1. More than 100,000 rupees per year are spent in the preparation of a doctor. These students (future doctors) pay only 10,000 while remaining is paid by government. In foreign countries students have to get loan for their studies which they pay for almost 5 to 10 years. While in Pakistan they have no loans to pay after graduation.
2. We all know that government treasure are filled through different public taxes. This means more than 90% fee of these doctors are paid by poor Pakistani public (no matter if their real sons are unable to buy books).
3. A national newspaper declares 5 deaths due to negligence of these young "Nation Builders". Relating to my previous point, are they right at such a action toward people who paid their tuition fee, hostel and transport charges by burning their blood and sweats.
4. Government has announced 24 hours ultimatum and suspension from job. What do you think it is right or wrong. Is it not just like a hijacker who is demanding money otherwise your people will be dead.
5. Now tell me what is wrong with 18000 rupee starting pay. What are expenditures of a young doctor? Why he cant support his family when his house maid is doing this in 2500 rupees college gatekeeper in 6000 rupees. Ok, they are comparing them with Daewoo drivers (Rs.22000 per month) which is the highest and most experienced level of driver community, while many medium profile doctors are earning several multiples of it per week.
I pardon i have gone too long but i can not control myself from writing when i am on fire. Regards
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ReplyDeletehttp://wiki.answers.com/Q/What_are_the_duties_and_responsibilities_of_a_doctor has captured the Duties & Responsibilities of Doctors and it all boils down to how truthful a Doctor is with respect to the Hippocratic Oath and to practice medicine ethically.
ReplyDeleteBeing a doctor gives certain rights and privileges. In return one must fulfill the duties and responsibilities of a doctor. The principles of good medical practice and the standards of competence, care, and conduct expected in all aspects of professional work.
If serious problems arise which calls a Doctor's conduct into question, these are the standards against which a Doctor will be judged.
Providing a good Standard of Practice and Care
1. All patients are entitled to good standards of practice and care from their doctors. Essential elements of this are professional competence; good relations with patients, respect for the patient's autonomy and good relations with colleagues; and observance of professional ethical obligations.
Good Clinical Care must include:
* An adequate assessment of the patient's condition, based on the history and physical examination;
* Provide for appropriate investigations;
* Provide for appropriate treatment;
Referring the patient to another practitioner, when indicated.
2. In providing for care a Doctor must:
* Work within the limits of a Doctor's professional competence;
* Be willing to consult with colleagues;
* Be competent when making a diagnosis or providing treatment;
* Keep clear, accurate, medical records which report the relevant clinical findings, the decisions made, and any drugs or treatment given;
* Keep colleagues well informed when sharing the care of patients;
* Pay due regard to efficacy and the use of resources;
* Prescribe only the drugs, treatments and appliances that will serve the patient's needs.
* Make sure that the prescriptions are written correctly and clearly;
* Abide by the hospital rules, protocols and standard practice.
Maintaining Good Medical Practice
Keeping up to date
3. A Doctor must keep knowledge and skills up to date throughout working life. In particular, a Doctor should take part regularly in educational activities, which develop competence and performance and read the important medical journals in the field of interest.
4. Law governs some parts of medical practice. A Doctor must observe and keep up to date with the laws and codes of conduct.
Maintaining performance
5. A Doctor must work with colleagues to monitor and maintain awareness of the quality of the care a Doctor provides, in particular:
* Take part in regular and systematic clinical audit, recording the findings honestly, where necessary a Doctor must respond to the results of audit to improve practice.
* Respond constructively to assessments and evaluations of professional competence and performance.
Teaching and Training
6. A Doctor must contribute to the education and training of medical students and other doctors
7. A Doctor must make sure that junior colleagues are well supervised during training
8. A Doctor must be honest and objective when assessing the performance of those under training.
Maintaining trust and Professional relationships
9. Successful relationships between doctors and patients depend on trust. To establish and maintain trust:
ReplyDelete* Listen to patients and respect their views;
* Treat patients politely;
* Respect patient's privacy and dignity;
* Give patients the information they request about the diagnosis, treatment and prognosis. A Doctor should provide this information to those with parental responsibility where patients are less than 18 years old. In principle the patient has the right to know his diagnosis and has the right to keep his diagnosis confidential even from his family.
* However caution should be exercised in disclosing information that is distressing to the patient. The patient's family should be contacted and the diagnosis discussed with them prior to its disclosure to the patient, unless the patient has asked not to discuss his diagnosis with anybody.
* Be satisfied that, the patient has understood what is proposed and consents to it before treatment is started;
* Respect the right of patients to be fully involved in decisions about their care;
* Respect the patients right to decline treatment or decline to take part in teaching or research;
* Respect the right of patients to a second opinion;
* Be readily accessible to patients and colleagues when on duty.
10. The investigations and treatment a Doctor provides must be based on clinical judgment of the patient's needs and the likely effectiveness of the treatment. A Doctor must not allow his views about a patients culture, beliefs, race, color, gender, age, social status, or perceived economic worth, to influence the treatment he provides.
If things go wrong
11. Patients who complain about the care and treatment they have received have a right to expect a prompt and appropriate response. A Doctor has a responsibility to deal with the complaint constructively and honestly. A Doctor should cooperate with any complaint procedure, which applies, to work. A Doctor must not allow a patient's complaint influence the care or treatment he provides to the patient.
12. If a patient under care has suffered serious harm, the Doctor should act immediately to put matters right; should explain to the patient and his family what has happened and the likely effects.
Disclosure of Medical Information
13. All Medical information about patient shall be treated as confidential and shall not be disclosed other than to the patient, except with the patients consent. However disclosure is legitimate in the following circumstances
* Disclosure to colleagues and other health professionals for the purpose of treatment
* Disclosure for research and teaching purposes;
* Disclosure pursuant to a Court Order which shall be addressed through the Medical Director;
* Disclosure to the family of an incompetent person;
* Disclosure in the public interest, this includes:
* Disclosure of notifiable diseases
* Disclosure to the family of a patient that he has a communicable disease
* Disclosure for public safety purposes in relation to vulnerable persons in dangerous occupations as airline pilots or public transport drivers, if found to suffer from from epilepsy or other incapacitating disease.
* Disclosure of a patient who is a threat to the safety of the public or a particular individual by reason of his mental disturbance.
* With the exception of disclosure to the family, all other disclosures should be to the Medical Director through the Chairman of the Department.
Abuse of Professional position
ReplyDelete14. Must not abuse your patient�s trust.
Must not:
* Use position to establish improper personal relationships with patients or their relatives;
* Recommend an investigation or treatment not in the best interest of the patient
* Put pressure on patient to accept private treatment, or otherwise promote own private practice.
* Induce patients to use only the Medication or device of a certain trademark, unless it is for legitimate reasons.
Duty to protect all patients
15. Must protect patients when the Doctor believes that his or colleague conduct or performance is a threat to them. Before taking action, do best to find out the facts, then if necessary tell an appropriate person as the Medical Director comments on the colleague. The safety of the patient must always come first.
Working with colleagues
16. Must always treat your colleagues fairly and with respect
17. Must not make any patient doubt a colleague's knowledge or skills by making degrading comments about them.
Working in Teams
18. Ensure that the Team provides care that is safe, effective and efficient. Work effectively to achieve high standards of care.
19. When working in a Team, the Doctor still remain accountable as a person for the professional conduct and the care.
Arranging cover
20. The Doctor must be satisfied that, when off duty, suitable arrangements are made for patient's care. These arrangements include effective hand over procedures and clear communication between doctors.
Delegation and referral
21. Delegation involves asking nurses, doctors, or other allied health personnel to provide care on behalf. When delegating, the Doctor must be sure that that the person is competent to carry out the procedure.
22. Referral involves transferring some of the responsibility for the patient care, usually for a particular purpose, such as additional investigations, care or treatment, which falls outside your competence.
Providing Information about Services
23. If the Doctor publishes or broadcasts information about the services provides, the information must be factual and verifiable.
24. The information must not, in any way, offer guarantees of cure, nor exploit patient vulnerability or lack of medical knowledge.
Conflict of Interest
25. Act in the patients best interest when making referrals or arranging treatment or care.
26. Doctor's save lives
8 more died today
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