Year : 2004 | Volume
: 14 | Issue : 1 | Page : 13--15
Gyan P Lal
Gyan P Lal
|How to cite this article:|
Lal GP. Presidential Address.Indian J Radiol Imaging 2004;14:13-15
|How to cite this URL:|
Lal GP. Presidential Address. Indian J Radiol Imaging [serial online] 2004 [cited 2020 May 31 ];14:13-15
Available from: http://www.ijri.org/text.asp?2004/14/1/13/30476
Distinguished guest dignitaries on the dais, esteemed past presidents of IRIA, foreign guest speakers, friends from the trade, fellow members, persons from media, ladies and gentleman.
To begin with I would like to extend my greetings and best wishes for the New Year and welcome all the delegates to the 57th Annual Congress of Radiology.
There comes a time when in an individuals life there are some priceless, cherished moments which leave their lasting imprints. Undoubtedly this is a one such momentous occasion in my life where IRIA electorate has reposed their confidence, by bestowing on me the highest honour that can be given to any of its members. My heart-felt gratitude and sincere thanks to you all.
Our present association took birth as Indian Radiological Association in 1931 with only 24 members on its roll. Radiology has undergone tremendous changes in last three decades, and to keep pace with time in 1982, its name was changed to Indian Radiological and Imaging Association. Today it has grown into a wide network with current membership exceeding 4500.
Several thoughts come to my mind to give momentum to our association. Of these education in radiology which is mainstay gets the highest priority, however the need of cost effective radiology is the greatest need of the hour.
Education in Radiology
There is a vast increase of Medical graduates in last two decades probably because of a sudden spurt in private medical colleges. A large number of medical graduates wish to become radiologists but over a period of time the number of seats for post-graduates in radiology has more or less remained static and has not increased in the same proportion in different institutions. Unfortunately some universities have even stopped diploma courses thereby restricting the number of qualified radiologists and consequently upsetting the demand ratio of radiologist to the population. This has given rise to quackery in radiology. We are thankful to National board for improving this situation by providing more seats for DNB under qualified teacher.
Now some of the problems facing us are how to restrict quackery, improve strength and improve demand ratio of radiologist to the population. Radiology is the only branch where a postgraduate is supposed to have the knowledge of every branch of medicine and has to challenge the diagnosis.
You can well understand the responsibility of today's Radiologist and how much he has to struggle. We have to develop a new strategy and seek solutions to these problems.
A. Zonal Resident Training Program:
We have about 200 medical colleges in our country but teaching is not uniform to PG residents due to non-availability of modern and costly equipments but the degree provided by the MCI is the same all over the country. I think it is the moral duty of IRIA to give uniform training to PG residents.
I propose that we should have cost effective crash course programmes of one week duration where all the chapters will be covered including hand on practice at the end of the teaching session. These will be distributed in five zones of the country. Regional faculties from different medical colleges will give coaching and provide course books to these PG residents. All the residents who attend these courses shall be the provisional life member of IRIA and will be paying 50% registration charges, however it will be open to all on full payment.
B. Advanced Certificate / Diploma courses :
Our College is doing a commendable job by organizing CME programmes and I believe that our fraternity should participate in full strength so as to update themselves and produce large number for competent diagnostic radiologist. I propose to the college to initiate a minimum four weeks certificates courses in advanced radiology covering different modalities like ultrasound, C.T. Scan, MRI and Interventional radiology by taking permission from All India Council of Technical Education. Registration for certificate course can be given to those who have done recognized postgraduate course in radiology. However these certificate holders of the college will not get any benefit as far as employment is concerned.
We should approach MCI to recognize these certificate courses and accredit them as CME credit hours. Our college can also start post-graduate two year Diploma course in Radiodiagnosis as given by other MCI recognized automonous institutions in the country. I further propose to the college to be the examining body for such diplomas.
All institutions manned by qualified senior radiologist and retired teachers, interested in providing such training programs, including hands on practical training will enlist themselves as recognized centers of IRIA for Advanced Certificate/ Diploma course. This message of education in radiology can reach to all IRIA members through our new bulletin.
These programs will definitely help in building our strength and will be a great incentive in membership drive. I will request the institutions to come forward because such type of courses will not be possible without their complete support.
Cost Effective Radiology
When do we call a country developed? What is the criteria of development. It is its progress in health, technical knowledge and standard of living? With linguistically diverse population of more than 1030 million where more than 200 million are below poverty line, and with different standards of living and education, our aim is always only one.
"May every one be happy and free from disease
and no one suffers from any pain or sorrow"
Just to alleviate the sorrow and suffering of the teeming millions, it was Prof. Kakarla Subba Rao our devoted teacher and chairman organizing committee, who came out with slogan of cost effective radiology about a decade ago. I salute him, though the best tribute to him will be to move on the path shown by him and to translate his dreams into reality.
With the torture of consumer protection act, clinicians are under pressure to get maximum investigation done where the maximum cost is of radiological investigations. It is a known fact that imaging is not taught adequately at the under-graduate level and it is totally a postgraduate qualification as of now. Medical graduates from different disciplines doing Radiology practice or any one who has done a house job in Radiology or has taken an Ultrasound training by a qualified Radiologist. What will be his status? Will he be called radiologist. He joins hand with other associations and is called a self styled Radiologist or Sonologist. Can he provide standard and cost effective radiology? Please do not train them.
Today maximum damage has been done by the PNDT act for which our immediate past presidents Col. Pant and Dr. Om Tavri are struggling legally for not allowing registration to technicians and also to all medical graduates of other disciplines. This problem is open for discussion and is debatable. I think good clinical knowledge and professional expertise can reduce the cost without repetition of investigations. Because of non availability of diagnostic radiology equipments in rural areas 80% of our population in villages are the sufferers. My request to diagnostic health providers is to arrange diagnostic mobile vans and give service at least once in a week to the suffering masses in remote rural areas. Healthy professional practice without referral fees will help the deserving and can be a possible approach for cost effective radiology and service to the humanity. Our trade can play a great role in this endeavour by providing cheap indigenous cost effective battery operated radiology equipment for rural services. Reduction in custom duty can further help to make radiology cost effective. I will also request our government to allocate proper budget for mobile diagnostice radiology vans at all district levels.
Dear fellow delegates with your valuable support, guidance and encouragement, I look forward to this 4th year of new millennium as an eventful year, a year full of meaning-full activity, progress and achievement.
Please continue to support me in areas in which you have a better hold. Once again let me thank you for reposing your confidence in me to lead the IRIA as your spokes-person. I have received enormous love and affection from my seniors and I wish that it continues in future too. I will always be serving the association as its volunteer.
You have already had the initial taste of the lavish and unforgettable hospitality during the last 24 hrs by the organizers of 57th Annual Congress of IRIA. My heartfelt thanks to all the members of organizing committee and specially to Prof. Kakarla Subba Rao Chairman organizing committee, and Dr. Prabhakar Reddy organizing secretary for this extremely well-organized program. I also extend my thanks to the trade who have always given active support and cooperation towards the progress of association in general. Credit must also go to my wife Suman for giving me moral support and strength before this august audience. I thank you all for the patient hearing you have given me and assure you that if you join hands with me, and I am blessed with your cooperation, I shall leave no stone unturned to bring positive changes in the whole scenario.
Long live IRIA and long live the entire medical fraternity.