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Striking Jharkhand doctors face disciplinary action

Ranchi, Dec 31 (IANS) The Jharkhand government Tuesday asked junior doctors of a premier medical institute here to end their strike. Else, the Essential Services Maintenance Act (ESMA) would be invoked against them.

The junior doctors of Rajendra Institute of Medical Science (RIMS) went on strike Saturday following a clash with the residents of Bariatu locality. The clash broke out after a resident was hit by a doctor's vehicle. More than 40 people, including doctors, were injured in the clash.

During the three-day strike, media reports say 13 patients died and over 400 deserted RIMS due to absence of treatment. Poor patients were among the worst sufferers. However, the hospital management said no deaths took place after the strike.

Taking a serious view, the state government Monday held a meeting with the RIMS management and threatened to impose ESMA. The act provides for maintenance of certain essential services including public health.

The state health department also cancelled the leave of senior doctors, appointed army doctors in RIMS and shifted doctors from rural areas to the institute.

"The government spends millions of rupees on doctors' education. There is a ruling of Supreme Court that emergency services should not be stopped. If the striking junior doctors do not return to their duties then the state government may impose ESMA," Jharkhand Health Minister Bhanu Pratap Sahi said Tuesday.

However, the junior doctors have adopted a tough stand and said that they would not return to their jobs unless local residents who clashed with them were arrested. Source:mangalorean

Striking Jharkhand doctors face disciplinary action

Ranchi (IANS): The Jharkhand government on Tuesday asked junior doctors of a premier medical institute here to end their strike. Else, the Essential Services Maintenance Act (ESMA) would be invoked against them.

The junior doctors of Rajendra Institute of Medical Science (RIMS) went on strike Saturday following a clash with the residents of Bariatu locality. The clash broke out after a resident was hit by a doctor's vehicle. More than 40 people, including doctors, were injured in the clash.

During the three-day strike, media reports say 13 patients died and over 400 deserted RIMS due to absence of treatment. Poor patients were among the worst sufferers. However, the hospital management said no deaths took place after the strike.

Taking a serious view, the state government Monday held a meeting with the RIMS management and threatened to impose ESMA. The act provides for maintenance of certain essential services including public health.

The state health department also cancelled the leave of senior doctors, appointed army doctors in RIMS and shifted doctors from rural areas to the institute.

"The government spends millions of rupees on doctors' education. There is a ruling of Supreme Court that emergency services should not be stopped. If the striking junior doctors do not return to their duties then the state government may impose ESMA," Jharkhand Health Minister Bhanu Pratap Sahi said Tuesday.

However, the junior doctors have adopted a tough stand and said that they would not return to their jobs unless local residents who clashed with them were arrested. Source:hindu

RIMS strike enters fourth day

Ranchi, Dec. 30: The number of indoor patients reduced to 447 from yesterday's figure of 552 as the strike of junior doctors at Rajendra Institute Medical Sciences (RIMS) entered into the fourth day today.

After a rough survey conducted by the institute, that is proposed to be developed as a super speciality centre of the state, it was found there were no doctors in most wards and patients were dependant on a few nurses.

Patients tried to keep themselves occupied. Two children were seen running behind mice in Umesh Prasad unit where 27 patients were undergoing treatment. Only one nurse was attending to the poor patients.

Similar was the condition in the unit under doctors J.K. Singh, J.K. Jain, R.G. Baxla, N.K. Jha, Vikash, J. Prasad where the number of indoor patients admitted were seven, four, 22, seven, 10 and eight, respectively.

On visiting the surgical operation theatre, it was found that no operation was carried out there today while five minor operations took place in the casualty operation theatre and three in the major operation theatre.

In the eye department, no indoor patient was seen while at 14 were attended to in the skin department. There were four patients in the unit of doctor A.K. Mahto, while five visited R.K. Jha's unit.

The paediatrics department had two lady doctors from the Kanke primary health centre, there were nine patients at neo-natal ward and six admitted in the labour room.

RIMS wore a deserted look but among the people who could be spotted were Jharkhand Armed Police jawans, private security guards and a few attendants.

Sources said emergency and outdoor services also remained affected due to the strike. "Only 250 patients turned up at the outdoor ward while emergency cases registered were 28," a doctor said, requesting anonymity.

A nurse said five people died in the past 24 hours due to lack of proper medical care. The list of deceased included Chandni Kumari (15), Suraj Munda (21), Saraswati Kumari (21 days), Jainath Karmali (35) and Sandeep Kumar (8).

RIMS superintendent I.B. Prasad claimed that medical services at the institute are improving.

"A team of 37 doctors, including 13 from health directorate, have arrived at the institute to extend their services. More than 400 patients were treated at the out patient department while 13 new patients were admitted at the institute. Seven major operations were carried out today while 17 minor operations were carried out. Only three deaths have been reported," Prasad claimed. Source:telegraphindia

RIMS students' strike continues, work hit

29 Dec 2008: RANCHI: At least nine patients died at the Rajendra Institute of Medical Sciences (RIMS) in the past 24 hours even as the indefinite strike called by doctors paralyzed work at the institute on Sunday. Medical students at RIMS went on an indefinite strike on Saturday following a clash with local residents.

RIMS superintendent I B Prasad, however, told TOI that nine deaths in the hospital in the last 24 hours should not be linked with the doctors' strike. "On an average there are about nine to ten deaths at RIMS every day. So these nine deaths on in the past 24 hours should not be linked to the strike," Prasad said.

The students have been on an indefinite strike since Saturday in support of their eight-point demand including more security on the campus and disciplinary action against the DSP and office-in-charge of the Bariatu police station. The strike was called soon after an irate mob entered the hospital and thrashed the doctors on duty and RIMS boarders. The clashes began when local a ward councillor, Javed Akhtar, was injured in an accident involving a doctor's vehicle.

All efforts by state health minister Bhanu Pratap Sahi to break the deadlock between the locals and students went in vain. The minister also held an emergent board meeting at RIMS on Sunday. The meet decided that emergency wards be opened and senior doctors will take over the charge. "The patients are not at fault and they should not suffer." Sahi said.

The minister also accepted some demands of the students like increasing the height of RIMS boundary wall, frisking of all vehicles entering the campus and issue of gate pass. He also agreed to the demand made by girl students to enhance security on the campus and deployment of female security guards.

A peeved Sahi asked the RIMS administration to deal sternly with the frequent strikes by doctors and other staff and ensure that there is no repetition of Saturday's incident.

Ranchi SSP Sampat Meena assured the students that an inquiry committee headed by a magistrate will be formed to probe the matter. She also said the role of Bariatu police station OC would be probed. "The inquiry committee will submit its report within 10 days. Action will be taken accordingly," Meena said.

Students on the other hand said that unless their eight-point charter of demands is fulfilled they would not call off the strike. They, however, said emergency services at the hospital would not be disrupted.- as Published by Times of India.

RIMS impasse on, patients leave - Govt warns doctors of stern action

Pic: A patient being carried away at RIMS in Ranchi on Monday.
 

Ranchi, Dec. 29, 2008: The stalemate at Rajendra Institute of Medical Sciences (RIMS) continued for the third consecutive day with junior doctors refusing to join duty till their demands were met.

This, even after the state government issued a warning that action would be taken against the agitating doctors under Essential Service Maintenance Act (ESMA) if they persisted with the strike. The Junior Doctors' Association is protesting against the attack on them by Bariatu bustee dwellers after a road accident on Saturday.

The patients continued to bear the brunt of the crisis. According to reports, three more persons died at RIMS today. They are Sufal Mahto (22), a victim of Tamar bomb blast, Shivshanker Ojha (24), who suffered a bullet injury at Bhurkunda in Ramgarh, and Shaligram Yadav, a victim of road accident in Giridih.

The number of indoor patients also went down. While the total number of patients at the hospital was 1,135 on Saturday, a rough survey pegged the figure at just 552 today. Sources supported the facts, saying more than 250 patients left the institute in the past 24 hours. However, RIMS superintendent I.B. Prasad refused to confirm anything.

Meanwhile, bracing for more difficult times, health minister Bhanu Pratap Sahi has directed the health secretary, Pradeep Kumar, to cancel leaves of regular doctors and to deploy 60 regular and contract doctors from Sadar hospital and primary health centres of the state.

Further, the minister has asked the 15 doctors deputed at health directorate to extend their service to RIMS in three shifts. Following the direction, a team of 18 doctors from Sadar hospital rushed to RIMS while the rest will come by tomorrow.

Sahi also convened a meeting of senior doctors of the state at RIMS and empowered Kumar to take proper legal action, including imposition of ESMA, against the agitating doctors. He, however, claimed the situation was being brought under control. He said more than 600 patients were attended at the outdoor department and 14 new patients were admitted by the emergency department today.

Sahi stressed that the government would not buckle under the pressure being mounted by the junior doctors. He also threatened them with dire consequences in case of non-withdrawal of the strike immediately.

But, the junior doctors are in no mood to relent either. They reiterated that Saturday's organised attack on them in the presence of police officials had raised questions about their security.

Their resolve became stronger after reports poured in that the condition of Dharmendra Mohan Prasad, a doctor who was assaulted on Saturday, was still serious.

The doctors are demanding the dismissal of officer-in-charge of Bariatu police station Waquar Hussain and city deputy police superintendent Mahesh Paswan.

They alleged that the duo played the role of mute spectators while the mob from Bariatu bustee entered the RIMS campus and kept on attacking them for more than two hours. Source:telegraphindia.com

Brakes on emergency services - RIMS doctors continue strike, patients suffer

On vigil outside RIMS
Ranchi, Dec. 28,2008: Medical services remained affected at the Rajendra Institute of Medical Sciences (RIMS) after junior doctors went on an indefinite strike following a clash with Bariatu bustee residents on Saturday.

Emergency and OPD services at RIMS were not provided. The institute, where more than 1,200 patients avail of medical services daily, today wore a deserted look. A rough survey revealed that hardly 800 patients received indoor services. Unconfirmed reports stated that poor indoor service had claimed nine lives over the past 24 hours.

The RIMS campus was fortified with a company of JAP jawans, armed with firearms and lathis. Over 140 private guards of RIMS were also posted inside the building.

State health minister Bhanu Pratap Sahi convened a meeting with junior and senior RIMS doctors this afternoon. But the two-hour meeting yielded no result as junior doctors refused to return to their duties till their eight-point charter of demands was complied with.

The junior doctors demanded dismissal of Bariatu officer-in-charge Md Waquar Hussain and city deputy police superintendent Mahesh Paswan. They alleged that the duo acted like mute spectators when a mob from Bariatu bustee entered the RIMS campus and kept attacking medicos for more than two hours.

Junior Doctors' Association member Neeraj Kumar said: "We want RMC counsellor Javed Akhtar arrested and some police officers dismissed, a wall around the land and a picket of para military force on the campus. We do not want doctors to be implicated in any police case or the construction of a proposed shopping mall on campus."

Though Sahi said the help of army and contract doctors would be taken, emergency services could not be started till late in the evening. Senior superintendent of police Sampat Meena said that three FIRs were lodged till late this evening in connection with yesterday's violence. Source:telegraphindia

Clash rocks RIMS

Pic: Police chase away rampaging locals in Ranchi on Saturday.
 

Ranchi, Dec. 27, 2008: Several people sustained injuries in clashes after a doctor's car allegedly hit a motorcycle at the main-gate of Rajendra Institute of Medical Sciences (RIMS), too, were badly hit today.

Over 65 medicos, 12 policemen and five pedestrians sustained injuries in the scuffle. Traffic movement on Bariatu Road remained disrupted for over two hours. Emergency and OPD services at RIMS, too, were badly hit.

The clashes began around 10.30am and continued till 2pm. First the motorcyclist, Mohammed Naseen Akhtar, thrashed the doctor Dharmendra Mohan Prasad, who was driving the car. When the medicos saw that their senior was being assaulted, they rushed to his rescue.

Consequently, over 500 residents of Bariatu Bustee, led by a ward councillor of the locality, Javed Akhtar, arrived at RIMS and pelted stones on the medicos and the hospital building.

Of the 82 people injured, seven are still undergoing treatment at RIMS and other nursing homes. The remaining were released after being administered first-aid. Among the policemen injured were deputy superintendent Mahesh Paswan, city inspector Mohammed Nehal and Bariatu police station officer in-charge Md Waquar Hussain.

RIMS director N.N. Aggarwal said an FIR would be lodged in the Bariatu police station soon. "The injured students would lodge separate FIRs while the RIMS management and the canteen will lodge a separate FIR," he said. Sources said that the motorcycle victim had lodged an FIR against the doctor at Bariatu.

DSP Paswan said FIRs would be lodged against those who had taken law into their hands. A company of district armed forces under the control of nine magistrates has been deputed at RIMS and students have been directed to remain inside their hostels. Source:telegraphindia

Doctor scarcity affects MGM

Jamshedpur, Dec. 21: Only two years have passed since the CT scan machine was brought in at Mahatma Gandhi Memorial Medical College and Hospital for a cost of Rs 1.4 crore, but the instruments is no longer being used.

For over three months now, the machine is lying defunct due to dearth of doctors at the radiology department. And the patients at the government hospital are getting ultrasound test and CT scan done from other clinics.

The head of the radiology department A.K. Verma, who was looking after CT scan, X-ray and ultrasound, retired from service in September this year. And another doctor of the department Parash Nath Ram was transferred to Rajendra Institute of Medical Sciences (RIMS) which left the department with no doctors.

Ever since the CT scan machine was installed at the hospital, patients flocked in as the charge here was nominal compared to private clinics, nursing homes and hospital.

At private clinic the charges range from Rs 2,000 to Rs 5,000, in MGM it was somewhere around Rs 800 to Rs 2,000. For ultrasound, it was Rs 350 or Rs 400, whereas in the medical college hospital patients were charged Rs 150.

Now in the absence of doctors, the staff conducts the X-ray but the patients do not get the reports.

There are three ultrasound machines in the hospital, one at the gynaecological department, and the other two at the chamber of the head of the radiology department, but none are used. Even when the doctors were there, the machines were hardly used.

Shurekha Ram, a woman undergoing treatment for gall bladder stone, said that four months ago she underwent a ultrasound test at the hospital at Rs 150 only but her husband had to ask the hospital superintendent to arrange for it at the hospital.

"A.K. Verma had asked my husband to get the ultrasound test done from outside. But as my husband knew that there is ultrasound machine in the radiology department, he immediately went to the then superintendent R.Y. Choudhury. After the hospital superintendent interfered and asked Verma to do the ultrasound test, he conducted the test," said Shurekha.

G.S. Baraik, the acting superintendent of MGM Medical College and Hospital, confirmed that none of the tests are being conducted at the radiology department now. "The former superintendent had written to the health department to appoint radiologist soon after A.K. Verma retired, but no one has been appointed till now," he said.

A doctor, on condition of anonymity, said earlier A.K. Verma would send the patients to private clinics for tests as he would get commission from them.
Source:telegraphindia.com

Vacant posts hit health sector in East Singhbhum

Jamshedpur, Dec. 9, 2008: Acute shortage of health staff in East Singhbhum has badly affected healthcare services in the district.

At present, there are only 44 regular doctors against the sanctioned strength of 75. The scenario is worse when it comes to the case of contractual doctors. Only 41 doctors are working on a contractual basis in the district against the sanctioned 164 posts. There is an acute shortage of contract doctors, as many of the medicos did resign recently — complaining of long hours and poor pay.

District health officials said better health services can be offered only when the vacant posts are filled up.

East Singhbhum civil surgeon Deepali Dey admitted that absence of manpower was a taking its toll on the district healthcare services.

Besides, the district is also facing shortage of grade-A nurses, pharmacists and food inspectors.

An official at the civil surgeon's office said: "This year at least 20 contractual doctors have left, as they were overworked and dissatisfied with their salaries."

Officials of the Indian Medical Association (IMA), Jamshedpur chapter, warned that the situation could worsen if the government failed to ensure positive measures to retain the doctors, soon.

"One should keep in mind that contractual doctors run the show in almost every part of the state in nearly every clinic," warned the IMA general secretary, Mritunjay Singh.

"There has been no fresh recruitment of regular doctors since 2000 — and that needs to be changed as well," said Singh. "The contractual doctors should be made regulars. Unless the contractual doctors' services are regularised, they would continue to move out of the state, adding to the already crumbling healthcare services in the district," added Singh. Apart from the staff crunch, the district's medical infrastructure is also in shambles.

"We have received a proposal to upgrade the additional primary health centres to primary centres. We are deliberating on the proposal. If that happens then the primary centres would be upgraded into health sub-centres. All these measures would help improve the health services in the days to come," Dey said.

The officials also said the state heath department is mulling to start recruitment drive for medical staff in the future.
source:telegraphindia.com

Bokaro steel plant sponsored medical college almost ready

Bokaro Ispat Institute of Medicine at Bokaro General Hospital, which was supposed to start its academic session this year, is still awaiting a nod from the Medical Council of India (MCI).


The college also needs an approval of the board of directors of the Steel authority of India Limited (SAIL) for availing infrastructure of the Bokaro Steel Plant (BSL).


… Health minister Bhanu Pratap Shahi had in 2006 promised that he would clear the project within 24 hours if he received any proposal from BSL for setting up a medical college. He had also assured that the college would become functional by 2008. However, the pace of paperwork for setting up the college has raised doubts on whether the academic session would begin even in 2009.


Sources said that MCI had completed its survey of the general hospital, which would be used for training students. It has surveyed other infrastructure that BSL is willing to extend. However, the council has not given its nod yet. …


After getting the approval of the Jharkhand government in November 2007, the managing director of BSL, V.K. Srivastav, had told The Telegraph that he was anxiously waiting for the MCI team’s survey of the hospital, one of the best in eastern India.


To speed up work, the BSL also constituted the Bokaro Educational Trust headed by its executive director Jivesh Mishra. …
source:orissalinks.com

Medical Colleges / Institutions in Jharkhand

Sl. No. Name of the Institute Place District

  1. Patliputra Medical Colleges , Dhanbad : Seats : 50(MBBS)
    Address : Dhanbad - 826005
    Telephone : 0326-2264165 , Fax : 0326-224165
  2. Rajendra Institute of Medical Science, Ranchi : Seats : 90(MBBS)
    Address : PO Bariatu Ranchi - 834009
    Phones : 0651-2541533 , Fax : 0651-2540629 EMail : rims_ranchi@rediffmail.com
  3. Hospital for Mental Deseases , Kanke , Ranchi
  4. MGM Medical College, Jamshedpur ,East Singhbhum : Seats: 50(MBBS)
    Address : Dimna Road,P.O. Mange, Jamshedpur - 831018
    Phones : 0657-2462108 Fax : 0657-2462106
  5. Ranchi Veterinary College ,Kanke ,Ranchi
  6. Jharkhand Veterinary College, Kanke ,Ranchi
  7. Veterinary Science & Animal Husbandry, Kanke ,Ranchi
  8. College of Nursing, Rajendra Medical College & Hospital ,Ranchi
  9. Yogda Satsang Homeopathic College ,Ranchi
  10. Homeopathic College & Hospital ,Mihijam ,Dumka

Junior docs of RIMS RANCHI on protest path

Ranchi, Dec. 8, 2008: Over 200 junior doctors of Rajendra Institute of Medical Sciences (RIMS) have decided to go on a mass leave and a daylong hunger strike on December 10 to protest a payment delay.


The association has further threatened to observe an indefinite strike 10 days after their protest on Wednesday. They have started organising regular meetings to thrash out the details of the strike.


President of Junior Doctors’ Association Jitendra Singh Munda said they were compelled to take the protest path as the state government was not paying heed to their demand for pay in accordance with the junior residency scheme.


“According to the junior residency scheme of the RIMS, a junior doctor should get 94 per cent of the salary of state health officials, but the juniors are not getting the stated amount. We had pointed out the irregularities in March this year, but the government has turned a deaf ear to our demands,” Munda said.


Dr. Pankaj, a member of the Junior Doctors’ Association, backed Munda’s claims.


“While the pay scale for state health officials is Rs 8,000-Rs 13,500, our pay package falls under the scale of just Rs 6,500-Rs 10,000,” he said.


A stalemate is likely to result as health secretary Pradeep Kumar has made it clear that it was difficult to meet the demands of the doctors in near future. “The finance department has rejected the demand and we cannot fulfil the demands of the junior doctors at RIMS,” he said.


Sources said the junior residency scheme of RIMS was drawn up following a decision taken by the RIMS governing council at a meeting held on April 20, 2004.


Keeping in view the information received in this regard from All India Institute of Medical Sciences, the Union health and family welfare ministry and AIIMS prospectus 2003 for admission to postgraduate courses.Source:telegraphindia.com

RIMS opens cath lab to cardiac patients


Ranchi, Nov. 28: The cath lab, which was inaugurated at Rajendra Institute of Medical Sciences (RIMS) on September 18, became operational from today.

Two patients underwent angiography on the first day at the new unit. These included Rajesh Kumar Mahto (14), a resident of Silli, and Sangeeta Devi (38), a resident of Bundu, respectively.

Doctors of Apollo Hospital, including Lalit Kapoor, Deepak Gupta and Neeraj Prasad, were present on the occasion along with RIMS cath lab in-charge J.K. Mitra and medicine department head A.K. Mahto.

Health minister Bhanu Pratap Sahi said that the cath lab would help provide proper medical care to cardiac patients of the state, who now have to spend large amounts for treatment outside the state.

A cath lab provides diagnostic imaging facilities, which helps a heart specialist to reach the heart of a patient through his veins. It is helpful in several procedures related to treatment of heart ailments, including a pacemaker installation.

A cath lab is an examination room in a hospital or clinic with diagnostic imaging equipment used to support the catheterisation procedure. A catheter is inserted into a large artery, and various wires and devices can be inserted through the body via the catheter which is inside the artery.

The laboratory installed at RIMS is a new generation flat panel detector catherisation laboratory, AXION dFC, which cost Rs 3.30crore.

The equipment would enable the doctor to diagnose possible heart attacks at an early stage.

The Font System Private Limited has installed the lab, situated beside the causality operation theatre (COT) of RIMS.
Source:www.telegraphindia.com

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