Dr Misra, better known as chief of the institute's trauma centre which he headed till recently , speaks to Durgesh Nandan Jha about his journey from Mainpuri district in UP, where he was born, and Kanpur University, from where he did his MBBS, to becoming the head of India's premier medical institute and how he plans to make the institute more patient-friendly , boost research and stop exodus of doctors.
Q. Tell us about your journey from Mainpuri to Delhi.
I was born on February 1, 1952, in Kuraoli tehsil of Mainpuri district in UP. My father taught English in a school in Tundla, from where I completed my primary and secondary education. I had taken biology in 10+2, so medical was an automatic choice but I did not even know about AIIMS then. I joined MLB College in Jhansi for MBBS in 1970 and later did my PG from Allahabad Medical College. It was in 1980 that I first came to AIIMS for senior residency, and since then, I have been working here.
Q. So, you have spent 33 years at AIIMS . How much has changed since then, in terms of quality and quantity of work?
There is an immense change in both aspects. The workload has multiplied several times, which has also had an impact on the research work. AIIMS, today, receives 10,000 patients daily in the OPD and there are at least 2500 patients admitted here at any given time. Because the health infrastructure in different states continues to be poor, those who cannot afford private hospitals come to AIIMS for even routine surgeries.
Q. How do you plan to control this patient rush and reduce the waiting time for surgeries?
I have already started a weekly meeting on key infrastructure projects, including development of the maternity and child block, geriatric ward and a separate unit for OPD and diagnostic services. It will segregate the OPD crowd and add 500 beds to the indoor capacity, thus easing the burden. In future, we also plan to have screening of patients as per the severity of the disease for urgent attention.
Q. Are you in favour of increasing the cost for services, particularly for private ward patients? There was a proposal to double the room rent and diet charges last year.
There will be no increase in cost of services for general patients. They already pay for consumables and equipments used for various procedures, for example stents for angioplasty. As far as increasing the capacity of private wards and cost of services for them is concerned , we will take a considered view on that soon.
Q. In the past five years, more than a dozen AIIMS doctors, including heads of departments, have quit to join private hospitals. How do you plan to stem this exodus?
People leave not just because of money but for the lack of a working environment. My effort will be to provide them a congenial environment , freedom to choose their research area and give financial support for the same. Also, I am going to ask the government to increase the retirement age for professors from existing 65 years to 70.
Q. AIIMS has maximum publications to its credit among all medical universities in the country. But there are few path-breaking surgeries or innovation to impact public health as envisaged by the Constitution-makers while starting the institute in 1950s.
I plan to collaborate with engineering institutes like IIT-Delhi for developing low-cost healthcare devices . A 'Stanford India Bio-design' project is already on in the institute in which three top universities of the world - Stanford, IIT and AIIMS - are collaborating to develop lowcost stents. Similarly, experts from Michigan University are visiting for collaboration on cancer research and genomics next month.
Q. AIIMS has been the hotbed of reservation politics since 1992. Even now, there are controversies over suppression of students and teachers belonging to the reserved community. There have been some suicides too in the recent past. How do you plan to tackle that?
As I said earlier, my aim will be to take every one along. Discrimination or oppression of any group or individual on the basis of caste or community will not be tolerated at all. Many students come from a rural background and they have difficulty in adjusting to the cut-throat competition here. For them, we plan to have extra tutorials and counselling services in place.
I plan to collaborate with engineering institutes like IIT-Delhi for developing low-cost healthcare devices . A 'Stanford India Bio-design' project is already on in the institute in which three top universities of the world - Stanford, IIT and AIIMS - are collaborating to develop lowcost stents. Similarly, experts from Michigan University are visiting for collaboration on cancer research and genomics next month.
Q. AIIMS has been the hotbed of reservation politics since 1992. Even now, there are controversies over suppression of students and teachers belonging to the reserved community. There have been some suicides too in the recent past. How do you plan to tackle that?
As I said earlier, my aim will be to take every one along. Discrimination or oppression of any group or individual on the basis of caste or community will not be tolerated at all. Many students come from a rural background and they have difficulty in adjusting to the cut-throat competition here. For them, we plan to have extra tutorials and counselling services in place.
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