How to achieve academic excellence in clinical practice

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How to achieve academic excellence in clinical
practice?
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1. Establish a sound practice

• The requirements
• - Honesty, sincerity, and transparency
• - Patience and positive attitude
• - 3 Ds - dedication, determination, discipline
• - ethics and rationality
• - Practice evidence based medicine

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Practice with efficiency

• Computerize practice
• - Improves accuracy
• - Foolproof documentation
• - optimal use of human resource
• - Better administration
• - Documentation, and medical audit

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2. Personal academic enhancement how?

• Attend scientific activities because everything
  we know changes in 4 5 years
• Subscribe to a few good quality journals
• Translate knowledge into practice.

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Develop interest in a pediatric sub-specialty

• Choose a subspecialty
• Get special training / fellowship
• Seek out experts in your region
• Exclusive sub-specialty practice would be a
  matter of choice and economics

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Organize academic activities

• Organize sub-specialty activities updates,
  workshops, CMEs, etc.
• Write articles / talk on your favorite subject
• Prepare distribute parent education material
• Do some public awareness / educational activities
• Join with some community-oriented project

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3. Research in practice

• Provides a welcome relief from monotonous working
  schedule
• Satisfies ones desire to pursue academic
  excellence
• Provides skills to practice EBM
• You contribute to improvement of child health
• Boosts image with colleagues and peers

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Requirements for research

• Aptitude and attitude
• Documentation
• Analysis of pooled data
• Publication and presentation

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Research methodology

• Important to follow a research methodology
• Avail of a statistician's services
• Get your study peer - reviewed
• Publish and present

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Types of research feasible in practice

• Individual research work
• National collaborative research project
• Collaborative ventures with researchers

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Study project examples

• Epidemiological data statistics on existing
  diseases
• Types of microbial strains prevalent in a
  geographic region
• Incidence / prevalence of bacteria causing
  pediatric meningitis.
• Data on normal variations / parameters of healthy
  individuals

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Study project examples

• Immunization status of children in private
  practice
• Infant feeding practices
• Seasonal variation of tuberculin positivity
• Study of epidemics due to known / unknown
  diseases
• and several others

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Use of internet
"Internet is so big, so powerful and pointless
that for some people it is a complete substitute
for life."
--Andrew Brown
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Utility of internet

• Regular updates
• Latest views, protocols guidelines
• Personal research
• Facility of e-consultation for patients

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Good pediatric web resources

• Pediaindia.net Pediatriconcall.com IAP Open
  Forum Medscape Pediatrics Indegene.com

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The Top 10 Club

• Pediatrics (www.pediatrics.org )
• Pediatric Infectious Disease Journal
  (www.pidj.com )
• Journal of Pediatrics
• Archives Diseases of Childhood Biology of
  Neonate
• Archives of Pediatrics and Adolescent Medicine
• Lancet (www.thelancet.com)
• British Medical Journal (http//www.bmj.com/)
• New England Journal of Medicine (www.nejm.org )
• Journal of the American Medical Association
• Indian Journal of Medical Research

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Good archive journals

• Infectious Diseases in Children
  (www.idcinchildren.com)
• Neonatology on the Web (www.neonatology.org)
• Journal Watch Pediatric (http//pediatrics.jwatc
  h.org/)

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Other e-utility items

• Digital photography in the clinic
• Telemedicine provides consultation, monitoring,
  education and even tele-surgery
• Laptops help you perform a paperless
  transmission of instructions and patient related
  information.
• Mobile phone cameras

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Owning a personal website

• Provides value-added services for your existing
  and new patients

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Formation of case discussion groups

• Create discussion groups in your area
• Web based online discussion groups

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Summary

• Develop a sound practice through hard work and
  ethical practices
• Super specialize / do fellowship
• Participate in, and organize scientific
  activities
• Subscribe to journals
• Use the internet
• Write / speak whenever opportunity presents

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Summary

• Computerize practice, research data, and publish
• Do community projects
• Make Website, and use other e utility instruments
• Create local and net discussion groups

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Thank you for your kind attention