Month: June 2017

Future of Gastroenterology

Future of Gastroenterology

Specialization in gastroenterology will proliferate with highly specialized therapeutic endoscopists subsequently hepatologists, nutritional gastroenterologists, micro bioma specialists and genomic/oncologic gastroenterologist participation in patient care. DNA stool test or blood testing will diagnose upper GI cancers as well as colonic malignancies. Endoscopic procedures will become more therapeutic in nature. Endoscopy therapy for gastroesophageal reflux disease will be common procedure. Endoscopic mucosal resection (EMR) / endoscopic submucosal dissection (ESD) & peroral endoscopic myotomy (POEM) will become more routine practice. Endoscopic surgeries for obesity is area of evolution. As our understanding of gut biome is changing manipulation of our gut bacteria will become routine in treating an assortment of disorders including obesity and perhaps mental disorders like depression. Pre / probiotic prescription will become routine like the treatment of peptic ulcer disease with antibiotics was norm in last 20 years. Electronic medical record is here to stay and will be only source of record keeping in next 10 years. Liver transplantation with great success rate changed our perception towards liver disease. Non alcoholic steatohepatitis will be leading cause of liver cirrhosis. Drug’s like Cinecroviric /Elafibrinor / Saroglitazor are future drugs which reverse fibrosis are under trials. Hepatic regenerations from stems cells may reach from laboratory to clinic. New antiviral therapy for hepatitis C made virus on verge of extinct. First case of esophageal regeneration made opening for future applications of stem cells therapy in Oesophageal diseases. Biosimilars made efficacions and cost reductive treatment for crohn’s disease & ulcerative colitis amenable to most patients. Individualised treatment may be norm with more biological in arena of investigations.

Future in Cardiology

Future in Cardiology

The progress in the fight against heart disease has come in the form of novel drugs and procedures. There have been exciting developments in the field of interventional cardiology. Mechanical reperfusion by primary angioplasty has become the standard of care for patients with ST-elevation myocardial infarction. The profile of patients who undergo coronary intervention has dramatically increased in complexity to include patients with advanced age and those with left main stem lesion and chronic occlusions. Bioresorbable scaffold has the potential to overcome the limitations of permanent metallic stents because it provides temporary scaffolding and then disappears. Trans catheter aortic valve replacement offers a way to treat narrowed aortic valve without open heart surgery. This treatment is approved for people considered to be high risk for valve replacement surgery. The implantable cardioverter – defibrillator can be programmed to recognize and treat most prolonged arrhythmia’s: heart block, bradycardia and tachyarrhythmia. We are entering an era in which interventional cardiologists and heart failure specialitists will work hand in hand to offer patients with heart failure novel devices to improve their clinical status and outcomes.

The average life span of human beings has increased and the major contribution has come from advances in cardiovascular disease. It can be said that the future looks bright and there is much to look forward to. What are the lessons that we take from these advances? They were preceded by decades of research, collaboration and joint international research. The current generations of physicians, scientists and researchers have many new powerful tools continue the advances in cardiology begun so effectively by our predecessors in 20th century. Though we face many challenges, I am hopeful that this can be accomplished.

 

 

 

 

Salary Trends of Doctors’ in India

Salary Trends of Doctors’ in India

Healthcare sector is emerging in a big way in India transforming our healthcare systems. The growth is generating revenue as well as employment for the country. Healthcare sector is considered the 5th largest employment generator for doctors as well as other medical & healthcare staff. Both public and private entrepreneurs are investing in the sector.

Healthcare industry in India has had a good year and is expected that we will continue to grow in the years to follow too, irrespective of the global economic slowdown. Due to government policies, India is attracting an influx of foreign direct investment in healthcare sectors among others.

Current Environment:

India is witnessing the coming of many multi-specialty and high-end hospitals and healthcare centers in tier 1 and tier 2 cities. Having said this it holds equally true that we are running short of competent doctors and other medical staff. Demand for doctors and the non-medical skilled staff is high in 2 and 3 tier cities for which competent doctors are offered high salaries. The government also runs hospitals and medical facilities at State and Central level but mistrust owing to low quality of services and equipment exists in a huge way. WHO recommends the doctor-patient ratio to be 1:1000 where India stands at 1:1700. Thus there are clear indications of the need for competent doctors and paramedic staff.

Uniformity in Pay Structure:

There is no single or flat pay structure for direct or indirect medical staff like physicians, specialist doctors, and allied paramedical staff etc. Each of these is evaluated by different parameters in different healthcare organizations. With healthcare industry growing and becoming big, salaries are also varying in different cities in India.

Government Employed Doctors:

Doctors in Central and State Government earn their pay as per the structure and slabs decided by the government which the authorized pay commissions revise every few years as per their policy.

Doctors Employed by Private Firms:

When it comes to doctors and other healthcare staff employed by private sector hospitals, medical colleges or research labs, salaries are different and decided individually.

Factors Responsible for Varying Salaries:

Doctors’ pay scales and perquisites are decided based on her or his qualifications; experience plays a huge part, special and additional skills, city and so on. These are factors we know about. But as per current trend, for a doctor to earn a high salary, the city has come to play a prominent role. The reason is that some cities in India are growing because health care sector is growing and such cities demand more doctors to join the workforce.

For example, Hyderabad is seen as the newly emerging medical hub of India and doctors are more in demand as different hospitals and healthcare infrastructures are coming up.

As mentioned earlier, the majority of the new medical infrastructures are coming up in Tier 2 & Tier 3 cities, setting up world-class infrastructure. These cities earlier offered mediocre medical services. But better infrastructures and investments promising a better quality of treatment will not be able to deliver without competent doctors joining the team to run the show and attract customers with buying power.

Status of the organization is also a factor that decides pay scale and slabs. An offshore healthcare company setting up or investing in India has deeper pockets and can afford to hire better doctors by offering them benefits with higher pay scales. Likewise, a renowned organization with a long and successful standing can afford to hire good doctors. Thus doctor’s remuneration depends on many factors.

University From Where Candidate Has Earned Degree:

Pay scale of a graduate and post graduate doctor are different. Likewise, a doctor who has earned good grades and a degree from recognized or leading government institute stands a better chance of getting selected by better organization and earn a higher pay scale than those who’ve studied in private medical colleges.

States offering salaries to doctors (in highest to lower order) are Delhi, Karnataka, Tamil Nadu, Maharashtra, Andhra Pradesh, Kerala and West Bengal.

 

Curaa is a Healthcare Professional Placement Portal with an extensive database of locally based doctors.