The Postgraduate illiterate......

hi i am back
its been long time since i last blogged......well new things have happened
i have finally started my pg entrance study with some imp tips from a website.......
u know what i really thing all this pg is a big fluke..... imagine getting through AIIMS entrance and still not knowin how to put an iv line.....!!!
thts true and it happens......we as students are so hell bent on gettin thru pg that we just dnt care abt clinical skills and care abt muggin up the mcqs and stuff like that to get thru this indian pg entrances......
i have a international conference coming up in a few days..... ppl are supposed to be here from england.... i will be delighted if ppl come from even Bhutan or Angola!!!!! talk abt goin international...... really my college can do wonderful things with really small work..... they are just loud in the press!!!!!
and i know we wont be expected to speak our mind.......SPEAK WHAT THE GODS SAY... as they put it...
well i will leave now gotta sleep lec tmr morning..... take care gud nite slp well all of u
zubin

i am Back!!!!!

hey there
sorry for the long delay. I was going through my term ending exams ( Read Ass crunching exams). and i think i managed nicely through them with just some cervical spondylitis, some non-healing bed sores and a bruised soul....
Why so they have to conduct exams when they seem to know that we dont seem to know anything. i mean what do u expect, us to be Dr. Christian Bernard ( he did the first heart swapping op by the way..) the day we entered this field?
and imagine giving the whole books to study while they have teached just about 2 percent of it. Insane man i tell u
sometimes i think its the pressure of the field that gets to these proffessors apart from the age of course!!!
and some great doc out there clear my mammoth doubt,mother of all doubts--- why do doctors lose so much hair????????
till then
c ya arnd
zin the doctor

The Dilemma....The Pride... and the Hope

Here is a great article i came across while surfing the net and i think it deserves a place in this blog.....


DOCTOR OR ENGINEER - WHICH HAS MORE DEMAND?
There are two kinds of doctors in the world: those who see it as a career requiring selfless dedication and those who see it as a job that involves prescribing medication. The first kind is becoming a rare, dwindling species, serving in the few large public hospitals which mostly treat the poor and needy.

The stipend that interns earn at these hospitals makes a part time job at McDonald's appear lucrative.

After years of academic slog, resident doctors make less money every month than fresh MBAs from Z-grade institutes selling insurance policies or credit cards. So, yes, the 'noble profession' hangover remains a key motivator for those seeking careers in medicine. A few years down the line, cynicism sets in.
We, the 'brightest and the best' who made it to a medical college, we deserve better.

THE MOST WANTED!

Medicine and engineering have long been the two 'most wanted' careers for middle class India. Slowly and steadily, though, engineering seems to be gaining ground. Four years of engineering study at a decent college fetches you a well-paying job. Or one can choose to go abroad for further studies with a good possibility of financial aid and a quick job. Five and a half years of basic medical study -- even from the best institution -- gets you nowhere. You have to do a post graduate specialisation (another three years). Preferably, you must also go in for 'super-specialisation' (another three years). After these 12 to 15 years of study, the future is still uncertain. The irony is that the demand for a doctor's service is, by definition, ever increasing. Especially in a populous country like ours. Setting up practice, though, is not easy because in this profession, reputation brings in clients.

Moreover, reputations take years to build, especially when senior doctors are too insecure to promote junior talent and seldom, if ever, retire!

THE LONELY, MORE DIFFICULT PROFESSION
Medicine, thus, is not only a difficult profession, but a lonely one. Many, many doctors rarely take vacations, afraid of losing patients to rivals. Many others work long, stressful hours not just because it is their duty to attend to the sick but because consulting at three different hospitals and running one's own clinic/s is the only way to build a name. There is also the system of General Practitioners referring patients to particular specialists and labs for a 'kickback'. Newly minted doctors may recoil at the thought, but seniors see it as a standard (only borderline unethical) practice. More troubling are the doctors who order unnecessary tests, prolong hospital stays and generally prove themselves unworthy of the patient's trust. These are the rotten eggs that exist in every profession. Except, here, the guilt is compounded by the nature of the work. So, like I said, these are the dudes who see doctori as just another job which involves prescribing medication.

THE BALANCING ACT Between the 'excessive dedication' and 'excessive medication' lot lie the majority of doctors, trying to balance the conflicts of the profession. To serve without losing one's humanity, yet keep a distance in order to preserve one's sanity. To make a good living, yet resist the temptation to make an indecent one. Part of the problem is that every doctor is competing for the low-hanging fruit, ie the well heeled patient. The irony is, there is a huge demand for even ordinary MBBS graduates, but in areas where doctors fear to tread. And I am not talking about rural Orissa. Drivers, maids, peons in Mumbai's slums -- they all pay good money -- but to quacks who inject them with saline solution for common colds. The Brihanmumbai Municipal Corporation recently identified 250 such frauds operating in Mumbai alone. And I am pretty sure that with the sheer volume of patients they treat, the money they make is not inconsiderable. But how many medical graduates will ever consider such a location to set up a practice?

WHO WILL MAKE MORE MONEY?

Coming back to the career question: medicine versus engineering, I think there is no question that in the long run, good doctors will always be in demand (and make money). The question a student needs to answer is: do I have the required patience? Both PMT and JEE are difficult exams, but making it to IITs or other prestigious engineering colleges means no more worries. Medical students, on the other hand, must again compete for scarce PG seats. And consider alternative options, if they fail to get one. These options include 'going abroad' through one of two routes: a. Appear for United States Medical Licensing Exam, a necessary prerequisite for Indian medical graduates seeking a residency post in that country. After clearing USMLE steps 1 and 2, you need to actually go to the US and give the Clinical Skills Assessment examination, where you have to examine mock patients in a stipulated period of time. The entire process is long, difficult and expensive (running into a few lakhs). Also, getting a residency post is not easy or certain. A similar exam, PLAB, exists for those wishing to practice in the United Kingdom. b. Give the GRE and then take up MS/ Ph D in subjects like Public Health, Genetics, etc. This means research/ academics as a career, giving up clinical practice altogether. Some are okay with that. Or maybe they are just resigned to their fate. The GRE route of 'going abroad' seems to be gaining popularity. It is easier both to get there and get a job. And, what do you know, doctors are even aspiring for MBA courses! Although the number is tiny, it is happening. 1% of IIM Ahmedabad's class of 2006 lists its background as 'medicine'. That is just about three students, but it was unheard of until recently. But why not? If 17-year olds who joined engineering can later realise this isn't what they want to do for the rest of their lives, the 17-year olds who similarly opted for medicine should be free to make the same choice. Somehow, that isn't so. Clinical research, it is being said, may be the next big thing. Especially if India can convince the West to outsource its clinical trials here. Hospital management courses are becoming popular. Yet, neither is attracting medical graduates in a big way. In that sense, unlike any other graduates, doctors still have a great deal of pride in their skills. They also give it up less easily than engineer/ MBAs who will happily sell shampoos or manage hedge funds, with no love lost for their original subjects. Just for that, I salute the unsung, underpaid, unwilling-to-give-up young doctor. Aapka number aayega, zaroor aayega. Go ahead and fleece us MBAs. God knows, we somewhat deserve it!

The Wounded Healer.....the pain of being a doctor

Its been so long that people have thought of doctors as saviours, as the men of god who have the magical power to win over the demons of death. They have worshipped him by offering their bodies and souls, not to mention the worldly goods. They have created his image as the most respected of the today's society.
It has been a myth that a doctor is one of the most healthiest and the fittest of the humans walking on this planet but as they say most myths are from the demon's mouth this one's too.

I have discovered doctors to be the most vulnerable of the human beings. Their suicide rates are around eight times that of the normal population. Their drug addiction frequency at around 100 times the normal. Why is this paradox?

Why is that the doctors who are fully aware of the strains of insomnia on the body put in 48 hours continous duty?
The body's efficiency goes down as their is lack of sleep yet the doctors dealing with human lives continue to work despite the lack of efficiency. Is it coz of lack of doctors? no, i dont think so.
What is the value of a human live that a doctors puts? Ask an intern who has just returned from 72 hours marathon duty and he will surely tell you the most fascinating of the answer.

Well the answer is that the doctors are painfully aware that they cannot live upto the expections of people. they cannot save every life that they are expected too.
It is not easy to face death everyday and doctors do it every day.
it is not thus amazing that they are sufferers of the mental agony.
Their agony is unquantifiably intense......
They have been aptly called as the " Wounded Healers"

The Pain Of Being A Doctor.....Yes Sir......

the paradox of the observing mind...superman returns!

i have always wondered how deep can a mind think, how minutely can an eye see.
it is just beyond comprehension. when i was doing my pre-med classes i always joked about just cramming up the things but after 3 years in a med school i begin to understand the power of senses
its not just that we are a group of lunatic tube-something (stethoscope) weilding maniacs but more than the equipment surrounding us, it is the senses that we have that help us in our work. we see things a layman cant see, we hear things a layman cant hear, we feel things a layman cant feel. sounds too supermanishhh... to be true but it is the fact. thats why we are the doctors. the power of observation is what is our true power and thats is what the power of healing truly is.

the superman returns......well sure yes!!!