This document provides information about Dr. Kirtan Vyas, including his educational background and qualifications. It lists that he has a M.S. in Obstetrics/Gynecology, was a gold medalist from Gujarat University, was first in the Gujarat Public Service Commission, has fellowships in gynec endoscopy and ultrasonography, has publications in international journals, has presented at conferences, is faculty at state and national conferences, and currently works as an assistant professor at P.D.U. Medical College and Hospital in Rajkot.

2. Dr. Kirtan Vyas (M. S.- Obs/ Gyn)
Asst. Professor
P.D.U. Medical College, Rajkot
# 98254 07702
KNOWS ALL

3. Dr. Kirtan Vyas(M.S.-Ob/Gy)
•Gujarat Uni. First-Gold medallist
•Gujarat Public Service Commission(GPSC) first
•Fellow in Gynec Endoscopy(Mumbai)
•Fellow in Ultrasonography(FOGSI)
•Publications in various International Journals
•Presented Scientific Papers and Chaired Sessions at State and
National conferences.
•Faculty at State and National Conferences
•Local Joint Secretary of SOGOG 2015-Gujarat State Org of Ob/Gy
•Organising Secretary for the First Rajkot Obstetrics and Gynec
Society Annual Conference 2015 and Committee Member at State and
National conferences
•Organizing secretary for the West Zone Yuva Fogsi 2016, Rajkot
Scientific Committee member at Mid Term SOGOG 2016, Diu
At present working as an Assistant Professor at P.D. U. Medical College
and Hospital, Rajkot

4. WHO IS DR. GOOGLE?
• Most famous doctor on
the planet
• Your Major Competitor
• Almost every one of
your patients consults
with Dr. Google before
they contact you
• Dr. Google only
performs house calls and
is open 24/7/365
4

5. DR. GOOGLE
CONSULTATION HOURS: 24 X 7
• When patient get sick, she
visits the doctor
• Proper Check-up &
medication
• She will take the
prescription to the
Pharmacy
• Then she hopes the
medicine will have a fast
effect on her
• Patient surfs anything that
pops-up in her head
• Helps her find information,
or give her a “pathfinder” to
trace the information
• Dr. Google offers many ways
to cure her needs
• Let’s find out which will
work

6. WHO’S DR. GOOGLE?
• Consultation at home
without fees
• Advice changes every time
on surfing
• Never pinpoints what is
wrong
• Patient Guesses and self-
diagnoses
• Patients trust what
Google says and they are
not seeing doctors because
of the same 6
SELF DIAGNOSIS

7. Dr. Google will never know a
patient nor care as much as a
physician will do

9. DR. GOOGLE DOESN’T KNOW
THE PATIENT
• can’t see or talk with the patient
• can’t hear patient story
• can’t smell
• can’t touch
It doesn’t have intuition or gut feelings
about patient

10. THE INTERNET BREEDS CYBER
CHONDRIA IN SOME AND FALSE
REASSURANCE IN OTHERS
• The more complex the problem, the more
likely your self-diagnosis is wrong
• ovarian cancer with expert consultation
diagnosed as a uterine fibroid
• Opposite may be true, and you could use the
Internet to convince yourself that there is
nothing wrong when you actually do have
cancer

11. GOOGLE INCREASES THE RISK
OF CONFIRMATION BIAS
• This bias occurs when a patient comes in looking for
evidence to support a pre-conceived opinion, rather
than actually listening for information that might
prove her wrong
• “I know that I have an ovarian cyst, so there is no reason
for my doctor to ask me any other question. He’s not
listening to me, I know that I have an ovarian cyst”
• Unfortunately, patient stopped listening because Dr.
Google says she has a cyst, and she is looking for
confirmation

12. DR. GOOGLE CAN SOLIDIFY AN
ANCHORING BIAS
• When a physician settles on a diagnosis too
early and then disregards other important
clues that don’t fit that diagnosis
• The patient can also have an anchoring bias
when they know what’s wrong with them, so
they leave out important details and dispute
any information from the physician that
doesn’t fit their diagnosis

14. DR. GOOGLE IS WRONG 59% OF
THE TIME
• According to the Pew Research Center’s
Internet and American Life Project, 35% of
respondents had researched a medical
condition in 2012 and of that group only 41%
of patients who diagnosed themselves online
said a medical provider confirmed their
suspicions

16. In the exam room, your story matters
more than your research
• Don’t let Dr. Google
get between you
and your patient
• If patient has already decided on treatment
and the physician disagrees, then she may
set up an adversarial relationship

18. Patient is only two clicks away from
garbage medical advice and junk
science
• Who is behind the “expert” Internet advice?
Being a celebrity does not make you a
medical expert
• NIH, ACOG,
• RCOG, PUBMED-Reputed

19. DR. GOOGLE DOESN’T REALLY
CARE ABOUT PATIENT HEALTH
• The Internet will never
replace human interaction
• It can’t show the patient
compassion, empathize with
them, give them a shoulder
to lean on, hold their hand,
rejoice with them or grieve
with them

20. “Just because
someone says
something, we
should not
believe its true”
Always Ask “Where is the Evidence ?”
Evidence Based Medicine is an Evolving
Science…...Life-long Self-directed learning……..

21. “The conscious, explicit & judicious use of
current the best available evidence in making
decisions about the care of the individual
patient.” *
Standardized care in Scientific way
Improves patient safety by eliminating unsound
practices
Keeps knowledge up to date
*Sacket DL, Evidence based medicine; BMJ 1996;312:71-2
EVIDENCE BASED MEDICINE

22.  Improves understanding of research
and its methods
 Confidence in managing clinical
situations
Better communication with the
patients
Prevents wasteful practices
Improves computer literacy and data
searching skills
Allows group problem solving and
teaching
Improves our reading habit

23. Goal of EBM

24.  Active management of the
third stage of labor(Ω)
 Antibiotics for asymptomatic bacteriuria in pregnancy(π)
 Single dose antibiotic prophylaxis for caesarean section(€)
 Magnesium sulfate for eclampsia(∑)
 Early initiation of oral fluid and food after caesarean
section(√)
EFFECTIVE EBM

25. ×Pubic shaving, Enemas (∞)
× Routine episiotomy (£)
× Multiple micronutrient supplementation
during pregnancy (@)
× Micronised Progesterone for
threatened abortions (*)
× Tocolytics for Preterm Labor (©)
× Abuse of Oxytocin (®)
× Excessive use of Ultrasound, BT (Ø)
PRACTICES - NEED TO BE ELIMINATED

27.  Clinical research is constantly producing new findings that
may contribute to effective and efficient patient care
 Putting them in to practice is vital *
 Without current best evidence , practice-risks becoming
rapidly out of date , to the detriment of patient $
* Grimshaw. Oxford handbook of public health
$ Sacket 1996
 Clinical decision should be based on
best available scientific evidence,
informed by epidemiological and
biostatical reasoning

28.  (Ω) Maughan KL, Am Fam Physician;2006:15-73,1025-8
 (π) Varma R Eur j Obstet Gynecol 2006,Jan 1:124-1
 (€) Hopkins l, Cochrane Database 2000,(2): CD001136
 (∑) Duley Cochrane Database Syst Rev2001;(1);CD002960
 (√) Mangesi L Cochrane Database Syst Rev 2002,(3): CD001136
 (∞) WHO, C57-C76: August 2006
 (£) Cochrane Database syst Rev 2009,(3): CD001136
 (@) Merialdi M, RCT,J Nutr 2003;May 133:1626 s-1631 s
 (©) Sanchez-Ramos L, Clin Perinatol 2003, Dec; 30(4),841-854
 (Ø) J Ultrasound Med 1988 Sep;7(9 Suppl):S1-38
REFERENCESREFERENCES

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