In this post, major portion is contributed by our most honorable IMA Think tank headed by our most dynamic president of national IMA, Dr.K.K.Aggarwal Ji....
Before we start,let us express our congratulatory thanks to "Team IMA one voice".
Before we start,let us express our congratulatory thanks to "Team IMA one voice".
What India
needs?
We need urgently, Skilled “Indian Medical Graduate”-IMG.
Not AYUSH persons trained in modern medicine!
what various state govts thought of that any body trained for 6 months can become modern doctor" is a retrograde uncivilized stuff.
Not AYUSH persons trained in modern medicine!
what various state govts thought of that any body trained for 6 months can become modern doctor" is a retrograde uncivilized stuff.
Skilled family
doctors of modern medicine, for which 5 ½ year MBBS course along with 6months
training in rural clinical skills like-treating poisoning
cases,dehydration,blood loss&volume loss,first aid to stroke&heart
attack&head injury,snake bite,skills in telemedicine to deal with digital
equipment, medicolegal implications and community responsibility.
We need such
type of doctors in the ratio of Do(ctor)-Pa(patient)
= 1:1000.
How can we achieve this target?
CHANGE the curriculum:
- Adoption of Contemporary Education Technologies Skills lab, E-learning, Simulation.
- Before commencing the first year course of MBBS, minimum 2 months of orientation course to orient student to national health scenarios, medical ethics, health economics, learning skills & communication, life support, computer learning, sociology & demographics, biohazard safety, environmental issues and community orientation.
- A mandatory & desirable comprehensive list of skills has been planned and would be recommended for Bachelor of Medicine and Bachelor of Surgery (MBBS) Graduate. Certification of skills would be necessary before licensure.
- Each medical college would be linked to the local health system including CHCs, taluk hospitals and primary health care centers that can be used as training base for medical students.
Adopt Good Medical Practice.
The Treatment model,every IMG has to follow:
How a primary family physician deliver the clinical service as point of first contact,which is otherwise called as consultation service' or out-patient service in private practice.
How a primary family physician deliver the clinical service as point of first contact,which is otherwise called as consultation service' or out-patient service in private practice.
when ever we examine a patient,plz keep these facts in mind. they will change your horizon of clinical landscape!
Name: Gender . contact
phone.
Age place. Any H/o allergy:
- Recording Detailed history and summary of past medical records.
- Wash hands before& after doing examination of the patient.
- the clinical exam shall be done with consent in presence of one attendant.
· Record the treatment planning
includes,… counseling remarks,investigations advised and provisional diagnosis
and legitimate ethical prescription.
What other services apart from
clinical services, a physician can deliver?
·
A physician can
give Counseling – regarding – Diet, Mental
Fitness,Medication,Sexual Health and Vaccination.
·
A
Physician can give suggestions and service like Exercise and Job Vacations.
·
A Physician
has to notify or report--- Notifiable Diseases , Communicable Diseases,
Adverse Reactions, Medico
Legal Cases ,Sentinel Events , Antimicrobial Resistance
Drugs/Devices/Vaccines/
Herbs/Blood reactions.
·
A
physician can
give certificates of Leave, fitness, rest etc.
·
A physician Can execute skilled Maneuvers of both physical and mental like---
1, BP in all four limbs
2. Tourniquets test
3. Carotid massage test
4. Epley maneuver
5. Cold pressor test
6. Valsalva test
7. Fundus examination
8. Brain stem reflexes
9. Cognitive functions
10. Risk stratifications
11. Filament neuropathy
check
12. Per rectal exam
13. Per vaginal exam
14. Pap Smear
15. FNAC
16. Oral smear
17. Potency testing
18. torch tests for
hydrocele
19. Stethoscope test for
conductive deafness
20.
PAPA. CHACHA, KAKA test
·
A physician Can do
Skilled Procedures
like----
1.
Dressing
( Small, Medium, Large, Special)
2.
Removing
Foreign Body
3.
Gastric
Suction
4.
Pharyngeal/
Laryngeal Suction
·
A physician can do
Point of Care Investigations
like…
1.
ECG
2.
Blood
Sugar
3.
SPO2
4.
PEFR
5.
Pocket
Spirometry
6.
Noise
Pollution Check
7.
PM 1,
2.5, 10 levels
8.
CO
Monitoring
9.
Autonomic
functions
10.
Driving
fitness testing
11.
Hb
12.
Urine
spot test
13.
Point
of care blood tests ( dengue, malaria, typhoid, chikungunya)
14.
Bence
jones protein screening test
·
A Physician has to Observe / Monitor if Required (hours).
- First dose of drug
2.
Syncope
3.
Breathlessness
4.
Hypotension
5.
Allergy reaction
6.
After injections
·
A
physician has to execute first-aid.
1.
Oxygen
( per hour)
2.
Nebulization
3.
CPR
4.
Other
first aids
5.
Injection
6.
Cast
7.
Plaster
8.
Sling
9.
Foreign
Body removal
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