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How is General Medicine residency @NIMS Hyderabad by DR.KAUSHIK JR3, AIR 284| #neetpg #education — Transcript

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0:00Hi guys, welcome to mani myself Dr.
0:03Vinod. Uh I'm a professor department of
0:06nuclear medicine names hospital and uh
0:10today we have a uh very like ranker 28
0:162023 284 ranker Dr. Koshik who is
0:20pursuing his general medicine now he's a
0:22third year resident. We we we want to
0:25hear all your queries through him.
0:27>> Yeah. Hello everyone. I am Dr. Kawoshi
0:29Tangada
0:31currently a third year rental medicine
0:33resident from NISAMs institute
0:35Hyderabad. Uh I have secured a rank of
0:38284 in a need which was conducted in
0:402023. Uh and I have chosen intram
0:43medicine residency from NIMS. Have done
0:45my undergraduation from Osmana Medical
0:47College. I belong to the batch of 2K16.
0:50Oh very well that uh what factors mainly
0:55uh help you to in deciding the branch
0:58which is like because you got a good
0:59rank but you pre like in in your UG
1:03itself you are inclined to general
1:06medicine or else after Nate you decided
1:08>> yeah so that's a good question uh the
1:11thing is I feel branch is the most
1:14important thing what one has to decide
1:17uh it is it is the one which stays with
1:19you for with you lifelong. So that is
1:22the most ultimate thing which you have
1:24to decide. So irrespective of the rank
1:26whatever rank you get you have to be
1:28fixed towards your branch. So ideally in
1:30ideal scenario the branch has to be
1:32decided prior to giving your need or
1:36prior to giving your need. So I have
1:38decided in medicine as a as my branch
1:42right in my fourth year itself. uh that
1:44that one was the one which has attracted
1:46me uh while I was uh preparing and while
1:50I was doing my finals during my
1:51internship and during my need PG
1:54preparation days so
1:56>> so as you like thought about the branch
1:58in UG itself you had to work hard to
2:01secure that good rank to pursue
2:03>> uh medicine general medicine currently
2:07is one of the I mean it's from the past
2:09now and future it will be the branch
2:11which is always a sorted out one as for
2:15someone who wants to pursue their
2:16postgraduation. So it is a highly
2:18competitive branch. So you have to
2:19decide it prior to it. It's better if
2:22you decide it prior to it. It's okay if
2:24you decide branch after your uh main PG
2:27rank as well. But uh you have to be
2:29fixed towards your uh branch rather than
2:32being fixed towards your program
2:34residency program where you're doing and
2:35all. Uh it's a branch you have to decide
2:37first. So
2:38>> Okay. Got it. And after that uh uh in
2:41you are 284. So you had options of even
2:44Usmana or else even other hospitals
2:48national level. So which what all
2:50factors attracted you towards NIMS?
2:52>> Yeah. So I basically I come from
2:55Telangana itself. I am from Marangal. I
2:58belong to Wangal and I have been in
3:00Hyderabad for the past 10 years. For my
3:02uh schooling even my uh secondary
3:05schooling and secondary education and my
3:06UG I belong to Hyderabad. So for me uh
3:10Hyderabad uh is is like home to me and
3:13uh definitely I I was preferring uh to
3:16be very close to my states state itself
3:19while uh doing for doing my PG. So in
3:22state I feel in Telangana uh I was very
3:26lucky enough I I could uh I was lucky
3:28enough to get a get a good rank at that
3:31point in time and I was lucky enough to
3:33be able to take a uh to get get my dream
3:36branch from Misams. So in even in
3:41compared to usmana what all factors
3:44helped you to arrest propel you to take
3:47n general medicine?
3:48>> Yes. So uh uh initially I have done my
3:52undergraduation from usmana. I have done
3:54my internship also from general hospital
3:57as well. So uh in I know how intu is at
4:01usmana.
4:02>> You wanted to experience a new hospital.
4:04Yes, I was I wanted to experience a new
4:08hospital. So,
4:09>> and for that there were many seniors of
4:11mine who have done in UGMA and were
4:14doing PG. So, all these things help.
4:16>> So, all these uh things helped me in
4:19sorting out a college. Well,
4:21>> okay. Okay. And uh
4:24uh Dr. Koshi uh for your rank there are
4:28lot of options even national kota like
4:30BHU lady Harding RML and even in
4:34Bangalore. So uh why did you choose NIMS
4:38as a branch? Nims as a college.
4:40>> Okay. Uh for my branch actually uh for
4:43my rank the rank which I got at that
4:45point in time I had a all in rank of
4:47284. uh the options were not many but
4:50yeah I definitely had an other options
4:53uh before considering uh NIMS as well.
4:55So uh in my scenario I could have had an
4:59option of uh maybe getting into LHMC
5:03Delhi or UCMS Delhi or IMS IMS BHU and
5:08BMC Bangalore. So these were the options
5:11four colleges which I was eyeing on
5:13parallelly to NS but finally I have
5:16decided to stick on to NIMS. So uh for
5:20that I have my own reasons. One is uh I
5:23felt I have been to BMC I have been to
5:26IMS BHU I've talked with the people over
5:28there. I feel uh you know uh being uh
5:33during residency being at a hometown is
5:36much more advantageous. That's the first
5:37point. The second thing is even the
5:39residency program the way it is designed
5:41it is uh very much uh effective
5:44efficient way ins as well when compared
5:47to residencies all over all over Delhi
5:50the state colleges of Delhi or IMSBHU or
5:53BMC which which also I could have gotten
5:56an all India kota with my with my rank
5:59but uh there is an example there are my
6:01colleagues of mine who had better ranks
6:04than me they have secured the all rank
6:0620 there are there is one who has
6:08secured all in their rank 80. There is
6:10one who has secured all their rank 40.
6:12They could have easily gotten
6:15all the options would have been open for
6:16them.
6:16>> They choose NIS.
6:17>> Yes. So and they consider it as their
6:20best decision and a wise decision.
6:22>> Yeah.
6:23is almost as equalent as all other
6:25national
6:26>> definitely definitely uh uh it's it's
6:29almost equal it's equal and even more I
6:33would say when compared to all the
6:35colleges of national importance it's
6:37definitely on par with the college of
6:39national importance yeah
6:41>> and uh uh thank you uh after that how
6:45many units or is how many seats are
6:49there per batch and how many units in
6:51your department Yes. So uh I uh I joined
6:56NIMS in 2023 September 5th. Now it's
6:59been two years have been in NIMS. So in
7:02our batch we had 15 residents. So seven
7:05residents who have been joined through
7:07all Kota and seven residents who have
7:09been joined through state Kota. A total
7:11of 15 residents. But the one are our
7:14juniors there have been two seats less.
7:16Uh there are only 13 residents. uh six
7:19who have joined through all India code
7:20and seven who has joined through state.
7:22So in and around you have seats uh
7:24ranging from 15 to 13 every time in
7:27NIMS.
7:28>> Okay.
7:28>> So and the program at NIMS you have
7:31three units basically at NIMS. Uh same
7:34alternating I mean operating on a
7:36Monday, Tuesday and basis and getting
7:39repeated on Thursday, Friday and
7:40Saturday. There are three units
7:42basically at NIMS having two OPs per
7:44week and getting an alternative Sunday
7:47rotation.
7:48>> Alternative Sunday rotation.
7:49>> Yeah. So total we have uh I mean uh as
7:53junior residents we have 15 per batch
7:55average but now the seats have been
7:58reduced. So now the juniors who are who
8:00are my juniors are 13 members and we
8:02have about 15 senior residents as well.
8:05And uh we have a faculty of uh 10
8:07faculty 10 permanent faculty who are
8:09there right now.
8:10>> Okay.
8:11>> Yeah.
8:11>> Uh coming to uh the course fee and
8:14stipen uh can you elaborate a few
8:16points?
8:16>> Yes. So uh we uh generally at admission
8:21uh no fee is taken from us. Uh we are
8:24not asked to pay any fee. Uh the
8:26admission uh we have to pay a minimal
8:28admission charges which ranges from
8:305,000 to 9,000 at admission. And uh our
8:34fee uh which is uh we have a tuition fee
8:37which is uh cut from our stipen uh every
8:39month. So it's approximately it's 6,000
8:42in first year, 7,000 in second year and
8:448,000 in third year. So we we have a
8:48deduction from our stipend itself
8:49>> itself. Okay.
8:50>> Yeah. We don't have to pay any separate
8:52fee for it.
8:53>> Okay.
8:53>> Overall stipen.
8:54>> Yeah. siphoned we have a pay scale
8:58ranging from 1 lakh 15,000 to 20 but we
9:01get it reduced so we have tax deductions
9:04over it we have tition fee deductions
9:07over it uh with all the deductions you
9:10get a stifen about 1 lakh 4,000 which is
9:13uh which I'm getting right now
9:15>> 1 lakh 4,000 is a stipen which I got
9:17last month after my uh deduction of
9:19tuition fee of 8,000 in my third year
9:22and with a tax deduction of 6 to7,000
9:25So I get a average stifen of 1 lakh
9:284,000 per month.
9:29>> Okay. Okay. And uh what are the working
9:31hours like daily daily working hours?
9:33>> Uh how is how many patients you see in
9:36an OP day?
9:37>> Yeah. On an OP day basically uh here uh
9:40as a resident uh your uh curriculum is
9:44different in different years. So first
9:46year uh you belong to the uh department
9:49uh only. So you belong to general
9:50medicine department only during your
9:52first years.
9:53>> Okay. So uh in first year uh you are
9:56posted into different units uh uh
9:59changed every four months. So
10:01>> first unit four months, second unit and
10:02four months and third unit four months
10:04that is done on a rotation basis. So
10:06every four months you will be in a
10:08different unit and here basically we
10:11have
10:13uh segregation of residents in five four
10:16to five locations. uh one is an OPD
10:18where uh uh a resident from each batch
10:21like from first year, second year and
10:23third year is posted one OPD resident
10:25along with senior residents and faculty.
10:27Uh one is in posted uh for a month
10:29entire month in an OPD.
10:30>> OPD and the other uh two three residents
10:33will be posted in emergency for a month
10:35EMD.
10:36>> EMD emergency so entire month you will
10:38be in EMD itself.
10:39>> So you will uh they on first hand they
10:42see a lot of cases like
10:43>> Yes. Yes. right from starting uh it's
10:45almost very hectic for a person if if
10:48you are not lucky enough you would be
10:50the one who would be posted in emergency
10:52right from your first month so so that
10:55would be a nightmare for anyone so
10:57>> uh
10:57>> but I think if if someone who who would
11:00have done internship like in a casualty
11:02in a government setup uh they may feel
11:04little like adapted or else
11:06>> yes definitely that is there but that
11:08will help
11:08>> uh even the emergencies here are very
11:12different So how we we will discuss how
11:14that is operated because that's a
11:17nightmare to be in an emergency. So as a
11:20resident you are posted at five
11:22locations. One is your OP day. OPD for
11:24an entire month you would be posted.
11:25That would be done on a rotational
11:27basis. And second is your emergency for
11:30an entire month you will be posted over
11:31there and you have an ICU ICU a 16
11:34bedded ICU. 16 to 20 bedded ICU have an
11:37ICU where you are posted a month and you
11:40have two wads. One is a stable ward and
11:43another one is a step down step down. So
11:45it's a step down to ICU one w and the
11:47other one is a stable. So these are the
11:50uh primary locations where you are
11:51posted as a resident uh in your first
11:54year.
11:55>> So this is done on a rotational basis.
11:56Every month you would be uh rotated in
11:58these things.
11:59>> So different units and different
12:00locations.
12:01>> So while you're on WS you would be in
12:03different units. So you would be in
12:04first unit, second unit, third unit
12:06based on your W. If you are in your WS
12:08you would be in first unit, second unit,
12:09third unit that is either in a stable w
12:12or a step.
12:13>> Yeah. If in ICU and emergency that
12:16doesn't operate according to your unit.
12:18you have to uh be uh there as a
12:20resident. So these all are done on
12:23rotational basis. These are the five
12:26primary places which you are going to be
12:28placed. Okay.
12:29>> In your three years of residency and
12:31first year you would be restricted to
12:32these five places itself. And during
12:34your second year you get peripherals.
12:36>> Yeah. Yes. Exactly. Uh during second
12:39year we have peripherals. The duration
12:41of is about 9 months. We have a 9 months
12:44of peripherals. Uh uh
12:46>> what are departments will be posted?
12:48>> Yes. Yes. So we are posted in every
12:51department every other department which
12:52is in names. We are posted in neurology,
12:54cardiology,
12:56medical oncology, gastronenterology,
12:58rheumatology, endocrinology. We have a
13:00full-fledged departments which are super
13:01specialy departments which are running
13:03on names.
13:03>> I think even geriatric medicine.
13:05>> Yeah, geriatric medicine is a part of
13:07general medicine is a part of general
13:09medicine. Not
13:10>> Yes. Hematology a month you will be
13:12dedicated to. you get exposure to almost
13:16most of branches.
13:18>> Yes, the exposure to uh I mean there is
13:20a good amount of coordination between
13:23your JS and SRS. So when you are posted
13:25in emergency you are posted along with
13:27an SR only. So you have a team of
13:30general medicine residents who are
13:31posted in emergency. So three you have a
13:33one from each batch who is posted in
13:35emergency along with you a cardiologist
13:37is posted for aromatologist posted for
13:40nephologist.
13:42So it is the place where uh a group of
13:4410 12 doctors for a month are posted
13:46over there. Okay. So you as soon as the
13:48patient comes to an emergency you are
13:50seen by different doctors. A general
13:51medicine one sees a nephology will give
13:53an opinion or at rheumatology and
13:55cardiologist doesn't give an opinion.
13:56>> So a stroke patient is simultaneously
13:59seen by general medicine resident and
14:00even a neurologist. Yes. The same time.
14:02>> Yes. Both of them done and based on
14:06whose intervention is more needed based
14:09on that admission is done. So based on
14:11good way of learning.
14:12>> Yes. So you are positioned at the same
14:15place. So all 12 residents for a month
14:17you will be at the same place. So based
14:20on a patient as soon as a patient comes
14:22there is an stabilized by emergency
14:24medicine followed by one who is seen by
14:26general medicine. Then further referrals
14:27will be done. And so by the end of a day
14:30by the end of next 6 to 8 hours we need
14:32to uh make sure that all consultations
14:34are done for the patient and make sure
14:36that he's admitted under uh some
14:38department as a general medicine or
14:40nephrology or a cardiology based on his
14:42disease condition to make sure that he's
14:44admitted within 68 hours of presentation
14:47to emergency.
14:48>> So that is where our primary admissions
14:50are being done. So that helps you to
14:52learn a lot from
14:53>> that branches. Yes. Have a good
14:56interaction with our senior residents.
14:58By that we we definitely get a clarity
15:01on how how to take us uh take our career
15:05forward. So
15:06>> even exposure of different branches
15:08>> exposure of a band branch is more and
15:12rather than yeah exposure is more and it
15:14gives you an idea these uh for for you
15:17to pursue your further careers.
15:19>> Okay. Okay. Yeah. Um coming to uh the
15:22academics uh how how usually uh you view
15:26presentations like classes.
15:28>> Yes.
15:28>> So academics in general medicine we we
15:31have to have a uh we have a dedicated
15:34academic set at meals. Okay.
15:35>> Uh so 8 to 9 is our academic hour. So
15:39every morning every morning 8 to 9 is an
15:40academic hour.
15:41>> So we have 3 days as a combined
15:44academics and 3 days as academics at our
15:46department. So 3 days we have it at our
15:50department where primarily we have
15:52seminars going on we have a general cup
15:54going on and we have a case presentation
15:56going on. So case presentations done by
15:58final years seminars done by second
15:59years and general cups being done by
16:01first years. So this is how academic
16:04distribution is being done. So all the
16:06new journals which are being published
16:09has to be addressed in the new journal
16:11clubs every day every week. have a one
16:14day journal club, one one day seminar of
16:16any topic and one day a case
16:18presentation. So this is how it is being
16:20done by second year, third year, second
16:22year and a first year. And this is our
16:24department academics. So other three
16:26days are combined academics or yes
16:29combined academics of NIMS. So wherein
16:32uh uh the special day at NIMS is
16:34Thursday. Thursday is considered the big
16:36day of NIMS. Uh every week every week
16:39Thursday is considered big. So we have a
16:41good learning center at NIMS. Uh it is
16:44it is like an auditorium small
16:45auditorium or a learning center at NIMS
16:47where there uh it is a primary area for
16:49our combined academics going on. So it
16:52is there.
16:53>> Yes exactly the motel meets the motel
16:56meets uh presentations going on several
16:59talks going on the CPC is going on your
17:01autopsy conference is going on your
17:03hemlogy conferences your tumor board
17:06your all combined classes will be going
17:08on in Thursday. So Thursday is an
17:10important day along with Thursday you
17:11have a Friday. Friday is a med radiology
17:15conference. So we have a every Friday we
17:17have a medicine radiology conference
17:19going on. So we have in medicine
17:23radiology conference a medicine resident
17:26and the radiology resident are combined
17:28together to present a case. So the
17:30clinical history and treatment part is
17:32being provided by general medicine
17:34resident and the radiological discussion
17:35will be done by radiologist. By that uh
17:38there is synchrony between the two
17:41branches and uh there is a dedicated uh
17:43radiology medical medicine radiology
17:45conference on Friday and Thursday is a
17:47very good big day at NIMS where you know
17:50learn lot of lot of learning activity
17:53but by all the stalwarts at NIMS are
17:55being being done. So 3 days of at least
17:583 days of combined academics where an
18:00entire uh which is in learning center
18:02and 3 days of academics at your
18:04department. So it sums up around 5 to 6
18:06days of academics per week 8 to 9 per
18:09day
18:108 to 9:00.
18:11>> I think that's a like lot of academics
18:14and uh even if we go through the
18:16academics regularly we get a lot of
18:20knowledge even practical and
18:21theoretical.
18:22>> Yes. Uh by just being there present over
18:25there just trying to understand what's
18:26going on you tend to know that uh
18:29everything is very vast everything is
18:31very diverse and you have to know many
18:33things more. So you just know uh a
18:35little of it and you have to learn more
18:37that is what you try to get out of it.
18:40>> Uh it's uh regarding the thesis topic
18:42when you look at the thesis topic and
18:45when you submit the protocol.
18:47>> Yeah. So thesis thesis is mandatory
18:50everywhere. It's all over India as a
18:52postgraduate you have to be uh you have
18:55to be doing some basic thesis basic
18:58basic science research has to go on as a
19:01part of your uh curriculum. So that is
19:04everywhere. So the same thing we have it
19:06in Ns. You have you will be allotted a
19:09professor from your department as your
19:10thesis guide.
19:12>> Yeah. Uh it's by the end of your fine
19:14first year I mean end of your first six
19:17months of NIMS first 6 months you have
19:19you are allotted a thesis guide for
19:21>> within 6 months mostly you'll get a
19:22thesis topic.
19:23>> Thesis guide you will be getting and you
19:24have to finalize you have you have a
19:26ethical board over here. You have
19:28scientific committ
19:30committees over here. By that time you
19:32have to make sure that you you go up
19:35with a
19:36>> good protocol.
19:37>> Yes, good protocol. Good thing and
19:40submit over there and get your ethics
19:41and budget approved done. Uh then you
19:45can go on with your thesis. Thesis is
19:46very mandatory. Yes, it is it is
19:49mandatory.
19:49>> When do you usually like most students
19:52when do they finish thesis like before
19:54final exams? So it is your thesis topic
19:56is given 6 months after joining at NIMS
19:59and you are asked to submit your final
20:02thesis output uh 6 months before your
20:05coming finishing your residency.
20:07>> So you have two years to complete it
20:08>> two two years to complete it ideally one
20:10one and a half year to two years is the
20:12ideal time for you to complete your
20:13thesis.
20:14>> Okay. Okay. And uh coming to your
20:16seniors and like colleagues how is the
20:19work culture in your department?
20:21>> Yeah. Uh we see basically we have three
20:25branch uh three batches third years,
20:27second years and first years like
20:28anywhere but one of the uh batch is not
20:31in department because one of the one of
20:34uh one of us will always be in
20:36peripherals somewhere around her. So
20:38every at at any place you have two
20:40batches going on either a first year or
20:42a second year or a first year and a
20:43third year. Okay.
20:44>> So first year is always at in your
20:46department and there is either a second
20:48year or a third year being based on
20:50their peripherals they'll be with you.
20:52So at any place
20:54any place inv.
20:57So two batches are posted at any place.
21:00So it's it's nice. So they they are the
21:02ones who underwent first year they came
21:05to second year. That's that's nice. They
21:07they they are the ones who who are
21:09equally good nice or brilliant as us.
21:12And so they become like friends friends
21:15of yeah the culture here is very nice.
21:19Toxicity is absolutely not there. Uh
21:22it's it's good it's good over here. Uh
21:24you have you as a senior junior you
21:26generally have you have the rapper you
21:29have differences also opinions.
21:31>> Yes you are a first year resident might
21:33be able to have to work more because
21:36area is in documentation documenting
21:38more of documentation. Yes. writing a
21:39case sheet, giving a discharge summary
21:41and all is yeah groundwork is basically
21:44done by first year.
21:46>> So
21:46>> and one thing I know the thing is uh
21:48there is no interns because you there is
21:52no NIMS medical college.
21:53>> Yeah.
21:54>> As interns are not there.
21:55>> Yes. In NIMS NIMS doesn't have a UG
21:59going on. It doesn't have a medical
22:00college and it doesn't have a medical
22:03school. So it doesn't have
22:04undergraduates over here and there are
22:06no interns available over here. Buth you
22:09never notice.
22:10>> So the the the work will be little more
22:12for a first year resident
22:14>> generally. Yes. But the thing is the uh
22:18the staff the staff over Nims is very
22:20good. The support staff the nursing
22:22staff are very good at NISK.
22:24>> So very skilled very very good at NIMS.
22:26Uh the all the sampling I've never
22:28touched a syringe since 2 years. I think
22:30in in like even in PGI what I have heard
22:34from my friends because in the first
22:36year lot of because they don't have a
22:38medical school backing up
22:40>> so intern is not there yes but they do a
22:42lot of sampling especially in the first
22:44six years they carry a lot of models in
22:46appron and do sampling till almost 101
22:48but I think is it like there
22:50>> no no that is absolutely not there in Ns
22:52you I I personally never have done a
22:55single sampling in two years at NIMS so
22:58you have a good nursing staff going on
23:00here. They are even the nursing staff to
23:02patient ratio is very good over here. So
23:05maintained over here. So you have them
23:07working efficiently. You all the
23:10investigations are sent by them. All all
23:12>> even treatments.
23:13>> Yes, treatments are given by them.
23:15Sampling is done by them. Even even this
23:18putting a smile interventions like Foley
23:21certain times is done by them also.
23:24>> He hectic even they could help you in
23:26that. So they are very skilled. Staff
23:28names are very skilled. Certain times I
23:30would feel they they know many things.
23:32So
23:32>> okay, they understand your instructions.
23:34>> Yes, they understand our instructions.
23:36They they can very much manage a DK case
23:38properly. They they they look for VBGS.
23:41They look your GRBs early correction the
23:43amount of correction is going on.
23:45>> So they they lot of they support you so
23:48that your stress will
23:49>> Yes. Definitely. uh the stress I mean if
23:51you have a patient who's in sepsis and
23:53onotropic support and requiring
23:56regularly hourly monitoring uh the
23:58nursing staff is so good that you know
24:00they monitoring it monitor it very
24:03effectively every hourly and repeat VBS
24:06and ABGS regularly look for your GRBs
24:09regularly so staff here at NIMS is very
24:12staff is very supportive and I have
24:14never felt that someone like an intern
24:16is not available for me to share my work
24:19So that is not there. My work as a first
24:22year resident will be to uh properly
24:24document everything how the patient was
24:27there. Writing a proper case sheet is my
24:29responsibility. Uh putting a diagnosis
24:31and treatment and changing plans is your
24:34senior's responsibility and your
24:35discharge is your primary
24:37responsibility. So here we have a
24:39documented discharge going on. You have
24:41to type a discharge. So
24:43>> second thing sorry to interrupt. You
24:45have evening rounds.
24:47>> Yes. So evening rounds generally our
24:50rounds uh in wads we just have rounds
24:53once once a day uh but that will be a
24:55long good long yeah long rounds uh going
24:59on from 10 to 1 at least 3 hours of
25:02rounds would be there in the morning.
25:04>> Uh in uh ICUs and emergencies you have
25:08rounds going on twice. So first uh in
25:12the morning it was done by consultants
25:14and in second year you have your SRS who
25:17would be taking your rounds at again at
25:19uh 6 to 7. Okay.
25:20>> So you have daily
25:21>> so you can send uh like if you find any
25:25new development in the investigations
25:26you have sent in the morning you will
25:27change the treatments in the evenings.
25:29>> Yes evenings it's not just in the
25:31evenings even midnight also you change
25:32the decisions. So that
25:34>> investigative backup
25:36it's very strong it's very fast. Okay.
25:38So here
25:40>> phone call.
25:40>> Yes. We have a good internal
25:43communication going on. We have a good
25:45intercom as you online reporting of
25:50the laboratory investigations in NIMS
25:52are given your app itself. We have a
25:54dedicated app for NIMS where all your
25:57investigations which you have sent will
25:58be received back within 4 hours. Any CBP
26:01that helps a lot.
26:02>> Yeah that definitely helps a lot. Any
26:04CBP is given back in 2 hours. All your
26:06routine investigations, biochemical and
26:08pathological investigations are given
26:10within three to four hours itself. And
26:12you have a duty mobiles going on
26:14everywhere. Okay. So we have uh someone
26:16who is on duty after five six uh when
26:19someone is on duty, you have a duty
26:21mobile going on. You have a radiology
26:23duty mobile, you have a general medicine
26:25duty mobile. So every department has a
26:26duty mobile going on there. So proper
26:28internal communication is there. So any
26:30query you required uh any consultation
26:33you require just need to call the duty
26:34mobile over there. the resident over has
26:36to come
26:37>> has to see anyone. Okay.
26:39>> So if if at all I am a resident posted
26:41as a gentleman resident on duty posted
26:43if uh then uh anyone who calls me
26:46someone from other department calls me
26:49uh as as gives me a consultation
26:51regarding an infectious consultation
26:53going on consultation for infectious
26:55disease consultation for any anything I
26:57have to be there uh with the mobile so
27:00picking up the calls and make sure that
27:02is done by uh night 10. So the patient
27:05care is more effective,
27:06>> more effective, good internal
27:08communications there.
27:12>> Uh it is said that most people those who
27:15do residency in general residency in
27:17Nymphs definitely do super speciality.
27:21So uh does Nymphs help in acquiring
27:23super speciality seats like ranks better
27:26or what is the like?
27:29Yeah, thing is uh any first super
27:32specialy either you give it through NESS
27:34or INASS. It has to be it's a competency
27:37exam as well. It's a again a MCQ based
27:39exam where you have to perform
27:40individually. So uh it's not that
27:43someone from NIMS is at more
27:45advantageous state and all but the thing
27:47is it all depends on the individual
27:48getting a rank but the thing is for the
27:51last two times it was from NIMS only we
27:54had all India first. So the last neats
27:58first was from Nims and the previous one
28:00was also from NIMS.
28:01>> So it doesn't mean but they were really
28:03good they were really good seniors who
28:04had done their job exceptionally well
28:07but I would feel uh rather than giving
28:10uh it gives you advantage just it puts
28:13you in advantageous situation by making
28:16you well versed with your super
28:17specialties. So as you are posted very
28:21as you have very common and frequent
28:22interactions with your SRS who are doing
28:26specialities it it gives first it gives
28:28you very much clarity on the branch
28:30which you want to branch.
28:32>> Yes. And it gives you an very much
28:35advantages and disadvantages about the
28:37branch you want and that makes you
28:39decide on to which branch you want to
28:42pursue. So you take decisions you take
28:44good decisions you get you take
28:46decisions early. So by that and with
28:48good academics and all you it will
28:51propel you to get a a good rank. It's
28:53not like someone from NIMS who always
28:55gets a good rank. It's it is always
28:57based on the individual only. But yeah
29:00the exposure over here will give you
29:03will put you in a more advantageous
29:04situation of knowing you what you want
29:06for yourself and making you work for it
29:10and being in an advantageous position by
29:12starting it by starting focusly and
29:14starting early. That's it. Okay.
29:17Uh
29:18so this is Dr. Kowski. I think most of
29:22your
29:24queries related to general medicine and
29:26NIMS hospital have been addressed by him
29:29and he gave a very genuine and wonderful
29:32experience of him in uh thank you for
29:35your time.
29:36>> Yes. I would just like to conclude the
29:40first first thing after you need PG yes
29:42you have given your needp then your you
29:45are moving to other phase of your life
29:47where you are pursuing your uh uh
29:49postgraduation that first thing you have
29:52to decide is your branch only you have
29:54to decide on your branch it doesn't
29:56matter where you are doing it from you
29:58have to be very sure that what you want
30:00further because that's the single big
30:03decision you are going to make uh and
30:05you have to pursue it further So first
30:07decide on your bench. If you are
30:09deciding for general medicine, I would
30:11say then you're going taking up a right
30:14decision, a tough decision and equally
30:17good rewarding decision. Uh general
30:19medicine as a postgraduation, I feel
30:21that is the best and I have taken it. So
30:23I would advise you some for someone who
30:26who who wants to pursue postgraduation
30:28MD internal medicine is a very good one.
30:31So after that the college and all uh at
30:35NIMS I I was lucky enough to get into
30:37NIMS by getting a good rank at that
30:40point in time that was some certain
30:42times you have luck luck also playing
30:44factors to get into NIS. So I was lucky
30:46enough to get into NIMS. So for someone
30:48who had a good decent rank uh rank below
30:52200s in and around 200s and 300s and who
30:56are eyeing to take general medicine who
30:58areing to take general medicine within
31:01these two states and all to tell you
31:04speaking states or even the south India
31:05where you are wanting to take general
31:07medicine I would generally put NYS as a
31:10first place in South India. I would
31:12definitely put Nims as a South India for
31:13many advantages it provides the for for
31:16the academic curriculum it has for the
31:18culture work culture it has for the city
31:20it has city which is based in so
31:22everything is an advantageous position
31:24only and even uh yes uh definitely it is
31:29on par with all the colleges of national
31:31important like JIPMAR PJ and names so if
31:35you are eyeing for an INA you have to be
31:38strong be I for an INSET you try to
31:41prove yourself even there. uh but uh now
31:44you want to settle down with uh nepg and
31:46you want to settle down with internal
31:48medicine and if you are in a good rank
31:50position and you and if you had any
31:52queries regarding uh general medicine
31:54net names I would definitely say uh it
31:57is the best uh thing best decision you
32:00can make you can definitely take general
32:02med names it's very good for you it will
32:05be very reh rewarding for you as well so
32:07there is no confusion regarding uh which
32:10if you are getting a medicine names then
32:13you can take it take it off blindly.
32:15>> Okay.
32:16>> Thank you very much.
32:16>> Yeah.
32:16>> Thank you very much Koshi for all your
32:19genuine info. Uh okay guys uh we'll
32:23bring up next more enthusiastic and more
32:27achievers to you. Uh stay tuned. Thank
32:30you. Thank you very much. Uh please do
32:33like, share and subscribe. Uh this will
32:36encourage us to do more content. Uh
32:38thank you very much. Like, share and
32:40subscribe to usman docs.

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