Increase in the rate of suicides among medical professionals

Health Care, Heart Care Foundation of India No Comments

Long working hours, taxing medical training, violence against doctors, and stress of saving lives, are some major factors

New Delhi, 22 January 2018: In a recent incident, a 26-year-old lady doctor from Jamshedpur, Jharkhand, who had come to Kochi to attend a conference of dermatologists, was found dead in a hotel room. The police found a suicide note from the room in which she cites her battle with depression as the reason for the extreme step. Identified as Mamta Rai, the girl was a former student of AIIMS and was working there.

Estimates indicate that there has been an increase in the rate of suicides among medical professionals (students and doctors). In India, about 37.8% suicides happen in the age group of 15 to 29 years and 51% of these are committed by students and young professionals, the future of our country. In a study conducted in 1996, and again in 2005, it was found that the rate of committing suicide is more likely in female physicians than the males. Additionally, doctors are about 1.87 times as likely to commit suicide than those in other areas of work.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said “Physician suicide is a public health crisis and needs to be tackled before it is too late. It is a well-known fact that doctors often do shifts that sometimes last 24 hours without any break or time to eat in between. Practicing physicians and medical students sometimes must bear punishing workloads. They may also end up taking the blame if something goes wrong or even become frustrated with the changing work culture. Medical students often suffer from depression. Their training is extremely taxing and can take a toll on their mental and physical health. A student may have been a topper in school, but things change when they enter medical college. Not being able to score as well can also lead to depression after a point. It is estimated that about 15% to 30% of the medical students and residents suffer from depression. Medical professionals are also not very comfortable seeking help for the fear of losing licenses or simply because of the feeling that patients may not trust them with their life.”

To err is human – yet when mistakes are made on the part of doctors, they’re publicly shamed. Many continue to suffer the agony of harming someone else — unintentionally — for the rest of their lives.

Adding further, Dr Ravi Wankhedkar National President IMA said, “Doctors have personal problems too, just like everyone else. They face divorce, custody battles, infidelity, disabled children, and deaths in families. Working for about 60 to hours per week – and sometimes more – immersed in personal losses means they often have no time to deal with their loss. Ignoring doctor suicides will only lead to more such losses. Suicide is preventable. Healers, after all, also need healing.”

It is important to address the concerns of students and healthcare professionals and identify the signs of depression, etc. in the early stages if suicides are to be prevented.  Some steps that can be taken include:

  • Time for rest and recreation: stress and long working hours can cause burnout. This is one of the main reasons for physical and mental attrition. There should be adequate manpower for staff to work in shifts and get enough rest and recreation.
  • Medical students and patients should take care to indulge in physical activities in order to keep fit. They should take care to eat healthy and accept support and help from peers and family. They should also not feel hesitant in asking for professional help if they suffer from depression.
  • Small groups can be made in colleges, which can meet regularly to discuss the issues that students or seniors face in their day-to-day life. Picnics can be organized to have some time off from the heavy schedule.
  • Colleges and hospitals can have Suicide Hotline / Counseling Services
  • Doctors are aware of what medications to take and this use of non-prescription drugs should be regulated through appropriate measures.


Health Care No Comments

The Medical Council of India has allowed the MBBS students to practice as medical specialists in case they have done the two-year diploma courses from the Mumbai-based College of Physicians and Surgeons.

Health Ministry issued a notification in this regard.

The CPS offers two-year diploma courses in broad specialties like anaesthesia, paediatrics, obstetrics and gynaecology, orthopaedics, radiology and a few others. These were till recently were recognised only by Maharashtra and Gujarat Government.

Now MBBS doctors in Government hospitals are eligible to become specialists in two years.

All 200-bed multi-specialty hospitals and 100 bed single hospitals in Government and private sector having experienced faculties and adequate clinical load will be eligible to host the CPS training courses.

In keeping with the Supreme Court order on a single entrance for all post graduate courses, CPS too will be taking in only NEET-qualified candidates and through a centralised counselling.

India is producing 63,835 MBBS graduates every year but has less than 25,000 PG seats.

Diploma courses run by CPS would not be treated as a recognised medical qualification for the purpose of teaching. The courses will be reviewed every three years for their continuation.

The three-year fellowship programmes are not recognised by MCI but only 2-year diploma courses are recognised.

CPS diploma holders will be eligible for Post Diploma (Secondary) DNB course run by National Board of Examinations

MINISTRY OF HEALTH AND FAMILY WELFARE (Department of Health and Family Welfare) NOTIFICATION New Delhi, the 17th October, 2017 S.O. 3402(E).—

In exercise of the power conferred by sub-section (2) of Section 11 of the Indian Medical Council Act, 1956 (102 of 1956), the Central Government after consulting the Medical Council of India, hereby makes the following further amendments in the First Schedule of the Act, namely;

The following Broad Specialty Diploma Courses (two years courses at the Post MBBS level) granted by College of Physicians and Surgeons, Mumbai, shall be inserted, namely

“…List of 39 Diplomas………………………………”

Note : (i) All the admissions should be through NEET PG and centralized counselling and as per Government policy from time to time.

(ii) The CPS qualifications shall not be treated as a recognized medical qualification for the purpose of teaching.

(iii) Further, any postgraduate degree course to be run by the CPS shall be with the prior approval of this Ministry subject to fulfilment of stipulations prescribed on the lines of Minimum Standard Requirement Regulations of MCI.

[No. V.11025/14/2015-MEP] ARUN SINGHAL, Jt. Secy.

Dr KK Aggarwal

Padma Shri AwardeeVice President CMAAOGroup Editor-in-chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA

HCFI Recommendations for the Union Budget

Health Care, Heart Care Foundation of India No Comments

The concept of one health programmes should be implemented to ensure overall health and wellness

It has been scientifically proven that about 75% of emerging human infectious diseases in the past three decades have originated in animals and due to poor environmental health brought on by contamination, pollution, and degradation of air, water, and land etc. Such disturbances that foment cross-species infectious disease transmission, as well as non-infectious diseases spread across entire populations of humans and animals.

In most nations world over, inter-sectoral coordination has been established by the concerned governments, to consult with each other, share their knowledge, and provide effective and efficient means to control emergence of such diseases as per protocols set by the World Health Organization under their one health programme.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Time has come for human health professionals, animal health care professionals, environmentalists, and agriculture professionals to work collaboratively and develop solutions to various problems which are increasing with each passing year. Although the one health programme is in place in India, it does not seem to be getting the right results due to different administrative and ministerial controls. It has often been seen that allocation of budgets are spread over different ministries looking after the human, animal, agriculture, and environmental health programmes.

One health is a concept that incorporates human, animal, plant, and environmental health (air, water, earth) under one roof. It recognizes that the health of people is connected to the health of animals, plants and the environment.

Adding further, Dr Aggarwal, who is also Vice President of Confederation of Medical Associations in Asia and Oceania, added, “At present, the ministries of health, agriculture, rural development, environment, road transport, climate change, earth sciences, water, Women and child development, Swatch Bharat Program, ICMR, ICAR, IARI, etc., are looking after their respective matters of human concern.

Hence, the Heart Care Foundation of India would request the government to consider the following while framing guidelines for the union budget this year.”

· Bring administrative and budgetary control of all such schemes of all segments that deal with health of humans, animals, environment-climate change, agriculture production, and disease control, under one roof namely “One health Program”. This will enable the scientists working in these sectors independently on prevention and control of diseases that have potential to shift their host from one sector to other, and these can be better researched and controlled.

· Allocate common budget or link these budgets for these programmes so that more intersectoral cooperation and sharing of knowledge takes place. Besides, overlapping of programmes in these ministries will also go away to a large extent and thus would also result in more saving of financial outflow.

Other suggestions

In ESI insurance, government policy ensures that 6.5% of income is contributed by the employee/employer towards his/her medical insurance if the salary is within Rs 18,000 per month. We suggest that such a scheme/provision be extended to the private sector also and across all the categories of employees (managers and above) so that the health budget of the employee is safe guarded to a large extent by such insurance schemes.

All emergent care service should be provided free or reimbursed to private sector by the government.

It is mandatory for all private sector health service providers to attend to all the medical emergencies at their centres and provide free health care services that may be needed at that time to save a life. The same is true in all government hospitals in the country.

The government should give some laxity to the private sector and reimburse for the services provided at pre-decided cost.

It should be made mandatory for all private practitioners to offer their services for National Health Programmes in their area of work so that more manpower is available for strict implementation of such programmes. These programmes are presently implemented by government departments as state/centrally financed schemes and often lack in bringing in a change or results due to lack of infrastructure/manpower. Each participating doctors should be put on retainer ship model under an incentive model.

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