ASSOCIATION OF MEDICAL CONSULTANTS MUMBAI

Transcription

1 ASSOCIATION OF MEDICAL CONSULTANTS MUMBAI Dr. Sudhir Naik President Dr. Mukesh Gupta Hon. Secretary Annual General Body Meeting Musical Extravaganza (Entertainment Program) AMC Elections Date Sunday 27th March 2016, 4.30 pm onwards Venue GCBPL-CLUB Millennium A-1, JVPD Scheme, Near Cooper Hospital, Gulmohar Road, Juhu, Mumbai AGM NOTICE, CIRCULAR & REPORTS

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3 MANAGING COMMITTEE ( ) President President Elect Imm. Past President Vice President Vice President Hon. Secretary Hon. Treasurer Joint Treasurer Joint Secretary Joint Secretary Office Secretary Prog. Committee Chairperson Editor - The Grasp Dr. Achut Nayak Dr. Umesh Oza Dr. Shrikant Badwe Dr. Sabh Singh Khambay TRUST BOARD MEMBERS AMC INDIA PROJECT DIRECTOR Dr. Sudhir Naik Dr. Veena Pandit Dr. Sangeeta Pikale Dr. Pradeep Baliga Dr. Smita Sharma Dr. Mukesh Gupta Dr. Vipin Checker Dr. Vivek Dwivedi Dr. Ashokkumar Shukla Dr. Sushmita Bhatnagar Dr. Deepak Baid Dr. Kritika Doshi Dr. Nitin Rao Dr. Suresh Rao Dr. Bipin Pandit Dr. Suhas Kate Dr. Lalit Kapoor Dr. Shivbhagwan N. Agarwal Dr. Bipin V. Shah Dr. Gurudas B. Kulkarni Dr. Smita Sharma Consultant Benevolent Scheme H & A Cell MMC Cell AMC-NoAH Medicolegal Cell Social Service Cell Public Relation Cell Affiliate Unit Cell Dr. Aashish Mody Dr. Ashok Shetty Dr. Deepak Vaidya Dr. Hitesh Bhatt Dr. Jayesh Shah Dr. Mangesh Pate Dr. Nilima Vaidya-Bhamare Dr. Rajendra Chawhan Dr. Rajesh Shah Dr. Sanjay Arora Dr. Sanjay Pattiwar Dr. Suhas Shah Dr. Vivek Sheth ZONAL DIRECTORS CHAIRPERSON OF CELLS COMMITTEE MEMBERS 01 Dr. Dilip S. Naik Dr. Ajit K. Desai Dr. Kishore Adyanthaya Dr. Sujata Rao Dr. Bipin V. Shah Dr. Suhas Kate Dr. Bipin Pandit Dr. Niranjan Agarwal Dr. Ajit K. Desai Dr. Shivbhagwan Agarwal Dr. Rajesh Dave Dr. Kishore Adyanthaya Dr. Amit Thadhani Dr. Debashish Das Dr. Hemal Maniar Dr. Hitesh Parikh Dr. Kartik Bhagat Dr. Manish Sharma Dr. Prakash Patil Dr. Rajendra Nagarkatti Dr. Sachin Dalal Dr. Sanjay Dudhat Dr. Sudeep Sarkar Dr. Supriya Arwari

4 Date 17th February 2016 NOTICE FOR THE ANNUAL GENERAL BODY MEETING The Annual General Body Meeting of the shall be held on th Sunday the 27 of March 2016 at 5pm at the Club Millennium, Near Cooper Hospital Andheri (West), Mumbai to transact the following agenda. 1) Condolences. 2) To appoint 2 Returning Officers for the elections to the new Managing Committee for the year ) To conduct the elections simultaneously with the AGM 4) To read and confirm the minutes of the Annual General Body Meeting held on the 29th of March 2015 at the Grand Sarovar Hotel, Goregaon West. 5) Business arising out of the minutes 6) To read the reports of the AGM of various cells-health and Accident cell, Medicolegal Cell, Social Service Cell, Media Communication Cell, MMC Interaction Cell, Consultant Benevolent scheme cell, AMC NoAH Cell, Affiliate Unit Cell 7) To receive and adopt the audited balance sheets and the income expenditure statements for the financial year ) To appoint Auditors for the financial year ) To consider the appointments to the following posts. a) Chairman of the Medicolegal cell. Dr Ajit Desai has completed his term and is eligible for renomination. b) Trustee Dr Sabh Singh Khambay is completing his term and is eligible for reappointment. 10) To inform the house about the NAT HEALTH FICCI & CII meetings and AMC's role in the same. 11) To receive and adopt the reports of the various cells of the Association prepared by the Managing Committee. 12) To propose sending the Annual report by to all members and hard copy only on request. 13) Enrollment of new members for the year ) Declaration of Results 15) Installation of the New President and the New Managing Committee ) Any other matter with the Permission of the Chair pertaining to aims and objectives of the Association. The meeting will be adjourned till the quorum of 35 members is available or after 15 minutes whichever is earlier The meeting will be reconvened at the same venue. Dr. Mukesh Gupta (Hon. Secretary) 02

5 VALID ORIGINAL DOCUMENTS FOR IDENTIFICATION FOR VOTING AT AMC ELECTIONS AMC Identity Card. Voter's Identity Card issued by the Election Commission of India Passport Driving License Photo Credit Card of any Bank PAN Card with Photograph Aadhaar Card Name in the Voter's List of AMC In AMC elections, only those can vote, who figure in criteria # 8 & present one original criterion # 1 to 7 The meeting will be adjourned till the quorum of 35 members is available or after 15 minutes whichever is earlier. The meeting will be reconvened at the same venue. Copy of Accounts An exhaustive copy of the accounts of AMC till March shall be available in AMC office from Hrs. to Hrs. Monday to Saturday, for your perusal. Written queries must be submitted to the office on or before March 18, Programme Schedule for the AGM 4.30 pm Registration & Tea/Coffee 5.00 pm AGM Starts 6.00 to 7.30 pm Elections 7.45 to 8.15 pm Installation of the incoming President Dr Veena Pandit Declaration of Results Installation of the New Managing Committee to 9.15 pm Musical Extravaganza (Entertainment Program) 9.15 pm Cocktails and Dinner Attendance of AGM is free Dinner & Cocktail Rs. 400 per Member/Spouse/Guest We request Prior Registration for Dinner & Cocktails 03

6 Notice for the Election to the Managing Committee Nominations are invited from the qualified AMC members, for the following Posts for year Prescribed Nomination Form is attached. Eligibility for Candidature is highlighted on the Nomination form. Office Bearers President Elect 1 Vice - Presidents 2 Hon. Secretary 1 Hon. Treasurer 1 Joint Treasurer 1 Joint Secretaries 2 Managing Committee Members Colaba to Prabhadevi Rest of Mumbai City Kurla/Chembur/Ghatkopar and Mulund Bandra to Andheri Jogeshwari to Dahisar Mira Road to Palghar Thane / Kalyan / Dombivali etc. Navi Mumbai to Raigad Last day for submission of Nominations Wednesday 9th March 2016 upto 3pm Date & Time of Scrutiny Monday 14 March 2016 at 3pm th All candidates can attend the scrutiny as observers Last date for withdrawals Wednesday 16th March 2016 upto 3pm Please send the complete nomination form to AMC Office in a sealed envelope. Submissions presented personally, through Courier Service or (Scanned copy of form) are acceptable. Scrutiny shall be conducted by the authorized members & the decisions of the Scrutinizing Team shall 04

7 PRESIDENT REPORT Dear Friends, Time flies and it is only for us to watch how beautifully it does. It only seems yesterday I was penning my thoughts for action for the year ahead and yet I am here today penning my report card of the year gone by. I embarked on a journey as a leader of one of the most vibrant and powerful medical organizations of the country on the 29th of March 2015 and it will be with a sense of relief and fulfillment that I will be handing over charge to the incoming President Dr. Veena Pandit on the 27th of March The year began with an incident which really rattled a lot of us. A young physician in a nursing home in Panvel was assaulted brutally by the relatives of a patient who died inspite of receiving the best possible care and surviving for 21 days in the ICU. There was a strike by the local doctors to protest against this brutal assault and we at AMC led a delegation to the Police Commissioner of Navi Mumbai and the accused were arrested and the stringent provisions of the Medicare Act (Prevention of Violence against Medical Personnel act) were slapped against them. A decision was taken to form the Zonal Crisis Management Task force in all zones of AMC comprising of senior doctors both from AMC and the local medical associations to ensure that members facing the risk of physical violence or any other mob threat could immediately ask for help and senior doctors from this task force will rush to provide assistance to reduce the threat. I am glad to inform you that the task force is active in all zones and this preventive action has averted the threat of violence in several cases across the city. We also decided to enroll the services of a security agency TOPSLINE which has promised to send a team of security officers to any member who enrolls with them (in the city of Mumbai and specified areas of the periphery Thane Mira Road, Bhayander and parts of Navi Mumbai) and who asks for help by calling on one number This service is free of charge to all the members of the Professional indemnity scheme and available at a nominal charge of Rs.600 per year to all other members. This initiative of our association received world-wide attention and I am glad to inform you that the Los Angeles Times covered this story in one of their editions. We organized a panel discussion as AMC Zonal Meet 1 on Attack on doctors-are we soft targets? at Vashi on the 26th of April The panelists were the Police Commissioner Mr K.L.Prasad, CEO of Zee Marathi, Dr Uday Nirgudkar, The Local MLA.Mr Patil Advocate Amit Karkhanis and our own Dr Lalit Kapoor. The panel was moderated by Dr Bipin Pandit and Dr Prakash Patil. The program was well attended by over 300 doctors and the message was given that AMC has adopted a policy of Zero tolerance to violence against doctors. We conducted a workshop on 'Medico Legal issues in Clinical Practice' at Mira road on Sunday 14 June 2015 in collaboration with the Wockhardt hospital. The registrations for this program were so overwhelming that in fact they had to be stopped 2 days prior to the event. The workshop included a talk by Dr Lalit Kapoor's on 'Common Medico Legal issues in Clinical practice. This was followed by Dr Niranjan Agarwal's talk on 'Growing Intolerance towards Medical Outcome in Society'. Mr Jehangir Gai's deliberations on 'Recovering Hospital bills' got a keen hearing from the delegates. A panel discussion on 'Death in Clinical Practice' with Dr Avinash Supe, Dr Suganthi Iyer, Advocates Rajendra Sorankar Ashish Chavan consumer activist Jehangir Gai and Politician, social worker cum chairman of the Umrao Hospital Trust Mr Muzaffar and DySP Mr Suhas Bavche as the panellists and moderated by Dr Niranjan Agarwal and Dr Ashok Shukla rounded of the day. The next program was the Doctors Day celebrations and this year the Theme was Cancer Prevention and early detection. We had a full day activity on this on this theme at the Inorbit Mall Malad on the 28th of June 2015 and the day culminated with an enthralling performance by noted percussionist Sivamani and his artist wife Runa Rizvi. The Central atrium of Inorbit Mall was packed with almost 4000 people during this performance and the positive buzz which this program generated among the public was amazing. This was the first time that AMC 05

8 reached out to the masses and the message that Cancer can be prevented and early detection saves lives was given to the public. A small booklet for patient education on the subject was also released on that day. We also had a program on the 5th of July at the Courtyard Marriott Andheri with Mr Nilesh Shah the CEO of Kotak Mutual fund addressing doctors on the Equity market in India in the coming decade and a session on Stand-up Comedy by artists from the Laughter Canvas Club. A Zonal Meet 3 was organised on 9th August 2015 at Evershine Banquets, Goregaon West, wherein the prime attraction was the panel Discussion on Legal Issues In Nursing home Practice. Additional Commisioner of Police Fateh Sinh Patilji, the local MLA Yogesh Sagarji. Adv Piyush Shah Dr Revankar and Dr Lalit Kapoor were the panelists. The Addl. CP invited coordination of doctors groups with their respective Police station Officers to enable the police to help doctors facing issues of mob violence. Adv Piyush Shah offered his expert help to interpret the Judgment regarding Shop & establishment Act. AMCON 2015 was held on the 29th of November 2016 at the Taj Land's End hotel. It was a well-attended program and the show stopper was of course the Panel discussion on Impact of recent court judgments- Should there be a capping of the compensations awarded for medical negligence? The panelists included the recently retired Chief Justice of the Bombay High Court Justice Mohit Shah, eminent lawyer Rui Rodrigues, medicolegal expert Dr Neeraj Nagpal, Dr Alok Kumar from the MCI and it was superbly moderated by Dr Lalit Kapoor the doyen of the Medicolegal cell of AMC. We will be consulting our legal experts to seek ways to bring in capping of the compensations awarded which we feel will surely add to the costs of medical care and make it unaffordable for the masses and make doctors practice defensive medicine. We were honoured by the presence of Shri Ahmed Javed the Police Commissioner of Mumbai who addressed us on Handling an unruly mob in the OPD and answered questions regarding attacks on doctors and how the law could protect us. He also released the Medicolegal Manual for the Police an AMC publication which is a compilation of all relevant medico-legal acts and case reports. We have distributed the manual across several police stations of the city and adjoining areas including Raigad and this has been widely appreciated by the police. This compilation has been the result of the hard work of our Treasurer Dr Vipin Checker. Shri Ramadorai the Advisor to the Prime Minister on the National Skill Development Council delivered the Dr C.L.Jhaveri oration. The program ended with a debate on the 'Role of the media in affecting doctor patient relationship. The media was well represented by Malti Iyer from the Times of India, Miss Somita Pal from the DNA Newspaper and Mr Thatte a freelance journalist and the doctor's perspective was highlighted by Dr Ashok Kriplani and Dr Arshad Ghulam along with Advocate Yogesh Naidu. We are all aware that the medical profession is under attack from all and sundry. Actors, the media politicians and disgruntled patients all have many harsh words for our profession. To deliberate on the reasons and to make an attempt to reclaim the dignity of the profession we had a program in collaboration with the Global Forum for Ethics and Spirituality in Medicine (GFESH) on the 3rd of January 2016 at the J.W. Marriott hotel Juhu Mumbai. The conference had an oration from His holiness Swami Radhanathji from ISKON. st The 21 Century has been the era of Information technology. Information technology has changed our lives in more ways than we could have imagined at the turn of the century. It is expected to help the healthcare industry to lower costs, improve efficiency and reduce errors, while also providing better consumer care and service. The Government of India under the able leadership of Prime Minister Narendra Modi has visualized a dream of a Digital India and we as healthcare professionals cannot disappoint him and it should be our endeavor to use Information technology for optimum utilization of human resources to ensure healthcare for even the remote villages in our country. On an individual level many doctors have been using IT for providing better services for themselves and for their patients. But we need to accept that many senior doctors still are Technologically challenged In order to help our members to keep pace with technology and leverage its use for providing better st services for our patients AMC in collaboration with the Thakur College of Management studies organized the 1 06

9 ever Conference "Leveraging Information Technology for Better Healthcare" on the 20th and 21st of February It was a pathbreaker towards better coordination between the IT professionals and Healthcare professionals to help society in general. The conference on the 20th of February had lectures on cybercrime, the National E health authority and a panel discussion with participation from doctors the government and IT st professionals. The 21 of February had hands-on workshops on basics of IT, digital marketing, netbanking and online trading. This entire program was well appreciated by all members and we have demands to repeat the same in the near future for the benefit of those who missed it. st We had another program on the 21 of February 2016 at the Ramkrishna Mission Hospital Mumbai on Newer Imaging modalities in Medicine. Apart from the brilliant academics the highlight of the program was that it was graced by the presence of Dr Sekhar Basu the Director of Bhabha Atomic Reasearch Centre Mumbai and Chairman Atomic Energy Commission. The program was attended by over 350 delegates and full credit to Dr Ajit Desai for organizing this wonderful program. At the inaugural address I had announced a desire to bring together all stake holders in the field of medical education on one platform with an intention to arrive at a consensus on the future of medical education in our country in general and state in particular. With this intent in mind we had a program called Aarogya Manthan th on the 5 of March 2016 at the Y B Chavan Auditorium opposite Mantralaya. It included representatives from the MCI, MMC, Maharashtra University of Health Sciences, Deans of various medical colleges, Heads of Medical Education units of all medical colleges, senior teachers both present and retired, representatives from the students and also our own senior AMC members. This brain storming session was conducted under the watchful eyes of the Union Minister of State for health Mr Shripad Naik. We will collate the suggestions and the deliberations into the form of a consensus report and send it to the Union Government and State government as our humble attempt to suggest the road ahead of Medical education in Our Joint Treasurer Dr Sushmita Bhatnagar did a brilliant job of getting together all stake holders and with able assistance from Dr Umesh Oza we were able to ensure a free and frank exchange of ideas. Friends you are aware that the Medico-legal cell of AMC is the most vibrant cell of the organisation. Under the able guidance of Dr Lalit Kapoor it has provided yeoman services to members facing various medico-legal issues. The professional indemnity scheme of this cell has been one of the finest available in the country. After analyzing the changes in the insurance industry with the advent of several private players we were able to negotiate with Oriental Insurance our insurance provider for better financial terms. The Extraordinary General body meeting of the Cell held on the 11th of February 2016 approved the shift to a common master policy with a single renewal date for all 5000 members of the scheme. We were also happy to announce that all members of this scheme would be given an additional cover of 25% of the sum insured as a complimentary offer by the Association. This offer would be without any increase in the fees paid and is available to all members with immediate effect. In view of the rising incidence of litigations against doctors and the increasing payouts granted by the courts AMC recommends that all members should increase their sum insured to at least 1 crore. A part of the financial benefits offered by Oriental insurance is being retained by the association to create a contingency fund for the members of this scheme. Friends Team AMC sincerely thanks all members for their cooperation by attending the programs organized in large numbers and expressing support to the association whenever required. This was reflected in th the cooperation from all members who abstained from non- emergency radiological work on Dec following a call from the association which was given with an intent to draw the attention of the government to make urgent changes in the PcPNDT act to prevent unnecessary harassment of doctors for minor clerical errors. I would be failing in my duty if I fail to acknowledge the support and cooperation from all my office bearers and my 07

10 committee. My Hon Secretary Dr Mukesh Gupta was as usual dashing and energetic, my Treasurer Dr Vipin Checker, (ably assisted by Dr Vivek Dwivedi Joint Treasurer) was brilliant with the accounts and in addition he was the brains behind the Medicolegal Manual for the police. Dr Sushmita Bhatnagar and Dr Ashok Shukla performed their roles as joint Secretaries with a lot of flair. Dr Veena Pandit our President Elect, Dr Sangeeta Pikale our IPP and my Vice Presidents Dr Pradeep Baliga and Dr Smita Sharma were people whom I could turn to whenever I needed any help or advice. Our Editor Dr Nitin Rao delivered 4 brilliant editions of The Grasp. My committee members, our Chairpersons of various cells, AMC India Director Dr Kapoor, Zonal Directors and the Trustees gave me a free hand to take decisions whenever required. Finally all our office staff Rabiya, Pramila, Kamlesh,Sagar, Vandana, Pranali, Mrs Jyothi Bhosale and Ramdas all cooperated beautifully to ensure a smooth running of the office. I have already stated earlier but would like to reiterate All accolades if any should be reserved for my Team AMC and brickbats are solely for me. If I have failed in my duty as President in any way or missed out in acknowledging help from any quarter I humbly beg for forgiveness. Dr Sudhir Naik (President) 08

11 SECRETARY REPORT Dear Friends, The AMC year is coming to an end and a new team takes over from April The achievements and works of AMC over the years and over this last year is evident to all observant members especially if you have been attending AMC programs our main channels of detailed communication besides the Website. I take this opportunity to share my experiences. In the Last 11 months as Secretary of AMC and the ensuing 1 months left ahead I have realised and learned some aspects of life which only could have happened by working in this organisation. In last almost decade and a half of my association with the organisation and having worked closely as active member of the committee under last 11 presidents, it is nothing but a master class in Life. Be it professionalism, relationship management, zeal to keep the interest of fellow colleagues at the forefront, dealing and liasoning with the regulatory authorities to achieve the rightful outcome to secure the ethical and professional rights of our members, power of group dealing for achieving the most advantageous outcome for association and the members...and many more such skills can be enlisted. Last but not the least it was nothing but humble pleasure working with our present President Dr Sudhir Naik who has the ability to go against all odds for the benefit of the AMCites and capability to pursue and finish the projects undertaken. He gave the committee members especially me, full freedom to come up with out of the box ideas and suggestions which on merits of practical implement ability were adopted and pursued. A true leader is the one who makes the team feel wanted and is able to extract the best out of all team members. This is the legacy he has followed and left behind. Insurance deadlock When dealing with Insurance companies and authorities under the Team NOAH AMC regarding the cashless deadlock we realised that it is not just the need of health care providers but there is also industry driven need to partner together but only thing coming in the way is the approach of insurance companies to squeeze us consultants and nursing home owners to enable them to bring their claims ratios down. It will be extremely difficult for our members to survive if we agree to the rates on offer. The interactions with private insurance sectors especially Bajaj Alliance group was quite heartening. Violence on Doctors the year started with spate of violent episodes which was dealt by interacting with the senior Police officials, creating Zonal Task Force Committees, Mobile App with Emergency button, Tie up with Topsline security services. Session on Ethics and communication to work on primary prevention of such situation was also thought of and program organised with partnering GFESH. Ongoing AMC schemes It is perceived that it is difficult to improve on excellence. Such amazing products created by years of efforts by our seniors can hardly be altered with. So we focused on improving the service and worked on improving the return of investments. Meetings and discussions with our brokers, Agents, Feedbacks from members, guidance from chairmen and advisors and past chairmen of the schemes were taken. Review of existing market changes especially the thrust in the sector by private companies and large broking houses was done culminating into making our existing schemes of Professional Indemnity more cost effective for members without altering the functioning and facilities. Value addition and Reaching out Continuing with the tradition of working for overall welfare of the medical professionals previous activities were continued with some new flavours added. AMC program at the Inorbit mall which saw footfall of 40,000 patrons at the mall, Cancer awareness activities, Mentorship programs for post graduate consultants, Program on Ethics and communication, release of books on Cancer awareness and common medical practice related laws, Forthcoming events on IT in Health care, Brainstorming on Medical 09

12 Education reforms etc were some important activities. I thank all my seniors, fellow committee members, all trustees especially managing trustee for the constant support and guidance. In the course of my working at the AMC I had opportunities to intellectually interact personally with more than 20 past presidents of AMC and several more who could have taken up the mantle but chose to work in other capacities, which brought to light a fact that wherever they are,in whatever capacity they engage with the organisation,they may have long left the post but their passion for AMC is forever burning. AMC looks forward for passionate young talents with fire in the belly to do more in their life besides professional excellence. If any of you out there feel that you can contribute to your fraternity in some way...please join this elite group of active AMCites. Elections are just a democratic way of creating systematic non bias platform but individuals with true interest of fellow colleagues at heart are always welcomed at AMC team with open arms. Feel free to drop a mail or call any of us. EVENT HELD IN YEAR Date Highlights No. of Attendees CME Points Installation of President 29th March Grand Sarovar Blossom 170 Doctors - AMC Meet 1 Navi Mumbai AMC Meet 2 Wockhardt Hospitals, Mira Road Doctors Day Celebration, Inorbit Mall, Malad (W) Navi Mumbai 26th April Doctors-A soft target? 400 Doctors 1 14th June Medico Legal issues in Clinical Practice 350 Doctors 2 28th June Doctors Day Out, Performance by Sivamani and Runa Rizvi 300 Doctors, 500 Delegates 40,000 foot falls - Doctors Day Celebration, Courtyard Marriott Sports club, Vashi. 5th July Cancer awareness and Prevention 200 Doctors 1 AMC Meet 3 Evershine Banquet, Malad (W) 9th August Easing Roadblocks in Healthcare Delivery - Can the Regulators help? 150 Doctors 1 Overseas Conference Tour 23rd Sept 2015 to 8th Oct 2015 South Africa 125 Doctors with family - Annual Conference 400 Doctors 2 Roadmaps to Success 150 Doctors - 75 Doctors Doctors 1 Events AMCON 2015, Taj Lands End, 29th November Bandra Mentorship Programme, Cooper Hospital 5th December RAMICON, Dr.Babasaheb Ambedkar Technological University, Lonere 13th December Continued Medical Education Medical Profession - Welfare not Warfare, J W Marriot, Juhu rd 3 January Continued Medical Education 10

13 Date Highlights No. of Attendees CME Points IT in Healthcare, Conference & Workshop, TIMSCDR, Kandivali 20 February & st 21 February Leveraging Information Technology For Better 400 Doctors & Students 2 AMC Meet 4 Ramakrishna Mission, Khar 21 February Multi-Modality Imaging in Clinical Medicine Healthcare 300 Doctors 2 5 March Medical Education and Skill Development Healthcare Representative Stakeholder Meeting Expected Date Highlights No of Attendees 27th March GCBPL-CLUB Millennium Events Arogya Manthan, Y.B. Chavan Auditorium, Nariman Point Upcoming Events Installation of Incoming President th st th Dr. Mukesh Gupta Hon. Secretary, AMC drmukeshgupta@hotmail.com 11 CME Points

14 Minutes of the Annual General Body Meeting The Annual General Body Meeting of the Association of Medical Consultants was held on 29th March 2015 at Grand Sarovar, Goregaon (West), Mumbai. The Honorary Secretary Dr. Vipin Checker announced the commencement of the meeting at 5 pm but it was adjourned for 15 minutes due to lack of quorum. It was reconvened at 5.15 pm. President Dr. Sangeeta Pikale, Immediate Past President Dr. Sujata Rao, President Elect Dr. Sudhir Naik, Vice Presidents Dr. Veena Pandit and Dr. Smita Sharma, Secretary Dr. Vipin Checker, Treasurer Dr. Debashish Das, Joint Treasurer Dr. Ashok Shukla and Joint Secretaries Dr. Deepak Baid and Dr. Jyoti Taskar occupied their respective seats on the dais. The following members attended the meeting Dr. Vivek Dwivedi Dr. Roysuneel Patankar D r. Venugopal Ramineni Dr. Ratan Banka Dr. Rajesh Dave Dr. Nitin Rao Dr. Abbas Kanchwalla Dr. Snehaletha Kuris Dr. Urmila Patil Dr. Deepak Baid Dr. Manmohan Kamat Dr. Umesh Oza Dr. Anand Hombali Dr. Ravindra Rajderkar Dr. Manohar Arwari Dr. Ashok Talwalker Dr. Aashish Mody Dr. Arvind Ghongane Dr. Pradeep Baliga Dr. Ajit Desai Dr. Sanjay Dudhat Dr. Ritesh Agrawal Dr. Divyagnan Sarvaiya Dr. Rameshchandra Tiwari Dr. Belinda Vaz Dr. Hemant Joshi Dr. Sabh Khambay Dr. Pragnya Parikh Dr. Rajkumar Shah Dr. Deepak Joshi Dr. Dilip Naik Dr. Suresh Sundar Dr. Sangeeta Pikale Dr. Nandkishor Varma Dr. Laila Dave Dr. Sujata Rao Dr. Deepak Vaidya Dr. Manu Kuris Dr. Kritika Doshi Dr. Bipin Shah Dr. Rashmi Mehta Dr. Amit Desai Dr. Vijaykumar Gupta Dr. Ashutosh Ajgaonkar Dr. Ujwala Bardapurkar Dr. Arvind Shinde Dr. Raju Uttamani Dr. Kirtikumar Mistry Dr. Kumar Patil Dr. Avinash Wagle Dr. Hemant Pikale Dr. Nalin Vesmaker Dr. Mukaddam Qayum Dr. Shailesh Sharma Dr. Amita Jadhav Dr. Asha Nagarkatti Dr. Kishore Adyanthaya Dr. Pravin Bhati Dr. Subhash Gadgil Dr. Uday Joglekar Dr. Ashokkumar Shukla Dr. Suhas Kate Dr. Hemal Maniar Dr. Jyoti Taskar Dr. Sudhir Naik Dr. Achut Nayak Dr. Smita Mahajan Dr. Parag Patil Dr. Mukesh Gupta Dr. Jayesh Shah Dr. Kumkum Khadalia Dr. Shrikant Badwe Dr. Purushottam Patel Dr. Supriya Arwari Dr. Saroj Talwalker Dr. Rajendra Chawhan Dr. Debashish Das Dr. Gajendra Tomar Dr. Sushma Tomar Dr. Meghshyam Redkar Dr. Panna Parikh Dr. Dwarakadas Baheti Dr. Dilip Panchal Dr. Anil Suchak Dr. Archana Joshi Dr. Ritu Hinduja Dr. Ketan Parikh Dr. Mohan Gadam Dr. Vitthal Kuchekar Dr. Ashwini Joglekar

15 Dr. Saroj Gumaste Dr. Niranjan Agarwal Dr. Veena Pandit Dr. Navneet Desai Dr. Rajiv Tungare Dr. Kartikeya Bhagat Dr. Sanggita Checker Dr. Bharati Chaugule Dr. Mahesh Kharde Dr. Prajakta Talathi Dr. Shivram Nadkarni Dr. Hemraj Ingale Dr. Utkarsh Bhingare Dr. Rajesh Singh Dr. Bindu Mulakavalupil Dr. Brijesh Dube Dr. Sanjay Pattiwar Dr. Onkar Tarnekar Dr. Dhruvaraj Singh Dr. Nanjappa Kandarthanda Dr. Deepak Patel Dr. Suhas Shah Dr. Heman Kulkarni Dr. Prabhakar Rao Dr. Vipin Checker Dr. Lalit Kapoor Dr. Manish Sharma Dr. Bhaimangesh Naik Dr. Shivbhagwan Agrawal Dr. Aparna Deshpande Dr. Pravin Mestry Dr. Rachna Bhagat Dr. Jay Mehta Dr. Rajendra Chheda Dr. Ketan Badani Dr. Maitreyee Kharde Dr. Jatinder Suri Dr. Sadanand Nadkarni Dr. Prasanna Mahajan Dr. Udit Avashia Dr. Hemantkumar Nevage Dr. Pradnya Kulkarni Dr. Ramesh Kothari Dr. Reena Wani Dr. Sargam Soni Dr. Abdus Salam Ansari Dr. Yogesh Palshetkar Dr. K.B. Rathod Dr. Anand Parihar Dr. Bipin Kedia Dr. Janardhan Talla Dr. Ajay Hariani Dr. Manoj Patel Dr. Anil Parakh Dr. Meena Khambay Dr. Bipin Pandit Dr. Vikrant Desai Dr. Sushmita Bhatnagar Dr. Rajendra Nagarkatti Dr. Madhavi Kelkar Dr. Vijaykumar Chaugule Dr. Mona Badani Dr. Abhay Talathi Dr. Rupinderkaur Suri Dr. Abhijit Kale Dr. Mandar Pawar Dr. Sudhir Muneshwar Dr. Ranjana Pandit Dr. Chandrakant Kulkarni Dr. Sangeeta Agrawal Dr. Jatin Wani Dr. Sunil Yadav Dr. Irfana Ansari Dr. Jyotsna Patel Dr. Rajani Desai Dr. Rajeev Walavalkar Dr. Manish Doshi Dr. Smita Sharma Dr. Gurudas Kulkarni Dr. Pramod Bahekar The agenda was transacted as follows 1) Condolences - Dr. Vipin Checker informed the house that we have lost 13 members in the past year. The names are as follows Sr. No Name Dr. Mahendra Mehta Dr. Durgaprasad Dadhich Dr. Sanjeev Sharma Dr. Laxman Kamat Dr. Rajiv Kuwadekar Dr. Pradeep Vaidya Dr. Suresh Tambwekar Dr. Manu Kothari Dr. Dushyant Mohla Dr. Mohdhussain Aga Dr. Sunil Nalavade Dr. Pramila Bhatia Dr. Denzil Drago Speciality E.N.T. Surgeon Radiologist General Surgeon Orthopaedic Surgeon Anaesthesiologist Gynaecologist & Obstetrician Plastic Surgeon General Surgeons Paediatric Surgeon General Surgeon General Surgeon Gynaecologist & Obstetrician Paediatrician & Neonatologist 13 Area Mumbai Santacruz Khar Vile Parle Borivali Thane Girgaon Santacruz Juhu Kurla Thane Sion Mira Road Date of Demise 24-Mar Apr Apr Jul Aug Aug Oct Oct Oct Nov Jan Jan Feb-15

16 The house observed silence of 2 minutes as a mark of respect for the departed members. 2) To appoint 2 Returning Officers Dr. Dilip Naik & Dr. Shrikant Badwe for the elections to the new Managing Committee for the year Dr. Vipin Checker introduced and welcomed Dr. Dilip Naik and Dr. Shrikant Badwe. 3) To conduct the elections simultaneously with the AGM Dr. Dilip Naik explained the Election procedure in detail. He said that campaigning would not be permitted inside the hotel. Dr. Lalit Kapoor said that the venue needs to be discussed - whether it means the building where the elections are undertaken or includes the adjoining area. Dr. Umesh Oza said that they could campaign outside the building and that a discussion should take place before the next elections. rd 4) To read and confirm the minutes of the Annual General Body Meeting held on the 23 of March 2014 at Mumbai Cricket Association, Bandra, BMC. The minutes had been circulated earlier. They were accepted and passed. Proposed by Dr. Ajit Desai Seconded by Dr. Bipin Shah 5) Business arising out of the minutes Submission of constitution. Dr. Sangeeta Pikale said that a significant amount of work has been done. She said that Advocate Jagtap needs more information and that Dr. Ashok Shukla would follow up. Dr. Sujata Rao said that the book had been announced in the last AGM. It was released at AMCON. Dr. Sangeeta Pikale said that guidelines have been created for joint programmes with any other association. Dr. Sudhir Naik endorsed the same. Dr. Bipin Shah said that there should be clarification if anyone uses the AMC PAN Card. Dr. Sujata Rao said that this has been decided. 6) To read the minutes of the AGM of various cells - Health and Accident cell Medico Legal Cell, Social Service Cell, Media Communication Cell, MMC Interaction Cell, Consultant Benevolent Scheme Cell, AMC NoAH Cell, Affiliate Unit Cell Dr. Sangeeta Pikale said that the reports are in the AMC booklet. The reports were accepted. Proposed by Dr. Suhas Kate. seconded by Dr Oza 7) To receive and adopt the audited balance sheets and the income expenditure statements for the year This is a part of AGM Report and has been circulated. They were accepted by the house. Proposed by Dr. G.B. Kulkarni Seconded by Dr. G. Tomar. 8) To appoint Auditors for the year Dr. Sangeeta Pikale said that Mr Jokhakar our auditor team has done their work correctly the treasurer and OB agreed and they were reappointed. 9) To recommend the names proposed by the Managing Committee for various posts A) Chairman of Public Relations cell Dr. Rajesh Dave continues in his position as he has not completed his tenure. B) Dr. Sangeeta Pikale said that Dr. Suresh Rao, Chairman H&A Cell has done a brilliant term. He has informed the managing committee that he would continue to help. Dr. Suhas Kate would take over the responsibility of the H&A Cell. Dr. Umesh Oza said that Dr. Suresh Rao has done a lot of work and that this should be minuted. He said that Dr. Suresh Rao would be advisor to the cell. The entire AGM acknowledged Dr. Suresh Rao. 14

17 C) Chairman of CBS Cell - Dr. Bipin Shah has completed two terms and would continue, as resolved by the managing committee. D) Chairman of Affiliate Unit Cell - it was ratified that Dr. Kishore Adyanthaya be reappointed. Chairman NoAH Dr. Niranjan Agarwal's name has been recommended by the managing committee as Dr. Sudhir was the President, This was ratified. E) Dr. Bipin Pandit has completed 2 terms as Trustee and has been reappointed as resolved by the managing committee. F) Director of AMC India. Dr. Lalit Kapoor ratified G) Dr. Shrikant Badwe, Trustee is eligible for reappointment and his reappointment was ratified. H) Dr. Umesh Oza has completed one term as Trustee. A correction was made in the notice which mentions 2 terms. Dr. Oza was reappointed. I) Trustee - To consider the reappointment of Dr. Suhas Kate. This was ratified. Dr. Sangeeta Pikale thanked the Trustees for taking up the responsibility. Proposed by Dr. Vivek Sheth Seconded by Dr. Wagle. 10) To inform the house and discuss about NAT HEALTH & CII - representing AMC Dr. Sangeeta Pikale discussed NAT HEALTH. She said that she had a very active interaction with many stakeholders at the Nathealth Summit where the the Government officials were present, She further mentioned that NatHealth was actively trying to become a strong stakeholder in policy decisions for healthcare. She thanked Dr. Suhas Shah for actively interfacing with Nathealth. Dr Pikale also informed the house that Her representation at the CII where she gave a very positive possibility of payer provider partnership was well received. AMC has made commendable representation on both these forums this year. 11) To receive and adopt the reports of the various cells of the Association prepared by the Managing Committee These were adopted. 12) To propose sending the Annual Report by to all members and hard copy only on request Dr. Sangeeta Pikale said Rs. 13 to 14 Lakhs are spent on courier and stationery. There has been a discussion about this. Out of 8000 members, 200 want e copies. The rest are yet to respond. Dr. Anil Suchak said that those who request hard copies should get them, others should get soft copies. Dr. Sudhir Naik said that it had not been passed so it has been put up again on the Agenda. He said that The Grasp being the face of AMC should be as hard copy as it serves many purposes when on the table. Dr. Rashmi Mehta said that the Grasp copies go to the old paper stores and can be read by anyone, which should not be the case. Dr. Bipin Pandit participated in the discussion. Dr. Deepak Baid said that may bounce so an update is needed. Dr. Sangeeta Pikale said that we will start it. It was decided that henceforth the Annual Report would go as soft copy. Dr. Jyoti Taskar asked about the election notice. She suggested that it should go as hard copy. The house said that this notice could go with The Grasp, which could be sent a little later than it as at present. Dr. Ajit Desai said that if there are e copies of reports there would be no hard copies. It was decided that 50 to 100 copies should be printed for the office and meetings. 13) Enrollment of new members for the year Dr. Sangeeta Pikale said that there are 324 new members which brings the membership strength to

18 Dr. Jyoti Taskar said that as per the constitution Thane District is in the jurisdiction of AMC. Thane District has th been divided into Thane and Palghar Districts w.e.f. 15 August 2014, hence the membership from these areas has to be organized in order to be in accordance with the government. Dr. Sudhir Naik said that there is a need to revisit this issue. Dr. Wagle asked about the representation from Thane. Dr. Bipin Pandit and Dr. Umesh Oza said that there should be deliberation. Dr. Sujata Rao said that Dr. Vivek Sheth had said in the managing committee that though his area Raigad has been included in Navi Mumbai, it should be redefined. Dr. Checker said that he would give the area wise representation in detail. Dr. Sudhir Naik asked if we need to increase the managing committee member strength. Dr. Bipin Pandit and Dr. Wagle said that this would not be required. The ratio should be changed. 14) & 15) Presented after Item (16). 16) Any other matter with the Permission of the Chair pertaining to aims and objections of the Association Dr. Wagle asked about programmes in the neighbouring states. Dr. Kishore Adyanthaya said that AMC Mangalore has members. The managing committee meets every Wednesday. There are plenty of medico-legal matters. Bengaluru has around 50 members, Kolhapur too. Dr. Sangeeta Pikale said that the programme committee this year is leaving behind Rs. 18 Lakhs. She proposed that at least 5 lakhs out of this could be used for the media communication cell. She said that we should have networking with other organisations and governments which is vital so we can create an active strong possibility to impress on the government and public at large regarding issues faced by doctors and medical fraternity at large. She made a strong mention that both social service cell and Media communication cell cannot function without funds and then are paralysed. Dr. Kate said that 25 % could be for the association. Dr Kapoor denied fund allocation and demanded the discussion in trust board prior to AGM. Dr. Umesh Oza said that the proposal should be made and taken up by the Managing committee which can give funding. Dr. Niranjan Agarwal said that in his Presidential Year he had taken it up. He said that there are programmes in Karnataka and Kolhapur. It is not paucity of funds that prevents more programmes. He said that there is an initial excitement which later goes down. In Nagpur and Solapur a few local bodies prevent AMC formation. He said that a federation FOMA could be formed. Dr. Sangeeta Pikale said that she had got in touch with doctors in Kerala. She said that we will have to reinvent FOMA. This year an attempt was made with Mira-Bhayander Association, MARD, etc Dr. Sujata Rao agreed with Dr. Niranjan Agarwal. She said that many people were interested in places where her CEA Awareness talks were hosted. Dr. Lalit Kapoor said that we should have a common interest. He said that local people ask about the need for AMC. He said that he was in Kolkata the previous day to give a talk to Dermatologist (Aesthetic Procedure Practitioners). He said that professional indemnity does not include this group, but our policy includes them with an additional fee. He said that we should get 25 consultants to apply to AMC, then others will join. Dr. Bipin Pandit said that in his experience most areas are dominated by IMA where there are GPs and Consultants. He said that GPs fear that they may not get anything if Consultants form a group e.g. Solapur, where they feel that AMC is not needed. He said that there should a way to convince them about the increase in Medico 16

19 Legal issues. Dr. Sudhir Naik said that when CEA comes and becomes applicable to single units it will happen. Dr. Anil Suchak said that he is active in IMA too. He said that Medico Legal cases come to IMA. As there are more cases now the importance of AMC should increase. He said that we should be able to make a niche in all places. Dr. Debashish Das said that it is not the family physicians but consultants who oppose. It was discussed that just as IMA has autonomy at various levels we should have the same. The need to actively work on AMC India project was expressed by all. Dr. Suchak said that only a few people feel threatened and that we need to identify them, he was speaking in response to a mention that IMA was actively opposing AMC. Dr. Niranjan Agarwal said that each affiliate unit has a separate President, Secretary, Treasurer and that they have enough autonomy, but unfortunately there are not many in private practice but in hospitals e.g. Ajmer and Dharwad. He said that when we go to make a presentation they are very happy but their enthusiasm immediately subsides as there is resistance from seniors. Dr. Das said that like Dr. Kishore Adyanthaya in Mangalore we should identify people individually to work. Dr. G. B. Kulkarni said that they should be able to speak the same language. Dr. Tomar said that we are growing and we should change the way we conduct the elections. He said that it is grossly unfair to those who cannot attend. He suggested e-voting and said that it would be proper voting. Dr. Sangeeta Pikale said that we should take the decision as this has been discussed many times where majority are now in agreement. Dr. Ketan Parikh and Dr. Jyoti Taskar said that it cannot be decided as it needs to be on the agenda. Dr. Parikh said that it is not a panacea. Dr. Ketan Parikh said that the concept of AGM with elections is illegal and that we need to stop this illegality. It has been raised since 15 years and has to be undone. He suggested starting elections at a certain time and then the AGM starts. He said that we cannot have a situation where people are not permitted to attend the AGM. Dr. Debashish Das said that we could have elections with AMCON. Dr. Ketan Parikh said that we can have the term st from 1 April; the AGM can be dissociated from elections. This will need a constitutional amendment. Dr. Sangeeta Pikale that there would be a good team that can prepare in advance. Dr. Ketan Parikh said that the AGM should not be conducted when the elections are going on. He said that he hoped it would be put on record. Dr. Sudhir Naik said that he would discuss this with the President Elect and irregularity can be corrected next time. Dr. Das suggested 5 voting centers on different days. Dr. Sudhir Naik said that this would be looked into. Dr. Umesh Oza said that on behalf of the members he would like to congratulate Dr. Sangeeta Pikale and the others for a very successful and remarkable year. The members of the outgoing team were felicitated by Dr. Sangeeta Pikale with mementoes. Dr. Sangeeta Pikale spoke about her year, the concept Do it right and chill and thanked the members of her team. Dr. Nitin Rao and Dr. Reena Wani presented highlights of her tenure. 17

20 14) Declaration of Results Dr. Dilip Naik declared the results of the election. They are as follows Result Election of (2015) Total count of members who exercised their votes 450 For The Post of No. of Post Names Vice President 2 Dr. Pradeep Baliga (271) Dr. Smita Sharma (242) Dr. Debashish Das (222) Joint Treasurer 1 Dr. Vivek Dwivedi (177) Dr. Pramod Bahekar (162) Dr. Deepak Baid (93) Joint Secretary 2 Dr. Ashok Shukla (280) Dr. Sushmita Bhatnagar (253) Dr. Kritika Doshi (206) Kurla, Chembur, Ghatkopar, Mulund 3 Dr. Deepak Baid (310) Dr. Debashish Das (305) Dr. Manish Sharma (234) Dr. Sachin Dalal (205) Jogeshwari Dahisar 3 Dr. Jayesh Shah (249) Dr. Ashok Shukla (244) Dr. Nilima Vaidya Bhambre (198) Dr. Kartik Bhagat (193) Dr. Hemal Maniar (191) Mira Road Palghar 1 Dr. Rajendra Nagarkatti (366) Dr. Rajendra Tiwari (50) Thane, Kalyan, Dombivali 3 Dr. Pradeep Baliga (278) Dr. Pramod Bahekar (206) Dr. Kritika Doshi (196) Dr. Supriya Arwari (170) Dr. Mangesh Pate (164) Dr. Gajendra Tomar (112) 15) Installation of the New President and the New Managing Committee Dr. Sudhir Naik was installed President with the traditional exchange of the medallion from Dr. Sangeeta Pikale and the exchange of seats. Dr. Sudhir Naik in his address spoke about his plans for the year. He said that while doctors must comply with the PNDT Act, the severe punishment given for errors in filling up the forms is very disturbing. He said that he would work on this issue. This was met with by an applause from the house. The members of the new team were welcomed by President Dr. Sudhir Naik with a flower. This concluded the AGM. Dr. Harish Shetty's spirited talk on Stress management for doctors kept the audience riveted to their seats. Mr. Navin Prabhakar's programme Laughter is the best medicine was entertaining. Cocktails and Dinner 18

21 HEALTH & ACCIDENT INSURANCE CELL REPORT Chairman Dr. Suhas Kate Patron-Advisor Dr. P.N. Rao Advisor Suresh Rao Convener Dr. Jayesh Shah Members Dr.Hitesh Bhatt, Dr. Nitin Rao, Dr. Deepak Vaidya. Year Total Membership in H.& A. Scheme AMC Members Dependants Premium Paid Claims Settled Claim Ratio 72% 105% 80% 85.6% 83% 98% Projected This year our claim ratio has been quite favorable at 83%. Hence this year also we have not increased our premium rates for the 7TH consecutive year. To encourage the younger age group to join our scheme we have decided to give no claim bonus of 5% for every claim free year (Maximum up to 20%) up to the age of 60 years & 5% to 10% for the age group ( Main Member & Spouse). Our projected claims ratio for this year. Since we have opted out of TPA system we will continue to make payment to the tune of 60% of projected claim to the needy members where the likely expenditure is more than two lacs NEW PROPOSALS ) No increase in premium as compared to last year except the increase in service tax. 2) Co-payment to be reduced from 10% to 0% 3) Robotic surgery will be covered from this year 3 years after joining the scheme. Maximum amount payable will be 75% of the sum insured. 4) In the event of any death of member below 60 years of age and he/she being the H & A scheme for more than 10 years family will be given an amount equivalent to average of the sum insured in last 10 years. If he or she in the H & A scheme between 5 to 10 years than he/ she will be given 50% of amount of average sum insured in last 5 years. 5) No claim bonus eligibility for the age group years to be increased form 5% up to maximum 10%. 5% for every claim free year. 6) Restriction of Fracture neck of femur not covered for first two years to be abolished. 19

22 This year's exclusion clauses Sr. Disease Year 2 Year 3 Year 4 1 Cataract Not Covered 2 Hysterectomy Not Covered 3 Cardiac Ailments Not Covered Not Covered Not Covered Not Covered 50% 50% 50% As per Capping 4 5 Not Covered Not Covered Full* Not Covered Full Not Covered 50% 75% of CSI Not Covered Not Covered Not Covered 50% Full Transplants 7 Morbid Obesity Not Covered 8 Robotic Surgery Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered 75% of CSI Malignancy Joint Year 1 Year 5 6 to10 Years Beyond 10 Years Full 75% of CSI Replacement 6 Chronic Renal Problem / 50% Full a. Again these restrictions no.1 to 3 are not applicable for claimants who are below 45 years of age. b. 5% co payment shall be applicable for members above 60 years of age. Except from package rates. c. Capping on certain treatments as provided elsewhere will be applicable. d All other pre-existing diseases are not covered in initial 2 years of joining the scheme and for any enhanced sum insured. e. *Malignancy in first year of detection not covered, but covered in further years. f. Tertiary care members who join H & A Scheme will be given all continuity benefits. Charges payable toward surgical treatments for cataracts / CABG / Angioplasty / Jt. Replacement, Robotic Surgery are being capped as below Sum Insured Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs Amount Per Eye Rs Rs Rs Rs Rs Rs Rs Rs Rs Rs CABG / Angioplasty Jt. Replacement Per one joint Robotic Surgery Dr. Suhas Kate Chairman- H. & A. Cell, AMC 20

23 CONSULTANTS BENEVOLENT SCHEME REPORT Patron-Advisor Dr. P.N. Rao Chairman Dr. Bipin Shah Conveners Dr. Suhas Kate, Dr. Shrikant Badwe Members Dr. S.N. Agarwal, Dr. Mukesh Gupta, Dr. S.V. Nadkarni, Dr. Dilip Naik Dear Members, We are proud to have completed 11 glorious, successful years of conducting the Consultant Benevolent Scheme. Presently, the total number of members enrolled in the scheme is 1158 (till January 2015). Since the inception of the scheme, we are sad to inform you that we have lost 35 members. However scheme could serve them with Benevolent Fund of a sizable amount. The last member received a contribution of 4,63,600/-. Since the inception, the scheme has disbursed total amount of Rs. 1,29,76,900/- (One Crore Twenty Nine Lac Seventy Six Thousand Nine Hundred only) as a Benevolent Fund. The 12 members have a premature retirement from the scheme because of various reasons. In this current year every member has paid the contribution in time & there was no defaulter. 14 new members have joined the scheme in current year giving a growth rate of approx. 1.5% per annum, we are deeply concerned with the slow growth of the scheme, in spite of all its tremendous advantages. This scheme can be considered as a term insurance policy or an investment model. A special drive will be undertaken to show case the highlights of the scheme, and we have no doubt that in the years to come this will be one of the most sought out models in this category in the medical world. We pay homage and sincerely condole the death of our following FIVE colleagues and members in the scheme. On your behalf, the committee has promptly sent out their deepest condolences to the family of the diseased. The benevolent funds that have been paid to the beneficiaries of each of them are mentioned in columns next to their names. We pay this fund in a shortest possible time with simplest of procedure. Name of Member Age Paid to Nominee Contributed by Date of Death Years in scheme diseased member Dr. Narendra Shah 75 Rs. 4, 60, 500 Rs. 26,700 04/04/ Dr. Mahendra Desai 75 Rs. 4, 57, 800 Rs. 47,700 04/02/ Dr. Gulabchand Gandhi 72 Rs. 4, 63, 400 Rs. 25,200 20/08/ Dr. Neelu Bhatia 66 Rs. 4, 63, 300 Rs. 25,700 16/10/ Dr. Chittaranjan Parekh 76 Rs. 4, 63, 600 Rs. 25,200 27/11/ In current financial year (Till January 2016) we have paid total Benevolent Fund of Rs. 23,08,600/- (Twenty Three Lacs Eight Thousand and Six Hundred Only). Consultants Benevolent Scheme Annual General Body Meeting was held on 19th July 2015 at the AMC Office & Dr. Suhas Kate was re-elected as one of the convenor of CBS. Total Corpus of the C.B.S. scheme as on 31st January 2016 is 2,22, 52, 107 /- (Two Crore Twenty Two Lacs Fifty Two 21

24 Thousand One Hundred and Seven only) while Total Corpus of the C.B.S. scheme as on 31st March 2015 was 2,11, 45, 565 /- (Two Crore Eleven Lacs Forty Five Thousand Five Hundred and Sixty Five only). Thus in this financial year the corpus has increased by Rs. 11, 06, 542 /-. CBS Scheme is a social initiative by AMC for its members. It has a dual advantage both being a mode of investment as well as life cover for the member; it also provides an immediate financial relief to the dependants of the said member, at a very nominal cost. This year we have completed digitalization the data of all members of CBS (1188) since inception of the scheme. We might have to increase the annual fees (presently Rs. 200) next year, as service charges has become 14.5% & also there is increase in administrative expenses. We earnestly request you to enroll as many of your Colleagues of AMC & their spouse in the scheme as early as possible. This will enable us to give still larger amount of Benevolent Fund to the family members in the event of untimely demise. Thanking You, Yours truly, Dr Suhas Kate Convenor Dr Bipin Shah Chairman Dr Shrikant Badwe Convenor 22

25 Report of AMC-NoAH Cell Chairperson Dr Niranjan Agarwal Convenors Dr Sudhir Naik, Dr Sangeeta Pikale The year has been a year full of meetings, deliberations & exchange of ideas between AMC-NoAH & many health insurer and providers as well as the concerned industries. On the GIPSA empanelment front we have literally taken the process to its logical end and the first batch of 50 AMC FEQH accredited hospitals has been already sent to them. The process began but for a last moment hurdle of poor rates being reoffered pulled us back. This issue is still being bargained & doors are not yet closed. Being into big business, the economies is the only issue they understand & are trying their level best to squeeze us maximum which is being resisted by us. Similar efforts with various private player such as ICICI Lombard, Reliance, Aditya Birla, SBI etc. have been undertaken and may be before your read this report, the ICICI Lombard would have already empanelled the 150 accredited hospitals. The grievances of members in regards to Bajaj Allianz was sorted out in a one to one meeting with the concerned members & Bajaj representatives to everyone's satisfaction. As representative of small scale providers & the Nursing Homes we got an opportunity to represent AMC NoAH at a panel discussion on 'The methods of increasing medical tourism in Maharashtra' at NESCO ground, Goregaon, Mumbai on 28th September The invite came to us courtesy Dr Nilima Vaidya Bhamare who is an active Managing Committee Member of AMC. Dr Niranjan Agarwal represented AMC and laid forward the suggestions to utilise the existing Nursing Homes for various medical tourism purposes which could be made more affordable & attractive. He also utilised the moment to raise concern about violence on doctors and hospitals as the same was projecting negative image about health care in India globally & same would hamper medical tourism. The CII meet on 12th October 2015 at Delhi 'Re-Imagine The Future- Act Now' was attended by Dr Niranjan Agarwal as panellist for the Panel Discussion on Health Insurance Cover for All- Carrot or Stick Approach. The invite came thanks to Dr Suhas Shah our active committee member and Mr A Vaidheesh from CII. We got an unique opportunity to project the importance of small healthcare in influencing growth of health insurance. Presently the medical insurance industry is bleeding due to majority of these clients going to tertiary health care even for innocuous problems. The FICCI 8th Annual Health Insurance Conference on 10th December 2015 at New Delhi on 'Creating Value through Customer Centricity' was attended by Dr Sudhir Naik, convenor of NoAH. He was also able to stress the importance of small nursing homes in health delivery and neutralising the high cost of tertiary care. Discussions for an unique policy for all NoAH members for fire, flood, theft, medical equipment repair etc. is being đone & may materialise soon. The AGM of NoAH was held on 30th January 2016 at AMC Office. It was decided to revisit FEQH Standards and introduce more objective criteria with transparent markings. The criteria would include site, size, infrastructure, doctors qualifications etc. other than the already existing criteria. Thereafter the Nursing Home would be divided into clusters A, B, C, D etc. & then work out a common costing for each cluster across Mumbai. The AGM also decided to convert members who have not yet got the FEQH Accreditation to associate membership with immediate effect. The same would be reconverted to full membership once the criteria is fulfilled. 23

26 Annual Medico-Legal Cell Report AMC- India - Director & Advisor - Dr. Lalit Kapoor Chairman - Dr. Ajit Desai Convener - Dr. Kishore Adyanthaya Members -Dr. Niranjan Agarwal, Dr. Sushmita Bhatnagar Dr. Kartik Bhagat, Dr. Kalpesh Shah, Dr. Pramod Bahekar, Dr. Sangeeta Pikale, Dr. Nilima Vaidya-Bhamare The Medico-legal Cell has been working round-the-clock this year, what with the significantly increased incidence of cases, thanks, partly, to the media which perceives medical mishaps to be a good source of sensational news reporting aided by the fact that medical professionals provide easy targets who rarely hit back. Every 'horror' story of medical negligence that gets published leads to a domino effect whereby more such reports are generated and the vicious cycle continues. A number of disturbing trends emerged this year which need to be brought to the notice of our members. Consumer cases which were file 14 to 16 years ago are being brought out of the closet and astronomical compensations are being awarded. Many of these judgments are perverse and populist, having been handed down by laymen. The interest on the awarded amount of compensation is quantified at mind-boggling figures which cast a back-breaking burden on the hapless doctor. In one case which was decided this year, over Rs 19 lakhs was awarded as compensation, to which the interest amount at 9 % for 14 years (the time it took for the case to conclude) worked out to Rs 23 lakhs!! Even if one decides to appeal, the amount has to be immediately deposited with the Court. Further aggravation of the problem is caused because the Insurance cover which one may have may turn out to be grossly inadequate as this sum was decided years ago and the interest amount would not have been factored at that time. The urgent message is Please enhance your sum Assured in your professional indemnity Policy to a minimum of Rs. 50 lakhs (any specialty) and much more if you are in high-risk surgical specialties. Do it forthright. There is a need for AMC to take up with the appropriate law making Bodies to impose a ceiling or capping on the compensation amounts awarded. And importantly, a ceiling must also be imposed on the number of years a case can drag on. For example, if a case is not decided in 5 years max, it should be closed. The working of our Professional indemnity scheme suffered a setback recently when Mr R.C.Suri, our coordinator with Oriental Insurance Co suffered a CV accident and had to undergo craniotomy for decompression. He is still incapacitated and not in a position to work. We are in the process of coping up with the problems on account of his absence. Hopefully, the alternate arrangements will enable us to carry on the various insurance schemes seamlessly. The increase in the number of calls for medico-legal help is a matter of concern. Apart from devising methods of making our support system to members facing such problems more aggressive, we need to step up sensitization of our members towards preventive aspects. 24

27 As usual we are presenting the list of the type of problems which our members faced in the year that went by. We continue the practice of maintaining anonymity, for obvious reasons. Please note this is essentially a chronicle of the issues which members faced and does not purport to give a detailed account. Essentially the aim is to indicate the spectrum of the types of problems likely to occur and also the numerical extent both in totality and specialty. Specialty - Wise Case List GYNAECOLOGIST & OBSTETRICIAN 60 ORTHOPAEDIC SURGEON 35 GENERAL SURGEON 35 PAEDIATRICIAN 19 ANAESTHESIOLOGIST 20 GENERAL PHYSICIAN 24 ONCOSURGEON 5 OPHTHALMOLOGIST 17 UROLOGIST& ANDROLOGIST 8 PLASTIC SURGEON/COSMETIC SURGEON 8 PATHOLOGIST 5 RADIOLOGIST 5 DERMATOLOGIST 5 E.N.T.SURGEONS 7 SURGEON & GASTROENTRIC SURGON 3 CHEST PHYSIAN 3 NEUROLOGIST 3 CARDIO-VASCULAR SURGEON/THORACIC SURGEON 3 GASTRO-ENTEROLOGIST/COLO-RECTAL SURG 1 NEPHROLOGIST 1 BARIATRIC SURGEON 2 ONCOLOGIST 2 PSYCHIATRIST 1 CARDIOLOGIST 2 NUCLEAR MEDICINE 1 DERMATOLOGIST 3 TEL.CONSULTATIONS/COUNSELING 22 TOTAL NO OF CASES/PHONE CALLS 300 Dr. Ajit Desai Chairman 25

28 Program Committee Report Programme Committee Chairman Dr Kritika Doshi Dear friends, these are challenging times for doctors. The social framework of society is changing rapidly and we are faced with challenges every day. This year, team AMC 2016 under the leadership of President Dr Sudhir Naik decided to face these challenges by organizing events to serve as a common platform to meet lay people and reduce the stress of practice. Also, to promote the social commitment of AMC, this year the theme was Cancer-awareness and Prevention The beginning of the year saw multiple incidences of violence against doctors. AMC has in the past taken interest and helped initiate the Medicare Act. This year, AMC's response was to form a task force in each zone, develop the AMC app and ask local representative to take immediate action in terms of prompt physical presence at the venue. th The first event was held at Vashi on 26 April 2015 to deliberate on this topic of Doctor-a soft target. The panel discussion was fruitful and the personal account by the doctors who faced public wrath and violence helped sensitize the Politicians and Law Enforcers on strict implementation of the Medicare Act. This was followed by a th CME at Mira Road Wockhardt Hospital on 14 June 2015 on Medicolegal issues in Clinical Practice To improve patient and doctor interaction, the Doctors day celebrations were held on 2 Sundays- 28th June 2015 th saw a grand performance by Sivamani and troupe at Inorbit Mall, Malad. A CME for doctors was held on 5 July 2015 for our members with a stand up Comedy act to de-stress the members. th The zonal program held on 9 August at Evershine Banquet Hall discussed how we can ease the Roadblocks in Healthcare Delivery After very successful meets during Doctor's Day and zonal events, AMCON 2015 too was a huge success. It was held at Bandra-Taj Lands End and the highlight was the panel discussion on the role of Court judgements on Medical Negligence and the compensation awarded. The Supreme Court awarded more than Rs 11 crore in damages (including interest) against several doctors and a private hospital in Kolkata for the wrongful death of a patient. The impact of consumer complaints, court judgments is affecting the psyche of the doctors. Such judgments can lead to anxiety over the size of medical malpractice liability. This is now a reality though! The high compensations awarded in some medicolegal cases was discussed by eminent panelists comprising Justice Mohit Shah ( recently retiered as Chief Justice of Bombay High Court), Dr Ramakant Panda (Vice Chairman and MDAsian Heart Institute), Dr Neeraj Nagpal (Convenor,Medicos Legal Action Group, Managing Director MLAG Indemnity) and Dr Ajay Kumar (Council Member, World Medical Association, Member-Ethics committee of World Medical Association (WMA). In Addition, there were talks on tackling the Pain of adversity by Swami Bodhatmanadji - the Acharya of the 16th Residential Vedanta Course at Sandeepany Sadhanalaya, Powai, Mumbai; the C L Zaveri Oration by Mr S Ramadorai (the adviser to the Prime Minister of India in the National Council on Skill Development) who spoke on Changing Paradigms - Interdisciplinary Learning ; Mrs Brinda Somaya spoke on Mumbai's Timeless Heritage and Dr Sanjay Deshmukh the VC of Mumbai University spoke on challenges of healthcare in the 21st century. 26

29 th st The next event after AMCON, scheduled on February on 20 and 21 Feb 2016 was aimed at educating our members and giving all a hands on learning of IT and computers. Our aim was to give you an opportunity to learn more about the use of electronics and internet in our day to day practice. AMC has taken the initiative to design our own App and digital pen for record keeping. Taking this further, we had made an initiative to help members become familiar with e-technology and lose their fear of internet by organizing a conference on use of IT in Healthcare. This was held at the Thakur Institute of Management Studies, Kandivali. Some of the highlights of this conference were1) There was a hands-on workshop for the delegates and each person had a computer station and teacher for a group Topics for the IT Workshop includeda) Basics of Computer and Internet - Computer Jargons made easy b) Digital Marketing c) Cyber Security d) Document Management & Common Gadget (use of Bluetooth) e) Open source Mobile App on Healthcare - Life made easy for Doctors f) MCA My Pen Session 2) There were talks by leaders in IT and Healthcare field 3) A lecture on Cyber Security by Police Department th On the 5 of March 2016 at the Y B Chavan Auditorium opposite Mantralaya we had a program called Aarogya Manthan - where representatives from the MCI, MMC, Maharashtra University of Health Sciences, Deans of various medical colleges, Heads of Medical Education units of all medical colleges, senior teachers both present and retired, representatives from the students and also our own senior AMC members had a brain storming session was conducted under the watchful eyes of the Union Minister of State for health Mr Shripad Naik. We will collate the suggestions and the deliberations into the form of a consensus report and send it to the Union Government and State government as our humble attempt to suggest the road ahead of Medical education in AMC programs this year gave members a chance to earn 13 MMC credit points only from our own programs. As program committee chairperson, I have enjoyed every moment of organizing these events and would like to thank all the members for making them a huge success. We look forward to lead and take initiatives for various issues faced by our members. I would like to thank every member of Team AMC and all AMC members for participating and making these events memorable. Thank you, Jai Hind. 27

30 'The GRASP' Report It gives us immense pleasure to present the Annual Report for the year As is the convention, we published 'The GRASP' as per schedule in May 2015, August 2015, November 2015 and in February At the outset, the editorial team thanks all the authors for their contributions to the magazine. We are also thankful to the President, Dr. Sudhir Naik, the Secretary, Dr. Mukesh Gupta, and the entire Managing Committee for their inputs from time to time. Our gratitude to the Program Committee Chairperson and the Chairpersons of various Cells for their timely contributions. We are also indebted to the members of the Advisory Board for their sane advice. We acknowledge the contributions from our Advertisers, which helps to reduce the financial burden of bringing out the magazine with the highest quality. The untiring efforts of our Office staff and the staff at the printers, Jasmine Art, are invaluable and we thank them for the same. Finally, a big thank you from the bottom of our hearts to you, our esteemed readers, for your feedback, suggestions and mails which inspires us to give our best while working on the magazine. We would also like to apologise for any errors that may have crept in, inspite of our vigil to avoid them. Dr. Nitin Rao. Editor. Dr. Pradeep Baliga Dr. Sushmita Bhatnagar Co-Editors. 28 Dr. Aashish Mody.

31 Report from Dr. S N Agarwal Zonal Director & and Chairman of Social Service Report The Social Service Cell of the conducts the following activities throughout the year in all its zones. 05/04/2015 Nurses Training at Zaika Orchid Banquet Hall, Dr. Sudhir Naik Chief Guest. 130 Nurses Attended. 15/04/2015 Zonal Meet on Communication, Dr. Bipin Pandit Chief Guest 200 Doctor's Attended. 10/05/2015 Nurses Training at Nalasopara 150 Nurses Attended. 14/06/2015 Medicolegal Conference 400 Registration DR. Lalit Kapoor Attended 28/06/2015 Blood Donation Camp. 13/07/2015 Zonal Meeting 30 Doctors Attened Chief Guest Mayor Geeta Jain To solve problem of registration of Nursing Course. - Dr Niranjan Agarwal. 15/07/2015 Meeting With Health Officer. 23/07/2015 BMD & Dental Camp at Uttan Pali 175 People Attened - Dr. S.N. Agarwal 25/08/2015 Nurses Training Programme at Bhayandar - Dr. Vipin Cheker, Dr. Ashok Shukla /2015 Diabetes & Obesity Awareness Programme At Bhakti Vedanta Hospital at Mira Road (E) - Dr. Ashok Shetty. 03/01/2016 Conference J. W. Marriot With Bhakti Vedanta Hospital - Dr. Ashok Shetty. 03/01/2016 Web Conference at Gcc Hotel at Mira Road By Dr. Vipin Chekar Khare Ki Ghanti. I Thank President Dr. Sudhir Naik & His Entire Team For Full Support. My Special Thanks To Dr. Niranjan Agarwal, Dr. Vipin Checker, Dr. Ashok Shukla. Warm Regards, Dr. S.N.Agarwal Chairman- Social Service Cell and Zonal Director 29

32 Report of AMC Activities from the Zonal Director (Navi Mumbai - Chembur & Raigad) organised the first AMC Meet on Sunday, 26th April at Navi Mumbai Sports Association. Doctors - As a soft target? Was the topic of Panel Discussion. The Topic was particularly chosen due to increase in the incidents of violence against the doctors recently. The Panelists were Mr. K.L. Prasad, Commissioner of police, Navi Mumbai, Mr. Prashant Thakur, MLA, Dr. Uday Nirgudkar,CEO Zee Marathi Chanel & Editor of English news paper DNA, Dr. Lalit Kapoor Director AMC India project, Dr. Sudhir Naik President AMC, Adv. Amit Karkhanis and Dr. Dilip Rane Vice President Navi Mumbai Sports Association. The Moderators were Dr. Bipin Pandit Trustee and Member of Maharashtra medical council and Dr.Prakash Patil Director of Life line Hospital, Panvel. Doctors expressed their concern about police callous attitude in filing the FIR, role of media in increasing attacks on doctors and how to overcome this problems were the few questions put forward to the Panelists. The Panelists gave very satisfying answers to these questions. The programme was attended by more than 500 delegates and it was a grand success. I thank each and every one who has been instrumental in doing this programme a great hit. I would like to thank specially to Dr. Sanjay Pattiwar for giving us an invaluable help in making this programme a gala event. The Raigad-Navi Mumbai region held a CME, RAMICON- on 13th December 2015 at Dr.Babasaheb Ambedkar Technological University, Lonere. It was a first of its kind seminar held in Raigad region in AMC style. It was organised exclusively for Consultants in the Konkan region and it had non academic topics. More than 75 consultants, from as far away as Pen in the north to Chiplun in the south attended RAMICON. Dr. Sudhir Naik, President AMC, inaugurated the CME & in his Inaugural speech spoke on 'AMC, today & in future'. Adv. Ashish Chavan gave a lecture on Current Laws & Consulting Practice. Dr. Lalit Kapoor spoke on Recent Judgements & their Implications in Consulting Practice. Ms. Nehal Mota of Finnovate delivered a Lecture on Financial Planning for Consultants. Dr. Rajendra Barve gave a dramatic presentation On Managing Stress for Consultants in practice & at home!. Dr.Ajit Desai gave valuable Inputs. On 28th June 2015, along with Navi Mumbai Association of Paediatrics, celebrated a Doctors Day with Blood Donation drive at Mody Hospital, Airoli. Forty- four bottles of Blood were collected. Last but not the least; I would like to thank Dr. Vivek Sheth, Dr. Praveen Mody, Dr. Sanjay Pattiwar, Dr.B.J.Shinde, President, IMA Mangaon-Tala, Dr. G.K.Rauth, Sr.Surgeon, Dr. Patankar, Sr. Paediatrician and Dr. Ketan Nikam, Ophthalmic Surgeon. For their valuable support otherwise this year would not have been successful. Dr.Ajit Desai Zonal Director, AMC 30

33 Report of AMC Activities from the Zonal Director (Jogeshwari - Dahisar) At the very start of the year, doctors from every suburb area of Jogeshwari to Dahisar were contacted & explained the need to form an Action Task Force in every locality to combat mob violence of patients. Accordingly a group (of 72 doctors) was formed consisting of key leaders from each suburb (East & West) & it started functioning on whatsapp. The key leaders in turn have formed their local groups. The various groups were activated at different times during the year, to face an angry mob of patient's relatives. The presence of the group of doctors along with their communication skills with the mob subdued their anger & avoided a violent turn of events. In one incident, a police complaint was also lodged against the relatives & the relatives had to admit their fault & apologise. A Zonal Meet was organised on 9th August 2015 at Evershine Banquets, Goregaon West, wherein the prime attraction was the panel Discussion on. Adv Ashish, Addl. CP, Adv Piyush Shah, was the panelists. The stimulating discussions led to some promising conclusions. Mr Sagar &Mr Revankar promised to pursue the implementation of the Non requirement of Shop & Establishment Act for Clinics & Nursing Homes. Addl. CP invited coordination of doctors groups with their respective Police station Officers to solve the doctor-patient interactions. Adv Piyush Shah offered his expert help to interpret the Judgment regarding shop & establishment Act. The efforts to coordinate with the Police of different suburbs are continuing at local levels & hopefully should smoothen the doctor- police & doctor patient interactions for the better. Dr. Sujata Rao Zonal Director, AMC 31

34 AUDITORS REPORT & BALANCE SHEET F.Y

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