My dear colleagues, firstly I am not trying to patronise, act smart or disrespect anyone through this post.
Since so much is being said about antipathy of society, Government and others against doctors., hence there are few hard hitting facts which we as community of doctors need to introspect. These points are not applicable to everyone and some of you may criticise hence I will apologise to anyone who feels offended by this post in advance. Some of you may feel that I have made assumptions in few of the points but if think from unbiased approach things mentioned will make sense—
1. Who allowed non- medicos to run a hospital and become administrators dictating terms of service to doctors??
2. Who accepted to become brand ambassadors for Pharma companies to promote their products ?
3. Who accepted to prescribe drugs of certain brand on recommendation of MRs and pharmacy selling those brands??
4. Who accepted to be sponsored by Pharma companies to attend conferences?
5. Who continued to do private practice inspite of being working in a Government hospital, drawing NPA and not allowed to do private practice?
6. Who diverted patients seen in government hospitals to private practice to earn money?
7. Who tried to belittle one’s colleagues so that we can retain patients??
8. Who agreed to act as ghost faculty in medical colleges during inspections for recognition of these colleges??
9. Who accepted freebies offered by Pharma companies to serve the personal gains of these companies.
10. Who agreed to follow instructions of administrators of medical colleges to pass students because these students had paid hefty capitation fees to get admitted in these colleges and hence need to be passed at any cost?
11. Who agreed to conduct free medical camps by few corporate hospitals to increase patient footfall.
12. Who agreed to conduct full body checkup with a battery of investigations (which are unscientific) to source out patients for corporate hospitals?
13. Who agreed to waive of patient fees to retain patients in ones care to make it affordable for patients??
14. Who allowed to fix ridiculous pricing of disease treatment in packages in Government schemes.
15. Who agreed to get involved in illegal renal transplant rackets?
16. Who agreed to over treat patients with unscientific surgical procedures just to increase the cost of treatment?
17. Who wanted to continue being given the status of god inspite of doctors being included in CPA?
18. Who has continued to treat residents as non-entity ( although this trend is changing) in medical colleges as they continue to work in inhuman conditions?? How many of us taken up their cause when we have reached a position where we can make some difference?
19. Who has at times agreed to do things and act as per whims and fancies of politicians??
20. How many of the professional bodies of various specialities have been proactive in formulating guidelines and protecting the interests of their members in difficult situations?
21. Most of are good in our specialities, but have kept up with changes occurring in the social fabric. How many of us try to keep abreast with knowledge and read literature to understand the changes occurring in the practice of our speciality.
22. We cannot remain aloof from the changes happening in the society and want the society to continue treating as Gods.
23. We have failed to understand that since the time of inclusion of medical profession in CPA, we too should have changed the way we see patients and what to expect from the patients
24. There are many other factors too which also need to be thought about.
25. We need to understand that general public will never come out in support of doctors because of varied reasons . And doctors are a very small community as a vote bank for politicians to think about us . Also it is irrelevant comparing ourselves to other professionals and crying that we as doctors are being victimised and our concerns are not being answered. The politicians have a larger vote bank to think about and doctors don’t matter to them in larger scheme of things.
26. We all are part of the same society with moral fabric we all know .
27. My take is consider every patient as potential litigant and treat patients accordingly with whatever best knowledge on has of the disease he has come to me for treatment.
બુધવાર, 25 ડિસેમ્બર, 2019
Balanced evaluation of Medical practice
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