Professional Documents
Culture Documents
1. You are the lead clinician at a hospital. You have admitted a case of Acute
calculous cholecystitis in the ward. You are managing that case
conservatively. What are the indications for terminating the conservative
management? How do you manage when the conservative management
fails?
2. How do you manage a case of acute poisioning?
3. Describe the proper management of COPD Acute exacerbation.
4. What are the basic principles of chronic disease management?
5. What are the roles of an MBBS at a district level hospital?
Part II – Essay Questions:
1. What are the important characteristics of a good doctor? (200 words max)
2. Why is management an important skill for this position? What are the
important characteristics of being a good manager?(200 words max)
3. What does it mean as a physician to represent your hospital’s best image
in the local community? As Staff Physician, how do you plan to represent
CharikotHospital and Possible’s best image? (350 words max)
3. COPD exacerbation
Being in health care field as a doctor, we have to look onto this profession in a
holistic way. This profession is not just about treating patients by being good at
diagnosis and treatment of patients but is much more. Below are the few points
highlighted:
5. Team player: Since doctors work as a part of the team that have
members with their own responsibilities, it is essential to be able to
work being as a part of the team.
Nepal health care system is mostly based on two health care models. The private
care and the government affiliated health care. While both models have been
there for a long time providing health care for people in both rural and urban
setting this hasn’t brought much difference in terms of sustainable and affordable
care towards patients.
The private health institutions are costly and are within reach of limited people
who can afford the high costs of care. These institutions are also located
centrally and provide care to fixed area in their region. The government facilities
are cheap but are often overcrowded and under resourced, understaffed. The
dissatisfaction can be seen in both patients and the health care team in such
settings.
Possible health care model unites patients and the available health care
institutions to provide a more sustainable and affordable patient care. It is more
focused towards the patients who have to suffer due to the current health care
services. This model has been tried in achham and dolakha districts and there
has been changes like increased services, higher quality services, expanded
services.
Keeping the good changes to one end, there have also been few challenges
including effective stakeholder collaboration, lack of clarity surrounding the
policy, and effective mechanisms to integrate staff. I believe that doctors being
an important part of the team can effectively voice the objectives and services of
possible health. Besides the general duties as a clinician, I know that it is highly
essential to manage the team and work with the stakeholders. I will effectively
voice the requirements and the concerns of both the hospital staff and the patient
population. Being a mediator and taking the best decision for the health care
delivery as a leader is the role I can play while being there. The nature of the
portrayal of the hospital through me will of course be after the discussion with the
concerned people within the hospital.