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May 21
2010
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‘Icing’ on the cake or a ‘mirage’?Posted by: Anuj Mishra on May 21, 2010 Tagged in: Teaching , interdisciplinary
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In our practice of Radiology, and especially in another country where the radiology services are quite not at par, we are under pressure to teach the fellow colleagues.
A ‘consultant’ is seen as a source of ‘new’ information and fellow medical colleagues are attracted like ‘bees’.
Often the situation becomes difficult to handle as in the case of my friend JS, who was travelling for the first time out of country to work in a new place. The pressure to teach on him was so overbearing that he succumbed to it and resigned from his job.
How should we deal with ‘pressure at work’?
Pressure can come from different quarters. It could just be ‘work pressure’, ‘peer pressure’ or pressure from the boss!
Out of these, ‘peer pressure’ is most difficult to handle, I personally feel.
A senior colleague of mine advised me on my first day at new job against teaching anyone.
I was taken aback!
We have always been taught in medical school to impart teaching to our junior colleagues and technicians. As junior resident, we have taught fresh residents of radiology and then as senior residents, we have taught junior residents.
We have always ‘tried’ to teach our fellow technicians to improve their skills.
In my private practice, I have taught numerous technicians and medical doctors the skills of conventional radiology and abdominal ultrasonography. To the extent that one of the medical doctor trained by me started his own ‘diagnostic centre’ close to mine and began competing with me by offering high ‘cuts’!!
It was then that I had vowed not to teach anyone the ‘art of ultrasound’!
New job?
When I took my new job, I was flooded by junior and senior colleagues showing interest to learn from me.
I decided to follow my conscience and stick to my vow.
But how could I have done it?
If I refuse bluntly, that would sound rude.
I once again turned to my senior colleague for advice.
He advised me against teaching any one the skills of radiology. Everytime anyone came up with a question, I was supposed to say –“Go and read from the books!”
Sounded little rude at first, but then I got used to it and found a softer way to say that.
This has also helped me to ward-off “keen nephrologists” approaching me to learn the technique of renal biopsy.
Or the ‘gastroenterologist’ or ‘hepatologist’ keen on learning techniques of ultrasound and liver biopsy. To the extent that one day I had to tell my colleague that I will teach ultrasound only on the condition that he teaches me endoscopy. He never came back to me with his request.
Thanks to my senior colleague, my work is quite peaceful now.
Average user rating from: 3 user(s)
Reviewed by Anuj Mishra May 25, 2010
Reviewed by Dr. Sridhar V May 22, 2010

Dr. Sridhar V
said:
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... Thank you very much Dr.Anuj Mishra for your article which hitherto none of us raised or thought about. The following categories can be considered. 1.Radiologists giving training to Other Radiologists. 2.Radiologists giving training to Medical professionals ( MBBS doctors and other consultants like hepatologists, Nephrologists etc) 3. Radiologists training non medical personnel,but related to radiology ( Like radiographer/ Dark room assistance....of course no more dark room assistants since CR/DR system entered the market ) 4.Radiologists giving training to non medical personnel who are no way connected with radiology ( Attractive Secretary / Receptionist etc ). In the first category.. Radiologist can give training to radiologists provided it is in the college atmosphere where training is imparted to the Radiology students.Here Future radiologists are immensely benefited courtesy their dedicated teachers who are selfless and can afford to be so. In the second category....the problems starts if the training is given to MBBS/other consultants....since these same people can open a shop next door to your center and cause constant headache, as Dr.Anuj has experienced. The third category ie imparting training to the radiographers can also result in surprises and I have seen situations where Radiographers have started their own CT scan centers employing radiologists. The last category ..ie giving training to ones own lady secretary,though sounds attractive proposition can have interesting fall out. Worst possibility is ... Imagine a ref physician who is your solid supporter( giving 80% of your business) requests you to train, his MBBS relative and you oblige and later this MBBS relative starts a scan center in the house of this referring physician ...thus cutting of all the support earlier given, all of a sudden.... how do you feel ? "There are three things to remember when teaching: know your stuff; know whom you are stuffing; and then stuff them elegantly". Lola May No doubt teaching is a 'Noble Profession' but in Private practice set up it is become dangerous profession' |
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Alok Varshney
said:
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... Why not ask your student to sign a no-compete agreement ? E.g. he cannot practice with in so and so radius of area or if he does so, he will have to pay the teacher a royalty fee. |
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Alok Varshney
said:
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... Actually these contracts are difficult to enforce due to a variety of technical reasons, but the purpose of such an exercise is psychological. Almost every doctor abhors courts of law and few would go to the extent of breeching their given word. Plus the mere mention of signing such a contract will bring forth the true intention of many not-so-genuine seekers of knowledge |
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