Thursday, December 31, 2009

Happy Brewin..da indian way!..


its been a while since i posted somethin here...and in the meantime its been quite cold here....temperatures droppped to 1 degree celsius yesterday and i was in my bed da whole day wid two hot water bottles!!..:))

its not i dont like the cold, actually i thoroughly enjoy it...the thought of hot steaming espresso all day long is very inviting..:))..till recently i was a big time caffiene addict!..i think i have mellowed down a bit...

Coffee is somethin that is used all over da world nd in various forms!..the best ones are from Ethiopia ( plz look in da map for da location and enlighten me!), anyways, the ethiopian coffee plantations are quite famous for its rich aroma and flavours..

Closer home in India, the south indian filter coffee is quite a famous one..though personally i dont like it much..many say its strong..so it might be but hey it doesnt feel good!!

Its something of a cultural icon down south wid many authentic ones using jaggery in place of sugar to sweeten the taste (huh???)
Interestingly, there is a Kannada name for coffee "Boondh Bisneeru". "Bisneeru" sounds a great deal like "bisi neeru," or "hot water," thus leading to speculation that the terms are connected. Although not used currently, this was used by ladies two generations ago. The Srilankan Tamil name for coffee is "Kottai Vadineer"

I would recommend Aparna Datta's 'From Mocha to Mysore- A coffee Journey' for some interesting insights into indian coffee practices..

Most connoissures would agree that da indian extraction techniques in filter coffee is superior to da western world's espresso machines!!
But hey to me, i am happy wid a espresso and a latte!!!!

the milky latte is da best at da end of a long and tiring day!...it fills you up wid da goodness of milk and the freshness of coffee!!..

Oh GAwd, i can go on and on ...i still think i am a coffee addict!..

anyways before i sign off, a very very happy new year to all of you fellas..and i hope u enjoy every moment of this year....
and till then i should get back to my books and my coffee!!..( or a certain someone will thrash me to bits!!)..

take care and happy brewin

Zubin

Thursday, November 26, 2009

WIN or DEFEAT

I don’t know what to say really.
to the biggest battle of our professional lives
all comes down to today.

Either
we heal
as a team
or we are going to crumble.
Inch by inch
play by play
till we’re finished.
We are in hell right now, gentlemen
believe me
and
we can stay here
and get the shit kicked out of us
or
we can fight our way
back into the light.
We can climb out of hell.
One inch, at a time.


On this team, we fight for that inch
On this team, we tear ourselves, and everyone around us
to pieces for that inch.
We CLAW with our finger nails for that inch.
Cause we know
when we add up all those inches
that’s going to make the studying difference
between WINNING and LOSING
between LIVING and DYING.

I’ll tell you this
in any fight
it is the guy who is willing to die
who is going to win that inch.
And I know
if I am going to have any life anymore
it is because, I am still willing to fight, and die for that inch
because that is what LIVING is.



44 days left before the battle.....the result will be what we chose now....

WIN or DEFEAT....

Friday, November 06, 2009

10 reasons why u shud date a doctor

1. The stethoscope
2. They cn giv u the gift of "missin dem" because they are always at work
3. They can give you a free medical consultation
4. You save yourself the embarrassment of going to a doctor with a water infection!!
5. They are smart!!
6. They knw their anatomy well (knw wat works n where)
7. They are heavy weight party people in the weekend
8. Let's play doctor!!
9. They are well trained to listen.
10. They know how you feel, or at least pretend to!!

10.1 They always have a strange new story to tell.
10.2 They offer you a tissue when you feel like crying (it is a reflex).
10.3 They can stay up all night if you want them to.
10.4 They can guide you in the gym.
10.5 Money!!! (Although they work long hours for it)
10.6 Free medical samples!!
10.7 They are unshockable!!!

Friday, September 18, 2009

The Acknowledgement..A Visit to the Heaven..

I dreamt that I went to Heaven and an angel was showing me around. We walked side-by-side inside a large workroom filled with angels. My angel guide
stopped in front of the first section and said, 'This is the Receiving Section.
Here, all petitions to God said in prayer are received.'

I looked around in this area, and it was terribly busy with so many angels sorting out petitions written on voluminous paper sheets and scraps from people all over the world.

Then we moved on down a long corridor until we reached the second section..

The angel then said to me, 'This is the Packaging and Delivery Section. Here, the graces and blessings the people asked for are processed and delivered to the living persons who asked for them.. 'I noticed again how busy it was there. There were many angels working hard at that station, since so many blessings had been requested and were being packaged for delivery to Earth.

Finally at the farthest end of the long corridor we stopped at the door of a very small station. To my great surprise, only one angel was seated there, idly doing nothing. 'This is the Acknowledgment Section,' my angel friend quietly admitted to me. He seemed embarrassed 'How is it that there is no work going on here?' I asked.

'So sad,' the angel sighed. 'After people receive the blessings that they asked for, very few send back acknowledgments .'

'How does one acknowledge God's blessings?' I asked.

'Simple,' the angel answered. Just say, 'Thank you, Lord.'

'What blessings should they acknowledge?' I asked.

'If you have food in the refrigerator, clothes on your back, a roof overhead and a place to sleep you are richer than 75% of this world. If you have money in the bank, in your wallet, and spare change in a dish, you are among the top 8% of the world's wealthy .'

'And if you get this on your own computer, you are part of the 1% in the world who has that opportunity.'

'If you woke up this morning with more health than illness ... you are more blessed than the many who will not even survive this day .'

'If you have never experienced the fear in battle, the loneliness of imprisonment, the agony of torture, or the pangs of starvation ... you are ahead of 700 million people in the world.'

'If you can attend a church without the fear of harassment, arrest, torture or death you are envied by, and more blessed than, three billion people in the world. '

'If your parents are still alive and still married ...you are very rare .'

'If you can hold your head up and smile, you are not the norm, you're unique to all those in doubt and despair.'

Ok, what now? How can I start? If you can read this message, you just received a double blessing in that someone was thinking of you as very special and you are more blessed than over two billion people in the world who cannot read at all.

Have a good day, count your blessings, and if you want, pass this along to remind everyone else how blessed we all are.

Thursday, August 20, 2009

Its Something Else.....

There is something else. There is something that is here nor there. We live in a world of extremes....either there is love or hatred, either there is life or death.

But sometimes we feel somewhere in between. We feel something in our hearts that says to us that this isnt something that we can define or name.

Some of us will it friendship and some of us will call it Love. But its neither. Nor is it as distant as friendship and nor is it as close as love.....We know that we will eventually lose this and all this is temporary, yet we are not saddened. We want to cling on yet want to move on.
We meet people and get attracted to them...we talk and become friends....but somewhere we always want to know more...talk more and be more together....its nothing physical....sometimes we havent even met that person in person...but something always lingers on about that person...something of an after image, that stays fresh even when the person is gone....

How many of us remember that girl's face that we saw on the foggy day in mountains when on holiday one early morning...??...Dont knw who is that lady or where going....dont know where she is now...yet the after image remains...

How many of us think of those un-named people we met in life and then moved on?..how many of us want to know what happened to them?..How many of us have that curosity in us to know what happened to that school mate of 2nd class whom i used to sit with?...there are many loose ends in our story of life that are probably never taken care of....
Something binds...maybe mutual interests....maybe mutual admiration. Its a very thin line...its a very rare entity....It usually arises when we stop having expectations yet we have desires.....and when these desires are fulfilled, it gives a new high every time......

Fulfilled Expectations give us a relief whereas fulfilled desires give a high....

I cant name this in between temporary stage..but its as beautiful as the morning dew and as intoxicating as the aroma of a freshly grounded coffee..
and till it lasts...its good and when it is gone..i hope it is better....

Maybe someday i will name this...but till then...lets enjoy what we have....

Sunday, July 26, 2009

America's Best Hospitals 2009 List OUT!

U.S. News & World Report has released its annual "honor roll" of America's best medical centers, and Johns Hopkins Hospital in Baltimore is at the top of the list for the 19th straight year.

The top 21 hospitals all earned high scores in at least six of 16 specialties, ranging from cancer and geriatric care to orthopaedics and urology.

Scores were based on both objective measures -- such as mortality rates, patient safety, and other care-related factors -- and subjective measures, such as reputation.

"I think these rankings are extremely meaningful to an extremely small number of patients, relatively speaking, who represent a very small piece of the patient population but whose need for a very high quality of care is extreme," Avery Comarow, the U.S. News & World Report statistician who compiled and analyzed the data, tells WebMD. "These rankings are not at all intended for those who need relatively routine procedures."

The 'Best Hospitals' for 2009

Hospitals are listed below by total points. Here are the 21 hospitals that made the magazine's honor roll (two are tied for 10th place):

Johns Hopkins Hospital, Baltimore
Mayo Clinic, Rochester, Minn.
Ronald Reagan UCLA Medical Center, Los Angeles
Cleveland Clinic
Massachusetts General, Boston
New York-Presbyterian University Hospital of Columbia and Cornell
University of California-San Francisco Medical Center
Hospital of the University of Pennsylvania, Philadelphia
Barnes-Jewish Hospital/Washington University, St. Louis
Brigham and Women's Hospital, Boston
Duke University Medical Center, Durham, N.C.
University of Washington Medical Center, Seattle
UPMC-University of Pittsburgh Medical Center
University of Michigan Hospitals and Health Centers, Ann Arbor
Stanford Hospital and Clinics, Stanford, Calif.
Vanderbilt University Medical Center, Nashville, Tenn.
New York University Medical Center
Yale-New Haven Hospital, New Haven, Conn.
Mount Sinai Medical Center, New York
Methodist Hospital, Houston
Ohio State University Hospital, Columbus
Top Hospitals by Specialty

Here are the No. 1 hospitals in each specialty, according to U.S. News and World Report:

Cancer: M.D. Anderson Center, University of Texas, Houston
Diabetes and endocrine disorders: Mayo Clinic, Rochester, Minn.
Digestive disorders: Mayo Clinic
Ear, nose, throat: Johns Hopkins Hospital, Baltimore
Geriatric care: Ronald Reagan UCLA Medical Center, Los Angeles
Gynecology: Brigham and Women's Hospital, Boston
Heart and heart surgery: Cleveland Clinic
Kidney disorders: Brigham and Women's Hospital
Neurology and neurosurgery: Mayo Clinic
Ophthalmology: Bascon Palmer Eye Institute, University of Miami
Orthopaedics: Mayo Clinic
Psychiatry: Massachusetts General, Boston
Rehabilitation: Rehabilitation Institute of Chicago
Respiratory disorders: National Jewish Hospital, Denver
Rheumatology: Johns Hopkins Hospital
Urology: Johns Hopkins Hospital

Wednesday, July 15, 2009

AIIMS is the Toughest Exam in the world...

Well.....what i always knew and feared, came true today.
i finally got the data to back my claim that AIIMS Med school entrance is the toughest in the world to get into...it has acceptance rate of ONLY 0.06%..

Compare this to the proclaimed best THE HARVARD MED SCHOOL which has acceptance rates ranging arnd 1.5-3%

I salute the indian med students who slog it out year after year to be accepted into one of the best med schools not only in india but in the world......

heres the comprehensive list of other med schools in US....US which houses 30 of the world's top 50 universities....none has acceptance below 1%...AIIMS is at 0.06%.....HORRIFYING STUFF THIS!!!

Percentage (%) of applicants who applied to and were accepted by that medical school:

Alabama

Alabama 8.65
South Alabama 6.12
Arizona

Arizona 18.5
Arkansas

Arkansas 10.1
California

Loma Linda 3.69
Southern Cal-Keck 2.4
Stanford 1.3
UC-Davis 2.01
UC-Irvine 2.22
UC-San Diego 2.41
UC-San Francisco 2.74
UCLA Drew 1.45
UCLA-Geffen 2.18
Colorado

Colorado 4.43
Connecticut

Connecticut 2.97
Yale 1.93
District of Columbia

George Washington 1.33
Georgetown 1.73
Howard 2.02
Florida

Florida 4.74
Florida State 4.98
Miami-Miller 4.18
South Florida 4.17
Georgia

Emory 2.11
MC Georgia 9.04
Mercer 11.6
Morehouse 1.49
Hawaii
Hawaii-Burns 3.27
Illinois

Chicago Med-Franklin 1.8
Chicago-Pritzker 1.37
Illinois 4.6
Loyola-Stritch 1.43
Northwestern-Feinberg 2.28
Rush 2
Southern Illinois 6.13
Indiana

Indiana 8.63
Iowa

Iowa-Carver 5.11
Kansas

Kansas 8.55
Kentucky

Kentucky 5.09
Louisville 6.6
Louisiana

LSU New Orleans 18.1
LSU Shreveport 16.5
Tulane 2.14
Maryland

Johns Hopkins 1.94
Maryland 3.49
Uniformed Services-Herbert 8.77
Massachusetts

Boston 1.66
Harvard 2.55
Massachusetts 14
Tufts 1.96
Michigan

Michigan 2.91
Michigan State 3.21
Wayne State 6.81
Minnesota

Mayo 1.33
Minnesota 5.38
Minnesota Duluth 4.28
Mississippi

Mississippi 41.4
Missouri

Missouri Columbia 7.07
Missouri Kansas City n/a
St Louis 2.77
Wash U St Louis 3.03
Nebraska

Creighton 2.22
Nebraska 8.78
Nevada

Nevada 5.08
New Hampshire

Dartmouth 1.4
New Jersey

UMDNJ New Jersey 4.57
UMDNJ-RW Johnson 4.91
New Mexico

New Mexico 13
New York

Albany 1.61
Buffalo 3.54
Columbia 2.21
Cornell-Weill 1.73
Einstein 2.47
Mount Sinai 2.08
New York Medical 1.69
New York University 2.25
Rochester 2.18
SUNY Downstate 3.47
SUNY Upstate 3.09
Stony Brook 3.35
North Carolina

Duke 1.92
East Carolina-Brody 8.66
North Carolina 3.98
Wake Forest 1.6
North Dakota

North Dakota 20.3
Ohio

Case Western 3.35
Cincinnati 4.08
Northeastern Ohio 5.56
Ohio State 4.75
Toledo 5.13
Wright State-Boonshoft 3.3
Oklahoma

Oklahoma 11.2
Oregon

Oregon 2.62
Pennsylvania

Drexel 2.13
Jefferson 2.74
Penn State 2.04
Pennsylvania 2.35
Pittsburgh 2.72
Temple 1.89
Puerto Rico

Caribe 6.37
Ponce 4.92
Puerto Rico 11.5
San Juan Bautista 11.9
Rhode Island

Brown-Alpert 2.06
South Carolina

MU South Carolina 7.35
South Carolina 4.23
South Dakota

South Dakota-Sanford 8.42
Tennessee

East Tennessee-Quillen 3.66
Meharry 2.21
Tennessee 10.5
Vanderbilt 2.09
Texas

Baylor 3.61
Texas A & M 4.5
Texas Tech-Lubbock 4.72
UT Galveston 6.42
UT Houston 6.33
UT San Antonio 6.26
UT Southwestern 6.42
Utah

Utah 7.63
Vermont

Vermont 1.92
Virginia
Eastern Virginia 2.31
Virginia 3.37
Virginia Commonwealth 3.12
Washington

U Washington 4.67
West Virginia

Marshall-Edwards 5.93
West Virginia 3.66
Wisconsin

MC Wisconsin 3.3
Wisconsin 5

Tuesday, June 23, 2009

no longer those holidays

what is the worst thing about preparin for indian medical pg exams.....

is it the less no of seats on offer?...is it the competition?..is it the constant stuggle?....

for me the struggle has been internal....Its my mind that i had to kill..

There are no longer those holidays...no more unscheduled evening drives...no more friends and parties of friend...social networkin sites once a day are the ony source of existence in this world now...
the worst part is looking everyone around you continuing with their lives...getting married, having summer camps, basically moving on....and we strugglers are still stuck with same old books for almost 10 months now and still no respite in site....

There cannnot be love or hate....because we cant affored either....
Love stories are cut short and fights reach a ceasefire....

Smiles are lost and tears dry up...emotions are long dead now..it jus gets mechanical after sometime....
Day after day..i get up and do the same routine....same old books...with same hope that someday will be my day...
Exam after exam...and result after result...the goal seems more distant.....

The most important and necessary thing for me has been killing my emotions....emotions cant exist if i have to maintain sanity....
I have to study no matter what the result....bad news no longer disturbs and good news no longer enthralls...

waiting and wishing for that single day...

i will not celebrate tht day....coz i have lost more than i will ever gain...
it will be jus a break down...it will jus be a sigh of relief...

and a long awaited peaceful sleep.....

Waiting and Wishing....

Zubin...

Monday, May 25, 2009

Another one..

14th Failure today...still getting used to it...

Dunno why it happens...i dont mind failures but god has to give strength to go through it again and again..
I hope i am able to rise above this and move on..

Time for the next exam...13th june 8 :00 AM Chandigarh...

Byess..
Zubin

Wednesday, May 13, 2009

Go the Distance.....

hey ppl

i am posting after long time...lots have changed since...
i gave many exams for my PG entrance...wasnt lucky anyplace...and i am still in process for the same.....fighting hard....as ever...

I realized a few things in these last many months....that what does it take to stand up again and again to face the biggest fears that affect you...
You know..when we doctors are in college, we are afraid of failures.....we are afraid of mistakes....Since last 3 months..i couldnt clear a single exam...13 failures...but still every day i get up and fight....everyday i get up and pick up a book to continue read....jus beliving in myself...thts wht this profession has taught me...it aint about how hard you hit, its about how much you can get it, how much you can take and still keep moving forward...thats how winning is done. ( remeber this line anyone?)

That line is from rocky balboa....i again saw the series recently...and it hit me with so many similarities....We make mistakes...we go down...we lose yet as doctors, we never give up...We again get up to see the next patient or the next question in my case...

We live so near to failures...every day patient die....we are surrounded by death...to be brutally honest we can never win this fight with death....yet each day we rise to do our jobs....we never celebrate success..We jus go the distance...

We jus have to go the Distance
I jus have the go the distance
coz Battles are won by those who persist when others have fallen around them....

Zubin

Friday, January 09, 2009

DOCTORS...ENGNEERS..LAWYERS....MBAs....READ THIS...

But now for the time being, lets get back to my scenario here...and discuss things along this line now. Firstly, as far as my decision about "specializing" to an MBA from Medicine, and particularly from Surgery are concerned, well here’s what my decision is all about, and the following is the true and real scenario. I am still in the UK, and as i said earlier, will be appearing for the MRCS part-2 exams this January, and most importantly of all, I am fascinated by the science of Surgery, and I am sure that I will always want to learn more and more about the skills of Surgery. And I’m sure I will. And how am I able to do that? Here’s how. Simply because I have earned the "right" to hold a scalpel in my hand, or a suture & needle and use it to save someone’s life...and that’s cos I have worked hard to become a doctor, without which learning Surgery would have been a forbidden territory for me. And whats more...I will ALWAYS remain a doctor, no matter where I am, and what I do further on in life, and nothing on earth can change this fact, and neither will I let anything change this fact. And so, after completing my MRCS , fully, I will also become a qualified specialized surgeon...and so this is something I will do as well, cos as I said, Surgery fascinates me, and I will not let go of it!

But what I want to do here is break away, somewhat, from this closed bubble in which most doctors live for the rest of their lives, simply cos they think that they don’t have other options as their field of study is too specialized (you docs doing, or having done an MBA, will know better, i'm sure). Who said that a doctor HAS to spend the rest of his living days working as a doctor, or for that matter...an engineer has to be an engineer for the rest of his life...or a lawyer has to be a lawyer forever. We human beings are capable of remarkable things...and WE DOCTORS are naturally the more intelligent breed than the average population, aren’t we? (anyone with objections to this statement of mines, plz feel free to speak out!) (no offence meant to anyone, obviously). Then my whole point is that, why don’t we expand our frontiers, and use this intelligence to greater use, for our self-improvement? That’s all I am saying, and that is why, I am thinking on these lines, and taking the liberty of writing this posting here. I as an individual, feel that, I am multi-talented...and I also feel that almost all of us out there (yes, I mean us docs), who have been able to see through the rigors, and processes of an extremely tough entrance exam, who have seen through a 5.5 yr intense course at medical college, and who are still giving it their best, to move forward in their professions...well, I feel that, its not only me who is multi-talented...but its all these doctors out there who possess immense talents like myself. But due to the circumstances, mindsets, and society issues, are unable to put these talents to use. Plz read on...

My thoughts are like this. Since I feel that, being doctors, we are multi-talented, I want to put these dormant talents to use, and feel that all doctors should do the same, as well.

My particular area of interest is setting up a business in property investments, and also starting a media group, and channel of my own, too, which will be exclusive to health, and Medicine programmes. We have Animal Planet...we have news channels...we have movie channels...but do we have an exclusive medical channel out there? No and I intend to create one. Big ambitions, one might say, but they are honest ambitions, I must say...and I want to see these ambitions turn to reality. I also realize that, in order to go about doing these successfully, I will need some kind of specialized education which is different from learning how to use a laparoscope to perform a cholecystectomy...probably some kind of business/management related education is something that will fit the bill here. And that’s why I have on my mind something on the lines of an MBA . But wait...remember that we are doctors! RIGHT? And what did I say we are, as a result of being doctors? MULTI-TALENTED. That means we can easily be, and do 2, or maybe even 3 things at the same time...and unlike being a “jack-of-all-trades, master-of none”, we can be a master of more than one, cos we are the breed the world calls DOCTORS!!! And just in case if anyone has any doubts about the abilities of us docs, well, I am then just gonna have to prove it to you all out there that, we are capable, (just like all my yet-to-be-doctor-friends-out-here doing an MBA have already proven), and the 1st step in proving that, would be to prove that I AM CAPABLE.

So here’s a thought which I have thought about in detail...but which I haven’t worked on yet, in details, cos I am presently focusing on my MRCS exam on 16th January. After that, I will start my “homework” in this direction, FULL SWING!!! Read on...

To all you doctors who are still just doctors.....have you guys ever thought of, or wondered about those individuals who get top ranks in various exams like GMAT, CAT, etc, and in doing so, end up in some of the top institutions of the world, like Harvard, Stanford, London school of business ,and of course our very own IIM's too? Haven’t you ever privately and secretly said to yourselves, about these individuals…"They are THERE & we are HERE, after all we’ve done and been through…that’s just not fair". At some point of time or the other, you possibly might have. Well, there is this general perception that these MBA-individuals are the “cream” of the brains and society, and due to this perception (which is largely true as well), they also demand some of the highest paid salaries, and some of the most respectful jobs. Read on to hear my idea...

...well, I got a bit distracted there for a while, and so lets get back to telling you what I was telling you...about us being multi-talented, our capabilities....and about the fact of me proving it to everyone including myself, that we doctors are the BESTEST. So here’s the point. What’s so special about those guys getting their MBA's from the “top-10 business schools”, and getting paid exorbitantly? And why do we have to spend our living days hearing society talk about them big-shot MBA's being brilliant, super, talented individuals, when this so-called “society” actually benefits a lot more from us doctors directly, as far as “themselves”, and their biologies are concerned...and when actually these MBA's play very little direct role in their lives? Well, enough of questions, for now…I’ll give you a chance to answer them yourselves. As of now, lemme tell you what I intend to do, or at least have thought about doing, really, really soon. Read on plz...

...since my particular ambitions later on in life are about property investments, and on owning a TV channel, they’ll naturally require a thorough learning and understanding on business and management. And truly speaking, our medical education has left us as total illiterates, as far as finance, accounting, management and entrepreneurship is concerned, and i feel that some good amount of formal education in this direction will help me turn my future plans into action. And of course to start any successful business, a good capital is neceassry, or i should say...a good capital makes things simpler. And just being a doc will take away at least a decade, if not more, of my life, for my being able to achieve such a capital target...plus due to the professional demands, medicine leaves us with very little time to even think of any other ideas in life. So thats the basic idea about my MBA plans...and so I have my eyes on an MBA ,and that too, a top-notch MBA . But here’s the POINT. I am not going to sit and watch that “cream of the brains and society” salutation go to the non-docs only………….and so here’s what I am going to do……………. I am going to go on to get an admission in an MBA course from among the top-10 business schools in the world, and will do whatever it takes to top score in the GMAT/ CAT. After that, besides bothering about my property investments, I will get that international TV channel up and running (where as you might have guessed, there’ll be lots of Surgery shown!!!), just for us docs, and the rest of the world. At the same time, I will continue to learn, and specialize my skills in the practice of Surgery ,cos it’s something I love doing, and will forever love doing. Now I know that all this sounds larger-than-life, and overtly-ambitious, and many of you might be saying that this guy called simba_smiles has gone crazy! But trust me, fellow doctors, I hereby declare to all of you out here...that I will prove it that I am capable of achieving all this...and more...cos after all, its all about self belief, and I know that I have an enormous amount of this self-belief. And I’m sure you all do, too. It’s just a matter of time before you all, and I myself see me making all this happen for real. So make sure you guys keep a really good track of what I’m upto, in the near future…just for records!

Well, all said and done, everything that i have mentioned above are the things in life which i wanna do with all my heart, but since i am a newbie here, am still submerged in the world of surgery, and since i dont know a single doctor-MBA personally, i am naturally at the disadavantage of not knowing any appropriate people in my professional circle, with whom i can discuss this option. And so, i could really do with some advice and suggestions from one and all out here...and better still, from those with some personal experience on MBA's for docs, and wat prospects they hav in todays market, and wat options are available after passing out. And i obviously dont wanna do it from the hordes of MBA schools found in every lane nowadays, but wanna do it from somewhere really worthwhile, and though i dont hav much info about the CAT exam, i hav looked into details of GMAT, as i would probably like to do the MBA here at London Business School, or among the top-10 US B-schools. Yeah, yeah, i also hav done my homework, and know that it requires a GMAT score of around 700, references, experience, etc, etc, but thats just about all i know, cos as i said, i dont know a single soul with whom i can discuss this "off-beat" topic, as far as doctors are concerned. Another thing is the finance/scholarship options, cos MBA programmes in some of the top schools, including london business school, cost around £.40,000, which i think is crazy!!! Anyway, all these websites and MBA forums like mba-forums, and this one here, do say spending that amount at a world leading B-school is worth it, as you'll get your moneys worth back really soon, though i dunno if all this is that true or not.

Well, that’s a lot of details from my side. Will write more later, after my MRCS exams are over. But i’d love to hear from you guys out there, and welcome any forms of support or criticism regarding my view-points here. And i did notice 3 of you and your postings here...and was impressed too...namely Ashima, Gandalfthegrey, and Doc_charming23...and so will be particularly looking forward to hearing from you too. So please do think about my scenario, and let me know of your opinions, and plz do make it a point to air your comments, all you docs & non-docs, MBA's & non-MBA's, cos it will only help me see both sides of the coin more clearly...and I need to be able to do that, before I set foot on this adventure of mines. I call this an ADVENTURE cos of the following. I’m sure that our lives are long enough, and our minds are talented & powerful enough, to experience more than one adventure in this life-time of ours. We doctors have all been fortunate enough to experience one of these magnificent adventures...in the form of Medicine . (very few on planet earth are fortunate enough to experience this vast and immense adventure called Medicine, and knowing all about the Human Body). I’m just trying to experience some more. Well, that’s all for now, and all the best to all of you, and keep smiling!!!

Before I leave, I just want to add a line which I had heard in a movie or something, and which really means a lot, if you look at it from a very strong and deep perspective.....

….."What makes a man a man? Is it his origins, or the way he starts things, or where he lives, or what he does? No. IT’S THE CHOICES HE MAKES. Not how he starts things, but how he finishes them."

DOCTORS..ENGINEERS...LAWYERS...MBAs READ THIS...PART 1

Hello everybody,

You can all call me simba_smiles. Before i start off my sickeningly long narration, lemme give you a tiny introduction about the guy i am. I'm a total newbie out here, and this is my very 1st posting...which i am doing after spending almost a week reading through different forums out here...and after realizing and discovering only a short while ago, that there actually is a whole thread exclusively for and by the doctors out here! (thats something which brought a huge smile to my face). Anyway, coming back to that intro of mine, well, i'm 27, did my MBBS from Calcutta, finished my internship in 2004, then worked for an year at Apollo Gleneagles Hospital, Calcutta, and then came over to London to appear for the PLAB exams. Will be appearing for PLAB Part 2 exam soon, and will be appearing for the MRCS Part-2 exams in January 2006. So wat on earth is a guy like me doing on an MBA forum, you guys might be asking...right? Well, just in case you havent figured that out yet...the answer is that, i am PRESENTLY in a very important decision making stage of my life now, and so needed to get in touch with a few MBBS-MBA's to sort things out. And so thats why i have barged in.

And oh yeah, here's a short description of my medical ambitions, so you'll get a clearer idea as to wat i'm doing out here. I had a dream to become a great general surgeon, and later on either a cosmetic, or a minimal-invasive surgeon. My dad is a great laparoscopic surgeon, and so was my grand-dad a doctor. But now due to certain circumstances, which I shall be mentioning in detail in this posting, now I want to be different, do different, and step aside from "standard protocol". I want to end a pattern of "insult" to our once-upon-a-time GREAT profession. I am therefore looking at a slightly alternative career prospect. And some of the primary reasons as to why i have 2nd thoughts about pursuing a career in medicine for the rest of my living days are as follows:

I remember that, when I and my friends had cleared the medical joint entrance exam, we all went crazy with joy, and praised ourselves for the big achievement. Little did we realise what uncertainties lay ahead...

It was a 5.5 years gruelling course, which demanded many years and lots of hard work. And with each university exam of the MBBS course we cleared, we felt that greater glory, and that feeling of almost "being there". In the meantime, all our non-medico friends, and relatives would look up to us, and tell us how lucky we were to being to-be-docs. A combination of all this made us feel great! Little did we realise what uncertainties lay ahead...

Then it was that almost final moment of glory. We passed our final MBBS exam, and we all enthusiastically expressed the same feeling from within saying..."I’ve done it!” Little did we realise what uncertainties lay ahead...

Finally, it was that ultimate glory, the moment of our lives, the stamp of authority, when after our internship we stood in that black cloak, received our certificates, and read the oath. Boy! Were we happy that day? But, again, little did we realise what uncertainties lay ahead...

This is what we realise, after all these moments of immense joy, that we are nobody in today’s world. Just try telling a person/patient that you have an MBBS degree, which you got after clearing one of the toughest exams like the JEE's, then worked hard to clear 4.5 years of fat books, tough exams and viva's, and then went through a back-breaking internship year, where we had to give duties as long as 36 hrs at a stretch. That person/patient will think "just a simple MBBS"!!! Now how is that going to feel.....huh? They want MD's, MS's, etc., etc., or else we are nobody. What can be more unfair, and insulting? So here's what we all do to counter that insult. I'm not finished yet... Read on...

We battle it out to take on even a tougher exam, which sometime we try to clear for years on end....the post-graduate entrance exam! Some of us take the PLABs, USMLE's, AMC's, Royal college exams and what not. We spend more brain power, more time, more money, all in an effort to be able to regain what was so mercilessly taken from us...our respect and our recognition as being really nice, efficient, honest and hardworking guys. There is a reward waiting for us at the end of it all!

And here are the rewards:

a) You work like crazy from early morning to late night.

b) You see that other professions around us are getting paid loads more with half the effort. And if you want to equal that pay-level, then you have to leave home an two hours earlier in the morning, and come back two hours later, trying to squeeze in more private practice/surgeries, etc.

c) You have no family or social life left. It makes you a mechanical being.

d) You have no time left for anything else in your life, and whatever money you earn is spent by your wife, kids, etc. because you don’t even have the time to spend it.

e) Do you get that respect? Well, how can you when you have a million consumer protection acts looming down on you for the slightest unintentional mistake. You face disgusting protests and abuses when miracles don’t save a patient, even though you have devoted yourself a billion percent to save a patient.

f) You being bossed around by managers and administrators, and being told what to do by them, and even getting less pay than them. When most of them are not even docs!

g) You see that even in the so called “developed countries” like here in UK, where I am now, that as far as respect goes, the doctors, all these hardworking devoted doctors, are at the bottom of the ladder. They have to be meek-health-providers to the patients, and it’s as if the patients and nurses and managers rule. They err, no problem, but if you err, all hell breaks loose. You make the tiniest of "mistakes", as in, talk in a bit of a grumpy way to a patient/nurse, simply because you have had a long and tiring day, and haven’t had the time to even grab a bite and the patients end up complaining that the doctor misbehaved and what does the doctor get? An official warning!

h) Even back in India, doctors just try and earn an honest living by working that extra bit harder and they are branded as scrupulous or dishonest who are using their profession to make money! How many people on planet earth are not into a profession to make money? One percent, I’d say. Yet the respect and the nobleness of this profession have been thrown out of the window, and instead replaced with sickening accusations!

Thursday, January 08, 2009

It takes Rs 1.7 crore to produce a single MBBS doctor at AIIMS

This is the finding of a first-of-its-kind study submitted by AIIMS' department of hospital administration to the dean recently. The figure includes both the direct (services of the faculty and stipend) and indirect (services of non-teaching personnel and furniture) costs incurred by the country's premier teaching hospital over the five-and-a-half-year period of the course.

According to the study `Determination of the cost of training of MBBS student at AIIMS' conducted under the supervision of Dr Shakti Gupta, (HoD), department of hospital administration at AIIMS, if computed using a traditional costing method, AIIMS spends Rs 31.31 lakh on every undergraduate student per year per course.

When calculated using the Time Driven Activity Based Costing method (TD-ABC), the study says that total costs incurred on one MBBS student comes out to be Rs 98 lakh per course.

"As against this, the annual fee of an MBBS student at AIIMS is Rs 850 per year that includes hostel and tuition fee,'' Dr Gupta told TOI.

What's worse, as an earlier study by the Media Study Group found, over 53% of students who pass out as doctors from AIIMS leave India to work abroad.

Of the 2,129 students who passed out in the first 42 batches of the MBBS programme at AIIMS -- from its inception in 1956 to 1997 -- the study team tracked down 1,477 doctors. Of them, 780 or 52.81% were found to be working abroad.

These stark figures made health minister A Ramadoss plead to students on Wednesday to stay back and work in the country. Addressing the annual AIIMS convocation that saw 376 degrees of which 50 were MBBS degrees being given out, Ramadoss said, "Please stay put in India. This country needs you very badly. You are the best in the world and your country faces an acute shortage of quality doctors.''

Even convocation chief guest Dr R K Pachauri echoed the same view. "If you (students) are looking at spiritual or professional satisfaction, then serving your own people in your own country, where you are needed the most, is the greatest gift you can get. The challenge is here and you will not regret the decision,'' Dr Pachauri said.

Dr Gupta had a solution to curb such brain drain. "Medical students who graduate from the Armed Forces Medical College in Pune have to serve in the Army for a minimum of five years or else they pay Rs 15 lakh to be allowed to practise in the private sector. AIIMS too should think of imposing such a clause where students have to sign a bond agreeing to work in India for a certain period of time after graduating from the institute,'' Dr Gupta said.

A recent Planning Commission report said India is short of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. Indian doctors, however, form 5% of the medical workforce in developed countries. Almost 60,000 Indian physicians are working in countries like US, UK, Canada and Australia alone.

India has a dismal patient-doctor ratio. For every 10,000 Indians, there is only one doctor. In contrast, Australia has 249 doctors for every 10,000 people, Canada has 209, UK has 166 and US has 548.