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I'm the 1st doctor in my entire clan if I didn't do MD from a govt institute I'd be ruined. Similarly a 3rd generation Dr if doesn't do MD would though not be ruined but lose credibility plus practice if father has own clinic or never be faculty if want to join medical college. https://twitter.com/Shakra_Kulish/status/1308080581838663681
https://twitter.com/Shakra_Kulish/status/1308081557597351940?s=19 I'm not at all amazed people are totally clueless how a specialist doctor is made. They think medical degree is got by distant learning program. A resident Dr actually treats patients with surgeries, interventions, procedures being on duty >120 hours/week.
https://twitter.com/Shakra_Kulish/status/1308082231177441286?s=19 Resident Dr is not a colloquial term, it's official. In UK they're called House physician/surgeon. It means they're to live day & night in the hospital, with the patients, which is their house. Resident Drs run a hospital ofc credit goes to the top names.
MD degree is not about going to college after clearing an exam, it's about taking complete responsibility of the patients entrusted to you incl medico-legal liabilities. You can divorce your spouse, leave your country but cannot be separated from your speciality till next life.
https://twitter.com/Shakra_Kulish/status/1308067400089128961?s=19 Resident doctors are the backbone, the scaffolding around which a hospital is built. Consultants spend a few minutes with a patient, resident Drs actually live, eat & answer nature's call in the wards with them. Even while sleeping think of dying patients.
Medical residency ie killer entrance; licencing/registration in university plus Med Council everytime post MBBS,pre-post MD/MS,pre-post SR/DM/MCh; concern of critical patients; loyalty; hope; obdurate web of system; apathetic authorities; foolish policies- don't let them resign.
As briefly outlined above med residency is a vortex at best, a black hole if worst; may enter it, can't exit at will. Frequent for a resident Dr to be making dung in morning overcoming the banging on lavatory door by ward staff that 3 patients gasping, 2 convulsing, 1 absconding.
https://twitter.com/Shakra_Kulish/status/1308106582027194368?s=19 Read the tweet to which I responded. People just don't know what's the significance of MD when they want to disparage doctors but would seek MD doctor only when have to consult a doctor for their ailments. But say don't mean disrespect. That's disrespect!
https://twitter.com/Shakra_Kulish/status/1308067400089128961?s=19 Without an MD degree various court judgements have decreed MBBS doctors as quacks ineligible to perform almost every kind of intervention/procedure/surgery. First & foremost that's why MD becomes an absolute necessity to survive as doctor. Else, finished.
https://twitter.com/newbob91/status/1308115811408715776?s=19 Degree inflation by the system. No Dr wants to do useless degrees if not mandated as absolutely compulsory by the system. Drs want to focus on learning & training immediately instead of wasting valuable years in exams.
https://twitter.com/Shakra_Kulish/status/1308070753795858433?s=19 And last but not the least while joining MD a Dr is aged approx 23 - 28 years if a regular candidate ie 26 - 31 when complete MD; SR/DM now increasingly being made compulsory, then age gets past 31- 37. Spouse, kids, parents get intertwined. Can't resign.
Early morning rush even before OPD started, I'm not currently in CoVid OPD/ward. Even corridor getting filled up, it'd get worse. Can't kick them out for not following 2m distance. Can't say come later it's lunch or day over. All must be seen & planned,decided,accounted for.
Now this is just OPD. A good chunk of them are listed for different procedures, treatments, surgeries and interventions for which a bulk of them are admitted to wards. In wards orders are written, rounds taken, t/t started, rounds taken again, previous patients managed alongwith.
Ensuring that today itself all treatments get started, all bedside consultations get attended to, all listed procedures have patients prepared,all lists go to different OTs arc, some residents in between OPD/ward duties are sent out to accompany the various intervention patients.
Every treatment/procedure/intervention/surgery is unpredictable even in theory so it translates in real life as well, patients families get anxious only to argue even fight so that they catch the return bus/train to their hinterland. Armchair jackasses pontificate "easy,resign!".
IPD situation gets worse when multitasking as janitors, peons, clerks, ward/OT assts, nurses, counsellors, bouncers, agony aunts all rolled into one the resident Drs already inundated & burdened with work are alerted to critical patients dying or unforeseen complications in OT.
There was a false case, judge left chair at 5pm sharp on friday while lawyers kept pleading, an innocent was sent to jail for 3 days as case could be taken up only on monday which would take a whole day of course for all paperwork to clear. Doctors don't say "5pm ho gaya, chalo"!
https://twitter.com/Shakra_Kulish/status/1088058995108204544?s=19 We don't need increase in medical seats but we need more hospitals so that the existing hospitals are unburdened & the backlog of resident Drs are utilised properly. Mindless increase in medical seats/colleges is creating hordes of unutilised trained Drs.
We need the number of private medical colleges severely restricted as most of them are directly/indirectly owned by or linked to politicians or business houses who're more into getting back the returns than actual shikShA, sEvA, chikitsA. Same with corporate owned hospitals.
Doctors are in the 3rd category. Don't need any preaching.
