OSCE.
Have Paeds OSCE this Friday. Tough exam owing to the fact that Paediatrics is in itself whole of medicine. At times even more than ordinary medicine would entail. Dosages of drugs and management of diseases changes with advancing age and is not uniform as in elderly. Then again our interns and residents know nothing at all. It seems to me that they are all on a summer vacation or on a honey moon. Just this Monday one of the consultants asked a resident about his patient as to how he would assess dehydration in him. The resident was not able to answer and was completely blank. This is one incident out of many that I have had a chance to witness in my three month rotation in Paediatrics. One thing is for sure I would never advise anyone to bring their children to our ward. But again I know nothing about the situation outside this place it might be worse than this. Atleast here senior doctors care and make amends to the follies of their juniors. Outside I don't think even this is the case.
I had a chance to work in a children's hospital in Lahore last year. Conditions there were pretty similar. No one cared as to how the patients were managed. But the doctors over there were lazy too except for very few who cared for their patients. That hospital is solely meant for children and thus has a considerable load of patients from all over Punjab. Clinics were over crowded and waiting time exceeded well over waiting limit. I was mainly concerned with the surgery department there and the state of affairs was sad there. The basic instruments required to conduct a safe surgical procedure were scarce. hygienic conditions were poor and there was only a single anaesthetist for all the operating rooms at any one time. Yet the number of surgeries being performed there were astonishingly high. I guess poor lot of the country is content with the situation as long as they get cured. Then again ignorance is a bliss. No one knows anything about anything and they dont really care.
If only we could make an effort to cut down on contamination in hospitals and try keeping our places clean this would bring down the rates of morbidity and mortality not only in the hospital settings but will improve the general health index of the country, considerably.
Have Paeds OSCE this Friday. Tough exam owing to the fact that Paediatrics is in itself whole of medicine. At times even more than ordinary medicine would entail. Dosages of drugs and management of diseases changes with advancing age and is not uniform as in elderly. Then again our interns and residents know nothing at all. It seems to me that they are all on a summer vacation or on a honey moon. Just this Monday one of the consultants asked a resident about his patient as to how he would assess dehydration in him. The resident was not able to answer and was completely blank. This is one incident out of many that I have had a chance to witness in my three month rotation in Paediatrics. One thing is for sure I would never advise anyone to bring their children to our ward. But again I know nothing about the situation outside this place it might be worse than this. Atleast here senior doctors care and make amends to the follies of their juniors. Outside I don't think even this is the case.
I had a chance to work in a children's hospital in Lahore last year. Conditions there were pretty similar. No one cared as to how the patients were managed. But the doctors over there were lazy too except for very few who cared for their patients. That hospital is solely meant for children and thus has a considerable load of patients from all over Punjab. Clinics were over crowded and waiting time exceeded well over waiting limit. I was mainly concerned with the surgery department there and the state of affairs was sad there. The basic instruments required to conduct a safe surgical procedure were scarce. hygienic conditions were poor and there was only a single anaesthetist for all the operating rooms at any one time. Yet the number of surgeries being performed there were astonishingly high. I guess poor lot of the country is content with the situation as long as they get cured. Then again ignorance is a bliss. No one knows anything about anything and they dont really care.
If only we could make an effort to cut down on contamination in hospitals and try keeping our places clean this would bring down the rates of morbidity and mortality not only in the hospital settings but will improve the general health index of the country, considerably.
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