Setting up New General Practice

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Avinash Bhondwe

A beginners guide for setting up new General Practice

Carreiras Saúde e medicina

SETTING UP GENERAL PRACTICE DR.AVINASH BHONDWE President IMA, PUNE(2008-09)

REQUIREMENT FOR G.P. QUALIFICATIONS- CLINIC- BEGINNING QUALITIES SPECIAL SKILLS CONTINUING EDUCATION CHANGING AS PER PROGRESS

Additional Qualifications MD Family Medicine DNB Family Practice FCGP MRCP Family Medicine EMS Diploma CPS- Pediatrics, Gynec,

Legal Requirements Registration with Local Authority Shop Act License Professional Tax Registration Bio-Medical Waste Registration Form III C Registers & Case Papers Income Tax

REQUIREMENTS FOR CLINIC ,[object Object]

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A clinic may be defined as a place of professional practice with facilities for outdoor consultation and treatment during scheduled hours by one or more physicians and staff and equipment essential for the services provided. It may or may not have the facilities for limited investigations specific to the scope of services provided. A large percentage of the population, in rural as well as urban areas, is dependent on private clinics and, therefore, the quality of healthcare services provided by them is very important. At present there is no system of registration of private clinics by health authorities in India. The Clinical Establishments (Registration and Regulation) Bill, 2007 is still pending in the parliament.

SETTING UP GENERAL PRACTICE/OWN CLINIC By Dr.Mahboob ali khan Phd

Healthcare consultant

April 2009 Community Call When integrated medication processes and automated cabinets are in place, pharmacists are enabled to practice more “clinical pharmacy”. Often this means getting pharmacists out of the basement and onto the floors where they are available to patients and their caregivers. One of pharmacy’s services is to promote a safe, effective, and economical list of preferred drugs. With well-designed EHR technology as a tool, pharmacists can proactively influence physicians to choose the “right” drug. They can also measure and report on compliance to formulary preferences. The goal of this session is to explore the options available and present experience with a program currently in place at one of our ecosystem sites. This topic is both clinical and administrative in nature and will likely be useful to all pharmacy staff, clinical specialists involved in building/maintaining CPOE systems, physicians, nurses and others interested in pharmacy management, both from a clinical and fiscal perspective. Please feel free to forward this invitation to any colleagues or associates who you believe would find this topic of interest or would like to participate in the discussion. What: Pharmacy-driven Clinical Transformation - Strategic Drug Selection - What is it? - Why do it? - How can it be done? - How is it measured? - Who has done it? - Transformation Working Group Update - Review of status - Open Project Updates - OpenVista/GT.M Integration - CCD/CCR collaboration - Medsphere.org: Tip of the month When: April 23, 12:30 - 2pm Pacific Where: Dial-in: (888) 346-3950 // Participant Code: 1302465 Web conference: http://www.medsphere.com/infinite/ === The community calls are listed on the Medsphere.org event calendar (http://medsphere.org/community-events/) and we will update each month's call as the agenda is solidified. Details and Recording here: http://medsphere.org/blogs/events/2009/04/23/community-call-april-2009

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Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care. A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events. Let us see what Pharmacists, Doctors and Patients can do about it.

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Setting up New General Practice

1. SETTING UP GENERAL PRACTICE DR.AVINASH BHONDWE President IMA, PUNE(2008-09)

2. REQUIREMENT FOR G.P. QUALIFICATIONS- CLINIC- BEGINNING QUALITIES SPECIAL SKILLS CONTINUING EDUCATION CHANGING AS PER PROGRESS

3. REQUIREMENT FOR G.P. QUALIFICATIONS

5. Additional Qualifications MD Family Medicine DNB Family Practice FCGP MRCP Family Medicine EMS Diploma CPS- Pediatrics, Gynec,

6. Legal Requirements Registration with Local Authority Shop Act License Professional Tax Registration Bio-Medical Waste Registration Form III C Registers & Case Papers Income Tax

8. SMALL- 200-400 SQ FT

9. LARGE- 1000-1500 SQ FT

10. LOCATION-

11. MARKET

12. IN RESIDENTIAL AREA

13. OUT SIDE CITY

14. VILLAGES

15.

16. DOCTOR’S ROOM

17. LOCATION BUSY LOCALITY OUTSIDE CITY

18. VILLAGE & Small Town Clinics

19.

20. Display of Clinic Board

21.

22. Reception

27. Registers & Other Papers

28. Waste Collection,Dustbins

29.

30. BP Apparatus- Mercury type

31. Percussion Hammer

32. Torches

33. ENT Head Mirror

34. Weighing Scale

35.

36.

37. Pulse Oxy meter

38.

39. Stethoscope

40. Emergency Injections

41. Syringes, needles

42. Spirit swabs

43. Gluco-meter

44. Pulse-oxy meter

45. Scalp-veins

46.

47.

48. Budesonide for nebulisations

49. Vaccines- TT, Typhoid, Polio, Triple, Measles,Rabies, Hepatitis A,B, HIB, Varicella( Chickenpox), H1N1

50. Lignocaine

51. Adrenaline, Atropin

52. CPM, Avil

53.

54. Allis

55. Needle Holder

56. Forceps- Toothed & Non Toothed

57. Artery Forceps- Medium & Small, Curved & Straight

58. Needles

59. All Stitches- Mersilk, Blacksilk,Linnen, Catgut all types

60. Surgical Blades & holders

61.

62. Dispensing Drugs Analgesics- Diclofenac,Nimesulide,Ibuprofen Antipyretics- Paracetamol, Aspirin Anti-spasmodic-Dicyclomine Anti allergic- CPM, Cetrizine Anti amebic- Metronidazole, Tinidazole Anti emetic- Metoclopromide, Stemetil, Ondencetron Anti Diarrheals- Seperamide Bronco-dilators- Salbutamol, Theophyllines

63.

64. Anti Platelets- Clopidogrel, Dispersible Aspirin

65. Steroids- Prednisolone, Dexamethazone, Ointments

66. Antibiotic Powders

67. Anti Fungals- Creams, Lotions, Powders

68. Anti Helmenthics-

69.

70. Nurse

71. Sweeper

72. Attendant

73. Compounder

74. Computer Operator or Clerk