Category: Letters
Non-psychiatrists practising psychiatry in India: ethical concerns
The deficit of psychiatrists in India is about 77%, which is a huge gap especially in the context of the enormous burden of psychiatric morbidity. Unfortunately, this gap is being filled by an under-skilled or unskilled workforce. Self-proclaimed/unqualified psychologists, psychotherapists, life ...
Reciprocal obligations for prevention of occupationally acquired tuberculosis…
As I began my work on occupationally acquired tuberculosis (TB), I was perturbed by a series of media reports on TB among healthcare workers (HCWs) in India. This included a report on the death of a resident doctor who was suffering from multidrug-resistant (MDR) TB. The risk of occupationally ac...
Ethics approval: a challenge for public health researchers…
There is increasing impetus, interest and opportunity for people working in public health programmes in India to carry out operational research (OR) around relevant programme issues and then publish that in peer-reviewed publications. These published researches are valuable in analysing, document...
Phlebotomy consent: ethical concerns
Phlebotomy is one of the common invasive procedures carried out all round the globe. The practice of phlebotomy varies widely. In terms of the technique, the procedure may involve the use of a syringe or a vacutainer, and as for the technicians, some are not specifically trained to perform the pr...
Catch-22 for the radiologist

Here is a scenario not very uncommon for radiologists in day–to-day practice.

A pregnant woman, who has symptoms such as pain or bleeding per vaginam, comes to a stand-alone ultrasound clinic for an obstetric ultrasound examination in what is apparently an emergency. She does not have a ...

Advance directives, palliative care and clinical bioethics committees
The topic under discussion at the 10th Brazilian Congress on Bioethics was "Advance directives, palliative care, and clinical bioethics committees," among the most important end-of-life issues. Other than the psychosocial, medical, and ethical aspects of making an end-of-life decision, juri...
Reforming the Medical Council of India
The recent editorials by Dr George Thomas and Dr Sunil K Pandya in the IJME with respect to the functioning of the Medical Council of India (MCI) force us to think about how reforms can be introduced inthe MCI. Dr Pandya suggests that we would do well to l...
Life insurance and clinical trial participants

Are the informed consent forms of clinical trials silent on the rights and obligations of participants with respect to their life insurance policies?

Though life insurance in India has poor penetration, it has increased over the last couple of years after the entry of private insurance p...

Why Indian doctors are lethargic about active research
I happened to meet a journal editor at an IMA (Indian Medical Association) Conference who invited me to deliver a talk on my journey as a clinical researcher over the past three decades. I was delighted to share my experiences in research driven by patient needs, performed at resource-limit...
Mental fitness certificates: are psychiatrists in the dock?
Issuing mental fitness certificates is always a challenge for the psychiatrist. Employers tend to seek mental fitness certificates for employees who display unusual behaviour either at the workstation or at home, with the intention of safeguarding the working environment.
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