Showing posts with label GI Surgery. Show all posts
Showing posts with label GI Surgery. Show all posts

Thursday, 21 January 2021

The Non-AIIMS GI Surgeon

After doing his Master of Surgery (MS) course in general surgery, the surgeon in India has the option of doing further super- specialization (Mch courses) in various surgical fields such as Cardiac surgery, Plastic and Aesthetic surgery, Urology, Gastro-intestinal or GI surgery, etc. The problem arises that there is a very limited number of seats in these super-specialization courses as most of these courses are being done in only a few apex institutes. Admission to these courses is by a tough entrance exam. Due to the limited number of seats many general surgeons are not able to get admission to these courses.

Dr. Sam (Fictional Name) did his MS in general surgery from AIIMS, New Delhi, the number one ranked Medical College in India for many years. He then appeared in the entrance exam for Mch GI Surgery in AIIMS. Unfortunately, he could not get selected for there. Undeterred, he appeared in and got selected for the Mch GI  Surgery course in another Delhi college.

After the results were declared one of Dr. Sam’s friends asked him about his future plan. Dr. Sam replied that he is going to join the Mch GI Surgery course at the Delhi College.

Dr. Sam’s friend, another AIIMS, New Delhi graduate was surprised. He said, ‘Sam, the GI Surgery department of that Delhi College is not as good as AIIMS. Being a new department, the number and complexity of surgical operations being performed there are much less as compared to AIIMS. So, why do you want to join there?

Dr. Sam replied, ‘Although AIIMS GI Surgery Department is much better surgically, if I join the Delhi College, I will be still getting a valid Mch degree in GI Surgery. This Mch degree, even from that Medical College is higher than my present MS general surgery degree from AIIMS.’

Everyone wants to move up in life. Students want to get a higher and higher degree, study in more and more premier colleges/institutes. An employee wants to hold higher and higher posts with more wages and responsibility.

The problem arises when the higher post you are getting is in a smaller company/organization as compared to your present situation. Or, the higher degree you are getting is from a less leading institute as compared to your present institute.

For the sake of growth and progress in life, one may have to make such counterintuitive decisions. As Dr. Sam thought, a higher degree from a lesser institute is better than a lower degree from a higher institute. A better job with more responsibility and remuneration in a smaller company/ organization can be better than lesser authority and lesser earning a job in a bigger organization.

— ND

(Based on allegedly true incidence.)

© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your 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 purposes. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use the information herein is at your 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 norms. 

 

Monday, 18 February 2019

The GI Surgery Viva Solutions


In the previous post, we saw the difficulties faced by Dr. TP and Dr. Robert (both Fictional Names) due to their previous college. Please read it before reading this post at: 


We will try to explore some solution to this problem.

One, apply only for the places where there is selection based on only your performance in the written selection exam and there is no interview or viva.

When a despondent Dr. Robert phoned Dr. Dev (Fictional Name) when the AIIMS, New Delhi’s Neurosurgery pre-Mch result was declared and he was not selected, Dr. Dev adviced Dr, Robert to only concentrate on those colleges who have only theory paper for pre-Mch exam and do not have viva or practical exam.

Dr. Robert followed Dr. Dev advice and next time he got selected for Neurosurgery from SGPI, where there was only MCQs based theory exam.

Another solution is to get a temporary job, such as non-academic senior resident in the related field or some prestigious hospital or company.

Dr. TP while continuing his preparation for the next exam got a temporary senior resident job in the GI surgery department of a prestigious hospital so that the stigma of lack of experience in GI surgery was removed. He got selected in Mch in GI Surgery from some other institute in the next attempt.

But while taking a temporary position/job or internship in your dream company or department beware of the ‘Cheteshwar Pujara situation’ which we will discuss in the next blog post.

 (Based on allegedly true incidents)
— ND
© Author. All rights reserved. 

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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 GI Surgery Viva


Dr. TP (Fictional Name) who wanted to do Mch [super-specializing after Master of Surgery (MS) exams] appeared for the AIIMS, New Delhi pre-Mch Gastro-Intestinal (GI) Surgery selection exam.

He was the top scorer in the theory paper and had first rank on the basis of theory marks. He was called for the practical and viva exam which had equal marks as the written exam.

Please note that the number of candidates called for the practical and viva exam is usually three times the seat available. As there was three seats available in the Mch GI Surgery course in AIIMS, New Delhi, at that time, the top nine candidates on the basis of theory marks were called for the practical exams. The final merit list was to be made after combining the marks from the theory and the practical exam and only the top three students were to be selected.

During the viva when the AIIMS, New Delhi’s GI Surgery faculty learned that Dr. TP has done his MS in General Surgery from Khota Medical College (Fictional Name), the atmosphere of the viva changed.

The examiners told him as he had not been exposed to the complex and advanced GI surgeries being performed at AIIMS, New Delhi, during his MS residency, he is not a fit candidate for Mch in their department.

Dr. TP’s effort to convince them that he is a quick learner and he has the requisite theoretical knowledge as he had already topped the theory exam, did not cut the mustard with the examiners. Dr. TP realized what Charles Caleb Colton has so aptly said: 'Examinations are formidable even to the best prepared, for the greatest fool may ask more than the wisest man can answer'.

When the results were declared, as expected Dr. TP was not selected for the Mch course. On the basis of the combined marks in the theory and viva exams, he was ranked fifth in the merit list.

A similar thing happened to Dr. Robert (Fictional Name), who had again done his MS degree in General Surgery from Khota Medical College. He appeared for the AIIMS, New Delhi’s pre-Mch exam for Neurosurgery. He was first in the theory but after the practical and viva when the final results were declared, he was last in merit and therefore rejected.

Where we have studied or worked previously may cast a black shadow on our personal achievements. We may not get our dream job because the examiner or selector is not impressed by our previous college or company. We may not get a chance to show our capabilities closing the door of future growth for us.

The reverse may be also true. Many have reported that undergraduates from AIIMS, New Delhi are preferred candidates in the various medical colleges in the USA as compared to other colleges from India.

We will discuss some solutions to this problem in the next post.

(Based on allegedly true incidents)
— ND
© Author. All rights reserved. 
 
Please Note: Original post was updated/Edited on 7th Dec 2022

If viewing from Mobile, switch to Webpage view to see a list of popular posts and index of topics of previous posts.
 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. 
Please share this post on Facebook, Twitter, Pinterest, Google +, etc, using the Buttons above 'Labels' and below 'Posted by:'.
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