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Interview With a Surgeon Hidden Hero of the NHS

of public towards doctors.

Availability of opportunities for training and progress based on merit also becomes important.

Developing Indias own models will give Indian doctors a collective sense of pride and achievement. For example the white revolution, the green revolution and rocket technology is a matter of pride for the Indian scientists. The Jaipur foot and Aravind eye care system are a few limited examples in the health sector.

9. Doctors are at crossroads the ethics are on slippery slope with kickbacks, unnecessary investigation, unnecessary surgeries; how do we stop the rot.

I dont think one should take such a bleak view of all doctors. Within the medical profession, like all other professions, there are bad apples. There are many ways of dealing with such doctors. Firstly, the full force of the law should be applied where there is good evidence to take such a course of action; secondly fellow professionals should openly frown on such practices; thirdly the society should become more demanding including participating in social action to expose such practices.

There are many other things that can be done. The question is whether the country as a whole has the moral muscle to engage in such action in a fair and unbiased manner. That of course is a large and separate debate by itself. As an optimist, I do feel that sustained and concerted action even by a small group of determined persons or institutions can stop unethical practices.

10. Your views on re- certification after 5 years as planned by doctors.

Re-certification as a concept is essential. The difficulty arises in how it is achieved. In the USA I think they have an examination where basic and specialist knowledge is re-visited every 5 years but set at a lower level than what is required of a trainee at their end of training certification examinations. In the UK while a debate is currently
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