Page 1


News Letter


Council Members Detail’s

Editorial Dear Members, I happy to release the second issue of this year's newsletters. Third & last will be released in October. Last time I started the idea of inserting cover page photo as per the situation. This idea of changing cover page was liked by many. This gives appearance like magazine & whole aim is to make newsletter reader friendly & attractive. This cover page gives a overview of desert safari camp & enormously lavish Dubai mall that we visited & enjoyed during DESERTCON. I am sure those who were in Dubai will refresh the memories of an excellent evening we had in the camp. I published west zone program calendar in first issue. Our events are taking place as per the schedule. DESERTCON 2010 was the first event & was most successful. I have given detailed report with selected photographs. I am sure it will refresh the memories of those who came to Dubai & for those who did not; it will give idea of what they missed. We just finished our 2nd program Uroflexicon held at Jupiter hospital Thane. I am giving detailed report & photographs for the benefit of all those who could not attend. Our next 2 programs Teaching program Pune & annual conference at Silvasa are on the way. Please find all details in this issue. National Board issues are presently a hot topic because of bad results & then poor entrance exam marks. Many senior urologists were talking of dissolution & / or total reformation of NB. I selected this topic for the debate. Dr. Yande readily accepted to write for reform. I wanted equally senior & competent teacher to write opposite view. I asked few but they were reluctant to support this view. Hence I myself have put forward opposite view. I hope you will like the debate. I am waiting for your reaction by email. Our usual sections “happenings in zone”, “announcements” are being continued. As usual it is my humble appeal to send your reactions / suggestions about the newsletter.

West Zone : President Dr. Ajit Vaze

: Mobile : 09821023637 Email :avaze@hotmail.com

President elect : Dr. Shailesh Shah

Mobile : 09824035673 E mail: kidneyline@gmail.com

Past President Dr. S. W. Thatte

: Mobile : 09820095112 Email : swthatte@vsnl.com

Hon.Secretary : Dr. Ravindra Sabnis

Mobile : 09426422002 Email : rbsabnis@gmail.com

Hon.Treasurer Dr. Umesh Oza

: Mobile : 09820058623 Email : uoza@bom3.vsnl.net.in

Council members : Dr. Hemant Pathak

Mobile : 09820364294 Email : goodurologist@gmail.com

Dr. Hemant Tongaonkar Mobile : 09820073911 Email : htongaonkar@gmail.com

Dr. Subodh Shivde

Mobile : 09822217380

Dr. Pradeep P. Rao

Mobile : 09820336193

Email : shivdes@yahoo.co.in Email : pprao@mac.com

Ex officio members Dr. Jaikishan Lalmalani Mobile : 09820071046 Email : lalmalani@hotmail.com

Dr. Ravindra Sabnis

Mobile : 09426422002 Email : rbsabnis@gmail.com


Thanking you, Yours sincerely,



ŸPresident’s and Secretary’s Message




ŸDESERTCON -2010 report


ŸGlimpses of Desertcon


ŸUroflexicon-2010 report




ŸWZUSICON 2011 Silvasa Update




ŸMCI action




Dr. R.B.Sabnis Editor

Secretariat : Dr. Ravindra B. Sabnis Chairman, Dept. Of Urology, Muljibhai Patel Urological Hospital, Dr.Virendra Desai Road, NADIAD-387 001, Gujarat Tel.:0268 2520323 to 30, Fax : 0268 2520248, Mobile:09426422002 Email : rbsabnis@gmail.com


....Words from Honorary Secretary

From the President’s Desk.......... Dear Members I am sure all of us, after withstanding unprecedented heat wave, are now eagerly waiting for much sought after monsoon, which will give us great awaited relief from sultry weather.

Dear friends, We are progressing well on our academic & scientific platform. Our first program of the year was DESERTCON at Dubai. This was a unique conference organized for the first time out side the country. Most delegates who attended were very happy. I am giving all the details & some selected photographs in this issue itself. I am sure even those who could not come will also enjoy reading it. I am sure many other societies will follow us.

For west zone, after a stunning DESERTCON success, it is time to congratulate Dr Sabnis & his team, who has managed such unprecedented event. For the first time in Indian Urological history, more than 100 urologist went to Dubai, had a great two days of academics, enjoyed best of Dubai, and gave a strong signal to rest of Urological fraternity, that west zone is still Numero Uno, in many ways.

Our second program was live operative workshop “UROFLEXICON'. Dr. Michel Grasso from New York was the main international faculty. Along with other national faculty he demonstrated several procedures of Flexible URS. It was a treat to watch him. There were lectures on different topics. More than 100 delegates from different part of our zones attended. Everyone felt to have immensely benefited by attending “Uroflexicon”. Dr. Ajay Kanbur & Dr. PP Rao should be congratulated for the excellent organization.

We all gathered for Uroflexicon, which was also a show, never to miss. As predicted, Dr Micheal Grasso and his magic hands, spun a web of sheer magic. Infact, he showed more than 8 cases of flexible ureteroscopy with great ease. Last day, to crown it all, he showed a two low grade ureteral tumour resection by flexible uereteroscope. Other faculty like Dr R. B. Sabnis, Dr. Anil Bradoo and Dr. P P Rao, also showed several cases which gave a great sense of satisfaction to one and all , who attended this magnificent conference.

Our next program is PG teaching activity on 21,22 August at Pune which has become regular annual event. Subodh, Jaydeep & Bhalu are now giving final touches on the program format & faculty to be invited. I have no doubt that it is going to be big hit as usual.

The hard talk also was a typical JPAC show, smooth, full of knowledge and pleny of cases. We were deeply honoured by the presence of Dr S. V Kotwal, our USI President, who very actively took part in entire days proceedings. He gave compact opening remarks, mingled with a housefull audience and took active part in point counterpoint, debates and live operative sessions. Everything, about hard talk, went with clock wise precision, as usual. Every aspect of PCNL Was shown and discussed in great length. The highlights of programme was difficult case presentation, which bonded audience till wee hours in evening. Both Dr Mahesh Desai, Dr Paul and Dr Sabnis need a big thank you from West Zone for bringing such a unique show

Mega event in the year is always our annual conference. The preparations are progressing well. The organizing team of Silvasa conference has come out with excellent brochure, I am sure you must have already received it. It is yet again a residential conference & the packages are most attractive. The unique advantage of SIlvasa is that from most places you can reach there by car within few hrs drive. The scientific program is going to be attractive. Some new innovations are included. This time we formed a scientific committee consisting of Dr.Sujata Patwardhan as convener & Dr.Shrenik Shah, Dr. Rajesh Kukreja, Dr. Bhalu Kashyapi as other members. They have prepared a nice format on which council is working at present. It is my request that those who wish to take part in any of the scientific program in any capacity please let me know. I would be happy to get several people interested in participating in academic sessions. Least to say merit is the only deciding factor. We are also arranging good social programs. Venue has excellent water park & we are trying to keep Sunday free for the same. So lots of fun & academics is waiting for you in Silvasa. So mark the dates in your diary & come in large number Let's make the event memorable.

We all owe a great deal towards our post graduates. They are, what we all were many years back. Dr Jaydeep Date and Dr Subodh Shivde, tirelessly are organising post graduate training programme at Pune, which have been hugely successful in past. Many star Urologist have proudly come and delivered almost two days for this noble cause. I personally would be grateful to both, who are taking time out from their busy schedule and devoting 20th and 21st August, for our post graduates. Kudos to both of them. All of you must have received brochure of our annual conference at Silvassa, which appears to be a crowning glory in academic environment. Dr Mhasker and his team are truly burning mid night oil to make this a much sought after event. The scenic venue, great programme and good camaraderie, of west zone, will appear at its zenith in our annual meet It looks to be a great academic memorable event till October all along. Let us get soak in this fervor and truly enjoy till October

As always I request to send me your suggestions, criticism about any matter related to west zone. I am waiting for that. Hope to see you in Silvasa…!

Dr. Ajit Vaze The President, USIWZ

Dr. Ravindra Sabnis Hon.Secretary. USIWZ


Obituary and British Journal of Urology. The Government of India conferred him with the Padmashri in 1983 and the Dhanvantari award was also January 1920 to May 2010. bestowed on him in 1986. The pinnacle of honors Obituary Dr. D.K.Karanjawala compiled probably came in 1993,when he was awarded the by Dr. Vinit Shah St.Pauls Gold Medal which is the highest honor bestowed by BAUS and is given to an individual outside Born in Mumbai and educated at a boarding school in the UK for notable contribution in Urology. He was the Panchgani,Dr Karanjawala did his medical education first Asian to receive the award. from KEM Hospital, Mumbai and obtained MS in 1948. He then proceeded to UK and obtained FRCS in 1952 His zeal for Urology and his passion for the subject, and returned to India and was attached to KEM made him a regular attendee of all national and Hospital, Mumbai since 1955 where he was instrumental international meetings, and he never ever missed a in setting up the first independent Department of Urology Wednesday afternoon clinical meeting at Bombay Hospital with which he was associated for a long time till in Mumbai. He was also perhaps the first person to the last years of his life. His last contribution to USI was recognize the importance of being a specialist and perhaps going to Agra as the chief guest to inaugurate shunned the temptation of doing General surgery and the national conference of USI. devoted himself to exclusively practicing as a He also took a very keen interest in all his students and UROLOGIST. Besides being attached to KEM Hospital, was most helpful in facilitating the training of many he was also a visiting consultant Urologist to INHS students in the UK, many of whom have since returned Ashvini, Tata Memorial Hospital, BARC Hospital and to India to set up a successful practice and make a big Sher-e-Kashmir Institute for Medical Sciences, contribution to Indian Urology. Padmashri Dr.Dara Karanjawala


His passion for travel and his fondness for the Chinartrees in Kashmir, took him to many places He was extensively honored both nationally and worldwide and a soft spoken demeanor with intelligent internationally and was awarded the prestigious wit, made Dr.Karanjavala a much wanted fixture at many Hunterianoration at the Royal College of Surgeons social gatherings. England in 1969 for his work on Lymphangiography in In his passing away, Urology has lost a father figure, the management of Filarial Chyluria. whose contribution to developing and propagating He was an active member of the USI and was elected Urology as a superspeciality in our country cannot be as President 1981 and was also awarded the Gold measured. We pray to the almighty to give peace to the medal in 1981. The Dr.Himadri Sarkar oration 1981 was departed soul and hope that we will be able to emulate also delivered by Dr.Karanjavala and he has served on him in many ways so that he can watch us from his heavenly abode with a benevolent smile of satisfaction. the Editorial Board of International Society of Urology

Memories of WZUSICON-Goa


Desertcon 2010 - Dubai DESERTCON 2010 took place from 25 March to 28 March 2010 in Dubai. It was for the first time in the history of USI or its zonal chapters that a conference was organized outside the country. Since the time the announcement was made, the response has been phenomenal. 118 delegates including spouses attended the meeting. The ports of exits were Mumbai from where 70 & Ahmedabad from where 40 delegates departed. Both flights reached in the morning 6 am in Dubai. It was a residential conference. Everyone stayed in same hotel where conference took place. First day Dubai city tour was planned & at night everyone went for a cruse arranged exclusively for delegates. It was relaxing 2 hrs journey on a boat with pleasant weather, light music, cocktails & dinner. It was a different experience to see night skyline of Dubai. Next day was conference that started at 9 am. Novel way of inauguration was done by video presentation. Scientific sessions were kept on 2 days 26 & 27 March. Both days had same format - 4 debates, video session on point of technique (of urethroplasties on day 1 & SIU surgeries on Day 2), & what is the evidence session. Scientific sessions were well received. Most delegates actively participated in discussions. Debates generated lot of interest. Many speakers made it interesting & hilarious. It was incredible that hall was jam packed on both days Many senior delegates expressed their desire to have discussion on National Board issues. On day 2 post tea break, this aspect was discussed. Dr. Sabnis gave the background, Dr. Yande gave presentation. Dr.A G Phadke, Dr.S S Bapat, Dr.Mahesh Desai & many more delegates expressed their views. It was decided that the views expressed should be compiled & sent to USI council. Hon.Secretary Dr.R.B.Sabnis agreed to do that. On Day 3 all delegates were taken to Desert Safari after lunch. The experience of sand dune bashing, camel ride,

thrilling Tanura show & belly dancing was an experience one must take in Dubai visit. After general crowd went away, one more separate exclusive show was organized for the delegates. Many delegates enjoyed dancing with the belly dancer. A valedictory function in the deserts was a unique feature. It is worth quoting what Dr. Ajit Phadke said during valedictory function “40 years back when I was in New York, that year New York Urology association had organized their annual meeting outside the country in Turkey. A thought came to mind that when a day will come where Urology society in India will organize its conference outside country? That time Urology in India was in it's infancy & we were struggling to establish Urology society in India. Today after 40 years a day has come where west zone USI has organised conference here in Dubai with no less that 120 delegates participating. I congratulate the organizers that the dream I had 40 yrs back became true today” Everyone was touched by the emotions he expressed. Delegates enjoyed the cocktails, dinner, dance & music. A group photo was taken & delegates returned to hotel late at night. Day 4 was a Dubai Metro ride to Emirates Mall. It was unbelievable how a driverless metro train runs with such accurate precision. Dubai ski & Snow Park was yet another witness to what determination can do. Amidst the desert it was unimaginable that you are in temp of -5 C with ice all around doing skiing & riding on a cable cart. Delegates gathered in the evening to Airport to catch return flight to Mumbai & Ahmedabad. The whole tour was a like a big family moving around everywhere & mixing with each other. Most delegates were happy, expressed their satisfactions & expected more & more such combo pack of conference with touring in future. Surely DESERTCON 2010 is poised to change the way we look at our conferences.

In spite of so many attractions jam packed halls (rarity for urologists)

……And DESERTCON is officially open!


Glimpses of Desertcon

Another PP Rao in making

What should this be called as - Height of ……???

What a rare chance…..!!!

Dr. Phadke - diff. dress & diff. mood

Sheikh of west zone his highness Ajit bin Manohar Al Vaze.

Group photo 120 in 1


Glimpses of Desertcon

The hotel we stayed & enjoyed for 4 days

Discussion & planning of how to empty husband’s wallets.

Relaxing moments with family & friends cruise night

Big camera but last moment glitch

Dune bashing, camel ride, bike adventure & what not all in desert

Dubai Ski A real wonder


Uroflexicon 2010 West Zone USI organized Live operative workshop “Uroflexicon� on 26th & 27th June 2010. Total 102 delegates were registered. 14 PG students attended of which 6 were from out of Mumbai. Dr. Michel Grasso was the invited international faculty. Organising committee had collected excellent variety of cases. First day 9 patients were operated which included variety of cases like upper ureteric stones, upper, middle, lower calyceal stones. Some were pre stented & others were not. Delegates could see variety in which Flexible URS was done. Dr. Grasso also demonstrated use of flexible videoureteroscope made by STORZ. This is the product yet not come in market but was provided by Karl Storz specially for this workshop. Dr. Mahesh Desai showed miniper. Dr Sabnis demonstrated PCNL & Flexible URS. Dr. P P Rao also showed Flex URS & Dr. Bradoo demonstrated use of semirigid URS for mid ureteric stone. On second day Grasso demonstrated Flexible nephroscopy & Upper uretric TCC fulguration by flex URS. This procedure was

a treat to watch. There were very informative lecture by Dr. Grasso, Dr. Sanjay Bhat, Dr. Mahesh Desai, Dr. Ravindra Sabnis, Dr. Ajit Sawant, & Dr. Anil Bradoo, Delegates enjoyed case discussion & got several tips & tricks about how to overcome difficult situation during RIRS. West zone USI thanks Dr. Ashok Bapat, Dr. Ajay Knabur & Dr. PP Rao & their team to have made such an excellent organization & put in lot of efforts. Dr. Ajay Thakkar & entire Jupiter Hospital staff must be thanked to have given full co-operation to make this even successful. At one time it looked impossible for Grasso to get VISA, but Special efforts made by Dr. Ajaykumar & Dr.Ajit Vaze made it possible. West Zone USI appreciates their efforts. Overall delegates were very happy to have learned a lot from person none other than Michel Grasso, & expected organizers to have many more workshops like this in future.

Org. secretary - Dr. Ajay Kanbur His hard work made all the difference

Glimpses of Uroflexicon

Michel Grasso showing live surgery demonstration

Faculty coordinating from floor


Michel Grasso being felicitated by Dr Ashok Bapat

PP Rao in his usual style

Lighter moments at banquette

Achievements Several west zone members are invited to give lectures, participate in discussion or conduct live operative workshops not only in the country but even abroad. I have always appealed via newsletter to inform me about their achievements - especially international. Following members have informed about their achievements lDr.PP Rao Was invited to conduct live operative workshop on single port laparoscopy surgery in Vienam in . Invited at Prince of Wales Hospital, Chinese University of Hong Kong as visiting Professor. lDr. Pankaj Maheshwari- He was invited to Kumming China in March 2010. He delivered a talk & demonstrated his technique of HOLEP. lDr.MR Desai: Was invited as faculty to give a lecture at Robotic 2nd Robotic Urology symposium at Istanbul, Turkey in June. Invited as visiting Prof at University of Vienna in April. lDr. Janak Desai Was invited as a guest faculty by Institute of urology (London) in 2nd week of May. He gave lectures & demonstrated his technique of PCNL lDr. Ravindra Sabnis Was invited as visiting consultant at Hamad Medical Corporation, Doha Qatar in April. He gave lectures & demonstrated PCNLs lDr. Pranjal Modi was invited to give lecture at Bangladesh’s first transplant surgeon’s meet in April.

West zone USI feels proud of the laurels they have achieved. Heartiest congratulations to all.


WZUSICON 2011 Silvasa Update 20th West Zone USICON 2010 Dates: 28th to 31st October, 2010 Venue: Treat Resort, Silvassa Organising Committee: Organizing President : Dr. Jayant R. Patel Organizing Secretary : Dr. Sumeet S. Mhaskar Patron : Dr. Thakorbhai A. Patel The progress in organizational as well as scientific aspects is good. Most aspects are finalized in planning & we are in phase of executing the plans. The 2nd brochure must be in you hand. This is once again a residential conference. Treat Resort is the excellent venue located in scenic landscape of Silvasa. It has all modern amenities like kerala massage centre, Shenaz Hussain spa, indoor games, gymnasium & a fantastic water park. The package that is offered is real value for money. This is a place where even if you are busy in the meeting spouses & children will have lots of fun. This is place you should come with family. On scientific front things are well planned. See the highlights of the program & I am sure you will get attracted. The timigs of the program will be arranged in such a way that you will get adequate time to enjoy the attractions. A unique thing of Silvasa is that it is very easily approachable form almost every part of our zone. Mumbai, Pune, North Maharashtra, Entire Gujarat & west & south MP delegates can come by car. Others can come to Mumbai & then reach by road. Friends Silvasa is going to be unique experience. Don't miss it. Come with family.

Child Policy: Child below 5 years: Free Child above 5 & below 12 years: Rs. 1200/- per day Child above 12 years will be treated as extra adult. Residential package includes: Conference Registration Fee + Scientific Session + Hotel accommodation for 3 nights (28th-31st October 2010) + All conference meals from 28th Night Dinner to 31st October Lunch. Non Residential package includes: Conference Registration Fee + Scientific Session + All conference meals from 28th Night Dinner to 31st October Lunch except Breakfast on all days. Breakfast at respective hotels wherever the delegates are staying Cancellation/Refund Policy: Delegates who wish to cancel their registrations MUST sent a written request to the conference secretariat on or before 15th September 2010. A processing fee of Rs 1000/- will be deducted as cancellation charges. All refunds will be made by cheque after the conference. Registration fee is not transferable.

Registration Details Delegate category (All Figures in INR)

Upto 31 July 2010

1st August to 30 th Sept. 2010

1st October 2010 & Spot

Residential Delegate (USI Members) (TREAT RESORT & DAMANGANGA RESORT) Delegate on Twin Sharing basis (Per Person)




Delegate on Twin Sharing basis (Couple)




Delegate on Twin Sharing basis (Per Person)




Delegate on Twin Sharing basis (Couple)




Delegate on Twin Sharing basis (Per Person)




Delegate on Twin Sharing basis (Couple)




Non residential / PG students




Residential Delegate (Non Members) (TREAT RESORT & DAMANGANGA RESORT)

Residential Delegate (RAS RESORT)


Mode of Payment: Payment should be made by Demand draft in favour of WZUSICON 2010 payable at Mumbai. Important Guidelines: 1.This is an in house conference. Avoid travel to and fro and relax after the sessions. 2.The accommodation is on twin sharing basis. The rooms would be allotted on first come first serve basis. Limited rooms are available. So please register early. In case you wish to be accommodated with your friend, it would be preferable to send two registration forms together, or a special request may be sent to the secretary. The spot registration is non residential and by cash only.

WZUSICON 2011 Silvasa

Instruction to Author

Tentative Scientific Programe : Thursday - 28th October 2010 05.00 - 06.00 pm Panel discussion - Talk Show 06.00 - 07.00 pm Intra-op consultation on uro-gynec 07.30 Inauguration Friday 29th October 2010 09.00 - 10.00 10.00 - 10.30 10.30 - 11.00 11.00 - 11.30 11.30 - 12.00 12.00 - 01.30 01.30 - 02.30 Hall A 02.30 - 03.00 03.00 - 03.30 03.30 - 04.30 Hall B 02.30 - 03.00 03.30 - 04.30 04.30 - 05.00 05.00 - 06.00 06.00 - 06.30 06.30 - 07.00

Symposium on UTI Small fight Big fight Tea Break Microscopic hematuria guidelines Conf Symposium Pediatric urolithiasis Lunch Diagnosis of GU TB OAB what is the systematic approach? Symposium Painful Bladder syndrome Symposium on Targated therapy Case discussion Uro-oncology Tea Break Urology Quiz PETCT Role in urology Know your GURU

Saturday 30th October 2010 08.30 - 09.00 Speaker's corner 09.00 - 10.00 Sterilisation of Urology equipments Symposium 10.00 - 10.30 V.V. Desai Oration 10.30 - 11.00 A.N Gaikwad Oration 11.00 Tea Break 11.00 - 11.30 How to buy laser machine 11.30 - 01.00 Medico-legal implications 01.00 - 02.00 Lunch 02.00 - 04.00 Parellel sessions podium poster video 04.00 - 05.00 What is the evidence session 4 topics K citrate in prevention of stone recurrence, medicines for atopic detrusor, ca prostate Prevention 05.00 - 06.00 To be announced later 6 00 AGM Sunday 31st October 2010 Water park rides, relaxation in resort Free for all

Abstract Rules Please Read The Detailed Information Before Sending Abstracts. 1.Last date for submission of papers is 15th August 2010. 2.Person who is going to present a paper has to be member or applied for membership of WZ-USI. 3.There will be 4 categories of papers Podium, Video, Moderated Poster & Unmoderated Posters. 4.At the time of paper submission, you have to submit full paper & CD of your presentation for all categories. In short this means 2 things i) There is no abstract submission it is full paper submission. ii) Your full presentation must be ready at the time of paper submission. Your paper will be judged by reviewing both paper & CD. 5.Papers are to be submitted by e-mail only. E-mail id is papersubmission@usiwz.org 6.Podium and video presentation would be of 7+3 minutes. Moderated poster will be 2+3 mins. Thus there will be 12 podium & video presentations & 24 moderated poster presentations. Other posters would be unmoderated. Unmoderated posters means, the author will be allowed to display the poster and he can discuss personally with the delegates who come to see the posters. There will not be formal presentation in the hall. There would be no restriction on the number of unmoderated posters. 7.Please send as many papers as possible. Since the number of papers are going to be restricted, we may allow maximum of two papers for presentation in each category by the same author. This however will depend upon the merit of the paper. 8.While sending the e-mail, please write the e-mail subject as “paper “<type of presentation>:<short title>:<last name of presenting author>”. A sample e-mail subject would be “paper: podium: PCNL complications ; Bansal”. This would ensure that the papers are properly sorted at our end. 9.Full paper should be as follows: It should be written as Type of presentation// Title of the presentation// whether for prize or not// Name of main/ presenting author Last name followed by initials//Email and postal address, institute of the main author//Name of the associate authors (addresses of associate authors are not required//Paper should have following format: Title, Material and Methods, Results, Discussion and Conclusion. 10.Please send 1 paper at a time. This means if you want to send 3 papers send 3 emails. This helps us in sorting at our end. 11.CD should be submitted either by post or courier to: Dr. Hemant Pathak Address: 402 A, Lady Rattan Tower, Dainik Shivner Marg, Worli, Mumbai- 400 018. Email : hemantpathak@gmail.com 12.The CD's received till 20th August 2010 would be accepted. 13.The podium presentation CD should be sent as Power Point presentation. All video files in the presentation should be send with presentation. All fonts should be embedded in the presentation. 14.The video presentation CD should be send as VCD or DVD format preferably with voice recording. 15.The poster presentation CD should be send as JPEG image. 16.Method of selection of papers will be as follow. Each paper will be coded. It will be sent to 4 judges. Each judge will give marks to papers as per the set criteria. Total will be obtained & list will be prepared. How each paper will be decoded. Thus list of accepted enquiries will be made. While deciding final award, some weightage will be given to these marks as will. 17.For further enquiries please contact : Dr. Ravindra Sabnis, Hon. Secreatry USI-WZ.


Debate In mid 70' it was realized that although MCI has laid down the standard for PG examinations conducted by various medical colleges affiliated to concerned universities and other institutions, yet the levels of proficiency and standards of evaluation vary considerably in these institutions. Hence the National Board of Examinations was established in 1975 with the prime objective of 1) Improving the quality of the Medical Education by elevating the level and establishing standards of post Graduate examinations in modern medicine on an all India basis. 2) To facilitate intra country & international comparison with commonly accepted evaluation mechanism. 35 years later, today the doubts are raised whether National Board has fulfilled their objectives? If we talk of Urology, there is lot of hue & cry about poor results, once in a year exams. Even entrance exam was conducted again so as to fill up the vacancies. Big question is “Is National Board functioning towards achieving the goal for which it was established & delivering as per expectations or it has completely deviated from it's path & needs total reformation.?” Dr. Shirish Yande - a senior teacher agreed to write in favor of reforms. However I could not get anyone to write in favor of NBE. So I myself have put the opposite view.

Dr. Shirish Yande The Legacy of the National Board of Central Entrance Test (which the DNB insists they wish Examinations to conduct) for admissions to superspeciality yielded a Government of India result of under 10%. This meant that only a few (perhaps only 10% of the usual number) may be allowed to take The National Board of Examinations interviews for entrance to postgraduate courses. This was founded to establish a central has resulted in 90% of PG education centers staying authority to conduct postgraduate vacant and without a candidate. When this caused a medical courses and examinations in nationwide outcry, the Board suddenly decided to hold India and happens to be a much the Entrance Test again. This time the method of respected body in the Medical Fraternity. negative marking was abolished. In effect, almost everybody passed the test and presented for the Now that the Medical Council of India is dissolved, the Interviews. However the results were combined for ALL role of National Board of Examinations has become superspecialities and hence there was a moment of even more responsible in our country. However, this confusion as to how to recruit the candidates. National central governing body is fast losing its popularity as Board of Examinations also advised the institutions to well as accountability in its functioning over the past take into account the marks of the Entrance Test of all few years. This is probably the result of an extreme candidates and then prepare a “Merit List”. This made degree bureaucratic management that we the 'Interviews” superfluous for all practical purposes. teachers and the students have come to experience in the recent times. Still the most important lacunae in the functioning of the National Board are poor communication and dubious A number of issues have come up in the last few years, accountability on the part of the staff, culminating in loss which have caused grave concern in our minds. of credibility and loss of precious time of students as well as of the teachers. In the face of rapidly growing 1.Superspeciality examinations are conducted only communications tools and networking all over the world, once a year, thus making the candidate wait for one full the poor track record of communications stands out year for a second opportunity to pass the test. even more vividly. 2.Results of theory papers take as long as four and a half months for declaration. This causes loss of I gather these aspects were discussed at length at a precious time the student might otherwise get for meeting of teachers with all the administrative staff of the preparation of the next attempt. NBE last week. They have reportedly promised to look 3.Communication: This is the matter of grave concern, into this matter and take corrective measures as early as since it becomes impossible to get any information out possible. In fact my experience with the officials of the by conventional methods of communication. They National Board of Examinations is that these promises seem to be in perpetual shortage of staff required to have been given several times in the past, but no establish a dependable communication link with the measurable improvement was ever seen on the concerned Institutions. communication front in the past four years. 4.Results are sometimes withheld for as long as six months, without a valid reason. This causes serious This method of its working has not only caused a loss of time and even opportunity to sit the subsequent significant suffering to the students but has also examination. undermined its own credibility as a responsible central body of Postgraduate medical examinations of our This year the National Board of Examinations has country. surpassed some old heights of dysfunction. The


We the teachers of National Board of Examinations 6.Create a bank of examiners for each specialty and would like to seriously look for a long lasting solution to have transparency in the choice of examiners. (Both for these problems. Theory and for Practicals) 7.More importantly take immediate corrective measures We therefore have following suggestions to make, which to avoid delays and related losses which the students we hope the National Board of Examinations shall suffer from time to time purely due to bureaucratic reasons. consider for immediate execution: 1.Appoint appropriate personnel to respond on the email, all the queries raised by the Academic Heads of every Institution, National Board of Examinations has recognized. (All queries raised by academic Heads of the Institutions must be answered within 24 hours). 2.Appoint persons who will respond promptly on telephone about the problems arising day to day on the working of the National Board of Examinations. 3.Lay down permanent guidelines on the admission processes by all the concerned Institutions. 4.Establish firm strategies on the frequency of examinations in Superspecialities. 5.Generate clear guidelines about the time taken to examine the theory papers and publish the dates of the results in advance. (This may also mean promptly disqualifying the examiners who do not complete and send back their work in time).

I also suggest that we, the members of USI, establish a national platform, comprising the representatives of a majority (or all) of postgraduate specialties, and put enough pressure on the National Board of Examinations to improve their accountability and efficiency in the working at all levels. This has an even greater relevance in the face of falling accountability of MCI, where National Board of Examinations may remain the only Institution to be responsible for the entire postgraduate medical education in India. Dr. Shirish Yande Postgraduate Teacher 11 June 2010

Dr. R. B. Sabnis In last 2 -3 yrs there is lot of criticism about national Board of Examination (NBE) as there has been very poor result about 20% passing. Comparison is done bet MCh & DNB results. It is also alleged that this is because of rivalry bet MCI & NBE. It is also said that results are manipulated at clerical level in NB office. It is also said that results are delayed too much & in superspeciality why only once in yr exam system is started. Entrance exam results are also poor. Many teachers are also angry that NB does not answer to their phone calls, & there is no transparency in the system. It is said that the only solution is total reformation of NB. I feel this is certainly not the answer. Let us analyze all the allegations based on the reality & not taking emotional stand about poor results. Difference bet DNB & MCh I feel we should not compare these 2 things. The Medical colleges attached to universities offer MCh course. Establishing MCh course is not an easy job. It has to go through various stringent steps. That is the reason why there are so few universities offering MCh course in whole country. As against starting DNB urology course is not as difficult. Our country needs many more urologists & therefore National Board may have liberalized the norms so as to have many centres who can teach urology course. Even private hospitals are recognized for DNB. I feel NBE is right in it's thinking & probably that is the aim why national board was established. Obviously after starting more centers, it is far more


important that standard of exam is kept high. It is necessary that students have to go thro a rigorous exam to come out as urologists who ultimately is going to deal with life of patients. So I think instead of criticizing we must congratulate NB for the policy they have adopted. I don't understand why there is such a hue & cry of poor results. I have seen students, teachers, - everyone criticizing the poor results. It has become fashion. Certainly the results are not tempered at clerical level. That is baseless allegation without any proof. The fact remains that results are poor. If papers are set by the urologists, they are examined by urologists, the why cry? Do they want to say that their own colleagues are not doing proper job? Are their intentions malafied? Are they bias? Those who criticize of poor results I want to ask them what do they want ? Do they want that every year fixed % of students should pass? Then why to have min 50 as passing % marks? Pass first X % students irrespective of their marks obtained? Do they want that? If not then why criticize the system, which is working out well. Number of centers offering DNB Urology has increased tremendously in past few years. It is responsibility of NBE to see that in spite of increasing the no of centers, standard is not diluted. As Urology community, instead of criticizing we have to introspect ourselves. Are these centers delivering as per the norms? Are they doing justice by starting DNB courses? Are they fulfilling the expectations of students? Are teachers devoting adequate time for teaching & various other things? The answers are unfortunately not encouraging. Hard

reality is different. However sour it is we need to accept & digest certain facts like. 1) Many centers do not have adequate patient load Not all types are patients are treated in the centre, Latest equipments are not available. So student's exposure to whole Urology is inadequate. Obviously such students are going to be weak in the areas that he has not much exposure. Everyone will agree that just by reading books, no body can get grasp of the subject. Obviously when students are questioned in those areas they may fail. Is that a mistake of Board? 2) Many centers do not have adequate library facilities. Many times during inspections some things are displayed, & show off is created. They don't have periodicals, different sub specialties books, monograms …etc. How can students then read & get him updated other than standard Textbooks? Who is responsible for that? Is it mistake of Board? 3) Many centers have grossly less teacher's appointment. For the inspection paper work is complete as per the norm. Adequate no of teachers are shown as full time but in reality it is completely different. Majority of teachers shown do not come or even if they come they have not much time to devote to the students because of their “busy schedule”. Poor students are left to learn by themselves without much supervision. Naturally when they are asked certain questions in exam they fumble in answers - & then fail. Who is responsible for that? Is it mistake of Board? 4) How many centers have structured teaching program not only on paper but also in reality. I am sure very few. How many centers take regular theory exam of students? These are norms set by board but are not followed. Ultimately students fail Who is responsible? Is it mistake of Board? 5) There are many private / corporate hospitals who are recognized for DNB. Students here are not allowed to do any independent work. They merely act as assistant to the consultant. Reason most pts who come to hospital are VIP & affluent. In that case how students ability of thinking will develop unless he sees patients independently? How he will answer steps of surgery unless he himself has done it. Such students then fail. Who is responsible for that? Is it Board's mistake? 6) There are many centers in our country that have structured teaching program, they rigidly follow all laid down norms of NBE, give good exposure to students. Their results have been consistently good even in this “poor result” scenario. We have to learn lessons form this fact.

they do not turn up. How many times in practical examiners do not turn at last moment & then they have to arrange somebody local person as examiner. This also a reason why board has shifted to once in a year exam pattern. So we are partly responsible for it. I certainly do not say that everything what Board is doing is perfect & ideal, no transparency & poor communications skill are some of the issues to which Board should address. Overcoming these problems is not so difficult. Let us all request NBE officials to look into these matters so that we achieve our aim of establishing high standard examination system that is respected not only in India but abroad as well. So I strongly oppose the view to put whole blame on Board & ask for it's total reformation.

These are some of the realities all urology community needs to think before we criticize Board. It is common criticism that there is delay in results. But who makes delay. The examiners do not sent the papers in time. When they are called to Delhi & check papers


MCI action In last newsletter I gave details of MCI resolution, which is officially included in code of conduct


doctors taking any benefits from pharma companies. MCI has already started taking actions against some of the doctors who were found to be violating the norms. With dissolution of MCI & appointing a committee to clean up MCI actions are likely to increase. This is newspaper cutting Times of India 14 march 2010

Announcements 1) Annual General meeting will be held on Saturday 30th October 2010 at Silvasa at 6.00 pm in Hall A. The agenda will be circulated later. Any full member interested in including some issue in the agenda, please write to Hon.Secretary on or before 30th September 2010 2) Following vacancies will be filled up during forthcoming AGM to be held at Silvasa. 1) President Elect 1 post 2) Hon.Secretary 1 post 3) Hon Treasurer 1 post 4) Council members 3 posts Those interested should send their application / Nominations to Returning officer President Elect Dr. Shailesh Shah . Bodyline Hospital, Nava Vikas Gruha, Opp Annapurna Hall, B/S Dev statue, Paldi, Ahmedabad, Gujarat Pin 380007 email kidneyline@hotmail.com If there are any queries, please contact Hon.Secretary Dr. Ravindra Sabnis Last date of submitting applications / Nominations 30th September 2010 5 pm. 3) Applications are invited for the WZUSICON venue to be held in year 2012. It is Maharashtra's turn. Please send applications to reach Hon.Secretary on or before 30th Sept 2010 Guidelines for those bidding for the venue It should be hosted by some society (like surgical society, local IMA.branch ….etc), The applications should be type written on a letterhead of the society & dully signed by the appropriate authority Venue should be easily accessible by road / rail from most places in the zone It should have an A/C auditorium of at least 350 capacity & other 2 halls of 50-100 capacity Organizing Chairman & Secretary should be decided while bidding. Org Secretary should be full member of the USIWZ 4) Applications are invited for MIUC scholarship. The guidelines are as follows: i) Age should be below 40 yrs ii) Should be full member of USI & USIWZ iii) Should be preferably a full member of SIU iv) Candidates having 2 publications in international journal as first author will be preferred v) Candidate should have at least 2 publications in national journal vi) Fellowship amount is Rs 20,000 vii) Candidate should attend the international conference Fellowship will be given only if candidate goes to present his work. viii) Interested candidate should send an application along with CV to Hon.Secretary on or before 30th Sept 2010. ix) Candidate who has already received MIUC scholarship in past will not be considered again. 5) A new award is being started from this year called as “Urology services award” Nominations are invited for the award. This award would be considered as having equivalent status as “Urology gold medal”. We have many members who are not in academics institution but still have made outstanding contribution in spreading Urology in zone. This award in intended to identify & felicitate those. Guidelines are as follows: i)Age should be > 50 yrs ii)Should be a full member of WZUSI iii)Should have done outstanding contribution to Urology in urban / semi urban / rural areas (like spreading urology services, opening new centers, offering speciality/ sub-speciality services in under developed areas) iv)2 full members should send nominations & nominee should show willingness to accept it. Applications should be written on plain paper with all details of contribution & to be sent to Hon.Secretary's office on or before 30 Sept 2010. 6) All PG students of M.Ch & DNB are eligible to contest for Eagle traveling fellowship. They will have to appear for Urology Quiz. First 5 students will be given a topic. They will have to speak extempore on that topic in a session. Winner will qualify for the Eagle traveling fellowship. 7) This year conference symposium is on Pediatric Urolithiasis & Convener is Dr. Prashant Pattnaik. Those who have experience & are interested in participating can contact Dr. Pattnaik. 09820080161 or drpkpattnaik@yahoo.com


Profile for USIWZ

USIWZ Newsletter 2010 July  

USIWZ Newsletter 2010 July