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LETTER TO EDITOR
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 482-483  

Profession's future: A concerned physician easily available


Department of Medicine, Prathima Institute of Medical Sciences; Usha Khandal Hospital, Karimnagar, Telangana, India

Date of Web Publication11-Jul-2018

Correspondence Address:
Dr. Ajay Kumar Khandal
2-10-36, Mukarampura, Karimnagar, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_184_17

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How to cite this article:
Khandal AK. Profession's future: A concerned physician easily available. J Family Med Prim Care 2018;7:482-3

How to cite this URL:
Khandal AK. Profession's future: A concerned physician easily available. J Family Med Prim Care [serial online] 2018 [cited 2019 Jul 22];7:482-3. Available from: http://www.jfmpc.com/text.asp?2018/7/2/482/236404



Dear Editor,

We read with enthusiasm the editorial,[1] it was disturbing and frightening, the path followed by the editorial though was structural, a similar lack of procedure may be pardoned. Many branches of medicine deal with the “part” of the whole, a clinician (read a family physician) gets a unique opportunity to “synthesize” the whole and take further steps. The practice of medicine is characterized by “work in progress” on one side and a “complete work” on the other side; the former may be called the contemporary (state of the art) practice and the later can be called as a general practice. In routine practice, the very many need not pass through the former and for them the final authority – the hand of the physician – is enough.

Concern of “illness” brings a patient to the physician on many occasions (no discrimination is meant by the word physician, every practitioner is considered physician in this discussion), the very many on thorough “listening” reveal that their initial encounter to health care followed a close relative unexpected demise due to heart attack, or a dear friend's stroke. Since then they have been through many machines and procedures. The lack of a reliable next door physician (family physician) creates an opportunity for the fear traders (multiple reading possible) to partake in the process. The patient sadly goes through a vicious cycle of fear – machines – nonconclusiveness – machines – more machine, with the final feeling of being let down and cheated. That creates an opportunity for the others' (politics and media) to further their ends, after all they represent the people in the democratic setups. However, the death of the next door physician although systematic can be revived for the “future” of the profession.

A family physician is perceived by the public as an individual who can impart: Impartial, true, and noncommercial opinion, a person who can be consulted at any moment just like that without the obligation of the structure (consultation fees). Such imperative is nonviable for a physician in practice in an otherwise “commercial” environment (details of which can be found in WhatsApp forwards) and they turn to various “means” including jobs. Neighborhood practice was the hallmark of the physician of the old, the modern ones have left it altogether for state of art specialities, which avoids contact with the public at large and allows the study of disease in more detail a scenario called reading the disease of man sans the man, earlier luminaries of the “art”[2] had forewarned of such a state.

The commercial success of a doctor or otherwise being minor elements of the article [1] are not discussed further. A next door doctor though is both commercially and professionally viable, it would serve well to such practitioners “fearing” (violence) a neighborhood physicians career for lack of viability to understand the nuance of it such that they can take the profession forward – the future.

At the initiation of such practice the encounter with the people will be the “floaters” (the difficult [3] ones); whose blood pressure allegedly fluctuates, the ones whose giddiness have always persisted, the one's whose pain never subsides, they will constantly visit the physician without following the structure (without fees) they would not be always pleasant during interactions. The novice might consider it the reason to abandon, the more patient ones would realize that gradually things change to the more “easy” ones: A sore throat, an examination fear, and they follow the structure (pay the fees), they are pleasant in interactions and they, in turn, bring more patients (word of mouth at work).

The physician gradually would find himself attending family functions, marriage invitations, and other obligations of a family – a family physician. He would gradually grow along with the people. He would know that Sampath's father had a heart attack and needs more evaluation; Sunita's mother had a breast cancer and needed the bigger facilities, the Sampath's and the Sunitha's will happily go through the “medical maze” with a trusted friend their family physician as their partner. Patients and their physician would, in turn, be partners and friends in health and disease.

The future cannot belong to the “technician.”[1] Conscientious physicians can be made by slight motivation and path showing to the younger physicians in pursuit.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kumar R. Future of profession. J Family Med Prim Care 2016;5:745-6.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Millard MW. Can Osler teach us about 21st-century medical ethics? Proc Bayl Univ Med Cent 2011;24:227-35.  Back to cited text no. 2
    
3.
Kahn MW. What would Osler do? Learning from “difficult” patients. N Engl J Med 2009;361:442-3.  Back to cited text no. 3
    




 

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