Dear friends,
Many of us have under gone various permutations and combinations of postings during our 3 years training.Ideally DNB does have a training session table .But hardly few institutes follow them.Majority of us are posted in casualty,ICU or medicine for most of the time and rarely get other rotations like psychiatry dermat or anaesthesia which are equally vital.Every time you cant fight with management .So what's the solution to this?
One is contact NBE,note down your problems & other is adjust with what ever they are allotting you.But make sure you won't compromise your integrated family medicine approach.Learn every day as much you can.Every single day bring new lessons and teach you something new.While doing major rotations do visit near by PHC or UHC to see new GOI programmes,vaccines etc.Its ok even you don't get to work in PHC. Learn from higher centre and bring that advance knowledge close to community in your practice time when you actually serve the community.Also make a habit to visit wards to see interesting cases. e.g .your there in surgery and few interesting cases are there in medicine /pads & visa versa.Go examine them & present.
Make sure minimum you attend 2 months OBG,2 months surgery,4 months pads ,1 month ortho. anaesthesia you can cover in surgery posting while your in O.T. & E.N.T.,psychiatry & ophthalm at least 10-15 days rotation you request and take.
As a doctor we have to remain student and receptive whole life.No matter how they train you,what matters is how you allow them to train you.Preserve your core as family physician and I am sure your training will be very interesting .all the best.Take care.
Ideal schedule by NBE:
Many of us have under gone various permutations and combinations of postings during our 3 years training.Ideally DNB does have a training session table .But hardly few institutes follow them.Majority of us are posted in casualty,ICU or medicine for most of the time and rarely get other rotations like psychiatry dermat or anaesthesia which are equally vital.Every time you cant fight with management .So what's the solution to this?
One is contact NBE,note down your problems & other is adjust with what ever they are allotting you.But make sure you won't compromise your integrated family medicine approach.Learn every day as much you can.Every single day bring new lessons and teach you something new.While doing major rotations do visit near by PHC or UHC to see new GOI programmes,vaccines etc.Its ok even you don't get to work in PHC. Learn from higher centre and bring that advance knowledge close to community in your practice time when you actually serve the community.Also make a habit to visit wards to see interesting cases. e.g .your there in surgery and few interesting cases are there in medicine /pads & visa versa.Go examine them & present.
Make sure minimum you attend 2 months OBG,2 months surgery,4 months pads ,1 month ortho. anaesthesia you can cover in surgery posting while your in O.T. & E.N.T.,psychiatry & ophthalm at least 10-15 days rotation you request and take.
As a doctor we have to remain student and receptive whole life.No matter how they train you,what matters is how you allow them to train you.Preserve your core as family physician and I am sure your training will be very interesting .all the best.Take care.
Ideal schedule by NBE:
(l) CLINICAL AREAS
24
months of rotating residencies in approved hospital wards in the areas of
-Internal Medicine
including mental health : 10 months
-Paediatrics: 4
months
-General Surgery
including orthopaedics : 3 months
-Obstetrics and
Gynecology : 2 months
-Emergency services :
1 month
-Elective training
includes any one or more from the areas of dermatology,ophthalmology,
otorhinolaryngology,geriatrics, physical medicine,rehabilitation and
anaesthesia. Other relatively lesser known areas for elective training include
school health,sports medicine, long term care and occupational/industrial medicine:4
months
(II)FIELD AREAS
12 months of rotating
field postings in the following areas identified by the accredited hospitals :
Family Practice
Centre (or a primary health centre or a rural/urban health clinic) 6 Month
Practice area of a
senior general practitioner 3 months
Nursing homes and
other sites for 3 months
Posting at each of
these sites should be equally distributed into 50% of time for assistantship with
the tutor’s practice where he also participates in group discussions and in
planned programmes to carry out short projects such as detection and follow up of
some risk factors under tutor’s supervision and another 50% of time for
independent work with the trainee’s own allotted practice population.
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