Friday, October 05, 2018

My dear Indian Doctors ,Stop Aping the US medical system it is not IDEAL

 I wish someone  would  enter a PIL  in the supreme court against the new and  varied regulations  the  new health ministry  is coming  up with  and  the  stupid sheep herd mentality boot licking  doctors who are power hungry are  accepting  the requirement modeled after the stupid regulations  of  USA.


As a physician  who  has worked two decades in India  and two decades in USA, I am well versed with both systems.  My frequent  trips to India and my  internet surfing of Indian news websites have  kept my knowledge of conditions in both countries pretty much updated .

the  following  trends  in  indian  medical system  are  going to  cause  ruin  to the  medical system  with  enormous  economic  cost  and  personal suffering  to the  patients  and  doctors in  future.

Medical Council of India (MCI) has made it mandatory for doctors to complete 30 hours of CME every five years in order to renew their license by attending workshops and seminars, which are organised by various healthcare institutions in India.
( most of these are  directly or indirectly sponsored by MNC Pharma companies  in an effort to  promote the  use of  costly New  medications  which  are never tested  head to head against a cheaper older generic medication  but  against placebo and  are  approved  because they are  "NON inferior " to the  older drug.

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The WM&A Global CME Newsletter

Stay on Top of the World

November 2005


in this issue



Will Pharma Remain the Major CME Supporter?

Repositioning CME: Can It Make a Difference?

CME Required in Lithuania





Will Pharma Remain the Major CME Supporter?

In 2004, more than 50% of the $2 billion spent on all certified continuing medical education in the U.S. was paid for by pharmaceutical sponsors. But that percentage appears to be dropping in 2005 -- and CME providers (and some physicians) are worried about the trend.

That was the thread that ran through the recent Annual Conference of the National Task Force on CME Provider/Industry Collaboration in Baltimore, MD, attended by some 600 providers, financial sponsors and regulators, including a sprinkling from Canada and Europe.

One major issue discussed was the ability of providers --whether medical school, medical society or medical education company -- to ensure independence from commercial bias. Despite new rules from the government, the Accreditation Council for CME (ACCME) and the industry itself, a number of speakers had concerns about the separation between promotion and education. Arnold Relman, a former editor of the New England Journal of Medicine, argued that the government should pay for CME rather than the pharma industry. Gardiner Harris, a New York Times healthcare reporter, saw a clear conflict of interest when physicians accepted "free" CME paid for by manufacturers of drugs they prescribe."

The vast subcontinent of India has plenty of CME programs, said Dr. Sanjiv Malik, president-elect of the India Medical Association (IMA), but no statuatory requirements, nor structure nor certification for CME.
IMA adopted a resolution a year ago calling for a voluntary system of CME for all doctors, but the health ministry has not yet gone along with the proposal, he said. "Patient pressure and consumer activism" are among the reasons for moving ahead with certification of print, video, web based and live CME content.
Meantime, the IMA and its local organizations conduct thousands of program a year for India's more than 500,000 physicians. Once a doctor, always a doctor, Malik said, since there is no reregistration requirement. There is little health insurance in the country, he noted, so "people pay through the nose for quality services." 
The national medical commision Bill proposes a bridge course for practitioners of AYUSH to enable them to prescribe modern medicines.

The national medical commision Bill proposes a bridge course for practitioners of AYUSH to enable them to prescribe modern medicines.

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