For a few votes more
HOPE CLINICS
For a few votes more
On July 29 2021 a notification was issued by the Government of India for providing 27 % reservation for OBCs and 10 % reservation for EWS candidates in All India Quota through NEET in both undergraduate and postgraduate medical and dental courses. It is important to understand the impact of this declaration on what is developing into the largest healthcare crisis faced by the world. Despite the crisis situation faced by the country (though denied by the Government) during the second wave of covid, we do not seem to have learnt our lesson. Though there is some improvement in terms of infrastructure, it is the human resource which will face a massive shortfall in the impending 3rd wave.
The postgraduate medical students, also called junior residents form the backbone of healthcare system in all tertiary hospitals. The Post Graduate program is of 3 year duration and the junior residents keep rotating with the first year residents becoming second year and finally 3rd year as time passes. The residents work for more than 100 hours per week not for the measly stipend they get but for the carrot dangling in front of them which is their post graduate degree. The second wave saw this workforce forced to work beyond physical limits. What happens however when no 1st year junior residents are admitted due to delay in PG counseling. They form 1/3rd of this crucial workforce and are normally admitted in July. So even if the 1st year residents are given admission today, they will not be trained well enough to handle the oncoming 3rd wave.
Also within 3-4 months the 3rd year residents are also going to pass out which will leave the healthcare in shambles. The current second year resident doctors are the ones who were actual frontline in the second wave and now with no juniors joining they will again face the 3rd wave as the junior most. This has left them demoralized, depressed, defeated and feeling alienated. The need for clinical doctors to manage covid had also resulted in those who had joined to learn pathology / psychiatry / skin / ophthalmology etc to work in medicine wards managing covid, thereby depriving them of the training they were seeking when they joined.
I can understand the political expediency of giving benefits of reservation near elections but once announced that advantage has already accrued to the current Government. Postponing it to next academic session would not have eliminated the advantage gained by the announcement. Risking the third wave with a severely depleted and demoralized front line soldiers for a few votes is a decision which the Government has taken and will weigh heavy on their collective concience. It is also not as if the hospitals were empty prior to covid pandemic. The diminished numbers of junior doctors cannot be expected to cope with the rush and pandemonium which were the hall marks of our healthcare establishments even before covid times.
Meanwhile the junior residents have been physically beaten and forced into withdrawing the agitation. What was being feared by the resident doctors will soon become a reality and in the catastrophe I wish the nation will honor the martyrs who will die of covid and other diseases so that our rulers coud get a few votes more.
Dr.M.C. Gupta
"MOHFW letter no. S. 11014/3/91-ME dated 5-6-1992
To
AIIMS
PGI, Chandigarh
AFMC
DU
AMU
BHU
“The residency scheme obtaining in the central government hospitals was reviewed recently and a copy of consolidated instructions on the subject is enclosed for information and necessary action”.
A copy of the letter was sent to the HRD ministry also.
*****
The enclosure was titled—“consolidated instructions regarding residency scheme in central government hospitals / institutions including statutory autonomous bodies wholly financed by the central government”.
Para 1 stated—“On the basis of the recommendations of the Kartar Singh Committee, the GOI introduced a system of 6 years residency scheme comprising of junior resident doctors and senior resident doctors in place of the then existing system of house surgeons, post-graduate students and registrars in all central Institutions / hospitals including statutory autonomous bodies wholly financed by the central government w.e.f. 1-1-1974 vide letter no. S.11014/27/74—ME(PG), dated 22-4-1974”.
Para 13 reads—“Hours of work—Continuous active duty for resident doctors will not normally exceed 12 hours per day. Subject to exigencies of work, the resident doctors will be allowed one weekly holiday by rotation. The resident doctors will also be required to be on call duty not exceeding 12 hours at a time. The junior residents should ordinarily work for 48 hours per week and not more than 12 hours at a stretch subject to the condition that the working hours will be flexible as may be decided by the medical superintendents concerned keeping in view the work load and availability of doctors for clinical work”.
5--The above notification issued 30 years ago is still valid but lies buried in the files. Why? Because most residents are unaware about it and most authorities / senior doctors prefer to forget it. Worse still, the IMA / QPMPA / MLAG etc., who are meant to promote the just cause of doctors, are blissfully ignorant / unconcerned.
6--What prevents residents from approaching the courts to make the government follow the above notification? The lethargy among the medical profession in India in general to tolerate injustice and to shun legal remedy, yet howling and wailing and sobbing and shedding tears for their pitiable condition. They should know that justice is obtained not by crying but by fighting injustice.
--M C Gupta
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Dr.M.C. Gupta
Dear allMy grievances against rampant sale of schedule-H drugs and Quackery are as follows -1. The majority of pharmacists are working at two places. OTP based portals like COWIN must be there. The medical store is selling medicines to quack and general public without any valid prescription from MBBS doctors.2. Majority of the medical stores in Raipur district are allowing doctors to practice in their premises without obtaining the clinic registration from nursing home act authority. The state government is in huge loss of revenue due to this practice. Also medical store licence is for sale of drugs and they don't maintain standard as per the nursing home act for OPD chamber, waiting area, various other facilities. Many quacks are also running the clinic without obtaining registration in many prime locations of the city.3. I am observing that the majority of the medical representatives of pharma companies with the help of medical store owners, retailers, distributors are directly supplying various Schedule H1 and H drugs. It can be analysed by the sales of those drugs in a given area and availability of a qualified doctor, patients records in clinics of qualified doctors etc.This fraudulent behaviour / practice of quacks and pharma companies, their representatives, retailers, distributors must be stopped by developing an OTP based portal for issue of prescription and drugs.with warm regards I हार्दिक शुभकामनाओं सहितDr. Chandra Vikas Rathore I डॉ. चंद्र विकास राठौर
MBBS, PGDHHM, DCH I एमबीबीएस, पीजीडीएचएचएम, डीसीएचAssessor - NABH & NQAS I निर्धारक - एनएबीएच और एनक्यूएएस
"This mail may contain confidential or proprietary information intended only for the use of the addressee(s) named above or may contain information that is legally privileged. If you are not the intended addressee, or the person responsible for delivering it to the intended addressee, you are hereby notified that reading, disseminating, distributing or copying this mail is strictly prohibited. If you have received this mail by mistake, please immediately notify us by replying to the mail and delete the original mail and any copies immediately thereafter.’“इस मेल में केवल ऊपर उल्लिखित नाम के प्रेषिती (प्रेषितियों) के उपयोग के लिए अभिप्रेत गोपनीय अथवा स्वामित्वयुक्त सूचना निहित हो सकती है अथवा इसमें ऐसी सूचना निहित हो सकती है जो कानूनी तौर पर विशेषाधिकृत हो। यदि आप अभिप्रेत प्रेषिती अथवा अभिप्रेत प्रेषिती को वितरित करने के लिए जिम्मेदार व्यक्ति नहीं हैं, तो आपको इसके द्वारा सूचित किया जाता है कि इस मेल को पढ़ना, इसका प्रसार करना, वितरण करना अथवा इस मेल की प्रतिलिपि करना पूर्णतया निषिद्ध है। यदि आपने यह मेल त्रुटिवश प्राप्त किया है, तो कृपया इस मेल का उत्तर देते हुए हमें तत्काल सूचित करें तथा मूल मेल और उसके साथ ही प्रतिलिपियों, यदि कोई हों, को तत्काल मिटा दें।”On Sat, Jan 8, 2022 at 7:06 PM Chandra Vikas Rathore <drcvr...@gmail.com> wrote:Where is digital India and administrative reforms.The FSSAI recommend for medical examination for every food handler.There is no online register for public where can verify that the staff is medically fir and fully vaccinated as per guidelines.There is huge corruption is going on because quacks are making medical certificate and authorities are accepting it.
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(Ex)Prof. M C Gupta
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