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Tuesday, August 18, 2009

Training on Participatory Monitoring & Evaluation in Development Projects

Excella Orbit, a division of Sambodhi Research & Communications Pvt. Ltd. is pleased to announce the training programme on Participatory Monitoring & Evaluation in Development Projects held at New Delhi between September 08-11, 2009.

We are also pleased to announce the following bouquet of trainings during the month of September, October, November & December, 2009.

Sep 23-24, 2009 - Proposal Development & Report Writing for Development Projects, New Delhi
Oct 06-09, 2009 - Training of Trainers on Design & Delivery of Trainings, New Delhi
Oct 21-23, 2009 - Monitoring & Evaluation of Development Projects, New Delhi
Nov 04-06, 2009 - Logical Framework Analysis for Development Project Design, New Delhi
Nov 17-20, 2009 - Basic & Advanced Analysis using SPSS, New Delhi
Dec 02-04, 2009 - Monitoring & Evaluation of Development Projects, New Delhi
Dec 17-18, 2009 - Proposal Development & Report Writing for Development Projects, New Delhi


To know the programme details of above mentioned trainings please download the brochure by visiting the given link http://www.excellaorbit.com/UpcomingProgDisplay.do . If you are interested in the training please send request mail for registration form.

Sambodhi's earlier programmes have been subscribed by leading agencies and projects across the globe. Sambodhi clientele include bilateral and multi-lateral aid agencies, governments, projects, academic institutions and independent consultants including UNDP, UNICEF, UNIFEM, UNESCO, CRS, GTZ, Worldvision, Actionaid, CARE, BBC WST, CRY, IGSSS, FHI, PSI, SNV Bhutan, RMoL, Winrock, Norweigan Church Aid (NCA), Afghanistan , Royal Education Council Bhutan,Ministry of Education. Govt. of Botswana, Ministry of Plan Implementation Srilanka, State Govt. of Madhya Pradesh, Orrisa, Chattisgarh, Jharkhand, Uttarakhand, Maharastra, Karnataka, Andhra Pradesh, IAMR, IWMI, NCAER, IDRC, ICMR etc.

Please share this with professionals in your organization, partner organizations and others who may be interested in this International Training Programme. We shall be happy to answer any queries that you may have in this regard.

With Warm Regards,
Anish Kumar Sahay

Excella Orbit
Sambodhi Research & Communications Pvt. Ltd.
O2, 2nd Floor, Lajpat Nagar - II
New Delhi - 110024
+91 11 40560734, 65492502
www.sambodhi.co.in
www.excellaorbit.com

Thursday, August 13, 2009

MCI rules amended and favours early promotion.

AMENDMENT NOTIFICATION
New Delhi, the 21st July, 2009
No.MCI-12(2)/2009-Med.-22654 - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956 (102 of 1956), the Medical Council of India with the previous sanction of the Central Government, hereby makes the following Regulations to amend the “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998” , namely: -
1. (i) These Regulations may be called the “Minimum Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2009” .
(ii) They shall come into force from the date of their publication in the Official Gazette.
2. In the “Minimum Qualification for Teachers in Medical Institutions Regulations, 1998” , the following additions/modifications/deletions/ substitutions, shall be, as indicated therein: -
3(i)(a). In Schedule I, Clause (2), the words “The Heads of these departments must possess recognized basic university medical degree qualification or equivalent qualification” shall be substituted with the following: -
“Heads of departments of pre and para clinical subjects must possess recognized basic University degree qualification i.e. MBBS or equivalent qualification.”
(b) In Schedule I, Clause (2), the sentence “In the departments of Community Medicine and Pharmacology, Lecturers in Statistics and Pharmacological Chemistry shall possess M.Sc. qualification in that particular subject from a recognised University.” shall be substituted with the following: -
“In the department of Community Medicine, Lecturers in Statistics shall possess M.Sc. qualification from a recognised University.”
(ii). In Schedule I, the following shall be added to Clause (3):
“Dean / Principal / Director of Medical college/institution, who is head of the institute and the Medical Superintendent who is head of the affiliated teaching hospital can be incharge of a Unit but cannot be HOD in the medical college/institution. However, they can teach and practice in the Department concerned.”
4. The Teaching/Research experience requirements in all the subjects of Broadspecialities shown in Table - 1 shall be substituted as under:-
“(A) Professor:- (i) As Associate Professor in the subject concerned for three years inthe recognized medical college.
(ii) Minimum of four research publications in indexed/national journals.
(B) Associate Professor:- (i)As Assistant Professor in the concerned subject for four years in the recognized medical college.
(ii)Minimum of two research publications in indexed/national journals.”
5. The Teaching/Research experience requirements in all the subjects of Superspecialties shown in Table - 2 shall be substituted as under:-
“(A) Professor:- (i) As Associate Professor in the subject concerned for three years in the recognized medical college.
(ii)Minimum of four research publications in indexed/national journals.
(B) Associate Professor:- (i)As Assistant Professor in the concerned subject for two years in the recognized medical college.
(ii) Minimum of two research publications in indexed/national journals.”
[Lt. Col. (Retd.) Dr. A.R.N. Setalvad]
Secretary
Medical Council of India
Foot Note: The Principal Regulations namely, “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998” were published in Part – III, Section (4) of the Gazette of India on the 5th December, 1998, and amended vide MCI notification dated 16/03/2005.

MCI rules amended and favours early promotion

AMENDMENT NOTIFICATION
New Delhi, the 21st July, 2009
No.MCI-12(2)/2009-Med.-22654 - In exercise of the powers conferred by Section 33 of the Indian Medical Council Act, 1956 (102 of 1956), the Medical Council of India with the previous sanction of the Central Government, hereby makes the following Regulations to amend the “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998” , namely: -
1. (i) These Regulations may be called the “Minimum Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2009” .
(ii) They shall come into force from the date of their publication in the Official Gazette.
2. In the “Minimum Qualification for Teachers in Medical Institutions Regulations, 1998” , the following additions/modifications/deletions/ substitutions, shall be, as indicated therein: -
3(i)(a). In Schedule I, Clause (2), the words “The Heads of these departments must possess recognized basic university medical degree qualification or equivalent qualification” shall be substituted with the following: -
“Heads of departments of pre and para clinical subjects must possess recognized basic University degree qualification i.e. MBBS or equivalent qualification.”
(b) In Schedule I, Clause (2), the sentence “In the departments of Community Medicine and Pharmacology, Lecturers in Statistics and Pharmacological Chemistry shall possess M.Sc. qualification in that particular subject from a recognised University.” shall be substituted with the following: -
“In the department of Community Medicine, Lecturers in Statistics shall possess M.Sc. qualification from a recognised University.”
(ii). In Schedule I, the following shall be added to Clause (3):
“Dean / Principal / Director of Medical college/institution, who is head of the institute and the Medical Superintendent who is head of the affiliated teaching hospital can be incharge of a Unit but cannot be HOD in the medical college/institution. However, they can teach and practice in the Department concerned.”
4. The Teaching/Research experience requirements in all the subjects of Broadspecialities shown in Table - 1 shall be substituted as under:-
“(A) Professor:- (i) As Associate Professor in the subject concerned for three years inthe recognized medical college.
(ii) Minimum of four research publications in indexed/national journals.
(B) Associate Professor:- (i)As Assistant Professor in the concerned subject for four years in the recognized medical college.
(ii)Minimum of two research publications in indexed/national journals.”
5. The Teaching/Research experience requirements in all the subjects of Superspecialties shown in Table - 2 shall be substituted as under:-
“(A) Professor:- (i) As Associate Professor in the subject concerned for three years in the recognized medical college.
(ii)Minimum of four research publications in indexed/national journals.
(B) Associate Professor:- (i)As Assistant Professor in the concerned subject for two years in the recognized medical college.
(ii) Minimum of two research publications in indexed/national journals.”
[Lt. Col. (Retd.) Dr. A.R.N. Setalvad]
Secretary
Medical Council of India
Foot Note: The Principal Regulations namely, “Minimum Qualifications for Teachers in Medical Institutions Regulations 1998” were published in Part – III, Section (4) of the Gazette of India on the 5th December, 1998, and amended vide MCI notification dated 16/03/2005.

Saturday, August 1, 2009

Better care 'if doctors ரெஸ்ட்--BBC

Better care 'if doctors rest'

doctor talking to patient
Doctors who were more rested made fewer mistakes

Doctors working fewer hours - in line with the European Working Time Directive - can have direct benefits for patient safety, research suggests.

The small-scale study was carried out at the University Hospitals Coventry and Warwickshire NHS Trust.

Doctors working to the new rota, which allowed them more sleep and more recovery time, made 33% fewer errors than their traditional counterparts.

But the researchers say their findings may not apply to areas such as surgery.

The research was carried out over 12 weeks, with 19 junior doctors working on the endocrinology and respiratory wards.

Their work hours and the duration of their sleep were recorded every day.

Nine were put on a 48-hour per week rota that met the conditions of the European Working Time Directive (EWTD) and 10 were on a traditional rota where they worked up to 56 hours.

Two senior doctors, who did not know which rota any members of staff were working on, then reviewed their errors by checking case notes.

Results

The average work hours were significantly lower on the new schedule - 43.2 compared to 52.4 hours on the traditional schedule.

Sleep time was increased from an average of 6.75 hours to 7.26 hours for the EWTD compliant doctors.

And there were a third fewer errors and fewer potentially life-threatening events.

But doctors did complain of worse educational opportunities on the new rota and, initially, too few doctors were available for duty during the day.

Writing in the journal QJM: An International Journal of Medicine published by Oxford University Press, researchers, led by Professor Francesco Cappuccio of Warwick Medical School, said the hospitals needed to implement wider changes to doctors' shift systems than had been possible in this pilot study.

And they said it was important to ensure that "the safety gains for patients cared for by less tired doctors are not compromised by delayed investigations and treatments".

Dr Andy Thornley, chairman of the BMA's Junior Doctors Committee, said: "We welcome this study that suggests that a decrease in working hours from the current limit of 56 to less than 48 is associated with a drop of one third in the rate of medical errors.

"It is concerning, however, that junior doctors in the study reported decreased training opportunities with the drop in hours.

"It is vital that this issue is addressed before the full implementation of the European Working Time Directive in August."

Professor Roy Pounder, of the Royal College of Physicians, said: "This 8 hour reduction is achieved by squeezing the hours out of daytime, Monday to Friday, which means worse continuity of patient care and less training - substantial disadvantages that have to be balanced by the slightly better-rested doctors who make fewer minor errors.

"Many doctors will probably choose to 'opt-out' of the reduced hours, to improve patient care and their own training."

But a spokesman for the Department of Health said: "Many parts of the NHS have successfully implemented sustainable solutions providing good quality training and ensuring patients safety.

"Clinical leadership is key to achieving a positive outcome."

வொர்கிங் hours for ஜூனியர் டாக்டர் BBC news

Cap on junior doctor hours starts

Junior doctors
There have been concerns the limited hours would affect training

European rules preventing trainee doctors from working more than 48 hours a week have come into force.

Doctors' organisations have criticised the European Working Time Directive, saying the reduced hours means there is too little time to provide training.

And there have been concerns it could hamper the NHS response to swine flu.

But the government says 97% of the NHS has already met the new requirements, with no effect on training, and plans are in place to cope with swine flu.

In the mid-1990s, some junior doctors had working weeks which typically topped 100 hours.

The directive took effect for many other workers in 1998, but the changes to reduce doctors' working hours were incremental and began with consultants.

Royal College of Surgeons President John Black's concerns

By 2004, junior doctors were included in a 58-hour working week target and by 2007 this was down to a 56-hour week.

As of 1 August, the target will be 48-hour-weeks for the UK's 60,000 junior doctors.

Contracts asking trainee doctors to work outside the regulations will be illegal and all rotas must be based on the 48-hour model.

But individual doctors can opt out, although this has to be voluntary.

However doctors cannot opt out of taking 11 hours continuous rest out of 24, or out of ensuring they have 24 hours continuous rest out of each seven days.

A spokesman for the Department of Health said: "Where a service needs additional hours of cover individual doctors can voluntarily opt-out of the 48-hour limit to provide this."

Hospital ward
The quality of training is under review

Only a few specialist areas will be exempt from the new rules.

But the British Medical Association said evidence on the ground contradicted the claim that the NHS was ready for the change.

Dr Andy Thornley, chairman of the BMA's junior doctors committee, said: "We are not reassured by government reports that the NHS is 97% compliant with the new working time regulation as we fear many junior doctors are being pressured to lie about their hours.

"And our members are worried about their training; many feel it has reduced in quality as working hours have been reduced."

He said it was possible to meet training demands and maintain patient services, but that managers would need to rely more on consultants than they do now.

Max Pemberton, a junior NHS doctor working in mental health, said things were easier since he stopped working 48-hours a week, but added many of his friends in surgery still worked more than 56.

NHS organisations have told us consistently that they are ready
David Grantham, NHS Employers

He told the BBC's Today programme: "The issue is junior doctors don't want to work excessive hours because it's not safe for patients. The concern is they still need to get the training in.

"Since 2007 there has been quite a dramatic reduction in the amount of years it takes to get from being a junior doctor to a consultant.

"So the government has concertinaed all of those usual years into just a few years and now we're seeing a further reduction in hours of actual working."

Dr Sheree Datta, a junior doctor at Brighton's Royal Sussex County Hospital, told the BBC: "The reality is when you're running a short staffed unit it can be very difficult to make sure you've got enough staff on the shop floor."

John Black, president of the Royal College of Surgeons, said the government had failed to listen to its concerns about needs within surgery.

'Staff shortages'

"It is sophistry for the Department of Health to on the one hand deny an opt-out for surgeons that would enable us to organise safe patient care and good training but then hope doctors will opt-out individually to cover staff shortages to keep the service running."

But David Grantham, of NHS Employers, said: "NHS organisations have told us consistently that they are ready for implementation of the directive for junior doctors.

He added: "It remains appropriate that outside of exceptional or emergency circumstances, such as a flu pandemic, doctors like other health professionals, and their patients, should be protected by the reasonable controls on working hours set out in the working time regulations."

A Department of Health spokesman said there was no evidence training had become less effective.

"The quality of training and supervision is more important than the quantity of hours completed," he said.

"We know that junior doctors are concerned about their training and that is why the Secretary of State has asked Medical Education England to review the quality of training in the light of the directive to see if any adjustments need to be made."

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