Doctors Republic

SMO/SWMO (Senior Medical Officer/Senior WMO) *SMO is BS-18. Posting a MO BS-17 on SMO seat does not make u a SMO There is a lot of confusion regarding SMO and his duties among new doctors , especially at RHC. We have received many calls and txts regarding what the SMO is suppose to do and what falls under his duties. An SMO is like SHO (Senior house officer) in ward  :P  . His duties are exactly the same as an MO just like as SHO is just an HO with an "S"  :D  . Which means being a senior does not change any of his duties. In medical field the duties are according to your degree seniority.Not because of time . MO ,SMO or APMO are same things with only difference of "old" age. Their duties are the same. But out of respect in a DHQ MS usually spare APMOs the trouble of doing emergencies because of their older age and long service.But this is on MS personal behalf with no legal binding. An SMO working in a RHC has same duties as MO. He has to perform medical d...

Issuing Medical certificates,Medical Leaves , Driving license fitness and attesting of documents By MOs and WMOs .... New doctors usually do not know what to do when people came to them for certificates and leave request in a BHU/RHC/THQ/DHQ. So this post is to give some basic guideline. *NEVER Make fake admission and hospital stay for anyone.This is very important.Especially now a days. He may have been involved in some criminal activity or terrorism and if you make him a ho spital admission in a back date, you will b in heap of trouble with security agencies. 1. A medical fitness certificate can only be issued in a DHQ.These certificates are usually required for jobs.Refer such patients to your DHQ. 2. A medical leave certificate can b given by a doctor but Refer such patients to THQ and DHQ because proper investigations by that hospital is required to justify a leave.You will not be able to defend your decision if your center do not have a lab.Do not give medical leave on i...

In THQs ,DHQs we all face difficulties . 1.You cant change  # system  ,system will definitely change you.Equipment nhe ,Staff non cooperative, slip fee and admission chart fee complains etc. Even if u complain AC,DC its useless because system protects them.You will be transferred after sometime or u will be fixed in some inquiry . So, complain MS EDO DHO if they try to overcome u at any time . Aunko chup krany ke liye ap deficncies ko highlight kr skty .Afterall fault is theirs. 2. # Duty  timings , if u are punctual nobody can say u anything , be on ur chair in ur duty nomatter u eat peanuts the whole day. Ur lower staff tells MS etc aj dctr late aya ,phly chala gya. Staff tells u jaen dctr sahb hum daikh laingy , especially in bhus. Dont go even if anyone says u to. 3.If your MS EDO says u anything ye wo ,says yes sir and ,krain wohi jo apka dil hy . No need to resist or being hero will get u nowhere. 4.Do your  # paperwork  complete , always write ...

Dealing with seniors at DHQ,THQ and RHC This question came up very often i. Honestly speaking the answer is very diverse. Some seniors (senior MOs ,SMO,APMO) are very nice and some are very bad. When you work at periphery the two major problem u may face with a senior is 1. He or she tries to skip his/her duty and put all the burden on you 2. They wont let you work in OPDs and make you do emergencies and interfere in your medicolegal buisness. Well be blunt in these cases. Now remember that in periphery word "senior" is not the same as in ur teaching hospital. Here you are an MO. Equally responsible for your action.No one will come to your rescue when things starts going south.They usually do not like new young doctors checking patients efficiently because that may result in increased patient numbers in the hospital and their private clinics will b effected. Second issue is MLC.. under no circumstances listen to anything immoral or illegal.Because a senior asking you t...

Show cause notices & dealing with Administration of BHU/RHC/THQ/DHQ Many of new doctors are worried about getting a show cause notice.What is a show cause notice? It is a simple letter to you from the administration of a hospital asking you to explain your particular action.And 99% of the time it goes to cold storage after ur response.Mostly they issue such notice to threat the young doctor as you get panic after a showcause notice. Remember that If you have not received a Show cause notice then it means you are working correctly and verbal threats or orders of your superior are just baseless threats.Never respond to a verbal order if you think that it is not fair. If administration do serve you a notice then there is no need to panic.It is routine procedure.Always give proper written response and state the facts .Always save a copy of ur response after diary. The reason for these notices is to keep record and to produce it in case they want to set an inquiry.No one can kick yo...

Tricks seniors play at peripheries  :D .. I have come across many young baby doctors in peripheries who ask same questions and have same problems with seniors in peripheries ,,, some of them are below 1. SMO ,WSMO APMO at peripheries at all levels tell their junior doctors that they are 18 ,19 scale or as they are incharge (incase of RHCs) so they are exempted from emergency duties or medicolegal cases..... Well that is totally false.whether it is MO,WMO or SMOs,SWMOs or APMO  or APWMOs they are all general cadre doctors.There is no difference in doing duties between them.Difference come when cadre changes ...like if someone is a specialist and i mean a real specialist with a specialized degree then he has specific duty according to its specialty .Otherwise apart from specialists or MS,AMS or DMS all have to perform same duties .A new MO can do OPD duty and an APMO can do emergency duties.There is legally no difference in job description.They just try to manipulate you k...

Dealing with CEO, DC, and other authorities at periphery This requires lots of brain and cool mind. The CEOs are like your saas   😁 . You have to deal with him but you cannot do everything he asks of you and You can't say no or loose temper even though he is asking you to donate your kidneys. So how to deal with this.... The most efficient and time tested method is to say "yes sir. It will be done ASAP " on anything he or any authority figure is saying to you at the time of visi t or in their office. When they are gone forget that "yes sir" and do nothing. They usually forget what they said. When they come again and say "Dr sahib ye kam ebi tak ni hua"... again reapeat the above procedure after saying "sorry". (Ebi tak ap saas per b ye apply ker saktay per es se agay ni   😜 )   Repeat this process until they are so annoyed that they issue you a written explanation. Now time to get serious. In written tell them why cant you do what t...

Working at THQ/DHQ (non teaching) & things u should know. 1.First of all if u are doing this job to get marks in CIP then u should know that their marks are less than BHU/RHC (half). 2.You get adhoc there the same way as u get it in a BHU by submitting application online giving interview. 3.The difference between a THQ and DHQ is that CEO cant move u around from a DHQ to a THQ,RHC or BHU in same district without transfer orders from secretariat (regular MO/WMO) but he can move u around from a THQ. 4.Adhoc seats are non transferable seats although CEO can place u on general duty to another center for short period of time (not applicable on doctors at DHQ) 5.MS is the authority and will take ur joining report and will put u on roster. 6.In most THQ and few DHQs due to shortage of doctors they will place new drs in emergency duty where now rules are changed and u have to come everyday rather than 36hrs/week. 7.In almost all THQs and most of DHQs u will work as medicolegal...