Lecture for newly passed doctors

1. Learning Objectives
1. At the end of this session the learner will be able
to describe the various roles a Indian Medical
Graduate is supposed to play in the health and
wellness sector of society.

2. AETCOM
• Attitude
• Ethics and
• Communication

3. Doctor of first contact of the community
• Possessing requisite –
1. Knowledge
2. Skills
3. Attitudes
4. Values
5. Responsiveness.

4. Roles of a doctor
1. Clinician who understands and provides preventive,
promotive, curative, palliative and holistic care with
compassion.
2. Leader and member of the health care team and system
with capabilities to collect, analyze, synthesize and
communicate health data appropriately.
3. Communicator with patients, families, colleagues and
community
4. Lifelong learner committed to continuous improvement
of skills and knowledge.
5. Professional, who is committed to excellence, is ethical,
responsive and accountable to patients, community and
profession.

5. Clinician
Demonstrate knowledge of -
1. Normal human structure, function and development from
a molecular, cellular, biologic, clinical, behavioral and
social perspective.
2. Abnormal human structure, function and development
from a molecular, cellular, biological, clinical, behavioral
and social perspective.
3. Medico-legal, societal, ethical and humanitarian
principles that influence health care.
4. Of national and regional health care policies including the
National Health Mission (NHM)

6. Clinician
Demonstrate ability to -
1. Elicit and record from the patient, and other relevant sources
including relatives and caregivers, a history that is complete
and relevant to disease identification, disease prevention and
health promotion.
2. Elicit and record from the patient, and other relevant sources
including relatives and caregivers, a history that is contextual
to gender, age, vulnerability, social and economic status,
patient preferences, beliefs and values.
3. Perform a physical examination that is complete and relevant to
disease identification, disease prevention and health promotion.
4. Perform a physical examination that is contextual to gender,
social and economic status, patient preferences and values

7. Clinician
1. Demonstrate effective clinical problem solving, judgment
and ability to interpret and integrate available data in
order to address patient problems, generate differential
diagnoses and develop individualized management plans
that include preventive, promotive and therapeutic goals.
2. Maintain accurate, clear and appropriate records of the
patient in conformation with legal and administrative
frameworks.
3. Demonstrate ability to choose the appropriate diagnostic
tests and interpret these tests based on scientific validity,
cost effectiveness and clinical context.

8. Clinician
• Demonstrate ability to prescribe and safely administer
appropriate therapies including nutritional interventions,
pharmacotherapy and interventions based on the principles
of rational drug therapy, scientific validity, evidence and
cost that conform to established national and regional
health programs and policies for the following:
a. Disease prevention,
b. Health promotion and cure,
c. Pain and distress alleviation, and
d. Rehabilitation and palliation

9. Clinician
1. Demonstrate ability to provide a continuum of care at the
primary and/or secondary level that addresses chronicity,
mental and physical disability.
2. Demonstrate ability to appropriately identify and refer
patients who may require specialized or advanced tertiary
care.
3. Demonstrate familiarity with basic, clinical and
translational research as it applies to the care of the
patient.

10. Roles of a doctor
1. Clinician who understands and provides preventive,
promotive, curative, palliative and holistic care with
compassion.
2. Leader and member of the health care team and system
with capabilities to collect, analyze, synthesize and
communicate health data appropriately.
3. Communicator with patients, families, colleagues and
community
4. Lifelong learner committed to continuous improvement
of skills and knowledge.
5. Professional, who is committed to excellence, is ethical,
responsive and accountable to patients, community and
profession.

11. Leader and member of the health care team and system
1. Work effectively and appropriately with colleagues in an
inter-professional health care team respecting diversity of
roles, responsibilities and competencies of other
professionals.
2. Recognize and function effectively, responsibly and
appropriately as a health care team leader in primary and
secondary health care settings.
3. Educate and motivate other members of the team and
work in a collaborative and collegial fashion that will help
maximize the health care delivery potential of the team.
4. Access and utilize components of the health care system
and health delivery in a manner that is appropriate, cost
effective, fair and in compliance with the national health
care priorities and policies, as well as be able to collect,
analyze and utilize health data

12. Leader and member of the health care team and system
5. Participate appropriately and effectively in measures that
will advance quality of health care and patient safety
within the health care system
6. Recognize and advocate health promotion, disease
prevention and health care quality improvement through
prevention and early recognition: in
a) life style diseases, and
b) cancer in collaboration with other members of the health care
team.

13. Roles of a doctor
1. Clinician who understands and provides preventive,
promotive, curative, palliative and holistic care with
compassion.
2. Leader and member of the health care team and system
with capabilities to collect, analyze, synthesize and
communicate health data appropriately.
3. Communicator with patients, families, colleagues and
community
4. Lifelong learner committed to continuous improvement
of skills and knowledge.
5. Professional, who is committed to excellence, is ethical,
responsive and accountable to patients, community and
profession.

14. Aims of Medical Profession
• To Cure Sometimes, Relieve often, Comfort always.

15. Communicator with patients, families, colleagues
and community
1. Demonstrate ability to communicate adequately,
sensitively, effectively and respectfully with patients in a
language that the patient understands and in a manner that
will improve patient satisfaction and health care
outcomes.
2. Demonstrate ability to establish professional relationships
with patients and families that are positive, understanding,
humane, ethical, empathetic and trustworthy.
3. Demonstrate ability to communicate with patients in a
manner respectful of patient’s preferences, values, prior
experience, beliefs, confidentiality and privacy.
4. Demonstrate ability to communicate with patients,
colleagues and families in a manner that encourages
participation and shared decision-making.

16. Lifelong learner committed to continuous
improvement of skills and knowledge
1. Demonstrate ability to perform an objective self-
assessment of knowledge and skills, continue learning,
refine existing skills and acquire new skills.
2. Demonstrate ability to apply newly gained knowledge or
skills to the care of the patient.
3. Demonstrate ability to introspect and utilize experiences,
to enhance personal and professional growth and learning.
4. Demonstrate ability to search (including through
electronic means), and critically evaluate the medical
literature and apply the information in the care of the
patient.
5. Be able to identify and select an appropriate career
pathway that is professionally rewarding and personally
fulfilling

17. Lifelong learner committed to continuous
improvement of skills and knowledge
• Medscape
• PubMed/ ncbi
• Guidelines
• ChatGPT
• ………..

18. Professional who is committed to excellence, is
ethical, responsive and accountable to patients,
community and the profession
1. Practice selflessness, integrity, responsibility,
accountability and respect.
2. Respect and maintain professional boundaries between
patients, colleagues and society.
3. Demonstrate ability to recognize and manage ethical and
professional conflicts.
4. Abide by prescribed ethical and legal codes of conduct
and practice.
5. Demonstrate a commitment to the growth of the medical
profession as a whole.

19. JCT

20. Professionalism
• What ails us?

21. AETCOM
• https://www.nmc.org.in/wp-
content/uploads/2020/01/AETCOM_book.pdf

22. Handling the Media
• As a doctor, dealing with media can be both
exciting and challenging. Here are some
guidelines that can help doctors handle
media in an ethical and effective manner:
1. Know the media landscape: It is important to understand
the different types of media and their target audience, as
well as their tone, style, and mission. This can help you
tailor your message to the specific outlet you are dealing
with.
2. Be prepared: If you are approached by a reporter, it is
important to be prepared to answer questions in a clear
and concise manner. Rehearse your responses to
commonly asked questions, and know your key messages.

23. Handling the Media
3. Protect patient confidentiality: When speaking with the
media, it is important to maintain patient confidentiality
and respect their privacy. Do not disclose any information
that could be used to identify a patient, unless you have
obtained their explicit consent.
4. Be accurate and honest: Provide accurate and up-to-date
information to the media, and do not make claims that you
cannot support with evidence. If you do not know the
answer to a question, it is okay to say so.
5. Avoid conflicts of interest: Be aware of potential conflicts
of interest, such as financial ties to pharmaceutical
companies or other organizations. Disclose these conflicts
to the media and avoid commenting on topics in which
you have a vested interest.

24. Handling the Media
6. Know when to say no: It is important to know when to
decline media requests, particularly if you are not
comfortable with the topic or the manner in which it is
being presented. You have the right to decline an
interview if you feel it would be detrimental to your
patient, yourself, or your profession.
7. We should use media for educating general public about
matters of health and disease.
By following these guidelines, doctors can effectively handle
media and maintain their professional integrity, while helping
to advance public understanding of health and medical issues.

25. Government Servant
• Criticism of Government.—No member of
the Service shall, make any statement of
fact or opinion,—
I. Which has the effect of an adverse criticism of any
current or recent policy or action of the Central
Government or a State Government; or
II. which is capable of embarrassing the relations between
the Central Government and any State Government; or
III. which is capable of embarrassing the relations between
the Central Government and the Government of any
Foreign State:

26. Handling the Media in capacity of
Government Servant
• Don’t express any opinion regarding any
political party nor politician.

27. •