Skip to main content

Observations on Rural Service After MBBS

Let's talk about what it means to be a Bond JR/Short Post Resident/Medical Officer. Why have they enforced this on us and what is our role? 

“Don’t skip it, complete it and move ahead”


Perspective. I have a confession to make before we start. Being posted in the Blood Bank means that I have been watching from the sidelines. However, it puts me in a unique position: 1. I experienced bond as a 'Short Post JR' as well as an 'MO' and 2. I watched from the sidelines, and saw the bigger picture.


The Bigger picture. A low doctor to patient ratio in rural areas leads to poor healthcare and a chance for pseudoscience-based treatment to flourish. If Park has taught us anything it is that we are needed at the periphery. So here we are, all over Goa, forming a great network serving our people, amcho Goemkars. One year is not wasted, it's an opportunity to learn the ground reality, step out of your comfort zone and gain confidence in yourself. The salary is a boon for those planning to set up their own clinic, or to travel abroad for studies right after MBBS. 


"Bond is not so bad after all"


Responsibility. You have very little experience but enough knowledge to make the right decisions. You must know your basic medications and emergency treatment protocols. MOs are in charge of implementing Health Programmes. You will write many legal documents as an JR/MO (DCs, Hurt Certificates) and a second thought before signing can save your skin later. With great power comes great responsibility. With great responsibility comes job satisfaction, the joy of seeing patients getting better under your care and respect. 


“Do small things that will lead to a big shift in patient health.”


Respect. From being a humble intern to a dynamic Medical Officer. Every single day you walk into the OPD with patients waiting in serpiginous lines some part of that inner human potential will be actualized. This is more evident in PHCs where it’s not only your patients but also your staff that respects you. It’s a great feeling and a good chance to prove yourself.  


"We as doctors deal with a very precious gift of God: Life"


Learning. There is a lot to learn. Being posted in a super speciality department means you are working under the best of the best Doctors in GMC. Learn everything you can from all those willing to teach (nurses and attendants included). Become a student once in a while, being a doctor all the time is tiring! 


"All I know is I know nothing" - Socrates


Emergencies. One of the MOs taught me this pearl which I will never forget. He said, "In an emergency everyone is allowed to panic, except for you. You have to stay calm no matter what." I have seen a huge difference between reacting (at a spinal level) to an unfolding situation versus assessing the situation for a second and then acting calmly. In the PHCs the common Emergencies are Suicidal Poisoning, Status Asthmatics & COPD exacerbation, Hypertensive Emergency, Acute Coronary Syndromes and  Trauma. You should be ready to deliver a baby if there is no time to refer. 


"Your interaction with a patient is fleeting, but it's effects can be permanent."


Studying. NEET will be on your horizon from day 1 of bondternship. You should focus and work towards it. Bond is temporary, you can't neglect your future because of it. Focus on doing your best given your current situation (however good or bad it may be). After all it's not just a test of your knowledge but of your hard work, determination, and perseverance. You can make time to study, even when on duty, and you have the resources at your fingertips. If you haven't already then get the book/app that you need. 


“An investment in knowledge pays the best interest.” - Benjamin Franklin


Finances. With a salary that's 3 times your internship stipend comes the responsibility of managing all of it. Managing money is not just about tax (you are now in the taxable bracket). It's about knowing what money means to you and making sure you control it and not the other way around. It’s a great time to learn some basics of financial planning. 


"Being rich and looking rich are 2 different things."


Uncertainty. For some, bond is the stepping stone they're lucky to land on in the search for a permanent job in a government setup. For the rest, it's a puddle on the journey towards a sea of career options. If you're like me you're stuck somewhere in the middle, the land of uncertainty. Bond gives you a glimpse of residency/ government job (based on where you are posted) and will help make your options clearer. 


Final thoughts. This year is like every other year, completely unique. A mix of excitement, a pinch of adulthood and a chance to make a mark as a Doctor. This is the year that you (and your CV) will treasure forever.


This post would not have been possible without the help of Dr. Pushkar Mahale (whose article you can't miss) and my colleagues Dr Aneesha Naik, Dr Benjamin DaSilva, Dr Pushkar Patnekar and Dr Vivek Korada whose thoughts I have shared as quotes. 

Comments

  1. Most understudies join courses to get a lift in their vocation possibilities. Check if the establishment extends employment opportunity situations. On the off chance that they do discover where their understudies have been put and at what pay rates. The Medical College you share with is well-reputed. Well, at present most of the student's first choice is abroad for their medical studies. I am also the student of All Saints University College of Medicine they provide the best career options & we enjoy the medicine journey here a lot. One thing all the students have to check is the campus of university or college because after you join the university you have to spend 4 to 5 years there.

    ReplyDelete

Post a Comment