Showing posts with label Medical Research. Show all posts
Showing posts with label Medical Research. Show all posts

Saturday, 2 July 2022

The Thesis Plans Incident

 

Dr. VK (fictional name) joined as a junior resident in the department of surgery at Khota Medical College (fictional name). Dr. Dev (fictional name) was allotted as his thesis guide. Dr. Dev asked Dr. VK to start searching for a suitable topic and start writing a thesis plan. With a limited number of junior residents in the surgery department, Dr. VK was busy with patient-related work most of the time and he was not able to find time to research and write the thesis plan. 

For Non-Medicos: After completing their basic medical degree of MBBS, doctors in India do further specialization in either Medical or Surgical specialties, the Master of Surgery or Medicine courses. They are then known as junior resident doctors (JR). These courses are of three-year duration with a final exam at the end. In addition to the clinical work, these junior resident doctors also do research work and write a thesis. They are allotted a professor to serve as a guide in their thesis work.

The residents have to identify a specific topic or disease and read up on what research has been done and published in the medical journals previously on that topic, known as the review of the literature. Based on this review of literature they make a detailed plan and submit the plan to the medical college's academic section and ethical committee for clearance and approval. This submission of the plan has to be done within six months of joining the course. 

Then the junior resident has to do the thesis research work in the next two years period and submit the finished thesis after approval of his thesis guide, at least six months before the final exam. If the junior resident does not submit his thesis in time, he/she is not allowed to sit in his/her exam and has to give the exam after a delay of six months. But some colleges did not strictly follow these guidelines in the past as due to the less number of junior resident doctors in the department, the JRs were busy with patient-related work and do not get time for research activities.

The ideal six-month time period has passed but not even the topic was decided by Dr. VK. Then nine months and finally one year had passed. Most of Dr.VK's batch mates had submitted their thesis plans, but Dr. VK had not even decided on his thesis topic. 

In fact, a new batch of junior residents had joined the medical college. Dr. AK (fictional name) joined as his junior in the unit. A few months later the guide allotment was done for this new batch and even they started searching for a suitable topic to do thesis work, still, Dr. VK had not decided on what topic he wanted to do his thesis on.

Finally, Dr. VK received a deadline from the college authorities; to submit the thesis plan within one month or he will be not allowed to give his final exam with his batch mates. He will have to give it six months later. On the prospect of his term extension, Dr. VK got worried and requested Dr. Dev to please search for a suitable thesis topic for him. 

With his one-year delay, things had become complicated. Now a thesis topic had to be searched which can be easily completed in the 1 year remaining, instead of the two years available normally.

On a Sunday afternoon, Dr. Dev switched off his phones, put a notice on his door for his patients that he has gone outstation and will not be available for consultation, and sat on his desktop searching for the topics for the thesis. After reviewing many topics he found a topic suitable for Dr. VK which can be easily completed within 6 months. In addition, he found one more appealing topic which he thought will be great for the first-year resident, Dr. AK to do.

He downloaded the previous research paper published on both topics and took a printout on his home printer. 

The next day, Dr. Dev handed over printouts to both Dr. VK, the second-year junior resident, and Dr. AK, the first-year junior resident, and asked to them consider them as a research topic for their respective thesis. Both took the papers gratefully and said they will study them in the evening and let Dr. Dev know their opinion.

The next day, both the junior residents met Dr. Dev and agreed that they indeed want to do the thesis research work on the topics suggested by him. Dr. Dev asked both of them to start working on their thesis plan.

Within a week, Dr. VK had submitted a rough draft of his thesis plan to Dr. Dev for checking. After 2-3 rounds of checking and corrections, Dr. VK submitted the final thesis plan within the one-month deadline to the college authorities for approval. When Dr. Dev asked Dr. AK about his thesis plan, he replied I am searching and reviewing the literature on the topic you suggested.

After approval, Dr. VK started work on his thesis and within four months had completed the clinical work related to his thesis and started compiling the data in tabular form. When Dr. Dev asked Dr. AK about his thesis plan, he replied I have started writing it and will show you the first draft copy in a few days.

In a few days, Dr. VK fed the data to a computer and started the statistical analysis of the data. After the final result arrived, Dr. VK started writing the rough draft of his completed thesis. When Dr. Dev asked Dr. AK about his thesis plan, he replied I have started writing it and will show you for checking in a few days.

Even with multiple revisions to satisfy the fastidious checking of Dr. Dev, Dr. VK submitted his completed thesis copies in faux-leather binding with embossed gold letterings, along with his other batch mates even though he started one year later than most of them. And Dr. AK? He was still working on his thesis plan.

Then one day, Dr. AK received a notice from the college authorities to submit his thesis plan within one month or his term will get extended. A week later, Dr. AK bought the printout of his plan for Dr. Dev to check and submitted the final thesis plan along with the rest of his colleagues within the month.

The two junior residents, Dr. VK, the second year JR, and Dr. AK the first year JR, got the thesis topic at the same time. In the time in which, Dr. VK wrote the thesis plan and submitted the final printed copy, Dr. AK was not able to write just the thesis plan. This is an example of Parkinson’s Law which states: 

"Work expands so as to fill the time available for its completion."

Dr. VK had just one year to complete his thesis work, so he did it, whereas Dr. AK knew that his batch mates will submit the thesis plan in one year so he took one year to write just the thesis plan.

Cyril Northcote Parkinson was a British economist who wrote the above law in an essay published in ‘The Economist’ in 1955. He derived this aphorism from his extensive experience in the British Civil Service.

One corollary to Parkison’s Law is:

Work complicates to fill the available time.

Another well know corollary is the Stock–Sanford corollary to Parkinson's law: 

If you wait until the last minute, it only takes a minute to do.

Another corollary is (Mark) Horstman's corollary to Parkinson's law: 

Work contracts to fit in the time we give it.

 For example, Dr Dev was able to find a suitable topic for thesis in one afternoon, which Dr VK. was not able to find in a year

So put a definite deadline on your work, so that you finish your work in time. Don’t wait until the last minute to finish your work.

— ND

(Based on allegedly true incident.)

© 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. 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 NMC and other Board norms. 

Saturday, 16 February 2019

The Fast Thesis Work


Dr. Prince (Fictional Name) was junior resident in the Department of Medicine at AIIMS, New Delhi. He was assigned a thesis research topic by his thesis guide who was also the head of the Department of Medicine, AIIMS, New Delhi.

Apparently, his thesis topic was easy which could be completed in a few months rather than the two years allotted to complete it. Dr. Prince got complacent and thought there is enough time to complete the thesis just a few months before the thesis submission date.

When mid-term departmental thesis work review meeting came, the department and especially Dr. Prince’s guide was shocked that he had not done any substantial work in the thesis. Dismayed by Dr. Prince’s thesis work or lack thereof, the guide told him to take 6 months extra to do and complete the thesis work in a proper manner. Dr. Prince assured his guide that he will work very hard and will complete the thesis work before the deadline for submission of the thesis.

True to his word, Dr. Prince sincerely worked very hard and completed his thesis work honestly and in a timely manner well before the deadline.

When he went to his guide-cum-head of the department for the signing of the thesis, the guide refused to believe that he had honestly worked and completed the thesis in half the time of his other fellow junior residents. He even refused to believe the supportive evidence, such as case-sheets and patient’s proforma as proof of actual work done and that he had not just cooked up the data falsely.

The guide begrudgingly approved and signed the thesis which Dr. Prince submitted on time and become eligible to give the final exam along with his other colleagues.

Apparently, the guide-cum-head of the department had not taken the incidence lightly. In the exam, which was presided by the guide-cum-head of the department, Dr. Prince realized that 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'.

Dr. Prince failed that exam and had to give the exam again after 6 months.

Procrastination, or putting doing some work, usually as it is boring, is a common problem. It can spoil our image in front of our superiors and colleagues.

If something can be done in the half the time allotted for it, is better to complete the work in the first half than delay doing it in the second half and appear lazy in front of others.

A personal image once spoiled due to procrastination may be difficult to salvage especially in front of our superiors.

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

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. 
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Saturday, 8 December 2018

The Use of Research Papers


I recently came across a newspaper article about a study done in 2016 about medical research papers publications from 579 Indian medical institutions and hospitals between 2005 and 2014. There was a comparison between different Indian states and with some of the leading academic medical institutions of the world.
It was a matter of pride that my alma mater, All Institute of Medical Sciences (AIIMS), New Delhi, was the top institute from India, and was ranked third in the world after Massachusetts General Hospital and Mayo Clinic, Rochester, USA.

This reminded me of an exceptional medical research paper writer who did his MD in medicine from AIIMS, New Delhi, who we will call as Dr. Albert McMohan (Fictional Name).

Dr. Albert was very prolific research paper writer and during his stay in AIIMS, New Delhi, initially as a junior resident and then senior resident in the Department of Medicine, AIIMS, New Delhi, he wrote and published around 100 papers in indexed international and national journals.

To put this in perspective, 332 (57.3%) of the medical colleges in the above-mentioned study did not have a single publication during the 10 years period.

There was a vacancy for the faculty post of assistant professor in the Department of Medicine, AIIMS, New Delhi. Dr. Albert applied for the post.

Everyone was thinking that with his century of published research papers, Dr. Albert will be easily selected for the post. To everyone’s surprise, Dr. Albert did not get selected for the post.

A naturally dejected Dr. Albert bade adieu to AIIMS and shifted to his home state of Andhra Pradesh. He was selected as a faculty member in a medical college there.

After some time during a medical conference some doctor from AIIMS, New Delhi met Dr. Albert at his new town. The doctor was curious to know about how Dr. Albert’s paper writing is going on now after leaving AIIMS. He asked Dr. Albert about his present paper writing status.

It appeared that Dr. Albert had not forgotten his non-selection as a faculty member in AIIMS, New Delhi, even after writing so many papers. 

Dr. Albert replied, ‘I now know the true value of the papers I had written in AIIMS. I am now using them as toilet papers.’

Fortunately for the medical science, his bitterness was short lived and last time I had checked he has now more than 220 research publications in national and international journals and had become the Head of Department of Medicine at his medical college.

It is a fact of life that academic achievements may not be enough for selection to an academic post. There may be other factors in play. Learn to live with it and continue doing your good work.

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

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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