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Showing posts with the label RHC

SMO/SWMO (Senior Medical Officer/Senior WMO)

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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...

How to handle CEO,DHO & visiting teams(BHU/RHC).

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How to handle CEO,DHO & visiting teams(BHU/RHC). If you are working in a BHU and RHC you will frequently came across EDO and DHO visiting your centers and different high authority teams coming to you and demanding thing you have no control over.Like asking you to keep washroom floor so clean that they can see their face in it or sometimes asking you to repair windows , chairs and some staff  :P  . In my experience saying "yes sir ,it will b done immediately " is the right answ er.You do not have to do anything.Their intention is not to fix anything.They do not have the means or money to fulfill your demand.So no point in arguing with them. The more you argue, they more arrogant they will get and in the end nothing will happen. So simply agreeing everything to what they are asking will save you lot of verbal energy and they will go away. If they say , "dr sahib wear overall"... You say "yes sir,sorry i forgot, it will not happen again"... and he wil...

Dealing with seniors

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

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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..

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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

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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 in an RHC

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Working in an RHC There are few points that new medical officer and WMO should know. 1. RHC has the post of SMO (senior medical officer) .If u have a SMO present in your rhc then it makes things easier.The reason is that in a BHU the major issue is running the administration.We are trained to check patients but we are not aware of any administrator work and that is what gives us the major headache.SMO will be the administrator in rhc. 2. Having SMO simplifies your job.Its his responsibility to do all the administrator work and you simply have to follow the roster and check patients. 3. Now i came across with  doctors  having trouble with their SMO.Well to b honest when you are new to this, you are kind of a ragging tool for the senior  :D  .You should know that SMO is also a medical officer there and is not exempted from duties like an MS.He has to perform his duties as MO and as an Administrator as well.He is kind of a MO in BHU.So if he tries to make you do...