|Year : 2014 | Volume
| Issue : 3 | Page : 191-192
Food for thought
Ranabir Pal1, Surajit Ghatak2
1 Departments of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Anatomy, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
|Date of Web Publication||24-Sep-2014|
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur - 342 005, Rajasthan
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Pal R, Ghatak S. Food for thought. J Family Med Prim Care 2014;3:191-2
In an era of unending ramifications in biomedical sciences in the health care practice, we are placed with relentlessly robust nature of evidence-based health care. Unfortunately, the health care providers at large are placing greater mass of stakeholders at the back seat by missing the basic truth people centered outcome-based health care. We have conveniently forgotten that prophylaxis is basically an approach that encompass a spectrum of vaccines, human genome project, insulin, thyroxin, antibiotics, newer molecule of drugs, treatment protocols, new surgical techniques and lots more holistic mindset that could have increase the health and longevity of the mankind as the downstream effect through the decades.
In the modern medical training schools, the teachers have been sharing the leading mission of preparing future physicians to accept the health challenge of days to come. A good number of these facilitators of training are not directly related to the health care delivery of the people at large. Along with these groups of dedicated teachers, still less proportion of folks trained in health care is entering the arena of biomedical health research. Further, in the overall premise, the teachers and researchers in health care delivery system are not getting "optimum" honor and adequate recognition even from their peers in our health care community. In the absence of any form of positive re-enforcement from whichever corner of the society, graduates from medical schools are silently get oriented to the standard clinical practice without providing their much needed contribution in the development of medical science.
As a global phenomenon, a good number of the path-breaking discoveries are from scientists groomed in the basic sciences in all the ages. New treatments came out of earlier discoveries - unconnected to each other in various fields: Novel tests/instruments/treatments have opened vistas of health care management. It is our humble opinion that the scientific society has to ensure all the members of the health care community with finest settings to be able to contribute honorably and expressively to the common good. Contrary to this it is not only unfair, prejudicial and heartless in the name of quality of publication; a good number of articles are rejected without assigning any reasons whatsoever it is.
The taxonomy of the word "Research" stemmed from the French origin " recherche", indicating a journey for the search of truth.  Following any study by a person or a group of persons conducting research, the immediate trail of activities for the publication of the findings follow to make it accessible for unlimited receivers and stakeholders. Nearly, all academic works are published in the formats of the journal article or in a book format in print or electronic media. In recent times, it has been noted with great concern that the urge to publish by the researchers has opened a flood gate of new overlapping and interrelated peer-reviewed journals.
Entrapped inside the pervasive nature of evidence-based health care, we have forgotten an important truth about people's health and how to care for it with a mind-set to generate data of our own. Howsoever bright we may be, all the persons in our fraternity have to know the basics of research, as well as a science and art of publication. Unfortunately, neither research methods nor scholarship is usually taught systematically to learners at any levels of any course of undergraduate and postgraduate health care curriculum in India.
Another distressing problem hangs onto the general aspect of the health care system. A great majority of great researches are fundamentally interdisciplinary where "Tribal Character" of the health care specialties poses an additional problem in India and other countries. The specialists of one health care discipline try to creep up in their glass box with an abundant distance from the updates of all other specialties. Effort to share and exchange their rationalized facts and proficiency with their peers staying even in the same campus of the same institute are not attempted. For example, we have conveniently forgotten that without cutting edge basic knowledge of anatomy, a surgeon cannot have satisfactory clinical acumen to survive in his specialty. Still we have to swallow the bitter pill (with peace) that the anatomists are rarely invited (if ever) to the conferences organized by the surgeons and vice-versa is also true.
A number of ideas go beyond convention, initially appear utter ridiculous and insane, but in practice they may appear highly effective excellent sense. Many of our health care providers are scared to go beyond our learnt knowledge and utilize our five senses to acquire fresh knowledge (Fresh Air!). They keep themselves busy in the age old arena of 'Koch's postulate' and 'Magic bullets' even in this new millennium where all the health problems have a bunch of causal risk factors and many morbidity has no clear cut pharmaceutical solution. Further, many of the clinical practice guidelines have promoted the rational concepts of 'Where to start/modify/stop protocol based interventions.' Further the immense importance of counselling in chronic diseases and promotion of 'Living with disease' philosophy is gaining momentum.
In this dark tunnel silver linings are also a hard reality. Newer approaches to research based student centered outcome based medical education are gaining grounds in different educational institutions over the world. Researchers in medical education have even abolished the age-old concept of courses and curriculum by replacing them with problem-based learning modules. This has created a new concept of learning in health care arena where students, as stakeholders of learning, are deciding what they wish to learn in a medical school. This "Catch them young" policy will definitely change the paradigm down the lane whenever in future times more numbers of "Doctors with their heart" will flood the history with their sincere contribution.
To sum up, such a roadmap has not existed few days before with the fast changing scenario.
Let us join Prof. Evelyne de Leeuw, Deakin University and boldly spell out "Truths are never lost; they just get-occasionally - forgotten."
| References|| |
|1.||Research. Available from: http://www.en.wikipedia.org/wiki/Research. [Last cited on 2013 Oct 22]. |