bhuvnesh pratap

kk pauls interview a grilling experience

2011-04-10T03:05:00.000-07:00

INTERVIEW WITH DR KK PAUL

31^st march 2011, I was the fourth candidate to be interviewed in after noon session.

Interview started at 3 45 pm.

As soon as I entered even without looking at me kkp sir told to sit .i was confused as I have not yet greeted them members .however I wished members and took my seat.

Chairmen started (kkp sir) dr bhuvnesh whats your name

Me sir dr bhuvnesh pratap singh

Kkp sir your roll no

Me 48756

Kkp sir your date of birth

Me 22/7/1983( by now I was thinking what he is up to,,

taking interview or interrogating me)

kkp sir dr you have worked in ONGC FOR 1 YEAR why did you left it

me sir ,I was on contract there . which got over

kkp sir SO, you left ONGC or they left you ??or you left it for preparing

me sir ,as contract period was over so I deciced to leave and

I had to prepare also..

Kkp sir your hobbies are teaching ,writing hindi poems,introspection(he read

this in one go).you write what sort of poems

me sir, for my friends..

kkp sir for friends or about friends??you tease your friends in your poems ???

me sir . I write for my friends..i try to incorporate my emotions in poems

kkp and this introspection.. it is same as diary writing

me yes sir,, I do write diary also . but since I do introspection often so

I have written it as my hobby,

Kkp what you do

Me sir I try to evaluate my behaviour . I think about how I think,,

I review my decisions,, also it sets me right when ever I go wrong..

it guides my emotion to do better

kkp you are emotional person ???

me yes sir

kkp an emotional person cannot be practical person ..and

emotional person cannot be practical also.. we don’t need such people

me sir, shall I take an example

kkp ok

me sir, since I am a doctor and when ever my patient comes to me

I show my emotion and my empathy towards him to accommodate

him .. but while prescribing the drugs I am the most practical person

.i prescribe based on scientific tenets..so I think an emotional person

can be practical too..

kkp till now his face was wearing mask.. he didn’t showed any

facial expression . and pointed fingers towards 1^st member to ask question

member 1(m1) he was sitting left to him

m1 so dr you are from agra

me yes sir.

m1 dr I call AGRA as a GUTTER ..despite it being tourist place it is very dirty

me sir , I beg to defer with you here,,sir you are talking about pre 2008

status now agra has changed a lot

m1 really

me yes sir

m1 ok tell me what all we can do to tackle such problems in big metropolis

me sir we need to educate people.. we should strengthen

municipality corp,,allow them to come up with bonds to

ensure their financial instability

m1 and in citis

me sir, I am staying in delhi from past 1 yr and I saw that MCD sends

their autos and truck to clean the areas . so I think we can copy this plan

in other cities like agra also

m1 who is responsible for all this mess

me sir , we all

m1 how we

me sir , we are the one who throw our garbage in roads and there

is implementation failure also

m1 government is coming up with courses like BRMS because there is

scarcity of doctor . and you people instead of working in rural area come

and join services..why are you shifting from your field

me sir, an MBBS is just a beginning or a step in medical field.. and todays is era of multispecialisation(inter disciplaniry) I think we can help more.. and I being doctor I am more well versed with fellow doctors problems and I think I can tackle that through civil services..sir recently there was a news that in maharastra only 40 % students of 1^st year reach 2^nd yr and I think I understand this problem better

kkp interrupted the m1 and asked m2 (lady member) to ask

m2 dr what are your views about traditional medicine , should we discard it

me mam.. ayurveda has treated our people from past 2000 yr. and even till today we all rely on ayurveda .traditional medicines is deep rooted in us take for example we all eat chawanprash which is an ayurved prep. Mam what I believe that ayurved in in its lowest ebb now and allopathic medicine in its peak.. so there is need for more research in this field

m2 but we do not have money

me true mam.. but govt is working in this front we have AYUSH dept .we have homeopathy ,ayurved college etc

m2 dr do you know about HDI

Me yes mam

M2 who measures health component on HDI

Me and then I kept quiet for some time and then she prompted that is national family health survey..

M2 do you know what is our ranking in this

Me sorry mam I don’t know.. but I know we are behind srilanka n Bhutan in this

M2 yes.. but why so

Me mam . may be population pressure

Kkp interrupted mam and told member 3 to ask . m3 was sitting right to me mam wanted to ask more question but she stopped and I gave a smile to her.kkp sir was listening when I was telling chawanprash stuff.how ever till now kkp sir and other members did not gave any expression

M3 dr you told you are emotional,, what is difference between emotional person and impulsive and who is better

Me sir, impulsive person takes decision instantaneously while emotional thinks and i believe emotional is better than impulsive

M3 asked one more ques relating to emotion which I have never heard, so I stated that I don’t know sir

M3 dr do you take interest in foreign afFairs

Me yes sir , I do

M3 who is indias best friend

Me sir, in long term relations I it is Russia and recently it is USA

M3 WHY USA needs us,big brother attitude of USA

Me sir for balance of power with china, its strategic interest, its commercial interest.we are largest consumer of US goods blah..blah…

M3 what do you think that doctors are going to USA and not serving nation

Me sir, they do help us gain dollar which we require the most

M3 but dollar is no more an international currency

Me true sir, but we import oil which is need of hour and their payment has to

be done in dollar terms so dollar is valuable for us

M3 ok , do you know how much is foreign exchange reserve now

Me I was not sure and wanted to play safe so I told sir I think its more than 250 mn dollars

M3 ok quiet above this value..he points toward member 4

M4 dr as you rightly pointed out that MBBS is just beginning ,but don’t you think that doctors are not at all going to rural area what about health of rural people

Me sir I beg to defer with you here,, (he nodded) sir infact my friends are working in rural area, my seniors are also working in rural area also sir when I was student during my community medicine postings I have seen doctors working in rural area.. sir however I do agree that there is problem of turn over

M4 dr you are from agra or karnataka

Me sir agra

M4 but you have spent your most of time in Karnataka

Me yes sir, but I was sent there

M4 sent ???

Me yes sir , since I had my schooling in military school so I was sent there ,but sir later I started liking that place and infact I learned kannada also and later on did MBBS from there

M4 what was your choice for military school

Me sir , I don’t remember( that form was filled when I was in 5^th and what I remember my father had filled that form)

M4 you did MBBS from bijapur. Bijapur is famous for??

Me after a pause sir its golgumbaz

M4 nodding his head .. what it is

Me sir mausoleum of adil sha

M4 but why it is famous for

Me second largest dome of world.sir also one sound resonates for 7 time

Kkp interrupts here and looks toward me and says ok go your interview is over

You . can go now

I wished them thank you and good day

When I came out it was 4 : 15 so my interview went for 30 minutes..

Dr paul kept on giving sarcastic look through out interview

BRMS an answer to corporatised ,mercenary attitude of fellow doctors

2011-03-01T11:45:00.000-08:00

Recently government planned for introduction of a new course in rural area, bachelor of rural medicine and surgery.. Indeed a very innovative step and government needs a big applause for this.. But what is disturbing is that Indian medical association has ab initio opposed this step and recently in paper I read about their call for strike to pressurize the government for abolishing this course..

I would like to bring attention to my fellow doctors by asking them how many of them have really served in the rural area for more than 10 years ? India still has population of about 33 % below poverty line and if we take national advisory committee recommendation for inclusion of people for subsidized food grain then it is 75 % these are not just numbers but a grim reality of problems faced by our nation and shows the abject poverty faced by people of my country… in such a scenario is it possible for a poor to pay the fees of doctors which is quite high..(go to any corporate hospital a normal vaginal delivery will be costing rs 30000) can a poor person pay this??

Problem faced by our country is multifaceted…

The reforms of L P G has infact increased rich poor divide..urban areas have gained more than rural areas… population pressure has worsened the condition added to this my fellow friends have infact lost their bit of morality and are preparing for exams such as USMLE ,PLAB , and what not..added to this now corporate culture has started to percolate medical field and infact has converted patients in to clients ,mushrooming corporate hospital is proof of the amount of profit which they earn..

Our experience with ASHA workers,educated dai, village health workers have shown that a small step can infact go a long way in reducing mortality and morbidity over a long period…

BRMS could be considered such a step in this direction. This project has small incubation period and results could be manifold..

Government still faces the problem of deploying doctors in rural area. Village posting is considered taboo even today. In such a circumstance these BRMS doctors can act as a link between village levels to district. The tag of rural doctors will give them legitimacy and also bind them to laws. These BRMS are in fact a better alternative to quacks..

IMR and MMR are still very high and we lack behind many developing countries. even Bhutan is ahead of us .our place is 134 in HDI ranking shows dismal performance despite a growth rate of 10 %.doctor population ratio is somewhere 1:2000 in India while if we compare with US or UK there it is 1:100 to 1:200..and still my friends are going to these countries.. What a paradox

Few of my friends and seniors are Doubting that there value will come down once BRMS doctors start practicing and they argue that village people have right of good health so they don’t need semi qualified or BRMS doctors who are basically for village scenario.. But my question to them is, is this situation worth when we have not been able to provided the medical facility for our poor people.. even the recommendation of BHORE COMMITTEE 1946 has not yet been adopted owing to multifaceted problems and in such a scenario when government wants to come out with the proposal of extended arm of medical field, it is being opposed

My humble request to them is to try to understand the grim reality of our time and see the real motive of government in such a noble step...it is infact a process of medical inclusion of society .. Government is already working for financial inclusion and wants health inclusion or medical inclusion

BRMS course and BRMS doctors are not to replace the MBBSdoctors but are to help MBBS or M D doctors for effective delivery of health care needs. To help doctors for effective decision making and saving their precious time...to keep doctors inform at PHC level. BRMS can act as a extended arm of doctors in rural setting …As we enter 21 century our country is preparing itself for a better and enhanced role in world politics and it becomes more eminent for us to ensure that health of our people remain in good spirit and we should ensure that no man-day is lost due to illness of our people.. Such steps are just a beginning and lot more need to be called for.

Why BRMS is need of time can be gauged from the fact 1)they will be well versed with local needs 2)in PHC a doctor has to look for population of 2000 and more which practically is not possible for a single doctor to do 3)there training requirements will be met in district hospital there by not putting burden on exchequer 4)for local people it will be blessing in disguise 5) historically speaking we have a culture of village vaidya they are in fact such vaidyas

My fellow doctors have gained from the concepts like health tourism . m tourism ,e health etc but all these are for elites staying in urban settlement what about the person who is living in far flung village of chattisgarh

Call of I M A to oppose this move indicates the narrow , parochial and self serving tendency of fellow doctors. Though BRMS is not a solution to all this but he can to some extend work to reduce the grievance of village folk.. Meanwhile our aim should be to ensure the dignity of our profession. Which infact is getting lost in this capitalist world.

Dr bhuvnesh pratap singh

bhuvnesh3139@gmail.com