The Suggestions

The Academic Council meeting was going on at the Khota Medical College (Fictional Name). The problem of the emergency department came for review.

Everyone quietly listened to the Director’s thought on the matter, but Dr. Sharma (Fictional Name) interjected with some brilliant suggestion. The Director continued with his monologue. Again, Dr. Sharma interrupted the Director with an insightful recommendation. In the end, the director proposed to make a committee to solve the problems of the emergency department, and Dr. Sharma was made its head.

At the next meeting, the Director took the matter of the junior resident’s interaction with the patients in the emergency situation. When he was speaking on the matter, Dr. Verma (Fictional Name) started to say something but quickly stopped himself before he uttered a word. Dr. Sharma who was sitting nearby gave a knowing smile towards Dr. Verma.

After the meeting was over, Dr. Sharma asked Dr. Verma that why did he stop himself from giving suggestion on the topic of junior resident’s interactions.

Dr. Verma replied, “I remembered what happened in the last meeting. When you gave some good suggestion on the problems of the emergency department, you were made the head of the committee created to solve those problems. I did not want to become the head of the committee for junior residents.”

Dr. Verma further continued, “I will be burdened with extra work and responsibilities without any extra perks and powers. The problems are usually multifactorial and beyond a single person’s powers to solve them completely, but yet the head of the committee receives the entire blame if the problems are not solved. It is better to keep quiet and stay out of limelight then speak up and get burdened with an extra thankless job.”

If the similar problem occurs in your organization, then it is better to keep quiet unless you want to get in limelight by becoming the trouble-shooter.

If you are the head of an organization then don’t punish those who give good suggestion by giving them additional responsibilities unless you are giving some perks along with it.

If someone identifies a problem, do not give him the responsibility to implement the solution if it involves hard or boring work. Don't punish for showing initiative. It is better to make someone else responsible for implementing the suggestion and make the person giving the suggestions the supervisor to oversee and report on the functioning of the committee. Suggestions will then really flow giving you some good actionable intel.

This is applicable even in diverse fields, not just in medicine or business. In India, along with the direct-to-home (DTH) system of TV channels, there are many local cable TV providers. They provide the connections with wire-cable hung high from street light poles.

As the signal travels from their main office, there is a loss of signal intensity (strength). The cable TV providers place signal boosters at few meters to boost the signal. Being expensive they are placed enclosed in a locked metal box.

In the rainy season, Dr. Dev (Fictional Name) overheard two employees of the local cable TV providers discussing the signal boosters. The first employee told the second, “The locks on the signal booster box are getting rusted by the exposure to the rains. They may get jammed and we may have to break the locks in future. It is best that they are oiled at this stage.”

The second employee cautioned the first, “Better keep quiet and do not give this suggestion to the boss. Then he will give us the task of oiling all the locks. We will have to go from pole to pole, climb the ladder to the top of the poles and oil all the boxes ourselves. So better keep quiet unless you are in mind to do some tiring extra work.”

 (Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Character Certificate

Job vacancy was announced in the Local Municipal Corporation. Along with the relevant certificates related to personal data, qualifications, etc. all the candidates applying for the job was asked to furnish two character certificates from Gazetted officers, Municipal council member, Member of the Legislative Assembly (MLA) or the Member of the Parliament (MP) stating that they know the candidate for so many years and he/she has a good moral character.

The candidates applying for the job could not easily approach the Municipal council members, the MLAs or the MP as they were screened by their staff. The other Gazetted officers were also not easily approachable by the public. The government doctors being gazetted officers and publicly approachable become the hot favorite to get the moral character certificate.

The candidates applying for the job would walk into the Out Patients Department (OPD) of the government hospitals and accost the doctors seeing the patients and ask them to sign in the readymade character certificates bought from the shop. This caused great disturbances to the normal work of the doctors. If the doctors refuse, then the candidates will turn aggressive, demanding that what is the problem of the doctor in just giving a signature in the form.

The more resourceful approached the doctors through some staff member working the same hospital as an intermediary. Annoyed by the frequent disturbance, Dr. Jolting (Fictional Name) decided to stop giving the moral character certificate to anyone from now onwards.

When the next candidate came, Dr. Jolting refused to sign the character certificate. The person went out from the OPD and came few minutes later with a staff member, who requested Dr. Jolting to sign the character certificate.

Dr. Jolting replied, “How can I give a good moral character certificate when I myself is having a bad character.” “Even if I give a good moral character certificate, it will not be valid due to my bad moral character.”

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Old Doctor

The patient came to consult Dr. Peter (Fictional Name) whom he used regularly show for his ailments in the government hospital.

Seeing that he was not sitting in his usual place in the OPD in the room 1007, the patient asked the doctor sitting in his place, “Where is Dr. Peter today?”

The new doctor was irritated by the many patients coming since morning and asking about the old doctor. He replied, “He is in jail.”

“What!” exclaimed the patient in surprise, “For which crime has he been sent to jail?”

The junior resident sitting nearby clarified, “It is not what you are thinking. Dr. Peter has been transferred and posted as Medical Officer at the hospital in the District Jail.”

Things may not be as bad as they sound.

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Beta Receptors

In the body, the hormones act by binding to the specialized area of the cell wall known as receptors. The receptors for the important hormones adrenaline and noradrenaline, which are involved in the body’s fight or flight reaction, acts by 2 types of receptors known as Alpha and Beta adrenergic receptors.

In the physiology (the study of the normal functioning of the human body) viva Dr. Anuj Agrawal (Fictional Name) was asked to tell something about the adrenergic receptors.

Dr. Anuj started, with the textbook answer that “The adrenergic receptors are divided into Alpha and Beta receptors. These are further divided into Alpha 1 and Alpha 2 receptors and similarly Beta 1 and Beta 2 receptors. But there is a third receptor discovered known as a Beta 3 receptors.”

This was the days before the latest information was available instantaneously at the click of the mouse on the internet. People were dependant on the textbooks which frequently had 1-2-year-old information by the time they were published. Online journals sharing the latest research were also not present.  

The concept of Beta 3 receptor was new and was not given in the standard textbooks. The examiners’ interests were aroused by the mention of Beta 3 receptors. They asked Dr. Anuj to explain what does he mean by Beta 3 receptor.

Dr. Anuj who was well prepared on this topic started speaking and the time allotted for viva for him was consumed by him giving a monologue on the topic of Beta 3 receptors, instead of the normal question and answer pattern of viva. The student became the teacher.

In the subsequent two of the four physiology viva, even though the topics were unrelated to the adrenaline receptors, within few seconds of the start of viva, Dr. Anuj steered the viva towards Beta 3 receptor and again the viva became a monologue with Dr. Anuj speaking and examiners listening to him.

If you have some extra or exclusive latest information on a topic then steering the exam to that topic can be very fruitful in oral exams or interview.

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm

. 

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The Theatrical Doctor

Dr. Dharamraj Agarwal (Fictional Name) went to visit his surgeon friend, Dr. Garg (Fictional Name) name late in the night at his hospital-cum-residence. The receptionist informed him that Dr. Garg was not at the hospital.

Being late night, Dr. Agarwal thought that it is may be possibility that the receptionist may not want to disturb Dr. Garg who may be resting at the hospital-cum-residence. So he phoned Dr. Garg on his mobile phone to confirm his whereabouts.

When Dr. Garg answered the phone, Dr. Dharamraj asked, “Dr. Garg, this is Dr. Dharamraj speaking. Where are you? I had come to meet you at your home.”

 Dr. Garg replied, “I am in theatre.”

 “Really” exclaimed Dr. Dharamraj, “What a foolish staff. Your receptionist had told me that you are not at the hospital.”

Dr. Garg clarified, “I am not in the operation theatre but the cinema theatre.”

Even the doctor can enjoy a movie sometimes.

 (Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The OT Slippers

A common problem in Intensive Care Units (ICUs) and operation theatre (OT) is missing slippers. The nursing in-charges of OTs and ICUs are always complaining that the slippers kept for changing from outside shoes always end up missing.

To stop this, some nursing in-charges write with paint, ICU or OT as the case be, on the slippers before placing them in circulation. Even this was not found to be effective in stopping the disappearance of slippers. Many nursing in-charge mutilate the slippers by cutting notches in them, etc. to make it look odd to stop its disappearance, yet even this had not been found to be effective.

Once there was an acute shortage of slippers in main OT of AIIMS, New Delhi. The nursing in-charge got new pairs of slipper issued from the store but was worried that these brand new slippers will again disappear. The in-charge hit upon a brilliant idea of issuing only the right side slippers as a pair, i.e. both foot slippers was of the right foot only. Due to this odd combination, the in-charge was sure that the slippers will not disappear. But surprise, even this odd combination of slippers started to disappear slowly.

So the in-charge was forced to issue the remaining left sided slippers as the new odd pair. But within few days these also disappeared and the perfectly paired right and left side slippers started appearing in the public in Yusuf Sarai (an area adjoining AIIMS, New Delhi).

Nowadays in many places, they issue the pairs of slippers individually to staff-member or doctors with recorded receipt either on a long-term basis to keep with them in the locker, etc. or on a short-term basis to return at the end of the day.

But what will you do if you do not have a separate locker to keep the slippers? Wrapping them with plastic sheet or cloth and keeping them in the general locker is then the only option. Used surgical caps can make an excellent cover to keep the slipper while storing them in the locker especially if two caps are used to cover just one slipper.

(Based on allegedly true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The ICU Slippers

At the AB8 Anaesthesia Intensive Care Unit (ICU) at AIIMS, New Delhi, everyone, including the doctors were supposed to remove their shoes and wear the ICU slippers, especially kept separately at the changing room, before entering the ICU.

The problem was that the numbers of slipper used to fall short if many doctors entered the ICU at the same time such as during some unit’s clinical round. The later coming doctors have to wait outside, sometime 10-20 minutes, till someone comes out of the ICU. This used to waste the doctor’s time, which in the busy schedule of the surgery junior residents used to be very frustrating.

One female junior resident in the Surgery Department at AIIMS, New Delhi never used to waste time waiting for the slippers. If the slippers were not available, she used to wear shoe covers over her shoes and go inside the ICU (Same as you can wear when visiting the Taj Mahal).

And from where did she used to get the shoe cover? She had first arranged few pair of shoe cover for her personal use. When she first used the shoe-cover and came out of the ICU, she removed the shoe-covers she had worn, fold them well and hide them in changing room.

When next time she goes to the ICU, she again retrieves the shoe covers from the hiding place, use them and re-hide them, and so on. Also, she used to always carry one extra pair of shoe covers with her as a backup in case the shoe-covers she had hidden had been discovered and thrown away while cleaning the room.

Secret Tip: Although shoe covers are different, in many places if you use Operation Theatre’s Surgical Caps, they can be passed off as shoe-covers in cursory inspection. Plus, surgical caps are freely available in the OT.

 (Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Stairs Case

Dr. Dev (Fictional Name) in his school days had read climbing stairs was a very good exercise. So he started taking and stars and avoiding taking the elevator (lift) whenever possible.

When he came to AIIMS, New Delhi as MBBS student it was a golden place to practice the stair climbing. The Pre-Clinical block was three floors high, the Clinical and Para-Clinical block and the OPD block was five floors high and the ward blocks were eight floors high. Also, the connecting passage between these different block was open on the different floor. For example, to go from the fourth-floor Clinical block to the 4th-floor Urology ward, you have to first go to the fifth floor, cross from there to the ward block and then go down back to the fourth floor.

When Dr. Dev, as an MBBS student used to go to the wards postings or classes along with his batch mates, he used to part way with the group near the lift (elevator), take the stairs and meet them once again at the destination floor.

Dev naturally thought that his classmates will appreciate his fitness attempt by taking the stairs, but he was sadly mistaken.

Once he parted way with his classmates near the lift (elevator) to take the stairs, one of his classmates said with a pitiful look on her face, “Dev, have you consulted any psychiatrist for your fear of traveling in the lift?”

It appears that due to his insistence of always taking the stairs and never the elevator, few of Dev’s batchmate have thought that Dr. Dev was suffering from a psychiatric phobia and was morbidly afraid of taking the lift and therefore he used to take the stairs instead of the elevator.

If over behavior is different from others, even if it is for a good reason, people may form a wrong impression of us, if they do not know the underlying reason.

PS: This stair climbing continued till the early part of 3^rd of junior residency in surgery in AIIMS, New Delhi, even though the surgery ward was on the 7^th floor and the Operation Theatre was on the 8^th floor. By mid 3^rd year Dr. Dev got lazy and started using the elevator (lift) and by end of the residency almost became dependent on the elevator.

PS: To get an idea of the stair climbing speed of Dr. Dev at mid residency period read: https://agnipathdoctors.blogspot.com/2018/05/the-surgical-radiological-conference.html

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Home Drive

Dr. Abhishek (Fictional Name) was a junior resident in the surgery department at AIIMS, New Delhi. He was on 24-hour call duty on Wednesday followed by Operation theatre on Thursday which ended with the senior resident’s round in the night.

After the round, Dr. Abhishek completed the ward work by late night. Although he was exhausted and sleep deprived due to continuous work for the last 36 hours he decided to drive to his home in the city and have a relaxing sleep.

While driving back home, the lack of sleep and mental exhaustion took its toll and his car overturned at a sharp curve.  People residing nearby saw the accident and rescued him from the overturned car. Luckily he suffered only relatively minor injuries. From that day onwards he vowed to never drive back if in mentally exhausted or sleep deprived condition.

After alcohol intoxication, lack of sleep and mental exhaustion is a very big factor in road traffic accident. At all cost avoid driving after long duty hours. Either take a cab or grab some rest in the hospital or office itself. It is better to have an uncomfortable but safe sleep in the hospital or office then a risky drive to get good sleep at home.

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Lumbar Sympathectomy — 2

The Head of Department (HOD) of Surgery in a medical college in Rajasthan was doing an operation of Lumbar Sympathectomy.

In this operation, a group of nerves, known as Lumbar Sympathetic Chain is removed surgically from its position deep in the abdomen. This increases the blood supply to the skin of the foot and lower leg. The Lumbar Sympathetic chain is frequently confused with other nearby similar structures such as the ureter, psoas tendons, lymph nodes, genito-femoral nerve, etc.

When after much dissection, the HOD had reached the lumbar sympathetic chain, he proudly pointed to the watching junior residents and the interns that, “This is the lumbar sympathetic chain.”

The intern watching the operation asked, “Sir, are you sure it is the sympathetic chain. Can it be not just lymph nodes?” The HOD suddenly became very quiet and finished rest of the operation in silence. After the operation, the removed specimen was sent for pathology laboratory for histological confirmation that it is indeed sympathetic chain nerve tissue.

One week later the pathology report came. The HOD grabbed the report. It confirmed the removed tissue to be indeed sympathetic chain nerve tissue. On reading it the HOD exclaimed with triumph, “It is indeed the lumbar sympathetic chain. Where is that bl**dy intern who was saying it was lymph nodes?”

Such is the field of surgery, where even an intern who is not yet a full-fledged doctor can shake the confidence of even the Head of Department.

(Based on true incident)

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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The Phone Call Start

When phoning someone a common style of used by some of the great doctors in my contact, is that when they call someone and when the phone call is answered, the will follow a pattern of “Dev? This is Dr. Dharamraj speaking.”

They first confirm by direct question that the person answering the phone is indeed the one they want to talk to. They will also identify themselves at the beginning and not test the opposite person’s power of voice recognition. It is only after the opposite person confirms his or her identity that they will start the main part of conversation.

This is important when phoning doctors especially surgeons or interventionist as they may be doing some operation or procedure wearing sterile gloves and may not be able to answer the phone. Frequently their staff member will answer the phone.

Starting to talk assuming that the person called is the one who had answered the phone and is listening to you and after sometime when the opposite party says, “Sir is busy in operation. This is his assistant speaking.” may lead to embarrassment.

Sometimes parents call and even though their sons or daughters are middle-aged senior doctors, without confirming who has answered the phone they will start with “Golu…. Or Raju… , the childhood name of the doctor, causing him much embarrassment if someone else answers the phone.

Therefore, first confirm who is answering the phone, secondly identify yourself and then start talking the talk.

 (Based on true incident)

Fiction (hopefully)

The newly married wife phoned the cell (mobile) number of the young surgeon who was busy at that time in the operation.

As soon as the call was answered she started, “Darling I am feeling very lonely. Can you came and give me company for some time?”

“Sure Ma’m” came the reply, “Sir is busy in a difficult operation and will not notice if I am missing for the next hour or two.” replied the ward boy who had answered the phone.

— ND
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 

DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

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