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
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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 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.

https://www.sciencedirect.com/journal/current-medicine-research-and-practice/vol/6/issue/2

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
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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 Pocket Name Badge

The Head of the Department (HOD) of Medicine in AIIMS, New Delhi was very particular that every student attending even his theory class should come wearing a doctor’s white coat (apron) with a pocket name badge (name plate) with the student’s name.

Once a student went to his class while wearing the white coat but forget to attach the pocket name badge.

When the HOD noticed this, he started reprimanding him for not wearing the pocket name badge. He explained that the name badge is very important to give an identity to the students and the doctors and all students and doctors should wear it.

When faced with criticism, there are various kinds of student’s reaction, ranging from those who withdraw in a shell like a tortoise to those who puff like a puffer fish. The student was of the latter variety.

When the HOD was lecturing the student on the need for the pocket nameplate, the student started pointedly looking at the pocket of the HOD’s white coat where there should have been pocket name badge.

It occurred that the HOD himself had forgotten to wear the pocket name badge that day! Catching the student’s stare’s meaning the HOD said, “All should wear a pocket name badge on their apron so that they can be easily identified unless you are famous like me and everyone knows your name.”

Before pointing out someone’s mistake it is better to do a self-check first. Otherwise, when you are pointing a finger toward someone, 3 fingers may be pointing towards you.

Your teacher/boss/officer may follow different rules from you. Learn to live with this fact.

 (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 Patna Patient

As an intern, Dr. Dev was posted in the Medicine Department of AIIMS, New Delhi.

For those who are not aware, after passing the final MBBS exam, the students are provisionally treated as a doctor but are required to work under supervision for one year in the hospital in various departments which is known as the internship. After successful completion of the internship, the intern is recognized as a full-fledged doctor and can then practice independently.

Dr. Dev was assigned to see the patients in the Out Patient Department under the supervision of one of the medicine junior residents. Once the junior resident was stuck in some ward work and was late in coming to the OPD. Dr. Dev started seeing the patients on its own to do at least a preliminary survey so that time is saved when the junior resident comes to OPD.

One patient had come from the city Patna from Bihar, a distance of around 1000 kilometer. He had been diagnosed with essential hypertension (high blood pressure) and the Professor of Medicine in Patna had started his treatment. On checking his blood pressure was found to be within normal range, indicating that his treatment was correct.

Dr. Dev inquired that since his blood pressure was well controlled on the treatment started in Patna, why did he come to AIIMS.

The man explained that he had shown to the professor of Medicine in Patna, who had said that he will need to take the medicines for high blood pressure for life. The patient wanted to confirm that if this was true and there was no short-term permanent treatment for his high blood pressure. Those were the days when high blood pressure was uncommon in India and the public was not well aware about it.

When Dr. Dev explained to the patient the chronic nature of the disease and the need for lifelong follow-up, monitoring, and treatment for the high blood pressure the patient got convinced. Since he will require regular check-ups Dr. Dev adviced him to continue the treatment from Patna.

Once the patient had left, Dr. Dev realized the power of an institution over an individual. The patient was not convinced by the professor of medicine as he was from Patna Medical College but got convinced by an intern as he was sitting as a doctor in AIIMS Medicine OPD. This is true in non-medical situations also.

 (Based on a 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 Persistent Prescribee

Dr. A.P. Sharma (Fictional Name) was sitting in the surgical outdoor. There was a tremendous rush in the medical outdoor across the corridor.

A man approached Dr. A. P. Sharma and giving him an old OPD prescription slip and a new blank OPD prescription slip and said, “Please copy this medicines in today’s OPD slip from the old slip.” There was a free supply of medicines for all patients with valid hospital OPD slips.

Dr. A.P. Sharma looked and asked the patient, “Whose OPD slip is this?” The man replied, “This is of my father.” “And where is he? I cannot write the medicines without examining the patient,” said Dr. A.P. Sharma.

The man said, “My father is elderly and therefore cannot come here. He is taking these medicines for diabetes and high blood pressure for the last 6 months. As there is a long queue in the medical OPD I have come to you.”

Dr. A.P. Sharma countered, “The patient is not here, there is no record of the blood sugar levels and blood pressure at present. Also, being a surgeon I am not best qualified to write these medicines. Therefore please go to the medical OPD and ask the physician there to help you. I will not copy these medicines in today’s OPD slip.”

Daunted by the prospect of standing in the long queue at the medical OPD, the man started pestering Dr. A.P. Sharma to write the medicines appealing to his sense of duty, humanity, service as a doctor, duty towards elderly, etc. After some time it becomes clear to Dr. A.P. Sharma the man will not go like this.

Dr. A.P. Sharma asked the man, “How many children you are having?” Wondering why he was asking this the man replied, “Three.”

Dr. A.P. Sharma said, “Look, I will help you if you help me. I have not able to do the minimum required numbers of vasectomies this month. You already have three kids, whereas the government had advised doing vasectomies after two kids. We have a new technique of vasectomy known as NSV. In this method there is no cut, no stitches, you can do all normal activities immediately afterward and it takes just five minutes. Help me by letting me do your vasectomy to complete my monthly quota and I will copy the medicines for you.”

Please note: There is lots of misconception among the Indian males regarding vasectomies, such as it will lead to generalized weakness, etc., with very few males opting for it.

Turning to the staff nurse, Dr. A.P. Sharma said, “Sister, please fill the vasectomy form for this patient and get the theatre ready for NSV.”

But before he could finish, the persistent prescribee had hastily disappeared from the OPD.

 (Based on true incident)

— ND
© Author. All rights reserved. 

Prescriber: One who prescribes drugs. Prescribee: One who gets drugs prescribed.
Similar to Examiner - Examinee

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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 TB Patient

This happened in the Ballabhgarh Community Health Center (CHC) Harayan which is affiliated to AIIMS, New Delhi.

Junior and Senior doctors from AIIMS are posted there to get experience in working in a small setup. The doctors keep on rotating with a posting of few months at the Ballabhgarh CHC.

A patient suffering from Lungs tuberculosis (Pulmonary TB) came for consultation to the Senior Resident (SR) Medicine at the CHC Out-Patient-Department (OPD). The patient was taking medicines for tuberculosis (TB) for the last 9 months. 

The SR noted that the patient had completed the recommended 9 months course of anti-tuberculosis medicines and appeared completely cured of the disease.  (The recommended duration may be different at present time and for different patients.) The SR congratulated the patient and informed him that he is now cured of his disease and can stop taking the anti-tuberculosis medicines.

The patient asked, “Sir, does that means I can stop wearing the face mask in my house and start having close interactions with my family members?”

The surprised SR asked him to explain what does he means by this. The SR was surprised to learn that when the man was first diagnosed with tuberculosis, he had been asked by the previous Senior Resident Medicine to wear a face mask and to avoid close contact with his other family members. This was to avoid spreading the tuberculosis bacteria by the air-borne route to them.

The SR medicine was since transferred back to AIIMS, New Delhi. When the patient came for the next visit the SR was not there and the patient was too intimidated to ask the new SR till what time he had to follow these restrictions. So the last 9 months the patient had worn a face-mask all the time in his house and was maintaining a distance from other family members including his wife and children when the restrictions if needed was to be followed only for 15 days!

The SR informed him that he need not wear any face-mask and can lead an unrestricted life like others. The patient went back that day with a smile on his face but returned next day to the OPD with a large packet of sweets (Indian Mithai) and an even larger smile on his face.

Tip: When advising some restrictions to the patients, clients, customers; such as food, diet, activity, etc. it is better to give them the expected time when the restrictions will be lifted or the time when they may be reassessed. Failure to do so may lead to unnecessary hardship for them.  

Tip to Patients: If your doctor advises you some precautions or restrictions, then ask till what time or till what point are they to be followed. If it is not clear at that time, then you may ask on your next visit about stopping or modifying them.  

(Based on allegedly true incident)

— 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 Useless Doctor

100^th Post

To write what is worth publishing, to find honest people to publish it, and get sensible people to read it, are the three great difficulties in being an author. — Charles Caleb Colton

One patient came to the surgical outdoor and said he was suffering from fever. The surgeon sitting there requested him to consult the physicians in Room No. 104.

Sometimes later he came back saying that his wife is suffering from backache and so write some medicines for her. The surgeon sitting there asked him to consult the orthopedicians in Room No. 120.

Again after some time, the same patient came with his young son saying that he is suffering from a sore throat and nasal discharge. The surgeon sitting there asked him to consult the ENT specialist in Room No. 124.

At this, the patient looked suspiciously at the surgeons sitting in the Surgical OPD room and angrily demanded, “Do you treat anything here or just send patients to other room?”

No matter what your qualification or skill is unless you can satisfy the need of the patient or client standing in front of you he will consider you useless and behave accordingly.

(Based on true incident)

— 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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Physician for Surgical Patients

Please Note: This article is intended only for Doctors and medical undergraduate and post-graduate students. Non-Medicos please do not read this article.

The profile of surgical patients is changing. More and more surgical patients are having co-existing medical problems such as diabetes, hypertension, COAD, and so on. In addition, more and more, new drugs are being introduced in the market with multiple effects, side effects, and interactions. This has made the care of surgical patients a challenging task.

One of Dr. Dev’s friend (Fictional Name), a leading orthopedician of the city, moving with the changing times has made the physician the essential part of his team. The physician attached to his orthopedic hospital routinely sees all patients admitted to the hospital, whether they have any apparent medical problems or not. This leads to the comprehensive care of the patients and avoids any oversight due to the concentration of the primary consultant's attention on the orthopedic problems.

 (Based on true incident)

— 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 Heart Sound Quandary

Dr. Jitender Kumar (Fictional Name) was appearing for his final MD (Medicine) exam in AIIMS, New Delhi. Being a brilliant student he was the favourite resident of the Head of Department (HOD) of Medicine.

In the MD (Medicine) practical exam. Dr. Jitender Kumar was allotted a patient suffering from damaged heart valve.

For Non-Medicos: There are four heart valves, two each on right and left side. Abnormality of this valves can produce abnormal heart sound know as murmurs which can be heard with the use of a stethoscope (the Y-shaped tube like thing which doctors put in their ear to listen to your heart and lung). Murmurs produced when the heart is pumping out blood are known as systolic murmurs. Murmurs produced when the heart is filling with blood is known as diastolic murmur. Knowing if a murmur is systolic and diastolic and whether on right or left side of the heart the physician can diagnosis which heart valve is damaged even without other investigations such echo-cardiography.

The Head of Department of Medicine, AIIMS, New Delhi and another examiner, the external examiner, from a different medical college were jointly taking the viva in the practical exam.

When it was Dr. Jitender Kumar’s turn to present his case; the discussion reached to what type of murmur the patient was having? Dr. Jitender Kumar replied, “Sir, the patient is having a systolic murmur.”

The external examiner listened to the patient’s heart sound with his stethoscope and raised his head in amazement. “What are you saying?” inquired the external examiner, “the patient is clearly having a diastolic murmur!” Turning to the HOD Medicine he requested, “Sir, Kindly listen to the patient’s heart and confirm it is a diastolic murmur.”

The HOD – Medicine was in a quandary. A systolic murmur is as different from a diastolic murmur as sunrise is from sunset. If he confirms it is to be a diastolic murmur, it will be difficult to justify passing his favourite resident in front of the external examiner after committing such a blunder.

The HOD – Medicine applied his stethoscope to the patient’s chest, listened for few minutes and gave his verdict, “It is a systolic murmur.”

The external examiner was surprised, to say the least, “Listen again carefully, Sir,” he demanded, “It is a diastolic murmur, not a systolic murmur.”

The HOD – Medicine looked at the external examiner and said, “You and I have become old. Our hearing is not what it used to be. If the candidate is saying it is a systolic murmur, then it must be a systolic murmur. But if you are having any doubt then let us call the cardiologist to find out what type of murmur it is.”

So a message was sent to the cardiologist on call with the instruction, ‘Come and listen to the patient’s heart and whatever the murmur is, say it is a systolic murmur!’

So teachers go to extreme length to protect their favourite students. Lucky are the students who get such teachers. Having a good relationship and creating a good impression on your teacher can prove quite beneficial in the exam.

 (Based on a true incident)

— 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 behaviour 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 behaviour 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 Fever Case: Attending Classes - Part 2

Dr. Dev (fictional name) while a MBBS student had attended few classes of Dr. AM (fictional name), a strict but fair teacher during his ward posting in the Medicine Department in AIIMS, New Delhi. When the time for end of ward posting came Dr. Dev was allotted a case of fever. Dr. Dev examined the case but could not find any abnormality on physical examination of the patient.

When his turn came, Dr. Dev presented the history of the patient. While presenting the physical examination findings, Dr. Dev presented his normal findings and added that he has not been able to find any abnormal finding in this patient.

Dr. AM was surprised and called the senior resident allotting the case during the exam. He asked the senior resident that why has he allotted a patient without any physical finding in the exam. The senior resident replied that the patient is having the physical finding of enlargement (increase in size) of both the liver and spleen organs.

Instead of castigating Dr. Dev for missing this physical finding and failing him directly, Dr. AM, perhaps taking in account Dr. Dev’s attendance in classes, asked to re-examine the patient’s abdomen and tell him the physical findings.

With his attention focused, Dr. Dev was able to feel the minimally enlarged liver and spleen which was difficult to feel at MBBS level, presented his revised findings and gave the further viva based on these clinical findings and managed to get reasonable marks in the exam.

A favorable impression is created on the teacher by the student attending the classes, which may useful in exams. A positive bias may be created in the teacher’s mind which may lead to higher marks / score in exams or may save the student in difficult or borderline situations.

Therefore attending classes may be some time life-saver to the average or the borderline students.

(Based on true incident)

— ND
© Author. All rights reserved. 


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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See also the first article on attending classes at 'The Rabies Class'