Category: Letters
Ethical dilemmas of medically unexplained symptoms
Medically unexplained symptoms (MUS) are common across health settings. These are defined as "physical symptoms that prompt sufferer to seek healthcare but remain unexplained after an appropriate medical evaluation". Expectedly, MUS are often associated with significant health-seeking behaviours ...
MCI circular on research publications: Missing the wood…
We read with interest the editorial "Regressive trend: MCI's approach to assessment of medical teachers' performance". MCI is the holy cow of medical education, and we are yet to see a detailed critique of its various policies. India lags behind in evidence-based health policies as well as those ...
Medical diploma factories in India
Recently, I was surprised at the number of pages in a reputed medical journal dedicated to advertisements endorsing unrecognised post-graduate diplomas, fellowship and certificate courses conducted by private institutions and hospitals for MBBS doctors. Obviously, the journal had also put in a di...
The Medical Termination of Pregnancy (Amendment) Bill, 2014…
The Medical Termination of Pregnancy (MTP) Act, 1971, lays down the existing guidelines and criteria for the "who, when, where, how and why" of the medical termination of pregnancy in India. Recently, the Draft MTP (Amendment) Bill was tabled for deliberations. The highlight of the bill ...
Non-psychiatrists practising psychiatry in India: ethical concerns
The deficit of psychiatrists in India is about 77%, which is a huge gap especially in the context of the enormous burden of psychiatric morbidity. Unfortunately, this gap is being filled by an under-skilled or unskilled workforce. Self-proclaimed/unqualified psychologists, psychotherapists, life ...
Reciprocal obligations for prevention of occupationally acquired tuberculosis…
As I began my work on occupationally acquired tuberculosis (TB), I was perturbed by a series of media reports on TB among healthcare workers (HCWs) in India. This included a report on the death of a resident doctor who was suffering from multidrug-resistant (MDR) TB. The risk of occupationally ac...
Ethics approval: a challenge for public health researchers…
There is increasing impetus, interest and opportunity for people working in public health programmes in India to carry out operational research (OR) around relevant programme issues and then publish that in peer-reviewed publications. These published researches are valuable in analysing, document...
Phlebotomy consent: ethical concerns
Phlebotomy is one of the common invasive procedures carried out all round the globe. The practice of phlebotomy varies widely. In terms of the technique, the procedure may involve the use of a syringe or a vacutainer, and as for the technicians, some are not specifically trained to perform the pr...
Catch-22 for the radiologist

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

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

Advance directives, palliative care and clinical bioethics committees
The topic under discussion at the 10th Brazilian Congress on Bioethics was "Advance directives, palliative care, and clinical bioethics committees," among the most important end-of-life issues. Other than the psychosocial, medical, and ethical aspects of making an end-of-life decision, juri...
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