MCI recommendations regarding issuing medical certificate.
1. Never give it for more than 15 days.
2. See PT again after 15 days and re issue.
3. Even in repeat case’s, make sure that he or she are the patient , identyfy the pt. By photo I. D. Card , and then issue. Not to the attendants.
3. Avoid issuing certificate for diseases which you are not treating / or trained to treat. (Other Disciplines)
4. Describe the disability at best as you can even if you don’t know how to grade it.
5. MOST IMPORTANT
*It is a legal document*
Even if you print otherwise, it is admissible in court & *you can’t say , ” that it was not intended for legal purposes”*
6. Certificate must address a particular person….”like Principal of school, employer etc.
Don’t write whomsoever it may concern.
7. Never give from back date
8. Never give without your OPD days.
9. Never give fitness on advanced date or back date.
10. Never give fitness, if Rest given by somebody else.
11. Give if you can justify the
The disease or ailment and duration also for that particular diseas.
12. If there is no disease, then always ask purpose why are you want to take medical, then only give 2- 3 days If someone’s family member in severe life threatening to attending him on humanity ground, pl veryfy it before giving, because opinion can differ person to person.
13. Physical, presence is must because pt. May be at abroad or heavenly abroad.so never write down PNB.
14. You are responsible class one gazatted officer verifying the physical presence and attendance legally and valid document in court to to justify the presence and absence of accused and deceased at the scene of crime.
”MYTHS AND FACTS OF MEDICAL PRACTICE”
*1. MYTH – MEDICAL PROFESSION IS A NOBLE PROFESSION*..
FACT- EVERY PROFESSION, WHETHER OF A TEACHER, SOLDIER, TAILOR OR SHOPKEEPER, IS NOBLE, IF DONE WITH SINCERITY AND INTEGRITY.
*A CARELESS DOCTOR CAN KILL ONE**, A CARELESS DRIVER CAN KILL DOZENS, A CARELESS ENGINEER CAN KILL HUNDREDS..
*2. MYTH – AS IT IS A SERVICE TO HUMANITY, DOCTORS SHOULD NOT RUN AFTER MONEY*.
FACT – MONEY IS AN IMPORTANT MEASURE OF SUCCESS. RUNNING AFTER IT IS NOT GOOD FOR ANYBODY, BUT EARNING MORE MONEY BY DOING MORE WORK IS NOT A MORAL CRIME.
AND ALL WHO ADVISING DOCTORS, THEMSELVES RUNNING AFTER MONEY, AREN’T THEY?
*3. MYTH – DOCTORS MUST BE HUNDRED PERCENT HONEST.*
FACT- DOCTORS DO NOT COME FROM MARS OR VENUS. IF SUPREME COURT JUDGES OR ARMY GENERALS CAN BE CORRUPT, SO CAN A FEW DOCTORS. AS A CLASS, THEY ARE STILL BETTER THAN POLITICIANS, BUREAUCRATS, LAWYERS, POLICE OR PSU ENGINEERS.
*4. MYTH – MOST OF THE TIME, DOCTORS DO NOT UNDERSTAND THE DISEASE AND WRITE UNNECESSARY AND COSTLY DRUGS AND ADVISE TESTS AND TREAT ON A TRIAL BASIS.*
FACT- DOCTOR PATIENT RELATIONSHIP IS BASED ON TRUST, IF YOU DO NOT TRUST YOUR DOCTOR, GO TO ANOTHER ONE. MEDICAL SCIENCE IS A LIFE LONG LEARNING PROCESS, AND ALL TREATMENT, TO SOME EXTENT IS BASED ON TRIAL AND ERROR. THE SAME MEDICINE, WHICH WORKS FOR ONE PATIENT MAY NOT WORK ON ANOTHER.
SECOND, THE RESPONSIBILITY OF PROVIDING QUALITY DRUGS AT AFFORDABLE PRICES LIES NOT WITH THE DOCTOR, BUT WITH THE STATE AUTHORITIES, JUST LIKE PROVIDING FOR BETTER ROADS, UNADULTERATED QUALITY FOOD AND DAIRY PRODUCTS, UNINTERRUPTED POWER AND WATER SUPPLY ETC AND ETC. LIKE CLOTHS, CARS AND MOBILE PHONES, COSTLY DRUGS ARE GENERALLY BETTER THAN CHEAP ONES. HOWEVER, IF THE GOVERNMENT MAKES IT MANDATORY TO WRITE GENERICS, IT SHOULD ENSURE QUALITY AND THE CONSEQUENCE OF POOR/NON EFFICACY SHOULD NOT BE BLAMED ON DOCTORS.
THIRD, TESTS ARE DONE FOR PATIENT’S OWN SAFETY. JUST LIKE WEARING A HELMET OR SEAT BELT, INVESTIGATIONS INCREASE THE SAFETY. MOST OF THE DOCTORS IN INDIA ARE TRAINED TO WORK ON CLINICAL HUNCH AND COMMON SENSE AND NOT RELY TOO MUCH ON TESTS, AND ADVISE MUCH LESS TESTS THAN WHAT IS ACTUALLY WRITTEN IN THE BOOK OR DONE IN THE DEVELOPED WORLD.
*5. MYTH – TREATMENT COSTS ARE INCREASING IRRATIONALLY*.
FACT- COMPARED TO WESTERN WORLD, TREATMENT COSTS IN INDIA ARE STILL VERY LOW, AND MANY FOREIGNERS ARE COMING HERE FOR THIS REASON. AND IT WOULD BE WORTHWHILE TO THINK ABOUT ANY OTHER SERVICE OR PRODUCT WITH AS RAPID ADVANCEMENT IN TECHNOLOGY AND EQUIPMENT AS MEDICAL SCIENCE, WHOSE COST IS NOT INCREASING
*6. MYTH – DOCTORS ARE NEXT TO GOD*..
FACT – DOCTORS ARE AS HUMAN AS CAN BE. THEY ALSO GET TIRED, FALL SICK, HAVE FAMILY COMMITMENTS, GET UPSET AND STRESSED SOMETIMES AND CAN SUFFER FROM ALL THE FRAILTIES OF A HUMAN BEING. IF ANYONE WANTED TO BE TREATED BY GOD THEN THEY CAN VISIT THE TEMPLE..