1. Dr. shirish Kumthekar.
Consulting Surgeon Oncologist.
Kumthekar Multispecialty Hospital & cancer Research Center
Main Road Jule Solapur .
Solapur 413004.

2. * The Only Thing That Is Constant ….is
“Change”
* If you do not get Updated ……….
you will be Outdated!
* If you do not Change, on your own ,there is
going to be somebody who will change YOU!
* Flexibility is Physiology & Rigidity is
Pathology!

4. * Medical Profession is one of the Oldest …
• Started out with the sole aim of treating pain
wounds & such sufferings from diseases &
warfare….
• In olden days Medicine was practiced by
Religious men, priests, Magicians & quacks.
• In the early decades of the 20th century
disease treatments were rooted in
observations & beliefs ..there was no
professional or scientific consensus…….

5.  Gradually Medical Profession started
organizing itself by creating Dedicated
Medical schools.
 Creating separate systems of Medicine e.g.
Allopathy, Homeopathy,Unani & Ayurveda.
 Private system & Public systems of Medicines
evolved.
 The Medical profession started to be
Governed by Councils & Government law.
 Special dedicated codes of conduct & ethical
issues were formally implemented.

6.  In the later part of 20th century & the
current times of 21st century ,we are
witnessing a fast trend of rapid changes in
the Practice of medical profession…
 We are & will be facing multidimensional
challenges on various fronts……
 Unless we take cognizance of these changing
trend & adopt the necessary measures… we
will be doomed & will not be able to cope up
with changing times…….

7.  Changes in the Practice Environment &
patterns….
 The General Practitioner………
 The specialist……..
 The Super specialist……..
 To be A owner ? Or an Employee?
 To have a Dispensary /Nursing
Home/Hospital?
 A time to think about Group Practice…..

8.  Changes in Patient Environment…….
 More Intelligent ,More Knowledgeable
 More demanding.
 More choosy……
 More aware……..
 Willing to spend money …….

9.  Changing disease patterns….
 Epidemic of Chronic Degenerative diseases.
 Epidemic of Obesity.
 New diseases…
 Increasing Psychosomatic diseases……
 Increasing Life expectancy….Geriatrics…

10.  Changing, evolving & exploding knowledge…
 New discoveries ,new medicines, new
technology…
 Increasing burden of continuous learning…
 Digitization of Medicine…..
 The encroachment of Internet……..

11.  From a Noble profession to Professional
Business.
 Role Of marketing of Practice…….
 Learning Management techniques….
 Facing untoward practices ……
 Learning to manage money……
 Earning laterally……
 Providing for Retirement.
 Insurance coverage. Mediclaim, Indemnity,
Life, Property…….

12.  Increasing interference of Government….
 Various laws applicable….Shop Act, Prof. Tax,
 Consumer Protection Act.
 Facing Death, Violence in Practice…….

13.  Communication skills……
 Social Responsibility.
 Family Responsibility…..
 Professional Responsibility…….
 Leadership development……..
 Maintaining Professional ethics…..

14.  The Situation Of Medical Education….
 Long learning Curve……
 Basic Degree M.B.B.S. or…. M.D.?
 Why not start Younger at age 16?
 Need for Integration……
 Participation in Governance…….
 Autonomous status?