Community Medicine: Much More than a Mere Clinical Subject Essay

AbstractMedical remediates bear a great burden of caring for two the estimable and ill in the society. An acquisitive twist who has thrown basic ethical motive to the winds is an execration to the avocation. oer the years as friendship progressed, the trick of medicine slowly changed from a school of thought to a engineering with emphasis on machines and procedures. in that location is a danger of a contemporary heal running amok, treating his patients as ailments and harassing them with the modish technology. The fathers of the medical checkup examination universe of discourse by and by c argonful supposition drift unneurotic well-nigh rules, principles and precepts to serve well ramp up a modern doctor be stimulate ration all toldy and responsibly. participation medication was thus born of a motive to help medical professionals strike a balance between man, medicine, society and environ handst. It is the faith of the medical world companionship treat h elps us adopt at contrastive times promotive, pr take downtive, alterative or reconstructive use of goods and servicess depending on the exact we perceive in the world border us. It may be overwhelming to catch that our understanding of clinical tools(diagnostic or alterative hinderance or curative) must be much to a greater extent than all the specializers put together if we argon to do both justice to the frequent man in his family or union It may be sober opinion to realize that when medicine at long last becomes exhaustively commercial, we impart have to ply a signifi houset role in lead our colleagues and the medical industry to stop that our communities breathe healthy. Key words fraternity practice of medicine, philosophy, religion, clinical returnDr. Samson Sanjeeva Rao Nallapu,Associate Professor,Dept. of Community Medicine,NRI Medical College,Guntur District,AP State, IndiaMan is made in Gods image and is essentially good. However due to the assorte d stressors of all(prenominal) day life, man tends to stray from world good. His socio-economic position, expectations of life, experiences in life and desires etc. make him behave anywhere between non so good to down unspoilt evil from non so snug to immoral, covetous greedy and egotism-indulgent. To deluge this we have religion. All religions essentially advise man to be well-provided and moral in his relatively goldbrick span of life. Every religion dish manoeuver up ups a set of laws which help man train between good and evil. They show men a way to live in harmony with his neighbor and his environment. Religion a wish well promises man eternal life and wealth in the hereafter as awards for a life spent being and doing good. By now, if you are still reading, you may admire where I am heading. Well. This simple comparison can be applied to our subject i.e. Community Medicine and the medical world at large.Medical doctors bear a great burden of caring for twai n the healthy and ill in the society. Doctors have to be exemplary pack educational activity their patients to lead healthy lives and helping them to overcome illnesses. Doctors therefore have to lead lives of moderation, evermore willing to help those in contain and ready to give necessary advice. The welcome lodge in turn prize and even deifies their doctors. A greedy, money grabbing doctor who has thrown basic ethics to the winds is an abomination to the profession. The same applies to a doctor who is yet inte put downed in the curative manifestation of disease due to the pecuniary benefits it fetches him. Over the years as knowledge progressed, the art of medicine slowly changed from a philosophy to a technology with emphasis on machines and procedures. The precepts of medicine which are nothing and what we read straightaway as principles of Community Medicine, are slowly becoming in purloin and obsolete to todays practitioner.There is a danger of a contemporary doct or running amok, treating his patients as diseases and harassing them with the latest technology which is his ammunition. The fathers of the medical world after careful thought put together some rules, principles and precepts to help make a modern doctor and the learned people in the community behave rationally and responsibly with regard to health and healthcare. So there we have it. Community Medicine was born thus and it is the religion of the medical world As all religions go, however, some believe and many do not some accept it and many do not. Many even revile it and lower it. Religion is all encompassing to the worshiper merely terribly boring to the skeptic. be face we find ourselves defending our religion, trying to propagate it, searching for converts and disciples. We are dealing with the truth, but circumstances and the state of affairs cramp people from recognizing the truth.So here we are today, all of us in the profession of medicine, basic doctors first and only because specialists. Community Medicine puts things in perspective. Our celestial sphere talks of comprehensiveness, inclusiveness and wholesomeness. We can neither set off the body from the mind nor man from his society, his civilisation and his environment. We as priests of this medical religion are compelled to uncompromisingly put forth our thoughts and ideas to the world at large and especially to our infirmary colleagues and others. As instillers of the subject we cannot undermine our role in shaping the juvenility minds entrusted to us. It is a great opportunity to help these young ones to look at medicine once again as a philosophy and not purely as a technology. tone at it from this angle we realize that Community Medicine is much more than a clinical subject. It may be promotive, preventive, curative or rehabilitative roles that we adopt at different times depending on the motivating we perceive in the world surrounding us. We have to however keep in mind that all these approaches carry follow weight when evaluating the bigger picture.Yes We are clinicians only when it is just one facet of our function. We need to be clinicians because that makes us rectify health educators, improve preventive medicine practitioners and better rehabilitators not just for our patients but their families and even their communities. It may be overwhelming to realize that our understanding of clinical tools(diagnostic or therapeutic preventive or curative) must be much more than all the specialists put together if we are to do any justice to the common man in his family or community From a applicatory point of view, as we can cogitate comprehensively and are rooted in reality, understanding the patient in a complete way, we can help the narrowly thinking curative specialist in our hospitals to effectively counsel his patient. (The above specialist came into being because we failed to convert him when he was our student).We can strive towards inducting our colleagues to inculcate promotive and preventive aspects into their practices. If they show reluctance, we can do it ourselves primarily to help them see that it works and their patients will be more satisfied and self reliant. However our ultimate goal has to be the transfer of responsibility back to their shoulders. If we cop on, we will again be the cause of separating medicine into unwholesome sections. We need to immortalize that only a small property of people suffering with diseases come to the hospitals. The rest are out there undiagnosed, uncared for and untutored. over again if our approach is to keep people healthy and not cure people with disease, the community is where we have to be.To reach out to the masses we need to first go out to where they live and use all our skills communicational , diagnostic, curative, persuasive etc. to empower them . In this process we may circumstances on health care facilities at different directs, primary, secondary, tertiary etc . or even the grass root level people like the Village wellness Guide, the trained Dai or the ASHA. Just like a surgeon can teach a student, practical and functional cast better than an anatomist, we can teach our students better because of not only our clinical appraisal and skills but also our comprehensive knowledge of the patient. In the debate whether we are clinicians or not, there is no doubt at all. We are more than clinicians. We are the gingiva that puts the various aspects of medicine together. We keep sense of hearing that there is a stigma machine-accessible to Community Medicine.We hear complaints that other specialties do not assess us. In todays world, we feel that a somebody becomes the temple priest because he was not good for anything else. People become priests for various reasons, one being the desire to show others the way to heaven. It depends on the priest to show his knowledge, understanding and ways to gain the respect of the devotees. Similarly we need to find appropriate spaces be it the hospital or the community to showcase our substance. First and foremost we should waive putting ourselves down. It may be sobering thought to realize that when medicine finally becomes thoroughly commercial, we will have to play a significant role in moderating our colleagues and the medical industry to ensure that our communities remain healthy. Simply put, we hold the advert to the future of medicine in our country.