Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
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Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | 'Docs, clinicians on a par in villages' by Rema Nagarajan    </title>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..."/>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..." />
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                            <p align="justify"><font ></font></p><p align="justify"><br /><font >It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association (IMA). </font></p><p align="justify"><font >This has been demonstrated through a study conducted in Chhattisgarh that compared the performance of different types of clinical care providers at the primary care level. Following the controversy over the government's decision to start three-year courses to train clinicians for primary healthcare, especially in rural areas, called the Bachelor of Rural Health Care (BRHC), a study was conducted by the Public Health Foundation of India (PHFI), the National Health Systems Resource Centre (NHSRC) and the State Health Systems Resource Centre in Chhattisgarh comparing MBBS graduates, the three-year trained non-physician clinicians or rural medical assistants (RMAs), ayurveda unani siddha and homeopathy (AYUSH) physicians and paramedical staff (nurses and pharmacists). </font></p><p align="justify"><font >According to the Planning Commission, India faces a shortage of six lakh doctors, a shortage felt more acutely in rural areas as two-thirds of all medical personnel are concentrated in urban areas. The health ministry proposed a three-year bachelor of rural medicine and surgery course to cope with the shortage of doctors in rural areas. The IMA strongly objected to this saying it was &quot;a frontal attack on the profession&quot; and a &quot;fraud on hapless villagers&quot;. </font></p><p align="justify"><font >However, findings from this study suggest that medical officers (MBBS graduates) and RMAs are equally competent to manage conditions commonly seen in primary care settings. AYUSH medical officers are less competent and paramedics the least competent. This was observed for infectious, chronic and maternal health conditions and for a range of patient types &mdash; infants, children, adult men and women. These results hold even after controlling for various individual, facility and location characteristics. This relative performance was consistently found in all aspects of out-patient care &mdash; history taking, examination, investigation, diagnosis, prescription and home recommendations. </font></p><p align="justify"><font >An important implication of this is that, in terms of clinical competence for primary healthcare, clinical care providers with short duration of training appear to be a viable alternative to physicians, concluded the study. It remains to be seen how the government is going to weather the howls of protest from the IMA, a powerful lobby of almost 1.8 lakh MBBS doctors in the country.<br /></font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms" class="re" target="_blank">The Times of India, 18 September, 2010, http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms</a><div class="clear"></div>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..."/>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..." />
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    <h1 class="cat-box-title">'Docs, clinicians on a par in villages' by Rema Nagarajan</h1>
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                            <p align="justify"><font ></font></p><p align="justify"><br /><font >It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association (IMA). </font></p><p align="justify"><font >This has been demonstrated through a study conducted in Chhattisgarh that compared the performance of different types of clinical care providers at the primary care level. Following the controversy over the government's decision to start three-year courses to train clinicians for primary healthcare, especially in rural areas, called the Bachelor of Rural Health Care (BRHC), a study was conducted by the Public Health Foundation of India (PHFI), the National Health Systems Resource Centre (NHSRC) and the State Health Systems Resource Centre in Chhattisgarh comparing MBBS graduates, the three-year trained non-physician clinicians or rural medical assistants (RMAs), ayurveda unani siddha and homeopathy (AYUSH) physicians and paramedical staff (nurses and pharmacists). </font></p><p align="justify"><font >According to the Planning Commission, India faces a shortage of six lakh doctors, a shortage felt more acutely in rural areas as two-thirds of all medical personnel are concentrated in urban areas. The health ministry proposed a three-year bachelor of rural medicine and surgery course to cope with the shortage of doctors in rural areas. The IMA strongly objected to this saying it was &quot;a frontal attack on the profession&quot; and a &quot;fraud on hapless villagers&quot;. </font></p><p align="justify"><font >However, findings from this study suggest that medical officers (MBBS graduates) and RMAs are equally competent to manage conditions commonly seen in primary care settings. AYUSH medical officers are less competent and paramedics the least competent. This was observed for infectious, chronic and maternal health conditions and for a range of patient types &mdash; infants, children, adult men and women. These results hold even after controlling for various individual, facility and location characteristics. This relative performance was consistently found in all aspects of out-patient care &mdash; history taking, examination, investigation, diagnosis, prescription and home recommendations. </font></p><p align="justify"><font >An important implication of this is that, in terms of clinical competence for primary healthcare, clinical care providers with short duration of training appear to be a viable alternative to physicians, concluded the study. It remains to be seen how the government is going to weather the howls of protest from the IMA, a powerful lobby of almost 1.8 lakh MBBS doctors in the country.<br /></font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms" class="re" target="_blank">The Times of India, 18 September, 2010, http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms</a><div class="clear"></div>
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        LATEST NEWS UPDATES | 'Docs, clinicians on a par in villages' by Rema Nagarajan    </title>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..."/>
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It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association..." />
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    <h1 class="cat-box-title">'Docs, clinicians on a par in villages' by Rema Nagarajan</h1>
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                            <p align="justify"><font ></font></p><p align="justify"><br /><font >It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called &quot;legal quacks&quot; by the Indian Medical Association (IMA). </font></p><p align="justify"><font >This has been demonstrated through a study conducted in Chhattisgarh that compared the performance of different types of clinical care providers at the primary care level. Following the controversy over the government's decision to start three-year courses to train clinicians for primary healthcare, especially in rural areas, called the Bachelor of Rural Health Care (BRHC), a study was conducted by the Public Health Foundation of India (PHFI), the National Health Systems Resource Centre (NHSRC) and the State Health Systems Resource Centre in Chhattisgarh comparing MBBS graduates, the three-year trained non-physician clinicians or rural medical assistants (RMAs), ayurveda unani siddha and homeopathy (AYUSH) physicians and paramedical staff (nurses and pharmacists). </font></p><p align="justify"><font >According to the Planning Commission, India faces a shortage of six lakh doctors, a shortage felt more acutely in rural areas as two-thirds of all medical personnel are concentrated in urban areas. The health ministry proposed a three-year bachelor of rural medicine and surgery course to cope with the shortage of doctors in rural areas. The IMA strongly objected to this saying it was &quot;a frontal attack on the profession&quot; and a &quot;fraud on hapless villagers&quot;. </font></p><p align="justify"><font >However, findings from this study suggest that medical officers (MBBS graduates) and RMAs are equally competent to manage conditions commonly seen in primary care settings. AYUSH medical officers are less competent and paramedics the least competent. This was observed for infectious, chronic and maternal health conditions and for a range of patient types &mdash; infants, children, adult men and women. These results hold even after controlling for various individual, facility and location characteristics. This relative performance was consistently found in all aspects of out-patient care &mdash; history taking, examination, investigation, diagnosis, prescription and home recommendations. </font></p><p align="justify"><font >An important implication of this is that, in terms of clinical competence for primary healthcare, clinical care providers with short duration of training appear to be a viable alternative to physicians, concluded the study. It remains to be seen how the government is going to weather the howls of protest from the IMA, a powerful lobby of almost 1.8 lakh MBBS doctors in the country.<br /></font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms" class="re" target="_blank">The Times of India, 18 September, 2010, http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms</a><div class="clear"></div>
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'Docs, clinicians on a par in villages' by Rema Nagarajan

Published on Sep 18, 2010   Modified on Sep 18, 2010

It's official now. At the primary healthcare level, there is no difference in the performance of MBBS doctors with five-and-a-half years' training and non-physician clinicians with three years' training who have been called "legal quacks" by the Indian Medical Association (IMA). This has been demonstrated through a study conducted in Chhattisgarh that compared the performance of different types of clinical care providers at the primary care level. Following the controversy over the government's decision to start three-year courses to train clinicians for primary healthcare, especially in rural areas, called the Bachelor of Rural Health Care (BRHC), a study was conducted by the Public Health Foundation of India (PHFI), the National Health Systems Resource Centre (NHSRC) and the State Health Systems Resource Centre in Chhattisgarh comparing MBBS graduates, the three-year trained non-physician clinicians or rural medical assistants (RMAs), ayurveda unani siddha and homeopathy (AYUSH) physicians and paramedical staff (nurses and pharmacists). According to the Planning Commission, India faces a shortage of six lakh doctors, a shortage felt more acutely in rural areas as two-thirds of all medical personnel are concentrated in urban areas. The health ministry proposed a three-year bachelor of rural medicine and surgery course to cope with the shortage of doctors in rural areas. The IMA strongly objected to this saying it was "a frontal attack on the profession" and a "fraud on hapless villagers". However, findings from this study suggest that medical officers (MBBS graduates) and RMAs are equally competent to manage conditions commonly seen in primary care settings. AYUSH medical officers are less competent and paramedics the least competent. This was observed for infectious, chronic and maternal health conditions and for a range of patient types — infants, children, adult men and women. These results hold even after controlling for various individual, facility and location characteristics. This relative performance was consistently found in all aspects of out-patient care — history taking, examination, investigation, diagnosis, prescription and home recommendations. An important implication of this is that, in terms of clinical competence for primary healthcare, clinical care providers with short duration of training appear to be a viable alternative to physicians, concluded the study. It remains to be seen how the government is going to weather the howls of protest from the IMA, a powerful lobby of almost 1.8 lakh MBBS doctors in the country.

The Times of India, 18 September, 2010, http://timesofindia.indiatimes.com/india/Docs-clinicians-on-a-par-in-villages/articleshow/6576626.cms

Tagged with: Health

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