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Jul 02
2010

Continuing Professional Development

Posted by: Keshav Kulkarni

Tagged in: training , CPD , courses , conferences
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Keshav Kulkarni

One of the most important aspects of practising medicine anywhere in the world is to update the knowledge and skills of clinical medicine. Continuing Professional Development (CPD) is not only updating the knowledge and skills, but also improving teaching, communication and managerial skills.

 

The practice of radiology changes according to the need of the clinical medicine. As radiologists, we need to be on the edge of the technology to deliver high quality diagnostic and interventional knowledge and skills. It is also about attitudes and values of practising radiology.

 

In West, CPD is mandatory for all health care professionals. For example, in the UK, all consultants are required to earn 250 CPD points in 5 years by attending various courses and conferences. The Royal College of Radiologists of the UK has published extensive guidelines for the radiologists practising in the UK.

 

Medical Council of India, Indian Medical Association or Indian Radiological or Imaging Association (IRIA) have not outlined any CPD guidelines. After MBBS or post-graduate degree, there is no guiding force for doctors to update their skills and knowledge.

 

When I was working in India, I saw so many busy practising consultants and teachers not attending any courses or conferences for years or even decades. I have seen top practising radiologists not reading a single journal article. Many of them presumed they knew everything, and thought there is no more to learn.

 

I know it is difficult to many of the radiologists in India to attend courses and conferences as frequently as radiologists in west do.

 

I think it is high time we should also develop a similar system in India. IRIA should take an initiative. iRadix is a great platform to start the debate. We need not have to follow what USA or UK is doing for the CPD.

 

Our practice is quite different, our needs are different, our economy is different, out hospital set up is different. In many parts, it is single radiologist run diagnostic centres. We should consider our real time situation to develop our own CPD system.

(Sorry for the hiatus of nearly an year. I am sure you have not missed my blogs. I will continue to contribute actively hence forth as frequently as possible).




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Continuing Professional Development 2010-11-01 08:52:09 Dr. Nitin Gupta
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Dr. Nitin Gupta Reviewed by Dr. Nitin Gupta    November 01, 2010
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Continuing Professional Development 2010-09-13 08:07:24 Dr. Sham Sunder Goyal
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Dr. Sham Sunder Goyal Reviewed by Dr. Sham Sunder Goyal    September 13, 2010
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Comments (6)add comment

Alok Varshney said:

Alok Varshney
...
Dear Dr Kulkarni, on the contrary we missed your blogs very much. But this seems to be season for the comebacks of seasoned writers (first Dr RJ, then you). I hope RR sir also joins. Welcome back.

I agree with you that CME's or CPD's in India should be Indianized in order for them to be successful and meaningful. There is little point parading knowledge borrowed from internet or journals when it can not be applied for a broader use.
 
July 03, 2010
Votes: +0

Prashant Bhatt said:

Prashant Bhatt
...
Hi Keshav-Welcome back. We All Missed your writings.
CPD-A very important issue-what happens to the Community based doctors
as there is no Institutional/Academic binding/guiding force.
 
July 03, 2010
Votes: +0

Dr. Sridhar V said:

Dr. Sridhar V
...

Dear Sir,

I think it is time for all Iradix members to celebrate the occasion since you started blogging again.

we are all aware, How much we missed great writers like you,Dr.Ravi Ramakanthan , Dr.Aditya Daftari and Dr.Virupaksha Joshi .

You all, along with Dr.Prashant Bhatt and Dr.RJY really enthrall us .

We also immensely enjoy reading article by Dr.Alok varshney,Dr.Anuj Mishra and Dr.Deepak Goyal.

Team Iradix constantly helps us by various guidelines.

Every article by the writers are informative ,educative and thought provoking.

Some of the article made us learn lot of new things. We are grateful to the writers.

We are all thankful to each one of you and also the other members for strengthening the community by their constant contributions.

Now coming to the CPD sir....it is very difficult to motivate IMC,IMA or IRIA.

You remember the forum article some time back by Dr.Virupaksha Joshi 'Teacher in Absentia'

http://www.iradix.in/Forum/General-Discussion/2975-Teacher-in-Absentia.html

As countrymen we strictly follow the principle "YATHA RAJA TATHA PRAJA (As the Ruler so the Ruled)" so you can not blame both the teachers and the ones taught, sinceboth are just doing their duty blindly.

Best possible suggestion could be what Dr.Aditya Daftari advised and implemented..." COMMUNITY RADIOLOGY EDUCATION" in his blog.
http://www.iradix.in/Aditya+Daftary/429-The-Mumbai-Haad-Sena-Community-Radiology-Education-for-a-city-a-Part-I.html

http://www.iradix.in/Aditya+Daftary/430-The-Mumbai-Haad-Sena-Community-Radiology-Education-for-a-city-a-Part-II.html

All that one needs is a little dedication by senior members of the community from teaching faculty.

Then only Indian Radiologists can reach new heights.
 
July 03, 2010
Votes: +1

Keshav Kulkarni said:

Keshav Kulkarni
...
Thanks for the comments.

What I found astonishing when I came to the UK is that the amount of time, money and energy spent on contunuing professional development at every stage.

In the UK, we get nearly 6 paid hours every week to read journals, do management work, carry our audits etc. I know practically it is impossible to expect that in private set up of Indian medicine practice, I beleive the teaching faculty gets more than 6 hours per week of 'free time' in teaching institutions.

There is need to develop CPDs for different categories, such as, radiologists in teaching hospitals (both MD and DNB) and radiologits working privately (hospital based or diagnostic centres) as the needs are different.

I understand it is a huge task, but IRIA can take the initiative, formulate CPD guidelines.
 
July 03, 2010
Votes: +0

Virupaksha Joshi said:

Virupaksha Joshi
...
Continuing professional development (CPD), however much desired, is rare commodity in India for various reasons mentioned by Dr.Keshav. As far as Indian conditions are concerned, I prefer to call it DPC – Diminishing Professional Competence. I think I know who are the people in his mind when Keshav talks about “practising radiologists not reading a single journal article.” In case others don’t know, Keshav and me have graduated from the same medical college (UG as well as PG) – a gap of 8-9 years notwithstanding between us. Nevertheless, I have to admit that I have my share of lethargy and casual approach to the things academic. As I have mentioned in an earlier forum post of mine, there is something in the milieu here that helps perpetuate mediocrity. It may indeed be compulsory for the radiologists in UK to earn 250 CPD points in five years – but I know of many ‘professors’ of Radiology here, who report a Chest radiograph as ‘NRA’ and ask the referring clinician to ‘correlate clinically’. A more detailed analyasis of the causes and possible solutions is perhaps a topic for another blog from Dr. Keshav.

A very warm welcome to Dr.Keshav after a long hiatus – in fact, too long a hiatus for a person of his abilities.

By the way, kudos to Dr.Sridhar for his uncanny ability to remember who said what in all the blogs and forum posts.
 
July 26, 2010
Votes: +0

Keshav Kulkarni said:

Keshav Kulkarni
...
Thank you Joshi for your encouraging words. I am again on long hiatus after this blog. But I am in a process of editing couple of blog entries, which will be ready in a week's time. Although I have becoome irregularly irregular, I will try be regularly regular on iRadix. Long live Indian Radiology.
 
September 13, 2010
Votes: +0

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