Dr.Srinivasa Raju

  The future of medical training is unfolding, and with it, the pressing question: How "live" can a surgery truly be shared? Is it invaluable education or a high-stakes ethical dilemma? Important salient points from the National Medical Commission (NMC) guidelines dated 26 July 2025 regarding the conduct and broadcast of live surgeries: Key Salient Points Educational Value and Ethical Concerns Live surgeries may lack in-depth learning compared to recorded videos or hands-on training. There are ethical concerns about patient exposure and the risk versus benefit for educational purposes. Patient discomfort, anxiety, and risk may not be justified by educational benefit. Commercial Exploitation Criticism of the commercial misuse of live surgical broadcasts, including patient exploitation and prioritization of self-promotion and product advertising over patient safety. Comparison wit...

  Supreme Court Notice on Union Government Petition Regarding GST on Clubs and Associations (July 25, 2025) Background -  "Kerala IMA -KERALA HIGH COURT- GOI -Supreme court " The Supreme Court of India, on July 25, 2025, issued notice to the Indian Medical Association (IMA) and other respondents after the Union Government petitioned against a recent Kerala High Court judgment. The Kerala High Court had struck down certain provisions of the Central Goods and Services Tax Act, 2017 (CGST Act), which allowed GST to be levied on goods and services supplied by clubs and associations to their members. Key Points Notice Issued: The Supreme Court has not stayed the Kerala High Court judgment but has sought responses from the IMA, the party that challenged the GST provisions. No Immediate Recovery: The Supreme Court ordered that no GST recovery steps shall be taken against the IMA (respondent) pending the outcom...

  whether private practitioners in India are required to upload data monthly on the HMIS website? It is not universally mandatory for all private practitioners to upload data monthly to the HMIS website in India. HMIS primarily collects data for public health facilities but includes private institutions with significant infrastructure (usually those with more than 30 beds). Large and accredited private healthcare facilities are generally required to submit monthly data to HMIS. Solo private practitioners or small clinics without inpatient beds usually are not mandated at the national level to upload HMIS data monthly. Reporting requirements for private practitioners vary by state; some local health authorities may impose additional rules. The National Digital Health Mission promotes digital record interoperability but does not mandate monthly HMIS data reporting for individual private doctors. P...

Prelude: This is a real story that has been in dust and that could have inspired generations of Indians if it was taught to our children. Better late than never! Story Begins'- The dust of 14th-century Uttar Pradesh was a keeper of secrets. It clung to the hems of women’s ghagras, settled in the cracks of sun-baked earth, and carried the scent of sugarcane, marigolds, and distant, gathering storms. In one of these storms of history, obscured by the dust of ages, a legend was forged not in steel, but in spirit. Her name was Rampyari Gurjar. Born in a khed near Saharanpur, Rampyari was not like the other girls. While they learned to grind wheat and sing songs of harvest, her eyes would drift to the akhara, where the village men practiced kushti. She saw the poetry in their power, the dance in their discipline. Her father, a grizzled old soldier who had seen the might of the Delhi Sultanate firsthand, noticed the fire in his daughter’s gaze. He saw not defiance, but destiny. “The ...

  All MSN & JDN members could participate actively to address various burning issues of Indian youth. How the Indian Medical Association (IMA) Can Participate Health Promotion Campaigns : The IMA can organize and amplify campaigns in schools and communities promoting physical activity, healthy eating, and NCD prevention, leveraging its extensive network. Skill and Health Camps : Initiatives such as the “Welcome the Girl Child” already demonstrate IMA's involvement in skill-building and supporting girls’ health and wellness by providing educational support and health check-ups. Advocacy and Policy Support : Engaging actively in public health policy and supporting the implementation of national youth health programs, such as Adolescent Health Days and NCD prevention strategies. Training and Capacity Building : The IMA can train doctors, teachers, and community workers in youth mental health first aid, substance...

  Prelude : A recent dive into the intricate world of plant life sparked a whirlwind of contemplation within me, unleashing a torrent of questions that chased each other through my mind. The profound realization dawned: if even the simplest life forms, a mere speck like an amoeba or a virus, possess a discernible identity and an almost undeniable "ego," what then of the seemingly passive flora that surrounds us? It was from the fertile ground of this brainstorming and mind-boggling thought process that the following story was conceived. Prepare to look at the world, and indeed, yourself, through a very different lens.     The story : The air in Dr. Aris Thorne’s biodome was a carefully curated cocktail of humidity, carbon dioxide, and failure. For two years, he had been the laughingstock of the botanical world. His theory—that plants possessed a form of consciousness—was career suicide. Yet, he persisted, surrounded by the silent, leafy subjects of his obsession. ...

  What is the notification issue by NMC REGARDING PERMANENT REGISTRATIONS OF FMGs, and is it a fact that they are deferred and create confusion? The National Medical Commission (NMC) has issued multiple notifications in recent years regarding the permanent registration of Foreign Medical Graduates (FMGs) in India. The landscape has indeed been dynamic, with changes and clarifications sometimes causing confusion among state medical councils and FMGs. Recent Public Notice Dates: o     19 June 2024: Specific guidance regarding one-year internships for those who compensated online classes with physical training. o     22 Nov 2023 & 7 Dec 2023: Earlier notices specifying extended internship requirements for online studies. Are Notifications Deferred and Creating Confusion? Frequent Updates and Amendment Notices: NMC has issued several amended notifications and advisories within months of each other. Variable State...

How does the Andhra Pradesh Medical Council implement NMC rules for FMG registration   The Andhra Pradesh Medical Council (APMC) implements the National Medical Commission (NMC) rules for Foreign Medical Graduate (FMG) permanent registration with strict adherence to NMC’s stepwise guidelines and timelines. Key aspects of APMC’s implementation: Internship Requirements: o     FMGs who studied their final year online due to COVID-19 or the Ukraine war are required to complete two years of internship in Andhra Pradesh: one year of clinical clerkship and one year of internship. o     FMGs who studied both penultimate and final years online must complete three years (two years of clinical clerkship + one year of internship). o     Only FMGs who fully comply with these NMC guidelines are granted permanent registration. Verification Process: o     APMC mandates degree verification through the rel...

  Key NMC Guidelines for FMGs Seeking Permanent Registration in 2025 1. Qualifying Examination All Foreign Medical Graduates (FMGs) must clear the Foreign Medical Graduate Examination (FMGE) or its replacement, the National Exit Test (NExT), to be eligible for permanent registration and medical practice in India. 2. Compulsory Rotating Medical Internship (CRMI) FMGs are required to complete a 12-month CRMI in an NMC-recognized hospital in India. o     The internship is typically structured across major medical specialties such as medicine, surgery, pediatrics, obstetrics & gynecology, and others, mirroring the Indian MBBS internship format. o     The State Medical Council assigns the place of internship. o     FMGs are entitled to a stipend equivalent to Indian MBBS interns. No additional fees can be charged for the internship by medical colleges. 3. Special Guidelines for Pandemic/War-Affecte...

Overview Reports of significant variation among Indian states in how they handle Permanent Registration (PR) for Foreign Medical Graduates (FMGs)—particularly those affected by the COVID-19 pandemic or the Ukraine war, who often completed only a one-year internship due to exceptional circumstances. States Allegedly Granting PR After 1-Year Internship Gujarat & Karnataka : Both states have been reported to offer FMG internships and subsequently grant PR even after just one year of internship, including to those impacted by online study or war-induced disruptions. Telangana : FMGs from Andhra Pradesh have opted to complete internships in Telangana due to barriers in their home state, indicating the process there is more accommodating. After completing required internships, FMGs have been able to secure PR in Telangana Rajasthan : Graduates in Rajasthan, while facing some administrative delays, have generally received PRs a...

 It's a small story, meticulously woven from the annals of history, designed to ignite the minds and quiver the hearts of patriots, serving as my humble tribute to the great and chivalrous Rajputs.             The sun, a benevolent eye in the vast sky, had long risen over the ancient lands of Gidhaur in Bihar. Its golden light kissed the weathered sandstone walls of the fort, a silent guardian of centuries. In its shadow, a deeper light shimmered – the sacred flame of a humble temple. No grand edifice, no towering spire, yet it was the very heart of the Rajput kingdom. This was the sanctuary of the Kuldevi, the ancestral Mother Goddess of the Tomar Rajputs. She was their first breath, their last prayer, the silent witness to every joy, every sorrow, every vow of battle. She was not stone; she was the pulsating lifeblood of their lineage, the very essence of their dharma. Far to the west, in the heart of Delhi, Sultan Ibrahim Lodhi, last s...

  The adverse effects and a comparison with  MEDICAL education @other nations. The Peril of Quantity Over Quality in Indian Medical Education The recent push by India's National Medical Commission (NMC) to rapidly increase the number of MBBS and postgraduate seats is a response to the country's dire doctor-patient ratio. However, the strategy to achieve this expansion—by relaxing the minimum standards for teaching faculty and infrastructure as indicated in recent notifications—is a perilous and counterproductive move. By lowering the requirements for faculty experience and permitting smaller, less-equipped colleges, the policy prioritizes quantity at the direct expense of quality. This approach risks creating a generation of medical graduates who are certified but not competent. An education system built on diluted standards will inevitably produce doctors with inadequate clinical exposure, weak diagnostic skills, and a poor understanding of evidence-based practice, ...

  The Latin word doctor originally means "teacher" or "instructor" , derived from the verb docēre which means "to teach" . In classical Latin, doctor was an agent noun meaning one who teaches or shows knowledge In the context of medicine, the Latin word for a medical doctor is medicus (masculine) and medica (feminine), meaning "physician" or "healer". The term doctor itself came to mean a holder of a doctorate degree or a learned person, and later extended to mean a medical practitioner in medieval and modern usage Thus, doctor in Latin primarily means "teacher" , while medicus is the classical Latin term for a medical doctor. The shift from "teacher" to "medical professional" occurred gradually during the Middle Ages and Renaissance. As universities developed in Europe (12th–14th centuries), the title doctor became associated with the highest academic degree in various faculties, including me...

  “If antimicrobial resistance were a war, it would rival the deadliest in history.” As the shadow of Antimicrobial Resistance (AMR) continues to lengthen, threatening to unravel decades of medical progress, global health leaders are issuing an urgent call for a unified, multi-sectoral approach. Experts emphasize that the fight against "superbugs" – bacteria, viruses, fungi, and parasites that no longer respond to medicines – requires concrete actions from every stakeholder, transforming a looming crisis into a manageable challenge. AMR is projected to cause 10 million deaths annually by 2050 if unchecked, posing a grave threat to human, animal, and environmental health, as well as the global economy. "This is not just a healthcare problem; it's a societal one," stated Dr. Lena Hansen, Director of the Global AMR Alliance. "Every government, industry, healthcare provider, farmer, and individual has a critical role to play in safeguarding the efficacy of ...