Setting up New General Practice

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A beginners guide for setting up new General Practice

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Setting up New General Practice

  1. 1. SETTING UP GENERAL PRACTICE<br />DR.AVINASH BHONDWE<br />President IMA, PUNE(2008-09)<br />
  2. 2. REQUIREMENT FOR G.P.<br />QUALIFICATIONS-<br />CLINIC- <br />BEGINNING<br />QUALITIES<br />SPECIAL SKILLS<br />CONTINUING EDUCATION<br />CHANGING AS PER PROGRESS<br />
  3. 3. REQUIREMENT FOR G.P.<br />QUALIFICATIONS<br />
  4. 4.
  5. 5. Additional Qualifications<br />MD Family Medicine<br />DNB Family Practice<br />FCGP<br />MRCP Family Medicine<br />EMS Diploma<br />CPS- Pediatrics, Gynec,<br />
  6. 6. Legal Requirements<br />Registration with Local Authority<br />Shop Act License<br />Professional Tax Registration<br />Bio-Medical Waste Registration<br />Form III C Registers & Case Papers<br />Income Tax<br />
  7. 7. REQUIREMENTS FOR CLINIC <br /><ul><li>SPACE
  8. 8. SMALL- 200-400 SQ FT
  9. 9. LARGE- 1000-1500 SQ FT
  10. 10. LOCATION-
  11. 11. MARKET
  12. 12. IN RESIDENTIAL AREA
  13. 13. OUT SIDE CITY
  14. 14. VILLAGES
  15. 15. SMALL TOWNS</li></li></ul><li>INTERIORS OF A CLINIC<br />
  16. 16. DOCTOR’S ROOM<br />
  17. 17. LOCATION<br />BUSY LOCALITY<br />OUTSIDE CITY<br />
  18. 18. VILLAGE & Small Town Clinics<br />
  19. 19.
  20. 20. Display of Clinic Board<br />
  21. 21. Basic Requirements<br /><ul><li>Good Interior with light & ventilation
  22. 22. Reception
  23. 23. Doctor’s Room
  24. 24. Examination Room
  25. 25. Dispensing Room
  26. 26. Fees Collection
  27. 27. Registers & Other Papers
  28. 28. Waste Collection,Dustbins
  29. 29. Sink, Tap & Toilet</li></li></ul><li>Basic Equipments<br /><ul><li>Stethoscope
  30. 30. BP Apparatus- Mercury type
  31. 31. Percussion Hammer
  32. 32. Torches
  33. 33. ENT Head Mirror
  34. 34. Weighing Scale
  35. 35. IV sets, scalps & IV stands</li></li></ul><li>Special Equipments<br /><ul><li>Nebulizer
  36. 36. Oxygen Cylinder </li></ul> with meter ,tubing<br /> & masks<br /><ul><li>ECG Machine
  37. 37. Pulse Oxy meter
  38. 38. Gluco meter</li></li></ul><li>Visit Bag<br /><ul><li>BP- Dial Type
  39. 39. Stethoscope
  40. 40. Emergency Injections
  41. 41. Syringes, needles
  42. 42. Spirit swabs
  43. 43. Gluco-meter
  44. 44. Pulse-oxy meter
  45. 45. Scalp-veins
  46. 46. Dressing Materials</li></li></ul><li>Injections Required for General use<br />For fever- Paracetamol<br />NSAID- Diclofenac<br />Antiemetic- Metoclopromide, Ondencetron<br />Antispasmodic- Dicyclomin<br />Steroids- Dexamethazone, Hydrocortisone<br />Anti Convulsants- Dizepam<br />For EPS- Phenergan<br />IV 25% Dextrose, NS ampoules<br />
  47. 47. Injections Required for General use<br /><ul><li>IV Fluids- 5% Dextrose, NS,RL,DNS
  48. 48. Budesonide for nebulisations
  49. 49. Vaccines- TT, Typhoid, Polio, Triple, Measles,Rabies, Hepatitis A,B, HIB, Varicella( Chickenpox), H1N1
  50. 50. Lignocaine
  51. 51. Adrenaline, Atropin
  52. 52. CPM, Avil
  53. 53. B12,Bplex</li></li></ul><li>Surgical Equipments<br /><ul><li>Scissors- All Types
  54. 54. Allis
  55. 55. Needle Holder
  56. 56. Forceps- Toothed & Non Toothed
  57. 57. Artery Forceps- Medium & Small, Curved & Straight
  58. 58. Needles
  59. 59. All Stitches- Mersilk, Blacksilk,Linnen, Catgut all types
  60. 60. Surgical Blades & holders
  61. 61. Plaster Material</li></li></ul><li>Dispensing Medicines<br />Proper Purchase from ethical companies<br />Compounder- qualifications<br />Expiry Date<br />Disposal <br />Prescription & dispensing<br />
  62. 62. Dispensing Drugs<br />Analgesics- Diclofenac,Nimesulide,Ibuprofen<br />Antipyretics- Paracetamol, Aspirin<br />Anti-spasmodic-Dicyclomine<br />Anti allergic- CPM, Cetrizine<br />Anti amebic- Metronidazole, Tinidazole<br />Anti emetic- Metoclopromide, Stemetil, Ondencetron<br />Anti Diarrheals- Seperamide<br />Bronco-dilators- Salbutamol, Theophyllines<br />
  63. 63. Dispensing Drugs<br /><ul><li>Anti anginals- Nitrates
  64. 64. Anti Platelets- Clopidogrel, Dispersible Aspirin
  65. 65. Steroids- Prednisolone, Dexamethazone, Ointments
  66. 66. Antibiotic Powders
  67. 67. Anti Fungals- Creams, Lotions, Powders
  68. 68. Anti Helmenthics-
  69. 69. Antibiotics- Cipro,Levo,Norfloxacin, Amoxycillin Syrups & Capsules</li></li></ul><li>Staff for a GP Clinic<br /><ul><li>Reception
  70. 70. Nurse
  71. 71. Sweeper
  72. 72. Attendant
  73. 73. Compounder
  74. 74. Computer Operator or Clerk
  75. 75. Accountant
  76. 76. Asst. Doctor
  77. 77. YOU</li></li></ul><li>Inauguration<br />
  78. 78. Advertisements<br />
  79. 79. Adevertisement in Lay Press<br />AVOID SUCH ADVT<br />
  80. 80. Invitation List<br />Do not invite only Friends & Relatives<br />Invite the People residing around your New Clinic<br />
  81. 81. Qualities to Sustain<br />Punctuality & Regularity<br />Confidence<br />Outfit <br />Greetings<br />Socializing<br />Dignity<br />
  82. 82. Qualities to Sustain<br /><ul><li>Principles
  83. 83. Simplicity
  84. 84. Good Listener
  85. 85. Compassion
  86. 86. Good Adviser
  87. 87. Be a Family Member</li></li></ul><li>Special Skills<br />Minor Surgeries<br />Stitches- Skin & Mucus Membranes<br />Special Dressings<br />Splints & Plasters <br />I.V . Fluids & Injections<br />ECG<br />Spiro meter<br />Physio –Therapy<br />Refraction<br />
  88. 88. Continuing Education<br /><ul><li>New Rules of Re-registration
  89. 89. Changing Knowledge of Diseases
  90. 90. Newer Medicines & Concepts
  91. 91. Newer Treatment Modalities
  92. 92. Newer Investigations
  93. 93. New Diseases
  94. 94. Banned Drugs
  95. 95. New Laws & regulations</li></li></ul><li>Changing Practice as per Socio-economic Changes<br />Fees Structure<br />Interiors & recreation <br />Patient education literature, PPTs, Screens<br />Appointments & Schedules<br />Newer Technology- Computers, Websites, Mobiles-SMS<br />Prescriptions & records<br />
  96. 96. Telemedicine<br />ECGs<br />Confirmation of Diagnosis<br />New Information<br />Patients Data monitoring<br />E- Consultations<br />

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