In the present days of increasing consumer awareness and distrust among the public towards the medical profession its time to introspect & rectify ....
MRM301T Research Methodology and Biostatistics: Confidentiality 1 22102021ashish7sattee
Ethicists tend to rely heavily on case studies both in research publications and teaching.
Such cases are most valuable where they draw attention to new or emerging issues in medical ethics, as these can challenge the limits of current ethical practice, preparing undergraduates and practitioners alike for decisions they may have to make in the future
MRM301T Research Methodology and Biostatistics: Confidentiality 1 22102021ashish7sattee
Ethicists tend to rely heavily on case studies both in research publications and teaching.
Such cases are most valuable where they draw attention to new or emerging issues in medical ethics, as these can challenge the limits of current ethical practice, preparing undergraduates and practitioners alike for decisions they may have to make in the future
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
Criticisms of orthodox medical ethics, importance ofsupriyawable1
ethics is a very large and complex field of study with many branches .medical ethics is the branch of ethics that deals moral issues in medical practice. principles of medical ethics - autonomy ,beneficence ,confidentiality,do not harm,equity .importance of communication .
To create a mechanism to allow the patient or the patient’s designated representative to participate in the consideration of ethical issues that arise in the care of the patient; to provide an organization and mechanism for the consideration of ethical issues arising in the care of patients; and to provide education to care givers and patients on ethical issues in health care.
Think Human factors doesn't have an impact on clinical outcomes like infection rates? Guess again! According to the World Health Organization (2017), infections acquired in healthcare settings represent the most frequent adverse event occurring in the delivery of healthcare and no institution or country has solved the problem yet.
Full Details: https://goo.gl/Z7Mhuy
Evidence demonstrates that communication is one of the leading contributors to adverse events. Transitions of care epitomize this challenge.
WATCH ON DEMAND: https://goo.gl/M1ovsS
The slides in this deck are what were discussed in the first of five Aging Well workshops. This first workshop focused on mobility for aging adults. Take a look.
What does “patient centricity” really mean and how is it actually done? This was the driving question of the DayOne Experts Meeting in Basel, co-hosted by Arcondis.
Delegate pack from the Patient Safety Collaborative launch event held in London on 14 October 2014
Includes agenda, speaker biographies and AHSN plans
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Pharma challenges - Patient Centricity and Digital CapabilitiesJoana Santos Silva
Today pharma's business model is being challenged. The industry needs to rethink how it creates value. In particular, it needs to connect to patients and caregivers in a meaningful way. It many cases this connection can be guaranteed through digital tools and strategies. This presentation focuses on these challenges and showcases some best practices that are already available in the marketplace.
Criticisms of orthodox medical ethics, importance ofsupriyawable1
ethics is a very large and complex field of study with many branches .medical ethics is the branch of ethics that deals moral issues in medical practice. principles of medical ethics - autonomy ,beneficence ,confidentiality,do not harm,equity .importance of communication .
To create a mechanism to allow the patient or the patient’s designated representative to participate in the consideration of ethical issues that arise in the care of the patient; to provide an organization and mechanism for the consideration of ethical issues arising in the care of patients; and to provide education to care givers and patients on ethical issues in health care.
Think Human factors doesn't have an impact on clinical outcomes like infection rates? Guess again! According to the World Health Organization (2017), infections acquired in healthcare settings represent the most frequent adverse event occurring in the delivery of healthcare and no institution or country has solved the problem yet.
Full Details: https://goo.gl/Z7Mhuy
Evidence demonstrates that communication is one of the leading contributors to adverse events. Transitions of care epitomize this challenge.
WATCH ON DEMAND: https://goo.gl/M1ovsS
The slides in this deck are what were discussed in the first of five Aging Well workshops. This first workshop focused on mobility for aging adults. Take a look.
What does “patient centricity” really mean and how is it actually done? This was the driving question of the DayOne Experts Meeting in Basel, co-hosted by Arcondis.
Delegate pack from the Patient Safety Collaborative launch event held in London on 14 October 2014
Includes agenda, speaker biographies and AHSN plans
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
Medical Ethics is what every physician and healthcare worker should know. We need to understand Ethics and its application in various cultures, societies and its changes according to norms and values. Once society will be given health education regarding Medical Ethics many issues can be resolved in a decent manner. It ultimately gives a very positive impression of all the actions which a healthcare worker performs otherwise at times seems inappropriate by society. This is not for the sake of healthcare worker or for the patients it is primarily for the whole community.
What are the rights of patient? role of ethical committee and parameters of a physician all need to be addressed properly.
In medical research on human subjects, considerations related to the well-being of the human subject should take precedence over the interests of science and society.
This is a brief presetation on " The Art Of Public Speaking " prepared in Marathi Language.It will be my endevour to upload many Leadership related PPT presenations in Marathi Language in due courese of Time.... Hope they will be of use for the Mrathi speaking users of slide share.
A Slide show on the Principles of Management of Cancer by Surgery, having practiced this branch for almost 25 years ,I decided to crystalize this knowledge.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Ethics Definition:
The word ethics is derived from the Greek word
ethos, which means "character,“.
The most important element in ethical
behavior is knowledge that actions are
accomplished for the betterment of the common
good of individual and society.
To put it formally ethics is the branch of
philosophy that defines what is good for the
individual and for society and establishes the
nature of obligations, or duties, that people owe
themselves and one another.
3. Medical Ethics
Medical ethics refers to the system of values
common to medical profession and
application of these values to practice of
medicine. It is the standard of behavior by
which physician evaluate their relationship
with their patients , colleagues and society.
4. Principles of Medical Ethics
Autonomy : Right to choose.
Beneficence :In the best interest
Confidentiality
Do no harm/ Non-maleficence
Equity or Justice
5. Ethical Codes
Hippocratic Oath – 5th century BC
Nuremberg Code -1948
Declaration of Geneva - 1948
Universal Declaration of Human Rights-1948
Helsinki Declaration -1964
International Code of Medical ethics
Indian Medical Council (Professional Conduct,
Etiquettes and Ethics) Regulations, 2002
6. Hippocratic Oath
One of the earliest document in medical ethics
– 5th century BC.
Traditionally all doctors recite this oath at
swearing in. It is considered sacred for its
religious foundation and sanctity.
9. Declaration of Geneva
Adopted at World Medical Association General Assembly
in 1948.
Amended in 1968, 1984, 1994, 2005 and 2006.
Declaration of physicians’ dedication to the
humanitarian goals of medicine.
10.
11. MCI Regulations - 2002
The Medical Council of India notified the
“Indian Medical Council (Professional
Conduct, Etiquettes and Ethics) Regulations,
2002” on 11 March 2002.
Last amended in 2010.
12. Declaration-
Each applicant, at the time of making an application for
registration under the provisions of the Act, shall be
provided a copy of the declaration and shall submit a duly
signed Declaration.
13. Unethical Acts
Advertising
Patent and Copy rights:
Running an open shop (Dispensing of Drugs and
Appliances by Physicians)
Rebates and Commission
Secret Remedies
Human Rights
Euthanasia
• Printing of self photograph, or
any such material of publicity in
the letter head or on sign board
of the consulting room or any
such clinical establishment shall
be regarded as acts of self
advertisement and unethical
conduct on the part of the
physician
• Not endorse any items
Formal announcement in press
(1) On starting practice.
(2) On change of type of practice.
(3) On changing address.
(4) On temporary absence from
duty.
(5) On resumption of another
practice.
(6) On succeeding to another
practice.
(7) Public declaration of charges
• May patent the items, methods &
procedures
• But it shall be unethical if
benefits are not made available
in interest of society
• A physician shall not give, or
receive, any gift, gratuity,
commission or bonus in
consideration of or return for the
referring, recommending or
procuring of any patient for
medical, surgical or other
treatment
Should not prescribe or dispense
secret remedial agents of which he
does not know (composition,
manufacture, use, etc.
Should not assist nor be a party to
either infliction of mental or
physical trauma or concealment
of torture by other person
• Practicing euthanasia shall
constitute unethical conduct.
• However on specific occasion,
the question of withdrawing
supporting devices to sustain
cardio-pulmonary function
even after brain death, shall be
decided only by a team of
doctors and not merely by the
treating physician alone
14. Misconduct
Violation of regulations
Adultery or improper conduct
Conviction in court of law
Sex determination test
Signing false professional certificates, reports
& other documents
Any registered practitioner who is shown to have signed or given under his name
and authority any certificate, notification, report or document which is untrue,
misleading or improper, is liable to have his name deleted from the Register
15. Punishment & Disciplinary
Action
The punishment given by the appropriate medical
council or MCI includes:
Warning
Reprimand – official action
Cancellation of registration
Temporary – for specific period of time.
Permanent
17. What is evidence-based
medicine?
“Evidence-based medicine is the integration of best
research evidence with clinical expertise and patient
values”
- David Sackett
“Explicit, judicious, and conscientious use of current
best evidence from medical care research to make
decisions about the medical care of individuals”
7 July 2018 17Evidence Based Medicine
18. Definition
Conscientious, explicit, judicious use of current best
evidence in making decisions about care of an
individual patient
Involves integrating individual clinical experience with
best external evidence from systematic research
19. Types of EBM
Evidence based guidelines- production of
guidelines, policy and regulations to be used at the
organizational or institutional level
Evidence based individual decision making-
use of available evidence to provide best treatment
to an individual patient, by an individual physician
20. EBM - What is it?
Clinical
Expertise
Research
Evidence
Patient
Preferences
Evidence Based Medicine
21. I - Individual clinical expertise
Skills
Judgement
which individual health care workers acquire
through
clinical experience and clinical practice
Evidence Based Medicine 217 July 2018
22. II - Best available clinical evidence
Clinically relevant research derived from:
basic medical sciences and
patient-centered clinical research into the safety and
efficacy of therapeutic interventions.
Systematic Reviews
Evidence Based Medicine 227 July 2018
23. Why is EBM important?
New types of evidence are being generated which
can create changes in the way patients are treated
Although evidence is needed on a daily basis,
usually physicians don’t get it.
How much is actually being applied to
patient care?
lack of time
out-of-date textbooks
the disorganization of the up-to-date journals
7 July 2018 23Evidence Based Medicine
24. Importance of EBM for practicing
clinicians?
TIME AVAILABLE TO READ:
Less than
1 Hour per Week
TIME NEEDED TO KEEP CURRENT
ON GENERAL MEDICINE:
19 Articles per DAY
365 Days per Year
Source: Davidoff F, Haynes B, Sackett D, Smith R. BMJ. 1995;310:1085-1086.
24Evidence Based Medicine
25. Pre EBM: Passive diffusion (“publish it and
they will come”)
Early EBM: Pull diffusion (“teach them to read
it and they will come”)
Current EBM: Push diffusion (“read it for
them and send it to them”)
Future EBM: Prompt diffusion (“read it for
them, connect it to their individual patients”)
7 July 2018 25Evidence Based Medicine
26. For I once saved one group by
it, while I intentionally
neglected another group.
By doing that, I wished to
reach a conclusion .
Al-Rhazi
900 AD 1780 1840 1937/48 1967 1970’s
Alvan Feinstein
publishes his book
Clinical Judgement
James Lind
publishes review &
clinical trial in
Treatise on Scurvy
Pierre Louis
Develops his “numerical
method” and changes blood
letting practice in France
Bradford-Hill
publishes Principles of
Medical Statistics &
MRC trial of streptomycin
Some milestones in the history of EBM
7 July 2018 26Evidence Based Medicine
27. Why the sudden interest in EBM?
Increasing realization among clinicians that years
of experience unaccompanied by updating of
knowledge can result in decline of clinical
performance
The need for valid information about diagnosis,
therapy, prognosis, and prevention in this era of
consumer activism
7 July 2018 27Evidence Based Medicine
28. The common man has access to the very same
medical literature as the clinicians through
numerous sources
Limited time available to the clinician for
acquiring information is a major impediment for
updating the knowledge from traditional sources
7 July 2018 28Evidence Based Medicine
29. Assumptions of evidence-based practices
Not all evidence is equivalent
There is a hierarchy of study design
External evidence can inform but can never replace
individual clinical expertise (Sackett et al., 1996)
Starting from the best external evidence and work
from there.
Values always influence decisions
7 July 2018 29Evidence Based Medicine
30. Where do we go
for help with
decisions when
we are not sure
how to proceed?
7 July 2018 Evidence Based Medicine
31. Decision making in clinical
practice using evidence
Decision-making is the cognitive process resulting
in the selection of a course of action among several
alternative possibilities
7 July 2018 Evidence Based Medicine
35. Outcome – the only thing that
matters
7 July 2018 35Evidence Based Medicine
36. What EBM additionally provides is
Opportunity for change
Opportunity for better treatment
7 July 2018 36Evidence Based Medicine
37. How evidence affects clinicians
•Happy !!!
•I am the best !!!
•Will the patient recover or
not??
•Will they sue me??
•What about my reputation ??
7 July 2018 37Evidence Based Medicine
39. Think 100 times before refuting an
old time tested method of
treatment
Classic example is vaginal hysterectomy for benign
diseases
“Give me 2 retractors, 2 scissors , 2 clamps, one
tissue holding forceps and one needle holder, I will
do a vaginal hysterectomy in any setup”
Surgeon
7 July 2018 39Evidence Based Medicine
40. Changes in clinical practice
shouldn’t be like this
7 July 2018 40Evidence Based Medicine
42. The Five-Step Approach to Practicing EBM
Step 1- Framing a Proper, Pertinent, Focused and
Answerable Question
Step 2 - Searching the Literature
Step 3 - Critical Appraisal of the Literature
Step 4 –Integrating the Evidence with Clinical
Expertise and Patient Values
Step 5 – Evaluating the Process7 July 2018 42Evidence Based Medicine
43. What are the benefits of adopting EBM?
Minimize the errors in patient care
Reduces the cost of treatment to the patient
Optimizes the quality of patient care
Skills learnt in practicing EBM are the very same
ones needed for being a lifelong, self-directed
learner
Habit of accessing literature on a daily basis is the
best guarantor of ensuring advancement of
knowledge and keeping abreast of scientific
progress
7 July 2018 43Evidence Based Medicine
44. Who benefits?
Practitioners current knowledge to assist with
decision making
Researchers reduced duplication
identify research gaps
Community recipients of evidence-based interventions
Funders identify research gaps/priorities
Policy maker current knowledge to assist with policy
formulation
7 July 2018 44Evidence Based Medicine
45. Conclusion
Medicine is not an exact science, but a science of
probability
The challenge to physicians is to provide up to-
date medical care
The ultimate goal for clinicians should be to help
patients live long, functional, satisfying, and pain
and symptom free life
By adopting the principles of Evidence Based
Medicine, it will be possible to maximize the
benefits of scientific research for patient care
7 July 2018 Evidence Based Medicine 45
46. Medical educators and medical colleges have the
singular responsibility of indoctrinating the
principles of EBM
as a concept,
a philosophy,
a religion necessary for being efficient,
compassionate, caring, and responsible clinician
among the future physicians during their
formative years of training
7 July 2018 Evidence Based Medicine 46
47. Society does not consider us as
“Gods” any more...........!
Medical practice.....
In Good old days = Ethical Profession.
In the 20 the century = Profession.
Now in the 21st Century = Professional Business.
This profession was looked upon as the Noblest
Profession.
If not God we were treated at least as Demigods.
Now the society looks at us with Suspicion,Jealosey, &
we have almost become Villains.
48. Why this situation......
Increasing Consumer awareness......
Knowledgeable patients and relatives.
Increasing presence of Insurance in Medical Practice.
Increasing “shopping attitude” on the part of the
patients.
Increasing social intolerance towards “Doctors” as a
Community.
Availability of ample “Free Advice”.
Unethical & un professional behaviour.
49. A wake up call for all of us.....
The Government is trying actively to encroach on our
freedom & ease of doing the profession.
We need to correct our professional & social attitude.
We need to actively promote the Good side of our
Profession.
We need to enforce on us “self imposed” regulations.
We need to unite, stay united & fight united.
We need to constantly remember that “we are an
important part of the society” constantly under the
microscope of the public eye.