IMA Kozhikode Newsletter

IMA

KOZHIKODE

February 2017 Volume 1, Issue 1

Cover Story Quality: Is it a Priority in the Healthcare Sector?

INSIDE Journal Scan

Talking Point

Obituary

What’s New in Medicine!

Interview with IMA State President

Reminiscences of My Dear Friend

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Welcoming 2017

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IMA KOZHIKODE NEWSLETTER

EDITOR SPEAKS IMA Kozhikode is the biggest branch in Kerala and is one of the most vibrant branches in the state. A newsletter depicting the cross section of the vibrancy and passion of IMA, it certainly is more than just a newsletter. It is a news magazine with a new appearance, featuring different contents in an attractive presentation style. It covers the cross section of the initial three months of the Kozhikode IMA activity year.

Dr Venugopalan PP DA, DNB, MNAMS, MEM-GWU Director, Emergency Medicine Aster DM Healthcare Group drvenugopalpp@gmail.com, +91 9847054747, 9544054747 www.astermedcity.com

IMA

KOZHIKODE

FEATURES Editor-in-chief Dr Venugopalan P P Publisher IMA Kozhikode Contributers Dr Pradeep Kumar V G State President, IMA Dr P N Ajitha President, IMA Kozhikode

Message from Leaders Page 4

Journal Scan

What’s New in Medicine!

Page 5-6

Dr S V Rakhesh Secretary, IMA Kozhikode Dr Abraham Mammen Resource Person, PPS

INDIAN MEDICAL ASSOCIATION Kozhikode Branch IMA Hall Complex, IMA Hall Road Calicut - 673 011 Ph: +91 0495 2368715 Email: calicutima@gmail.com

Cover Story

Quality: Is it a Priority in the Healthcare Sector?

Page 7-8

Talking Point

IMA to Ensure Equal Access to Healthcare for All Page 9-10

The rights to reproduce any information published in this magazine are vested with IMA Kozhikode. This newsletter will be distributed only among the IMA members, and not meant for sale.

For any querries, contact: 9847 50 8715 Contact Person: Mr. Biju, Manager, IMA Kozhikode

Obituary

Reminiscences of My Dear Friend Page 11

Designed by

News & Events

News & Events Page 13

IMA KOZHIKODE NEWSLETTER

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Message President’s Message

I Dr P N Ajitha

feel very happy to know that our bulletin is getting ready for release. I hope, our bulletin will be a beacon light for the members to sail through the troubled water when the profession face challenges from varied areas.

Gynaecologist IMA Calicut Branch President

From the Secretary’s Desk

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he Kozhikode branch of IMA is one of the most active IMA branches in the whole country, buzzing with academic, social and cultural activities all through the year. All our members may not be able to actively participate in all the activities but it is important that they are kept updated on what is happening in our branch. What else can be a better tribute to our vibrant members than a newsletter, acknowledging the noble contributions of our members and leaders to the society in general and to our medical fraternity? I am very happy to note that this particular task has been taken up by a person who has proved his flair with the ink. The signature style of Dr Venugopal is reflected in the wonderful presentation format of the “New” newsletter. I am sure the new editorial team will take our IMA newsletter to greater heights and will not only serve as nutshell of activities at our branch but will prove a wonderful read.

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Dr Rakhesh SV (Skin & VD), Consultant Dermatologist Iqraa Hospital, Malaparamba, Calicut Aster MIMS, Govindapuram, Calicut, Kerala Mob: +919447241627

IMA KOZHIKODE NEWSLETTER

Journal Scan

What’s New in Medicine!

Determining the Futility of Resuscitation Following a Cardiac Arrest

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ased on data from almost 7000 out-of-hospital cardiac arrest patients from two large registries (Paris, France and King County, Washington State) and a major multicenter randomized trial, researchers identified three criteria (arrest not witnessed by emergency medical services personnel, non-shockable initial cardiac rhythm, and no return of spontaneous circulation prior to administration of third 1mg dose of epinephrine), and if all criteria were met, it had a specificity and positive predictive value of essentially 100 percent for death prior to the hospital discharge.

Of 2800 patients evaluated who met all three criteria, only one survived. Early identification of patients with no chance of survival may be helpful in family decisions about organ donation.

Outcomes in Severe Asymptomatic Hypertension (Hypertensive Urgency)

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here is no proven benefit from the rapid reduction of blood pressure in patients with severe asymptomatic hypertension (systolic blood pressure ≥180 mmHg and/or diastolic blood pressure ≥110 mmHg).

In a retrospective study of over 59,000 patients who presented in the ambulatory setting with severe asymptomatic hypertension, there was no difference in major adverse cardiovascular events, or

prevalence of uncontrolled hypertension six months later, for patients sent to the emergency department or sent home from the office for outpatient blood pressure management.

Hospitalization rates were higher for those sent to the emergency department. This cohort study suggests that most patients with asymptomatic hypertensive urgency who are present in the ambulatory setting can be managed as outpatients.

Iloprost Therapy for Severe Frostbite

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or years, no effective therapy was available to prevent tissue necrosis and subsequent amputation in patients with severe frostbite, but an increasing body of evidence suggests that treatment with iloprost, a prostacyclin analog (IV formulation not available in the United States) can prevent such injury in appropriately selected patients.

According to an open-label randomized trial, a growing number of case reports, and revised management recommendations from wilderness medicine experts, treatment with iloprost is effective and safe.

We suggest treatment with iloprost (where available), with or without tPA, for patients with severe frostbite (Grade 2-4) if given within 48 hours of the initial insult.

IMA KOZHIKODE NEWSLETTER

Cholesterol: Good or Bad? The common myth on cholesterol is still a hot topic. Now the discussion has become wide with the official withdrawal of long-standing warnings on cholesterol by the US government. This means eggs, butter, full-fat dairy products, nuts, coconut oil and meat have now been classified as safe and have been officially removed from the nutrients of concern list. The US Department

of Agriculture, which is responsible for updating the guidelines every five years, stated in its findings for 2015, “Previously, the Dietary Guidelines for Americans recommended that cholesterol intake is limited to no more than 300 mg/day.” Discussions are still going on whether cholesterol can be harmful to health or not and studies also focus on the facts regarding good and bad cholesterol.

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Journal Scan Safety of Magnetic Resonance Imaging and Gadolinium in Pregnancy

Syncope and Pulmonary Embolus

agnetic Resonance Imaging (MRI) may be used for diagnostic imaging in pregnancy when ultrasound examination is inadequate; however, foetal safety has not been conclusively established. Recently, the largest study of MRI in pregnancy reported that first-trimester MRI was not associated with significantly increased risk of stillbirth, neonatal death, congenital anomaly, neoplasm, or vision or hearing loss in children followed up to four years when adjustments were made for differences between exposure groups.

The study also found that gadolinium

hile Pulmonary Embolus (PE) has generally been considered to being a relatively rare cause of syncope, a recent study reported a 17 percent prevalence of PE among patients admitted to hospital with syncope and 25 percent prevalence among those without an alternative aetiology for syncope. Twothirds of patients with syncope secondary to PE had thrombus located in the main stem or lobar arteries, suggesting that syncope may indicate a high burden of thrombus. The study underscores the importance of syncope as a presenting manifestation of clinically significant PE.

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exposure at any time during pregnancy was associated with an increased risk of stillbirth and neonatal death. Children exposed in utero were at an increased risk of rheumatologic, inflammatory, or infiltrative skin conditions, but not congenital anomalies or Nephrogenic Systemic Fibrosis (NSF). This study is a major addition to the body of evidence supporting the safety of MRI in pregnancy when medically indicated.

It also provides the first data supporting existing recommendations to avoid the use of gadolinium-based contrast agents in pregnant women, when possible.

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New Guidelines for the Management of Stevens-Johnson/Toxic Epidermal Necrolysis Syndrome

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he British Association of Dermatologists released new guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN), a severe and potentially fatal mucocutaneous drug reaction.

The guidelines provide evidence-based recommendations for the diagnosis, severity assessment, and management of SJS/TEN. Specific areas covered include initial management, supportive care, and therapies intended to reduce mortality, such as intravenous immune globulins, systemic

corticosteroids, and cyclosporine.

The treatment of eye involvement, including systemic therapies and amniotic membrane transplantation to prevent permanent ocular sequelae, as well as the management of oral, urogenital, and airway mucosal involvement are also addressed.

Clinical Prediction Rule for Abusive Head Trauma in Well-appearing Infants

Bag Urine Specimen Testing to Determine the Need for Urine Culture in Children

Early Benefit of Aspirin after TIA or Ischemic Stroke

etection of Abusive Head Trauma (AHT) is challenging in well-appearing infants who typically present with an unrelated complaint and no history of trauma. Highrisk complaints include an apnea or acute life-threatening event, seizure, vomiting without diarrhoea, soft-tissue scalp swelling, bruising, lethargy, fussiness, or poor feeding. In a prospective multicenter validation of a clinical prediction rule in over 1000 well-appearing infants younger than one year of age who presented with high-risk complaints about possible abuse, a score of two or more had high sensitivity for an abnormality on Computed Tomography (CT) of the head. This rule has significant potential for assisting the clinician with decisions about neuro imaging.

bag urine specimen for a screening urine dipstick and/ or urinalysis may prevent the need for a catheterized urine culture in selected patients older than 6 months of age at low risk for a urinary tract infection (UTI). In an observational study of over 800 previously healthy, screening of urine obtained by a bag specimen reduced the number of subsequent urine cultures obtained by bladder catheterization from 63 to 30 percent without prolonging the length of stay or increasing rates of revisits or missed UTI. Although potentially helpful for urine screening tests, bag urine samples should not be routinely used to obtain urine samples for culture, especially in situations where contamination of the specimen will complicate further management.

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he risk of recurrent ischemic stroke is highest in the first days and weeks after a Transient Ischemic Attack (TIA) or ischemic stroke, but the benefit of aspirin in this time period has not been well studied.

In a recent pooled analysis of data from over 15,000 subjects in 12 trials evaluating aspirin for secondary prevention, the benefit of aspirin was strongest in the early weeks after TIA or ischemic stroke.

Compared with control (mostly placebo), aspirin reduced the relative risk of recurrent ischemic stroke within the first six weeks by 58 percent (1 versus 2.4 percent, absolute risk reduction 1.4 percent).

The benefit of aspirin in this time frame was greatest for the subgroup of patients with TIA or minor stroke.

IMA KOZHIKODE NEWSLETTER

Cover Story

Quality: Is it a priority in the healthcare sector?

Dr Abraham Mammen HOD, Dept. of Paediatric and Neonatal Surgery Head, Quality Assurance Department ASTER MIMS, Calicut NABH, Senior Assessor

Accreditation is only the third part acknowledgement of the quality practices and assures stakeholders that the healthcare organization is following such quality practices as mentioned

IMA KOZHIKODE NEWSLETTER

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otched surgery results in the death of the patient.”

“The Wrong patient was taken for surgery…”

“Wrong Medicine was given…”

“Patient admitted for the treatment of Diabetes falls in hospital and breaks a leg” “Doctor and hospital sued…”

We have come across all these and more in newspaper reports about accidents in hospitals. Patients come to the hospital for a relief from their medical conditions. The primary aim of all personnel involved in patient management is to do good – i.e. cure the health problems of the patient and remove the symptoms.

Hospitals are becoming a dangerous place these days. A study from the US shows that medication errors and deaths from medication errors are more common in the US than road traffic accidents and cancer.

Why is this happening? There are a number of reasons for it. With the

improvement in medicine and surgery, the cure rate is increasing but at the cost of increased risk of high-risk medications and morbidity of improper surgery. This is leading to a very bad situation where patients are on the lookout to cause problems for the caregivers. They view all hospitals as a business centre out to make a fast buck at the patient’s expense. In this scenario, if a mishap occurs, then it is disastrous for the health professional.

Adding to this, Dr Google whose information is considered more serious than a doctor’s experience is causing a clash. No wonder, in this situation, doctors are more and more resorting to defensive medicine. Is that the right way forward?

Should doctors be on the back foot always?

Are they always wrong? Should they cringe and shy away from aggressive patients.

No, the answer is an emphatic “NO.” We have been taught to practice evidencebased medicine and that is what doctors 7

Cover Story

should do in their day-to-day practice. To add to it, ethical practices with diplomacy and empathy, and the doctor is on the right pathway. However, accidents do occur even in such situations. What can be done in such situations? Practice medicine to ensure that all such situations are avoided and this is what “Practice of Quality in medicine does.” Quality makes sure that the safety and satisfaction of the stakeholders are looked after so that this crucial aspect of medical care is also taken care of.

Accreditation is only the third part acknowledgement of the quality practices and assures stakeholders that the health care organization is following such quality practices as mentioned.

Various Policies and Protocols enforce that the patient is best looked after without any serious consequences. Major hospitals

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with busy patient turnover can have problems of mistaken identity, medication errors, wrong site, wrong patient surgery or any other with disastrous consequences.

Quality practices make sure that such unexpected problems are reduced to the minimum while at the same time making sure that the medical practice standards are raised. They are encouraged at all times to benchmark the National and International standards. Audits, both clinical and nonclinical, let us analyze where we stand with respect to other institutions and how our results compare to other similar centres. This not only helps patients get the maximum benefit but also helps us as the health care provider.

Thus, with progress comes greater responsibility. Health care is expected to lead from the front by making sure that

quality services are followed in the practice of modern medicine. Patients with greater access to the internet are more informed about their medical condition and are aware of their rights and condition. All this demands health care practitioners to practice quality health care.

The healthcare motto is no longer to “Do good” but more importantly to “Do no harm.”

As Albert Einstein, the great visionary and scientist once said: “The world is not dangerous because of those who do no harm but because of those who look at it without doing anything.” So let us resolve to practice evidence-based medicine in a quality setting with diplomacy and empathy and this will make our profession more safe, enjoyable and gratifying in the years to come.

IMA KOZHIKODE NEWSLETTER

Talking Point

IMA to Ensure Equal Access to Healthcare for All

Dr. Pradeep Kumar V G MD, DM, DNB, MNAMS Dept. of Neurology, Baby Memorial Hospital

Kerala has one of the most vibrant branches of IMA at the national level. We are doing the best activities when compared to other branches.

IMA KOZHIKODE NEWSLETTER

What is the current health scenario of Kerala?

The Government is planning for a new health policy in 2017. I was also a part of the health policy committee, being the President of the Indian Medical Association. Presently, though we have good facilities, cutting-edge technologies, advanced centres for health care, we are not able to deliver to all the needy, for example, quality health care is not delivered to everyone, some are getting it and some are not. Even though we have a very strong Government sector, only 30% of the patients are catered to, while the rest 70% are supported by the private sector. Many people cannot afford this, and hence, it is important to strengthen the small and medium scale hospitals and improve the rural health clinics and start the family physician concept. This will help ensure everyone has equal access to healthcare. The Government should also have policies that ensure equal treatment to all. Lack of money should not be criteria

for not availing treatment. Irrespective of being rich or poor, everyone should get treatment. The Government has to modulate a plan based on this to ensure improvements in the healthcare sector.

Kerala is a small state, with a population of 3.25 crore population, and as it is, we can experiment all models in this small number of population. There are several threats to be addressed such the as disposable waste, and as they are not removed properly, there can be communicable diseases, and diseases that were not known to Kerala due to immigrant workers, lifestyle factors including lack of exercise, poor food habits leading to hypertension, diabetes, cancer, stroke and depression. This is a very different scenario that we have here and at par with developed countries, Communicable diseases is a major threat that Kerala is facing now. Inadequate disposal of waste is another reason for diseases. And the lack of immunization is a problem. Immunization is a key to preventing many diseases and because of the negative campaign by certain sections 9

Talking Point

of people, this is being drawn behind, especially in places like Malappuram, Wayanad, and Calicut, etc. But with the excessive campaign by the IMA and health department of the government, we are able to achieve a lot. On the whole, the health sector of Kerala is good. Now we have to prevent communicable diseases, we should have a very healthy environment to do that.

How is IMA committed to the public health?

IMA has been committed to this all these years, and our motto which I have put forward is “striving for excellence,” strengthening the profession of medicine, not by increasing the number of doctors or improving the academic content, but by strengthening the profession, linking it to the society. Society has to acknowledge the doctor as a man who cares for them, only this can bring out the final outcome. So the link is the profession and the society, and the bond has to be strengthened by telling the truth to the patient and revealing the scientific aspects of the medicine and at the time same time keeping the professional values and ethics, only then the link will be made strong.

What are IMA’s plans?

IMA’s agenda for this year is to strengthen the profession by increasing the membership by adding more members. We have a plenty of member-friendly schemes, like profession-protection schemes, so in case of litigation, the association will take care of the litigation.

Through a social security scheme, when a doctor passes away through unfortunate circumstances, his family will be supported.

There will be a health scheme where we have some pension schemes and insurance schemes with low premium. We are also planning for the disabled doctors’ support system where when a doctor becomes disabled at a young age and is unable to make his livelihood, he would be provided

support.

Another scheme known as the Privileged scheme for Elderly doctors is also introduced. This is for doctors who are elderly and are living in old age homes.

Apart from that, we are envisaging on various activities to strengthen the profession.

We have a cultural club academic initiatives like College of General Practitioners and other academic medical specialities. We have some social projects, where under the scheme “Arogyamaithri,” we adopt a girl’s school and we also adopt a village for health education and camps. There is another project called Arogyajalakam where we empower the local self-government like Panchayat and Municipality to develop a project on health. We also have other projects like Patient Care Fund where we support the poor patients. We also have funds for Women’s Health, Children’s Health, etc.

How strong are IMA’s activities in Kerala?

Kerala has one of the most vibrant branches of IMA at the national level. We are doing the best activities when compared to other branches.

How both the doctors’ and patients’ interests are protected?

In order to protect the Doctor’s interest, we have zero tolerance for hospital attack.

This is in light of all the hospital attacks everywhere, mostly without reason. If people have some grievance, then there is a proper forum where they can submit the grievance to. In a hospital, there are patients, their friends and families, so it would be very unfortunate to disturb them.

How IMA assures quality in medical care?

IMA has a Quality Assurance Committee

that will ensure that a minimum standard is ensured not only in hospitals but in small scale clinics as well.

What is your take on the IMA newsletter?

I am happy that Kozhikode IMA is bringing out a newsletter because this would reveal not only the activities of the organization, but it would give an update on the programs, on the medical profession, on the policies introduced by the government. The quarterly newsletter would carry the summary of the activities of the past 3 months, along with other healthcare information.

The programmes of IMA Kozhikode State-level inauguration of the differently abled committee’s activities is planned with a wide participation of differently abled people. This project was inaugurated at Kozhikode IMA. We had a state-level cultural inauguration where cultural programmes by various doctors from various branches were performed.

Kozhikode IMA was also the recipient of many awards for several years in a row.

There are many committed leaders in the branch and their vision has helped achieve many good things for the society.

What does the IMA expect from the State Government?

We take part in most of the state government activities and IMA has been invited by the government to various committees as well. But the government should ensure that whenever committees are formed at the district or state level, (like Hospital Development Management Committee), it is important that the IMA should be invited as well and made a member. I was a member of the Health Policy Committee and similarly, in all other committees, IMA should be consulted. I hope the government will do that.

A message to the doctors…

To be honest to the patients, uphold ethics and update your medical knowledge!

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IMA KOZHIKODE NEWSLETTER

Obituary

Reminiscences of My Dear Friend Dr. Kesavan T Senior Consultant Radiologist Baby Memorial Hospital, Kozhikode

With his departure, I have lost a very dear personal and family friend. I would like to convey my family’s heartfelt condolences to his family and also pray god, the almighty to give them strength to bear this great loss.

IMA KOZHIKODE NEWSLETTER

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met Bhagyanathan, whom close reported. He, as all us of know, was a very friends fondly called ‘Bhagy’, on 9th popular physician in Calicut with great August 1964 when we joined for academic interest.

M.B.B.S. We were roommates in Block Dr Bhagyanathan and his wife Dr Meera III men’s hostel along with another close regularly came for the yearly get-together friend Dr Krishnan Elayath who is also of our batch and last time they attended not with us today. We became close friends the get-together was in 2012. The most very quickly. Even after we became senior heartbreaking incident for me was when he students and were eligible for single did not recognize me when brought rooms, we used to take to my department for an adjacent rooms so that MRI. we remained virtually He just had a vacant as roommates. His look on his face unique trademark when I stood in was his most front of him charming smile. and he was also During the choking with “induction” secretions. It period, as newly is extremely admitted medical difficult to students, our believe that such seniors were angry, a nice person who to begin with, when never hurt anyone he smiled at everything or done any harm they asked him. But his to anyone had to suffer innocent and disarming smile Dr Bhagyanathan so much during his last days. was accepted by them very During his illness, we did not quickly. I am sure that those who came in have the courage to visit him as we always contact with this always well-dressed, most wanted to keep in our minds his handsome, pleasant gentleman would ever forget his well-groomed figure with the most the smile and I am sure none would have seen charming smile on his face. With his him angry at any point in time. I, during departure, I have lost a very dear personal my almost 50 years of relationship with and family friend. I would like to convey him, have never seen him raising his voice my family’s heartfelt condolences to his or being angry at any time. Even when he family and also pray god, the almighty to was teased by classmates during our college give them strength to bear this great loss. days he just smiled and never even once May his soul rest in peace.

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Obituary

In the Loving Memory of A Soulmate Dr. S Prasannakumar Senior Consultant Dermatologist Mg. Director, Cutis Institute, Kozhikode

You gave us strength and positivity even when you were in pain, and during the taxing post chemo sessions.

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rakash Bhai…How do I write a fulfilled. You were always the ‘no nonsense’ memoir in your name? I can still paterfamilias, yet you were thrilled to see feel your presence. You played your siblings when they came home from many roles in my life. abroad for vacations. You decided to It is impossible to quote the degree of remain here and work in India, because you importance you had in my life? knew that’s what your parents wanted.

A true friend who loved me greatly.

You were a great visionary. You always An elder brother who stood by me through lived up to your name, spreading light and trials and tribulations. joy in everyone’s lives around you. And A father-like figure who your wife “Prabha” (glow in scolded me whenever Hindi) also added the due I detoured from my shine to your life. goal.

You gave us A magician who strength and magically wiped positivity even away all the when you were challenges that I in pain, and faced in life. during the A saintly taxing post presence who chemo sessions. looked on with You were the detachment while most dependable in the clutches of & persevering disease. human we knew, with a You were all these to me, luminous life, I still couldn’t and much more.

Dr Prakash bring myself to utter a single I could never figure out word at the condolence meet completely the importance you held in my organized by the IMA. life.

These words here reflect my feelings Friends and family always held an for you, but they will always be left important place in your life. We had had unexpressed to some extent, because it many family get-togethers. You played the is not possible to write in as many words perfect host on many beautiful evenings. what I feel for you, our relationship and You made sure that all our needs were will forever do.

IMA KOZHIKODE NEWSLETTER

News & Events

During the World Elders Day program conducted at Valsalyam Anganavadi, Chevayur on 1st October 2016.

During the Short Film Festival organised by IMA Film Club and IMA Kozhikode branch on 29th October 2016.

Awareness Class on ‘Adolescent Psychology’ at St’ Joseph’s Anglo Indian HSS, Calicut in association with WIMA Kozhikode on 1st November 2016.

IMA State Conference held at Nedumbassery, Aluva on 12th and 13th of November 2016. Over 250 members registered the State Conference from Kozhikode IMA. Kozhikode IMA got the Dr SS Rao Shield for the best local branch in Kerala State.

Honouring Senior Family Physicians and Qualified Family Physicians in Calicut City in association with IMA College of General Practitioners, Kozhikode Chapter on 2nd November 2016. Worshipful Mayor Sri. Thottathil Raveendran inaugurated the function.

A Symposium on Violence against Women on the auspices of “International Day for elimination of violence against Women” at Malabar Christian College on 25th November, 2016.

Topic 1. “Radiology – Past, Present and Future” by

Dr. V.R. Rajendran Prof. & HOD of Radio diagnosis, Govt.

Med. College, Kozhikode

Topic 2. ‘Breast Imaging – Current Concepts” ( It is the theme of the year) by Dr. Della Harigovind, Senior Consultant Radiologist, BMH, Kozhikode

Special CME in connection with International Radiology Day 2016 on 10th November.

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News & Events

District level ECG workshop, held on December 18, 2016 at IMA Hall, Kozhikode began at 8.30 AM with lighting of the lamp by Dr K Sugathan (Senior Cardiologist). As many as 69 delegates attended the workshop. Ex-minister and MLA, Dr. M K Muneer also graced the occasion. All the participants were ensured hands-on training through the eight skill stations at the venue. 36 scenarios were discussed during the workshop.

75% of the workshop sessions were delivered through skill stations’ tabletop exercises.

Calicut College of General Practitioners was honoured by the senior most members to host such a well-structured and comprehensive scientific feast for the first time. TCMC awarded 2 credit hours. The candidates were assessed pre-test and post-test and there was an interactive feedback session too. 14 faculty members and 10 helpers aided in making the workshop more vibrant and successful.

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Media Scan

IMA in News

IMA KOZHIKODE NEWSLETTER

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Pioneer in Specialty Care

Combining the expertise of highly skilled professionals backed by state-of-the-art technologies, Aster MIMS promises the best possible care, thereby ensuring excellent accuracy and precision in diagnosing and saving lives.

Malabar Institute of Medical Sciences Ltd.

Mini By-pass Road, Govindapuram P O, Calicut - 673 016, Kerala, India, Phone: + 91-495-3911 400, 2488 000, Fax: + 91-495-2741329 Website: www.astermims.com, Email: mimsclt@mimsindia.com

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IMA KOZHIKODE NEWSLETTER