Monday, 4 June 2012

Emedinews:Insights on Medicolegal Issues:World Medical Association Declaration–WMA 5th World Conference on Medical Education


World Medical Association Declaration–WMA 5th World Conference on Medical Education
The prime concern of all Medical Associations in every country should dedicate themselves to marshalling the resources needed to provide for and guide quality medical education. This should be done in the context of appropriately sized classes with access to adequate faculty member, facilities and funding.
  • To focus professional and public support for medical education, medical associations in all countries should be acutely aware of the needs, opinions, expectations and personal dignity of their citizens.
  • The goal of medical education should be to produce competent and ethical physicians, who respect their roles in the physician patient relationship.
  • The elements of competence must include knowledge, skills, values behaviors and ethics, which provide quality preventive and curative care for individual patients and the community.
  • Research, teaching and ethical patient care are inseparable and essential to achieving the goal of physician competence.
  • An international core curriculum should be developed that will produce and maintain a competent physician whose skills transcend international borders.
  • Internationally standardized methods of assessing professional competence and performance should be developed and applied in undergraduate, graduate and continuing medical education.
  • Free and prompt international dissemination of professionally generated and analyzed medical information should be exchanged on epidemiological and public health problems to guide the development of public policies, the education of physician, and the public.
  • International standards should be established for the evaluation of educational programs across the country.
(Adopted by the 43rd World Medical Assembly Malta, November 1991)

Emedinews:Makesure: A patient with fever and cough developed complications after he was given antibiotics.


Situation: A patient with fever and cough developed complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics as presence of cough mostly signifies viral infection.

Emedinews:Inspiration:Most Excellent Adventures


An Inspirational Story
(Ms Ritu Sinha)

My friend, Jessie and I have known each other since the earth's crust was cooling.....Or maybe it just seems that way!
Friendships get more precious as you get older, and when we hit our forties, we decided we needed to put in a little more work to keep our friendship strong, healthy and growing. Our solution? We pick out one Saturday a month and promise to do something. Sometimes it has been as little as getting together for a long lunch out. Other times we have added a movie or shopping. But at least once a quarter, we have an adventure!
Over the past few years these adventures have ranged from just hopping in the car and driving to a location which we picked with our eyes closed, (in other words, we played our own version of "Pin the tail on the donkey" using a map!) Other adventures involved an overnighter that took in a festival and a giant Christmas craft sale, or sometimes we just drove, stopping wherever we wanted. We have headed into downtown Atlanta or a suburb on the other side of the Metro area just to explore. We have been to an assortment of regional Food, Flower and Craft Festivals. We have headed out of state to Tennessee. We have gone on antique quests and bargain hunts. We have tried out new restaurants and new cuisines. We've gone on great Christian retreats and conferences, and we almost went to a foreign language film, but chickened out because we were too tired to read subtitles! (It had been one of those weeks at work!).
One of our adventures took us to a very small town in South Georgia. It was one of those watermelon or cotton or peanut festivals, and we enjoyed buying the hand-made gifts and eating the terrific regional foods. There was also a parade, with local dignitaries and beauty queens as well as the school marching bands and service groups. It was a real piece of small town Americana, and we had a great day! We waited for the parade to end near our car, and then pulled out behind it to head back to the big city. Unfortunately, the parade wasn't over! We gasped in dismay when in the rear view mirrors we saw the high school band turn a corner and come up behind us! The band must have stopped to re-group and we slid into the gap unknowingly. We tried to turn off, but the side streets were still blocked for the parade.
So we did what any normal middle-aged women would do.....we began smiling and waving! (Hasn't every woman practiced this sometime during her life???) Everyone smiled and waved back! Of course, their smiling faces turned confused and puzzled as we passed and they saw no signs on our car. "Who are these women? And why are they in our parade???" they must have wondered. Finally, we turned a corner and a stern looking policeman directed us back to the highway.
Fun is always on the menu, whether it's a weekend trip or a couple of hours over lunch. We talk (a lot!) and catch up on each other lives. Yes, we talk on the phone during the week sometimes, but you can't really get down to the deep stuff over the phone. We share our struggles and our prayer concerns. We ask for and receive advice. And we laugh!
Don't keep promising yourself that "someday soon" you will start making time for yourself...and your very best friend. Do it now. Pick up that phone and make a plan for THIS weekend. And for once a month after that, and don't let anything get in the way. You need it. Your friend needs it. You'll be a happier, healthier person for it! I guarantee it!

Friday, 1 June 2012

Insights on Medicolegal Issues:What is the 8th clause of Section 320 Indian Penal Code for doctors?


Medicolegal Update
(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

The eighth clause of Indian Penal Code 320 defines grievous hurts as "Any hurt which endangers life or which causes the sufferer to be during the space of twenty days in severe bodily pain, or unable to follow his ordinary pursuits."
  • Ordinary pursuits means the patient is unable to visit the toilet, to bathe or brush his teeth, eat himself, walk or carry on such daily pursuits and requires mandatory help of other person for 20 days
  • The length of time during which an injured person is in pain, disease or is not able to pursue his ordinary daily routine work must be meticulously and satisfactorily observed by the doctor himself before certifying the injury as a grievous injury.
  • It is employed not only in cases where violence has been used but also in cases where hurt has been caused without any assault, e.g., by administration of drugs, setting of traps etc. The extent of hurt and the intention of the offender are considered for giving punishment.
  • It is difficult for a doctor to prove that an injured person was in severe bodily pain for 20 days but it is easier to prove that he was unable to follow his ordinary profession/pursuits due to the hurt.
  • A mere stay of 20 days in the hospital doesn’t make injury grievous. The certifying doctor must rule out and document the feigned illness in medicolegal report.

eMedinews:A patient on dialysis and on oral antacid developed aluminium toxicity.


Situation: A patient on dialysis and on oral antacid developed aluminium toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminium toxicity in patients undergoing dialysis.

Dr Good Dr Bad:A diabetic patient was found to have high ESR and elevated CRP.


Situation: A diabetic patient was found to have high ESR and elevated CRP.
Dr Bad: You are suffering from an inflammatory disease.
Dr Good: This may be a part of diabetes.
Lesson: In diabetes, both ESR and CRP can be high at the same time and this can be due to IL–6 secretion by adipose tissue.


Emedinews:Inspiration:Anyway


An Inspirational Story
(Ms Ritu Sinha)
Anyway
People are unreasonable, illogical and self-centered. Love them anyway.
If you do good, people will accuse you of selfish ulterior motives. Do good anyway.
If you are successful, you win false friends and true enemies. Succeed anyway.
The good you do today will be forgotten tomorrow. Do good anyway.
Honesty and frankness make you vulnerable. Be honest and frank anyway.
What you spend years building may be destroyed overnight. Build anyway.
People really need help but may attack you if you help them. Help people anyway.
Give the world the best you have and you'll get kicked in the teeth. Give the world the best you've got anyway.