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Serious [ Singapore News ] Beware of Indian Doctor : Dr Sanjay Srinivasan

grandtour

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http://www.straitstimes.com/singapore/health/doctor-let-bus-driver-with-eye-issue-return-to-work

Doctor let bus driver with eye issue return to work

Published
4 hours ago
Salma Khalik Senior Health Correspondent

A doctor who let a shuttle bus driver continue working when his eyesight did not meet the required standards has been suspended for three months.

The Singapore Medical Council's (SMC) disciplinary tribunal found Dr Sanjay Srinivasan of Khoo Teck Puat Hospital (KTPH) guilty of "serious negligence amounting to professional misconduct" for wrongly diagnosing the patient's eye condition and for letting him drive with affected eyesight.

The tribunal said that error of judgment by itself is not professional misconduct, and mere negligence, professional incompetence or deficiencies are not professional misconduct.

But Dr Sanjay's action "endangered the patient, the passengers and other road users".

In imposing the suspension, the tribunal wanted to send a message that "proper and careful clinical evaluation of a patient is vital" and for it to "serve as a general and specific deterrent".

The patient had gone to a polyclinic in October 2013 because of a sudden blurring of his right eye that had started two days before.

The doctor found his right vision to be 6/36 - which means that he can read letters at 6m that people with normal sight can read at 36m - and sent him to the eye clinic at KTPH that same day.

When Dr Sanjay, 45, examined him, he found the patient's right vision to be 6/24. To drive a bus, he needs vision of at least 6/12.

Dr Sanjay told the patient he had mild cataract and suggested that he get spectacles. He told him to return in six weeks for a review. He gave him medical leave only for that day.

The tribunal took issue with Dr Sanjay for not making it mandatory for the patient to get a pair of spectacles before going back to work.

It said Dr Sanjay assumed the patient "would be able to make a pair of prescription glasses in less than half a day after the consultation at KTPH". He also did not give instructions that the spectacles needed to provide the patient with at least 6/12 vision so he could continue driving a bus.

The next day, the patient returned to the polyclinic saying he had difficulty driving the bus because of his impaired vision.

This time, the doctor sent him to a hospital emergency department, which in turn sent him to an unnamed institution the following day where he was seen by an eye specialist.

The doctor there gave him laser treatment and 15 days of medical leave. A review a week later found his eyesight had improved to 6/18.

Because the driver wanted to get back to work fast, the doctor got an optometrist to help him get a pair of spectacles.

The tribunal also criticised Dr Sanjay's expert witness for being evasive and biased. The witness was the colleague of Dr Sanjay's supervisor. The tribunal said Dr Sanjay's supervisor would have "a vested interest in the outcome of this inquiry" and it was not lost on the witness that it would not be good for the place where they both worked if the supervisor was implicated in any way.

So the tribunal discounted his opinion, saying he lacked independence. The witness was also involved in processing Dr Sanjay's work application.

Dr Sanjay, who has more than 20 years' experience as a doctor, is from India.

The SMC had asked the tribunal to impose an $8,000 fine and a four-month suspension.

But given that Dr Sanjay is "a hardworking and dedicated doctor, and also a responsible and caring doctor", it decided on the minimum suspension term of three months.

A version of this article appeared in the print edition of The Straits Times on July 29, 2017, with the headline 'Doctor let bus driver with eye issue return to work'. Print Edition | Subscribe

Topics: SMC DOCTORS/SURGEONS
 

"Dr Sanjay, who has more than 20 years' experience as a doctor, is from India."


This most important point was hidden in the last para. Where did he practice? In the slums and villages where they don't have to see anything. Sinkies as usual sheep to the slaughter. Did anyone in SMC check his degree to see if it is fake?



http://www.straitstimes.com/singapore/health/doctor-let-bus-driver-with-eye-issue-return-to-work

Doctor let bus driver with eye issue return to work

Published
4 hours ago
Salma Khalik Senior Health Correspondent

A doctor who let a shuttle bus driver continue working when his eyesight did not meet the required standards has been suspended for three months.

The Singapore Medical Council's (SMC) disciplinary tribunal found Dr Sanjay Srinivasan of Khoo Teck Puat Hospital (KTPH) guilty of "serious negligence amounting to professional misconduct" for wrongly diagnosing the patient's eye condition and for letting him drive with affected eyesight.

The tribunal said that error of judgment by itself is not professional misconduct, and mere negligence, professional incompetence or deficiencies are not professional misconduct.

But Dr Sanjay's action "endangered the patient, the passengers and other road users".

In imposing the suspension, the tribunal wanted to send a message that "proper and careful clinical evaluation of a patient is vital" and for it to "serve as a general and specific deterrent".

The patient had gone to a polyclinic in October 2013 because of a sudden blurring of his right eye that had started two days before.

The doctor found his right vision to be 6/36 - which means that he can read letters at 6m that people with normal sight can read at 36m - and sent him to the eye clinic at KTPH that same day.

When Dr Sanjay, 45, examined him, he found the patient's right vision to be 6/24. To drive a bus, he needs vision of at least 6/12.

Dr Sanjay told the patient he had mild cataract and suggested that he get spectacles. He told him to return in six weeks for a review. He gave him medical leave only for that day.

The tribunal took issue with Dr Sanjay for not making it mandatory for the patient to get a pair of spectacles before going back to work.

It said Dr Sanjay assumed the patient "would be able to make a pair of prescription glasses in less than half a day after the consultation at KTPH". He also did not give instructions that the spectacles needed to provide the patient with at least 6/12 vision so he could continue driving a bus.

The next day, the patient returned to the polyclinic saying he had difficulty driving the bus because of his impaired vision.

This time, the doctor sent him to a hospital emergency department, which in turn sent him to an unnamed institution the following day where he was seen by an eye specialist.

The doctor there gave him laser treatment and 15 days of medical leave. A review a week later found his eyesight had improved to 6/18.

Because the driver wanted to get back to work fast, the doctor got an optometrist to help him get a pair of spectacles.

The tribunal also criticised Dr Sanjay's expert witness for being evasive and biased. The witness was the colleague of Dr Sanjay's supervisor. The tribunal said Dr Sanjay's supervisor would have "a vested interest in the outcome of this inquiry" and it was not lost on the witness that it would not be good for the place where they both worked if the supervisor was implicated in any way.

So the tribunal discounted his opinion, saying he lacked independence. The witness was also involved in processing Dr Sanjay's work application.

Dr Sanjay, who has more than 20 years' experience as a doctor, is from India.

The SMC had asked the tribunal to impose an $8,000 fine and a four-month suspension.

But given that Dr Sanjay is "a hardworking and dedicated doctor, and also a responsible and caring doctor", it decided on the minimum suspension term of three months.

A version of this article appeared in the print edition of The Straits Times on July 29, 2017, with the headline 'Doctor let bus driver with eye issue return to work'. Print Edition | Subscribe

Topics: SMC DOCTORS/SURGEONS
 
http://www.asiaone.com/asia/indian-court-bars-hundreds-student-doctors-over-cheating-exams


Indian court bars hundreds of student doctors over cheating on exams

books_pixabay.jpg
Indian court bars hundreds of student doctors over cheating on exams
PHOTO: Pixabay
AFP
Feb 14, 2017
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India's highest court Monday (Feb 13) barred hundreds of students from becoming doctors after they were caught paying bribes and cheating on exams to gain admission into prestigious medical schools.

Around 630 students from central Madhya Pradesh state were found to have copied answers, had proxies sit their exams or just outright paid to gain entry to selective medical colleges between 2008 and 2013.

An investigation into the so-called "Vyapam scandal" - named after the state's admissions board - recommended the students be struck from the medical fraternity, but they appealed that ruling in court.

The Supreme Court first delivered a split verdict, with one judge suggesting the students serve time in the army as punishment.

But a new bench empanelled to hear the case rejected their appeals, ruling they obtained their admissions illegally and were therefore ineligible to hold degrees or practice medicine.

Paying bribes to secure an exam paper early or get bumped up the admissions ladder is not uncommon in India, but the brazen nature of this scam caused particular outrage.

Students were found to have manipulated their photographs so proxies could sit their exams, with officials paid kickbacks to keep quiet.

More than 2000 people linked to the scandal have been arrested since 2013 as a result of state investigations.

Federal investigators joined the probe two years later after a local TV journalist covering the lucrative scheme mysteriously wound up dead.

Corruption is rife across India, and paying to secure government jobs or fake credentials is not uncommon.
 
http://www.bbc.com/news/world-asia-india-33421572

Vyapam: India's deadly medical school exam scandal

8 July 2015

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A medical school admission examinations scandal in India has turned into a veritable whodunit with thousands of arrests, mysterious deaths and the suspected involvement of top politicians and bureaucrats. Soutik Biswas travelled to Madhya Pradesh to investigate.

The call came late in the afternoon when he was taking some foreign journalists to meet victims of clinical trials near the central city of Indore.

It was 13 July 2013, six days after the local police had caught half a dozen students from a city hotel who they suspected were plotting to rig medical school exams.

Dr Anand Rai, a medical officer himself, has the reputation of being a feisty - if sometimes, reckless - whistle-blower, so he was helping the police with intelligence about how medical school exams were being rigged in Madhya Pradesh.

"There was a man on the line threatening to kill me. He said don't do this job any more," says Dr Rai, 38. The man rang off.

Two minutes later, the man called again. "Don't you give this number to the police. You will pay for it, if you do," he said, before hanging up.
Highest bidder

Dr Rai promptly handed over the number to the police, who tracked the call to Mumbai. A local police team went to Mumbai and arrested the caller.

The man, an assistant professor in a private medical college, turned out to be the mastermind of what has now turned out to be one of India's biggest scandals, involving the rigging of mainly medical school admissions. He told investigators that Vyapam officials were complicit in the scandal. Vyapam is the Hindi acronym for an office that conducts more than 50 examinations for government jobs and medical school admissions in Madhya Pradesh.

How examinations were rigged:

Candidates hire impersonators - medical students from neighbouring states - who write their exam. Impersonators even appear for physical education tests.

Candidates pay 'scorers' - again medical students themselves - who sit close to them during the examination and help them cheat.

Question papers are leaked and sold to candidates.

Answer sheets are rigged and higher marks given to the candidate.

Unfinished answer sheets are filled up later by teachers involved in the scam.


The scale of the scandal boggles the mind. Some 2,530 people have been accused since 2012. Around 1,980 people have been arrested; and 550 people are still sought by police. Twenty courts in Madhya Pradesh are looking into 55 cases registered in connection with the scandal.

By one estimate, some 140,000 men and women have sat exams conducted by Vyapam since 2007. The government says more than 1,000 "illegal appointments" have been made through Vyapam, although whistle-blowers like Dr Rai say the figure is much higher.

Question papers were leaked, answer sheets rigged, impersonators - themselves bright, young students - were hired to sit for candidates, and seats sold to the highest bidder. Anything between 1m rupees ($15,764; £10,168) and 7m rupees was paid for a seat.

Investigators have examined nearly 10,000 photographs of students, many of which were forged by impersonators. They have gleaned electronic information from at least five hard drives, innumerable pen drives and laptops.

That is not all. In a mysterious twist, some 33 people - mostly accused in connection with the scam have died in the past two years - raising suspicions and all kinds of conspiracy theories. Ten of them have died in road accidents, something, which one investigator says, needs further investigation to dispel doubts of foul play.
'Deeply frightening'

It is difficult to link all these deaths to a scandal, but they have, ironically, stirred India's notoriously Delhi-centric English-language media to wake up and begin covering a story that has been brewing for two years. The deaths, according to commentator Mukul Kesavan "are both strange and deeply frightening".

The roll call of those accused in the scandal is a staggering list of who's who in Madhya Pradesh: a former ruling BJP minister, the personal assistant of a high ranking official of the RSS (India's biggest Hindu nationalist organisation), a top private medical school owner, aides of Chief Minister Shivraj Singh Chouhan and state governor Ram Naresh Yadav, the brother of a senior police official, top bureaucrats, policemen and a mining magnate. No wonder, then, that the scandal has scarred the ruling BJP government most.

"This is bigger than Ali Baba and Forty Thieves," admits Madhya Pradesh Home Minister Babulal Gaur. "The scandal has given a bad name to the state. Our doctors are suffering. If you are a doctor from Madhya Pradesh, people will ask 'are you real or fake'."

He is right.

India's medical education system is one of the largest in the world. There are 381 medical schools - both government-run and private - associated with universities. More than 70,000 students turn out for undergraduate and post-graduate exams every year. India produces some 30,000 doctors a year. Rigged medical school examinations taint the image of Indian doctors. Last month, India's Supreme Court ordered more than 600,000 students to retake the main medical school exams after they found that the question paper had been leaked.

As Dr Rai tells the story, rigging medical school exams has been going on for a while in the state. Successive governments have turned a blind eye, although the ruling three-term BJP government is looking more tainted than the others.

He talks about 32 cases of cheating and impersonation in medical schools that were filed by the police before the Vyapam scam exploded in 2013. "It is a criminal nexus of politicians, bureaucrats, police officers, students, teachers, agents, brokers - everyone is involved."

He says he first realised that something was wrong when he took his medical school exam in 1994 and the paper was leaked. The exam was cancelled and held anew. A medical college professor was accused of the leak. A year later, somebody pumped 40 bullets into him and killed him.
'Fishy'

When Dr Rai appeared for the post-graduate exam in 2005, he says he found a strange pattern in the list of top 10 ranking candidates. "All the top 10 were sons and daughters and relatives of successful officials and police officers. It was all very fishy. Then I found that the top rankers even lived in the same medical school hostel. We protested and demanded an investigation but nothing happened."

Four years later, Dr Rai, who works as a medical officer in a rusty government office and has armed protection, received the first death threat on the phone.

He says he had informed the police of a medical school exam question paper being leaked. Some 40 parents and children were arrested. He says people from within Vyapam leaked the paper, and changed it when the leak was discovered.

"Vyapam is the proverbial tip of the iceberg. This is happening all over the country," says Chandresh Bhushan, a retired judge who heads a three-member "special investigative team" set up to monitor the investigation by the local police.

"This is the most audacious and high-tech scandal I have come across. One man, who was caught, was alone responsible for 300 bogus recruitments. Can you believe that?"
 
Only the 70% would tolerate 3rd world quality(in this case india) and yet pay 1st world prices-so many foreign doctors (how many in the SGH hepatitis case?) screwed up and surely our reputation as a medical hub has taken a beating.

All these rich foreigners can still chose to get treatment in Mt E/Gleneagles ect2 from UK/US trained doctors while locals queue for hours to get treated by Pinoy/India trained "doctors".
Strangely you don't hear much about this issue and there will be less noise as WP too busy on estate/accounting issues .
 
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