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21st March 2010, Sunday
Medical Council of India: Professional Conduct, Etiquette and Ethics Amendments Revisited
In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956 (102 of 1956), with the previous sanction of the Central Government, MCI via notification number MCI–211(1)/2009(Ethics)/55667, dated 10th December 2009 has amended the "Indian Medical Council (Professional Conduct, Etiquette and Ethics), Regulations, 2002".
In the IMC Professional Conduct Etiquette and Ethics Regulations, 2002 clause 6.8 has been added to make it Regulations 2009.
The 6.8 deals with the code of conduct for doctors and professional association of doctors in their relationship with pharmaceutical and allied health sector industry.
The clause 6.8.1 clarifies that in dealing with pharmaceutical and allied health sector industry, a medical practitioner shall follow and adhere to the stipulations given below:–
(a) Gifts: A medical practitioner shall not receive any gift from any pharmaceutical or allied health care industry and their sales people or representatives.
My comments: What is the definition of gift? Do academic books, scientific materials, conference proceedings, distribution of guidelines come under gift?
(b) Travel Facilities: A medical practitioner shall not accept any travel facility inside the country or outside, including rail, air, ship, cruise tickets, paid vacations, etc. from any pharmaceutical or allied healthcare industry or their representatives for self and family members for vacation or for attending conferences, seminars, workshops, CME programme etc. as a delegate.
My Comments: Are hospitals and medical establishments not allied health care industry? All of them give commissions, travel grants, incentives etc under the pretext of professional services charges. Advertising by doctors is prohibited then why not the same for the health care establishments.
(C) Hospitality: A medical practitioner shall not accept individually any hospitality like hotel accommodation for self and family members under any pretext.
My comments: As above
(d) Cash or Monetary Grants: A medical practitioner shall not receive any cash or monetary grants from any pharmaceutical and allied healthcare industry for individual purpose in individual capacity under any pretext. Funding for medical research, study etc. can only be received through approved institutions by modalities laid down by law/rules/guidelines adopted by such approved institutions, in a transparent manner. It shall always be fully disclosed.
My comments: Most medical establishments give cash incentives. They have official marketing departments with a marketing staff of 30–45 persons. Most national and international health care business today is procured from business agents. If a doctors accepts money he is booked under IMC act what about the establishments who offer money? Who will take action against them?
(e) Medical Research: A medical practitioner may carry out, participate in, work in research projects funded by pharmaceutical and allied healthcare industries.
A medical practitioner is obliged to know that the fulfillment of the following items (i) to (vii), will be an imperative for undertaking any research assignment/project funded by industry for being proper and ethical.
Thus, in accepting such a position a medical practitioner shall:–
(i) Ensure that the particular research proposal (s) has the due permission from the competent concerned authorities;
(ii) Ensure that such a research project (s) has the clearance of national/state/institutional ethics committee/bodies;
(iii) Ensure that it fulfills all the legal requirements prescribed for medical research;
(iv) Ensure that the source and amount of funding is publically disclosed at the beginning itself;
(v) Ensure that proper care and facilities are provided to human volunteers, if they are necessary for the research project (s);
(vi) Ensure that undue animal experimentations are not done and when these are necessary they are done in a scientific and a humane way;
(vii) Ensure that while accepting such an assignment a medical practitioner shall have the freedom to publish the results of the research in the greater interest of the society by inserting such a clause in the MoU or any other document/agreement for any such assignment.
(f) Maintaining Professional Autonomy: In dealing with pharmaceutical and allied healthcare.
Dr KK Aggarwal
Laughter the best medicine
Actual medical record
Patient has neck veins distended down to ankles. A 35–year–old male was transported to our Emergency Department by rescue unit from his doctor’s office.
Formulae in Critical Care
Cardiac index (CI)
Milestones in Orthopedics
Sir John Charnley (1911–1982) was a British orthopaedic surgeon. He pioneered the hip replacement operation, which is now one of the most common operations both in the UK and elsewhere in the world. The hip implant pioneered by Charnley comprised a stainless steel stem and 22mm head fitting into a polymer socket, both parts being fixed into position by PMMA cement. His eminent textbook on conservative fracture treatment that was first published in 1950 has influenced generations of orthopaedic surgeons.
Mistakes in Clinical Practice
MgSO4 or MSO4or MS. – The abbreviations for magnesium sulfate (MgSO4) and morphine sulfate (MSO4 or MS), which can look similar or be misinterpreted. It is best to write out "magnesium sulfate" or "morphine sulfate".
SMS of the Day (Dr Ingole)
"Every new idea is a joke, Until one man achieves it; and Every new thought is silly, Until you try and believe it.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
Zen immune beauty helps improve the brittleness of nails, helps increase the hair tensile strength, thus prevents hair loss, and stimulates regeneration of hair roots. Helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.
Advertising in eMedinewS
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Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.
The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.
NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April). Over 400 registrations already done.
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, email@example.com BK Sapna: 9811796962, firstname.lastname@example.org
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