Page 50 - EducationWorld January 2021
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Career Focus




             Great opportunities in


             telemedicine


             Registered medical practitioners of allopathy under the
             Indian Medical Council Act, 1956, are eligible to practice

             telemedicine from any location in India

             PAROMITA SENGUPTA
                                                                               Gupta: adverse ratio compensation
                    HE CORONAVIRUS pan-       mandatory online course — currently   aid and advice to a much larger
                    demic — which has strained   being developed in association with   number of people, and will compen-
                    public and private health   NIMHANS (National Institute of   sate for India’s adverse doctor-peo-
             Tsystems, infected over 35       Mental Health and Neuro-Sciences),   ple ratio deficit (0.62:1,000) against
             million people and caused 1 million   Bangalore — within three years of its   the WHO-recommended 1:1,000.
             fatalities worldwide — has gener-  notification.                    Although admittedly,
             ated a huge demand surge for tele-  The guidelines offer practical   telemedicine cannot replace the
             medicine (aka remote consultation)   advice to doctors to provide telemed-  physical doctor-patient interaction
             services. With fear spreading of con-  icine services. They also stipulate   and examination, it can do wonders
             tracting the lethal virus in crowded   norms and protocols relating to the   to supplement it. Given that the
             hospitals and doctors’ waiting rooms,   doctor-patient relationship; issues   traditional Indian patient values a
             telemedicine, which enables medical   of liability and negligence; evalua-  doctor’s ‘healing touch’, a workable
             practitioners to diagnose and moni-  tion, management and treatment;   solution post-pandemic could be an
             tor patients with suspected Covid-19   informed consent; prescription and   in-person first examination followed
             infection as well as other ailments   reimbursement; health education   by remote review of investigation
             remotely, is becoming increasingly   and counseling.              reports and writing of further
             popular. However, there’s more to   The Basel (Switzerland)-based In-  prescriptions,” says Dr. Roshmi
             the practice of telemedicine than   ternational Society for Telemedicine   Gupta, an ophthalmology postgrad
             switching from conventional doctor-  and e-health (ISfTeH) also offers   of Calcutta Medical College and the
             patient interaction to remote loca-  training modules covering communi-  B.R. Ambedkar University, Agra.
             tion digital consultation.       cation tools, ethics and legal aspects   After graduation, Gupta acquired
                In March last year, the Union   of telemedicine.               14 years of rich experience (LV
             ministry of health and family welfare   PAY AND PERKS             Prasad Eye Institute, Narayana
             issued guidelines authored by the   Telemedicine provides medical   Nethralaya and Vasan Eye Care)
             Medical Council of India in consul-  practitioners (MBBS and above) with   prior to her second stint as head
             tation with government think tank   part-time/full-time work opportuni-  of the department of Oculoplasty,
             NITI Aayog. The guidelines require   ties in India and abroad. Moreover,   Orbital Surgery and Ocular Oncology
             all medical practitioners to observe   they have the opportunity to work for   at Narayana Nethralaya, Bengaluru
             several protocols and processes to   transnational tele-health corporates
             practice telemedicine. Among them:   ready and willing to pay an average   in 2014.
                                                                                 Gupta believes that in the post-
             explicit identification of doctor and   $216,958 (Rs.1.5 crore) annual sal-
             patient and consent for examina-  ary. Other tele-health companies pay   pandemic era, well-qualified tele-
                                                                               medicine practitioners have excel-
             tion, maintenance of records of the   $100-150 per hour while some offer
             consultation and complete confiden-  $15-30 per video consultation.  lent opportunities in medical fields
             tiality.                           In India, medical professionals   such as radiology, orthopaedics and
                                                                               ophthalmology, which involve ex-
             STUDY PROGRAMMES                 are beginning to integrate telemedi-  tensive sharing of images and scans.
             Registered medical practitioners   cine into their regular practice. An   According to her, it is essential for
             (RMPs) of allopathy enrolled in the   opportunity for solo practitioners   all medical professionals to develop
             registers of medical practitioners   to grow their practice can also be   telemedicine practice skills. “Stan-
             maintained by the state and Central   availed by registering with e-health   dard clinical skills apart, mindful
             governments under the Indian Medi-  platforms (Practo, Onco.com, mfine,   listening, technical know-how and
             cal Council Act, 1956, are eligible to   CallHealthetc) unlinked to hospitals/  perseverance are critical attributes
             practice telemedicine from any loca-  clinics (Rs.600-1,200 per consulta-  for practicing telemedicine. More-
             tion in India. In the interests of im-  tion).                    over developing virtues of patience,
             proving their practice and safeguard-  PROFESSIONAL PROFILE       empathy and good manners will help
             ing themselves against liability suits,   “I believe the MCI/NIMHANS guide-  patients in distress to manage ill-
             RMPs will be required to complete a   lines will enable provision of medical   ness, anxiety and stress,” she adds.


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