. Today, after more than 30 years of the Mandal commission and 60 years of republic India; how many castes have been revoked of their reserved status?
5. These policies have been in India since more than 30 years and they have failed to meet any objectives other than giving edge to some political parties.
The government should go into the reasons of the failure. Many students despite of their reserved status of their caste don’t make it to the institutes, so the real question is, is it actually their caste which is the variable for backwardness even after 50 years of the operational caste based reservation system.
6. There are no monitoring mechanisms to the caste reservation system of India. 
Once a caste is tagged as backward, what are the criteria to ascertain that backwardness is being alleviated by reservations? What are the indicators that are being monitored that the true beneficiaries are actually getting the benefits and false beneficiaries are not getting the benefits? 
7. No disclosure of influence on social indicators by the government. 
Since the caste based reservation system is a preferential distribution of opportunities that the nation is generating, the rest of the public has a right to know the influence on quarterly and annual basis. But there are no such mechanisms for reporting and monitoring of caste based reservation system.

8. Instead of genuinely alleviating the social inequalities, reservations programmes have a very clear electoral objectives.
Even a kid who has taken his first lesson in Social Sciences at school can understand the real motive behind the whole caste based reservation system in India. That is why almost always we hear the new castes being included in the reservation pool just before the elections, how coincidental is that? Currently 49.5% of the seats in premier institutions are reserved for backward categories. This is more than 60 % in some states like Tamil Nadu and now Maharashtra is heading towards 73% after the decision by the ruling Congress-NCP government to give 16% reservation to Marathas (Not a minority, Not backward) and 5% reservations for Muslims (Religion based reservation, Unconstitutional)!

9. There is a complete skewing of the distribution of seats and opportunities in the population towards a few preferential reserved castes.
A reserved candidate can opt for both an open seat and a reserved seat. In a case if both seats are available to the reserved candidate, open seat is allotted first. On the other hand an unreserved candidate can only opt for an open seat. But since many of these have already been allotted to meritorious reserved candidates, they are not available for open category candidates. In some states which are providing up to 70% reservations, the proportion of candidates from reserved castes in the opportunity pool reaches up to 95% (including the meritorious students in the reserved castes), completely neglecting  the representation of rest of the population creating a sort of caste based oligopoly. 
10. By current policies it is even justified for the creamy layers to take the benefits meant to alleviate the backwardness!
This ‘creamy layer’ policy excluded the creamy layer (people with income above a certain range) only among the OBCs, not among the SCs and STs. This creamy layer policy has only been implemented in some states.
11. Some individuals consider this as the reversal of the oppression their ancestors have faced. 
There are two flaws in this logic. Firstly, the current social system has changed drastically as compared to its state decades ago, the hypothesis that certain classes are still facing oppression in terms of opportunities to grow is false in my view and should be retested. Secondly, there are many classes and sects which were not a part of the Indian caste system who have migrated to India due to partition or otherwise; are not they facing a sort of reverse oppression in the current scenario? They were neither a part of this so called historical oppression nor were they given any preferential opportunities but have managed to sustain, rising from scratch after partition.
The stance I have adopted is very clear, equality and equity is right of every individual in this country. By their very definition, the promotion of equality and equity are virtues which cannot be retrospectively applied but have to be strongly rooted in the present. In the current form the caste based reservation system may benefit a few individuals but there would be a great number of individuals who will enjoy the benefits without needing them. While there will be a set of individuals who are actually in need but are not  from the reserved categories who would fail to receive any benefit.  Instead of eliminating the caste based divisions, this mechanism is actually strengthening the existence of caste delineation in our society.
It will be very difficult to do away with this spiraling increase in the reservations term after term, since no party would out rightly deny the support to such a decision or oppose it in the fear of losing the vote bank. The ruling parties in many instances have even defied the Supreme Court judgement capping quotas at 50% by making amendments to the state laws. . Only solution I can think of is challenging such illogical decisions in Supreme Court or speak the language what the political outfits understand- the language of Votes! We should all take a note of parties and entities promoting and giving off reservations and take an informed decision while at the ballot to vote them out of power!

References
  • http://timesofindia.indiatimes.com/home/opinion/edit-page/Reservation-for-Marathas-and-Muslims-in-Maharashtra-might-backfire-on-Congress-NCP/articleshow/37268930.cms
  • http://www.youthkiawaaz.com/2010/02/our-fate-in-the-hands-of-reservations/
  • http://www.youthkiawaaz.com/2011/02/educational-reservations-india-solutions/
  • http://en.wikipedia.org/wiki/Creamy_layer
  • http://en.wikipedia.org/wiki/Reservation_in_India
The Arogyada
www.arogyada.in
June 27, 2014 / by drsandeep.net

What are the problems with the Indian healthcare system which the Modi government will have to tackle?

After a strong mandate the Modi government has received in general elections, everybody is having a lot

of hopes from the government.  They are hoping and waiting for transformatory changes and  strong steps to be taken in direction of revival of the Indian economy. Very soon we will be having a draft of intention of the Modi government in our hands in the form of the union budget. What kind of changes are we going to expect for the healthcare sector?

We have a Prime Minister who seems to be pro reforms and above all we have a new Health Minister, who is a doctor himself. Will this combination add up to some bold steps translating into results or are we going to have the same run of the mill actions which would lead to no substantial changes in the long run?

There are a lot of issues which have been left unattended in the past ten years which directly impact the current status and the future of healthcare in India. The time will tell which of these issues are attended by the Modi government and which are left to hang in the continuing limbo:

  • Still the India’s government spends only about 1% of GDP on healthcare (rest comes from the private)
  • India is one amongst the countries having highest out of pocket expenditures (ranked 17th, WHO 2011), resulting from lack of trust in government facilities & hospitals and lack of any universal coverage schemes 
  • The last health policy we have dates back to 2002, we should be hoping that the new government will come up with a new policy which will reset the current direction
  • Government health administrative machinery as a whole is a hyper-divided structure with overlapping actions and schemes 
  • For instance, health ministry is responsible for quality and public health, but pricing and manufacturing of pharmaceuticals is with Department of Pharmaceuticals under the Ministry of Chemicals and Fertilizers. Ministry of Consumer Affairs and Food regulates some of the aspects. The commerce ministry deals with various trade related issues, whereas Department of Industrial Policy and Promotion (DIPP) looks after patents.
  • There are also various regulators such as National Pharmaceutical Pricing Authority (NPPA), Food Safety and Standards Authority of India (FSSAI), Drugs Controller General of India (DCGI) and Patent Controller General of India monitoring different issues in the sector under different ministries.
  • There are no streamlined processes or guidance for approvals or dealing with these departments. The beneficiary party has to run pillar to post paying “cuts” at every step in all these departments for necessary approvals for healthcare & pharma businesses
  • NRHM, a flagship scheme started by central government also has had its own set of problems which range from problems with timely procurement of medicines & supplies to lack of staffing in rural areas.
  • The lead professional body MCI itself has been a source of corruption when it comes to approval of private medical colleges
We as medical professionals have seen the quality of medical education & quality of life of young doctors go from bad to worse in past ten years. This can be attributed to one or more of the following unending list of problems which medical professionals are facing these days.
  • Vote bank politics increasing reservations without substantial logic
  • Dwindling meritocracy
  • Archaic medical education system failing to promote skill development
  • Uncountable number of scams in the selection process & open sale of medical seats
  • Lack of any coordination between the centre & states over critical selection processes continuing from many years without any improvement 
  • Disparity in standards of medical education across various states and centre sponsored colleges
  • Medical colleges getting approvals without facilities & requisite staff; government colleges failing to maintain their quality standards
  • Over exploitation of junior doctors by both government & private employers in terms of overtime, low pay scales, lack of facilities & mammoth contract bonds making a viable living from hard to virtually impossible
  • The pay scales in specific, in many states have not seen any raise to cover inflation leading to declining quality of life of Government doctors 
  • Dwindling levels of academic activities and increasing  use of young doctors as bonded labourers to cover up shortage of nursing and paramedical staff in government hospitals (especially in states like Tamil Nadu)
  • Doctors on rural services face problems with their families like no arrangements for proper education, transport and residence along with workplace issues including poorly equipped, under staffed and poorly supplied healthcare facilities
Many young doctors discouraged by a sky high heap of unattended problems either choose to migrate to foreign soils or many of them are not choosing to practice at all and looking for profession change. 
This is very much apparent with the rising number of Indian applicants to countries like USA, Canada, Germany, Australia and Ireland.  
In addition to this, the medical professional profiles you happen to see these days are swaying in the direction of non-practice corporate jobs which offer a descent lifestyle to young doctors. For instance this blog alone gets 200-300 search queries each day from google inquiring alternative career options after MBBS. The majority of these corporate jobs are for pharma majors or service industry working for the US and other countries. 
Till the date, I have read that the new government is planning to formulate a new Health Policy, a program on sanitation and start National Health Assurance Mission (I guess it must be the brand name they would use to promote after making a few tweaks to the NRHM). They will also do the usual – promoting yoga in AYUSH. They plan to continue to establish AIIMS like institutions in all the states. 
Let’s have hope that the new government will also be looking into some of the issues discussed above and plan for some incremental steps in the right direction. 
References
  • http://www.business-standard.com/article/economy-policy/health-high-on-modi-s-agenda-114051900925_1.html
  • http://www.business-standard.com/article/politics/govt-to-bring-in-experts-to-implement-health-schemes-effectively-114053001429_1.html
  • http://timesofindia.indiatimes.com/india/Presidents-speech-highlights-12-key-points-of-the-Modi-government/articleshow/36309560.cms
  • http://presidentofindia.nic.in/sp090614.html
  • http://content.healthaffairs.org/content/25/2/380.full
The Arogyada
www.arogyada.in
June 16, 2014 / by drsandeep.net

The story of 10,000 new MBBS seats and the diminishing skills of budding Indian doctors

Recently the Union Cabinet approved a proposal for increasing nearly 10,000 MBBS seats at government medical colleges across the country. The financial allocation required for the additional MBBS seats was also cleared. The proposal is aimed at increasing the number of doctors to help bring down the doctor-patient ratio from the current 1:2000 to 1:1000.
From theoretical perspective this should be considered as a welcome move. But just increasing MBBS seats without increasing PG seats (Medical Specialty) is definitely gonna have big implications on the future of doctors who will be occupying these seats. 
A fresh MBBS graduate typically has limited skills and even if they are skillful they are usually not confident enough to practice independently. They usually have to work in hospitals to practice these skills and gain confidence. 
Low salaries are a big blocking factor to even think of settling down just after MBBS. And these fresh graduates find very limited usage in today’s modern hospital where their work is mostly limited to patient monitoring, ward rounds and night duties. Almost all of the decision making lies in the consultants’ hand. Owing to these factors, majority of fresh MBBS doctors actually do not start practicing after completing MBBS but they take a drop, join a coaching and prepare for PG entrance examinations. 

The system of PG entrance exam in itself is a immensely broken system with uncountable number of exams with each having its own pattern. Owing to the high number of graduates and less number of PG seats the competition is intense with approximately 10-15 MBBS graduates fighting for 1 PG seat! 
The preparation for PG entrance for most doctors lasts for 1-2 years (usually without practicing) which breaks the continuum and dilutes the clinical skills of our budding physicians.
Most of the Indian MBBS doctors can be seen in hospitals cramming, more interested in MCQ guides than taking care of patient on the bed side. And why is that?? Because none of the Indian PG entrance exam puts any stress on clinical skills, patient interactions or professional aspects of the practice.   
So in this mess, what do we need to do in the coming future?
-PG seats to be increased in the same proportion
-Pattern of entrance examination should be changed such that it favors practicing MBBS graduates who are actually doing the real clinical practice. As William Osler said – “He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all”
-There should be knowledge and technical support initiatives from MCI, State Governments and the Central Government  to help the MBBS graduates to establish their own clinics. This will have lasting impacts on both equitable distribution and easy access to healthcare  
The Arogyada
www.arogyada.in
January 24, 2014 / by drsandeep.net

Some more options after MBBS suggested by Dr Atul Garg

Few Other Options

Hello everybody.. there r a few other options after MBBS.
1). u can try for local entrance exams where thousands, if not lakhs of other equally competent docs try to get handful of PG seats.
2). After PG, if ur dad or uncle doesn’t have a hospital, sit in a small time dingy clinic and try to earn ur bread. else join a 5 star city hospital for a lowly wage (14K INR in 2004 Mumbai)
3). Try to go abroad if u have loads of moolah.
USA – if u can get visa to reach US soil and can get good MLE scores.
UK – if u already r in UK and working there. all gates to UK r now officially shut.
Australia – if u r ready for bad racism and working in their peripheral units for few years.
Canada/South Africa/Malaysia are other options which I have not explored.
4). Medical informatics
5). Medical IT and software programming
6). Pharmaceutical management
7). MBA and hospital management or general management.
8). Health insurance work.
9). public health and WHO/UNICEF
10). Academics/research abroad.
11). open a shop and use ur brain to run it successfully.
12). politics – join local politics. doesn’t pay much till u r corrupt.
13). IAS – very very difficult option and even more difficult to stay honest after joining it.
I guess these r the options running around in my brain for the last few months since UK govt closed its doors to IMGs (international medical graduates).

Dr Atul Garg 

The Arogyada
www.arogyada.in
August 1, 2008 / by drsandeep.net

Career in Clinical Research after MBBS

What is Clinical Research

Clinical Research is a Multinational, Multibillion, Multidisciplinary Industry

What is Clinical Research?
Clinical Research is a systematic study for new drugs in human subjects to generate data for discovering or verifying the Clinical, Pharmacological (including pharmacodynamic and pharmacokinetic) or adverse effects with the objective of determining safety and efficacy of the new drug.

Clinical Research is Conducted in 4 Phases

Phase I trials
This is the first time the new drug is administered to a small number, around 20-80 healthy, informed volunteers under the close supervision of a doctor. The purpose is to determine whether the new compound is tolerated by the patient’s body and behaves in the predicted way.

Phase II trials
In this phase, the medicine is administered to a group of approximately 100-300 informed patients to determine its effect and also to check for any unacceptable side effects.

Phase III trials
In this phase, the group is between 1000 and 5000, for the company to use statistics to analyze the results. If the results are favourable, the data is presented to the licensing authorities for a commercial licence.

Phase IV trials
This is a surveillance operation phase after the medicine is made available to doctors, who start prescribing it. The effects are monitored on thousands of patients to help identify any unforeseen side effects.

Check out the personal opinion of people in the following forum about clinical research in India

http://www.aippg.net/forum/viewtopic.php?t=19113

Colleges for Msc clinical research

Institute of Clinical research(best among these…its my personal opinion..affiliated to Cranfield university,UK )

http://www.icriindia.com/index.htm

Institute of Advanced Pharmaceutical Studies

http://www.studycr.com/aboutus.html

RNIS college of Clinical research

http://www.rnisclinical.org/rnisclinical_advanceddiplomafulltime.htm

Rejuvendus Clinical Research

http://www.rejuvendus.com/multiplelink.htm

CLINICAL RESEARCH :An emerging career

Pharmacological clinical research and drug trials
Career in Pharmacological clinical research and drug trials.

India as the largest pool of patients suffering from cancer, diabetes and other maladies is leading the country to an altogether different destination: the global hub of outsourcing of clinical trials.

Almost all the top names in the pharmaceutical world have zeroed-in on India, setting up clinical trial facilities in major cities, especially Hyderabad and Ahmedabad.

Global consultancy McKinsey & Co estimates that by 2010, global pharmaceutical majors would spend around $1-1.5 billion just for drug trials in the country.

Following are the approaches to Career in Clinical research for Doctors

1.After completing MBBS ->Job in Pharma Company as Clinical trial Analyst,
Salary:2.00 to 2.10 lakh for nil experience
link:http://jobs.monsterindia.com/details/5762050.html?sig=js-1-c426ba29ca5fddf60e5eb61368cede9c-1

2.Do a MD Pharmacology->Job in pharma company as a medical advisor,clinical research scientist…
about the job :Organising and conducting training for the Field Staff. * Conducting CME’s and symposia. * Supporting KOL management. * Conducting Pharmacovigilance training. * Furnishing Technical data for product management and Monitoring Promotion. * Supporting New Product launches across diffrent

links:http://india.recruit.net/search.html?query=medical+advisor++clinical+research+physician&location=India&pageNo=1&hitsPerPage=10&postdate=30&dedup=true&jobRef=&sortby=relevance

3.Do a MBBS->Msc Clinical Research ,Post graduate diploma in Clinical research ->get a job

4.MBBS->MD PHARM->Msc Clinical research->Highest paying job among the above options (in my view this is the best route to the pharmaceutical industry for doctors)

The Arogyada
www.arogyada.in
July 31, 2008 / by drsandeep.net

Spectrum Of Options After MBBS

MBA after MBBS

Dr Rahul Khandelwal is pass out from Indian school of business (ISB,Hyderabad)
check out his blog…this will clear all your doubts regarding MBA after MBBS

http://www.rahulkhandelwal.com/2006/09/22/doctors-and-mbas/

MBA after MBBS forum

http://www.pagalguy.com/index.php?categoryid=56&p2_articleid=483

Apollo Hospitals Medical courses

http://www.apollohospitals.com/ed1b.asp

Courses offered include:

The DNB provided by the National Board of Examination (NBE), Government of India is an outstanding postgraduate medical degree programme that is today coveted by medical graduates all over the country . The NBE maintains a high and uniform standard of postgraduate and postdoctoral examinations in medical sciences for the award of the Diplomate of National Board (DNB). The DNB is equivalent to the MD/MS/DM/MCh of other Indian Universities as recognised by the Government of India and the Medical Council of India. With today’s widespread commercialisation of postgraduate medical education, the NBE provides a better alternative for meritorious but less affluent medical graduates.

The National Board of Examinations approved Apollo Hospitals, Chennai for accreditation in 1984. Today 18 departments are recognised as post-graduate training centres by the Board.

The Apollo hospitals has been recognized by the NBE to train students in the following key medical specialities-

Broad Specialties:

Anaesthesia
Orthopaedics
Pathology
Radiology
General Medicine
General Surgery
Family Medicine

Super Specialties:

Nephrology
Neurology
Cardiology

Fellowship Programme
Critical Care Medicine

Fellowship in Emergency Medicine (Affiliated with the Royal College of General Practitioners, U.K.)

The Apollo Hospitals’ 24 hours emergency and trauma care is geared to treat all kinds of medical and surgical emergencies including poly-trauma with the most advanced equipments. The Royal College of General Physicians has recognised Apollo Hospitals, Chennai and Apollo Hospitals, Hyderabad for fellowships in Emergency Medicine in 2002.

MRCS (UK) (Affiliated with the Royal College of General Surgeons, U.K.)

The Royal College of Surgeons, Edinburgh, has identified Apollo hospitals as a training centre for Fellowship examinations in:

– General Surgery
– Orthopaedic Surgery
– Emergency

Apollo Hospital Management courses

Management Courses
Masters Degree in Hospital Management (Programme offered with affiliation from Osmania University with approval of AICTE)

LInk :http://www.apollohospitals.com/ed1b.asp#Medical%20courses

Emergency Medicine in India

Contributions to the Development of Emergency Medicine in India
From Editor’s Desk – Editorial June-July 2008(http://current.emergencymedicine.in/news.php)

Go to an emergency medicine conference in the US and mingle into posh NRI crowd. The most common question asked by people is Does Emergency Medicine exist in India? You are likely to hear the answer coming from an Indian living in the US that EM does not exist in India, but we are doing everything we can to bring the specialty to that country.

Our newest specialty in the field of medicine and trauma has many self proclaimed owners. They speak of a scenario which existed more than a decade ago and many of them have never even stepped into India recently.

Emergency medicine and allied services is a multibillion dollar industry for a country. You are very wrong if you think that affiliation to an Institute in US comes for free and that they are supporting us. Indian institutes have the capacity to pay in hundreds of thousand of dollars per year for affiliations and this is pure business.

Emergency medicine is exploding into India

Emergency medicine is exploding into India

The enquiries made by enthusiastic doctors in India wanting to take up emergency medicine as their career made me think about a very disturbing trend. As Emergency Medicine explodes into India there are two types of interests expressed by organizations and people.

Firstly, EM can make a real difference to the hospital, patients and healthcare of a community in general. EM recognition can lead to lives saved. Its a new specialty which gives opportunity for EM physicians, EM nursing, Emergency medical technicians (paramedics), etc to work and contribute in hospitals and to the society. EM also pays well.

Secondly, EM / EMS is also a huge opportunity for organizatons and people with vested interests to make a great deal money and fame. Some institutes are ready to put many innocent careers at stake to do this. There is nobody to enforce strict regulations in emergency medicine in India as of today.

But this doesn’t mean every organization starting a new EM course has decided to ruin people’s careers. It upto the person joining any academic program to do a through check on the course details and teaching faculty. The Society of Emergency Medicine, India (SEMI), which has been recognised internationally, is the central body which governs a small aspect of the growth of emergency medicine in our country.

After travelling all over the country, visiting different department and hospitals, as well as attending various national and international EM conferences, I find that emergency physicians in India are divided into the following groups:(to read more click following link-http://current.emergencymedicine.in/readarticle.php?article_id=14

Dr. Imron Subhan
Editor-in-Chief
EmergencyMedicine.in
May 2008

Institutes providing Emergency Medicine Degree

Apollo’s Medical Music Therapy course

Apollo’s Medical Music Therapy course

Apollo Hospitals, the largest private healthcare service provider in Asia, and the pioneers in the healthcare space offering unique services to the patient community and the medical fraternity, has launched the first-of-its-kind Medical Music Therapy course, here in Chennai. The Medical Music Therapy course is not only the first in India but in Asia too.

More on this link :http://chennaionline.com/health/homearticles/2004/02apollomusic.asp

Fellow In Sports Sciences(medvarsity)

Sports Medicine, Sports Physiotherapy and Nutrition are the newer fields, and yet to be utilized to their potential in India. Sports have become very competitive and much of scientific research and support towards sports teams found to be rewarding.

The Team Doctors, Team Sports Physio Services have become very essential for most of the Teams, Health, Spa and Health Gymnasiums.

Sports Medicine and Applied Physiotherapy is a developing field in India, and curriculum of many courses does not include these Subjects. A Trained Doctor / Physiotherapist in Sports Medicine, Physiotherapy and Nutrition will be an asset to any team during preparatory phase as well as during competition.

http://www.medvarsity.com/vmu1.2/dmr/dmrdata/courses/SS/Sports%20Brocher/brocher.htm

Hyderabad Sports Medicine, Educational & Research

Hyderabad Sports Medicine, Educational & Research Foundation

Accredited by:

Indian Federation of Sports Medicine (AP)

Indian Association of Occupational Health (AP),

Indian Olympic Association (AP),

PG Program in Sports Science & Rehabilitation

PG Program in Sports Nutrition

PG Program in Cardiac Rehabilitation
PG Program in Geriatric Rehabilitation

Duration: 6-month online (One-week Contact Program optional)

Eligibility: Doctors, Physiotherapists, Coaches, Trainers, Physical Education teachers, Nutritionists, Graduates and interns.

The prospectus can be obtained by paying DD of Rs. 300/- in favour of “Dr. Bakhtiar Choudhary” payable at Hyderabad.

Contact

Dr. S. Bakhtiar Choudhary, MD, FIMS, FMBSH

770A, Next to Bhavan’s School, Defence Colony, Sainikpuri,

Secunderabad-500094. Cell: 09849136940, 09849404930

E-Mail: sbakhtiar@hotmail.com

Some more options after MBBS excluding PG

1.HOSPITAL ADMINISTRATION
2.MEDICAL TRANSCRIPTION
3.SCIENTIFIC RESEARCH
4.COSMETOLOGY/TRICHOLOGY
5.GENERAL PRACTICE

Now a days its more profitable to work privately than to join a teaching job in a medical college or a government sponsored PHC job. If you are sure that you don’t intend to go into these above 2 jobs categories then there are lots of valid foreign degrees as well as Indian certificate courses which are at par or even better than an MCI recognized degree. Since you already have a basic MBBS degree, you are legally qualified to practice medicine anywhere in Indian. Some of the options available are:

1.DNB
2.MRCP
3.WHO approved” MD/MS degree from USAIM
4.WHO approved” MD/ MS degree from Nepal
5.WHO approved” MD/ MS degree from Manipal Hospital

For more information Click on the link below
http://www.mcqsonline.com/edoctor/after_mbbs.htm

Career options after MBBS

http://www.aippg.net/forum/viewtopic.php?t=27887

Career options after MBBS
1. Medical Underwriting- You could try working in ICICI Prudential, Birla sunlife and other companies. They are mainly into pre hospital health checks for insurance, hospitalisation expenses partly and death claims. they do tend to pay 30000 rs pm or even 5 lakhs per annum if you are good.
They usually prefer pharmacy graduates since they are much stable.
You could try and get into them via working initially for TPAs ( third party administartos like Paramount, TTK healthcare and others ). The pay when i went was around 11000 rs with yearly appraisal in the month of december(paramount).
2. Pharma companies.
They look for medico marketing manager.
Job profile includes answering queries of field staff and doctors with regards to the product, conduct training sessions, CME’s, clinical trials, writng promotional leterature.Pharma companies could pay you 25000- 50000 rs depending upon your bolbachan.
You could try working in a clinical research organization for inital experience. Not sure bout the pay in CRO’s . Also not sure bout ICRI and other institutes.
3. Mediacl writing
Anyone with a creative bent of mind could try medical writing. search for creative writing courses for reputed institutes to help you initally and also
spruce up your CV. a white article on medical rpocedures with facts could fetch you from 5000 – 7500 rs.
4. Hospital management
Try getting into MHA by doing a course. Personal opinion is why not MBA.MHA restricts you to Hospital administration and MBA could be used for any other firld.
Doctors do get into IIMs. Not difficult but very possible.

Join Indian Army After MBBS..

A PROMISING AND CHALLENGING CAREER FOR
YOUNG DOCTORS
JOIN ARMY MEDICAL CORPS AS
SHORT SERVICE COMMISSIONED OFFICERS

QUALIFICATION : The applicant must possess medical qualification included in First/Second Schedule or Part II of the Third Schedule of IMC Act 1958. The applicant must have permanent registration from any State Medical Council/MCI. Post graduate degree holders i.e MD/MS/MCh/DM may also apply. PG Degree in following subjects will be given preference (a) Anaesthesia, (b) Surgery, (c) Obstetrics & Gynaecology, (d) Medicine.

AGE LIMIT: The candidate must not have attained 45 years of age on 31Dec 2006. It may be noted that, the maximum age limit for MBBS degree & Post Graduate diploma/ degree holder desirous of Permanent Commission, on becoming eligible during service, will be 30 years & 31/35 years respectively as on 31 Dec 2006. SSC officers are eligible for promotion upto the rank of Major only.

METHOD OF SELECTION : Eligible candidates will be called for interview by a Board of Officers at the Office of DGAFMS, Ministry of Defence, ‘M’ Block, New Delhi in the month of July 2006 ( 1st/2nd Week) to assess their suitability and merit for grant of Short Service Commission in the Armed Forces Medical Services. The candidates appearing for interview for the first time will be paid to and fro second-class railway/bus fare.
EMOLUMENTS: Doctors on commissioning in the Armed Forces Medical Services will be granted the rank of Captain ( or equivalent rank in Navy/Air Force) in the scale of Rs.9450-9600-300-11400 plus rank pay Rs.400/-, Non-practicing allowance at the rate of 25% of the Basic Pay and Dearness Allowance (total emolument at minimum of Pay Scale (Rs.20,860/- pm.). In addition, entitled free ration, subsidized accommodation and allied facilities shall be provided.

link

http://indianarmy.nic.in/dgafms/ssc_officers.htm

Courses At IITs For Doctors


4 semester M.Tech Medical Biotechnology discipline under User Oriented Programme, sponsored by Frontier Life Line & KM Cherian Heart Foundation, Mogappair, Chennai – 600 101.

Biotechnology is a discipline which is growing at a rapid pace Framed manpower m Medical Biotechnology is in short supply. Internationally, the employment scope, growth potential and research opportunities in this expanding area are far superior to and surpass those of many in professional fields including medicine The course stresses hands-on experience in a clinical setting.
Eligibility: B.Tech./B E. in Biotechnology or related fields/ M Sc. m Physics / Chemistry / Life Science or equivalent / M.B B.S / B.Pharm / BVSc with first class or 60% marks or 6 5 CGPA (55% or 6.0 CGPA in the case of SC/ST candidates)
Except those candidates with a MBBS degree, other candidates need a valid GATE score / qualified in NET (UGC/CSIR) / ICMR/ ICAR test or two years professional experience in a relevant field.
Selection: Candidates need to appear for the written test and interview conducted by NT Madras, at their own cost.

Master In Medical Science And Technology (MMST)A three-year Masters in Medical Science and Technology (MMST) programme is offered for MBBS graduates, with a view to imparting engineering skills to medical professionals and training them for state-of-art medical research in the frontier areas of medical imaging and image analysis, telemedicine and Tele Surgery, biosensors and medical instrumentation, biomarkers and their applications in diabetes and oncology, reproductive biology, contraceptive development and infertility management, molecular biology and tissue engineering, preventive and promotive health-care, comprehensive health information system for disease management, development of cancer drugs, biomedical implants and devices, brain research and cognitive neuroscience, and nanotechnology and microelectro-mechanical systems in medicine.

The Arogyada
www.arogyada.in
July 31, 2008 / by drsandeep.net