A #thread on paradigm shift in Indian medical education

How many of you doctors entered the hospital in the first week of joining MBBS, met clinicians, joined rounds or entered operation theatre or a clinic? It would have been at least a year & half before we did such things
The new curriculum involves a foundation course which has a component called 'Clinical shadowing' in the first week of them joining the course. It is an interesting concept which none of us have experienced among the old school doctors or even the batches which did MBBS recently
The new batch MBBS students have joined 2 days back with enthusiasm in their eyes we see in those initial days. I perceive a huge difference in this generation who are confident, outspoken & tech savvy. The idea of tagging is to give them a feel of the hospital right from day one
They are tagged to one faculty each for half day in the hospital in various departments & are supposed to observe how a clinician works, whether in out-patient, wards, OT etc and then give a feedback on their observations to their pre-clinical mentors.
The student tagged to me came to the operation theatre with me, quite confident & stood watching the procedure without any hesitation. I remembered how many of my classmates nearly fainted in the dissection hall in those first few days
I kept repeatedly enquiring whether he was comfortable but he was very sure he wants to stay n watch the whole procedure. Later I also came to know about his feedback and some interesting observations he had made
..About my conduct in the operating room, how I operated, Jokes with my postgraduates, my irritation with the scrub nurse for a wrong instrument etc. They keenly observe us & they follow. Hence faculty being a role model is paramount.
These are interesting times and I hope the new Indian medical graduate (IMG) will be a better doctor & human being to deal with the changing world and its challenges. I also hope that we can hand hold them in the best possible way !

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More from @anilbhatortho

9 Jan
4 types of learning
#MedicalEducation now teaches about learning from teachers,self directed learning,peer learning & lifelong learning.This has been explained beautifully in this shloka long ago

आचार्यात् पादमादत्ते पादं शिष्यः स्वमेधया ।
सब्रह्मचारिभ्यः पादं पादं कालक्रमेण च ॥
One fourth from the teacher, one fourth from own intelligence,
One fourth from classmates, and one fourth only with time...

Not necessarily that one fourth should come from each of these, but is based on any individual’s capacity to absorb from each of these sources
1.Teacher : it’s a two way traffic here. The best of the teacher might not be successful if the student is not ready.The teacher can guide you , but you need the student to work on themselves, take help of their peers & nurture everything as you mature in time
Read 8 tweets
3 Jan
#SundayMusings
Parents left to Bangalore back today .. It’s a heavy heart for all . Few thoughts on parents in their old age , especially when you meet them after almost an year

Dad has definitely slowed down compared to Mom.. His walking, his reflexes etc.
I realised how thin our patience is with elderly people. It took me couple of days to adjust myself to their speed & not become impatient , especially when we travelled out. We need to slow down for them n remember our own kids when they were tiny. Parents become kids again
The most striking was Dad’s struggle with his denture while eating. Got it changed here & the joy of chewing food without pain was immense . Lesson to be learnt is look after your teeth well into your old age & of course, your general health as well,to the maximum extent possible
Read 7 tweets
1 Jan
It was 2.45 pm today when we finished lunch at Kamath restaurant at Murudeshwar on our way back from Goa. I had a splitting headache & badly needed a coffee. The waiter said no coffee at that hour. I came to pay the bill n saw this old man at the cash counter sipping coffee
I just smiled n told him I was refused coffee n there he was having it . He gave a smile back n said they have just put the fresh decoction into the filter n it will take some time . I went to wash my hands n then returned to pay the bill.
I walked out after paying n kinda judging the old man for the privilege he had for his coffee ! I was getting into the car when the waiter came out n called me. I thought I had forgotten something but as I went in,the old man asked me to take a seat & brought me a cup of coffee ! Image
Read 5 tweets
17 Dec 20
#VIPsyndrome: A syndrome in medical field where something goes wrong somehow with "VIP" patients..

I am sure many of us have come across this phenomenon where some sort of complication of varying degree happens in patients who come with that tag /1
These can be of various categories
1. Real VIPs in your practice ( mostly hospital staff/celebrities/politicians)
2. Those who come with a heavy recommendation
3.Those who are closely known to you ( family/friends)
4. Medical tourism related /2
These categories behave in various ways
1. Total trust in you,ask relevant doubts,not interfere in your decisions
2.Patient trusts you but family/friends have lot of doubts & interfere in everything
3.Irritating right from beginning ,mistrust ,high handedness at you n staff /3
Read 6 tweets
4 Dec 20
My perspectives on our #Indian #Postgraduate #education

Once upon a time was an era of multiple entrance exams, quota systems, paper leaks,obnoxious capitation fee etc which have been largely controlled with more transparent systems now. /1
I won’t deny that they don’t exist in their own mutant ways even now. But It’s much better than two decades ago.
Coming to the students per se, we know that internship has almost become a formality now except in few colleges./2
Very few institutions implement it well or, if there is a compulsion of manpower shortage, then interns are forced to work . Otherwise I know many colleges allow them to sign off n go for their PG prep . The fall out of this is seen when they join the post graduation. /3
Read 14 tweets

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