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 The Lost Modern Physician

By- Dr Joshy Antony

Batch : 2013 - 2018

College : A.I.I.M.S, Raipur

( Recently took admission in PGI Chandigarh

in dept of General Medicine )

Just as the fine sand slithered through the neck of an hourglass, imperceptibly, yet certainly,
so did the modern physician’s “healing touch”. From what was once a holy vessel brimming
with a repertoire so rich it would have put ancient Aesclepius to shame, what remains is just
the stalk of a dandelion whose white feathery bristles have drifted off into oblivion along the
zephyr of the clock.

There was a time when clinical examination was a ritual in itself, where both the doctor and
patient took part with equal zeal. In the fabric weaved out of the time observing, touching,
feeling and understanding the pathos, the patient felt cocooned and under the aegis of his
doctor. Each moment spent in the examination was a reaffirmation he was going to get through
his misery, whether it was cancer that wanted to hurl its seeds throughout the body, or
something so innocuous as the common cold. Only that voices never shared these thoughts. For
the silence had a sanctity that no church could breed, let alone sustain. The warmth of the
physician’s hand on the chest, was a sensation akin to have been touched by God himself. Each
beat of the heart that knocked at the healer’s palm told him a story. The art of deciphering
these cryptic messages was learnt years ago, only after the doctor had worn out his soul trying
to understand the intricacies of this organ beneath a wall of skin, muscles and bones, forever
locked away in darkness, and yet trying to articulate its pain by frantically thumping on its cage
from the inside.

So where did we lose ourselves? Was it in the chaos that emanated from the ticking clock,
having to tend to scores of ailing humans in the space of a few heartbeats? Or is it because we
no longer trust ourselves to pick up God's mistakes with these compassionate hands -flesh that
can sense and heal at the same time? Or did we fear losing our godly echo at the jaws of a
misdiagnosis? Because, a misdiagnosis can not only hurt as it is, but even the world would fancy
questioning it with arms. No regards for the fact that a headache is almost always a headache,
and not a missed tumor. And when the tumor is do missed - the only hint it slipped being a
fleeting headache, the world breaks into a violent psychosis. They chant, “if only the doctor did
a CT”. In the pursuit of wanting to provide pertinent care, and save the labor of his patient, he
never suspected a deadly tumor eating away the substance of thoughts and memories. He
never saw the yama hiding beneath, through the thick layer of bone that neve r gave away any
secrets.

At first, it was a choice, whether to trust the hands or the labs. In the past when
observations, histories and clinical examinations unfurled even the tightest of scrolls, freeing
secrets which may have solvated six feet below, it seems that today, the diagnosis starts with
the labs. Our forefathers had a choice. But as time ate away their life, they saw in more agony
an uncared generation of successors. The options they had at their disposal, has now wasted
away into the sole choice- labs. For these students have never been drowned in the awe that
flooded the tiny clinic room when a patient was dissected by the internist in mid stance as he
made his way from the door to his rightful chair. The students never experienced having stood
frozen, perplexed, contemplating as to how the stomping gait revealed the molecular flaws in
this paragon of nature. Nor, did they ever have to pick up their mouths from the floor, as a
surgeon diagnosed ketoacidosis even before the patient entered the room, the secret unknown
to the students, being his sense of smell. The parents may have doubted the mortal nature of
the attending physician when he assured that the baby's heart was failing not because of the
heart itself, but because of a vessel malformation inside the child's head, at the heart of his
brain. How could he have seen through the skull and soft tissues with his eyes that seem so
human? Or does the shine that bravely gleamed even in the midst of the darkest hour gave it
away? How can a soul so battered, now under the vulturous eyes of a society waiting to prey on
his mistakes, make such profound diagnosis without a grain of fear? How did the answer
materialise from the immaterial, labyrinthine networks of his esoteric thoughts and insights?
How did the music exuding out from the forever closing window to the baby’s brain - the
fontanelle, and the poignant story along with the clinical signs and symptoms which painted a
tragic masterpiece, amalgamate to this conclusion?

The student wanted to be such a magician, a demigod, if I may. How more human can you
be when you have set your life aside for the service of the ailing while constantly trying to be
better? As the wolf howled for the moon, the student yearned for such a master. Those
physicians though, have echoed the lives of mayflies. The transience, the profound transience
of their existence like all humans may have been enough for the for the sick to evince the
doctor’s mortality.

The world was being invaded by Xray machines and MRIs. What was supposed to have been
at the service of the sickest was now being used recklessly in a person with common cold. In an
insipid reversal of roles, men became slaves of machines. Headache? MRI. Bodyache? Xray.
When the teaching room sheltered a vacuum left from the passing of true doctors, how could
the student seek out a soul who defied all odds to not remain buffered in a sea of white sheep?
So, the student tries his best, all odds against him. But what about the other students who had
enough, and gave up long ago, their minds worn out by the constant ache that was never
healed? The only way to salvation was to let go of the mirage that they could ever be as good as
the greats without a guru !

The patients too changed, as slowly as a pebble sculpted by a river. They demanded health
for a few pennies, revolted when the doctor prescribed tests. Yet, when the true illness
emerged out of the wreckage of non specific symptoms in due course, the same people who
considered the physician a saviour, had now put him in line for crucifixion. They may as well
have hung his photograph in place of Jesus’, when they prayed each night for a cure.

Our physicians are well aware of this. He would certainly be questioned , “Did you really
think her life was any less costly than this test?”. The physician also knew that if he would have
prescribed a test, they would ask still, “Do you really think money grew out of trees for us, you
imbecile, having to rely on tests to find the disease. You really are exploiting those who come
for help, for your cut”. He knew that there were others, but he could swear on his life, it was
not him. He could never be such a monster. In a few hours, the clinic would be swallowed by an
army of zombies, like bees buzzing around a wasp, the only emotion they harbored being hate.
They would be oblivious to the truth that the physician was only being human. No human could
have foreseen the tragedy. And the technology that could have, had been tossed away by the
patients themselves.

Physicians today have their hands tied. It is a matter of either having the patients suffer
monetarily or risk being sued or killed, losing the opportunity to practise the art he spent a
lifetime honing. Students, the seeds of a physician, let their spirits die in the futile search for a
mentor. For, only rarely do they find a doctor who lived, breathed and ate medicine. Most
doctors are now just the vacant pupal exoskeleton, from where the true Physician has fled
somewhere less constrained.

"Wherever the art of Medicine is loved, there is also a love of Humanity."

-- Hippocrates
 WISHDOM WHISPER FROM DR. MANISH SONI

Hello greetings!

I am Dr. Manish Soni MD (Dermatology) and teaching Dermatology for more than 8 years now
to PG aspirants across India, so I am the right person to answer this question.

There are so many PG aspirants, who after getting good rank fall in the dilemma of whether to
choose Dermatology as their preferred branch or not. Here is my answer:

Let me first discuss the cons, So, the cons of choosing

Dermatology as your specialisation branch are-

1. Tough competition for jobs - Due to an increase in the number of MD seats, there are many
applicants for a Dermatology post while jobs (senior resident/ specialist) are limited particularly
in the government sector. Openings in medical colleges (Assistant professor) are also fewer in
number especially in metro cities

2. Income : You will earn enough for your needs but the net income is less when compa red to
branches like Radiology, Orthopedics , general medicine and gynaecology. The monthly income
is much higher for dermatologists doing private practice in towns when compared to cities. ( Of
course, like in any other field, the successful specialists at the top earn very well but it takes a
lot of time, effort and skill with a tiny bit of luck added to achieve that level of success). Though
the pay structure (income) is similar for all in government sector.

3. Start early- Due to increasing competition what ever you have decided to do (I.e. Job in
government sector or your own private practice) , you should start early. If you start you career
in government sector early , you will be ahead in seniority list , get promotions and increments
early and can acquire administrative posts like (Head of Department, Dean, Principal, Medical
Superintendent etc ) early and for longer tenure.

4. Chronicity of most skin problems - Most of the disorders treated by dermatologists are
chronic in nature. Immediate resolution without any future recurrences is rare. Sometimes it is
frustrating when a disease relapses in spite of all the effort made.
The Pros of choosing Dermatology as a specialisation are :

1. No emergencies and no night shifts ( except during pg period)

- This is very comfortable because your time off from work is entirely your own and you can
switch off your phone after work without feeling guilty :)

2. Clinical skills - In dermatology, diagnosis is still made on the basis of history and examination
while investigations are used only for confirmation. So every case is a clinical challenge and a
rare case diagnosed correctly gives you great satisfaction.

3. Procedural dermatology - Nowadays most dermatologists perform minor procedures like

chemical peels, electrofulgration/ dessication, radiofrequency ablation, tattoo removals, micro
needling and many more. This is a pro if you enjoy surgical work and is also very rewarding.

4. Hair transplant : Not only plastic surgeons but many Dermatologist are also doing great in
this field. So if you have good surgical skills and later you decide to pursue it full time, you can
do that. No other branch offers such liberty.

5. Investment - The initial investment to start a skin clinic is not very high. You only need
premises and a few basic instruments.

To sum up , Dermatology is the right subject for those who wish to pursue an interesting clinical
branch without compromising on leisure and family time. The income on the other hand is
reasonable but not massive.

Wish you all the very best!

Dr Manish Soni
MD DERMATOLOGY
 Final Year Exams

By- Dr Joshy Antony

It started off like any other year. Elated faces hiding souls at the brink of ecstacy, the
students seemed to ooze out happiness that infected even their clinically depressed
batchmates. There was a kind of peaceful bliss that ebbed in from the receding year. No exams
were yet at the horizon, nor was there any staleness of the bygone year. Who wouldn't like a
new beginning?

The first month or two reminded us of the dumb nascent creatures we were when we first
stepped into the course. We wanted to learn things, we wanted to right the wrongs. A kind of
confidence that was born out of the ignorance of what lay ahead of us. Difference is, we
already knew that each year started off like this.

It felt almost like clockwork when the fortress of discipline we built started withering away
its substance, brick by brick. The structured routines broke down into a chaotic soup that tasted
bad, but just nourishing enough for our academic survival. The lull had now turned quiet, the
omnious sign of a storm headed our way. The horizon was now spawning out exams and tests -
as numerous as the eggs of a frog - mechanistic churning out of buds that will grow into
creatures of torture.

The iminent advent of the exams were akin to being chained by my legs on a railtrack, with a
diabolical freight train charging at me. With each breath, the separation between me and fate
grew exponentially shorter. The engine was now choking my field of vis ion. Until the monster
touched me with the might of dragon running amok. A touch that tore the ground beneath me,
and filled the air with a deafening perpetual white noise while time broke to a hault. It felt as if
my bones were broken into fragments, the moment swelling with the need to just come
undone. The body now bearing a soul that was more wounded. Almost escaping my
consciousness, it seems that the impact had whipped away the fabric of time. In the smallest
fragment of time, it was all over, the brevity of which made me doubt the experience. I stay
there suspended, floating inside a still drop of time.

That nascent moment had the smell of a newborn, fresh out of the womb. As my mind
sparked into life to savor this miracle, the conclusion of an ordeal, the tranquility imploded into
river I was familiar with. Time started flowing again, the air around was alive with sounds. I was
breathing. I paused a moment to catch sight of the sun.
 As the smoke cleared, I was still there, completely undone and worn out. But the present
was pregnant with peace. I can rest now. I can sleep. The flames have settled. For each of the
exams and pointless academic tortures, I found myself waiting for that train. Slowly, I was
drifting closer and closer to a black hole, my orbit spiralling into its core. I was barely holding on.

What was once a trivial drink for me, I was now using like a drug, Coffee. I drank some. And
then some more. I drank till my urine smelled of coffee. Some other rooms produced more
smoke than most wood stoves, fumes that bore a myriad of smells - earthy tabacco, burnt rope,
crematorium, ash with a shade of alcohol. Those rooms became chimneys during times like
these.

Most vivas did nothing more than jolting us awake into the grave prognosis of our life
henceforth. Who is to blame? The system or us? Nearing the end of the year, everything
around felt hostile towards us. We had grown indifferent to everything, as though we had
turned into zombies that no longer piqued at any of the insults thrown at them. Numbness had
infected each and every cell of our bodies. What is a Human that can’t feel?

By the eleventh month, we were waiting for the ultimate freight train. Like always nothing
thwarted its onslaught. Fallen bodies everywhere, sheltering a soul, barely alive. But here we
are, on the other side. In rapture, stepping into the next year, as with every other year.

JOKE
Why did Jesus forget to put sulci when God was
instructing him on how to make brains?

Because he didn't 'Lissencephaly'

By- Dr Jishnu Chatterjee
Post-intern
AJ Institute of Medical Science
 AIM4PG FIRST HARDCOPY NOTES PUBLISHED - ANAESTHESIA

FOR MORE DETAILS VISIT – www.aim4pg.com/publication

“The aim of medicine is to prevent disease and prolong life; the ideal of
medicine is to eliminate the need of a physician.”

-- William J. Mayo
INTERNS IN THE HOSPITAL ECOSYSTEM

A practical guide to making the most out of internship with a special note on personal
safety while in the hospital environment

By Dr. Sudhir Mane, MBBS

Class of 2011-17, Osmania Medical College, Hyderabad

intern
noun /ˈɪntəːn/ A student or trainee who works, sometimes without pay, in order to gain
work experience or satisfy requirements for a qualification.

Interns form an integral part of any teaching hospital. They are often referred to as "House
Surgeons". But they are neither as skilled as the famous TV physician Dr. Gregory House, MD
nor are they qualified enough to be surgeons ! They are even referred to as "Housie" or
“Internees”. No sir ! We are NOT a game of tambola/bingo. Also, an internee is a person who is
confined as a prisoner, especially for political or military reasons ! The purpose of this article is
to sensitize the junior batches about the importance of internship in their medical training.

Completing one year of "Compulsory Rotating Internship" is mandatory to get the MBBS
degree from the university and a medical license from the state medical council. As an intern,
you form an integral part of the hospital ecosystem. An ecosystem can be balanced only when
all the components are in sync with each other. The senior doctors are at the top of the
pyramid followed by residents (PG students) and then the interns. The nursing staff, technicians,
paramedical workers and orderlies (ward boys and dai-ammas) complement and thus complete
the complex setup. Punctuality is often overlooked and colleagues are not relieved on time
when the shift changes. Certain minor aspects like these should not be overlooked as these
shape your work ethics later on in your career.

Most public hospitals are perennially overcrowded. They deal with a huge number of
patients on a daily basis. Thus, senior doctors and residents cannot afford to spend too much
time with a single patient. Interns are more in number than the senior doctors and residents. As
a result, patients spend more time interacting with interns than they do with the other doctors.
As an intern, YOU become the face of medicine in the eyes of the patient. The senior doctors
might have recommended the treatment, made the diagnosis or performed the s urgery. But
patients are still grateful to the interns as you were the one who spent the maximum amount of
time interacting with them while drawing blood samples, administering injectable drugs or
securing IV cannulas. In surgical departments, it is the intern who gets the necessary referrals
and clearances from other departments during the pre-anaesthetic evaluation.

Some tasks may seem mundane or “below your dignity”. You might also feel that you are
doing the work of a nurse or a ward boy. But don’t let this frustrate you. Even the top CEOs
have started as junior level executives. The HODs and Superintendents were also interns at one
point in time and did the same tasks as you. It is essential to note there is no room for bullying
and harassment in this system. If you or someone you know are being bullied it is necessary to
speak up and nip the matter in the bud. You can take the help of your colleagues or a trusted
faculty member to end it.

Don’t let your lazy colleagues push their work onto you. This is also the time when your
friends and classmates will show their true colours. You will find out who is the lazy one, the
strict one, the one who doesn’t care about anything and the most famous one of all - the
escape artist ! You may find it overwhelming to deal with. But you’ll eventually learn how to get
things done. You’ll emerge stronger and more resilient after internship !

It is quite obvious that the entire hospital will stop functioning if the interns don’t report for
duty. Apart from that, interns also have a moral responsibility to fulfil towards their patients.
Patients and their attendants expect the doctors to explain the diagnosis and prognosis to them
in simple words. The senior doctors and residents are very busy and cannot afford to spend
much time counselling each and every patient in the ward. So the task of counselling patients
falls onto the intern’s shoulders. Counselling a patient/ their attendants also helps prevent
tense situations where the attendants may resort to violence and manhandling.

Apart from the usual clinical skills, the internship also improves your problem-solving skills,
communication skills and interpersonal skills because you get to deal with a variety of
colleagues, residents and patients in all possible scenarios. All these will eventually mould your
character and eventually make you a better doctor. Entrance exams come and go. Internship
comes only once in your career (and a lifetime too, obviously). Make the most of it and avoid
skipping internship to prepare for entrance exams. Remember that if you decide to skip a
particular posting, your batchmates who sincerely choose to do internship have to bear the
burden of your work and night duties.
 Since you are the face of medicine in this ecosystem, you'll even get rewards - in the form of
the patient's gratitude (and also the meager stipend that you get) When a patient of yours
recognizes you in public while you are with your family/ friends and thanks you for curing their
ailments, you will realize what I am trying to convey.

Few practical points on personal safety :

Violence against doctors: If you sense that the situation is getting out of hand and attendants
might become violent, try to avoid conflict and find a way to escape the location. Never try to
pacify an angry and emotional mob like Moses trying to part the sea ! It never works and you
will always be at the receiving end. If you have to convey news about the death of a patient to
the attendants, make sure you have colleagues to back you up in case things get ugly. If you
don’t speak the attendants’ language fluently, it is best to call someone who can. Language
barriers may also trigger violent confrontations. Also, try not to be condescending or rude to
anybody. Even if attendants are being unreasonable and illogical there is always a better way to
convey the message to them. Yelling at them will not work.

Get the Hepatitis-B vaccine ASAP if you haven’t.

Use gloves and a face mask.

NEEDLES/ SHARP MATERIALS ARE YOUR BIGGEST ENEMIES !! Wear closed footwear.
Avoid wearing flip-flops or chappals as you might step onto improperly disposed sharp items.
Some may find it impractical or unfashionable to wear closed sandals or shoes. But it’s about
your own safety. Don’t try to break/snap off an ampoule with your fingers even if it is a specially
designed ‘snap-off’ model. The quality of glass ampoules in govt supply might be bad and you
might end up a deep cut.

Handle needles extremely carefully. Never be in a hurry to secure a cannula or give an injection.
Always wear a pair of gloves before inserting an IV cannula or drawing a blood sample. Make
sure that the attendants do not crowd around you while you are giving an injection or drawing a
blood sample ( I know a few colleagues who injured themselves with tainted needles of known
high-risk cases after patient’s attendants clumsily stood behind them )
Use the “scoop technique ” to recap a needle (Google it). It’s not uncommon for the needle to
pierce the cap and prick your finger. Sometimes while recapping the needle you miss the cap and
prick yourself. These can be avoided if you use the scoop technique.

Another common way in which needle-stick injuries occur is while checking a patient’s blood
glucose (GRBS) with a glucometer. Inform the patient that you’ll be pricking their finger with a
needle. An uninformed patient may flinch or recoil in pain eventually resulting in a needle stick
injury.

Use local anaesthesia judiciously while suturing a laceration, perineal tear or episiotomy wound.
The patient won’t flinch or recoil in pain thereby preventing pricks with the suturing needle.
Using proper technique with a needle holder and forceps will also help in preventing injuries
with a suturing needle. If you are not confident or if the patient is uncooperative it is better to call
a more experienced doctor. Don’t be a hero and try to suture it yourself.

Do not panic if you injure yourself with a tainted needle. Such injuries are very common and
almost every healthcare professional has dealt with them. Squeeze out the drop of blood and then
wash the wound with clean water. Do not use spirit to clean the wound as it causes vasodilation
and accelerates the entry of microbes into the bloodstream. Try to find out if the patient is
positive for HIV, HBsAg and HCV. If the source is unknown, consult a senior doctor
immediately for further course of management. The risk of getting Hepatitis B is low if you have
been vaccinated. For HIV the risk is minimal (0.3%) and taking ART will further nullify it. HCV
carries a high risk of transmission but treatment is now available (Sofosbuvir).

In an emergency, your safety is important too. Again, don’t be a hero and start CPR or other
manoeuvres without wearing gloves and a mask. Saving the patient is importa nt, but not at the
cost of your safety.

Poster By-
Dr. Aishwarya Naik
GIMS , Kalaburgi
The PUBG era : GAMING - the big threat
By – Yogesh Tejwani

The online battle gam PUBG is creating new war fronts — in the bedroom. In the last month,
psychiatrists at MY hospital of Indore have tried to patch up at least eight couples, who were
on the verge of breakup because the men are hooked on the game rather than their wife or
fiancé.

Dr Rahul Mathur, assistant professor of psychiatry at MGM Medical College, said they are
seeing a spurt in such cases in the last four weeks or so. Problem among couples due to gaming
addiction was quite rare before this, he said. Every month, at least 10 teenagers and eight
middle-aged men are being diagnosed with the addiction, said the psychiatrists. Some adults
are sensible enough to wake up one day and walk into a hospital to kick the habit. Others are
brought in by their wives for counselling to shake off this new-age ‘sautan’.

Doctors say the last time they saw any such cases was around three years ago, when a few
couples came for counselling to shake off Candy Crush addiction. However, that game did not
such have significant impact as PUBG, they say.

‘Counselling can help battle addiction’

Dr Mathur said, PUBG addiction is similar to ‘behavioural addiction disorder’, it shows the
same symptoms as a patient hooked on alcohol or drugs. “If someone plays the game
chronically, he suffers from atrophy in which development of a part of the brain stops.” he said.

Talking about a recent case, Dr Mathur said that a girl came to the MY Hospital along with
her fiancé, complaining that he plays the game for over eight hours a day and “is unable to look
after her”. “They got engaged around three months ago, and are set to marry in December. For
the last few weeks, the boy did not talk to the girl properly and would avoid her calls. The girl’s
family enquired, to find out he had been playing PUBG.” he said.
 Even after counselling at home, the boy couldn’t quit. When things got serious, the girl’s
family decided to break the marriage. His parents brought him for consultation. They advised
both families: He agreed to quit the game and they can go ahead with the marriage.
“Counselling plays the major role. We have also prescribed some anti-craving medicines for
quick recovery.” he said.

Counsellors usually start by informing patients that their game addiction is a disease. “They
think it is not affecting them. But we try to tell them how their body and personal life is being
affected,” he said. Patients are asked to practice ‘environmental manipulation technique’, in
which they make a chart of their daily activities to understand how much time they spend on
the game and how much with family.

MEDICAL EVENTS

WAVE 2019 SBKS Medical College

Submitted by – Dr. Dhaval Shah

 FOOD FOR THOUGHT

BY- Dr M. Akhilesh
Intern(2019-20)

Bhaskar Medical College,Telangana.

SAVE THE GIRL CHILD

“At last, we are together!” The placenta chuckled.

“But, mom's womb seems to be the real home !” sobbed the female
fetus, at the sewer.

BE AN ORGAN DONOR.
The little girl whispered, "Dad! Everyday while walking back to home
from school, that uncle stares at me and whenever I look at him, he
smiles and tries to offer a chocolate !"

He asked, "Who? That uncle who wears a long jacket?"

The little girl whispered, "Yes! Yes! Yes, Dad!"

He mumbled, "Next time if you see him, just greet him!"

The little girl stammered, "B-But w-why?"

He smiled and whispered, "Your eyes! They are not yours ! He signed to
donate his brain-dead daughter's eyes to you ! He was not staring at
you. He was finding his daughter in your eyes ! After all, you are seeing
through her eyes !"
MEMORIES
"Organ concerned with memory ?" his grand daughter asked.

At 90, his intelligence wished to utter, "Brain."

But, experiences begged him to reply, "Heart."

WRITING IS INJURIOUS TO HEALTH

Fortunately or unfortunately,

a pen fitted exactly the same like a cigarette.

I started smoking verses.

Soon, I turned into a chain smoker.

I inhaled pain and exhaled memories,

yet a disease caught me, CARCINOMA WRITER !

SCHIZOPHRENIC
News flashed in the T.V, “10 killed, in an accident!”

His phone buzzed with a message, “Are you hungry?”

His daughter screamed, “Daddy!”

The doorbell rang.

“You're dead!” A voice came from behind.
The clock struck 12.
The kid in the cradle started crying.
“Your house is surrounded by police. Surrender or face the
consequences !” a cop announced.

“Relax ! Relax ! It's another round of hallucinations ! They're not real !

They're not real !” his wife whispered, brushing her hands over his hair.

PRIZE CEREMONY EVENTS

Prashanth S ,Pre final MBBS (centre) ,Swaraj Sahu ,Final Year MBBS (right) Adithya ,II Year MBBS (left)
got the 1st Prize in the Undergraduate Medical Quiz - Conquest 3.0, part of 3rd Internatonal
Undergraduate Students Medical Conference - Connaissance conducted by JIPMER,Puducherry.

The guests of honour were Dr.Gitanjali, Director, AIIMS Bhubaneshwar and Dr Deepak Agrawal,
Professor of Neurosurgery, AIIMS Delhi.
Interview of Dr Divyani Patel
(NEET PG AIR 79)

1) According to you, what would be the best strategy for NEET PG? Is a complete subject wise
study possible within a period of 8-12 months?

-- Yes. According to me, complete subject wise study is possible in this duration. It's sufficient.

I'm from MP. Here, internship starts from 1st april and i started seriously from May. I studied 8
months.

See guys. If you ask about strategy, it's like everyone has different strategy because everyone
has different strengths and different weaknesses (eg If a patient comes to us he would not be
telling that give me the same medicine as you have given to the previous one )

Basically i am here to give you a direction.

2) Can you please list the books you studied for each subject?

-- I had solved marrow plan B for mcqs and it's more than sufficient.

books list are here-

www.aim4pg.com/books

I had not read any mcq book but if any topic is missing you can read and add to your notes.

3) Did you attend any coaching classes? Were they useful?

-- Yes, i attended dams in my pre final and final year.

Many were useful. And i read xerox notes for

ANAT= Ashwani sir (bhatia)

BIOCHEM= Smiley mam

PATHO= Devesh mishra sir

PHARMA=GRG sir

PSM= Vivek jain sir

Ortho= ODD

OBGY= Deepti Bahl mam (dams)

4) When did you start preparing seriously for the entrance exams? In your opinion, how much
time does a student need to spend a day/ week to prepare for NEET-PG?

-- As i told earier, from MAY.

Honestly, i didn't count hours. I utilized max time apart from my internship and sleep. �

Important is CONSISTENCY, never miss a day without studies.

(but minimum 8 hrs you should study daily)

5) Did you have a time table to organize study time?

MOST CRUCIAL PART OF PREPARATION ~~

PLANNING

Time table you can get from anywhere.

NEET-PG Time Table by Aspirants are here-

www.aim4pg.com/neetpgtimetable

6) How important is “revision” during preparation and how frequently did you revise?

REVISION is the key to success.

You don't have to read 10 books 1 time- u have to read 1 book 10 times.

1st reading = approx 4 months

1st revision = 45 days

2nd revision = 30-35 days

3rd revision = 25days

4th revision = 10 days

(in between don't forget to give mocks and GTs. THESE ARE MILESTONES, will check your
preparation ,strengths, weaknesses, important topics. Helps in conditioning of brain for those
3.5 hours)

7) Most PG aspirants have this dilemma about self made notes, whether it is a waste of time
or whether it will be useful for revision. Did you make notes during your preparation and how
helpful has it been for you?

-- Yes. Self made notes are best and are very useful for revisions.

But if u don't have, no problem. Read whatever you have and supplement them with any new
mcq or point you find. Just add to your notes and keep the notes consise. Because you have to
revise notes only.

8) The new pattern of questions contain image based questions like ECGs, CT scans, USGs,
instruments and histology. What is your tip to PG aspirants to tackle these?

-- For this i used Dams DVT and Marrow images or screenshots i made folder wise in concised
form.

9) There are several candidates who have spent more than 10 hours a day for preparation,
but have failed to secure a good rank. When you look back, there might be possible mistakes
in the preparation that you were fortunate to avoid. Please give your take on the possible
mistakes aspirants can make during PG entrance preparation.

GOOD QUESTION

Primary mistake is FOMO (fear of missing out) people used to collect things from various
sources and end up doing nothing.
Students run after attending classes, reading every new mcq book and what not. This leads to
lack of revision.

Strength weakness analysis needed. Noone knows this better than self.

Lack of mcq practice and grand tests. One should not fear these. This is what you actually be
doing on your exam day.

We learn from our mistakes, make more and more mistakes in these gts and learn from them.
You will remember more from this.

Taking silly mistakes lightly (to avoid this, one should make seperate diary for noting down your
mistakes and weak points)

THE WALL TECHNIQUE (according to Dr Himanshu Gupta sir)

This actually changed my CBT rank 1089 to NEET PG AIR 79.

It is like, paste all volatile topics and forgettables on wall and read them daily for 1 hour and
whenever you have spare time.

Don't leave any corner of your wall or room unutilised.

Paste all forgettables. It will really work a lot for you. It was my 1st attempt and i followed it
sincerely and it really paid off.

Please do follow this technique.

Conclusion note = notes, notes and only notes.

10) How the Telegram grouo AIM4PG – https://t.me/aim4pg helped you in preparation ?

-- I joined this group in my final year. I observed people over here and realised that many good
people do exist, helping each other. The notes other than dams i mentioned above, i got from
this group. It's the group where you can get everything. Be it good friends or motivators or
study material or mentors.. everything.

I made some good friends here and though i prepared for the first time, i too needed direction
from somewhere and here, i got many genuine ideas.

FOR MORE INFO VISIT - www.aim4pg.com

Medical Groups- www.aim4pg.com/study-group

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people."

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By- Dr. Harsh Y. Patel , GMERS Medical College,Valsad (Bottom Poster)
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