Gujarat: Thousands of Resident Doctors Cease Work demanding stipend hike

Ahmedabad: Accusing the State Health Department of not fulfilling their promise of a 40 percent stipend hike, around 1,200 resident doctors belonging to Ahmedabad Civil Hospital in Gujarat went on an indefinite strike on Monday demanding a hike in stipend.

Services were affected despite authorities making alternate arrangements in view of the strike, with patients and kin complaining of long wait at the Aswara-based facility, which is attached to BJ Medical College and is the largest in the state, PTI has reported. 

As per resident doctors, they will stay away from all duties, including trauma care, emergency and outpatient department (OPD) services as part of the strike until an amicable solution is found.

The resident doctors initiated the strike two days after the Gujarat Government ordered an approximately 20% stipend hike for the interns and resident doctors in all streams. As per the Government Order, this 20% stipend hike will have retrospective effect from April 1, 2024. However, the junior doctors are demanding a 40% stipend hike instead of the 20% granted by the State.

Also Read: Over 4,000 Karnataka Doctors On Strike Demanding Stipend Hike

As per the latest media report by Indian Express, none of the other junior doctors’ association across 18 different medical colleges have joined the strike. Meanwhile issuing a statement on Sunday described the demands “unjustified” and mentioned that Gujarat is a “leader” in paying stipends to doctors.

Writing to the authorities on Sunday, the JDA had mentioned that they will initiate cease work after losing trust in the Government. “We have lost trust in the government. Hence we, all the students of BJ Medical College have been forced to stay away from all our duties on the path shown by Gandhi, from September 2, 2024 (Monday),” the doctors had mentioned.

In the letter, the JDA further pointed out that they had been making representations to the Government for the past six months. According to the representations by the doctors, the stopend of junior doctors get increased by 40% every three months. However, last this stipend increase was done on April 1, 2021. Thereafter, more than 3 years have passed but the doctors are still waiting for the 40% stipend hike. Citing this as the reason, the junior doctors said that their demand was for an increase of 40% in the stipend from April 1 onwards.

“In a meeting with the Health Minister on July 9, 2024, we were assured of a 40% increase in stipend. So the movement was postponed by trusting the democratic government. After 10 to 12 consecutive visits and the last six months of hard work and full faith in the Govt, (it) gave only an unsatisfactory increase of 20%,” stated their letter.

“The state health department had agreed to increasing stipend by 40 per cent every three years. This hike was supposed to come into effect from April 1. It was, however, not implemented till July after which we met state health minister Rushikesh Patel. We had postponed our stir then after getting an assurance about its implementation,” said Dr Dhaval Gameti, president of the Junior Doctors’ Association of BJ Medical College.

“We have been forced to go on an indefinite strike now because we have learnt the state government has only given a 20 per cent hike, which is half of what was promised. Moreover, the state government has now said the stipend will be revised every five years instead of three years. This is not acceptable as the government has gone back on its promise,” Gameti claimed.

PTI has reported that the strike has caused hardships to people, with a person saying he had got his kin from Rajkot for jaundice treatment but was told about the unavailability of doctors. “We will have to come another day after waiting in the corridors for several hours,” the kin said.

Speaking about the situation, Civil Hospital Additional Medical Superintendent Rajnish Patel said, “The leaves of all medical and non-medical staff has been cancelled. We have made adjustments in duty allocation to attend patients. We have called in doctors from other district hospitals to compensate for the shortfall. At present, 130 medical officers are on duty.”

In a statement, state Health Minister Rushikesh Patel criticised resident doctors for demanding a 40 per cent hike. “From September 1, we have decided to give a 20 per cent hike. Stipend paid to resident doctors in Gujarat is among the highest in the country. With this hike, doctors will now get nearly Rs 1.30 lakh per month as stipend. In many states, stipend ranges between Rs 40,000 to Rs 70,000 per month. Moreover, this stipend is totally tax free,” Patel said.

Also Read: 25 percent Stipend Hike for Resident Doctors In Karnataka

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Pfizer gets CDSCO Panel nod to import, and market Aztreonam plus Avibactam Powder

New Delhi: The drug major Pfizer has got a go-ahead from the Subject Expert Committee (SEC) functional under the Central Drug Standard Control Organization (CDSCO) to import and market the antimicrobial fixed-dose combination (FDC) of Aztreonam 1.5 gm plus Avibactam 0.5gm powder for concentrate for solution for infusion with the condition to conduct the Phase IV clinical trial.

This came after drugmaker Pfizer presented the proposal before the committee. The firm informed that the said FDC is already approved in Belgium, Bulgaria, Czechia, Denmark, Germany, Estonia, Ireland, Greece, Spain, France, Croatia, Italy, Cyprus, Latvia, Lithuania, Luxembourg, Hungary, Malta, Netherlands, Austria, Poland, Portugal, Romania, Slovenia, Slovakia, Finland, Sweden, and the United Kingdom (Northern Ireland).

Furthermore, the firm presented a Phase III clinical trial (CT) report including the Indian subpopulation (27 subjects at 7 sites) as a global clinical trial.

Aztreonam is the first member of a new class of beta-lactam antibiotics, the monobactams. Aztreonam is selectively active against Gram-negative aerobic bacteria and inactive against Gram-positive bacteria.

The bactericidal action of aztreonam results from the inhibition of bacterial cell wall synthesis due to a high affinity of aztreonam for penicillin-binding protein 3 (PBP3). By binding to PBP3, aztreonam inhibits the third and last stage of bacterial cell wall synthesis.

Avibactam is a novel non-β-lactam β-lactamase inhibitor that inhibits a wide range of β-lactamases. These include class A, class C, and some class D enzymes, that erode the activity of β-lactam drugs in multidrug-resistant pathogens like Pseudomonas aeruginosa and Enterobacteriaceae spp.

The mechanism of β-lactamase inhibition used by avibactam is similar to that of previous β-lactamase inhibitors. Through covalent binding of the β-lactamase active site hydroxyl group, avibactam diminishes the availability of the active enzyme for hydrolysis and thus decreases the inactivation of the β-lactam antibiotic.

At the recent SEC meeting for antimicrobials and antivirals, the expert panel reviewed the proposal presented by the drug major Pfizer.

After detailed deliberation, the committee recommended the grant of permission to import and market the FDC with the condition of conducting the Phase IV clinical trial.

Accordingly, the expert panel suggested the firm submit the Phase IV clinical trial protocol to CDSCO within 3 months of approval of the FDC for review by the committee.

Also Read: Revise Phase III CT Protocol: CDSCO Panel Tells Windlass Biotech on FDC Tamsulosin Hydrochloride plus Mirabegron

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NExT exam likely in March 2029? Here is what NMC CBME guidelines say

New Delhi: Although there is still no clarity regarding the National Exit Test (NExT) exam, when and how it may be conducted, the recently published Competency-Based Medical Education (CBME) Curriculum 2024 indicated that the proposed common exit test may be held in March 2029 for the MBBS students who are getting admitted during the academic year 2024-2025.

As per the academic calendar for admission batch 2024-2025, the proposed NExT Step 1 may be conducted for the newly admitted students in March 2029 while the proposed NExT Step 2 for these students will be held after the completion of their internship i.e. March 2030.

Specifying the timeline of conducting the University Examinations, the CBME 2024 guidelines mentioned that the National Exit Test (NExT) shall be held as per the NExT Regulations and the Final Professional examination shall be held “at the end of 17th / 18th month of that training, in the subjects of General Medicine, General Surgery, Obstetrics & Gynecology, Pediatrics, and allied subjects as per NExT Regulations.”

Apart from the academic calendar for the 2024-2025 MBBS batch, the CBME 2024 guidelines also includes a generic calendar for the MBBS students. As per this generic proposed academic calendar from admission batch 2025-2026 onwards, the proposed NExT Step 1 will be held at the end of 18th month of the Phase III Part II training i.e. in February.

Similarly, the proposed generic calendar, applicable for admission batch 2025-2026 onwards, states that the proposed NExT Step 2 will be held at the end of mandatory internship i.e. one year after conducting the NExT Step 1 exam- in February.

Earlier this year, NMC made the matter of the NExT examination open to all the stakeholders. The Commission asked all the stakeholders to submit their feedback on the NMC National Exit Test Regulations, 2023 by 07.02.2024. Later, the deadline was further extended by the Commission till 17.02.2024.

NExT Controversy: 

The issue of the NExT exam has been making waves in the medical fraternity ever since its first announcement. Although last year NMC released the NExT regulations and announced conducting the exam for the 2019 MBBS batch, it was ultimately put on hold for an indefinite time.

NMC NExT Regulations, 2023, were published in the official Gazette on June 28, 2023, and a mock test for the NExT exam was scheduled to be held on July 28 2023 by the All India Institute of Medical Sciences (AIIMS), New Delhi.

However, opposing the decision to conduct the NExT exam for the 2019 batch, the students and doctors termed it to be a violation of the NMC Act, 2019. Referring to the 2019 Act, the doctors pointed out that the 2019 MBBS batch started on August 1, 2019, i.e. the batch started before the publication of the NMC Act 2019. Therefore, the doctors argued that conducting NExT for the 2019 batch would be a violation of the NMC Act 2019.

Meanwhile, the Union Health Ministry intervened and NMC deferred the NExT examination until further notice from the Ministry. Thereafter, the Union Health Ministry has constituted a seven-member committee to look into the preparedness of States and medical colleges for the implementation of the exam for the final year MBBS students of the 2020 batch.

Amidst the debate and uncertainty regarding the conduct of the NExT exam, NMC made the issue open to all the stakeholders. Medical Dialogues had earlier reported that the stakeholders were asked to submit their opinion on whether the NExT exam should replace the conventional MBBS final year exam, held separately in addition to the MBBS final year exam, or be conducted in any other manner.

Further, the stakeholders were asked to share their opinions on various aspects such as the time manner, exam pattern, way of conducting exam, syllabus of NExt and several other issues.

Also Read: NEXT Guidelines May be Out Soon, Deliberations Under Process: NMC Official

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On-duty Doctor, Nursing Staff threatened by 2 security guards at Kolkata Hospital

Kolkata: An on-duty doctor, nursing staff and other personnel of the state-run North Suburban Hospital in the Cossipore area of the metropolis were allegedly threatened by two security guards who were reportedly intoxicated on Friday night. The police arrested the guards following a complaint from the hospital authorities.

The guards, who were reportedly inebriated, were detained following a complaint from the hospital authorities, according to an official.

According to the PTI report, an officer of Cossipore Police Station said, “The matter is being probed. We have arrested them after receiving a complaint from the hospital authorities”.

Also Read:Three security guards arrested for demanding money from patient’s kin at Chhattisgarh hospital

A senior official of the hospital claimed that the guards had also threatened him with dire consequences.

“The two guards were intoxicated and assaulted the doctors and hospital staff. They have done this earlier, too, and we had complained to the health department in this regard,” he said, news agency PTI reported. 

As per a media report in the Telegraph, ”Around 1 am, the two kept banging on the door from outside and threatened the on-duty doctor and nurse with dire consequences if it was not opened,” Kayal said. “The nurse and on-duty doctor kept calling me for help since I live nearby”, said Shantanu Kayal, a hospital staff.

“The misdeed of these two security personnel was brought up several times at the meeting of the hospital’s Rogi Kalyan Samity,” an official said. “They have been posted by the health department three years back at this hospital and have not been shifted to any other institution since then.” 

“Based on a written complaint, we have arrested the two accused security personnel on charges of wrongful restraint and criminal intimidation. The two were produced before a court that remanded the duo to police custody till September 5,” said a senior police officer. 

The hospital currently has 11 such security guards, he said.

 Also Read:Nursing officer sexually assaults trainee nurse at Rajasthan Hospital, arrested

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MBBS curriculum: NMC issues CBME Guidelines 2024

New Delhi: Laying down the latest guidelines for the MBBS course, the Undergraduate Medical Education Board (UGMEB) of the National Medical Commission (NMC) has now published the final Competency-Based Medical Education Regulations 2024.

These new guidelines include objectives of the Indian Graduate Medical Training Programme, National Goals with respect to Indian Medical Graduates, Institutional Goals, Goals for the Learner, the Competency-Based Training Programme for Indian Medical Graduates, the roles of leader and member of the healthcare team, system and the role of the communicator with patients, families, colleagues and community, the role of lifelong learner committed to continuous improvement of skills and knowledge, and of a professional who is committed to excellence, is ethical, responsive and accountable to patients, the profession and community etc.

For more information, click on the link below:

MBBS Curriculum: NMC Releases CBME Guidelines 2024, Details

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Review opinion on MBBS admissions to aspirants with mental health conditions: SC directs NMC Expert Committee

While considering an MBBS aspirant’s plea challenging the decision to deny him reservation under quota for Persons With Disabilities (PwD) on account of a mental health condition, the Supreme Court recently directed the National Medical Commission’s Expert Committee to review its recommendations after taking into consideration the notification by the Central Government issued in March 2024 prescribing certain guidelines for assessment of specified disabilities.
The Apex Court bench comprising Justices PS Narasimha and Pankaj Mithal has asked the NMC to file an affidavit in this regard within 8 weeks. “…we are of the opinion that it is necessary for the Expert Committee to review their opinion on the basis of the notification dated 12.03.2024. An affidavit to this effect shall be filed by the National Medical Commission within a period of eight weeks.” it ordered.
For more information, click on the link below:

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Do not promote yourself as Cannabis Specialists: NCISM warns AYUSH practitioners

Through a recent advisory, the National Commission for Indian System of Medicine (NCISM), has directed the Indian System of Medicine (ISM) practitioners not to promote themselves as cannabis specialists.
NCISM issued this advisory after taking cognizance of the instances of illegal selling of Ayurveda, Siddha and Unani (ASU) drugs containing Bhang (Cannabis), prescribed by certain Ayurveda/Unani/Siddha & Sowa-Rigpa practitioners on various platforms, including e-commerce platforms for treating multiple diseases.
For more information, click on the link below:

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Health Bulletin 02/ September/ 2024

Here are the top health news for the day:


MBBS curriculum: NMC releases 2024 CBME Guidelines 

Laying down the latest guidelines for the MBBS course, the Undergraduate Medical Education Board (UGMEB) of the National Medical Commission (NMC) has now published the final Competency-Based Medical Education Regulations 2024.

These new guidelines include objectives of the Indian Graduate Medical Training Programme, National Goals with respect to Indian Medical Graduates, Institutional Goals, Goals for the Learner, the Competency-Based Training Programme for Indian Medical Graduates, the roles of leader and member of the healthcare team, system and the role of the communicator with patients, families, colleagues and community, the role of lifelong learner committed to continuous improvement of skills and knowledge, and of a professional who is committed to excellence, is ethical, responsive and accountable to patients, the profession and community etc.

For more information, click on the link below:

MBBS Curriculum: NMC Releases CBME Guidelines 2024, Details

Maharashtra: 1-year social service mandatory for MBBS, BDS candidates, Rs 10 lakh penalty for leaving India

MBBS/BDS students getting admitted to Government/Municipal Corporation colleges, Govt. Aided/Unaided Private Institutes in Maharashtra or those who are availing reimbursement/Scholarship from various Government Departments will have to undergo a compulsory social responsibility service for one year, after the completion of their mandatory internship.

Additionally, such students will have to sign an undertaking assuring that he/she will not leave India within five years from the date of obtaining their degree. Students will have to pay Rs 10 lakh as a penalty for violating this condition.

For more information, click on the link below:

Compulsory Social Responsibility Service for 1 Year, Rs 10 Lakh Penalty for leaving India: Maharashtra notifies policy for MBBS, BDS candidates

NMC withdraws notice on discontinuing CPS Mumbai courses

In a major overhaul, the apex medical regulator of the country, the National Medical Commission (NMC) has withdrawn its recently released public notice announcing the discontinuation of all the medical courses being run by the College of Physicians and Surgeons (CPS) Mumbai.

The confirmation to this effect has been announced through a recent NMC notification issued under the authority of Prof. Dr B. Srinivas, NMC Secretary, who addressed the Directors/ Principals/ Deans & HoDs at all Medical Colleges/ Institutions under NMC, and referred to the order pronounced by the Bombay High Court.

For more information, click on the link below:

NMC withdraws Notice on discontinuation of CPS Mumbai courses


NEET PG 2024 counselling dates for Round 1 expected soon

The Medical Counselling Committee (MCC) will soon commence the NEET PG 2024 counselling and with this, the schedule will also soon be published on its official website. Candidates willing to participate in NEET PG Round 1 counselling can check the schedule from the official website of MCC once it is released.

For more information, click on the link below:

NBE Likely to Release NEET PG 2024 Individual Scorecards Today, MCC counselling schedule soon


Jharkhand Government to hire private doctors to address staff shortage in State-run hospitals

The Jharkhand government has decided to recruit private doctors to provide services in state-run hospitals facing a shortage of specialists.

This decision was announced by Chief Minister Hemant Soren during a ceremony on Thursday, where he distributed appointment letters to 365 community health officers (CHOs).

For more information, click on the link below:

Staff Crunch: Jharkhand Govt to recruit private doctors at state-run hospitals

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Review petition in Supreme Court against NEET 2024 judgment

New Delhi: While the NEET counselling is being conducted in various states, a petition has been filed in the Supreme Court seeking a review of its order that rejected the holding of NEET 2024 afresh.

The review plea filed by Kajal Kumari has sought reconsideration of the apex court order, as per a recent report by PTI.

The top court in its August 2 order had said there was no sufficient material on record at present to indicate a systemic leak or malpractice compromising the integrity of the examination.

Medical Dialogues had reported that pronouncing its detailed order on the pleas concerning the National Eligibility-and-Entrance Test Undergraduate (NEET-UG) examination, the Supreme Court said that it did not cancel the UG medical entrance examination amid concerns of the paper leak because there was no systemic breach of its sanctity.

“…the various issues discussed until now do not lead to the conclusion that the integrity of the NEET was vitiated at a systemic level,” observed the Supreme Court bench comprising Chief Justice DY Chandrachud, and Justices JB Pardiwala and Manij Misra.

Although the top court bench upheld the NEET UG 2024 exam, held on May 5, 2024, it also criticised the National Testing Agency (NTA), the authority in charge of conducting the NEET exam, saying that the agency must stop its flip-flops in holding the examination that was noticed this year.

“A body such as NTA which is entrusted with immense responsibility in relation to highly important competitive exams cannot afford to misstep, take an incorrect decision, and amend it at a later stage. All decisions must be well-considered, with due regard to the importance of the decision. Flipflops are an anathema to fairness,” observed the bench.

“…the manner in which NTA has organised the exam this year gives rise to serious concerns. The Court is cognizant of the fact that national-level exams with participation from tens of lakhs of students require immense resources, coordination, and planning. But that is precisely the reason for the existence of a body such as NTA. It is no excuse to say that the exam is conducted in myriad centres or that a large number of aspirants appear for the exam. NTA has sufficient resources at its disposal. It has adequate funding, time, and opportunities to organise exams such as the NEET without lapses of the kind that occurred this year,” it further noted.

While making these observations, the Apex Court referred to multiple occurrences in the conduct of the exam and highlighted the lapses made by NTA. It pointed out that the paper was leaked in Patna and Hazaribagh and in one of the centres, the rear door of the strongroom was opened and unauthorised persons were admitted to access the question papers. In this regard, the bench noted, “This indicates that there is a serious lapse in security and that security measures which are stringent and effective must be implemented by NTA.”

Further, the bench took note of the fact that the question papers were sometimes transported in e-richshaws and the services of private courier companies were available. Referring to the arguments made by the petitioners’ counsel Advocate Hooda, the Court noted that NTA did not specify a time by which the OMR sheets were required to be sealed after the conclusion of the exam.

The apex court had expanded the remit of the Centre-appointed panel headed by former Indian Space Research Organisation (ISRO) chief K Radhakrishnan constituted to review the functioning of the National Testing Agency (NTA), which holds the National Eligibility-cum-Entrance Test (Undergraduate) (NEET-UG), and recommend examination reforms.

The court had said since the remit of the panel has been expanded, the committee would submit its report by September 30 on various measures to rectify deficiencies in the examination system.

The top court had directed the NTA to ensure that all concerns highlighted by the court in its judgment are addressed and requested the seven-member committee to keep these issues in mind while making its recommendations.

Over 2.3 million students took the NEET-UG 2024 held on May 5 for admissions to MBBS, BDS, AYUSH and other related courses.

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BFUHS Recruitment 2024: 400 Medical Officer Post, Apply Now

Faridkot: The Baba Farid University of Health Sciences (BFUHS) has invited applications for the post of Medical Officer on a contract basis in this institute.

BFUHS was established under an Act passed by the Legislature of the State of Punjab in July, 1998. The mission of the University is to create an intellectual, academic and physical environment, conducive to free flow of ideas and exchange of information between various faculties of the University and between this University and other Universities of Health Sciences in the country and abroad, thereby opening a window to the world for the health professionals, health planners, health managers, biomedical and social scientists and educators in health sciences of the country.

BFUHS Vacancy Details:-

Total no of vacancies: 400

The last date of submission of application is 4th September 2024.

For more details about Qualifications, Age, Pay Allowance, and much more, click on the given link:
https://medicaljob.in/jobs.php?post_type=&job_tags=bfuhs&location=&job_sector=all

Eligible Candidates (How to Apply):-

Interested and eligible candidates can apply for BFUHS MO Recruitment through the online mode on the official website on or before 04 September. Candidates can take a printout of the finally submitted online application for future reference.

Go to bfuhs.ac.in.

Click on “Jobs and Careers.”

Select the link to apply for Medical Officer recruitment.

Click on “Vacancies” and read the instructions carefully.

Click “I Agree” and proceed to register.

Register using your email and phone number.

Complete the online application form.

After payment, submit the completed application electronically.

Application Fees:

General/OBC Candidates: 750/- (500 refunded to non-exempted categories).

SC/ST/PWBD/Ex-servicemen Candidates: Fee Exempted.

Candidates are advised not to wait until the last minute for registration and should complete the process within the specified timeframe. Additionally, retain a printout of the online application for future reference and stay updated with the registration portal for any latest updates.

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