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 Table of Contents  
LETTER TO EDITOR
Year : 2019  |  Volume : 14  |  Issue : 2  |  Page : 156-157

Comment on “Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian Medical Colleges”


1 Department of Medicine and Rheumatology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India
2 Department of Medicine, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India

Date of Web Publication8-Jul-2019

Correspondence Address:
Dr. Subramanian Nallasivan
D142, 6th Cross Street, Maharajanagar, Tirunelveli - 627 011, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/injr.injr_161_18

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How to cite this article:
Nallasivan S, Vishalini Y, Manivannan A. Comment on “Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian Medical Colleges”. Indian J Rheumatol 2019;14:156-7

How to cite this URL:
Nallasivan S, Vishalini Y, Manivannan A. Comment on “Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian Medical Colleges”. Indian J Rheumatol [serial online] 2019 [cited 2019 Jul 23];14:156-7. Available from: http://www.indianjrheumatol.com/text.asp?2019/14/2/156/259317



Dear Editor,

I read with great interest the editorial on “Improving Knowledge and Awareness Regarding Rheumatology at the Undergraduate Level in Indian Medical Colleges” by Pangtey et al.[1] It clearly establishes the deficiencies in undergraduate (UG) curriculum, teaching methods, and competencies required to be a full-fledged doctor. Rheumatic diseases are so complex that it has been difficult to focus by physicians and allied specialties. There has been an increase in the number of patients with rheumatological diseases in India recently. Hence, it is imperative for more integrated teaching at all levels of health profession.[2]

As rheumatologists, we do have a large role to play undoubtedly. I agree with the authors about the measures to improve the education and knowledge among the UG and postgraduate (PG) students. I wish to quote from my own experience in Velammal Medical College, Madurai. Our UG students are doing short-term studies in rheumatology and have presented in Autoimmunity Congress in Leipzig,[3] APLAR in Dubai,[4],[5] EULAR in London,[6] and Lupus Congress in Italy. I also teach rheumatology topics and organize CME annually for the faculty and students. In order to raise awareness among the students, we also organize special events, quiz, and seminars by students on World Arthritis Day, Lupus Day, and Osteoporosis Day.

We as rheumatologists also have to redouble our efforts in widening our remit in engaging the students and PGs in seminars, writing up case reports, and even applying for Indian Council of Medical Research-supported studies.[7] I fully subscribe to the view that medical curriculum needs to change and bring focus on practical issues while dealing with patients and not overburdened with innumerable facts.

PG training in rheumatology needs newer approach and an integrated curriculum across India adapted to our nation, which will add accreditation to rheumatology training, as highlighted by Polka et al.[8] The Indian Rheumatology Association should work with the Medical Council of India and universities to prepare the curricula across different regions of India.

In addition, we feel that we need to raise awareness among physicians and orthopedic surgeons who deal with rheumatology problems more than the rheumatologists. The national and state conferences by their respective societies may be used to highlight issues in managing the rheumatology patients and also arrange case-based teaching and learning with reflective practice.

We wish to differ in the mention of new Indian health-care system which proposes to focus on integrating Ayurvedic, Siddha, and other systems of Indian medicine with Allopathy. This will have devastating consequences on modern medical care, and all need to be recognized and supported in their own way and not resulting in duplication.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Pangtey GS, Gulati S, Maheshwari A. Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian medical colleges. Indian J Rheumatol 2018;13:217-9.  Back to cited text no. 1
  [Full text]  
2.
Handa R. Rheumatology in postgraduate curriculum. Indian J Rheumatol 2014;9:127-30.  Back to cited text no. 2
  [Full text]  
3.
Sathiavadivu JS. Subramanian N. Correlation of Clinical Profile with Immunological Markers in Common Rheumatological Disorders in a Tertiary Care Medical College Hospital, South India. Leipzig: AUT16-0467 10th International Congress on Autoimmunity; 2016.  Back to cited text no. 3
    
4.
Ravindran YV, Kesavi A, Sagar TV, Sharma A, Nallasivan S. Clinical and immunological profile of patients with SLE and special focus on lupus nephritis in a teaching hospital – ABS 426. Int J Rheum Dis 2017;20 Suppl 1:17-131.  Back to cited text no. 4
    
5.
Dhivya T, Nallasivan S. Prospective study of patients with Spondyloarthritis in South India. ABS426. Int J Rheum Dis 2017;20 Suppl 1:17-131.  Back to cited text no. 5
    
6.
Nallasivan S. Biosimilars in Rheumatology Clinical Practice-Gaining Acceptance in Developing World-Experience from South India. AB0375 (2016). London: European Public Assessment Reports; 2016.  Back to cited text no. 6
    
7.
Medical Council of India. Amended Upto; July, 2017. Available from: https://www.mciindia.org/documents/rulesAndRegulations/GME_REGULATIONS.pdf. [Last accessed on 2018 Oct 10].  Back to cited text no. 7
    
8.
Polka N, Chaudhuri K, Venkatachalam S. Rheumatology training in India and the UK: Time for a unified and bespoke approach. Indian J Rheumatol 2018;13:82-3.  Back to cited text no. 8
    




 

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