This document provides an overview of what it means to be a doctor according to an Indian medical graduate framework. It outlines the key roles of a doctor as a clinician, leader, communicator, lifelong learner, and professional. It describes 15 clinical competencies doctors should possess in history taking, physical examination, problem solving, prescribing therapies, and providing holistic care. The document emphasizes the importance of communication, leadership within healthcare teams, and commitment to professionalism and continuous learning. It provides sample lecture objectives, assignments, and pre-lecture questions on these topics.

1. What Does it Mean
to be a Doctor ?
DR. Rambadan P. Chauhan
MD (PSM), ACME (MET)
Professor-Community Medicine
BKLWR Medical College- Sawarde, District-Ratnagiri
chauhanrambadan@gmail.com
5/7/2021 1
Dr Rambadan Chauhan

2. Lecture Objectives (What Does it Mean to be a Doctor ?)
At the end of lecture you {student (s)} should be able to understand,
1.Definition of Indian medical graduate.
2.Enumerate various roles of IMG.
3.Enumerate the 15 clinical competencies.
4.Brief description of leadership role of IMG.
5.Importance & components of Communication.
6.Importance & methods of lifelong learning.
7.Importance of professionalism.

3. 1. “Indian Medical Graduate” (IMG)
KSAVAR-POFC-GloRe
The undergraduate medical education
programme is designed with a goal to create
an “Indian Medical Graduate” (IMG)
possessing requisite knowledge, skills,
attitudes, values and responsiveness, so that
he or she may function appropriately and
effectively as a physician of first contact of
the community while being globally relevant.

4. 2. In order to fulfil this goal, the IMG must be able to function
in the following ROLES appropriately and effectively:
CliLe CoLiPro
1. Clinician who understands and provides preventive, promotive,
curative, palliative and holistic care with compassion.
2. Leader and member of the health care team and system with
capabilities to collect, analyze, synthesize and communicate health data
appropriately.
3.Communicator with patients, families, colleagues and community.
4.Lifelong learner committed to continuous improvement of skills and
knowledge.
5.Professional who is committed to excellence, is ethical, responsive and
accountable to patients, community and profession.

5. Competencies
Competency based learning would include
designing and implementing medical education
curriculum that focuses on the desired and
observable ability in real life situations. In order
to effectively fulfil the roles as Physician of first
contact of the community while being globally
relevant , the Indian Medical Graduate would
have obtained the following set# of competencies
at the time of graduation.
#=Clinician+Leadership+Communicator+Lifelong
learner+Professionalism

6. 3. Clinician, who understands and provides preventive, promotive, curative,
palliative and holistic care with compassion
1.Demonstrate knowledge of normal human structure, function and
development from a molecular, cellular, biologic, clinical, behavioral
and social perspective. (Anatomy, Physiology & Biochemistry)
2.Demonstrate knowledge of abnormal human structure,
function and development from a molecular, cellular,
biological, clinical, behavioral and social perspective.
(Pathology & Microbiology)
3.Demonstrate knowledge of medico‐legal, societal, ethical
and humanitarian principles that influence health care.
(FMT)
4.Demonstrate knowledge of national and regional health
care policies including the National Rural Health Mission
(NRHM), frameworks, economics and systems that
influence health promotion, health care delivery, disease
prevention, effectiveness, responsiveness, quality and
patient safety. (Community Medicine)

7. 3.Clinician, who understands and provides preventive, promotive, curative,
palliative and holistic care with compassion
5. Demonstrate ability to elicit and record from the patient, and other relevant
sources including relatives and caregivers, a history that is complete and relevant
to disease identification, disease prevention and health promotion.
6. Demonstrate ability to elicit and record from the patient, and other relevant
sources including relatives and caregivers, a history that is contextual to gender,
age, vulnerability, social and economic status patient preferences, beliefs and
values.
7. Demonstrate ability to perform a physical examination that is complete and
relevant to disease identification, disease prevention and health promotion.
8. Demonstrate ability to perform a physical examination that is contextual to
gender, social and economic status, patient preferences and values.
5,6,7&8= Medicine & allied, Surgery & allied, Obstetrics & Gynecology

8. 3. Clinician, who understands and provides preventive, promotive, curative,
palliative and holistic care with compassion
9. Demonstrate effective clinical problem solving, judgment and ability to
interpret and integrate available data in order to address patient problems,
generate differential diagnoses and develop individualized management
plans that include preventive, promotive and therapeutic goals.
10. Maintain accurate clear and appropriate record of the patient in
conformation with legal and administrative frame works.
11. Demonstrate ability to choose the appropriate diagnostic tests and
interpret these tests based on scientific validity, cost effectiveness and
clinical context.
9,10&11= Medicine & allied, Surgery & allied, Obstetrics & Gynecology

9. 3.Clinician, who understands and provides preventive, promotive, curative,
palliative and holistic care with compassion
12. Demonstrate ability to prescribe and safely administer appropriate
therapies including nutritional interventions, pharmacotherapy and
interventions based on the principles of rational drug therapy, scientific
validity, evidence and cost that conform to established national and
regional health programmes and policies for the following:
a. Disease prevention,
b. Health promotion and cure,
c. Pain and distress alleviation, and
d. Rehabilitation and palliation.
(Pharmacology)

10. 3. Clinician, who understands and provides preventive, promotive, curative,
palliative and holistic care with compassion
13. Demonstrate ability to provide a continuum of care at the primary
and / or secondary level that addresses chronicity, mental and physical
disability. (clinical subjects)
14. Demonstrate ability to appropriately identify and refer patients who
may require specialized or advanced tertiary care. (clinical subjects)
15. Demonstrate familiarity with basic, clinical and translational
research as it applies to the care of the patient. (all subjects)

11. 4.Leader and member of the health
care team and system
1.Work effectively and appropriately with colleagues in
an inter‐professional health care team respecting
diversity of roles, responsibilities and competencies of
other professionals.
2.Recognize and function effectively, responsibly and
appropriately as a health care team leader in primary
and secondary health care settings.
3.Educate and motivate other members of the team and
work in a collaborative and collegial fashion that will
help maximize the health care deliver potential of the
team.

12. 4.Leader and member of the health
care team and system
4. Access and utilize components of the health care
system and health delivery in a manner that is
appropriate, cost effective, fair and in compliance with
the national health care priorities and policies, as well as
be able to collect, analyze and utilize health data.
5. Participate appropriately and effectively in measures
that will advance quality of health care and patient safety
within the health care system.
6. Recognize and advocate health promotion, disease
prevention and health care quality improvement through
prevention and early recognition: in a) life style diseases
and b) cancer, in collaboration with other members of the
health care team.

13. 5.Communicator with patients,
families, colleagues and community
1.Demonstrate ability to communicate adequately, sensitively,
effectively and respectfully with patients in a language that the
patient understands and in a manner that will improve patient
satisfaction and health care outcomes.
2.Demonstrate ability to establish professional relationships with
patients and families that are positive, understanding, humane,
ethical, empathetic, and trustworthy.
3.Demonstrate ability to communicate with patients in a manner
respectful of patient’s preferences, values, prior experience,
beliefs, confidentiality and privacy.
4.Demonstrate ability to communicate with patients, colleagues
and families in a manner that encourages participation and shared
decision‐making.

14. 6.Life long learner committed to continuous
improvement of skills and knowledge
1.Demonstrate ability to perform an objective
self‐assessment of knowledge and skills, continue
learning, refine existing skills and acquire new skills.
2.Demonstrate ability to apply newly gained knowledge or
skills to the care of the patient.
3.Demonstrate ability to introspect and utilize
experiences, to enhance personal and professional
growth and learning.
4.Demonstrate ability to search (including through
electronic means), and critically evaluate the medical
literature and apply the information in the care of the
patient.
5.Be able to identify and select an appropriate career

15. 7.Professional who is committed to excellence, is ethical, responsive and
accountable to patients community and the profession
1. Practice selflessness, integrity, responsibility, accountability and
respect.
2. Respect and maintain professional boundaries between
patients, colleagues and society.
3.Demonstrate ability to recognize and manage ethical and
professional conflicts.
4.Abide by prescribed ethical and legal codes of conduct and
practice.
5.Demonstrate a commitment to the growth of the medical
profession as a whole.

16. Assignments
LAQs
1.Define IMG.Describe various roles.
SAQs
1.Define IMG.Describe various roles.
2.Define IMG.Describe the clinical competencies.
3.Define IMG.Describe the communication role.
4.Define IMG.Describe leadership role of IMG.
5.Define IMG.Describe communication role of IMG.
6.Define IMG.Describe professionalism role of IMG.

17. MCQs
1. ‘Collect analyze, synthesize and communicate health data’ is following role of IMG,
(a) Communicator (b) Leadership (c)Clinician (d)Professional
2. ‘Preventive, promotive, curative, palliative and holistic care’ is following role of IMG,
a) Communicator (b) Leadership (c)Clinician (d)Professional
3. ‘Attending regular conferences’ is following role IMG,
a) Communicator (b) Leadership (c)lifelong learner (d)Professional
4. ‘Explaining patients prognosis’ will fall under following role of IMG,
a) Communicator (b) Leadership (c)Clinician (d)Professional
5. ‘Refusing profit sharing (cut practice)’ will fall under following role of IMG,
a) Communicator (b) Leadership (c)Clinician (d)Professionalism

18. Thanks

19. Pre-lecture Assignment
Please be ready to answer following questions during
the presentation, any time i.e. at beginning, during or
after presentation. Answer in 5 sentences.
1.Why did you chose MBBS?
2.What are characteristics of a good doctor?
3.What are characteristics of a bad doctor?
4.Who are you? What is aim of your life?
5.Before answering question 4 please read
‘xenoglossy’ & ‘where reincarnation & biology
intersect’. (encyclopedia.spr.ac.uk or any other site)
Randomly anyone, can be asked to answer.