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Army Medical Corps: Two Hundred Forty Years of Fortitude

Exclusive: "It's the profession which takes precedence over the salary": Lt Gen BN Shahi
AFMC: Mastering Medicine
R&R Hospital: Better Than The Best
Caring Blues
Sailing for Health
Soldiers with Red Hats
IMA: Popped in Service
Pulsing for Peace
Greens' Bye to Red Fort
Reconstructing Caribou: A Heritage Rebuilt
Horse Power
Presidents Standard to 86 Armoured Regiment
From the File
Armed Force Panorama
   
 
   

 

 

 

"It's the profession which takes precedence over the salary" : Lt Gen BN Shahi

 
 

Armed Forces Medical Services (AFMS) has come a long way since its modest beginning in 1764. With state-of-the-art hospitals and equipment, attractive pay packaging to the serving personnel, research in underwater and aerospace medicine, cover to ex-servicemen through ECHS, a foray into alternative medicine, counter- measures against NBC warfare agents, interconnec-tivity of hospitals with telemedicine, and a full-fledged training to doctors, AFMS today stands tall to face any challenge on its way to provide a qualitative and comprehensive treatment to the soldier and his family. Lt Gen BN Shahi, Director General, AFMS in an exclusive interview to Suprasanthi Devi on the occasion of 240th anniversary dwells at length on the vivid facets of this 'life-line' organisation.

Sir, Army Medical Corps celebrates 240th anniversary this month. How do you feel when you look at the long innings made by the corps?

I really feel proud that Army Medical Corps, since its inception, has been doing extremely well in providing medicare to the three Services not only during peace time but also during military operations either at home or abroad.

You cater to the health needs of personnel serving three Services i.e. Army, Navy and Air Force. Which is the most challenging for you?

I think all three Services pose some challenges for us such as providing underwater medicine to naval men and aerospace medicine to the high speed jet fighters in the Air Force. Quantum wise, Army poses the greatest challenge as it constitutes 85 per cent of forces and most of its troops have been deployed in high altitude and jungle areas and other difficult terrains.

What are the attractions for a civilian doctor to join AFMS? How do you motivate them?

Today, AFMS has become the number one choice for good doctors because most of our hospitals are second to none in the country. We provide opportunities to doctors to learn and practise modern medicine and to use modern gadgets. So, our doctors are well motivated to join AFMS.

What has been the nature of compensation package for Armed Forces doctors?

I think the compensation package we are offering to AFMS doctors is really good. Definitely, it is better than that of civilian doctors. Let me tell you one thing, a doctor’s profession can not be compared with the salary. I think it is the profession which takes precedence over the salary.

Do you think there is enough aware-ness among public about the pay package given to your doctors?

We advertise our posts in which we give all details about the career prospects, pay and perks, training opportunities etc. We find good response whenever we advertise posts. In fact, recently we received 2000 applications for 100 seats. There is no dearth of awareness among the aspirants about the pay package.

Trauma management is a speciality of the Armed Forces doctors. How do you train them?

Most of our doctors are getting on-job experience in managing trauma cases. Doctors who are posted in Jammu and Kashmir and other forward areas are successfully handling trauma cases like mine blasts and gun-shot wounds. Over the years, we have built in-house expertise in management of trauma. Therefore, we have our own data on trauma which is helping to train our doctors. All necessary medical equipments are being provided to field ambulances and technical support platoons for handling trauma cases. In case the patient is not able to come to the medical centre, the medical team goes wherever he is to give life-saving treatment. Sophisticated stretchers have been given to shift a trauma patient to sub-centres. All efforts are being taken to ensure that the trauma patient receives treatment within one hour which we call ‘golden hour’.

What has been your contribution towards telemedicine?

We have started a programme in collaboration with Indian Space Research Organisation (ISRO) which provides us with all wherewithal to make available of specialists to the peripheral centres. We have recently connected Army Hospital with Command Hospital in the western command, 92 Base Hospital in Srinagar, and one of the hospitals in Siachen. This is our first phase. Very soon we would connect all Command Hospitals with zonal and field hospitals in the forward areas.

What is the progress achieved by your directorate under ECHS?

A large number of ex-servicemen have been taking benefit from ECHS. Our target is to set up 227 poly-clinics all over the country within one year– 123 in military stations and 104 in non-military stations. So far, we had set up 40 poly-clinics under ECHS.

Now and then we come across reports that troops, feeling desperate and lonely being far away from their families, react violently even on slightest provocation. Such persons may control their cool with proper counselling. Do you engage any counsellors to help troops in this regard?

It is manifestation of mental agony of troops who are deployed far away from their families. Recently, we have sent a team of psychiatrists and psychologists to various units in the northwestern sectors and Jammu and Kashmir to counsel troops. The team spent six weeks there, counselling the men-in-uniform and suggesting suitable remedies. We also asked unit commanders to provide genuine welfare to the troops. If they do that, I think these sorts of incidents will not occur.

What has been the progress in the field of underwater and aerospace medicine? Do you have enough specialists in these areas?

We are one of the leading centres in the world in developing underwater and aerospace medicine. We have Institute of Underwater Medicine in Mumbai and Institute of Aerospace Medicine in Bangalore which have been doing original research in these fields. Recently I attended one seminar on aerospace medicine in Bangalore. The seminar saw the participation of delegates from foreign countries including USA. The papers and the research data submitted by our doctors were well appreciated. That speaks volumes about the progress of these specialised branches of medicine in the Armed Forces. We have enough specialists in the these fields. These two institutes provide training to postgraduate doctors.

How do you prepare your doctors to cope with NBC threat? What are your counter-measures against NBC warfare agents?

All medical problems related to NBC warfare are important for us. We have made concerted efforts to ensure that people know about this warfare and the methods to tackle it in case of its eventuality. The doctors are being trained in this area and we have resources to tackle it, if it surfaces. We have indigenous equipment to use against NBC agents and wherever it is necessary, we are importing the necessary equipment.

What initiatives have you taken in the area of alternative medicine?

I think alternative medicine has been here to stay. We have plans to introduce alternative medicine department in all OPDs. On a trial basis, we would start this facility at Base Hospital, Delhi Cantt and, after seeing the response from the clientele, we will think about introducing it at other places.

What opportunities do the Armed Forces doctors have to enhance and update their professional knowledge? What are the highlights of Continuing Medical Education (CME)?

Our doctors are motivated to write research papers, attend conferences and workshops both at home and abroad. Our CME programme has been enabling them to update their knowledge from time to time. During last year we conducted over 500 programmes in different hospitals in the country under CME. We are inviting specialists from civilian hospitals and foreign countries to exchange ideas and expertise on different subjects.

What measures have been taken to stabilise hospital waste management as an essential part of health care in Armed Forces?

We have been giving lot of importance to hospital waste management. Our initiatives at Air Force Hospital, Bangalore have been appreciated by all including the World Health Organisation (WHO). We have provided state-of-the-art hospital waste management equipment to most of our hospitals. Some hospitals are in the process of procuring it. I hope that by next year, all our hospitals will not only be equipped with waste management equipment but will also able to use it in an effective manner.

AFMC, Pune has introduced military medicine from this academic session. It has become the first college in the country to make military medicine mandatory. What is your take on this?

We have set up Department of Military Medicine at AFMC, Pune as all graduate doctors have to practise military and combat medicine. I feel that such department should be set up in all medical colleges in the country so that all doctors have an idea about what is military medicine. They can complement the efforts of military doctors in case of any emergency.