Vol.No.46. No. 41 FOR PRIVATE CIRCULATION ONLY April 07, 2008 GROWING CONFIDENCE IN EVIDENCE-BASED MEDICINE From `The Hindu' March 31, 2008: Whatever you do, whether in word or deed, do If you are a doctor, does it sometimes bother you that you have to it all in the name of the Lord Jesus, giving thanks recommend a particular drug or procedure without being entirely to God the Father through him. convinced of its effects and/or side effects? If you are a patient, are Colossians 3 : 17 you constantly asking questions about the treatment you have been Special prayers: April 06 - 12, 2008 advised? Dermatology : Dr. Renu George, staff and students If you belong to either category, it might interest you to know that Developmental Paediatrics there is a growing confidence in evidence-based medicine. The CHRISTMAS MESSAGE : Dr. M. C. Mathew, staff and students Cochrane Collaboration’s reviews might ease the decision-making process. An international, not-for-profit organisation, the Cochrane CSI Coimbatore Diocese Collaboration aims at improving healthcare decision-making through Council member : Rt. Rev. M. Dorai systematic reviews of the effects of healthcare interventions. Hospital : CSI Hospital, Erode and others Since 2004, the South Asian Cochrane Network (SACN) has CSI Karnataka Inter Diocesan Medical Board promoted Cochrane activities in India through a co-ordinating centre Council members : Rt. Rev. Dr. J. Prabhakara Rao at the Christian Medical College, Vellore, with funding from the Indian : Mr. H.F.S. Knight Council for Medical Research. Six SACN sites are located in India Hospital : CSI Hospitals in Karnataka and in a few months an independent Cochrane Centre will be established. The Second South Asian Regional Symposium on Sunday services : April 13 Evidence Informed Health Care will be held at CMC 06.00 pm : College Chapel on April 9. : Mr. Lijo John 06.30 pm : Hospital Chapel : College of Nursing Baccalaureate Service We are happy to welcome Mr. T. S. Ravi Kumar, College of Nursing after his sabbatical leave. Congratulations : To Dr. B. S. Balaji, a postgraduate student at Bangalore Baptist Hospital, who has been awarded the DNB Gold Medal in General Surgery. Earlier in 2005, Dr. Ajay Shetty from the same institution was a recipient of this honour. Bangalore Baptist Hospital has emerged as a credible centre for postgraduate courses in Medicine, Surgery, Paediatrics, Gynaecology, Orthopaedics, Dr. Prathap Tharyan, co-ordinator, SACN CMC Vellore, explains in Anaesthesiology and Family Medicine with an a paper he co-authored with Claire Allen and Mike Clarke that a excellent record in the examinations conducted by systematic review helps identify which forms of healthcare work, which the National Board. do not, and which are harmful. . In effect, the Collaboration, through its reviews, tries to identify treatments that are effective, inexpensive and with the least side effects. Each review takes into consideration all relevant published studies from prominent journals, non- indexed journals and non-published studies as well, meta-analyses all data systematically to arrive at a statistically reliable result. “No physician wants to hand out ineffective treatments. But finding evidence that is up-to-date is a daunting task,” says R. Sridharan, one of the co-ordinators of the Chennai site of SACN. Medical literature is unwieldy, disorganised and biased, he adds, and finding one’s way through the jungle of evidence takes time, skill and perseverance. Patient preferences The decision to use a particular intervention, such as a drug, requires balancing several crucial pieces of information. The likely benefits need to be evaluated against the likely harms for each option considered, Dr. Sridharan explains. In addition, it is necessary to factor in patient preferences, he adds. SACN has several review groups in India that periodically update information in the Cochrane Library, even as evidence from the rest of the world pours in. Currently, Dr. Sridharan says, efforts are on to encourage practitioners of Indian Systems of Medicine to validate their formulations through SACN. Thanks to the ICMR, Indians can access all content on the website (www.thecochranelibrary.com) free of charge. Additionally, each Cochrane review has a “lay language” option — for patients. “We are trying to get the consumer to understand treatment. In India, only doctors call the shots. With knowledge, people can change the existing profit-based system of medicine,” Dr. Tharyan explains. Changes seen Evidence from Cochrane listings has actually changed the way interventions are carried out, he adds. In one instance, during the tsunami, a decision was taken to revise counselling strategy for those affected. The “single, mass de-briefing” technique was suspended after a Cochrane review proved that it had no effect in the short term, rather it could increase the chances of developing Post Traumatic Stress Disorder in the long run. Perhaps, as Dr. Tharyan says, if used well, the Cochrane reviews may just change the way medicine is practised in India. - Ramya Kannan Website : www.thehindu.com/2003/03/31/stories/2008033155701400.htm CANCER SCREENING AT RUHSA RUHSA Department has organised a population based screening programme for cancer of the cervix and breast cancer through three of its peripheral health care centres in K.V. Kuppam Block, managed by a team consisting of a doctor, public health nurses and field staff. OBITUARY : DR. PREMA BHAT Dr.Prema Bhat (nee Prabhu), who passed away on March 18, was an alumnus of CMC from the batch of 1945. She joined the department of Microbiology in 1955 and was head of Microbiology- Wellcome Research Unit from 1968-75. During this period she was instrumental is serogrouping enteropathogenic E.coli - 5-14. She also established the role of anaerobes in the human gut. After retiring from CMC, Dr.Prema moved to St.John’s Medical College, Bangalore and it was there that she established in-vitro culture of P.falciparum . In 1991 she joined SSSBIHMS, Puttaparthi, where she established the Microbiology department and blood donor screening. She was awarded the FAMS in 1974 and the Dr.S.C.Agarwal oration in`1 1982. She has published more than 75 papers in national and international journals and served as a member of various national boards, committees and scientific organizations. Dr.Prema married Dr.H.S.Bhat, the father of Indian Urology, and head of our Urology department from 1953-75. The eldest of their four children, Dr.Usha Sitaram is working in the Clinical Pathology department. Dr.Prema was very interested in people and cared greatly for her students. She modelled and demanded excellence from her trainees and others. She was always cheerful and smiling, even through her last illness. Our respectful homage to this distinguished professor and alumnus. May her soul rest in peace. TELEMEDICINE SCHEDULE Schedule for Dip.NB Quiz programme through IGNOU Satellite on April 10. 2.30- 3.15 pm X-rays/CT/MRI scans 3.30- 4.15 pm Specimens 4.30- 5.15 pm Instruments 5.30 – 6.15 pm Investigations 6.30- 7.30 pm Management of case scenarios SIX-WEEK IN-SERVICE CME PROGRAMME IN DIAGNOSTIC MICROBIOLOGY The Department of Clinical Microbiology in CMC runs an in-service CME on Diagnostic Microbiology each year. The aim of the course is to provide ongoing training for staff from diagnostic facilities in smaller hospitals. This is a refresher course for technicians, technologists and microbiologists who already have a basic knowledge of diagnostic microbiology. It is not suitable for those with no previous knowledge of the subject. The course is taught entirely in English. Training will be provided in methods of media preparation, cleaning and sterilisation procedures, bacteriological techniques, serology including HIV and HBsAg screening, mycology and surveillance of hospital acquired infections. The course fee is Rs.2,500 per candidate sponsored by institutions belonging to missions that support CMC and Rs.7,500/- for all others. Accommodation is not provided. TA and DA to be borne by the trainee. Course duration: Sep. 15 to Oct. 31. A maximum of six candidates will be selected each year. Application forms can be obtained from The Head, Department of Clinical Microbiology, CMC, Vellore 632 004. The completed application form, routed through the sponsoring authority must be sent to the Medical Superintendent, CMC, Ida Scudder Road, Vellore 632 004 before August 1, 2008. WANTED 1. Tutor Gr. IV (PT/ OT) with BPT for the Department of Physical Medicine & Rehabilitation (Physiotherapy). Preference will be given for applicants (only BPT) with two years of work experience excluding compulsory internship. Salary: Rs.4500-150-8250/- plus DA and HRA as per rules. Accommodation not provided. 2. Lecturer Gr. III (AH) with MOT for the Department of PMR (Occupational Therapy). Salary: as per institutional rules. Accommodation not provided. Please mention your e-mail ID and contact phone number in your application. Apply to the Principal with bio-data, copies of certificates and testimonials on or before April 15, 2008 for items 1& 2. 3. Senior Programmer Gr. V for the Department of PMR (Gait Analysis in Rehab Institute). Qualification: B. Tech. / B.E. Computer Sciences / M.S. in Computer Science, MCS, MCA or equivalent. Salary: Rs.6960-220-11500/- plus DA and HRA as per rules. Age limit: 35 years. Future prospects in CMC after this position: Possibility of long term appointment Apply to the Medical Superintendent, CMC, Vellore 632 004 with bio-data, photograph, copies of certificates and testimonials on or before April 21, 2008. 4. Welfare Officer Qualification: Masters in Social Work / M.A.(Social Work) regular stream Salary: Rs.4500-150-8250/- plus DA 68% and HRA 10% of the basic salary. (Only Christian candidates need apply) 5. Administrative Assistant Gr. V for the Centre for Stem Cell Research Qualification: Graduate plus one year PGDHA / MBA Salary: Rs.3720-110-6470/- plus DA 70% and HRA 10% of the basic salary. Preference will be given to those with good communication skills and a drive to excel. Those who have applied earlier need not apply. The job description is as follows: 1. Management of all the support staff at the centre, including overview of house keeping. 2. Communications related to research, including communications with suppliers of reagents and instruments for supplies, AMC and maintenance issues. 3. Communication with funding agencies for research and related to public relations. 4. Developmental activities of the centre. Applications can be downloaded from our website www.cmcvellore.ac.in Click on the link – 'Jobs and Training'. Click on the icon “General Application Form". Apply with xerox copies of your certificates to the Sr. Personnel Manager, Christian Medical College, Vellore – 632 004 on or before April 24, 2008 for item 4 and April 21, 2008 for item 5.
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