Every Wednesday morning, physicians and medical residents in my department gather in the seminar room to discuss morbidity and mortality data of the previous week. Our residents tell us how many patients were admitted to our wards, how long did they stay, how many went home and how many couldnโt. A resident tells a story …
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Evidence-based Medicine
CT in a Village
Very soon, our teaching hospital, located in a village in central India, shall use a new computed tomography (CT) equipment for obtaining high-quality radiologic images. The previous CT scanner- it had served us well for 10 years – was living a borrowed life. The hospital, therefore decided to invest into a new CT scanner. The …
Research Question: How to Define? How to Ask?
A well-focussed research question is one of the most important components of the research study. Here is a link to the PowerPoint presentation on YouTube:
A tale of two consultations
A couple of days ago, I happened to see my friendโs grandchild. The three-month old baby, the childโs mother noted, had slow wandering eye movements and did not seem to focus well. The child had albinism- a disorder that affects colour of hair, skin and eyes. The mother was getting jittery. Will my son be …
Mammograms – much ado about nothing?
A day before, I wrote that we should not sell mammography as a screening modality in resource limited setting. Todayโs Annals of Internal Medicine carries recommendation of the U.S. Preventive Services Task Force (USPSTF) on screening for breast cancer in general population. Interestingly, USPSTF in 2002 had advocated for routine screening mammography at age 40; …
Mammography in a rural teaching hospital
A year before, our hospital acquired a mammography unit, aimed at early detection of breast cancer in women. We did so at the behest of Medical Council of India (MCI) – provision of mammography is one of the several prerequisites for granting approval for MD (Radiodiagnosis) post-graduation programme. Eager to win MCI approval, we spent …