KMC e News Letter Vol: 1 No.3 April 2019 Office Bearers President: Dr H. Veerabhadrappa Vice President: Dr Kanchi Pralhad V Registrar: Dr BPS Murthy Members: Editorial Dr. Basavaraju Dr Ravindra HN Artificial Intelligence in Health Dr Gududur Ajaykumar Care 3 Dr Uma BR Dr. Nagaraj Annegowda Alleged Medical Negligence 4 Dr Veerabhadraiah TA Voilation of Code of Medical Dr Prabhakara GN Ethics 6 Dr. K. Ramadev Dr LH Bidari Changes made in MBBS Dr Jalaludin Akbar Curriculum 9 Dr Ravi N Dr Mohan UP Coart fines Doctors Dr. S Beedimani Rs. 5000 for Handwriting 8 Editorial Board Dr P S Shankar, Editor-in-Chief, Tamil Nadu has the highest Members: number of Doctors who Dr M K Sudarshan cleared PG NEET 10 Dr Ranjan Kunar Pejaver Dr C R Chandrashekhar Padma Awards 2019 for Dr Ravi N Doctors 11 Dr. K. Ramadev New MBBS Curriculum 12 Publisher The Registrar, Karnataka Medical Council, 16/6, Miller Tank Bund Road, Vasanth Nagar, Bemgluru 560 052 E mail: [email protected] website: www.Karnatakamedicalcouncil.com EDITORIAL Artificial intelligence in health care Artificial intelligence (AI), sometimes called machine intelligence, is a branch of computer science, exhibiting intelligence demonstrated by machines, in contrast to the natural intelligence displayed by humans and other animals. AI is the simulation of human intelligence by the machine. AI has made the computers to think intelligently in a similar manner as the intelligent humans think. AI is accomplished by making a study how human brain thinks, and how humans undertake learning, make decisions and undertake work while solving a problem. AI encompasses different disciplines such as computer science, biology, psychology, mathematics, engineering and linguistics. AI carries out computer functions associated with human intelligence. In our daily life we encounter a huge volume of knowledge which is not well organized and it is not stationary. AI helps in organizing the information. It makes it possible to alter by correcting the errors. The knowledge can be used efficiently, and speedily. A computer will analyze a large set of data and come to a conclusion through an algorithm. AI has made its entry into the healthcare industry. AI has been utilized in determining the accurate dose of immunosuppressant agents (1), and anti-cancer drugs (2). A large number of medicines are available to treat cancer and the treating physician finds it difficult to make selection of the right drugs for the patients. A machine has been developed that is able to memorize the literature pertaining to cancer and help in predicting the combination of drugs that will be most effective for each patient. Machines such as Hanover, and Watson have shown that they can beat human intelligence in many situations. In the coming years AI will support doctors in providing care to the patients. It can help in solving many smaller real-world problems such as reducing prescription errors or ensuring patients to take their medication as prescribed (3). Thus AI has become a useful tool to support the work of doctors to provide best quality care to the patients. Royal College of Physicians, London has brought out a position statement on AI in health. It has urged to apply AI in real world challenges such as prescription errors, medication adherence, and use of, and resistance to, antibiotics (4). Utility of AI has to be properly tested, and evaluated. Doctors have the responsibility to appraise the efficacy and utility of the new technology. Since real- time data is so diverse, it has to reflect properly in the intended population, We anticipate that the new technology will help the doctor to take a person-centered approach to make best possible decisions in health care. Often a question is raised whether AI will replace the doctors. Though it is unlikely to happen in near future, we have to give careful consideration about its safety and ethical considerations. P.S. Shankar, MD, FRCP (Lond), FAMS, DSc(Gul, NTR, RGUHS, TU), DLitt (Hampi) References 1. Promising AI Applications in Health Care. Harvard Business Review. 2018 2. Microsoft Develops AI to Help Cancer Doctors Find the Right Treatments" Bloomberg Technology, 2016 3. Goddard A Rise of the machines: Physicians and artificial intelligence Commentary, London Royal College of Physicians 2018; 5: 24 4. Artifical intelligence in health: the RCP's recommendations, Commentary, London, Royal College of Physicians, 2018; 5: 25 Page 3 1. Alleged Medical Negligence ENQ/76/2014 04-08-2018 each towards the expenditure COMPLAINANT RESPONDENT made in the Manipal Hospital and Mr.Sibgath Ulla, Dr.Prabhakar S.G., also he has paid Rs.1 lakh apart Alphaz Kushyan Work, V/s “Sri Vinayaka E.N.T. Hospital”, from what he has paid through B.H.Road, Next to Sharadamba Temple, cheque, for undergoing ear Sagara, Near Railway Station Road, Sagara, surgery. SHIMOGA DISTRICT. SHIMOGA DISTRICT. Complainant underwent ear admitted from 22-03-2013 to 05- surgery in Swathi ENT Hospital, Complainant Sri Sibgath Ulla, 04-2013 and again he received Shimogga. Because of side S/o Abdul Rahman, 48 years of treatment in the same hospital effects due to tricot injection Shimoga District had sent from 12-04-2013 to 23-04-2013. Complainant has got diabetes, complaint to Karnataka Medical He also took further treatment on excess hunger, sleeplessness, Council and it was registered on 28-08-2013 at KMC Hospital, decline in the memory, giddiness, 04-12-2014. Manipal. During stay in Manipal body ache and other symptoms. Complainant consulted Hospital Complainant was After undergoing surgery of right Respondent on 06-03-2013 for managed by doing dressing. After ear, only 50% of ear is restored. throat pain. He was advised discharge from Manipal Hospital, Complainant is also experiencing tablets and nasal drops. Complainant was getting dressing ringing in the ear. All the On 07-03-2013 Complainant done by Dr.Prabhakar S.G. symptoms are due to tricot approached Respondent he Respondent advised to bring all injection given for 6 days and total advised 10 Tricort 40mg. the documents including bills for dose of 218 mg. Because of the injections. his verification and he told that the excess dosage there was abscess Complainant went to Clinic on senior doctor has come and formation in the cheek. 08-03-2013 injection was given on showed these documents to him Complainant alleges that left side of mouth. On 09-03- and come back within 10 minutes. Dr.Prabhakar S.G. has done 2013 injection was given on the After ½ hour he came back and experiment on him like doing on right side. Next day 10-03-2013 returned the bills and other animals. Complainant alleges that Clinic was closed. On 11-03-2013 documents. Respondent admitted he is totally handicapped after Respondent gave 40mg Tricot the mistakes. undergoing surgery at Manipal injection. On 13-03-2013 Because of high dose given at Hospital, Shimogga and he is still Complainant consulted doctor and left cheek the infection has taken suffering from various symptoms. Tricot injection was given. place and formed the abscess Complainant could not tolerate which was operated at Manipal DISCUSSION: the pain and his face and cheek hospital. Because of perforation in Dr.Prabhkar S.G. ENT were swollen. On 14-03- the membrane of the ear there specialist has treated the patient 2013Respondent prescribed was discharge from the ear which for submucous fibrosis. He has 10mg. tablets to be taken for 5 may require surgery. Because of given prescription for the patient days. Up to 21-03-2013 side effects of medicine the Inj. tricort 40mg, along with other Complainant obtained treatment diabetes has worsened and the medicines. He has given inj.tricort with Respondent. Complainant has to receive (dose not mentioned on 7th , 8 th , 9 th , th th On 22-03-2013 Complainant treatment for life long. The 11 , 12 of March 2013 for 5 days th received treatment at K.M.C. Respondent has admitted these and inj.tricort 80 mg on 13 March Hospital, Manipal, where he was facts and he has paid Rs.1 lakh by 2013 for one day, submucousaly to cheques amounting Rs.50,000/- RMT on both sides. Patient had Page 4 developed para pharyngeal due to the injection given. He Functioning of the abscess on left side and could be getting this complication coincidentally if he has a very bad Medical Council of thereafter has taken treatment in oral hygiene or caries tooth or KMC Manipal, and also has been India even Idiopathic or with told that he has diabetes and it is uncontrolled diabetics previously. President Ram Nath Kovind, observed that patient has left has signed an ordinance on a CSOM of the ear. 4. The diabetes was diagnosed after committee, who will be in charge of the duties of the Medical Council of injections as the patient had India until the Parliament passes 1. Patient's allegations are that, he alleged, cannot be comented on the legislation on the National has developed abscess of neck, the basis of hospital laboratory Commission Bill. A panel of seven diabetes and left CSOM because records of KMC Hospital, Manipal. members will look after the of improper treatment and The CSOM which was diagnosed activities of the Medical Council of medical negligence by India (MCI) to be replaced by the by KMC Hospital, Manipal may proposed National Medical Dr.Prabhakar S.G. while treating also previously exist in the Commission (NMC). Following the for submucous fibrosis by giving patient before he came for ordinance, the Health Ministry, high dose and causing treatment of submucous fibrosis, Government of India has issued a complications.