Office Bearers - 2019-20

Dr. Girish Tyagi

President

Dr. Arvind Chopra

Hony. State Secretary

Dr. Ashok Aggarwal

Hony. Finance Secretary

Dr. B.B.Wadhwa

President Elect

Dr. Aswini Dalmiya

Vice President

Dr. Puneet Dhawan

Vice President

Dr. Ashwani Goyal

Imm. Past President

Dr. Vijay Kumar Malhotra

Past President

Dr. Anil Sharma

Hony. Jt. Secretary

Dr. Arvind Narayan

Hony. Jt. Secretary

Dr. Atul Goel

Hony. Asst. Secretary

Dr. Prakash Lalchandani

Hony. Asst. Secretary

Dr. Neeraj Jain

Hony. Asst. Secretary

Dr. Vinay Walia

Hony. Editor DMA Journal

Dr. Poonam Gulati

Hony. Associate Editor, DMA Journal

Dr. Kamal Parwal

Associate Editor DMA NB

Dr. Ashwani Goyal Dr. Ashwani Goyal

President's Pen

Telephonic consultation amounts to culpable negligence

Dear colleagues,
Delhi Medical Association is organising one more MIDCON this time to be hosted by South Delhi Branch at Hotel Surya on 23rd December 2018. This year we have planned to organise the state MIDCONS in different zones. South zone MIDCON to be followed by one in West Zone and one in North Zone.

DMA held a very interactive symposium on Assault on Doctors .Corrective Actions and Preventive Actions on 1st December where the office bearers of RDAs of different institutions and representatives of FORDA, discussed the issue of assault on doctors threadbare. The issues of reasons of assault, why it occurs, when and where it takes place, what are preventive measures, the code voilet, the law against violence on Medical Establishments were discussed. DMA is coming out with white paper on this issue shortly.

The government of Delhi has issued warning in newspapers regarding payment of minimum wages to workers. We are looking on this issue urgently and promptly and inform the membership.

DMA is working on the issue of Preferential and Subsidised treatment of elderly members at the tertiary care hospitals in Delhi and we are getting the nod of some hospitals and as soon as maximum number of hospitals agree on it we will present the details in Bulletin.

Long live DMA

dr-arvind-pen Dr. Arvind Chopra

Hony. State Secretary Pen

Dear all, The recent controversy has erupted within the medical fraternity following the decision of Pharmacy Council of India (PCI) to grant ‘‘Dr’’ prefix to all pharma D degree holders.

The doctors have claimed that Pharmacists using the "doctor" tag will only create confusion in the minds of patients.

Pharma D is a 6-year doctorate level course, including five years of academic study and a year of internship or residency. It is offered by a variety of public and private universities in India.

The Pharmacy Council of India made it clear to allow Pharma D (Doctor of Pharmacy) to use the prefix of "Dr" from now on. The confirmation of the said decision of the PCI came via letter received by the Director of the Board of Examination and evaluation of Sant Gadge Baba Amravati University which sated, "PCI has taken a decision of prefixing 'Dr' before the name of the candidate who are awarded Pharma D degree. All the universities and examining authorities approved by the PCI are requested to use this prefix while awarding degree certificates."

The Council wrote to the government universities all over the country to add the prefix to the names in the certificates of those students who completed their degrees in Pharma D. Majority of the private universities added the prefix 'Dr' before the degree as per the direction of the PCI, but few government colleges showed unwillingness to add the prefix.

Dispensing medications by compounding, packaging, and labelling pharmaceuticals is one of the jobs of a pharmacist, it will only be confusing for patients when they see the doctor title with the pharmacist.

The council had earlier intimated its decision to all the universities approved by the PCI under section 12 (2) of the Pharmacy Act 1948 to conduct examinations for Pharm D to use the prefix Dr before the names of passed out students while awarding certificates under Regulation 18 of the Pharm D Regulations 2008.

As universities in the state were not issuing degrees with 'Dr' prefix till now, members of Doctor of Pharmacy Association of Maharashtra had approached the PCI for a clarification.

A "Dr" tag to pharmacists will only create confusion with patients now thinking that a pharmacist may be approached for prescriptions as well. "Doctors prescribe and pharmacists dispense. The demarcation is currently clear. Allowing the prefix "dr" to pharmacists is bound to create confusion in the minds of gullible patients who might begin asking the pharmacists for medical advice and prescriptions.

‘‘There are long term allegations that many pharmacists, having little knowledge to dispense the medicine also attempt at prescribing the medicine and now if the differentiation between prescription and dispensing is lost, This would further propagate the menace of quackery.’’

Dr. Arvind Chopra

Hony. State Secretary
dr-girish-tyagi Dr. Girish Tyagi

President's Pen

Issues of Fire NOC, Borewell Directorate of Health Services vide letter dated 10/01/2012, 17/11/2016, 02/08/2018 & 14/02/2019 had asked Delhi Fire Services to undertake a fire audit of all private hospitals and nursing homes and provide a report regarding the readiness of fire safety measures in private hospitals and nursing homes.

With regard to aforesaid letters Chief fire officer vide letter dated 11/03/2019 sent a reply to DGHS mentioning that:

Ÿ     Hospitals and Nursing homes fall under the category of Institution Buildings.

Ÿ     Buildings having height of more than 9 meters or having ground plus two upper storeys

including mezzanine floors are covered under sub Rule 5 of Rule 27.

Ÿ     Each individual case along with sanctioned building plans of the premises having details of the following :

a )    Area

b )    Abutting road

c )    Year of construction/ conversion of occupancy

d )    Widths of exits etc.

duly marked with stipulated fire life saving provisions as per NBC are required to be forwarded by the concerned local authority or licence issuing agency before issue of licence for necessary scrutiny.

Ÿ     Probably the licences have been issued by ignoring this condition.

Ÿ     Directorate of Delhi Fire Services has cleared 103 hospitals from fire safety point of view.

Ÿ     It is requested to forward the building plans of each such hospitals which falls under the purview of this department under Rules 27(5) i.e. having a height more than 09 meters for further necessary action.

After receiving this circular from Directorate of Delhi Fire Services, MS Nursing Home stopped renewing the Nursing Home Registration without NOC from Fire deptt.

Series of meeting were arranged with various authorities including Delhi Fire services, DGHS, Health Minister but till date no relief is being visualised.

It is most unfortunate that the hospitals which are in existence for more than 50 years and are serving the society will be forced to close for want of unrealistic structural modification in the name of no objection fire certificate even when they are equipped with a total fire safety infrastructure.

It is therefore requested to DGHS that every hospital/nursing home/ clinic situated in residential areas less than 15 meter shall be communicated to adhere to all fire safety norms and install all the fire safety equipments to ensure the safety of patients and visitors even without the no objection certificate and structural changes and shall furnish a certificate from a 3rd party inspection (Fire Audit) ensuring fire safety.

From the above observation, all the nursing home owners should decide their plan of action collectively and unitedly otherwise it will be difficult to operate in the present circumstances. All the nursing homes will be functioning illegally and, therefore, liable to be prosecuted under law. Even at this critical time we are not united thinking that someone will bring the relief and there is no need for their involvement. Plz give support and strength to DMA to fight for the cause of Nursing Homes.

Other issues like Borewell are also to be discussed amongst nursing home owners as many of us are getting notices from SDM for using Borewell. In 2004 Govt. had come out with a scheme to register the Borewell and some nursing homes got them registered.

In all the parks maintained by different agencies (MCD, PWD, NDMC) there is a provision of Borewell to water the plants. Whether the plants, flowers are more important than human beings? Trees off course are important for environment, but certainly not these flower plants which are only for decoration. Practically every 3rd house in Delhi has a Borewell, then why only nursing homes be penalised.

A few years back generators were banned in Delhi but nursing homes were exempted taking it as essential for running of nursing homes by the court. Same way Borewell can be allowed by court by filing writ petition or PIL, as water is essential to run a nursing home and we are providing next door facilities. We will be taking legal opinion to decide further plan of action. We might get a relief from the court for Borewell.

Dr. Girish Tyagi

President

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Delhi Medical Association

It was way back in 1914, Dr. M.A. Ansari felt the need for making an association for the medical professionals and this is how Delhi Medical Association was born on 14th August, 1914. On 14th August, Dr. M.A. Ansari issued notice for assembling the medical practitioners. On 20th August, first inaugural function of the association was held in consultation room of Dr. Ansari in Fatehpuri Mosque and was attended by 23 members out of 28 medical practitioners practicing at that time.

The first office bearers of the Association were Dr. M.A. Ansari, Dr. Abdul Rehmaan, Dr. S.P. Shroff, Dr. H.L. Keal, Dr. J.K. Sain, Dr. Bhairon Dayal and Dr. I.T. Mitrra. Since there was no office of the association, for the first few years, all the meetings were held either at the clinic of Dr. M.A. Ansari or nearby restaurants.

In 1925 regular CME activities were started and social get-togethers were added to the agenda. A partnership with the government: In 1925 DMA joined hands with government in implementing the health schemes and extending support in fighting epidemics and giving free vaccinations to the public. The association got recognized by University Code, Indian Red Cross Society and various other Advisory Bodies.

In 1926 the first office of the association was rented in Jama Masjjd Dispensary. With the effort of senior consultant Lt Col G.D. Franklin, a plot of land was acquired at Ansari Road at a nominal cost of Rs. 1237 in 1926. A sum of Rs. 6500 was raised and a hall, office, library room and servant quarters were built in the DMA building at Ansari Road in the year 1933. Opening ceremony of the building was performed by Dr. G B Deshmukh, Dr.J K Saini, President and Dr. D.L. Burman, Secretary.

In 1928 Indian Medical Association was established and efforts were made to convert DMA into a provincial branch of IMA.

In 1941DMA was completely amalgamated with IMA and was recognized as its provincial branch with the distinction that it shall retain its original name.

DMA was declared one of the oldest medical associations in the world in 1941.

In 1947 with the Indian Independence influx of all medical men in Delhi was the greatest. The prospects increased day by day when many displaced medical persons were incorporated into the umbrella of DMA.The old hall with a seating capacity of 100 (constructed when its membership was 40) was found to be inadequate.

In 1954 Dr. B.K. Sikand, President, decided to erect a new and bigger house of DMA. In the next two years, Dr. D C Golatia and Dr. Prem Narain, President did fund raising campaign for the building. In 1959President Col. Ameer Chand resolved to take up the construction work in right earnest. In 1960 the architects M/s Sathe and Kothari were appointed by the Executive Committee on 4th February, 1960. On 14th August, 1960, the foundation stone of the executive building was laid by Dr. Col. Ameer Chand.

On 14th August, 1963, Dr. Sushila Nayar Union Health Minister performed opening ceremony of the new building.

New DMA Auditorium was inaugurated by Shri L.K. Advani, Hon’ble Union Home Minister, Govt. of India on 26.03.2001.

Pinnacle of glory for our association was Grand Centenary Celebrations of DMA at prestigious Vigyan Bhawan in August 2014 in presence of Galaxy of Medical Luminaries alongwith Distinguished Union Ministers such as Hon’ble Mr. Arun Jaitely, Dr. Harsh Vardhan, Dr. Jitendra Singh and Dr. Mahesh Sharma and other prominent dignitaries.

Now, Delhi Medical Association is the highest and biggest platform of doctors of medicine involved into mass scale vaccination, health checkup camps, measles and pulse polio programmes Blood donation camps, Anti Quackery movement, conference etc…. Today DMA has totally decentralized all its activities to all its thirteen branches spread all over Delhi and is now fully devoted for its total work up on health policies and other issues of Delhi Govt., National & International health agencies and health associations.

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