Thread by @docbhooshan

#IMS
Indian Medical Service is doctors' demand for a long time.
As a doctor, I understand need to be NOT managed by non-medicos.

If I step back and think critically, few points emerge and we need answers for that before new system is demanded.

#thread

1. Fact - Someone needs to manage.
Due to complex nature of society, politics and modern medicine, that person has to be full time manager. Essentially unable to treat individual patients.
2. This person needs training in Public health and managing complex systems.

So all glorious clinical specialities are out of question.

3. Understanding finance is really the key. So is supply chain management !

Looking at all of this it is unlikely that basic/specialist medical training is enough for the job.

In fact clinicians who rise up to power positions are not nice to their juniors and have poor track record of upholding doctors' interests.

So "who" is not really important issue.
"What" they do and "how" is important.

We have good ministers/officers without background training of that dept.

Because - healthcare is for patients. Doctors and all others are instruments.

We need person with social, logical, management and communication intelligence. Without education prejudice.

So whatever our genuine grievances are , they are not going to be solved by doctors managing doctors.

After your initial anger at this suggestion, you may agree with me.

Please unroll @threadreaderapp