violence against doctors: An Intern’s Skull Was Fractured By An Angry Mob

Emergency wards, outdoor facilities, pathological units of many government medical colleges and hospitals, and a number of private medical facilities in West Bengal have remained closed over the past 4 days to protest an attack and injury to an intern doctor after the death of a 75-year-old patient. Scores of doctors across Delhi, Mumbai and Hyderabad have decided to boycott work for a day to express solidarity with their protesting colleagues in West Bengal. Doctors at Delhi's All India Institute of Medical Sciences (AIIMS) were seen wearing helmets and bandages as they attended to patients.

The IMA has also urged its state branches to communicate the information to the government doctors' organisations of the states, request for their support and issue a press statement to this effect.

"The gruesome incident in NRS Medical College, Kolkata is of barbaric nature. IMA condemns the violence perpetrated on a young doctor. The entire medical fraternity expresses solidarity with the resident doctors who are on strike. The IMA headquarters hereby declares All India Protest Day on Friday," the statement said.

Why Indian media is the reason for violence against doctors

The Indian Medical Association (IMA) has written to Union Home Minister Amit Shah demanding enactment of a central law to check violence against health care workers in hospitals. The doctors' body also condemned any form of violence especially against medical professionals in the country

HIGHLIGHTS

1. The IMA launched a protest from Friday to express solidarity with the Kolkata doctors

2. The IMA also wrote to Amit Shah demanding enactment of a central law to check violence against doctors

3. The apex body of doctors said the protest will continue on Saturday and Sunday as well

n a letter to Amit Shah, the IMA requested him "to bring a central legislation in the form of special law against violence on doctors and health care establishments".

"Any form of violence against medical profession and facilities will be counterproductive, demoralise health providers, thus taking away the confidence and courage of medical profession especially in critical situations," it said.

"Ultimately the situation will adversely impact on patient care and safety and implications will be far reaching," it said.

Renewing the demand for a central law, the IMA said the law should have a provision for a minimum of seven-year jail sentence to violaters.

To ensure that the cases are registered, culprits are arrested and conviction is necessitate, appropriate mandatory provisions as provided in the POCSO Act have to be instituted, it demanded.

Hospitals should be declared as safe zones and provision of appropriate security should be the responsibility of the state, it said.

"IMA condemns the recent incident of violence against Dr Paribaha Mukherjee who was brutally attacked by a violent mob at NRS Medical College, Kolkata and demands an exemplary action by the state government. All the legitimate demands of the resident doctors in West Bengal should be accepted unconditionally," RV Asokan, Secretary General of IMA, said.

The IMA said all non-essential services including OPDs will be withdrawn for 24 hours from 6 am on June 17, while emergency and causality services will continue to function.

"Safety and security in hospitals have been a matter of great concern and need to be addressed. IMA has been demanding a central law against hospital violence and has declared a zero-tolerance policy against violence on doctors and healthcare establishments.

"World Medical Association has also passed a resolution against violence on healthcare establishments and urged to bring stronger legislation against this menace," Asokan said.

Violence in hospitals will adversely affect patient care and institutions will be reluctant to take up complicated and risky patients which will affect critical care. Threat of violence increases the stress levels of health care workers. Sound judgment regarding patient care will be compromised in such situations, he explained.

"A national law against violence in hospitals has to be brought in urgently that should provide a minimum of seven years imprisonment for hospital violence," Asokan said.

The doctors have been agitating since Tuesday in West Bengal demanding security for themselves in government hospitals, after two of their colleagues were attacked and seriously injured allegedly by relatives of a patient who died at the NRS Medical College and Hospital.

Reference : India Today, Reuters

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What is Burn-Out? WHO Recognises it as a medical Condition.

It defines burn-out as “a syndrome conceptualised as resulting from chronic workplace stress that has not been successfully managed”.

What is Burn-Out?

Occupational burnout like Blank’s is not a simple matter of fatigue or boredom. Nor is it tied solely to level of compensation. Severe burnout can be debilitating. You may find yourself growing profoundly cynical and feel like you never accomplish anything at work; you may hate your clients and colleagues and struggle to find the courage to get out of bed; you might feel detached from your life, almost as if you’re operating on autopilot. Burnout syndrome, at its worst, can ravage workers and even entire companies.

7 Sneaky Signs of Job Burnout

According to psychologist Michael Leiter, Ph.D., 25 percent of the workers he’s studied suffer from at least one symptom of burnout, and he suspects that figure is also true of the workforce at large. Burnout doesn’t discriminate, and it affects people across the board—blue collar and white collar workers, entrepreneurs, call center employees, tech pros, teachers. In this always-on age, when reading a new email from the boss on your smartphone may be the first and last thing you do every day, it’s not surprising that the problem seems to be worsening.

syndrome was characterised by three dimensions:

“1) feelings of energy depletion or exhaustion;

2) increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job;

3) reduced professional efficacy”.

“Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life,” according to the classification.

The updated ICD list, dubbed ICD-11, was drafted last year following recommendations from health experts around the world, and was approved on Saturday.

“This is the first time” burn-out has been included in the classification, WHO spokesman Tarik Jasarevic told reporters.

The ICD-11, which is to take effect in January 2022, contains several other additions, including classification of “compulsive sexual behaviour” as a mental disorder, although it stops short of lumping the condition together with addictive behaviours.

It does, however, for the first time recognise video gaming as an addiction, listing it alongside gambling and drugs like cocaine.

The updated list removes transgenderism from its list of mental disorders meanwhile, listing it instead under the chapter on “conditions related to sexual health”.

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The Problem of Hasty Passage Of Bills in Parliament: GS 2 - Polity -UPSC IAS Mains preparation 2019

INEFFECTIVENESS OF THE PARLIAMENT

Many important bills like IBC, Juvenile Justice Act, Person with Disabilities Act, Prevention of Corruption Act, Aadhar Act, GST etc. are passed in the 16th lok Sabha. But the passage of Aadhar bill as a money bill undermines the Rajya Sabha and also the passage of 124th constitution amendment bill which enables 10% reservation for economically weaker section raises the people's eyebrows on the effective functioning of Parliament

PROCEDURE FOR PASSING THE BILLS

• First reading (asking for leave to introduce the bill)

• Publication in the Gazette

• Reference to standing committee

• Second Reading

• General discussion and referring to standing committee

• Clause by clause discussion

• Third reading (support or reject the bill)

• Bills in other House

• Assent of President

VIOLATION OF THE PROCEDURE

• But due to vote bank politics most of the bills violates the rules of procedure like The Bill was not circulated ahead of being introduced.

• There was hardly any time between its introduction and final discussion.

• It was not examined by a committee. Barring a few small parties, none of the larger.

• Opposition parties asked for the Bill to be carefully considered by a parliamentary committee — even in the Rajya Sabha

IMPACTS OF BYPASSING THE PROCEDURE

Members of Parliament had only very less time to read and understand the intricacies present in the bill leading to a poor discussion and lack of proper scrutiny.

The Bill also bypassed the usual practice of referring to Parliamentary Standing Committee which Members of Parliament use a measure to solicit public feedback and interact with experts before forming their recommendations.

Related | Why India can’t defeat Pakistan in a war? What is the Right time to Fight Pakistan? Explain.

OTHER FACTORS RESPONSIBLE FOR INEFFECTIVENESS OF THE PARLIAMENT

Anti-defection

• Interferes with members freedom of speech

• Reduces accountability of the government to the parliament and the people

• Members unable to express his belief or the interests of his constituents

Lack of recorded voting as a norm

• Reduces the accountability of the MP as voters don’t know which way they voted on each issue

Party affiliation of the Speaker

• Making her dependent on the party leadership for reelection prospects

Insufficient time and research support to examine Bills, and the lack of a calendar

• Parliament is held at the convenience of the government

WAY FORWARD

• Anti-defection law should be only applied to confidence and no- confidence motions (Dinesh Goswami committee).

• Instead of making speaker the authority of disqualification, it must be done by judiciary or the president on the advice of election commission.

• All the voting of the MP must be recorded so that the voters can know which way they voted on the issue.

• Independence of the speaker must be secured like in UK.

• Working days of the Parliament must be regularised it must not on the will of ruling party.

• Every bill must follow the rules of procedure.

• Usage of guillotine by the speaker must be reduced.

• Parliament has a central role to secure the interest of citizens. It is the primary body of accountability that translates the wishes and aspirations of citizens into appropriate laws and policies.

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