MY JOURNEY AS A PHYSICIAN
AGENDA
INTRODUCTION
Background summary
Experience
The KP Model
Profiling my work-load
My current projects
Declarations and disclosures
PERSONAL STATEMENT
I was born into a middle-class family in India influenced by my mother who experienced an education system in Pre-Independent India. The factors shaping my early years are:
• My Mother’s role in shaping my early years: My mother grew in Pre-Independent India under the British Colonial Rule where the struggle for independence from British infused education with a sense of purpose and patriotism. Many students and educators actively participated in the nationalist movement, using education as a tool for social and political reform. My mother was singularly dedicated to instilling values which emphasized education.
• Legacy of Dedication: The dedication to education during pre-independent India laid the foundation for the country’s future educational reforms and progress. It emphasized the importance of Universal Education as a Fundamental Right and Inspired generations to come to continue the quest for knowledge and social justice. This continued to Post Independent India and the culture continued to recognize the importance of scientific and technological advancement. As part of this culture, I was shaped to pursue scientific education.
• Cultural Values in Education; While embracing modern education, Indian culture continued to emphasize traditional values as respect and dedication for the pursuit of knowledge for the betterment of society. Educational Institutes played a crucial role in preserving and promoting cultural heritage through the inclusion of arts, sciences and humanities in the curriculum.
My Early Years of Education
• As a young child I was sent to school with significant historical connection to British education, although they have evolved over time to become quintessentially Indian Institutions. Such schools were founded as an Order of the Roman Catholic Church back to the 19ᵗʰ Century in Ireland. These schools were often established to provide education primarily to British and Anglo-Indian children although they also admitted students from other countries. The curriculum and education ethos of these schools were influenced by British education principles and values. However, over the years, these have adapted to the changing educational landscape and have embraced Indian culture and values while still remaining high academic standards. They continue to provide quality education to students from diverse backgrounds irrespective of their nationality or religious affiliation.
• Subsequently, I found myself as a young admittee in King George Medical College where I obtained my MBBS.
MY MBBS DEGREE: KING GEORGES’ MEDICAL COLLEGE
• King George’s Medical University (KGMU) in Lucknow, India has its roots that trace back to the British colonial period and was established in 1911 during the British rule in India and was initially named King George’s Medical College. The College was founded to commemorate the visit of King George V and Queen Mary to India. The College was modelled after the British medical schools and followed the British system of medical education. It aimed to provide high-quality medical education and training to Indian students, following the standards set by British Medical Institutions of the time. While the colonial legacy is evident in its founding and early years, King George’s Medical College has evolved into a prominent Indian Institution with its own distinct identity. It has adapted to the changing needs of Indian society and healthcare system while continuing to uphold high standards of medical education and research. In 2002, it was granted University Status and renamed King George’s Medical University, reflecting its expanded scope and academic pursuits. KGMU is one of the Top 15 Medical institutes as ranked by National Institutional Ranking Framework [“NIRF”] under the Ministry of Education, India. See https://timesofindia.indiatimes.com/education/news/nirf-medical-ranking-2023-list-of-topmedical-colleges-in-india/articleshow/100766523.cms
MY TRAINING AT OKLAHOMA HEALTH SCIENCES CENTER, OKLAHOMA AND UT SOUTHWESTERN MEDICAL CENTER [UNIVERSITY OF TEXAS AT SOUTHWESTERN].
• I completed my residency and fellowship training at Oklahoma Health Sciences Center. The University of Oklahoma Health Sciences Center or “OUHSC” is one of the top institutions for medical residency programs in the United States. As one of the only few comprehensive health centers in the Nation, OU’s Health Sciences Center is considered one of the best in the country.
• At UT Southwestern I completed my fellowship in Advanced Clinical Anesthesia with a focus on Neuro-Anesthesia, Pain, Obstetric and Pediatric Anesthesia. I was also a Clinical Instructor and Faculty at UT Southwestern where I was responsible for Education and Training of Resident Physicians in a highly technical and competitive field of Medicine. UT Southwestern has been named one of the 20 best hospitals in the Nation by the US News and World Report. I was trained by the Icons in the industry [see my profile summary].
MY JOURNEY AS A PHYSICIAN
MY JOURNEY AS A PHYSICIAN
MY WORK AS A PARTNER IN THE KAISER PERMANENTE SYSTEM:
Kaiser Permanente is one of the Largest and Most Respected Health care providers in the United States, known for its Integrated Healthcare Delivery system and Emphasis on Preventive Care.
Working as Partner in KP involved significant responsibilities and Team Collaboration with participation in decision-making processes related to patient treatment, management and contributing to the overall functioning and success of the organization. Partner Physicians at Kaiser Permanente [SCPMG] often play key leadership roles within their medical groups or departments, guiding clinical practice, quality improvement initiatives, patient safety efforts, teaching and mentoring etc. SCPMG’s leadership programs are geared toward training leaders in Permanente culture, not just administrative practices. [https://www.prnewswire.com/news-releases/kaiser-permanente-is-named-among-worlds-most-ethical-companies-for-fifth-time301772948.html]
At KP we were trained to combine the best of Patient care and Safety, Education, Corporate Core Values implementing these while acting as mentors, leaders and meeting the benchmarks in the industry in the most efficient way.
At a Personal level, through the care model utilized by the KP family we learnt that Wellness a means of Preventive Care was achieved by collaborations between both the medical community and the public. I now serve as Board Advisor and Trustee on projects that implement Wellness through FIM Model. See Facebook page.
EDUCATION, CERTIFICATIONS AND LICENSURE
⚬ CERTIFICATIONS AND LISCENSURE
⚬ DIPLOMATE, AMERICAN BOARD OF ANESTHESIOLOGY, April 1989
⚬ ADVANCED CARDIAC LIFE SUPPORT CERTIFICATION [PALS], Current
⚬ FLEX, December 1983(Weighted Average 81)
⚬ ECFMG, January 1983
⚬ M.D. ANNESTHESIOLOGY, KING GEORGE’S MEDICAL COLLEGE LUCKNOW INDIA [RANKED FIRST IN GROUP], 1981-1983
⚬ THESIS: “Clinical Evaluation of Ketamine in Emergency Situations with special reference to low general condition” ASA 3-5
⚬ DIPLOMA ANESTHESIOLOGY KING GEORGE’S MEDICAL COLLEGE, LUCKNOW, INDIA [RANKED FIRST IN GROUP], 19781980
⚬ Rotating Internship King George Medical College, Lucknow, 1977-1978
⚬ M.B.B.S., KING GEORGE’S MEDICAL COLLEGE, LUCKNOW, INDIA, 1973-1977
⚬ California License to Practice Medicine; 1988 to Current
⚬ Virginia License to Practice Medicine; Current
⚬ Texas License to Practice Medicine; 1987-Inactive
⚬ Oklahoma License to Practice Medicine; July 1987-Inactive
PROFESSIONAL EXPERIENCE & ACADEMIC APPOINTMENTS
⚬Southern California Permanente Medical Group; Currently Retired Partner Emeritus and active Staff at K.P. Orange County California. Resource utilization Practice guidelines, TOPPS (Total Practice Profile), MAPPS, PEP. January 1990 to Current ⚬University of Texas, Southwestern Medical Center, Dallas, Texas; Assistant Professor and Clinical Instructor, Division of Cardio-Thoracic Anesthesia in one of the largest and most prestigious academic programs in the United States. Responsible for Education and Training of Resident Physicians in a highly technical and competitive field of Medicine. July 1988-December 1989.
POST GRADUATE TRAINING AND EDUCATION
• PGY-4, University of Texas, Southwestern Medical Center: Parkland Memorial Hospital and Scottish Rite Hospital; Fellowship in Advanced Clinical Anesthesia at Parkland Memorial Hospital and Scottish Rite Hospital, Dallas Texas; Primarily involved in Neuro-Anesthesia, Pain, Obstetric and Pediatric Anesthesia. January 1988-June 1988.
• PGY-4, Health Sciences Center, University of Oklahoma Teaching Hospital (VA Medical Center, Oklahoma Children’s Memorial Hospital and Oklahoma Memorial Hospital); Fellowship in Cardio-Thoracic Anesthesia, July 1987-December 1987.
• PGY 2&3, Clinical Anesthesia Years I & II, Health Sciences Center, University of Oklahoma Teaching Hospitals with comprehensive experience in all fields of anesthesia, July 1985- June 1987. During this period over 900 anesthetics were given including Spinal, Epidural, General Anesthesia and Regional Nerve Blocks. Specialized techniques included: One Lung Anesthesia, use of Fiberoptics, Hypotensive techniques and Placement of Swan-Ganz catheters, Arterial lines and Central Venous lines. Additional Critical Care experience was gained rotating through Pediatric Intensive Care Units for two months.
PROFESSIONAL EXPERIENCE AND EDUCATION CONTINUED:
• PGY 1, Baptist Medical Center, Oklahoma City. Rotating Internship at the Baptist Medical Center, Oklahoma City with Critical Care experience gained through rotations in the Emergency Room (2months), and the Neonatal Intensive Care Unit (1month). Other rotations included Cardiology (3months), Pulmonary (3months), Endocrinology (1month), Radiology (1month) and Nephrology (1month). July 1984- June 1985.
• King George’s Medical College; Anesthesia residency in one of the oldest medical institutes of India including emergency duties, research and teaching experience. January 1979 – December 1983.
AWARDS RECIEVED
⚬ COLLEGE OF COLORS AT KING GEORGE’S MEDICAL COLLEGE, LUCKNOW, INDIA, for overall outstanding performance in academics and sports.
⚬ MERIT AWARD, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP; in recognition of services above and beyond the call of duty.
⚬ RECIPIENT, PELM AWARD KAISER PERMANENTE
ADDITIONAL PROFESSIONAL ACTIVITIES & APPOINTMENTS
⚬ Interdisciplinary Practice Committee at Kaiser Medical Center responsible for evaluation and approval of all Hospital Policy and Procedures, defining of Scope of Practice of Medical Staff, Credentialling processes.
⚬ Professional Education Committee for Southern California Medical Group responsible for developing educational agenda for Medical Group directed at bringing about improvement in practices and behaviors and clinical outcomes.
⚬ Education Chair Department of Anesthesia
⚬ Chair for Offsite for SCPMG; Bloodless Surgery- Perioperative Blood Conservation.
⚬ Tissue and Transfusion Committee
⚬ Department Chair for Morbidity and Mortality; involved in the peer review processes for Quality Assurance.
⚬ Physician in Charge and Director, Perioperative Autologous Transfusion
⚬ Physician Champion for implementing Multicomponent Pheresis and Platelet Gel; Pioneering of cutting-edge technology in the area of blood conservation involving project management, developing Policy and Procedures and Quality Assurance in compliance with Joint Commission for Accreditation of Hospitals.
OVERCOMING NERVOUSNESS
THE KPMODEL I worked with the KPmodel delivery of care, the key components of which were: The KPmodel of care centers on prevention, evidence- based medicine, integration and communication between specialties, effective resource stewardship andproviding the highest quality of care possible.
My work load
My Work-load during the past several years and current is profiled as:
• More than 50% of OB based Anesthesia and remaining Gen. Anesthesia.
• Participation in Organizational Activities
• Currently serving as Board Advisor and Chair on Projects that are in development stages of FIM model.
• Budget and ROI development.
• Bringing leading Research and Development Institutions together.
CURRENT PROJECTS
• Physician Practicing in California; Various Locations, California.
• Board Advisor; Board Advisor of Private Companies and Organizations developing and implementing FIM Model in both Urban and Rural Setting. Responsible for developing AI based technologies for launch of FIM model for private enterprise and spearheading Twin Technology based Precision Medicine, R&D Dept. and development of the IP associated with the Research. Also responsible for Oversight of Investment Budget.
• Board Advisor: Board Advisor of Private Enterprise, responsible for bringing together Leading Global Research Institutions for development of Digital Health Technologies. Responsible for directing R&D activities and setting up of IP cells for market commercialization. Also responsible for Oversight of Investment Budget.
• Trustee of Private Enterprise: Trustee and Chair of Board of Private Enterprise that is involved in Precision Medicine in Food and Nutrition. Also responsible for approval of Capital Budget.
Declarations and disclosures
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Declarations and Disclosures
⚬Pitch variation
⚬Tone inflection
⚬Volume control
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