January 01, 2012

Rural docs to be trained in emergency procedures

NAGPUR: State government finally seems to be taking the issue of lack of trained staff in public health sector seriously. Doctors posted in rural areas, sub-district hospitals and district hospitals will now be in specialties like paediatrics, emergency services like trauma, and gynaecology at the government medical colleges (GMCs) under specialists. The plan has support of directorate of medical education ( DMER).

Public health department had been working on the issue since about one and half years. A meeting in this regard was held on November 2 at Mumbai. Experts are suggesting a six-month residential training course for all MBBS doctors. Trained doctors from urban areas and post-graduate students are not ready to work in rural hospitals both due to low remuneration and bad working conditions. Hence the need for training the existing staff in subjects like paediatrics and gynaecology as women and children form a big number of patients in villages. Most of them, even simple cases of deliveries and fever, are referred to medical colleges in cities.

Dr Manohar Pawar, deputy director health services, Nagpur circle, told TOI that senior and retired teachers and specialists at three GMCs at Nagpur, Aurangabad and Pune would be training the doctors from their respective regions. "If needed we would frame a syllabus with support from Maharashtra University of Health Sciences. The doctors will benefit financially also as they would get a special incentive for taking the course," he said. At one time, ten doctors would be trained in each medical college in medicine and paediatrics.

At present, there are either no gynaecologists in rural set ups or they are not trained in conducting emergency deliveries and caesarean sections. Now all MBBS doctors would be trained in these to prevent maternal mortality and reduce the number of referral cases to urban centres. The MBBS doctors also cannot handle emergency cases like trauma. They will be trained in all kinds of emergency services to handle cases at their level before referring the patients to medical colleges.

They would also get training in administering anaesthesia (general and spinal) in emergency cases. The training would be such that they can take care of all gynaecology and paediatrics cases except those requiring certain special expertise.

Dr Praveen Shingare, acting director of medical education and research, however, said he was yet to get a formal nod from the state government for the proposal but the plan was in the offing and would start soon. Dr Mridula Phadke, former MUHS vice-chancellor and now a UNICEF consultant involved in the project, too confirmed the plan.

Link: Original Article

1 comment:

JK said...

A better option with longlasting results would be to popularise and develop the specialities of Family Medicine and Maternal&Child Health. At present, both the specialities have DipNB programmes.

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