Office Bearers - 2018-19

Dr. Ashwani Goyal

President

Dr. G.S. Grewal

Hony. State Secretary

Dr. M.K Singhal

Hony. Finance Secretary

Dr. Girish Tyagi

President-Elect

Dr. Rakesh K Gupta

Past President

Dr. B B Wadhwa

Senior Vice President

Dr. Rajesh Makashir

Vice President

Dr. Prakash Lalchandani

Hony. Jt. Secretary

Dr. Sandeep Sharma

Hony. Jt. Secretary

Dr. Rajeev Gupta

Hony. Asst. Secretary

Dr. A.S Popli

Hony. Asst. Secretary

Dr. Dinesh Negi

Hony. Asst. Secretary

Dr. Arvind Narayan

Associate Editor, DMA N/B.

Dr. Hans Raj Satija

Hony. Editor, DMA Journal

Dr. Harivansh K. Arora

Hony. Asso. Editor, DMA Journal

Dr. Ashwani Goyal Dr. Ashwani Goyal

President's Pen

Telephonic consultation amounts to culpable negligence

Dear colleagues,
The prescription without diagnosis would amount to culpable negligence. This amounts to gross negligence from the point of the standard of care, and recklessness and negligence, which is a tricky road to travel, was stated by the Mumbai High Court turning down the anticipatory bail plea of a doctor couple booked under section 304 of IPC as patient was advised with some medicine telephonically after getting discharged after the caesarean section. Subsequently patient was re-admitted and treatment was advised telephonically and later shifted to another hospital where she died.

The High Court said this is not an error of negligence but a case of prescription without diagnosis and therefore amounts of culpable negligence.

Justice also said that this case does not fall under the purview of a civil liability and mere monetary compensation can't give a child her mother and a husband his wife back.

It is again an irony of our legal system. On one hand over the counter medicines are being dispensed by the chemists and quacks is rampant doing every sort of ill treatment while the qualified medical practitioners are available 24x7 helping the patients even in odd hours.

Even AIIMS has started telephonic consultation facility to children with neuro development disorders in the month of April 2018.

With this judgment the patients are at loss, as majority of our doctors are offering free telephonic consultation and it saves money and efforts for the patients examined one or two days earlier where history is already known, diagnosis is already made and treatment has already been started by the treating physician. It seems the judgment has come as a relief to lacs of hardworking doctors providing free telephonic advice round the clock to their own patients.

The message is clear: All doctors should insist to examine a patient in person at every visit and no advisory given without seeing a patient in howsoever state, elderly or staying far away or in odd hours. You might have given instantaneous relief of thousands of patients in your career advising telephonically but single advice going adversely can put you behind the bars. So refrain from providing telephonic consultation in future.

Dr GS Grewal Dr. GS Grewal

Secretary Pen

I dedicate my editorial to all those who shaped the health policy for India

History and Background Health and health care development has not been a priority of the Indian state. This is reflected in two significant facts. One, the low level of investment and allocation of resources to the health sector over the years. And second the uncontrolled very rapid development of an unregulated private health sector, especially in the last two decades. Our health policy document came 35 years after Independence in 1982-83. It is no confidence that such a policy statement that came only after the 1978 Alma Ata Declaration of the World Health Assembly- Health for All by 2000 AD.

Expenditure on Health in India World Bank estimates the Indian government's spending on healthcare at Rs. 37,061.55 crores which is 30 percent as compared to China. The Out of Pocket Expenses (OPE) in India on healthcare by its citizen is amongst the highest in the world. The High-Level Expert Group (HLEG) report on Universal Health Care in India recommended increasing public expenditures on health from 1.2 percent of GDP to at least 2.5 percent by the end of the 12th plan, and at least 3 percent of GDP by 2022.

Private Sector in NHP The private sector does not have a high priority position in NHP right from the start, references in the NHP document mentions that over 70% of aligning population in rural areas and almost 80% in urban areas utilize private facilities. It further defines the private health care sector as highly differentiated and observes that majority of the private health care enterprises are Own- Account- Enterprises (OAEs), which are household run businesses without regular hiring of a worker. Over time OAEs have been declining while the number of medical establishments and corporate hospitals are rising. There are major ongoing efforts by the Government to streamline the OAEs within the corporate sector and to regulate them.

Our area of Worry For the Govt a major area of concern is the variability in the quality and rationality of care currently provided by the private medical sector. There is evidence of supplier induced demand and lack of standard treatment practices, leading to aberrations such as unnecessary injections, irrational treatment regimens and excessive medications being provided in the private medical sector. And the main engagement for OAEs and smaller medical establishments with Government are not financial partnerships, but skills upgradation, referral support, sharing information of public health importance and improved clinical quality for effectiveness in public health priority areas.

The private sector outside the corporate world needs to establish its worth to survive introspect.

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DMA E-Bulletin

Bulletin 25th Oct. 2018

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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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