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RIMS doctors threaten stir

Doctors at the Rajendra Institute of Medical Sciences (RIMS) are all set to launch a stir against the management and the health department if the state fails to treat them on a par with doctors of other hospitals. They are demanding Assured Career Promotion (ACP) and other benefits, which doctors of other hospitals are entitled to.

"We have been demanding equal treatment for many years. But our demands have been ignored. Rules say there should be promotion every six years. Also, promotions should be given if there are vacancies. Either we are treated as general government doctors or be transferred elsewhere," said the secretary of the Jharkhand Medical Teachers' Association, Prabhat Kumar. He said doctors were in a combative mood. While some have already left the hospital, others are planning to do so. "The institute told us we are not getting ACP because we are with RIMS. But if doctors with other medical colleges can get ACP, why not us?" he questioned.

"We have been appointed by the government and so government rules should be applicable to us," said assistant professor in the department of anesthesia, Praveen Tiwary, adding, "on many occasions, there are vacancies, and yet we are not promoted. So we have decided to shift. But if we are asked to stay, we should get all the benefits that other doctors get."

The doctors are planning to send a letter to the RIMS director, Tulsi Mahto, the principal secretary of health, K Vidyasagar, and the state health minister, Hemlal Murmu.

"We will give them a month to respond," said Tiwary. source-articles.timesofindia.indiatimes.com

Security tightened at RIMS, Ranchi

In the wake of untoward incidents within the premises of the Rajendra Institute of Medical Sciences (RIMS), stern measures are being taken by the institute to ensure the safety and security of its students.

Construction of boundary walls in and around the hostel and campus area has been undertaken for the purpose. These steps are being taken in view of the spurt of incidents of eve-teasing and nuisance on the campus by anti-social elements in the last few days.

Director RIMS Tulsi Mahato said, "There is an open field just in front of the campus and anti-social elements enter and leave the campus at will. At times, they create nuisance within the campus. So I decided to take the matter into my hands. I have asked the guards to shut the gates of the campus by 8 pm in the night. They have also been asked not to allow any outsider within the institute. As far as the general public is concerned, there is another gate through which they can enter the institute premises."

Speaking further, he added, "I have also asked the guards to report to me if such people enter the campus or create any such nuisance on the campus." Students also complained that the boundary walls near their hostels and other areas on the campus were in urgent need of repair. "For this, work has been started from Wednesday. The safety of the students is top priority for us," added he.

It's the outsiders who are largely responsible for the mess. "As we have to report to our wards at times, we return quite late in the night and these anti-social elements are becoming a big problem for us. Sometime ago, there was also a case of eve-teasing on the campus and hence we thought of taking our grievance to the director," said Priyamvada Tiwary, an undergraduate student. source-articles.timesofindia.indiatimes.com

Ragging charges on transfer certificates - MCI

The all important migration and transfer certificates, issued to students of medical colleges/institutes/universities will now have an entry, apart from those relating to general conduct and behaviour, saying whether the student has been punished for committing or abetting ragging or not.

The certificate will also mention whether the student has displayed persistent violent or aggressive behaviour or any inclination to harm others.

Dealing with ragging with an iron fist, the Medical Council of India (MCI) has written to medical institutes across India reminding them that ragging is a criminal offence. It has also forwarded regulations framed by the MCI on ways to curb ragging to all institutes.

This, they said, will help medical colleges "prohibit, prevent and eliminate the scourge of ragging".

According to the 'Prevention and Prohibition of Ragging in Medical Colleges/Institutions Regulations', freshers who do not report incidents of ragging either as victims or as witnesses shall also be punished.

MCI has also introduced the concept of collective punishment. It says when those committing or abetting the crime of ragging are not identified, the institution will have to resort to collective punishment.

Making the head of institutions liable, the MCI has decided to impose a fine of Rs 1 lakh for each incident of ragging payable by the erring medical college to an authority designated by the government.

It will also declare the erring medical college as not having the minimum academic standards through a public notice posted on the MCI website.

Medical colleges will now have to conduct anonymous random surveys of freshers every fortnight, during the first three months of the academic year, to verify whether the campus is indeed free of ragging or not.

MCI says that because college canteens and hostel messes are places where ragging often takes place, the employers/employees of the canteens/mess shall be given instructions to keep strict vigil and to report incidents.

Access to mobile phones shall be unrestricted in hostels and campuses, except in class-rooms, seminar halls and library. MCI has sent these new regulations on ragging to all medical colleges across India for immediate implementation.

The provision says, "The burden of proof shall lie on the perpetrator of ragging and not on the victim. The institution shall file an FIR with the police whenever a case of ragging is reported, but continue with its own enquiry and other measures without waiting for action on the part of the police. Depending upon the nature and gravity of the offence as established by the anti-ragging committee of the institution, the possible punishments for those found guilty of ragging at the institution level shall be any one or any combination of the following: suspension from attending classes, withholding/withdrawing scholarship/fellowship, debarring from appearing in any examinations, suspension/expulsion from the hostel and a fine of Rs 25,000 to Rs 1 lakh."

The MCI added, "Freshers' welcome parties shall be organized in each department by the senior students and the faculty together soon after admissions, preferably within the first two weeks of the beginning of the academic session, for proper introduction to one another and where the talents of the freshers are brought out properly in the presence of the faculty, thus helping them to shed their inferiority complex, if any, and remove their inhibitions."

Admission advertisement will have to clearly mention that ragging is totally banned/prohibited in the medical college and anyone found guilty of ragging is liable to be punished. The brochure of admission/instruction booklet for candidates will have to print in block letters these regulations in full. The 'prospectus' and other admission related documents shall also have to incorporate all directions of the Supreme Court so that the candidates and their parents are sensitized in respect of the prohibition and consequences of ragging.

"The application form for admission shall have a printed undertaking, in English/Hindi and in one of the regional languages that will have to be filled up and signed by the candidate to admit that the student is aware of the law regarding prohibition of ragging as well as the punishments. They will also have to declare that he/she has not been expelled or debarred from admission by any institution due to ragging," the MCI said.

Medical colleges will now have to arrange for regular and periodic psychological counseling and orientation for students (for freshers separately, as well as jointly with seniors) by professional counselors during the first three months of the new academic year. This has to be done at the institution with parents and teachers being involved. source-articles.timesofindia.indiatimes.com

RIMS - five doctors this year to resign while three others have applied for voluntary retirement

The doctors at Rajendra Institute of Medical Sciences (RIMS) are an unhappy lot following the reluctance of the administration to fulfil many of their demands, including non-payment of non-practicing allowance (NPA), promotions due for several years, among others. The disgruntlement has compelled five doctors this year to resign while three others have applied for voluntary retirement scheme (VRS) and many others are already looking for better options.

"The doctors are in an agitated mood here as their demands have not been heard by the director and the state health department. The NPA has been stopped since June and nothing has been done till now for its payment. We started a signature campaign related to the demands last week which RIMS director Tulsi Mahto himself submitted to health minister Hemlal Murmu and principal secretary K Vidyasagar. As per norms the institute has been given the stature of AIIMS, Delhi, then why not the salary and perks the same which we all deserve," said assistant professor, department of anaesthology, Dr Praveen Tiwary.

He added, "It's only the director, senior resident and post-graduate students who are getting the pay and perks according to the AIIMS level. The rest here are given salary as per the state government rules. Apart from this there is discrimination in salary between the same post doctors hold in different departments. The Dynamic Assured Career promotion (ACP) benefits for doctors is also an issue but its only assurances which have been h given to us." source-articles.timesofindia.indiatimes.com

Medical Protection Act

Members of Coordination Committee for Medical Protection Act in Jharkhand met Chief Minister Arjun Munda on Tuesday and gave him draft of proposed model of 'Medical Protection Act' as prepared by the committee.

Chief convener of the co-ordination committee Dr Bharti Kashyap said that the cases of violence and ill treatment of medical professional by family members of patients had been rising in the state. "It undermines the respectability of medical professionals, cause mental problems to them and leads to blockade of medical services across the State," she said.

The Coordination Committee formed in 2011 had the mandate to prepare a draft of Medical Protection Act. They had to meet the Secretary, Health Department, the Health Minister and the CM to make efforts to get the draft discussed in the cabinet to get its approval.

India Medical Association (IMA) Ranchi President RS Das, Jharkhand Ophthalmic Society President BP kashyap, Association of Hospital and Nursing Homes in Ranchi President Yogesh Gambhir are among the members of the coordination Committee. The draft prepared by the committee also has the backing of the Federation of Jharkhand Chamber of Commerce and Industry (FJCCI).

In 2011 in the committee had met Health Secretary K Vidyasagar twice; in September and in December. They had given him a copy of draft of Medical Protection Act. At that time chiefs of ten different Social Service Institutes had also pledged their written support to the provisions of the draft.

The provisions in the act are inspired by the provisions in Medical Protection Act in various state including Andhra Pradesh, Chhattisgarh, Gujarat, Maharashtra, Bihar and others.

According to sources there had not been opposition from any party with the proposed draft but for some reasons it could not be discussed in the cabinet.

Today, to expedite the process of making the 'Medical Protection Act' a reality of the State the committee met Chief Minister led by the committee chief Dr Bharti Kashyap.

After reading the proposed draft of the Medical Protection Act, the CM said that he would take immediate action and talk to the Health Minister and inquire as to why the draft was not discussed in the Cabinet. The CM said, "The proposed draft will be handy in curbing migration of doctors from State." source-dailypioneer.com

32 newborn stabilization units set up

Alarmed at the mortality rate of children in the state within 0-5 years of age, the health department will be setting up 32 newborn stabilization units where proper care will be provided to the infants under the observation of pediatrics under First Referral Units( FRU).

The mortality rate in the state is 59 per 1000 live births according to the latest data of Annual Health Survey (AHS). It has been noticed that most of the children die within 0-1 month of age. "The reasons behind the deaths are breathing problem, under weight and congenital abnormalities. Two special care new born units have been set up in Ghatsila and Rajendra Institute of Medical Sciences (RIMS). This apart, it was also found 50 per cent children are anaemic here. For such children iron and folic acid syrup is being provided along with Albendazole tablets," said deputy director of health services A K Prasad, laying emphasis on the importance of institutional deliveries.

According to the AHS the infant mortality rate in the state is 41 per 1000 live births and the neo natal mortality is 27 per 1000 live births. As far as malnourishment among children is concerned, Prasad said till now 11,000 children have been treated for malnourishment out of 37,000 identified cases. "There are malnourishment treatment centres (MTC) and some more are going to come up in the near future. There are 61 MTC's. Now there will be an increase and seven more such centres will come up thus raising the level to 68 by the end of this year," Prasad said. In a year, there are 8.9 lakh newborns in Jharkhand according to the AHS data. Prasad said the immunization has reached to 64 per cent and 36 per cent are still left who have to be brought under the immunization programme. "The immunization programme is provided for protection against seven diseases including TB, Diphtheria, Hepatitis B and measles. The problem is that people are not aware. We need to spread word so that people especially mothers treat the immunization programme as their right," he said.

The state health department claims that the health parameters have improved. Pointing to the success rate of some of the programmes, the civil surgeon of Sadar hospital, A K Chaudhary, said, "The Janani Surakhsha Yojana (JSK) has reached new heights as the rate of JSK has increased from 13.9 per cent in 2003 to 40 per cent. Similarly, the immunization programme has increased from 9 per cent in 2000 to 64 per cent. We are trying our best so that the benefits of the scheme reaches the people in rural areas for whom the programmes have been designed." source-articles.timesofindia.indiatimes.com

Fwd: MCI Notice for Medical PG Entrance Exam 2013

MCI Notice for Medical PG Entrance Exam 2013

Online Entrace test for PG Medical students fom November 23 to December 6, 2012.

The first ever All India "Online test" for Post Graduate medical students will be conducted from November 23, 2012. The new system offers flexibility for aspirants to choose any date between November 23 to December 6, 2012.

After following paper-pencil format for years, this will be the first time that an online test will be conducted for Post Graduate (PG) medical students. Sources in the ministry revealed that the notification with regard to the new computer based testing is likely to come up by next week.

The National Board of Examination (NBE), which agreed to conduct the Common Entrance Test (CET) for PG medical students, decided to replicate the IIM model, an "online test" format for the students. About 36 centres all across the country have been shortlisted. The candidates will also have a flexibility in choosing their centre on first come first basis. "Each state capital will have atleast one centre where the candidate can give the test. The candidates can chose their centre," said senior official.

All candidates who have completed their MBBS intership or those who will be completing it by 31 March, 2013, will be eligible to sit in the exam.

The NBE has had a detailed planning on the new format to which the IIM's had switched three years back.
The new system for PG medical test will offer flexibility for candidates to choose any date in the "fourteen day" period for the test.

Common entrance test for medical exam NEET from 2013-14.

Common National Eligibility-cum-Entrance Test (NEET) for admission to Under Graduate (UG) will be conducted by the Central Board of Secondary Education ( CBSE)
National Board of Examination that will conduct the Post Graduate (PG) exams.
India is all set to roll out Putting ghosts to rest, the Union health ministry has informed state governments that their existing reservation policies would not be disturbed under the proposed scheme and state wise eligibility merit lists will be prepared for the respective state authorities to admit students for admission in accordance with their admission criteria in the institutions located in the respective states.

The Medical Council of India has also revised the syllabus for NEET-UG.

The qualifying criterion has been changed from percentage of absolute marks to percentile to ensure that no seat remains unfilled. Ghulam Nabi Azad said on Monday "A few state governments had expressed concerns about the proposed NEET particularly with regard to the syllabus for the NEET for UG, reservation of seats, medium of examination, as well as their own preparedness to introduce the scheme from the academic year 2012-13 and whether once introduced some of their seats would go unfilled because of high merit. The government has addressed all the concerns."

The ministry has also set up a coordination Committee "with all relevant stakeholders as members, which will address any issue relating to the admission process, including regional language as medium for conduct of NEET."

NEET would mean a single entrance examination will be held for MBBS and MD courses offered by all 271 medical colleges, 138 run by governments and 133 under private management. These colleges offer over 31,000 seats for MBBS courses and another 11,000 seats for PG degrees.

Experts say NEET would reduce hassles for students appearing for multiple medical exams.

"Once implemented, the NEET would be applicable to all medical colleges which come under the ambit of MCI, including private medical colleges," Azad said.

Among the states that was against the introduction of NEET in 2012 included West Bengal Maharashtra, Assam, Andhra Pradesh and Karnataka. Maharashtra, Gujarat and Goa had showed readiness to join NEET from 2013-14 but AP sought exemption for two years, saying it would join from 2014-15.

"At present, about 17 entrance tests are held to fill 32,000 UG seats in medical colleges across the country," a ministry official said. source-articles.timesofindia.indiatimes.com


Government sanctions 90-crore to RIMS, Ranchi

RANCHI: A budget of Rs 90 crore was approved for the Rajendra Institute of Medical Science (RIMS) on Friday for the coming five financial years including 2012-13.

"We have approved the budget for the coming five financial years till 2017 of which the budget allotted for this financial year 2012-13 is Rs 15 crore. We discussed the projects under the plan head which include 16 items and a committee has also been set up to monitor this. Apart from this budgetary allocation, if the institute requires any other financial assistance we are ready to help them," said health minister Hemlal Murmu who was present at the meeting along with principal secretary K Vidyasagar.

The minister also said, "To run a dental college, the equipment required including dental chair will also be provided. We have sanctioned Rs 4.5 crore for the proper functioning of the dental colleges."

The matter of regularization of staff and nurses also came up in the general body meeting. "This issue requires the RIMS to be autonomous first for which guidelines are being prepared. Once it gets ready, only we can work on the regularization issue," said Murmu.

He said the regulation for the para-medical staff had not been made till now. It's in the final stage and expected to get the cabinet nod by the end of this month.

On the availability of generic medicines, the health minister directed RIMS director Tulsi Mahto to ensure the opening of shops. source-articles.timesofindia.indiatimes.com

RIMS, RANCHI representative to meet health min to raise the issue of dynamic Assured Career Promotion (ACP) benefit to the doctors

A general body meeting of the Rajendra Institute of Medical Science ( RIMS) with the health minister, Hemlal Murmu and principal secretary (health) K Vidyasagar will be held on Friday. In order to voice their concern, the body has decided to submit a memorandum of their demands.

"We are going to put forward our demands and hope that they are accepted since we are doing a human service," Dr Prabhat Kumar, secretary, Jharkhand Medical Teacher's Association said. Speaking further, he said, "We will raise the issue of dynamic Assured Career Promotion (ACP) benefit to the doctors. The Sixth Pay Commission has been implemented in many states with the exception of Jharkhand, though it has been approved for doctors working outside the medical college. We have raised this issue many times but except assurances nothing has happened so far."

Apart from demanding autonomy, issue of payment of Non Practicing Allowance (NPA) which was being given to them till May 2012 but was stopped in June will also be taken up. "That apart, we are not getting the permission to start private practice," he said.

The number of undergraduate and post graduate seats have been increased but the faculty strength has remained unchanged. According to Kumar, "There are no vacancies for teachers. The due promotion of teachers has been pending for a long time. As far as recruitment is concerned, we want the present working teachers to be given first preference. " source-articles.timesofindia.indiatimes.com

Rise in kidney ailments in Jharkhand

Doctors in Jharkhand have linked high incidence of renal failure in the state with malaria falciparum, a particular strain of malaria prevalent in this part of the country, and have expressed concern over the lack of preparedness on the part of the government and private medical institutions in case of an epidemic.

While the premiere medical institution of state, Rajendra Institute of Medical Science (RIMS) in Ranchi has no super-speciality department for treating problems related to the kidney, there are only five qualified nephrologists in the state and most renal cases are dealt by general physicians in both government as well and private medical institutions.

Dr A K Mahato, head of department of medicine at RIMS, admitted that a large number of patients suffering from various renal disorders visit the hospital every day. "At present, the hospital has four dialysis machines and there is a long queue of patients. We are in the process of procuring and installing more machines. Some new machines will be installed shortly," he said.

When asked about the reason for increase in the number of kidney-related ailments in the state, Mahato said though diabetes and hypertension affect renal functions, the bulk of the new cases is directly linked with malaria and food adulteration. "Malarial infection involves the brain and the kidney. If left untreated, it often affects the kidney more," he said, adding that various dyes used in colouring vegetables and other food items also affects normal functioning of the kidney, leading to renal failure in some cases.

Dr Ghanashyam Singh, nephrologist at Apollo Hospital in Ranchi, said that since renal disorders do not have symptoms for early detection, most cases reach doctors when they are advanced stages. "Neither the government nor private medical institutions have any facility or awareness about detecting renal problems early. A renal profile is essential if a patient has been infected with malaria falciparum," he said.

Singh said that more than 30,000 dialysis procedures and 65 kidney transplants have been performed at their hospital over the past few years. When asked if early detection of renal infection can prevent kidney failure, Singh said medication helps prolong the life of infected kidney depending upon the stage in which the ailment is diagnosed. "If detected in the third stage, a patient can be advised medication that delays the need for dialysis," he said.

Narendra Sinha, doctor of medicine at Apollo, said chances of recovery of the kidney in case of being affected by malarial infection are higher if properly diagnosed. "In case of malaria, early and proper treatment can avert chances of renal issues. Unfortunately, most malarial cases in Jharkhand are ignored set aside follow up diagnosis of kidney and its condition," he said. source-articles.timesofindia.indiatimes.com

Closure of generic drug stores on Sunday creating problem for people

Generic drug stores which were inaugurated Sadar hospital and Rajendra Institute of Medical Sciences (RIMS) four days back remained closed on Sunday due to staff crunch. Many people faced problems in availing the medicines.

Roshanlal was passing by that lane when he stopped to get medicine for his child and went back in a depressed mood. "My child was not well and I was just passing by this road so I thought to get the medicine from here itself. But the doors are closed and now I don't have any option but to go to regular medical shops and get those costly branded medicine from a general medical shop."

Director of RIMS Tulsi Mahato, however, defended the closure of the shop. "The shops will remain close on Sundays. This is just at an initial stage as the scheme is to provide cost effective medicines to the common people. People shouldn't face any problem as work earlier was also done and even now will be done by the general medical stores. Such shops have opened today and before their opening people used to manage somehow. Apart from this there is also staff crunch and availability of medicines is also an issue which until it gets worked out properly the shops will remain close on Sundays and open only on working days."

Civil surgeon AK Chaudhary accepted that staff crunch is the major problem which they are facing due to which they have decided to close the shops on Sundays.

"The staff is a major problem which we are facing due to which it has become difficult to run the generic stores on a daily basis. Even on weekdays also we open the stores during OPD timings from 9-4 pm. With time maybe when we will recruit some more people then only we can run them whole week in a more proper manner and then people can easily avail them."  source-articles.timesofindia.indiatimes.com


Low-cost generic drug stores in RIMS

Medicine stores where the common man can easily avail of generic drugs were inaugurated by the health minister, Hemlal Murmu, at the Sadar Hospital and Rajendra Institute of Medical Sciences (RIMS) on Wednesday.

"We had promised to open generic medicine stores in the state on August 15. In the first stage, we will set up such stores in all district Sadar hospitals and medical colleges in Ranchi, Dhanbad, and Jamshedpur. In the second stage we will focus on block level hospitals and primary health centres," said the minister.

The minister said many poor people cannot afford costly medicines because of which many deaths occur in critical circumstances. Earlier, medicines which cost Rs 15 will now cost only Rs 3. "The quality will be the same. There will be laboratory tests from time to time to maintain quality," assured the minister.

Principal secretary, health, K Vidyasagar, said, "It's an important milestone in the health sector. There are many advantages of generic medicines and we will try our best to make them available at the stores. All these medicines will be from public sector undertaking companies (PSUs). They will be available at the medical colleges and hospitals."

Doctors have been directed to prescribe generic drugs to patients. And if they fail they will be hauled up. "The civil surgeon has to ensure that doctors prescribe these medicines from time to time. There will be prescription audit to keep a check on doctors," said Vidyasagar.

P Chandra, director in chief (health services), said, "With the help of five PSUs, we will try to set up a super stock store where medicines of all companies will be available under one roof. Now every class of people can get generic medicines but the focus will be on the underprivileged. We need to create awareness about these drugs among the people." source-articles.timesofindia.indiatimes.com

The national Anti Ragging helpline

1800-180-5522: Call this number if you are being ragged

Demand for more health aid for RIMS

A delegation, led by chief minister Arjun Munda and state health minister Hemlal Murmu, met Union health minister Ghulam Nabi Azad in Delhi on Tuesday and requested him to include the state in the Centre's list for setting up regional All India Institute of Medical Sciences ( AIIMS).

Munda explained to Azad the condition of health service in the state and the need of central assistance.

"We informed the Union minister about the situation here, the inaccessible terrains and Maoist problems and why we need to improve the situation," said Munda after a half-an-hour meeting with the Union minister.

Sources present at the meeting said the state also requested Azad to continue with the 85% central assistance to the National Rural Health Mission (NRHM) and other projects. The Centre has decided to provide only 75% assistance from the current fiscal for NRHM.

"We requested that the Centre should provide us 85% assistance as before or we will not be able to handle the huge expenditure," said the source.

The delegation also demanded assistance to upgrade the Rajendra Institute of Medical Sciences (RIMS), the biggest medical college and hospital in the state. Most of the departments in the hospital are managing day-to-day affairs with old equipment.

Officials said the Union minister was very positive and assured that he would visit Jharkhand with senior officers and discuss the problems faced by the state.

"The Union minister will be visiting Jharkhand in a couple of months' time and after a ground level assessment, he will provide assistance to help improve the health care system," the official said.  source-articles.timesofindia.indiatimes.com

Medicos are the worst raggers- UGC database - UP colleges tops the list, ahead of MP, Karnataka

A database of complaints received by anti-ragging helpline set up by the University Grants Commission (UGC)  shows that medical colleges are the most notorious for ragging cases.

Colleges in Uttar Pradesh are at the top of the list of bad repute, logging 31 of the 153 complaints of ragging from medical colleges all over the country recorded by the helpline from 2009 to March 2012 .

Medical colleges in Madhya Pradesh come second with 15 incidents, followed by Karnataka from where students have lodged 12 complaints.

Rajendra Kachru, whose trust has recently been assigned to see the day-to-day affairs of anti-ragging helpline and portal, told Deccan Herald that  incidences of ragging are exceptionally high in medical colleges when the data is put against the total number colleges: 355.

"Medical colleges are very less in number. Since 2009, the helpline recorded as many as 153 complaints only from medical colleges. It's a matter of serious concern," he said.Whereas the number of engineering colleges is over 6,000, only 666 ragging incidents were reported from them.

The anti-ragging help line has received 11 complaints of ragging from medical colleges in Tamil Nadu, 10 each from West Bengal, Maharashtra and Jharkhand. New Delhi, Himachal Pradesh, Jammu and Kashmir, Kerala and Uttaranchal contributed one each to the total number.

MCI apathy

Kachru blamed Medical Council of India (MCI) for the rampant ragging in medical colleges.

"Firstly, ragging has been a long tradition in medical colleges. Institutions like IITs also had it in past, but regulatory bodies like AICTE took strong initiatives to curb such practices. Awareness drives were launched and they yielded the desired result. Ragging in IITs now is almost non-existent. But in the case of medical colleges, such things are missing," he explained.

He said it was "very difficult" to communicate with the medical colleges and their students as "the MCI is not pro-active".  

He said all the regulatory bodies, including Indian Nursing Council and Pharmacy Council of India, often attend yearly meetings organised to discuss anti-ragging programmes.

"But MCI hardly participates in such meetings. Some junior officer would come, just to mark the MCI's attendance at the meeting," Kachru added. source-deccanherald.com

Preparing for the reply of notice sent by the Jharkhand high court to RIMS doctors

 The authorities of Rajendra Institute of Medical Sciences (RIMS) are preparing the reply of a notice sent by the Jharkhand high court on why licenses of the doctors should not be cancelled for participating in a daylong strike on Monday. The reply is to be submitted on July 11.

Justice Alok Singh of the high court sent the notice to the RIMS director, the government of India, state chief secretary and the health secretary on June 26.

Over 8,000 doctors participated in the Indian Medical Association-sponsored strike. The high court has taken cognizance of the matter after media reports accused the doctors of dereliction of duty.

RIMS director Tulsi Mahto said, "I have asked the heads of various departments of the hospital to submit details of attendance of doctors to check who was present in the hospital and who was not."

Unconfirmed sources said a few doctors who had observed strike, however, marked themselves "present" in the attendance register. The RIMS director, however, has denied it. "All such reports are wrong. I will check the attendance of the doctors and confirm it," said Mahto.

The court also asked the RIMS to furnish the details of deaths that occurred because of the doctors' strike on Monday. "We are collecting all the details and will provide the answers to the court," said the director.

Meanwhile, Saturday was the last date for the admission to PG classes of Ranchi's premier medical college RIMS. It will continue till late night. Around 170 candidates have so far submitted their applications for 185 seats.

The admission has been going on for the past two months. Half of the seats are reserved for candidates from other states.source-articles.timesofindia.indiatimes.com

Jharkhand high court notice to govt on doctors' strike

 Jharkhand high court judge Justice Alok Singh on Tuesday sent notices to government of India, Jharkhand chief secretary, health secretary, and RIMS director and asked them why licences of doctors should not be cancelled. Taking suo moto notice of the doctors strike on Monday, the judge asked the state health secretary to furnish details of how many abstained from work on Monday and how many deaths occurred due to it. The next hearing is scheduled for July 12.

Over 8,000 doctors abstained from work on Monday as part of a nation-wide strike. Apart from few extremely critical patients, the doctors did not attend to any other patients.

All doctors have returned to work on Tuesday and examined patients in the out patient departments (OPDs) in RIMS, Mahatma Gandhi Memorial Medical College and Hospital (MGM hospital) in Jamshedpur and Patliputra Medical College and Hospital (PMCH) in Dhanbad. Some of the pending surgeries were also carried out at RIMS, sources said.

IMA Jharkhand chapter secretary Sekhar Chaudhary said, "Medical service has been restored and things are running smoothly. The strike was just a symbolic one through which we wanted to attract the government attention." At city's Apollo Hospital, patients were treated as usual. "All the pending surgeries which were slated to take place have taken place. Things are normal," said hospital director Shahid Ansari. City's Curie Abdur Razzaque Ansari Cancer Institute also performed pending cancer operations. source-articles.timesofindia.indiatimes.com


Nationwide strike of doctors

Thousands of patients in Jharkhand languished outside government and private hospitals throughout the day on Monday as almost 8,000 doctors belonging to the Indian Medical Association (IMA) abstained from work, supporting the nationwide strike called by the organization.

Patients outside the Rajendra Institute of Medical Sciences (RIMS), where 350 doctors abstained from work, had tough time convincing the doctors that they were "extremely sick" and needed immediate medical treatment. Patients were also not treated at any private hospital in the city.

At a private infertility hospital, a newborn baby allegedly died because of carelessness and lack of doctors. The test-tube baby suffered acute respiratory problems. However this could not be confirmed by the authorities. Prakash Kumar, the father of the baby, alleged that doctors' carelessness and strike had claimed the life of the baby.

According to official figures, 35 patients were admitted to RIMS's emergency unit till 2pm. No additional arrangement of doctors was, however, made in the wake of the strike. Four PG doctors, one assistant doctor and one chief medical officer were available as usual in the emergency.

Umesh, who broke his right leg at a field in Ormanjhi, did not qualify for treatment. "The doctor asked me to bring him tomorrow. My brother is in severe pain," said Brishan Horo, Umesh's younger brother. The two brothers are planning to spend the night outside the OPD.

Nasreen of Bariyatu also met a similar fate. "The doctors are saying that my son is not that much critical," said Nasreen. The five-year-old boy had both his eyes badly swollen and he was not able to see properly.

In medicine, orthopaedics, paediatrics and other wards of the RIMS patients, waited for the doctors but only the nurses treated them. No surgery was conducted in the hospital. Nitai Kumar Singh, a resident of Jamui district, had to undergo knee and ankle surgery on Monday. "The surgery has already been delayed. I am languishing here for the last eight days," said Singh. In medicine ward the patients who suffered from as critical diseases as stone in gall bladder were also left uncared.

RIMS director Tulsi Mahto said no untoward case was reported throughout the day. "Doctors in the emergency ward have been instructed to remain alert. All the patients who have come in critical condition have been treated," said Mahto.

At Sadar Hospital, too, doctors were not available. Generally, eight doctors sit in the OPD at the hospital. "The total number of patients is very few on Monday. We have treated all the patients who were critical in emergency," said Dr Anil Kumar. However Dr Kumar was the only doctor available at Sadar Hospital's emergency ward. Over 40 patients were seen here on Monday.

Over 100 patients returned without treatment from the city's posh Apollo Hospital. "We did not carry out any planned surgery. Only accidental surgeries were conducted," said director of the hospital Shahid Ansari. City's Curie Abdur Razzaque Ansari Cancer Institute also deferred all planned cancer operations.

Almost similar scene was prevailing at private nursing homes across the state. At Guru Nanak Hospital, Raj Hospital, K C Rai Memorial Hospital, and Hill View Nursing Home among others patients were not seen. IMA's Ranchi chapter president Dr R S Das, who works as a consultant for various private hospitals in the city, said, "The private hospitals were as affected as the government hospitals." source-articles.timesofindia.indiatimes.com

Huge rush of patients to RIMS suffering from heat ailments

Patients are not getting beds at the Rajendra Institute of Medical Sciences (RIMS) because of a huge rush of patients suffering from heat ailments. The rush could be seen every day at the outdoor department of the hospital.

"This year, the summer has wrecked havoc. It is extremely hot and we are receiving over 1,300 patients daily. Most of them are suffering from summer-related diseases," said S K Chaudhary, the medical superintendent of the RIMS.

There are 900 beds at the RIMS. An estimated 1,400 patients are currently admitted to the hospital. There are 232 beds in the medicine ward of the hospital. All seats were occupied throughout in the last month. "As there is a shortage of beds, many patients have to lie on the floor," said a doctor.

RIMS head of the medicine department A K Mahto said all patients were being taken care of. "Mainly cases of malaria, viral fever and summer diarrhoea are being reported," Mahto said.

Doctors-Teachers Association secretary at the RIMS Prabhat Kumar said, "The outdoors of medicine, paediatrics, dermatology and gynaecology are witnessing a huge load. The number has almost 60% increased."

"It looks as if the global warming has hit Ranchi in the worst kind of way it can affect any place. Historically, Ranchi was never so hot," said Ansari.At Apollo Hospital, too, patients suffering from high fever, viral infection, malaria, summer diarrhoea, allergy and other summer diseases are coming in more numbers. "The hardest hit are the children," said Pranav Mandal.

At another city hospital, Tabssum Alam Hosptial, too, the scene is similar. "At times, we fall short of support staff and helpers to take care of the huge rush of patients suffering from summer-related diseases," said Tabssum Alam, head of the hospital. The number of patients suffering from skin rashes, allergies, sunburns, and other diseases is more than last year.

Over 1,000 patients visited city's Kashyap Memorial Eye Hospital with complaints of irritation, burning sensation and itching in eyes. "Eyes are the most exposed parts in the body. In summer, chances of cataract are also intense. Mainly children are suffering from the problems," said Bharti Kashyap, chief executive officer of the hospital. source-timesofindia.indiatimes.com

Strike call withdrawn by RIMS junior docs

Junior doctors at the Rajendra Institute of Medical Sciences (RIMS) have withdrawn their call for strike from Saturday after their demands were conceded to by the administration on Friday.

RIMS Junior Doctors' Association president Samuel Shyam said, "We have been informed by the administration that our salary for April and May will be paid in full." Along with 300-odd junior doctors, 400-odd senior doctors have not been paid either their salaries or their non-practising-allowance (NPA) for April and May.

The junior doctors had worn black badges at workplace on Thursday in a show of agitation demanding payment of their NPA along with their salaries. On Thursday, the doctors had given a 24-hour ultimatum to the RIMS administration to take a final decision or they will go on strike.

RIMS director Tulsi Mahto, however, did not confirm the development. "All I can say now is we are sorting out the things."

Jharkhand's principal health secretary K Vidyasagar had visited junior doctors at the RIMS on Thursday. The principal secretary had assured doctors that he would look into their demands. source-articles.timesofindia.indiatimes.com


RIMS doctors protest against salary cut

RANCHI: The unpaid doctors of Jharkhand's premier medical college and hospital, Rajendra Institute of Medical Sciences (RIMS) have decided to launch a full-fledged agitation to realize their dues. The state government has decided to slash 25% of their salaries paid to them as non-practicing allowance (NPA).

Around 300 junior doctors of RIMS wore black badges to their workplace on Thursday demanding NPA with their salaries. Not just the junior doctors, seniors, too, have not received their salary or NPA for the last two months.

RIMS administration has recently been given annual allotment of funds for the year 2012-13. Last year's allotment was used by the hospital administration to pay salaries and NPA to these doctors.

However, with the latest allotment a directive has been given to the RIMS administration from the state government not to pay NPA from the fund. Following the issuance of the notice junior doctors called upon RIMS director Tulsi Mahto to register their protests.

"The price of petrol has been hiked. The cost of living is too high these days but instead of increasing our salaries, the government is slashing it," said a junior doctor, who did not want to be quoted.

RIMS medical superintendent S K Chaudhary said, "The doctors have lodged their protests but they have not skipped work."

According to a rough estimate on Thursday around 2500 patients were attended to by the doctors at RIMS.

Later, the doctors held a meeting at anatomy hall to discuss future strategies. "The principal secretary has sought 10 days time to resolve the issue," said another junior doctor on the condition of anonymity.

When contacted Tulsi Mahto said, "A group of doctors had called on me today. But I will not speak on the issue right now."

Another group of doctors had gheraoed Tulsi Mahto's office on Wednesday demanding an explanation on the same issue. Later they had also called upon Jharkhand principal secretary for health K Vidyasagar to address their grievances. source-timesofindia.indiatimes.com

RIMS doctors have not been paid salary for the past two months

RANCHI: Life has become difficult for around 700 doctors of the Rajendra Institute of Medical Sciences (RIMS). Many of them have taken car and home loans but they do not have the money to pay the equated monthly instalments (EMIs). The creditors are harassing them for the money. The doctors have not been paid salary for the past two months.

"We are exclusively dependent on the salary we get from the hospital after 30 days of hard work. As we used to get regular salary, we did not think twice before taking the loans. Now the EMI collectors are after us," said a doctor who joined the hospital two years ago.

Recently a group of doctors, under the banner of RIMS Doctors-Teachers' Association (RDTA), called upon RIMS director Tulsi Mahto to register their grievance. They even threatened the hospital management that they would stop working if they were not paid regularly.

"All the doctors are disappointed. We have been intimating the management about the issue for the past few weeks but to no avail," said Dr Prabhat Kumar, RDTA secretary. The move has come at a time when the number of patients at the RIMS has increased manifold because of rising temperature in the state. In normal times too, the hospital remains crowded as there is a shortage of doctors.

Members of the RDTA had formally registered their grievance on May 21. It has been over a week but the fate of the doctors still looks uncertain. "The senior doctors who are established in their profession can manage a month or two without salary but what about the junior doctors?" asked senior doctor J K Mitra.

Those suffering include 300 junior doctors, assistant professors, associate professors, professors and resident doctors. The doctors are dependent solely on salaries as they are not allowed to practise outside. All of them are without pay since April.

S N Chaudhary, the RDTA president, said the RIMS administration was not considering the issue (salary of doctors) on a priority basis. The state government has allotted funds for salaries to the doctors. But still doctors are not getting the salary as the issue of non-practicing allowance (NPA) has come up. "With the allotment of funds, a directive has come from the government that NPA is not to be given from this funds," said an RDTA member. NPA applies to all posts for doctors at RIMS and it is for the first time that NPA has been denied to the doctors.

"Rules (for the RIMS) of the state government are yet to be made and RIMS's own rules and regulations are also not specific. In such a scenario how can such a decision be taken," asked Chaudhary. RDTA members are planning to meet Jharkhand health minister Hemlal Murmu and principal secretary K Vidyasagar.

The doctors are ready to settle the NPA issue later but demand immediate payment of salaries. "The management should at least pay our salary," a doctor demanded.

RIMS director Tulsi Mahto refused comment on the issue. "The matter is under consideration and it will be sorted out on a priority basis," he said. source-timesofindia.indiatimes.com

No cut down in RIMS, Ranchi seats - MCI

The state's premier hospital and medical college, the Rajendra Institute of Medical Sciences(RIMS), will not cut down the number of seats for admission to its MBBS course this year.

About a week earlier disappointment had run through the aspiring doctors in the state as speculation was rife that the Medical Council of India (MCI) would cut down the MBBS seats at the RIMS from existing 150 to 90.

A few months ago, an MCI team, which was unimpressed with the state of affairs at the hospital, had threatened the RIMS with de-recognition. The RIMS was asked by the MCI to improve the medical college's academic and medical infrastructure.

The MCI team had found several important posts in the hospital vacant. Many posts of the resident doctors were vacant and rather than making fresh appointments, the hospital was trying to give extension to some of the existing doctors. Other mandatory MCI guidelines were also not being followed as desired by the regulatory body. The institute was given three months to improve the state of the afairs.

RIMS director Tulsi Mahto said, "I received the confirmation (of not slashing MBBS seats) from the MCI on Monday evening. The MCI is satisfied with the improvement that has come at the RIMS and after carrying out a re-inspection, the MCI members have altered their views."

The RIMS will now take 150 students for its MBBS course in 2012-13. There is a 50 % reservation on MBBS seats for students from Jharkhand at the RIMS but now 75 seats will be reserved for them. The remaining 75 seats will be open for students from across the country.

Former RIMS director S N Chaudhary said, "There is already a stiff competition for 75 seats among the students of Jharkhand."

Till 2010, admission to MBBS course was offered at the RIMS to 90 students. In June last year, the MCI had approved increasing the number of MBBS seats at the RIMS. But only one year later, the RIMS's capability to teach MBBS to 150 students was challenged.

"People with vested interests had provided some misinformation to MCI investigators after which they had threatened to cut down the number of seats," said the RIMS director. source-articles.timesofindia.indiatimes.com


Seats reduced in Jharkhand Medical Colleges

RANCHI: The decision to reduce the number of seats in the three government managed medical colleges of the state - the Rajendra Institute of Medical Sciences (RIMS), Ranchi, Mahatma Gandhi Memorial Medical College (MGM), Jamshedpur, and Patliputra Medical College Hospital (PMCH), Dhanbad, for 2012-13 - has come as a shock for students.

The state health department has asked the Jharkhand Combined Entrance Competitive Examination Board (JCECEB) to conduct tests for only 72, 41 and 41 students for RIMS, MGM and PMCH respectively. In 2011-12, the number of seats in each college was 126, 50 and 50 respectively. Examination controller of JCECEB, L Khiangte, confirmed that the state health department this year has cut down on the number of students.

"We have received the information from the health department and the entrance examination for the MBBS course will be conducted accordingly," said Khiangte.

"I missed the bus by just three marks last year. This year I was preparing hard and was sure to find a place in the merit list. But the decision of the government has shattered my dreams. I am shocked and have not been able to concentrate on my studies for the last couple of days," said Angad Kumar Mahato.

He has been devoting 10-12 hours every day preparing for the entrance test. No one in the health department or any of the three medical colleges was ready to talk about the dip in the number of seats. "I can say the Medical Council of India has not reduced the number of seats in any college," said state health secretary K Vidyasagar. He did not say anything about why the department has asked JCECEB to conduct the entrance test for a reduced number of seats.  source-articles.timesofindia.indiatimes.com

Legal protection request by doctors of RIMS

RANCHI: The doctors of Rajendra Institute of Medical Sciences (RIMS) met the members of the Indian Medical Association (IMA) Jharkhand, on Tuesday to demand the implementation of the Medical Protection Act in the state.

"The Medical Protection Act has been implemented in many Indian states. We had given a proposal to the state government in 2009 and again in December 2011 but have not got any response. Incidents of attack and misbehaviour with doctors are increasing every day and we have no protection," a member of the RIMS teachers' association said.

President of the Junior Doctors Association of RIMS Samual Toppo said it was decided at the meeting that a delegation of doctors would meet state health minister Hemlal Murmu and request him to propose the implementation of the act in the ongoing assembly session. The deadline for acceptance of the proposal - failing which the doctors have threatened to go on strike - has still been kept for April 4. "If no positive action is taken for the protection of doctors, we will go on strike but with the IMA's consent," said Toppo.

"If the government is insensitive, we cannot become insensitive too. Our strike will affect the society." source-articles.timesofindia.indiatimes.com

Suicide in RIMS

RANCHI: A middle-aged patient committed suicide at the RIMS early on Wednesday. City-based auto driver, Birendra Kumar Singh, 42, was admitted to the medicine department after he complained of severe abdominal pain and breathlessness on March 23.

The sole breadwinner of his family, Singh, a resident of Dhurwa Sector II, had undergone heart surgery at the AIIMS, New Delhi, in 1999. RIMS associate professor (medicine) Umesh Prasad, supervising the treatment of the deceased, told TOI, "A heart valve of the deceased was in a bad condition. It had led to damage of adjoining parts as well."

Doctors claimed in the past two days, medical condition of the deceased had improved. "During my morning round on Tuesday, he was alright. On Tuesday night, he had complained of mild abdominal pain," said Prasad. Patients in the same ward also said the deceased had a good sleep on Monday night. RIMS director Tulsi Mahto said: "He was suffering from chronic heart disease. I think he was frustrated with it all. Apart from some minor tests, he hardly had to pay any bills here."

The incident occurred around 3.30am. He had gone to toilet in the morning. When he did not come out for a long time, his wife got worried. After an alarm was raised, security staff broke open the door. Singh was found hanging from the bathroom's ceiling, said a hospital employee. tnn

It was money, some doctors claim, which forced Singh to take the extreme step. "If Singh had enough money and had got a valve replaced 10 to 12 years ago he would have been fine. A valve replacement surgery costs around Rs 2.5 lakh. I think lack of money had kept him away from a proper surgery," Umesh said. According to the family of the deceased, Singh had a paralysis attack 18 months ago.

The issue was also raised at the assembly on Wednesday. To the queries from Opposition, health minister Hemlal Murmu told the House that the death had nothing to do with any administrative issue at RIMS. source-articles.timesofindia.indiatimes.com


State government nod for a high-level probe into the murder of Lukas Minj.

RANCHI: The state government on Monday gave the nod for a high-level probe into the murder of Lukas Minj.

Minj, a hearing and speech impaired tribal of a village in Burwadih of Latehar district, was found dead on February 7. An FIR was lodged against some unknown people for his murder, but the victim's brother William Minj accused the security forces of killing him. Though the demand for a CBI or judicial inquiry was not entertained, state HRD minister Baijnath Ram, who was answering questions for the home department, agreed to hand over the investigation to the DIG, Palamu division.

The matter was raised in the house by CPI (ML) MLA Vinod Singh, who asked if the government had any plan to punish police involved in the killing and pay compensation to Minj's family. Singh also demanded a CBI or judicial inquiry saying the matter was being probed by Latehar SP, who himself is among the accused in this case. "This is beyond common understanding how the matter is being investigated by the Latehar SP, when the police operation which was going on in the forests of Latehar was being led jointly by the SPs of Latehar and Garhwa district," said Singh.

Supporting his demand, Pradeep Yadav of the JVM (P) sought to know about the progress of investigation and the reasons for avoiding a high-level probe. Giving details of the investigation, Ram said, on the directive of the Latehar deputy commissioner, Minj's body was exhumed and sent for forensic test at the Rajendra Institute of Medical Sciences (RIMS) in the state capital.

"The process was videographed and it was confirmed that he died of bullet injuries," said Ram, adding investigation is on. On being prompted by speaker C P Singh for a high-level inquiry, he agreed to get it investigated by the DIG, Palamu division. source-articles.timesofindia.indiatimes.com

RIMS Heal cottage = Hell

Heal cottage is like hell - Tottering roofs, dirty, dank rooms & mangle of wires sum up RIMS comfort care

State-run Rajendra Institute of Medical Sciences (RIMS) has started a new crash course: dodge the peril. And a Jharkhand Armed Police jawan was the first to join class.

Forty-five-year-old J.P. Nayak had a close shave last week when a chunk of concrete fell off the roof of a RIMS cottage, where his septuagenarian mother is admitted for treatment of a broken bone. The policeman said his field skills and quick reflexes had saved the day for him.

There are 14-odd cottages at the government hospital that promises comfort care for patients who wish for treatment far away from the madding crowd of general wards. But though these AC and non-AC heal chambers are priced 10 times more than a normal bed at RIMS, they are as run-down as any relic from the past.

Leaking roofs, tottering ceilings and walls, peeling plaster, naked wires and stinking garbage are salient features of these cottages, which are meant for moneyed patients and even ailing VIPs.

Speaking to The Telegraph on Wednesday, Nayak said he had opted for a Rs 150-per-day cottage for his 70-year-old mother instead of admitting her to the general orthopaedic ward with stinking Rs 15-per-day beds because he wanted the best for her.

What he apparently didn't realise is that at RIMS, even the best is challenging.

"I was taking a shower one morning last week when I sensed a sprinkle of plaster beside me. In no moment, a part of the roof came crashing," he said. Nayak was lucky to have sensed danger and agile enough to avoid it. "But what if my elderly mother, who somehow manages to walk with a stick, was inside the bathroom at that point of time? Things would have turned worse for her," he said.

Nayak wasn't forthcoming in being clicked because he said he might face disciplinary action from his police bosses, but he was candid as far as the condition of their non-AC cottage was concerned.

"The entire cottage was piled with garbage and there wasn't any electric bulb. The fan too wasn't working. When we asked the nurses, they said they don't have any bulb and the cleaner would come tomorrow. How could we wait so long? I cleaned the room for my mother and fixed the bulb," he said, adding that when the hospital was charging for a cottage it should at least clean the room and toilet before allotting it to a patient.

RIMS employees admitted that the cottages were in real bad shape. "While the non-AC ones cost Rs 150 per day, the AC ones are charged at Rs 250 a day. But rooms are not maintained," said an employee.

The corridor too is in dire need of repair while electric cables lie open near the staircases. The cottages on the ground floor of the two-storey facility also have to battle foul smell, courtesy unclean drains right outside the boundary wall.

A nurse on duty conceded that the RIMS cottages needed urgent repair. "No maintenance work has taken place for at least three years. But it is up to the management to decide," she said.

Mahesh Chandra Choudhary, who is in charge of maintenance at RIMS, contended that the government hadn't given separate funds for building renovation or upkeep for three years. "We do get an amount of money for annual maintenance, but it is generally exhausted in payment of electricity and drinking water bills. Besides, there wasn't any provision for building work in the budget given to us by the government for the functioning of RIMS earlier. I don't remember the amount exactly, but a separate estimate for renovation of cottages has been made this time and the hospital's governing body has okayed it. But the file can be sent to the government only after we get the minutes of the meeting.

Of the more than dozen cottages, only three are currently booked. One of them hosts former minister and tainted Madhu Koda aide Kamlesh Singh.

Is RIMS more of a peril zone than a health hub? source-telegraphindia.com

RIMS store room on Fire

There was a chaotic situation on Sunday morning at the Rajendra Institute of Medical Sciences (RIMS), when a fire broke out in the store room of the hospital. The fire started as a result of short circuit in the store room provided to Annapurna Utility, which supplies cleaning devices and chemicals to the hospital. The store is on the ground floor next to the emergency ward.

"We saw smoke coming from the store room and found the room engulfed in flames. We immediately called the fire brigade and within half-an-hour the fire was extinguished," said security guard Awadh Pathak. Another guard, Amarnath Jha said, "Four fire brigades came. But there was shortage of firemen. So all of us took the water pipes and extinguished the fire."

In the fire, all the cleaning machines and chemicals were burnt to ash. Bablu Khan, security officer at RIMS said, "There has been a damage of around Rs 8 to 10 lakh. Luckily it was Sunday and early morning, so very few people were around."

When asked about the fire-fighting devices in the hospital, a guard said, "There is no system of prevention from fisaidre in the hospital. The fire extinguishers are just show pieces and cannot be used."

Khan said, "This should be a lesson for the hospital administration and also the government. The roads to the hospital are so narrow that it is difficult for the fire brigade van to reach there. Luckily, the fire was on the ground floor, if it was at higher-level, it would have been difficult to control the fire." Asked about the fire-fighting device, Khan said, "Fire extinguishers were installed in 2006, but they are all non-functional and have not been refilledWe will be refilling them soon

RIMS wakes up from slumber

The fire in the storeroom of the Rajendra Institute of Medical Sciences (RIMS) has proved to be an eye-opener for the hospital authorities who have finally decided to invite a tender for the maintenance of fire extinguishers there.

"The administration has finally decided that the advertisement for the tender will be sent to newspaper offices and published on Tuesday," said RIMS security officer Bablu Khan.

When the fire broke out at the RIMS on Sunday, it was found that the fire extinguishers in the hospital were not useful. "The extinguishers had been installed in 2006 and they should have been refilled every year as the gas inside evaporates but this did not happen. When people tried to use it, it was found that none of them was working," said Khan.

The tender will be just for the refilling of the old extinguishers and installation of new ones. New extinguishers will be installed as required after consulting with heads of all departments, said Khan. "The other fire-fighting systems like sprinklers and fire alarms will be installed only after the proposal is sent to the government which is not possible now as director Tulsi Mahto is out of station," he added.

At the RIMS, there is not a single system to control fire. The extinguishers do not have gas in them, there is no system of water hose on every floor to control fire and neither is there a fire alarm.

Also, there is only one ramp in the hospital and no emergency exits in many wards. "The only good thing about the hospital is there are many exit points. Earlier, when the hospital was made there was ample space for the fire brigade vehicle to move around and put out the fire but after the extension of its new building it is not possible for it to reach every corner of the hospital," said Khan.

In 2004, 2005 and 2006, there have been incidents of fire in the basement of the hospital. In 2008, fire broke out at the blood bank and in 2009 there was fire at the orthopaedics ward, but it seems the RIMS is yet to learn a lesson. source-timesofindia.indiatimes.com

Deteriorating healthcare services

Ranchi, Feb. 24: RIMS director Tulsi Mahto did not attend work today, skipping a scheduled meeting with health secretary K. Vidyasagar to thrash out solutions to improve the fast deteriorating healthcare services on offer at the government hospital.

Mahto's decision to apply for leave took the hospital staff by surprise. No one in his office could elaborate on the reasons, but some said he had an "emergency" and was expected to be back on Monday.

Over the week, The Telegraph published a series reports on RIMS crumbling infrastructure, which together with poor medical services, had turned the state's premier hospital into a nightmare destination for hundreds of patients who came there for treatment from remote corners of Jharkhand.

The health secretary had summoned Mahto last night and today was supposed to be a follow-up meeting which would now have to be held later.

"I understand doctors are under extreme pressure. But this can't be an excuse when it concerns healthcare. I assure you the government will do everything to set things in order at RIMS," Vidyasagar told The Telegraph.

At last night's meeting, the health secretary revealed, Mahto admitted several lapses on the part of the hospital, but pleaded that several issues were beyond their control.

Vidyasagar, sources said, pointed to every report published by The Telegraph. He was particularly upset at the way a five-day-old baby was denied a stretcher trolley and had to be carried to a critical care unit on the third floor by her father while her uncle held the tubes connected to an oxygen cylinder. Initially, the director tried to say that since the baby was serious, they did not want to waste time looking for a trolley. But the secretary did not buy his excuse, prompting Mahto to apologise.

Vidyasagar said manpower crunch was at the root of all problems at RIMS and the reasons for that was poor salaries. "I have directed Mahto to come up with a detailed analysis of the required workforce." source-telegraphindia.com

RIMS misuses AIDS society gift - hi-tech mobile blood collection and testing van to villages

 The fully air-conditioned van — equipped with blood collection and testing kits, including that for HIV, a battery-operated mini-fridge, three donor couches and a music system — stands parked on RIMS campus while the driver has been transformed as the odd-jobs man.

Rather, it will be better to say that RIMS officials, including director Tulsi Mahto, find it more convenient to make the driver run errands rather than fix up mobile blood collection and donation drives as well as HIV tests at remote villages.

Matters would have continued this way, but now JSACS has finally woken up to the fact that its twin gifts were either unused or abused.

The JSACS project director, Aradhana Patnaik, on Thursday shot off a strongly worded letter to Mahto.

"We came to know through numerous instances that the RIMS director has deputed the driver in other activities. So, as a first step, I have directed him to use the driver only for the mobile van and not in other activities," Patnaik said.

But she didn't say what they would do if the RIMS director pretended to be deaf.

"Let's see. We haven't thought of any showcause till now in this regard," she said.

At the RIMS campus, an official quipped: "The hospital campus is more like a parking bay for this van. Its wheels have hardly seen the streets. Initially, a few camps were held on the outskirts. Recently, we haven't seen the van in action."

Well, the driver has been seen in action. So much so, that fatigued from all the running around, he goes off to snooze inside the van once in a while.

What is the RIMS director's take on this (to put it kindly) mistake? "We will duly revert with our explanation accordingly to the AIDS control society," he said, deadpan. source-.telegraphindia.com

MCI focus on PG students on second day of RIMS scrutiny

The administration of the Rajendra Institute of Medical Sciences (RIMS) remained on its toes on the second day of the visit of the inspection team from the Medical Council of India (MCI), making efforts to project the best units and practices and concealing the apparently gloomy areas.

The doctors were in a non-cooperative mood following the unprecedented move of MCI to verify each and every original document related to their appointment. It was the turn of the PG students on Tuesday to produce their original documents.

Following media reports related to adverse comments of the inspection team, the RIMS administration restricted the entry of the media on Tuesday, particularly from accompanying the team members, when they were on a visit to the wards and inspected the equipment installed in different speciality units.

The three-member team comprising head of the department of anaesthesia, Banaras Hindu University, V Rastogi; professor in microbiology at the National Medical College, Kolkata, Manas Sarkar; and professor, department of physiology, R G Kar Medical College, Kolkata, inspected the paediatric ICU and directed the administration to upgrade the equipment fitted in the ward. The team also expressed dissatisfaction over the maintenance and operation of some of the medical equipment, particularly in the wake of absence of expert para medical staff trained to handle them.

The team also visited RIMS extension centres at Oremanjhi and Doranda asking the hospital administration to provide hostel facility for doctors and medical staff. Asking the director of the institute, Tulsi Mahto, to ensure that doctors remain present in these centres and cater to the patients on a regular basis, the inspection team returned to RIMS where document and physical verification of PG students continued. source-timesofindia.indiatimes.com

MCI team visits RIMS

RANCHI: Doctors at the Rajendra Institute of Medical Sciences (RIMS) were on their toes, holding files and waited to be grilled on Monday by a team of inspectors from the Medical Council of India (MCI). The team was on a trip to the institute campus to check if the increase in the number of undergraduate seats from 90 to 150 had been done in accordance with the council rules.

The team, comprising head of the department of anaesthesia, Banaras Hindu University, V Rastogi, professor in microbiology at the National Medical College Kolkata, Manas Sarkar, and professor, department of physiology, RG Kar Medical College Kolkata checked the infrastructure facilities at the hospital and expressed satisfaction.

Though they refused to officially share the observations saying that a report is to be submitted with the MCI headquarters following which a decision would be taken by the council, the team members gave some guidelines for improving the work culture.

RIMS sources said the team was highly impressed with the neuro-surgery operation theatre but was equally disturbed to see the overburdened medicine and neuro-surgery wards.

The team visited OPD and took an overview of the cleanliness drive. The team gave suggestions on improving the facilities for maintenance.

The teaching faculty who appeared for physical verification with photocopies of their documents had a bolt from the blue when MCI inspectors expressed their intent to verify original documents. Doctors, who earlier retired at 62 and are now serving on an ad-hoc basis, were taken aback when the team asked them to come up with original documents. While some of the senior doctors rushed to their home to come up with original documents, a handful senior doctors refused to produce them. One senior doctor on condition of anonymity said in the past 35 years he has never been asked to produce original documents. "I don't know if the MCI team is legally authorized to verify the documents which have already been verified at different levels during appointment," he said.

The team will also verify the number of post-graduate students and check their credentials. Former president of RIMS Junior Doctors' Association, Babu Mani Baski, said they were informed about the production of documents.

"We have prepared our documents and are waiting for our turn to come," he said. source-timesofindia.indiatimes.com

Regularization of nurses

RANCHI: The governing council of Rajendra Institute of Medical Sciences (RIMS) on Monday discussed over 22-point agenda and came up with recommendations to be approved by the state government.

The body passed a resolution to regularize the nurses presently working on contract against the available vacancies in the hospital. It also reiterated its stand on giving pay scale as admissible to the Central Government Health Service (CGHS) workers. The recommendation has been sent by the governing body for the second time in succession awaiting final nod of the government, sources said.

Chaired by health minister Hemlal Murmu, the meeting was attended by All India Institute of Medical Sciences director R C Deka, health secretary K Vidyasagar, RIMS director Tulsi Mahto, superintendent Manoj Kumar Rai and other members of the governing body.

During the council meet, Mahto said altogether 41 'action taken' reports and 22 additional agenda were on table for discussion.

"The matters having financial implications have been referred to the government for calculation of the financial burden in case of implementation and regularization of nurses as well as CGHS scale come under the same category," he said.

The matter of giving non-practicing allowance to RIMS doctors was also discussed but concluded without taking any concrete decision. The health department has sought a detail list of the clinical doctors at RIMS, who could be compensated for not practicing in private.

Major stress was laid upon approval of the act that is expected to govern RIMS.

"We have requested the health department to move a proposal in the assembly and seek nod of the House for the regulations under which RIMS would function," Mahto said.

Discussing yet another issue, the governing council decided to carry out essential formalities for making the dental college functional, building and other infrastructure for which is already complete.

Appointment process for doctors against 125 posts was considered in the meet whereas the members rejected the proposal for adopting fixed tenure for tutors in the hospital. source-timesofindia.indiatimes.com

Patient jumps off hospital roof in Ranchi

RANCHI: A patient committed suicide by jumping from the roof of a hospital here on Sunday, police said.According to police, the deceased was identified as Bokaro resident Sanjay Singh, who was admitted in the burns section of Rajendra Institute of Medical Science (RIMS) two days ago.According to RIMS authorities, Singh was suffering from depression. The exact cause of the suicide has yet to be ascertained.source-articles.timesofindia.indiatimes

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