@anujtiwari11 @rjVACHAS @drpraveenpsy Finally some1 talked sense! I generally dnt get into such conversations because its similar to patients foulmouthing doctors all the time. In 2018 when I joined as faculty, there were 180 MBBS students in our college, overnight it changed to 250 in 2019, vacant Asst Profs 5 in no @anujtiwari11 @rjVACHAS @drpraveenpsy Apart from MBBS, we have 100 OTPT students, 10 PGDMLT, 100 Nursing and 18 PG(M.D) students.
Not to mention the humongous workload of one of the biggest public hospitals in Mumbai. Basically doing 2 jobs fr salary of 1. Marrow barrow do only teaching n paid much more.

Recent tweets over TB had me thinking a bit. As a Microbiologist I would like to point out d paradigm in diagnosis of TB in last few yrs. There was a time when diagnosis of TB ws mainly based on smear microscopy and culture on LJ medium.Smear microscopy needs a huge bacterial 1/n Load to come positive(10 raised to 4 to 5). LJ medium takes about 4 weeks(TB is slow growing organism) to grow further 2-4weeks for antibiotic testing (grown in presence of antibiotics).
Enter molecular tests and MGIT. Molecular tests detect as low as 120 bacilli/ml (sputum) 2/n

For 2nd yr students: Lets talk Gram's stain. Firstly in pic : Plenty of pus cells seen, Gram positive cocci in chains suggestive of Streptococcus species. This is the ideal way to interpret your Gram stain when examiner asks (Start with commenting on pus cells first and then 1/n The organism, so examiner knows you know that seeing pus cells and not merely organism has its significance(indicates inflammation).Never mention d exact species, most students write GPC clusters suggestive of Staphylococcus 'aureus', you cant decide that on Microscopy alone 2/n

For 2yr MBBS Micro : Lab diagnosis of infectious diseases.
It can be either for a single organism eg L.D of pulmonary TB or syndrome eg meningitis. Either way these concepts will help not only in your answer but also make you a better clinician. Some are a MUST in your answer 1/n Firstly write about the clinical features so examiner knows that you know WHEN. Clinician examines and makes a clinical diagnosis to confirm/support which he/she may ask for radiological or lab diagnosis (or other). Time to give differentials 2/n