IMA as on today

Health Care Comments Off

A meeting of the IMA Action Committee & State Presidents’ & Secretaries’ Annual Review Meeting was held on 27th August, 2017 at New Delhi where following issues were deliberated and passed:

• IMA is planning an IMA fast for nonviolence on 2nd October where every doctor will fast from Dusk to Dawn and will continue its efforts in persisting with its demands with the government, the nonviolent way.
• IMA is against criminal prosecution of doctors unless mens rea or an intention to harm can be established.
• IMA takes strong objection to the application of Section 308 on doctors of Gorakhpur Medical College for administrative lapses. The concerned officers could have been suspended/transferred, as is usually done, so that a fair inquiry can be conducted, but not to charge them with penal provisions until the report of the inquiry. The recent widespread violence in Haryana after Ram Rahim was convicted was also due to a system failure. But, only the DSP was suspended. Also, Section 308 was not applied in this case.
• IMA has requested that all health care providers (interns, PG, doctors) to be mandatorily given vaccination by their employers.
• All IMA members will conduct school health program under Aao School Chalen programme on the 5th of every month.
• All IMA members should either conduct Aao Gaon/Slum Chalen Project for the community or participate in antenatal services camp as the case may be on the 9th of every month.
• To build up the professional image of IMA and to raise various issues, IMA is coming out with series of advertisements. IMA brought out 14 half page advertisements in Indian Express during the monsoon parliament session and will bring out 15 full page advertisements in the winter parliament session. IMA also regularly releases advertisements in newspapers regarding public health.
• Past is past. IMA does not want to go into the controversy whether or not the practice of “cuts and commissions” is prevalent in the society. IMA has issued a circular to all its member doctors informing them that they are only entitled to charge for consultation, skilled procedure and medical services provided to their patients.
• Doctors are brand ambassadors for the society and IMA has decided that over 1 lakh members of IMA will pledge their organ donation on NOTTO website before 2nd October.
• IMA has declared MDR TB as a public health emergency and the new IMA campaign, which is the 2nd freedom struggle will be IMA TB Initiative: GTN. G is for diagnosis of TB using GeneXpert test, T is for tracing the contacts and treat them and N stands for Notifying (mandatory) TB patients.
• IMA Adverse action reporting has been made mandatory by IMA for all its members at helpline Number 9717776514.
• IMA has also appointed Honorary IMA Professors as academic Brand Ambassadors of the profession all over the country.
• IMA is also campaigning to check the menace of Antimicrobial Resistance, which is a new epidemic of the society.
• IMA has also offered to the Govt. to adopt a few different tribal areas on a PPP Model.
• IMA has also written to all its members to promote Digital Payment while dealing with their patients.
• IMA has also directed all its State Branches to make use of all public events in their respective states like Melas and Fairs and conduct public health activities in the same.
• IMA has also written to the ministry to consider risk hazard allowances for all doctors working in various hospitals starting from their internship.
• IMA is against any hospital (Govt. or Private) having more than 85% bed occupancy rate. All patients getting admitted where the occupancy is more than 85% should be referred to the nearest empanelled hospitals and in case of Government, the expenses should be borne by the government. IMA can, in no way, justify or support the Government’s move for not denying any admission and keeping two patient on one bed. To maintain quality and safety, such cases should be referred to the nearest hospitals where facilities are available and the expenses should be borne by the hospitals on predefined terms and conditions.
• Residents of the hospitals should not be allowed to work more than 48 hours in a week and the practice of moonlighting should be introduced in Govt./Private Hospitals where doctors from outside can be appointed as an ad hoc locum on hourly basis.
• IMA has also decided to promote Khadi, our cultural heritage. During its CWC meeting, all doctors should wear a Khadi Apron and will support the campaign for Swadeshi Khadi as a healthy cloth.
• IMA new policy for Blood Donation is to collect blood in multiple bags to facilitate separation of components.
• IMA is coming out with sustained campaign on Swachh Bharat.

IMA Fast for Non Violence on 2nd October

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Dear Colleague

During the recent meeting of IMA National Action Group, it has been decided to observe “IMA Fast for Non Violence”, a Dawn to Dusk Fast by every Branch and every member of IMA on the occasion of Gandhi Jayanti, October 2, 2017 from 6.00 am to 6.00 pm, to mark our continuing Satyagraha to the Government to take action on our demands.

All Medical Organizations and Associations (FOMA) and all members of IMA are requested through our State & Local Leaders to observe the fast on 2nd October 2017, in support of our pending demands.

The broad guidelines for observing the above Fast shall be as follows:-

• Pandals to be erected near the District Collectorate in all the Districts of the country.

• Prominent leaders of the district to take part in the Fast.

• Necessary banners, backdrops and Placards to be prepared and displayed in the Pandal (content will be made available soon on IMA website).

• All medical students to be involved in the Fast and they will organize their Fasts in respective Medical Colleges in specially erected dedicated pandals (necessary backdrops, banners to be arranged).

• All practicing doctors to observe “Dawn to Dusk Fast” in their Clinics/Medical Institutions while working.

• All fasting participants to wear badges (content of badge to be provided by IMA HQs).

• Proper reporting to be done to IMA HQs on the proforma (to be provided by IMA HQs.) along with digital copies of photographs of the event.

• Special venues for the Fast are:
o Rajghat
o Sabarmati Ashram, Gujarat
o Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram, Wardha

You are requested to kindly take suitable necessary action at your Branch level to ensure utmost success of the event, which will go a long way in acceptance of our demands by the Govt.

Dr KK Aggarwal, National President, IMA
Dr RN Tandon, Hony. Secretary General, IMA
Dr RV Asokan, Chairman, IMA National Action Cell

Disclaimer: The views expressed in this write up are entirely my own.

IMA Campaigns to build up the image of the medical profession

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Dr KK Aggarwal
National President IMA

Dear Colleague
To build up a strong image of the medical profession, the Indian Medical Association (IMA) is starting the following campaigns:

• MDR TB now a public health emergency as it is now a threat to community as well as health care providers. IMA: 2nd freedom struggle to end TB IMA TB Initiative: GTN, where G stands for sputum GeneXpert test for all suspected cases, T stands for trace and treat all contacts and N stands for notify (mandatory) at Nikshay http://nikshay.gov.in.
• Doctors are brand ambassadors for the society and unless they pledge their organs, the society will not follow. All doctors are requested to pledge their organs at: http://notto.nic.in/Admin/Login.aspx
• Charity begins at home. The general public will not follow preventive health advice unless doctors themselves follow the same. All IMA members are requested to get their annual checkup done once a year under the IMA campaign: Physician’s Health first. All doctors should get themselves get fully vaccinated.
• To build the community image of the profession all doctors are requested to visit a school assembly on 5th of every month and conduct a 5-minute (or more) school children health education advisory program under “IMA Aao School Chalen” project.
• All IMA members are required to report adverse reactions to drugs (serious or non-serious), devices, vaccines, herbs, blood transfusion to IMA PvPI number 9717776514 under IMA PvPI Initiative.
• All designated IMA Professors should spread the positive image of medical profession under the IMA campaign “Jiska Koi Nahi Uska IMA”.
• Each state or local branch of IMA should adopt slums/ villages / elderly homes and conduct an activity of 9th of every month under IMA Aao Gaon Chalen project
• Each state or local branch of IMA should on conduct antenatal awareness and check-up program on the 9th of every month in support of the Pradhan Mantri Surakshit Matritva Yojana.
• All state and local branches are directed to file complaints to IMA headquarters against all doctors indulging in female feticide, unethical medical practices or tarnishing the name of IMA in media or social media.
• All members should resort to digital transactions with the patients
• Past is Past: We do not want to go into controversy whether or not there were cuts and commissions in the medical practice, now onwards medical practice will be 100% ethical and doctors will charge only for consultation, skills and medical services provided.
- All IMA CMEs should have the following slide inserted before every lecture
- IMA PvPi number 9717776514
- IMA CMEs are tobacco-free, noise and air pollution-friendly,
- IMA CME lectures must cover a question each on mental health, bioethics, legal medicine and rational use of antibiotics and investigations
- Pledge organs at http://notto.nic.in/Admin/Login.aspx
- Report every TB case at nikshay.gov.in
- IMA has zero tolerance for cuts, commissions without service, female sex determination and female feticide.
- Do not criticize your colleagues in social media or news media.
- Join IMA Fast for Non-Violence on 2nd October.

Disclaimer: The views expressed in this write up are entirely my own.

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