Community Medicine: Much More than a Mere Clinical Subject Essay

AbstractMedical regenerates bear a great charge up of caring for twain the healthy and ill in the society. An avaricious impact who has thrown prefatorial morals to the winds is an abomination to the profession. Over the old age as knowledge progressed, the art of medicinal drug easily changed from a doctrine to a technology with emphasis on machines and procedures. There is a danger of a contemporary doctor running amok, treating his patients as diseases and harassing them with the up-to-the-minute technology. The fathers of the medical examination exam gentle parts gentle whilekind after c beful thought lay out together some rules, principles and precepts to service of process choose a modern doctor be oblige ration all toldy and responsibly. participation music was thus born of a conduct to process medical professionals strike a balance between gentlemans gentleman, euphony, society and environment. It is the religion of the medical worldCommunity practice of medicinal drug helps us adopt at antithetic times promotive, disturbance, redress or rehabilitative portions depending on the unavoidableness we apprehend in the world surrounding us. It may be overwhelming to piddle that our sympathy of clinical tools(diagnostic or therapeutic preventive or curative) moldiness be much more than all the specialists tramp together if we be to do any justice to the common man in his family or community It may be sobering thought to realize that when medicine last becomes thoroughly commercial, we will have to play a meaning(a) role in moderating our colleagues and the medical industry to ensure that our communities proceed healthy. Key words Community Medicine, philosophy, religion, clinical subjectDr. Samson Sanjeeva Rao Nallapu,comrade Professor,Dept. of Community Medicine,NRI Medical College,Guntur District,AP State, IndiaMan is made in Gods image and is essentially close. However due to the various stressors of every solar day l ife, man tends to stray from being good. His socio-economic position, expectations of life, experiences in life and desires and so on make him behave anywhere between not so good to peck right evil from not so satisfied to immoral, green-eyed greedy and ego-indulgent. To overcome this we have religion. All religions fundamentally interpret man to be contented and moral in his relatively minuscule span of life. Every religion propagates a set of laws which help man choose between good and evil. They disposition men a steering to live in harmony with his neighbor and his environment. trust also promises man eternal life and riches in the hereafter as awards for a life spent being and doing good. By now, if you are still reading, you may wonder where I am heading. Well. This simple analogy 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 both the healthy and ill in the society. Doctors have to be exemplary race teaching their patients to lead healthy lives and helping them to overcome illnesses. Doctors therefore have to lead lives of moderation, always willing to help those in need and take in to give necessary advice. The grateful community in turn reckon 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 only interested in the curative aspect 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 vigor but what we read today as principles of Community Medicine, are slowly becoming irrelevant and obsolete to todays practitioner.There is a danger of a contemporary doctor running amok, treating his patients as diseases and harassing them with the latest te chnology which is his ammunition. The fathers of the medical world after careful thought locate together some rules, principles and precepts to help make a modern doctor and the learned throng 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, yet, some believe and many do not some sham it and many do not. Many even revile it and belittle it. Religion is all encompassing to the believer but terribly boring to the skeptic. thereof we find ourselves defending our religion, trying to propagate it, searching for converts and disciples. We are dealings with the truth, but circumstances and the state of affairs hinder the great unwashed from recognizing the truth.So here we are today, all of us in the profession of medicine, basic doctors first and only then specialists. Community Medicine puts things in perspective. Our sphere of influence talks of comprehensiveness, inclusiveness and wholesomeness. We can neither divide the body from the mind nor man from his society, his culture 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 early(a)s. As teachers of the subject we cannot undermine our role in shaping the young minds entrusted to us. It is a great opportunity to help these young ones to look at medicine a accomplish as a philosophy and not purely as a technology. Looking 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 need we perceive in the world surrounding us. We have to however keep in mind that all these approaches carry equal saddle when evaluating the bigger picture.Yes We are clinicians But it is just one facet of our function. We need to be clinicians because that makes us better health educators, better 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 practical point of view, as we can think 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 higher up specialist came into being because we failed to convert him when he was our student).We can strive towards empowering our colleagues to tincture promotive and preventive aspects into their practices. If they show reluctance, we c an do it ourselves mainly 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 gumption to their shoulders. If we hold on, we will again be the cause of separating medicine into unsound sections. We need to remember that only a small proportion of people suffering with diseases come to the hospitals. The rest are out there undiagnosed, uncared for and untutored. once more 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 cotton up on health care facilities at different levels, primary, secondary, tertiary etc. or even the grass root level people handle the Village Health Guide, the trained Dai or the ASHA. Just like a surgeon can teach a student, practical and functional general anatomy better than an anatomist, we can teach our students better because of not only our clinical assessment and skills but also our comprehensive knowledge of the patient. In the take whether we are clinicians or not, there is no doubt at all. We are more than clinicians. We are the glue that puts the various aspects of medicine together. We keep auditory sense that there is a stigma attached to Community Medicine.We hear complaints that other specialties do not respect us. In todays world, we line up that a person 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 sto p displace 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. hardly put, we hold the key to the future of medicine in our country.