Jamaica Observer

Study says octagonal warning labels most effective for Jamaican consumers

Bridgetown
, Barbados (PAHO/WHO) – According to a recently published study, the octagonal warning label system for food and drink products is the most effective to help Jamaican consumers to make healthier choices.

Bridgetown
, Barbados (PAHO/WHO) – According to a recently published study, the octagonal warning label system for food and drink products is the most effective to help Jamaican consumers to make healthier choices.

The study, conceptualised, designed, and conducted by the Ministry of Health and Wellness; University of Technology, Jamaica; and Pan American Health Organization (PAHO) is titled 'Effects on front-of-package nutrition labelling systems on understanding and purchase intention in Jamaica: Results from a multiarm randomised controlled trial'.

The study showed that these labels assisted Jamaicans best in correctly identifying the least harmful option and the presence of excessive amounts of critical nutrients. Using this system, participants also performed best in choosing the least harmful product more often. A randomised control trial is the gold standard to measure effectiveness.

Octagonal warning labels is the system included in the Caribbean Community Regional Organization for Standards and Quality (CROSQ) proposal to be adopted by Caricom member states. It has been developed to indicate when food and drink products are high in sodium/salt, sugar, fats, saturated fats, and trans fats. Caricom member states have, since 2018, engaged in a process to adopt front-of-package warning labels to be applied using World Health Organization (WHO)/PAHO thresholds for excessive fats, sugars, and sodium. The process has been delayed and new voting is expected to be completed before the end of 2023.

According to one of the study researchers, Dr Fabio Gomes, "The prevalence of overweight, obesity, and non-communicable diseases (NCDs) continues to increase in the Americas, among all age groups. They are the major cause of disability and premature deaths in Latin American and the Caribbean. This region has the highest prevalence of obesity in the world. The prevalence of overweight and obesity in adults is 64.1 per cent among men and 60.9 per cent among women. The study concluded that the octagonal warning labelling is the best-performing system within any adult population age group, gender group, education group and those who suffer from an-ors groups. Octagonal warnings were the easiest to understand and use by Jamaican consumers choosing food and drink products in nine parishes throughout the country."

The other systems analysed were the magnifying glass (MGG) and the traffic light (TFL). The study found these systems to be inefficacious in increasing the ability of people to correctly identify the least harmful products.

These findings contribute to the growing body of evidence showing that warning labels outperform other systems in improving understanding and encouraging consumers to make healthier food choices. Other studies have demonstrated warning labels are easier to understand and quicker to find on the labels due to their simplicity and higher prominence. Given their simplicity, octagonal warning labels also do not require consumers to receive prior training or education to understand the messages.

"The study conducted in Jamaica confirms that, given that supermarkets are filled with thousands of packaged items and shoppers spend only a few seconds selecting an item, [there is] little time to determine whether a product harms their diet, their blood pressure, sugar levels, and/or weight control," Dr Gomes explained.

Dean Chambliss, director of the PAHO Subregional Program for the Caribbean, pointed out that the study contributes to the body of robust scientific evidence accumulated in other countries of the Americas that supports octagonal warning labels as the best policy option to protect healthy diets and public health.

"The study confirms that without providing any prior information or training to consumers, octagonal warning labels can effectively improve their ability to make healthier decisions even if persons have lower levels of education. That is why warning labels are essential to ease making the healthy choice, particularly in countries where the burden of unhealthy eating continues to drive societies' inequities and related pandemics," Chambliss noted.

1 year 12 months ago

Health Archives - Barbados Today

Barbados Begins Health National Adaptation Planning in EU-supported PAHO Project

Climate Change is a global emergency, yet few countries have made plans to face it. Barbados Ministry of Health and Wellness staff and allied sectors recently met at the Accra Beach Resort in Barbados, to understand how climate change is affecting public health in the country, a first step in the creation of a Health National Adaptation Plan (H-NAP). 

The process to assess vulnerabilities and prioritize ways to manage or minimize the impacts of climate change in an area is called adaptation planning. H-NAPs consider the impact of climate change on people’s mental and physical health, and the social effects. These plans present actions to build climate-resilient health systems that can anticipate and protect public health. 

Barbados’ Chief Medical Officer, Dr Kenneth George, participated in the one-day meeting and took the opportunity to thank PAHO for its commitment to the development of the HNAPs. Meanwhile Acting PAHO/WHO Representative for Barbados, Dr Prabhjot Singh said that climate change does affect public health directly and urgent action is required.

Under the European Union-funded CARIFORUM Climate Change and Health project, coordinated by the PAHO/WHO Caribbean Subregional Program Coordination Office, Grenada and St Lucia have completed the H-NAP and plans are underway in Belize, St Vincent and the Grenadines, Bahamas, Haiti, Jamaica, Guyana and the Dominican Republic. Dr Alison Gajadhar, lead consultant for the development of the HNAP in Barbados stated that she was impressed by the level of participation and engagement of public health experts in Barbados.

The final HNAP Report will include key recommendations to inform the development of policy, strategy and plans and programmes to assist countries in the process of adaptation.  For more information on the project and the progress with the H-NAPs please visit the project website.

The post Barbados Begins Health National Adaptation Planning in EU-supported PAHO Project appeared first on Barbados Today.

1 year 12 months ago

A Slider, climate change, Health, Local News

Medical News, Health News Latest, Medical News Today - Medical Dialogues |

77-year-old paralysed woman sexually assaulted at Nagpur hospital, accused arrested

Nagpur: The Dhantoli police have arrested a man for allegedly sexually abusing a 77-year-old paralysed woman at a private hospital in Nagpur. The accused is a friend of her son and had gone to the hospital to take care of her.

The incident took place on Wednesday when the accused, who is 39 years old, was visiting a friend whose mother had been hospitalized after suffering a paralysis stroke, an official said.

Also Read:Male nurse held for allegedly raping Kerala doctor with fake job promise

He offered to stay with her in the hospital room while his friend stepped out to get medicines.

When a nurse entered the room by opening its latched door, she saw that he was sexually assaulting the woman who was unconscious, the police official said.

The hospital staff nabbed the man after the nurse raised alarm and handed him over to the police.

The accused was arrested under section 376 (rape) of the Indian Penal Code, the official said, adding that the elderly woman was being provided medical as well as psychological support.

Further investigation is underway.

Medical Dialogues team had earlier reported that the Kasaba police arrested a senior paediatrician under the Protection of Children from Sexual Offences (POCSO) Act for allegedly sexually abusing a minor girl during a medical examination at his private clinic in Kerala's Kozhikode district. A senior paediatrician had been arrested for allegedly misbehaving with a girl during a medical examination at his private clinic in Kerala's Kozhikode district, police said. The accused was booked under the Protection of Children from Sexual Offences (POCSO) Act based on the complaint filed by the girl’s parents. Kasaba police said he was arrested and produced before a local court on the same day, but he got admitted to the government medical college hospital here citing health issues.

Also Read:UP doctor arrested for allegedly raping patient after administering injection

1 year 12 months ago

State News,News,Health news,Maharashtra,Hospital & Diagnostics,Latest Health News

PAHO/WHO | Pan American Health Organization

Canada and PAHO collaborate to strengthen vaccine manufacturing in Latin America and the Caribbean

Canada and PAHO collaborate to strengthen vaccine manufacturing in Latin America and the Caribbean

Cristina Mitchell

21 Apr 2023

Canada and PAHO collaborate to strengthen vaccine manufacturing in Latin America and the Caribbean

Cristina Mitchell

21 Apr 2023

1 year 12 months ago

Health Archives - Barbados Today

Counsellor agrees with union on need for more psychologists in schools

By Anesta Henry

By Anesta Henry

The Barbados Union of Teachers’ (BUT) plea for additional psychologists to be placed in schools has received full support from the Chief Executive Officer (CEO) of Supreme Counselling for Personal Development Shawn Clarke.
He told Barbados TODAY that he has been advocating for more psychologists in schools since the resumption of face-to-face classes following the height of the COVID-19 pandemic.
Clarke, whose organisation manages an anti-bullying prevention programme in several secondary schools, said that as far as he was aware, the Ministry of Education recently placed counsellors and safety officers at some schools.
Addressing Monday’s opening of the BUT’s Annual General Conference at the Radisson Aquatica, President Rudy Lovell said that with the increase in the incidents of violence in schools, the Ministry of Education urgently needed to hire additional psychologists since the present complement was woefully inadequate.
Lovell, who also called for an increased effort to provide psychological support to at-risk students and their parents, suggested that more guidance counsellors, support services, and safety officers should be assigned to schools.
In a response, Clarke said “I do think that the services of more psychologists are needed to help with our young people. And I have been saying that the Government doesn’t need to do it on their own, everybody doesn’t need to be an employee of the Ministry of Education.
“We have enough non governmental organisations in Barbados that have access to psychologists and psychiatrists and professional development counsellors on their teams that can partner with the Ministry of Education to make these services readily available to students,” he said.
“We just need to sit at the table and come up with a way that is workable and that is mutually beneficial to both parties.”
Clarke queried whether the psychologists and counsellors in the school system are equipped with the resources to provide the intense intervention that many at-risk students need. Students need to be assigned to a psychologist for at least three years, as opposed to just for a six-week term or an academic year, he added.
“The question is are the psychologists who are in the schools adequately prepared to see one child for that extended period? Secondly, with an enrolment of almost 1 000 students at schools, some of these psychologists and counsellors, are attached to two schools.
“Counsellors now have 2 000 students when you look at it. Do they have access to the facilities to be able to do prolonged counselling? For a lot of these children, a six-week fix is no fix.”
anestahenry@barbadostoday.bb

The post Counsellor agrees with union on need for more psychologists in schools appeared first on Barbados Today.

1 year 12 months ago

A Slider, Education, Health, Local News

KFF Health News

Tension Builds in Transgender Policy Debate in Montana

On April 13, Democratic Rep. Zooey Zephyr was sitting in the basement of Montana’s Capitol building reflecting on her time as one of the state’s first two openly transgender legislators.

On April 13, Democratic Rep. Zooey Zephyr was sitting in the basement of Montana’s Capitol building reflecting on her time as one of the state’s first two openly transgender legislators. She wondered whether she needed to display more anger over anti-LGBTQ+ legislation, or whether she should focus on promoting more of what she called “transgender joy.”

“The thing that keeps me up at night is, am I doing a good job for my community?” Zephyr said.

Five days later, the anger bubbled over as Zephyr spoke against amendments from Republican Gov. Greg Gianforte to Senate Bill 99, which would prohibit minors with gender dysphoria from receiving certain medical and surgical treatments. Zephyr said the lawmakers who voted for the measure should be ashamed.

That prompted Republican Majority Leader Sue Vinton to speak. “We will not be shamed by anyone in this chamber,” Vinton said.

“Then the only thing I will say is: If you vote yes on this bill, and yes on these amendments, I hope the next time there’s an invocation, when you bow your heads in prayer, you see the blood on your hands,” Zephyr said in response.

Later that day, the Montana Freedom Caucus, a conservative group of lawmakers, released a statement calling for Zephyr’s censure for using “inappropriate and uncalled-for language.” The release and a Freedom Caucus post on Twitter used male pronouns to refer to Zephyr, leading to fresh outrage by LGBTQ+ supporters accusing Republicans of deliberately misgendering her.

Two days later, Republican House Speaker Matt Regier would not allow Zephyr to speak during a debate on another bill. Regier said it was because she had committed a breach of decorum.

With two weeks to go in the legislative session, Republican lawmakers, who are in the majority, are sponsoring anti-LGBTQ+ bills. There are at least four related measures, including the bill to ban gender-affirming care for minors.

Many similar bills are being heard in conservative-led statehouses across the U.S. The American Civil Liberties Union has tracked more than 460 anti-LGBTQ+ bills so far in 2023 legislative sessions.

Back in the Capitol on April 13, Zephyr stopped at a storytelling event presented by drag performers on the second floor. Parents, children, and supporters sat in folding chairs and on the floor while drag performers read stories.

Zephyr was visibly emotional. A short time later, former Democratic lawmaker Moffie Funk, who also attended the storytelling event, approached Zephyr to thank her for her work.

“I have just been so impressed to see the way Rep. Zephyr has handled questions on the floor, just keeps her calm, stays cool, and is so powerful in her words and so powerful in the way she represents her community and Montana,” Funk said.

Before the session, Zephyr said she had a goal of changing at least one person’s heart on LGBTQ+ issues.

One lawmaker who typically votes in favor of anti-transgender bills told Zephyr about having read something about her in a far-right blog and said, “That doesn’t sound like Zooey; she wouldn’t do that.” The lawmaker, whom Zephyr didn’t name, subsequently stopped reading the blog.

Proponents of measures like SB 99 and House Bill 359, a bill that would have banned minors from drag shows and would have banned events like drag storytelling in public schools or libraries, frame the legislation as necessary to protect children.

In a small victory for LGBTQ+ supporters, HB 359 was amended to remove references to drag performers and now would prohibit minors from attending “adult-oriented” shows.

Democratic Rep. SJ Howell, who is transgender and nonbinary and uses the pronouns “they” and “their,” has been working at the Capitol for a decade, first as a lobbyist and now as a lawmaker representing Missoula. In all their work, Howell said, it’s very clear that relationships matter. Progress is a long game, and it may take years to pass legislation that promotes the rights and recognition of transgender and nonbinary people, Howell said.

One thing that could hinder that progress is the national debate over anti-LGBTQ+ policy proposals.

Erin Reed, who describes herself as a queer writer and content creator, has been tracking the LGBTQ+ bills nationwide and is also Zephyr’s partner of almost a year.

Four years ago, the debate playing out in statehouses was over transgender rights in sports, Reed said, but that’s shifted. Now, a third of the bills target health care — like gender-affirming hormone therapy, mostly related to minors — and the rest focus on banning drag shows or the use of preferred pronouns and bathrooms, or targeting the rights of transgender people in insurance coverage and workplace protections.

But beyond the flood of anti-LGBTQ+ bills, at least 15 states have passed LBGTQ+ protections, Reed estimated.

Howell said it’s challenging being a state representative trying to focus on Montana when so much focus has been on this national issue.

Personally, Howell said, they came to the legislature to build relationships and make good policy, and they see many of their colleagues as friends.

“When the mutual respect isn’t present, it can be deeply frustrating and harmful, and we can do better as a body,” Howell said.

Republican Rep. Neil Duram sits between Zephyr and Howell on the House Judiciary Committee, which has heard all the LGBTQ+ bills this session. He said having both in the legislature better represents Montana.

“If it was just me, and 99 other people like me on the House floor, we may not set the best policy for the people of Montana,” Duram said.

Duram spoke during a House floor session discussing House Bill 361, which would allow classmates to refer to a transgender student by their birth name or gender assigned at birth, unless it crossed into bullying. He said he’s enjoyed getting to know Judiciary seatmate Zephyr and that he’ll make sure people aren’t “inflicting bullying behavior.”

Duram voted for HB 361. He said his decision was encouraged by his community.

“And, ultimately, that’s where my conscience is going to sit,” he said.

On the morning of April 13, Howell and Zephyr were hearing testimony before the House Judiciary Committee on a bill that would define sex in Montana law, Senate Bill 458. The vibe in the room felt heavy.

Sen. Carl Glimm, sponsor of SB 458, said the bill seeks to define the terms “sex,” “male,” and “female” in state law. Glimm said the bill was necessary because people conflate sex and gender and maintained the bill wasn’t about gender fluidity or expression.

“Gender is obviously something different than biological sex. Biological sex is immutable and that means you can’t change it, and there’s only two biological sexes,” Glimm said. “You may claim to be able to change your gender or express your gender in a different way, but you can never change your biological sex.”

LGBTQ+ advocates, like the Montana Human Rights Network, say that by defining people as simply male and female, the bill would legislate “transgender, nonbinary, and intersex people out of existence.” The Montana Human Rights Network said the definitions used in SB 458 were based “on an unscientific and archaic understanding of basic biology.”

About an hour after the hearing, people gathered outside the Capitol in an April snowstorm for a drag show.

Performers lip-synced for a crowd ranging from kids to college students to retired folks who were waving rainbow-colored flags and carrying umbrellas.

As “Rise Up” by Andra Day played in the background, Katie Fire Thunder said she came to the drag show from Bozeman to show her allyship with the LGBTQ+ community.

Fire Thunder called this session’s anti-LGBTQ+ bills “disgusting,” and said they don’t represent Montana or what young people care about. But having both Zephyr and Howell serving in the Capitol has made a major difference, Fire Thunder said.

“When things are really hard and there’s all these hateful people, they’re a little glimmer of hope,” Fire Thunder said.

Kole Burdick, 20, also of Bozeman, said it’s important to “uplift queer people and show moments of queer joy,” and commended Zephyr and Howell for their work.

“I think they’ve been working really hard to protect our community and keep our community safe, and I really appreciate them for that,” Burdick said.

Keely Larson is the KFF Health News fellow for the UM Legislative News Service, a partnership of the University of Montana School of Journalism, the Montana Newspaper Association, and KFF Health News. Larson is a graduate student in environmental and natural resources journalism at the University of Montana.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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2 years 56 min ago

States, The Health Law, Legislation, Montana, Transgender Health

KFF Health News

Will They or Won’t They (Block the Abortion Pill)?

The Host

Mary Agnes Carey
KFF Health News


@maryagnescarey


Read Mary Agnes' stories

The Host

Mary Agnes Carey
KFF Health News


@maryagnescarey


Read Mary Agnes' stories

Mary Agnes Carey, Partnerships Editor and Senior Correspondent, oversees placement of KFF Health News content in publications nationwide. She has covered health care policy and politics for KFF Health News, CQ, Dow Jones Newswires, and other news outlets.

Supreme Court justices could act at any moment on access to the abortion pill mifepristone. Beyond reproductive health, their ruling could carry significant implications for states’ rights and FDA independence and integrity. For now, though, observers are unsure what the court will do — or what exactly prompted justices to again delay their decision this week.

At the Capitol, lawmakers grumbled, scoffed, and bickered this week as House Speaker Kevin McCarthy revealed the Republican proposal to cut government spending. The package would be dead-on-arrival in the Democratic-controlled Senate. But of note is the pushback from within McCarthy’s own caucus, with some hard-right conservatives pressing to go further by demanding the repeal of the Inflation Reduction Act in exchange for raising the debt ceiling.

And President Joe Biden pursued new efforts to grant legal status to young immigrants living in the country illegally who were brought here as children, sometimes called “Dreamers,” as his administration announced a plan to grant them access to government-funded health coverage.

This week’s panelists are Mary Agnes Carey of KFF Health News, Rachel Cohrs of Stat, Sandhya Raman of CQ Roll Call, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico.

Panelists

Rachel Cohrs
Stat News


@rachelcohrs


Read Rachel's stories

Joanne Kenen
Johns Hopkins Bloomberg School of Public Health and Politico


@JoanneKenen


Read Joanne's stories

Sandhya Raman
CQ Roll Call


@SandhyaWrites


Read Sandhya's stories

Among the takeaways from this week’s episode:

  • The Supreme Court extended its stay on the use of mifepristone through Friday, giving justices longer to act on a major, complicated case with nationwide implications for reproductive health. It is unclear what the court will do, though there are several actions it could take — including sending the case back to the lower courts or again extending the stay and buying justices even more time to come to agreement or pen dissents.
  • GenBioPro, which produces the generic version of mifepristone, sued the FDA on Wednesday, attempting to preserve access to the drug. About two-thirds of the mifepristone currently used in the United States is generic.
  • In congressional news, House Speaker McCarthy released what is effectively Republicans’ opening offer in the fight over raising the debt ceiling. The package includes GOP health priorities that would not garner needed support in the Senate, like work requirements for Medicaid and the clawback of unspent covid-19 pandemic funds.
  • While health costs are high across government programs, Medicaid takes the big hit in the Republican proposal to cut federal spending. Republicans have embraced work requirements for government assistance since at least the 1980s, yet in Arkansas — a state that implemented work rules for Medicaid — it has proved challenging to verify that enrollees are meeting those requirements.
  • The Senate Finance Committee, which has jurisdiction over much of federal health spending, revealed a package this week to tackle drug pricing. While the proposal is in the early stages, it seeks to incorporate bipartisan measures touching pharmacy benefit managers, insulin users, and more.
  • And on the coverage front, the Biden administration announced that immigrant kids brought to the United States who remain here under the Deferred Action for Childhood Arrivals program will be able to apply for Medicaid and Affordable Care Act coverage. This eligibility expansion comes as states prepare to disenroll those who no longer qualify for Medicaid as the public health emergency’s coverage protections expire. Expect a fight from some states as they resist being forced to cover insurance for individuals living in the U.S. without legal permission.

Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too:

Mary Agnes Carey: The New York Times’ “A Beauty Treatment Promised to Zap Fat. For Some, It Brought Disfigurement,” by Anna Kodé

Joanne Kenen: The New York Times’ “My Transplanted Heart and I Will Die Soon,” by Amy Silverstein

Sandhya Raman: ABC News’ “Puerto Rico’s Water Supply Is Being Depleted, Contaminated by Manufacturing Industry on the Island, Experts Say,” by Jessie DiMartino, Lilia Geho, and Julia Jacobo

Rachel Cohrs: The Wall Street Journal’s “‘I Hate You, Kathie Lee Gifford!’ Ozempic Users Report Bizarre Dreams,” by Peter Loftus

click to open the transcript

Transcript: Will They or Won’t They (Block the Abortion Pill)?

KFF Health News’ ‘What the Health?’Episode Title: Will They or Won’t They (Block the Abortion Pill)?Episode Number: 294Published: April 20, 2023

[Editor’s note: This transcript, generated using transcription software, has been edited for style and clarity.]

Mary Agnes Carey: Hello and welcome back to “What the Health?” I’m Mary Agnes Carey, partnerships editor for KFF Health News. I’m filling in this week for Julie Rovner, and I’m joined by some of the best and smartest health reporters in Washington. We’re taping this week on Thursday, April 20, at 10 a.m. Eastern. As always, news happens fast and things might have changed by the time you hear this. So here we go. Joining us today by video conference are Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico.

Joanne Kenen: Hi, everybody.

Carey: Rachel Cohrs of Stat.

Cohrs: Morning, everyone.

Carey: And Sandhya Raman of CQ Roll Call.

Raman: Good morning.

Carey: Let’s start with the current court action on mifepristone. The Supreme Court was scheduled to rule yesterday on a decision from the U.S. Court of Appeals for the 5th Circuit that rolled back FDA action since 2016, allowing patients to get mifepristone through the mail, authorizing prescriptions by medical professionals other than doctors, and approving the drug’s use up to 10 weeks into a pregnancy instead of seven. Supreme Court Justice Samuel Alito Jr, who’d previously set Wednesday as the deadline for the court to act, extended that stay until Friday, and the justices could certainly act before they choose to —hopefully not while we’re taping. But I wanted to get everyone’s thoughts on why do you think the court didn’t act yesterday? Joanne, can I start with you?

Kenen: I mean, presumably they’re still hashing it out. There’re probably two or three judges who are still thinking about it or discussing it with their colleagues, or colleagues who want to think they can persuade them to their side. I mean, there’s something internal. On the other hand, I mean, they didn’t originally give themselves a lot of time to consider a complicated and historic case. We know there’s an anti-abortion majority. We know they’re not crazy about medical abortions any more than they are about surgical abortions. But this has large implications about states’ rights and about the sort of integrity of the FDA. So they may just wanted to sleep on it. They’re human, but the two sides are battling for two or three in the middle.

Carey: So what does this signal about how they might rule? I mean, to your point about the split, the battle, what are the options? What do you — Sandhya, what do you think about what they might —

Kenen: Well, if it was slam dunk, we’d have had it.

Carey: That is true. That is true. It is not a slam dunk.

Raman: And everyone that I have talked to in the last few weeks on this is just that there are so many different options, different permutations, that it’s difficult even for people that are experts on FDA policy, like expert lawyers, experts on abortion policy, to just kind of like predict the nuances. You know, they could let the stay expire. They could send it back to the 5th Circuit. They could decide to hold arguments and let it expire or not expire. They could decide something different than the 5th Circuit. You know, there’s so many different ways that things could happen that I think it makes it difficult. And then yesterday, the other manufacturer of mifepristone, GenBioPro, also filed suit against the FDA. So now we have, since Dobbs, like five different lawsuits related to mifepristone and three of them, post-Dobbs, are related to the FDA in particular. And I think it just gets very, very complicated to make a decision, even if ideologically some people might align with one way versus the other, given all of these different permutations and that we still have that Washington case that is attacking another part of this. So it’s just complicated to get people to do something. And the fact that this case has been moving so, so quickly.

Carey: Could we be in the same place on Friday? Could we get another stay? Could the justices certainly ask for more time, and are there any thoughts about the probability of that actually happening? Rachel, what are your thoughts?

Cohrs: I think they can do what they want.

Carey: That’s true.

Cohrs: They gave themselves time once more, and I think obviously there’s a benefit to having some certainty and predictability for people, for providers, but certainly they could stay again.

Carey: So, Sandhya, you just mentioned the Washington state case. So while this Texas ruling is before the Supreme Court, a federal district judge in Washington state issued a ruling in a separate case that instructed the FDA to not alter the current availability of the drug in 17 states and the District of Columbia. And as you just mentioned, a manufacturer of the generic version of the drug — the company’s name is GenBioPro; they make the generic version of mifepristone — they’re arguing that if the FDA implements a court order suspending approval of the drug, the agency would deprive the company of its rights to market the drug without due process of law. And as I understand, this company is a major manufacturer of the generic version of the drug, right? So let’s talk a bit more about this confusion of these split rulings. I mean, what is the public to make of it? What’s the reaction with facilities that are providing this medication or doctors who want to prescribe it or just the general public? The person who might be interested in this situation is very confused. I mean, talk a little bit about how people sort through it and what this means for them.

Raman: So the suit that was filed yesterday about the generic, they make two-thirds of the mifepristone that is used in the U.S. So if they were unable to be manufacturing theirs based on a ruling that only allowed the name-brand version of the drug, that’s a huge percentage of the market that is gone, and more than half of abortions are done through medication abortion. So that’s one thorn in it. And I think that another is that we have all of these states that have been stockpiling the drugs — several that have been, you know, in case they don’t know what is happening with the ruling. Washington is one of them. And there’s still not clarity depending on what happens with these cases of, you know, will they be able to use what that they have stockpiled? And then we have other states like New York and I think California that have been stockpiling misoprostol as another way to — in case there’s a court ruling that doesn’t go in their favor — to just give patients in their states access to medication abortion. I think that there are so many different permutations that it’s very difficult for even folks that are confident that the rule may go a different way to know what to predict, just because we’re in such uncertain territory, from all of the different former FDA officials that have said, “You know, this is a very different situation. We don’t even know, after decades of experience at the FDA, like, how this would play out, what it would mean, whether we’d have to pull everything off the market.” How it would play out, it’s just a lot of unknown territory given all of the different things going on.

Kenen: Well, also, whatever they do now isn’t necessarily the end of the story, right? I mean, if the court issues a stay, it will still go through the courts and it presumably ends up at the Supreme Court again. If they issue a stay pending full hearing of the case, it’ll be going on for months more. But either they issue a stay saying the 5th Circuit ruling, which did not totally — the lower federal court banned the use of the pill; the appeals court limited it to seven weeks instead of the FDA has ruled it’s for 10 weeks. So if they uphold the 5th Circuit Court of Appeals, there would still be use, but it would be limited. If they put a stay saying, “Yes, it can stay legal in the states that allow it for now,” then it would still be legal in those states but we’d still be back discussing what is the Supreme Court going to do a couple of months from now.

Carey: And how — where is the drug industry on this? I mean, this would have sweeping ramifications.

Kenen: They’re horrified. One of you might know the number — was it like 250 companies signed the brief that you’re going to have a court decide what drug is safe and what drug is not safe, rather than the FDA? I mean, the pharmaceutical company fights with the FDA all the time, but they need the FDA and they know they need the FDA and they admit they need the FDA. You know, you have one voice in this country saying a drug is safe or a drug is not safe or a drug is safe under the following conditions.

Raman: There have been hundreds of the drug companies that have spoken out against it, and PhRMA [Pharmaceutical Research and Manufacturers of America] more recently also finally came out against it. It’s been pretty uniform in a way that I have not really seen in the past where there have been, you know, the drug companies, the various people that have been regulators, the folks that are in favor of abortion rights, then just advocates — and just very unified in this response.

Carey: Rachel, what is the impact of the drug industry’s weighing in in this manner? How could that shape the decision? Was there anything surprising in how they worked together on this? I know you’ve done some reporting on this area.

Cohrs: Yes. Yeah. So I think certainly them actually filing briefs with the court will kind of help drive home the ramifications of this, just on a much larger scale. I mean, we’re not just talking about abortion now. We’re talking about any medication that could be at all controversial. You know, we’re talking PrEP for HIV. You know, there are so many areas where companies genuinely are concerned about lawsuits and about judges who aren’t experts. So I think this uniform voice will drive home the larger impacts here beyond this one issue. And also, I think, the drug industry has significant resources to invest. And I think, it took a little while, but the trade groups PhRMA and BIO [Biotechnology Innovation Organization] have said that they are willing to invest, and they haven’t made any specific commitments, but certainly I think down the line there could be legal challenges. And now that they have put themselves out there, they certainly are a significant player in the space, with resources.

Raman: The drug industry is also a huge player in, you know, donating to various campaigns and lobbying on the Hill. And it’s definitely going to be — put increasingly different folks in a tight spot if they are receiving a lot of backing from the pharmaceutical industry and if they’ve spoken out in favor of restricting the drug. And it’ll be interesting to see kind of as it goes on what happens there with some of these folks.

Carey: Sure. Well that’s a perfect segue way because we have lawmakers on Capitol Hill are also weighing in on this. About 150 Republicans are urging the Supreme Court to uphold the 5th Circuit’s ruling, while more than 250 Democrats have urged the court to not prevent access to mifepristone. Are Republicans taking a political risk here speaking out? Because I know it’s been talked about on the podcast before, about the abortion rights opponents have some splits on how far to go on some of these restrictions on abortion. You know, Republicans didn’t really seem eager to engage when the decision came out, but now they are. What does that mean? What do you make of it?

Raman: We’ve had that delay first that, you know, a lot of Republicans did not even comment on the case, which was kind of interesting, given that, you know, after a lot of these decisions, we see a lot from both sides kind of weighing in. And I think when you look at some of these briefs, they say a lot of the similar talking points as before, which is something that you can kind of look to. But I mean, the conversation is still moving, even on the Hill. Yesterday, Robert Califf from the FDA was facing questions about mifepristone from different Republicans, from Cindy Hyde-Smith, who had agreed with the lower court decision, from Susan Collins, who was kind of against the decision as one of the Republicans who generally supports abortion rights. And I think it’ll be very interesting if this gets taken up by a committee that has jurisdiction over the FDA, which we have not really seen a commitment to. Energy and Commerce [Committee] Democrats have asked for something on this to come up. But, you know, under Republican leadership, I don’t know that that would necessarily happen. The only committee that is really committed to looking at this issue has been, like, Senate Judiciary, which with Democratic control is going to look a different way. And they don’t really have the jurisdiction over FDA in the same way as some of the other committees do. So I think that’ll be interesting to look at if that changes.

Kenen: There is a divide in the Republican Party about how far to go. I mean, some are for rape and incest exceptions, some are not. Some are for six weeks, some are for 15 weeks, some are for zero weeks. This is reflecting those divisions. It also depends on the individual lawmaker’s district. You know, if you come from an extremely conservative district and you are an anti-abortion absolutist, then you’re going to speak out on this. But we’ve noted they don’t really want to antagonize pharma either. So you’ve seen, I guess it’s 150ish — you haven’t seen all of them. It’s a complicated issue for some of them, given the competing interests, you know. Is abolishing all abortions in the United States of America your top goal? In which case you’re going to want to support the lower court. If you have a more nuanced view, where you’re worried about precedent for overriding the FDA, you have competing — I mean, there are very few abortion rights Republicans, but they don’t all want to draw the line in the same place.

Carey: So while we’re on the subject of Capitol Hill, let’s talk about the debt ceiling. We have a little bit of action there this week. Speaker of the House Kevin McCarthy unveiled his plan to raise the debt ceiling. McCarthy and many Republicans have said they don’t want to raise the debt ceiling without spending cuts. President Biden and many Democrats are pushing for a clean debt ceiling increase. So among its provisions, Speaker McCarthy’s plan would cut federal spending by roughly $130 billion, and that would take spending back to fiscal 2022 levels. Health-related provisions include new work requirements for Medicaid and food stamp recipients, and the package would also claw back unspent covid aid funds. And there’s a bit of a twist on the work requirement proposals of the past: States could opt to keep those that don’t comply with the work rules covered under Medicaid, keep them on the rolls. But if they do, the state would bear the full cost of that coverage and forgo the federal money for those enrollees, right? The proposal also requires states to make use of existing resources like payroll databases, state health and human service agencies, to verify compliance with a work rule when possible. There’s a lot to unpack here. It’s pretty clear that, I mean, House Democrats aren’t going to vote for this. Does the speaker even have enough votes in his own caucus to pass it? I think he can only lose like four.

Kenen: TBD. But I don’t think the conventional wisdom is that he has the votes. You know, it’s a starting offer, but they can change, you know, has to go Rules [Committee]. They’ll change — you know, they could change things.

Carey: It is a starting offer. But your vote is next week and it’s Thursday. OK. Rachel, what’s your take on this?

Cohrs: Yeah, I think it was a bit of a roller coaster this week, as some members of the Freedom Caucus were demanding wholesale repeal of the Inflation Reduction Act around midweek, and they certainly backed off from that, especially the health care portion. So I think that is worth noting, at least right now. Again, unclear if he has the votes, or if the speaker has the votes, and then obviously Senate Democrats aren’t going to go for it and President Biden isn’t going to go for this. So I think, like Joanne said, it is kind of an opening offer here. And again, there isn’t a lot on Medicare in here. So I think we just, you know, finally, after so much rhetoric and so much back-and-forth, have some sort of tangible starting point from Republicans here, which is significant.

Kenen: But, you know, as soon as they made that pledge that we’re not going to touch Medicare, meaning traditional Medicare actually, and we’re not going to touch Social Security, we all knew that, Oh, that means that it’s all going to go to Medicaid. So this is a big Medicaid hit. And work rules have been something the Republicans have embraced at least since the Reagan era, maybe even before, but certainly since the 1980s. A few states tried them or at least said they were going to impose them under the Obama administration. At that point, the administration didn’t approve them and the courts didn’t uphold them. But we have a different court now. So I think this court would uphold; that’s likely. But this is not acceptable for Democrats, nor is it meant to be.

Raman: And when we had the various states propose these and in some cases implement them during the Trump administration, every single one of them was struck down by the court once, sometimes twice. You know, we had Arkansas, we had New Hampshire, we had Kentucky, we had Michigan. Every single time the judge at hand was, you know, “This is going against the function of Medicaid,” which — historically we’ve had work requirements in some of the other programs, but the way the Medicaid statute is written, it has been difficult to find a way to keep those in place. So if they were able to get that past, I mean, even the House, which seems like is a, is a question mark, I mean — whatever could get through would absolutely face court battles from some of the same folks that challenged them during the Trump administration.

Kenen: But I think the only one that actually went into effect was Arkansas. And in addition to it being thrown out by a court, it also just didn’t work. The mechanism didn’t work. It became really hard for people. The verification that you’re working, which this proposal actually addresses, that Mary Agnes just alluded to that, the verification was extraordinarily cumbersome. I mean, you had like lots of poor people in Arkansas — and rural Arkansas don’t have access to Internet — and you only had a few hours a day where you could use the portal and you have to leave work to go to the local library to prove that you were working. I mean, it was just — forget the ideology of it — the mechanics didn’t work, and people were thrown off even though they were compliant. And but this [is] just like a deep philosophical divide between the two parties, and they have compromised, and back in the Clinton years they compromised on welfare, what’s now called TANF [Temporary Assistance for Needy Families]. There’s work requirements for SNAP, for what we used to call food stamps. But Medicaid has been a red line for Democrats, that this is an entitlement based on health; it’s not like you deserve — some people deserve it and some people don’t. It’s been a philosophical, ideological, you know, something that Democrats feel very strongly about.

Cohrs: Oh, I just want to jump in on the covid money as well — much smaller deal, fewer impacts on patients — but it has been kind of interesting and over the last couple of weeks that the Biden administration has rolled out some new programs that cost quite a bit of money, as there’s this horizon, this call for Congress to claw back unspent covid funds. I mean, they’re spending $5 billion now on developing vaccines and therapeutics, $1 billion on vaccine access, when they said they didn’t have any money. So it’s just kind of interesting that, you know, when these funds are committed to a program legally, then Congress can’t claw them back. So I’m curious to see what else we’ll see as these negotiations solidify.

Carey: All right. We’ll keep our eye on it. And I want to just check in briefly on the Senate side. I know we’ve discussed these issues on the podcast before. The Senate Health, Education, Labor and Pensions Committee has been working on legislation focused on drug prices and pharmacy benefit managers. This morning we have a framework introduced from the Senate Finance Committee. It’s with Sen. Wyden, the chair from Oregon, who’s a Democrat, and Sen. Mike Crapo, Republican from Idaho, that also seeks to address PBMs in the prescription drug supply chain. We also have the moving, or maybe not moving, but introduce legislation, anything new there on insulin prices with Sen. Warnock and Sen. Kennedy to cap the out-of-pocket price at $35. Any movements there in the Senate, any insight you could offer?

Cohrs: On the Senate Finance [Committee] side, that is a very significant development, that they’ve decided to get in on the fun this week of putting together a package, just because their committees do have jurisdiction over so much federal spending. And Sen. Wyden has been involved in this issue. He’s put out — I found a package of bills from 2019, and, you know, he’s been on this issue a long time. So I think his team has proven they can craft big-picture, very impactful policy with the Inflation Reduction Act. So I think that’s certainly something to watch with that much federal spending on the line. And on insulin, you know, Sen. Schumer this week has committed to have some sort of insulin pricing provision in whatever package might come together — it’s still pretty amorphous — but it’s unclear what that’s going to look like. There is another proposal from Sen. Collins and Sen. Shaheen, two much more senior members of the caucus, and that mechanism works differently. For patients, it would look pretty similar. But on the back end, for insurers, for drugmakers, both of those programs would work differently. So they haven’t sorted that out yet. HELP hasn’t even picked a date for their hearing and formally announced it yet. So we are in early stages, but there’s certainly a lot swirling around.

Carey: Absolutely. And we’ll keep our eye on all of that as well. So I’d like to also chat a little bit about some ACA developments that happened this week. President Biden recently announced that hundreds of thousands of immigrants brought to the United States illegally as children will be able to apply for Medicaid and the Affordable Care Act’s health insurance exchanges. This allows participants in the Obama-era Deferred Action for Childhood Arrivals program, also known as DACA, to access government-funded health insurance programs. You can expect pushback from conservative leaders of states that have been reluctant to expand Medicaid, possibly also pushback from Republican members of the Hill on this provision. And then, in other ACA news, the administration has finalized new rules that are aimed at making it easier for consumers to sign up for ACA plans, in particular those who are losing their coverage through Medicaid or the Children’s Health Insurance Program. The Centers for Medicare & Medicaid Services, also known as CMS, will also give state marketplaces the option to hold a special enrollment period for people who lose their Medicaid or CHIP coverage. What could this possibly mean for enrollment in the program, right, to making it easier for DACA participants to enroll in the ACA or people losing their coverage through CHIP or Medicaid? I think it’s about 16 million people now in the program. Does this build more support for it? Are Republicans going to engage against it? Do they think that’s simply a losing battle because they’ve never agreed on an alternative?

Raman: I mean, right now, we’ve had historic levels of people in Medicaid and CHIP just because states have been unable to unenroll them from coverage during the public health emergency for covid. And now that states are starting to recheck their rolls and see who’s still eligible, who’s not eligible, we’ve been expecting just, you know, a big drop in different people that would be either getting uninsured or maybe moving to a different type of plan with a private or the exchanges. And I think it’s been something that, you know, states and the federal government have been working on for the entire time of just, you know, different ways to make sure that that drop-off in the number of uninsured folks doesn’t skyrocket as states are going through this process. And so I think the timing is important in that, you know, you’re trying to counteract the drop. And HHS [the U.S. Department of Health and Human Services] has been touting, you know, the high levels of uptake in the ACA and just like the low uninsured rate and this has been something they’ve just kind of been pushing, you know, month after month. This has been something that has been like a big achievement for them. And so now really like push comes to shove to say that, you know, it doesn’t drop off dramatically if you want to continue touting some of these achievements and making sure that people don’t drop off just because the emergency is ending and that guaranteed coverage isn’t there.

Kenen: So there are multiple issues in the question that are exposed, the DACA, which —

Carey: Of course it can’t be just one question I have to ask four at once.

Kenen: The DACA, which is also known as the Dreamers, Biden is trying to cover them. Democrats have been trying to give them legal status and got nowhere. In fact, they’re probably further away from that than they were five or six years ago. But to get them health coverage is something the Democrats — it’s like the least they can do to this population. But I can’t imagine there’s not going to be a political and/or a legal fight from the states who are going to have to pay for their share of it, right? I mean, Medicaid is a state-federal joint expenditure, and the states that don’t want to cover these people will well resist or sue. Or, I mean, everything ends up in court; I would imagine this will, too, or baked into the debt ceiling — you know, one more thing to fight about with the debt ceiling. So that’s one issue. I mean, the other issue is this unwinding of this huge Medicaid population. Most of these people are going to be eligible for some kind of coverage. Some of them are still going to be eligible for Medicaid. Some of them are going to be eligible for very good deals for sort of low-income working people on the ACA. And some have jobs that they can get insured through — theirs or a partner or a family member. But really, the only ones who are ineligible for anything would be those in the remaining Medicaid gap states. But that’s like theoretically, if we did everything right, the only people that would be ineligible are the Medicaid gap population, which is now down to about 10 states, assuming North Carolina, you know, finalizes their approval or, you know, enacts their expansion. But like, that’s the perfect world, and we don’t live in a perfect world. I mean, some of these people are going to get lost in the shuffle. And in fact, maybe several million; their estimates are like maybe 6 million, you know, no one knows. But, you know, our health care system is complicated. You know, getting a letter in the mail saying, you know, “Sayonara, Medicaid,” is not all of them will know how to negotiate new coverage even when they’re eligible, and we’re going to have to do a really good job of helping them. And that has to be from the federal government, from the state governments, from the health system itself, from advocates, from Congress. You know, everyone’s going to have to pitch in to get these people what they’re eligible for. And I don’t see that as an overnight success story. I think that there are people who should be covered and can be covered who won’t be covered. Eventually we’ll probably catch up and most of them enrolled. But I think that some of them have periods of uninsurance.

Carey: It’s absolutely a major undertaking. I know we’ll all be watching closely. OK, that’s the news for this week. Now it’s time for our extra credit segment. That’s when we each recommend a story we read this week and think you should read it too. As always, don’t worry if you miss it. We’ll post the links on our podcast page at kffhealthnews.org and in our show notes on your phone or other mobile device.

Kenen: I actually want to read the first sentence of this piece. This is a guest essay in The New York Times by Amy Silverstein. She’s a heart transplant recipient. She’s, I guess, about 60 now, and she’s about to die, not because her heart, her transplanted heart is failing — she writes about how she kept that in pristine condition — but because she’s got cancer. And it’s called “My Transplanted Heart and I Will Die Soon,” and it begins, “Today, I will explain to my healthy transplanted heart why, in what may be a matter of days or weeks at best, she — well, we — will die.” And in addition to being just a heart-tugger, I did not know a lot of what she explores about transplant medicine, that we think of transplants as medical miracles — and they are; you know, she had like an extra 35 years of life — but they’re also, transplant medicine itself hasn’t really, according to what she writes, transplant medicine itself — the drugs, the care they get, these heavy-duty drugs haven’t improved in 40 years. While she has a healthy heart, she has metastatic lung cancer because of these drugs. The medical care around transplant can be quite dangerous. And I knew nothing about that, and I’ve covered health for a long time. So it’s a tragic story and it’s also a scientific failure or a medical system or a medical research failure story that I hope a lot of people who have the power to change it read.

Carey: Sandhya, what’s your extra credit?

Raman: So my extra credit is from ABC News. It’s called “Puerto Rico’s Water Supply Is Being Depleted, Contaminated by Manufacturing Industry on the Island, Experts Say.” It’s a triple byline from Jessie DiMartino, Lilia Geho, and Julia Jacobo. And I thought their story was really interesting because it looks at the effects of the manufacturing industry on the water supply in Puerto Rico. The manufacturing there is, in Puerto Rico, is really high because there used to be a tax incentive that’s now lapsed to create a huge boom in manufacturing in the ’60s and ’70s. And kind of looking at the impacts of that, and over time and to the environment, and pharma manufacturing in particular, is 65% of what has been the industrial groundwater withdrawals. So in areas that rely heavily on groundwater on an island, this is felt especially hard. And so they go through a lot of the implications of some of that and how the manufacturing affects it, especially in an island with a finite water supply.

Carey: Rachel.

Cohrs: Mine is, the headline is, “‘I Hate You, Kathie Lee Gifford!’ Ozempic Users Report Bizarre Dreams,” in The Wall Street Journal and by Peter Loftus. Our newsroom has been covering the weight loss drug explosion this year, and I think this story was just so colorful and just a great example of reporting on the side effects that emerge when so many people are interested or want to take a drug. And I think there is certainly a public service to people understanding what they’re getting into and just hearing from all sorts of people, because certainly there are agencies who are supposed to be doing that. But I think there’s also just a lot of buzz that’s fascinating. The writing was just so rich and bizarre. And yeah, it was a great read and a great illustration on it, too.

Carey: Well, speaking of weight loss and getting fat out of our bodies, my story is from The New York Times, called “A Beauty Treatment Promised to Zap Fat. For Some, It Brought Disfigurement,” by Anna Kodé, and I hope I’m pronouncing your name correctly. You might have heard or seen all these ads about the treatment called CoolSculpting. It uses a device on a targeted part of the body to freeze fat cells. Patients typically undergo multiple treatments in the same area, and in successful cases, the cells die and the body absorbs them. “But for some people,” Anna writes, “the procedure results in severe disfigurement. The fat can grow, harden and lodge in the body, sometimes even taking on the shape of the device’s applicator.” The manufacturer says this is a rare side effect, but a Times investigation that drew on internal documents, lawsuits, medical studies, and interviews indicates the risk to patients may be considerably higher. So that’s our show. As always, if you enjoyed the podcast, you can subscribe wherever you get your podcasts. We’d appreciate it if you left a review; that helps other people find us too. Special thanks, as always, to our ever-patient producer, Francis Ying. And as always, you can email us with your comments or questions. We’re at whatthehealth@kff.org. Or you can tweet me @maryagnescarey. Rachel?

Cohrs: @rachelcohrs.

Carey: Joanne?

Kenen: @JoanneKenen.

Carey: Sandhya.

Raman: @SandhyaWrites.

Carey: We’ll be back in your feed next week. Until then, be healthy.

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2 years 15 hours ago

Courts, Health Care Costs, Insurance, Medicaid, Multimedia, Pharmaceuticals, Abortion, Biden Administration, Drug Costs, Immigrants, KFF Health News' 'What The Health?', Podcasts, Prescription Drugs, U.S. Congress

PAHO/WHO | Pan American Health Organization

Risk of vaccine-preventable disease outbreaks at 30-year high, PAHO Director says

Risk of vaccine-preventable disease outbreaks at 30-year high, PAHO Director says

Cristina Mitchell

20 Apr 2023

Risk of vaccine-preventable disease outbreaks at 30-year high, PAHO Director says

Cristina Mitchell

20 Apr 2023

2 years 18 hours ago

Health Archives - Barbados Today

System created to update public on air quality

The spate of fires across the island in recent weeks has led the Caribbean Institute for Meteorology and Hydrology (CIMH) to develop a system to update the public on air quality.
CIMH climatologist Dr Cedric Van Meerbeeck says the online monitoring system has been created in collaboration with various agencies.
“Air pollution, as you know, comes from different sources. The ones we have been suffering from in the last two months were smoke from wildfires, brush fires, cane fires and grass fires. I just want you to know that the CIMH is on top of it. We have noticed it. We have worked together with different agencies and we now have a monitoring product that we will put online for everybody to use, so that you know how bad the situation is at this time because there are things you can do to protect yourself,” he said.
Dr Van Meerbeeck was responding to a question posed by a member of the audience at a panel discussion hosted by the CIMH in collaboration with the National Oceanic and Atmospheric Administration (NOAA) and The University of the West Indies Cave Hill Campus, on Tuesday night, at the Sagicor Cave Hill School of Business and Management.
Senior scientist in the NOAA Physical Sciences Laboratory Dr. Roger Pulwarty highlighted that individuals’ health can be compromised by the combination of various pollutants in the atmosphere.
“When you add Saharan dust, when you add smoke and you add this especially indoor combination, you’re actually compounding health risks that cannot be separated immediately and that’s something we need to address,” he said.
“The complexity of the mixed pollutants [is] really the issue.”
(JB)

The post System created to update public on air quality appeared first on Barbados Today.

2 years 20 hours ago

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Medical News, Health News Latest, Medical News Today - Medical Dialogues |

All About BHMS in India: Full form, Admissions, homeopathy colleges, fees, eligibility criteria details

Bachelor of Homeopathic Medicine and Surgery (BHMS) is an undergraduate
course for students who want to study homoeopathy and treat patients using homoeopathic
medicine, which is a form of alternative medicine.

Bachelor of Homeopathic Medicine and Surgery (BHMS) is an undergraduate
course for students who want to study homoeopathy and treat patients using homoeopathic
medicine, which is a form of alternative medicine.

Homoeopathy is
derived from two Greek words, ‘homoio’ meaning ‘similar’ and ‘pathos’ meaning
‘suffering’ or ‘like cures like.’  Homoeopathy is a therapeutic method of
treatment based on the concept of individualization and holism. They do it after
the completion of their 10+2 exam or any other equivalent. The duration of this
undergraduate course is 5½ years. This system aims to prevent illness¸ heal the sick, and preserve life. Homoeopathy originated in Germany and was introduced in India in the early 19th century. 

The course is a
full-time course pursued at various accredited institutes/hospitals nationwide. Some top accredited institutes/hospitals offering this course include the National
Institute of Homeopathy (NIH), Kolkata, North Eastern Institute of Ayurveda and
Homeopathy (NEIAH), Shillong, and more.

Admission to this course is done through the NEET-UG
Entrance exam conducted by the National Board of Examinations, followed by
counselling based on the scores of the exam that is conducted by the Ayush
Admissions Central Counselling Committee (AACCC) of the Ministry of Ayush, Govt. of
India. Dept. of AYUSH,
Union Govt. India regulates AYUSH education in the country.

The fee for pursuing a Bachelor of Homeopathic Medicine
and Surgery (BHMS) varies from college to college and
may range from Rs. 20,000 to Rs.3,00,000 per year.

After completion of their respective course, doctors
can either join the job market or can pursue an MD in Homeopathy program recognized by the Ministry
of Ayush or MBA/MHA in Hospital Administration or Healthcare Management. Candidates can start their clinical practice, Academics, and get into Research, Management, and administration or Drug manufacturing.

The average starting salary range is from Rs.30,000 to Rs. 4 lakhs per year.

What is a Bachelor of Homeopathic Medicine and Surgery (BHMS)?

Bachelor of Homeopathic Medicine and Surgery (BHMS) is
a five-and-a-half-year undergraduate program that includes 4½ years of main course and 1 year of
Internship that
candidates can pursue after completing higher secondary education.

Bachelor of
Homeopathic Medicine and Surgery (BHMS) follows the therapeutic method of treatment based on the concept of
individualization and holism. Remedies offered are made from natural substances
such as parts of plants, animals, their healthy or diseased secretions, minerals, and imponderabilia. Homoeopathy can successfully treat acute, long-standing
chronic diseases whereas allopathy has limitations without its after-effects.

Bachelor of
Homeopathic Medicine and Surgery (BHMS) subjects are Anatomy, Physiology,
Orfanon of medicine with homeopathic Philosophy, HBomeopathic Pharmacy,
Homeopathic materia medica, pathology, Forensic medicine and Toxicology, and
others.

Course Highlights

Course
highlights for Bachelor of
Homeopathic Medicine and Surgery (BHMS):

Name of
Course

Bachelor of
Homeopathic Medicine and Surgery (BHMS)

Level

Undergraduate

Duration of
Course

Five and a half years

Course Mode

Full Time

Minimum
Academic Requirement

Before or on December 31 of the year of admission to the Bachelor of Homeopathic Medicine and Surgery (BHMS) program, the applicant must be 17 years old. The Indian School Certificate examination, which is comparable to the 10+2 Higher Secondary examination, must have been passed by the candidate. The student must have earned 50% or above in the courses of physics, chemistry, and biology in addition to meeting English proficiency requirements. The minimum score for OBC, SC, or ST students is 40%.

Admission
Process / Entrance Process / Entrance Modalities

Entrance Exam NEET-UG

Merit-based Counselling conducted by

Ayush Admissions
Central Counseling Committee

Course Fees

from Rs.20,000 to Rs.3 lakhs per year 

Average
Salary

from Rs.30,000 lakhs to Rs.4 lakhs per year

Eligibility Criteria

The eligibility criteria
for Bachelor of Homeopathic Medicine and Surgery (BHMS) is defined as the set
of rules or minimum prerequisites that aspirants must meet to be
eligible for admission, which includes:

  • The candidate must have
    passed intermediate Class 12 or its equivalent examination recognized by the
    concerned State Government and Education Board with the subjects of Physics,
    Chemistry, Biology, and English individually and must have obtained a minimum
    of 50% marks taken together in Physics, Chemistry, and Biology at
    the aforesaid qualifying examination in the case of general category and 40%
    Marks in the case of the Scheduled Castes, Scheduled Tribes, and Other Backward
    Classes.
  • In respect of persons
    with disability candidates specified under the Rights of Persons with
    Disabilities Act, 2016 (49 of 2016), the minimum qualifying marks in the said
    qualifying examination in Physics, Chemistry, and Biology shall be 40%.
  • Candidate shall be
    admitted to (BAMS), BSMS, BUMS, and BHMS Degree Courses only if he has attained
    the age of seventeen years on or before the 31st December of the
    year of his admission in the first year of the course and not more than of
    twenty-five years on or before the 31st December of the year of admission in
    the first year of the course.
  • Provided that the upper
    age limit may be relaxed by five years in the case of the Scheduled Castes,
    Scheduled Tribes, Other Backward Classes, and physically handicapped
    candidates.

Admission Process:

The admission process contains a few
steps to be followed for the candidates for admission to BHMS. Candidates
can view the complete admission process for Bachelor of Homeopathic Medicine
and Surgery (BHMS) mentioned below:

  • Pass the NEET Exam: The NEET UG or National Eligibility Entrance Test for Undergraduate Courses is a national-level undergrad level examination conducted by the NTA for admission to MBBS/BDS/ BSMS/BUMS/BHMS/BAMS/ and other undergraduate medical courses in approved/recognized Medical/Dental /AYUSH and other Colleges/ Deemed Universities /Institutes.
  • Participate in Online Counselling: Online counselling would be conducted by the Ayush Admissions Central Counselling Committee (AACCC) of the Ministry of Ayush, Govt. of India. Information for online counselling would only be available on the Ministry of AYUSH website for BSMS/BUMS/BHMS/BAMS courses.
  • Eligibility for admission to the BAMS course: It is necessary for a candidate to obtain a minimum of marks of 50th percentile in NEET UG to get admission to Bachelor of Ayurvedic Medicine and Surgery (BAMS) course.
  • For candidates belonging to Scheduled Castes, Scheduled Tribes, and Other Backward Classes, the minimum marks shall be at the 40th percentile.
  • For candidates with locomotory disability of lower amendments, the minimum marks shall be at the 45th percentile. The percentile shall be determined based on the highest marks secured in the All-India common merit list in “The National Eligibility-cum-Entrance Test for admission to the BAMS course.

Common
Counselling:

  • An
    All-India Merit List of the qualified candidates shall be prepared based on All India Rank in the Merit List of the NEET (UG) and candidates
    shall be admitted to Undergraduate Ayurveda, Siddha, Unani, and Homeopathy
    Courses (ASU & H Courses) from the said list only, with existing reservation
    policy.
  • Counselling
    for all India quota seats of Ayurveda, Siddha, Unani & Homoeopathy
    Government, Government aided Institutes, Central Universities, National
    Institutes, and Deemed Universities will be conducted by Ayush Admissions
    Central Counseling Committee (AACCC), and counselling for AIQ seats of Private
    ASU & H Institutes will be conducted by an authority designated by Central
    Government and Counselling for State quota seats will be conducted by
    respective State Government counselling authority as per the provisions of
    Regulations notified under IMCC Act, 1970 and HCC ACT, 1973.

Fees Structure

The fee structure for the Bachelor of Homeopathic Medicine and Surgery (BHMS) varies from college to college. The fee is generally less for
Government Institutes and more for private institutes. The average fee structure for a Bachelor of Homeopathic
Medicine and Surgery (BHMS) is around Rs. to Rs.30,000 to Rs. 4 lakhs per year.

Colleges offering Bachelor of Homeopathic Medicine and Surgery (BHMS)

There are various accredited institutes across India that
offer courses for pursuing a Bachelor of Homeopathic
Medicine and Surgery (BHMS).

As per the Ministry Of Ayush website, the following accredited
institutes/hospitals are offering courses for the academic year 2021.

S.NO.

Name of the College

State

Ownership

1.

Dr Gururaju Govt.
Homoeopathic Medical College, Gudivada Distt.Krishna- 521 301

Andhra Pradesh

Govt

2.

Dr.Allu Ramalingaiah Govt. Homoeopathic Medical
College, D.No.26-1-11, Near
‘Y’ Junction, Central

Jail Road,

Andhra Pradesh

Govt

3.

Adi
Shiva Sadguru Ali Saheb Shivaryula Homoeopathic Medical
College, Anantapur,

Guntakal, Andhra Pradesh

Andhra Pradesh

Pvt

4.

Govt. Homoeopathic Medical College, Ravindra Nagar Post, Kadapa – 516
003

Andhra Pradesh

Govt

5.

Maharaja’s Institute of Homoeopathic Sciences, D.

No. 31-15, Nellimarla, Vizianagaram-535217, Andhra Pradesh

Andhra Pradesh

Pvt

6.

A.S.R.Homoeopathic Medical College, Prathipadu,

Tadepalligudem, West Godavari District, Andhra Pradesh.

Andhra Pradesh

Pvt

7.

KKC Homoeopathic Medical
College, 1-52, KKC

Nagar, Parameswara Mangalam, Puttur, Andhra Pradesh

Andhra Pradesh

Pvt

8.

North East Homoeopathic Medical College &

Hospital, Vivek Vihar,
P.O. R.K.Mission, Itanagar- 791113

Arunachal Pradesh

Pvt

9.

Assam Homoeopathic Medical
College & Hospital,

Mull Singh Road,
Lakhinagar, P.O. Haibergaon, Nagaon-782002

Assam

Govt

10.

Swahid Jadav
Nath Homoeopathic Medical
College & Hospital, Vill. Bagharbari, P.O. Khanapara,

Guwahati-781002

Assam

Govt

11.

Dr.J.K.
Saikia Homoeopathic Medical College, P.O.-Cinnamara, Club
Road, Jorhat, Assam-785008

Assam

Govt

12.

National Institute of Homoeopathy, Block
GE, Sector III,
Salt Lake, Kolkata – 700106

Bengal

Govt

13.

Metropolitan Homoeopathic Medical
College &

Hospital, Ramchandrapur Sodepur, Kolkata – 700 010

Bengal

Pvt

14.

D.N. De Homoeopathic Medical College
& Hospital, 12,
Gobind Khatik Road, Kolkata – 700 046.

Bengal

Govt

S.NO

Name of the College

State

Ownership

15.

Mahesh Bhattacharya Homoeopathic Medical College and Hospital, H.I.T.Road , Ichapur,

Doomurjala, Howrah
-711101.

Bengal

Govt

16.

The Calcutta Homoeopathic Medical College &

Hospital, 265 – 266, Acharya Prafulla Chandra Rd.,
Kolkata – 700 009.

Bengal

Govt

17.

Netai
Charan Chakravarty Homoeopathic Medical College &
Hospital, 45, F Road, Belgachia 106-107,

Joynarayan Babu Ananda Dutta Lane, Howrah – 711 101.

Bengal

Pvt

18.

Midnapore Homoeopathic Medical College and
Hospital., Midnapore –
721104.

Bengal

Govt

19.

Bengal Homoeopathic Medical College & Hospital, P.O.Asansol, Ismile, Distt. Burdwan – 713 301.

Bengal

Pvt

20.

Burdwan Homoeopathic Medical College
& Hospital, Nimbark Bhavan, Rajganj, P.O.-

Nutanganj, Distt. Burdwan
– 713 102.

Bengal

Pvt

21.

Birbhum Vivekananda Homoeopathic Medical College
& Hospital, Sainthia, Distt. Birbhum – 731

234.

Bengal

Pvt

22.

Kharagpur Homoeopathic Medical
College and

Hospital, Kausallya, P.O.
Kharagpur, District Paschim Medinipur -721301

Bengal

Pvt

23.

Pratap
Chandra Memorial Homoeopathic Medical College and
Hospital, 14/1, Mahanam Brata Sarani

(N.N.Road), Kolkata - 700
011

Bengal

Pvt

24.

R.B.T.S. Govt. Homoeopathic Medical College
& Hospital, Ramdayalu Nagar . P.O. Ramna,

Muzaffarpur – 842 002.

Bihar

Govt

25.

G.D. Memorial Homoeopathic Medical College and Hospital, East Ram Krishna Nagar, Patna – 800
020

Bihar

Pvt

26.

Maharshi Mahi Homeopathic Medical College &
Hospital, Katihar

Bihar

Pvt

27.

Dr
Yadubir Sinha Homoeopathic Medical College
& Hospital, Laheriasarai Distt.Darbhanga – 846002

Bihar

Pvt

28.

Dr Halim Homeopathic Medical College &
Hospital, Eknighat, P.O.
Laheriasarai,

Distt.Darbhanga – 846 001

Bihar

Pvt

S.NO

Name of the College

State

Ownership

29.

Kent Homeopathic Medical College, At &
PO Khilwat, Vaishali-844516

Bihar

Pvt

30.

Dr. Rambalak Singh Gaya Homoeopathic Medical College & Hospital, P.O.Amwa, Bodh
Gaya, Gaya –

824231

Bihar

Pvt

31.

Patna Homoeopathic Medical College &
Hospital Ram Krishna
Nagar, Sorangpur, Patna
-800027

Bihar

Pvt

32.

Homoeopathic Medical College & Hospital, M-671, Sector-26, Chandigarh – 160 019.

Chandigarh

Pvt

33.

Nehru Homoeopathic Medical College
& Hospital, B-Block, Defence Colony, N. Delhi-110024

Delhi

Govt

34.

Dr. B.R.Sur Homoeopathic Medical College,

Hospital & Research Centre, Nanak Pura
Gurdwara, Moti Bagh-
II, New Delhi -110 021.

Delhi

Govt

35.

Kamaxi Devi Homoeo.Medical College & Hospital, Shiv-Shail, Karai Shiroda,-Goa-403103

Goa

Pvt

36.

Government
Homoeopathic Medical College, Dethali, Taluka- Siddhapur, District- Patan,
Gujarat

Gujarat

Govt

37.

C.D.P. College of Homoeopathic Medicine & Hospital, Near Anand Mangal
Society, Bhatar Road,

Surat - 395 001.

Gujarat

Pvt

38.

Smt.A.J.Savla, Homoeopathic
Medical College & Research Institute, Mehsana, Pushpanjali Building, Near Zilla Panchayat Quarters, Visnagar
Road,

Mehsana – 384 001.

Gujarat

Self finance

39.

Lalitaben Ramniklal Shah
Homoeopathy Medical College & Hospital, Rajkot, Gujarat.

Gujarat

Pvt

40.

Shree Mahalaxmiji Mahila Homoeopathic Medical College& Hospital, Nr. Vishwamitri Bridge, Munj

Mahuda Road, Vadodara-390011

Gujarat

Pvt.

41.

Ananya College of Homoeopathy, Kalol,
KIRC Campus,
Ahmedabad-Mehsana Highway,

Gandhinagar, Gujarat

Gujarat

Pvt

42.

Nobel Homoeopathic Medical College And
Research Institute, Junagadh, Gujarat

Gujarat

Pvt

43.

Gujarat Homoeopathic Medical College, AT &
P.O.Savli, Baroda -391770.

Gujarat

Govt-Aided

S.NO

Name of the College

State

Ownership

44.

B. G. Garaiya Homoeopathic Medical College, Rajkot

Gujarat

Pvt

45.

SS Aggarwal Homoeopathic Medical College, Near Devina
Park Society, Viranjali Marg, Gandevi Road,

Navsari, Gujarat.

Gujarat

Pvt

46.

Rajkot
Homoeopathic Medical College, Behind Jainath Petrol
pump, Gondal Road,
Rajkot-360002

Gujarat

Pvt

47.

Jawahar Lal Nehru
Homoeopathic Medical College & Hospital, Parul
Institute, P.O.Limbda,Ta.

Waghodia District, Vadodara Pin-391760

Gujarat

Pvt

48.

Parul Institute of Homoeopathy and
Research, at

Ishwarpura, P.O.Limbda, Ta. Waghodia District, Vadodara Pin-391760

Gujarat

Pvt

49.

Anand Homoeopathic Medical College & Research

Institute, Near Sardar
Baug, Bhalej Road, Anand - 388 001.

Gujarat

Govt-Aided

50.

Baroda Homoeopathic Medical
College, Near

SonarKui, opp. Xavier
Technical Institute, Sindhrot Road,
Sevasi, Vadodara-391101

Gujarat

Pvt

51.

Dr V.H.
Dave Homoeopathic Medical College, Hahnemann House, Amul Dairy Road,
Anand –388001.

Gujarat

Govt-Aided

52.

Sri Shamlaji Homoeopathic Medical College,

Hospital &
Research Institute, Dahod Road, Godhra, Distt. Panchmahal – 389 001

Gujarat

Pvt

53.

Smt.Malini Kishore Sanghvi Homoeopathic Medical

College , Oppsite Sumeru Navkar Tirth,
Amod Road, Kajan, Distt Vadodara-391240

Gujarat

Pvt.

54.

Swami
Vivekanand Homoeopathic Medical College & Hospital, Near Sports Complex
Sidsar Road, New

Bhavnagar-364060.

Gujarat

Pvt.

55.

Jay Jalaram Homoeopathic Medical College, At &

PO- Morva (Rena),
TA-Shahera, District- Panchmahal, Gujarat-389001.

Gujarat

Pvt

56.

(Pioneer)
M.S. Pathak Homoeopathic Medical College
& Hospital (OM Gayatri Charitable Trust), Ist Floor, Crystal
Plaza, Gotri Main
Road, Vadodara

-390021

Gujarat

Pvt

57.

Ahmedabad
Homoeopathic Medical College, Bhopal-Ghuma Road,
Ghuma, Ahmedabad

– 380 058.

Gujarat

Pvt

S.NO

Name of the College

State

Ownership

58.

C.N.
Kothari Homoeopathic Medical College & Research Centre, Near Van Chetna,
Kakanagar Bypass Highway, Tadkuva, Vyara,Distt.Surat-394

650

Gujarat

Pvt

59.

Bhargava Homoeopathic Medical College,

Vidyagram, At &
post-Dahemi, Ta-Borsad, Dist- Anand-388560.

Gujarat

Pvt

60.

Shri
Swaminarayan Homoeopathy College, Ahmedabad-Mehsana National Highway, AT & PO-

Saij, Kalol District Gandhinagar, Gujarat, Gujarat

Gujarat

Pvt

61.

Merchant Homoeopathy Medical College and
Hospital, Mehsana, Gujarat

Gujarat

Pvt

62.

JR Kisan Homeopathic Medical College &
Hospital, Rohtak-124001

Haryana

Pvt.

63.

Solan Homoeopathic Medical College & Hospital, Barog Bypass,
Kumarhatti, Solan-173229

Himachal Pradesh

Pvt.

64.

State Homoeopathic Medical College, Godda,
Jharkhand

Jharkhand

Govt

65.

Govt. Homoeopathic Medical College, Dr Siddaiah

Puranik Road, (Near
Govt. Medical Stores, Basaweshwara Nagar, Bengaluru-560079.

Karnataka

Govt.

66.

Dr
Malkareddy (old HKE’s) Homoeopathic Medical College and Hospital, Medical
College

campus, Kalaburgi, Gulbarga-585105

Karnataka

Pvt

67.

A.M. Shaikh Homoeopathic Medical College, Nehru
Nagar, Belgaum – 590 010.

Karnataka

Pvt

68.

Yenepoya
Homoeopathic Medical College & Hospital, S No-29,30,31, Naringana Village, Post-

Deralakatte(Mangalore), Talk-Bantwal, District Dakhin Kannada, Karnataka-575018.

Karnataka

Pvt

69.

KLE Academy of Higher
Education & Research,

JNMC Campus, Nehru Nagar, Belagavi-590010, Karnataka.

Karnataka

Pvt

70.

Alva's Homoeopathic Medical College, Alva's
Hospital Road, Moodbidri - 574227, Dakshin

Kannada, Karnataka

Karnataka

Pvt

71.

Father Muller’s Homoeopathic Medical College
& Hospital, University Road, Deralakatte, Mangalore

– 575018.

Karnataka

Pvt

S.NO

Name of the College

State

Ownership

72.

Rosy Royal
Homoeopathic Medical College & Hospital, Mallapura, Nelamangala, Bangalore-

562162, Karnataka

Karnataka

Pvt

73.

Bhagwan Buddha
Homoeopathic Medical College & Hospital, Srinidhi Complex, Outer Ring Road, Mallathalli, Bengaluru - 560056

Karnataka

Pvt

74.

Bhartesh Homoeopathic Medical College & Hospital, B.C.188, Old P.B.
Road, Belgaum – 590016.

Karnataka

Pvt

75.

Dr B.D.Jatti Homoeopathic Medical College &

Hospital, PG Research Centre, D.C. Compound, Dharwad – 580001

Karnataka

Pvt

76.

Sri Satyasai Homoeopathic Medical College &

Hospital, Karnataka High School, Regal
Circle, Dharwad- 580001

Karnataka

Pvt

77.

A.G.M. Homoeopathic Medical College
& Hospital, Navagrha Teerth Kshetra, Varur-Hubli, Karnataka

Karnataka

Pvt

78.

Aadhar's (Shri
Shiv Basav Jyoti)Homoeopathic Medical College & Hospital, CTS No.

10564A(P)M, M Extension, Next
to Vidhyadhiraj Sabhagraha Ramachandra, Belgaum - 590010.

Karnataka

Pvt

79.

SVE Trust
Veeerbhadreswara Homoeopathic Medical College, Karnataka

Karnataka

80.

BVVS Homoeopathic Medical
College & Hospital, Bagalkot -587101

Karnataka

Pvt

81.

Govt. Homoeopathic Medical College, Iranimuttom, Thiruvananthapuram -695009.

Kerala

Govt

82.

Govt.
Homoeopathic Medical College, Karamparamba, Distt.Kozhikode – 673010.

Kerala

Govt

83.

Dr Padiar Memorial Homoeopathic Medical College &
Hospital, Chottanikkara,
P.B.No.1,Distt. Ernakulam – 682312.

Kerala

Govt-Aided

84.

National Homoeopathy Research Institute in Mental Health (NHRIMH) at CRI (H), Kottayam, Kerala

Kerala

Govt

85.

Shri Vidyadhiraja Homeopathic Medical College, P.O.Nemom, Thiruvananthapuram-695020

Kerala

Govt-Aided

86.

Athurasramam
N.S.S. Homoeopathic Medical College, Sachivothamapuram, Kottayam – 686532.

Kerala

Govt-Aided

S.NO

Name of the College

State

Ownership

87.

Govt. Homoeopathic Medical College and Hospital, MACT HILLS, AYUSH Campus, beside
Kalia Sot

Dam, Chuna Bhatti,
Bhopal-462003 (M.P.)

Madhya Pradesh

Govt.

88.

Narayan Shree
Homoeopathic Medical College & Hospital, Pushpa
Nagar, Near Bhopal Railway

Station, Bhopal - 462 010

Madhya Pradesh

Pvt

89.

Ayushmati Education & Social Society,202, Ganga Jamuna Complex, Zone-I, M.P Nagar,
Bhopal- 462016; Madhya
Pradesh, [Ram Krishna
College of

Homoeopathy, Gandhi Nagar,
Bhopal]

Madhya Pradesh

Pvt

90.

R.K.D.F Homoeo.Medical College, Hospital &
Research Centre, NH-12,
Hoshangabad Road, Bhopal

Madhya Pradesh

Pvt

91.

Mahatma
Gandhi Homoeopathic Medical College &
Hospital, Delite Talkies Campus, Near Main

Railway Station, South
Civil Lines, Jabalpur(MP)

Madhya Pradesh

Pvt

92.

Anushree Homoeopathic Medical College, 112 Near Samdariya, Green City, Kashodhan Nagar,
Madhotal , Jabalpur-482002

Madhya Pradesh

Pvt

93.

Hahnemann Homoeopathic Medical
College &

Hospital, New Jail Bye Pass Road, Karond, Bhopal - 462038.

Madhya Pradesh

Pvt

94.

Shri
Gujarati Samaj Homoeopathic Medical College, Hospital & Research Centre
Scheme

No.54, A.B. Road,
Indore - 452010

Madhya Pradesh

Pvt

95.

Rani Dullaiya Smriti
Homoeopathy Medical College

and Hospital, Bhopal, Barkhedi kalan
Bhadbhada Road, Bhopal.

Madhya Pradesh

Pvt

96.

K.S.Homoeopathic Medical College, Gwalior, Madhya Pradesh

Madhya Pradesh

Pvt

97.

District Homoeopathic Medical College & Hospital,475 & 478,
Katju Nagar, Ratlam-457001

Madhya Pradesh

Pvt

98.

Y.M.T. Homoeopathic Medical College and Hospital, P.G. Institute, Institutional Area, Sector-4, Khargar, Navi Mumbai
- 410210.

Maharashtra

Pvt

99.

Dr M.L. Dhawale Memorial Homoeopathic Institute, Opp. S.T. Workshop, Palghar Boisor Road,

Palghar-401 404 (M.S.)

Maharashtra

Pvt

100.

Dhanwantari
Homoeopathic Medical College Hospital &
Research Centre, Dhanwantari Campus, Kamatwade, CIDCO, Nashik – 422 008

Maharashtra

Pvt

S.NO

Name of the College

State

Ownership

101.

Dhondumama Sathe
Homoeopathic Medical College, F.P.No.23, Off Karve Road, Pune –

411004.

Maharashtra

Pvt

102.

Kaka
Saheb Mhaske Homoeopathic Medical College & Hospital & P.G. Institute, Nagapur,

Bolhegaon Phata, Ahmednagar – 414111.

Maharashtra

Pvt

103.

Anantrao Kanase Homoeopathic Medical College &
Hospital , Junnar, Alephata, Pune-412411

Maharashtra

Pvt

104.

SNJB’s
Smt.Kanchanaburi Babulalji Abad Homoeopathic Medical
College, Neminagar,

Chandwad, Distt. Nashik
– 423 101.

Maharashtra

Pvt

105.

Dr D.Y.Patil Homoeopathic Medical College &
Research Centre, PIMPRI, Pune - 411 018

Maharashtra

Pvt

106.

Ahmednagar Homoeopathic Medical College &
Hospital, Savedi Road, Ahmednagar – 414003.

Maharashtra

Pvt

107.

Shri Jagat Guru
Panchacharya Edu. Society’s

Homoeopathic Medical College & Hospital, 200 E, Tararani Chowk, Kolhapur – 416003.

Maharashtra

Pvt

108.

Vamanrao
Ithape Homeopathic Medical College, New Nagar,
Sangamner, Distt. Ahmednagar-422605

Maharashtra

Pvt

109.

Smt. ChandaBen MohanBhai Patel Homoeopathic Medical College,Natakkar Ram Ganesh Gadkari

Marg, Irla , Vile Parle
(West), Mumbai – 400056

Maharashtra

Pvt

110.

Bharati Vidyapeeth's Homoeopathic Medical

College & Hospital,
Katraj, Dhankawadi, Pune- 411043

Maharashtra

Pvt

111.

Gulabrao Patil
Homoeopathic Medical College, 795, Gulabrao Patil
Eductional Campus, Near
Govt. Milk

Dairy, Miraj, Distt.

Maharashtra

Pvt

112.

KES,
LADP Homoeopathic Medical College
& Hospital, Bhatwadi, Balasaheb Khardekar Road,

Vengurla, Sindhudurg-416516.

Maharashtra

Pvt

113.

D.K.M.M. Homoeopathic Medical
College &

Hospital, Shree
Guru Ganesh Nagar,
Behind Bibi Ka Maqbara,
Aurangabad - 431 004.

Maharashtra

Pvt

114.

Motiwala
Homoeopathic Medical College & Hospital, Motiwala Nagar,Gangapur-Satpur Link

Road, Gangapur, Nashik
– 422 222.

Maharashtra

Pvt

115.

S.V.P Homoeopathic Medical College and Research Centre, Hingoli, Aurangabad, Maharashtra.

Maharashtra

Pvt

S.NO

Name of the College

State

Ownership

116.

Janseva
Mandal’s Sai Homoeopathic Medical College, Dugad Phata,
Tq.Bhiwandi, Distt. Thane

Maharashtra

Pvt

117.

Dr.J.J. Magdum Homoeopathic Medical College, Jayasingpur, Shirol, Distt. Kolhapur - 416 101.

Maharashtra

Pvt

118.

Sahakar Maharshi (Baliraja Shikshan Prasarak Mandal’s) Padmashri Shyamraoji Kadam

Homoeopathic Medical College, CIDCO, New
Nanded – 431603

Maharashtra

Pvt

119.

Guru Mishri
Homeopathic Medical College
& Hospital, Shelgaon, Tq Badnapur, Distt
Jalna-

4310202 (M.S,)

Maharashtra

Pvt

120.

Gondia Homoeopathic Medical College
& Hospital, Surya Tola ,Gondia-441614

Maharashtra

Pvt

121.

Purushottam Das
Bagla Homoeopathic Medical College and Hospital, Bagla Nagar, Babupeth,

Chandrapur – 442 403.

Maharashtra

Pvt

122.

Samarth
Edu. Trust's Homoeopathic Medical College &
Hospital A.M.1/1 Additional MIDC

Dagaon Road Satara - 415004

Maharashtra

Pvt

123.

Shri Takhatmal, Shrivallabh Homoeopathic Medical College, Homoeo. Sadan,
Rajapet, Amravati

Maharashtra

Pvt

124.

Vasantrao
Kale Homoeopathic Medical College & Hospital , P-12, M.I.D.C. Kallam Road,
Latur – 413531.

Maharashtra

Pvt

125.

Foster Developments
Homoeopathic Medical College, N-5,
CIDCO, Gulmohar Colony,

Aurangabad - 431001.

Maharashtra

Pvt

126.

K.E.S
C.H.Keluskar Homoeopathic Medical College & Hospital, Alibag, Distt.
Raigad-402 201.

Maharashtra

Pvt

127.

Adarsh Shikshan Sanstha's

Sonajirao Kshirsagar Homoeopathic Medical Vidyanagar(W), Beed - 431122.

Maharashtra

Pvt

128.

Sharad Chandra Homoeopathic Medical College, Ahmednagar, Maharashtra

Maharashtra

Pvt

129.

Vidya Vaibhav Dapoli
Homoeopathic Medical College, at Apti, P.O.
Talsure, Dapoli, Distt.

Ratnagiri-415712

Maharashtra

Pvt

130.

Nootan Homoeopathic Medical College &
Hospital, Gat. No-412,
Landgewadi, Tal.Kavethemahankal,

Sangli, Maharashtra.

Maharashtra

Pvt

S.NO

Name of the College

State

Ownership

131.

Atal
Bihari Vajpayee Homoeopathic Medical College, at Jalke(BK), Ahmednagar, Maharashtra.

Maharashtra

Pvt

132.

Sh. Chamundamata Homoeopathic Medical College &
Hospital, Plot No.9,10,11, Gayatri Nagar, Near

Telephone Nagar, Distt.
Jalgaon-425201

Maharashtra

Pvt

133.

P.D.Jain
Homoeopathic Medical College & Hospital, Vakil
Colony, Parbhani - 431401.

Maharashtra

Pvt

134.

Sayali Charitable Trust
College of Homoeopathy, Gut No. 141, 150, 55, Mitmita,
Nashik Road,

Aurangabad, Maharashtra.

Maharashtra

Pvt

135.

Godawari Foundation Dr. Ulhas Patil
Homoeopathic

Medical College, Godavari Hospital, M.J. College
Road, Distt.
Jalgaon-425001.

Maharashtra

Pvt

136.

L.M.F. Homoeopathic Medical
College, Near elpro Company, Behind
PCMC Auditorium, Chinchwad, Pune – 411033.

Maharashtra

Pvt

137.

Panchsheel Homoeopathic Medical
College &

Hospital, Civil Line, Khamgaon, Distt.- Buldhana - 444
303.

Maharashtra

Pvt

138.

Shri Bhagwan Homoeopathic Medical College, and Indira Gandhi
Memorial Hospital, CIDCO
N-6,

Aurangabad – 431003, Maharashtra

Maharashtra

Pvt

139.

Late Mrs Housabai Homoeopathic Medical College

& Hospital,
Nimishirgaon, Kolhapur District, Maharashtra

Maharashtra

Pvt

140.

North East
Institute of Ayurveda and Homoeopathy, Shillong

Meghalaya

Govt

141.

Dr Abhin Chandra Homoeopathic Medical College

& Hospital, Unit III,
Kharavela Nagar, Bhubaneshwar – 751001
Distt. Puri.

Orissa

Govt

142.

Odisha Medical College of Homoeopathy & Research, Majhipali, Sasan,
Distt.Sambalpur – 768

200.

Orissa

Govt

143.

Biju Pattnaik Homoeopathic Medical College, Behrampur –
760001, Ganjam, Orissa

Orissa

Govt

144.

Utkalmani Homoeopathic Medical College &
Hospital, Nayabazar, Rourkela – 769010.

Orissa

Govt

145.

Lord Mahavira Homoeopathic Medical College
&

Hospital, Dr
Hahneman Chowk, Kitchlu Nagar, Civil Lines, , Ludhiana – 141001.

Punjab

Pvt

S.NO

Name of the College

State

Ownership

146.

Homoeopathic
Medical College, Abohar, Hanumangarh Road,
Near bye pass,

Abhohar- 152 116.

Punjab

Pvt

147.

Mangilal Nirban
Homoeopathic Medical College & Research Instt., M.N.
Hospital Campus, Near Dr.

Karan Singh Stadium, Bikaner-334001

Rajasthan

Pvt

148.

Rajasthan Vidyapeeth
Homoeopathic Medical College Vidyapeeth Campus, Dabok,Udaipur-313

022

Rajasthan

Pvt

149.

Dr. M.P.K.Homeopathic Medical College, Hospital

& Research Centre, Station
Road, Jaipur – 302 006.

Rajasthan

Pvt

150.

Madhav Homoeopathic Medical College and
Hospital, Madhav Hills,
Sirohi, Rajasthan.

Rajasthan

Pvt

151.

Shri
Ganga Nagar Homeopathic Medical College, Near RIICO,
Hanuman Garh Road
Sri Ganga Nagar– 335002.

Rajasthan

Pvt

152.

Swasthya Kalyan
Homoeopathic Medical College and Research Center,
10A, Swasthya Kalyan

Bhawan, Sitapura Institutional Area, Tonk Road, Jaipur-302004.

Rajasthan

Pvt

153.

Arogya Homoeopathic Medical College. Naila,
Jaipur - 303012, Rajasthan

Rajasthan

Pvt

154.

Govt. Homoeopathic Medical College & Hospital, Thirumangalam, Distt. Madurai - 625 706.

Tamil Nadu

Govt

155.

Sarada Krishna
Homoeopathic Medical College, Kulasekharam, Distt.Kanyakumari - 629161

Tamil Nadu

Pvt

156.

Vinayaka Mission's Homoeopathic Medical College

& Hospital, Sankari Main Road (NH-47), Seeragapadi, Salem- 636308.

Tamil Nadu

Pvt

157.

Venkateswara Homoeopathic Medical College
& Hospital, 6/177-A, Mount Poonamallee Road,
Porur,

Karambakkam, Chennai - 600116

Tamil Nadu

Pvt

158.

Maria Homoeopathic Medical College & Hospital, Perai, Thiruvattar, Kanyakumari,
Tamil Nadu-

629177.

Tamil Nadu

Pvt

159..

White
Memorial Homoeopathic Medical College, Attoor, Veeyannoor Distt. Kanyakumari – 629 177.

Tamil Nadu

Pvt

160.

Sri Sairam Homoeopathic Medical College & Research Centre, Sai Leo
Nagar, West Tambaram,

Tamil Nadu

Pvt

S.NO

Name of the College

State

Ownership

Chennai-600044

161.

Dr Hahnemann Homeopathic Medical
College & Research Centre, Koneripatty, Rasipuram,

Namakkal Distt.-637408

Tamil Nadu

Pvt

162.

Excel Homoeopathy Medical
College, Ranganoor

Road, Paalkapalayam Village, Sankari West psot- 637303, Namakkal district,
Tamil Nadu

Tamil Nadu

Pvt

163.

R.V.S. Homoeopathic Medical College, 242
B Trichy Road,
SULUR Coimbatore – 641 402

Tamil Nadu

Pvt

164.

Sivaraj Homoeopathic Medical College & Research

Institute, Siddhar Kovil
Road, Thumbanthulipatty, Salem
- 636 307

Tamil Nadu

Pvt

165.

Jaisoorya
Potti Sreeramulu Govt.Homoeopathic Medical College, Ramanthapur, Hyderabad-500 013

Telangana

Govt

166.

Jeeyar Integrated Vwedic
Academy, Sri Ram
Nagar,

Muchintal Road, palmakol P.O, Shamshabad, Hyderabad, Telangana- 509325

Telangana

Pvt

167.

MNR Education Trust, Bhagyanagar Colony,
Madhapur, Hyderabad, Telangana 500081

Telangana

Pvt

168.

Devs Homoeopathic Medical College, Devnagar, R R Distt.,
Andhra Pradesh

Telangana

Pvt

169.

Shreeyan Ishan Education
Society- Hamsa Homoeopathy Medical College, Hospital And

Research Centre, Ksheersagar village, Mulugu Mandal, Telangana

Telangana

Pvt

170.

State Lal Bahadur Shastri
Homoeopathic Medical College & Hospital, 24,Chaitham Lines,

Phaphamau, Allahabad – 211 002

Uttar
Pradesh

Govt

171.

State National Homoeopathic
Medical College & Hospital, 1, Viraj Khand,
Gomti Nagar, Lucknow –

226001.

Uttar
Pradesh

Govt

172.

Pt. Jawaharlal Nehru
State Homoeopathic Medical College, Block – A/1, Scheme – 38, Lakhanpur, Kalyanpur, Kanpur, UP

Uttar
Pradesh

Govt

173.

State K. G. K. Government Homoeopathic Medical College,
Moradabad, UP

Uttar
Pradesh

Govt

S.NO

Name of the College

State

Ownership

174.

State Shri
Durgaji Homoeopathic Medical College & Hospital, Chandeshwar, Azamgarh – 276
128.

Uttar
Pradesh

Govt

175.

State Dr. Brij Kishore Homoeopathic Medical College & Hospital, Deokali, Faizabad – 224 001.

Uttar
Pradesh

Govt

176.

State Ghazipur Homoeopathic Medical College, Rauza, Ghazipur,
UP

Uttar
Pradesh

Govt

177.

Government Homoeopathic Medical College and Hospital, Kasimpur Road, Chherat, Aligarh-202122.

Uttar
Pradesh

Govt

178.

State Homoeopathic Medical College and Hospital, Barhalganj, Gorakhpur-273402.

Uttar
Pradesh

Govt

179.

Bakson Homoeopathic Medical College, Plot

No.36B, Knowledge Park,
Phase-I, Greater NOIDA,
Distt.-Gautam Budh Nagar-201306

Uttar
Pradesh

Pvt

180.

Chandola
Homoeopathic Medical College & Hospital, Kichha
Road Rudrapur P.O
Lalpur District

U.S.Nagar, Nainital, Uttrakhand- 263148

Uttarakhand

Pvt

Syllabus

Bachelor of
Homeopathic Medicine and Surgery (BHMS) is a five-year undergraduate course
that provides training in Homeopathy.

Given below is the Syllabus
for B.H.M.S. (Direct
Degree) Course according to
the HOMOEOPATHY (DEGREE COURSE) B.H.M.S. REGULATIONS, 1983 (As Amended up to
June 2005).

INTRODUCTION

The basic objective
of education and training in a Homoeopathic institution is to prepare a competent Homoeopathic Physician who is capable of functioning independently and effectively under
Rural and Urban setups.

In order to achieve
this, the following
syllabus and curriculum have been designed:-

A.
Sound
Foundation:-

To function
effectively as a Homoeopathic physician
a thorough grasp of medical
concepts is imperative. For this, the educational process shall be perceived as an integrated evolving process and not
merely as an acquisition of a large number of
disjointed facts.

A
student shall have to pass through a Training procedure that encompasses the above well, right from Ist BHMS to IV BHMS
and also during the internship period.

He shall undergo an education process wherein
learning of Facts and Concepts right from 1st
Year is in continuity, in an evolutionary
& progressive pattern. In 1st BHMS, students shall study the fundamental principles of
Homoeopathy and will also learn more of applied
anatomy than a multitude
of minor anatomical details.

In
IInd BHMS, a student shall be exposed to very vital concepts of susceptibility and symptomatology with Analysis-Evaluation and details of the Homoeopathic concepts, old logic of Homoeopathy. These will attain much
deeper significance (if care is taken
by teachers of pathology and Organon-Philosophy) when the current knowledge of INFLAMMATION, IMMUNITY, is
correlated well with concepts of susceptibility.

In IIIrd BHMS, there is an opportunity
to fortify the foundation at the best by correlating the Theory of Chronic
Diseases and the Pathophysiological facts on Gynecology, Surgery, and Medicine.
A student shall have to be taught the spectrums
of various diseases in correlation with the spectrum of miasmatic
manifestations. He will then be able to use a well-concluded EVALUATION ORDER OF Characteristics to derive an Operationally valid reportorial Totality.

The knowledge
gathered in this pattern will keep him constantly aware of his objectives
and his role as a Homoeopathic Physician. The integration will eliminate the state of confusion. The Therapeutics
Actions then will be right and complete, utilizing
the full repertories of the Medicinal and Non-medicinal measures, keeping him up-to-date about all fresh scientific developments and inculcating values of continuous Medical Education.

B.
Execution:-

Maximum
emphasis shall be placed on the applied aspects of all the subjects. Thus teachings
of Anatomy, Physiology, and Biochemistry will demand greater
emphasis on applied aspects of these
sciences. The teaching of Pathology will demand a sharp focus on general Pathology, while Regional Pathology will come up as
an application. It shall require
correlation with Medicine, Surgery, and Gynecology. All these need to be studied
from a Homoeopathic perspective, hence the emphasis on the applied aspect of Organon Philosophy & Homoeopathic
Therapeutics representing application to all
other subjects.

C.
Inter-Departmental Co-ordination:-

Essentially,
the entire approach becomes an integrated approach. All departments shall develop
a cohesive well defined program
that demands marked inter-departmental coordination.

It is therefore desirable
to have teaching programs wherein,
by rotation, each department
participates in the teaching coordinating well with the other faculties with constant updating and evaluation. The
coordination has to be in the way given in
the text under each subject inside these Regulations. This will ensure
fundamental and exceptional clarity.

D.
Deductive-Inductive Teaching:-

While teaching, there shall be balance in
designing deductive and inductive processes in
mind. There shall be less emphasis on didactic lectures. A major portion of the time of the
students shall be devoted to demonstrations, group discussions, seminars, and clinics.
Every attempt shall be made to encourage students to participate in all these
to develop their personality,
character, and expressions and to ensure their grasp of concepts rapidly.

E.
Patient-Oriented
Teachings:-

In
order to impart integrated medical education the PATIENT has to be in the
Centre right from day one of the IInd BHMS.

The importance of social factors in relation to
the problem of health and disease shall receive
proper emphasis throughout the course and to achieve this objective, the educational process
shall be community as well as hospital-based.

Based
on the above concepts the course of studies, as laid down in these Regulations, will help to fulfill these needs. While doing so, the need of the hour, past experience in learning
and teaching is taken into
consideration.

ORGANON OF MEDICINE
AND PRINCIPLES OF HOMOEOPATHIC PHILOSOPHY &PSYCHOLOGY FIRST
B.H.M.S

INTRODUCTION TO THE SCIENCE OF HOMOEOPATHY

Organon-Philosophy
is a vital subject that builds up the conceptual base for the Physician. It illustrates those principles which when
applied in practice enable the Physician to obtain results, that he can explain rationally and repeats in
practice with greater competence. The Focus of Education and Training should be to build up the
conceptual base.

Homoeopathy should be introduced as a Complete Rational System of Medicine with its Holistic, Individualistic,
and Dynamistic approach to life, Health, Disease, Remedy, and cure.

In
order to achieve this, the study of logic, psychology, and the fundamentals of Homoeopathic Science
become quite important.

It
is imperative to have a clear grasp of Inductive-Deductive Logic, and its
application and to comprehend the
fundamentals of Homoeopathic Science. The homeopathic approach for the patients
is a Holistic approach. Science
demands the Homoeopathic Physician, to comprehend his
patient as a PERSON, his dispositional state of Mind (and Body), along with the disease process with its causes. Since
we lay great emphasis on knowing the mind, knowledge of psychology becomes imperative for a Homoeopathic Physician. This introduction to
Psychology will assist Homoeopathic students to build up their conceptual base in their
direction.

I.
Fundamental of Homoeopathic Science.

Preliminary lectures on the evolution of medicinal practice
by the ancients gave stress
to rationalistic and vitalistic thoughts.

  1. A short history
    of Hahnemann’s life and contributions.
  2. Brief life and
    contributions of early pioneers after
    Hahnemann.
  3. Brief study
    of the early history of spread of homoeopathy & position of Homoeopathy in various countries.
  4. Hahnemann’s
    Organon of Medicine from aphorism
    1 to 70.
  5. Fundamental Principles of Homoeopathy.
  6. Health: Hahnemann’s and modern concept.
  7. Introductory lectures
    on diseases, their classification, drug diseases, case taking and drug proving.

II.
Logic

The
term ‘Logic’ means ‘though’ ‘reason’ ‘Law’ and is used to denote the totality
of rules to which the process of
thought is subjected, a process that reflects the reality. It is also used to denote the science
of the rules of reasoning and the
forms in which it occurs.

As
discussed earlier, to comprehend ORGANON-PHILOSOPHY, it is essential to
acquaint with an understanding of
LOGIC in order to grasp inductive-deductive reasoning.

III.
Introduction to Psychology.

  1. Definition of Psychology – as a Science and its differences from
    other Sciences. Concept of Mind –
    Contemporary schools of psychology with special reference to Behaviouristic and psychoanalytic approaches.
  2. The scientific study of behaviour, intelligence, cause–effect relation
    – behaviouristic (Pavlov, Watson, Skinner) and dynamics of behaviour (Freud and Neo Freudians).
  3. Basic concepts
    of sensation, perception, illusion, Hallucination, Delusion,
    Image, Intelligence, aptitude, attention, thinking and memory.
  4. Emotion, motivation, personality, anxiety, conflict,
    frustration, psychomatic manifestations and dreams.
  5. Developmental psychology – normal developments since birth to maturity (both
    physical and psychological) and deviations – its
    effects on later behaviour.

*The attempt should be made to make a student receptive
to various terms in the teachings of Materia Medica and Homoeopathic Philosophy.

II. B.H.M.S.

- IN THREE SECTIONS-

Section 1

Hahnemann’s
Organon of Medicine Aphorism: 1 to 145

The purpose
of Homoeopathic case taking is not merely the collection of symptoms but comprehending
the PERSON IN WIDER DIMENSIONS with the
correct appreciation of the factors
responsible for the genesis and maintenance of illness i.e. Fundamental
Cause, PREDISPOSING CAUSE,
MAINTAINING CAUSE & ONE SIDED DISEASES.

There should be compulsory case taking term for each student wherein
he learns to ‘build up PORTRAIT of the disease
by undertaking:-

  • Evolutionary study of the patient comprising of well-defined
    characteristics.
  • Studying individual in His life-span
    and in relation to his family environment and work.
  • Processing of the interview
    and the entire case so as to grasp the principles of MANAGEMENT of these patients.

He
should be taught to classify various symptoms which he has elicited in his case-taking. He puts down his evaluation
of those characteristics. His capacity for analysis and synthesis should evolve. In the appendix, the Analytical
paper for symptom classification and Evaluation is attached. If practised properly, has the potential to improve the analytical faculty of the student.

Physicians,
Teaching Staff, R.M.O. and House Staff shall spend enough time with the students and interns and scrutiny of their written
cases, discuss the mode of interview and process the case.

There
should be standardization in imparting training in ANALYSIS AND EVALUATION. Each Institute shall
keep the standard guidelines of Case – taking.

GUIDELINES ANALYSIS –EVALUATION OF OBJECTIVES OF ANALYSIS EVALUATION OF SYMPTOMS

  • To individualize
    the case so as to prepare an effective totality which allows us to arrive at the Similimum, prognosis the
    case, and advise management and impose necessary restrictions on the mode of life and diet.
  • To infer about
    state susceptibility by appreciating the quality of characteristics state of susceptibility and diagnosis
    of miasmatic state would allow physicians to formulate a comprehensive plan
    of treatment.
  • Order of evaluation
    of the characteristics, of the case would become a stepping stone for the reportorial
    totality.
  • CLASSIFICATION OF SYMPTOMS: Their scopes and limitations in
    arriving as a totality.

Symptoms
should not be considered superficially at its face value. It should be analyzed
and evaluated by taking into account the following factors.

  • Through a grasp
    of the underlying dynamics. (Psychological, Physiological, Pathological aspects).
  • This would demand
    thorough comprehension of the evolution of DISEASE, taking into account
    FUNDAMENTAL, EXCITING & MAINTAINING CAUSES.
  • Knowledge of socio-cultural background is quite imperative for correct analysis
    and evaluation. Details
    regarding SYMPTOMATOLOGY can be comprehended by referring to the
    classical books in philosophy.

The
Department of Organon & Philosophy while training in Case Taking shall
coordinate with various other
departments where student is sent for pre-clinical and clinical training. This would ensure not only streamlining of the clinical
Centres but also cultivate Homoeopathic perspective when student is attending other
special clinics.

EVALUATION-EXAMINATION

  1. Students’ performance shall be evaluated periodically. There shall
    be periodical card tests and internal
    (theory and practical) examinations in each academic year. The concerned teaching staff shall file
    his general report on the conduct of internal
    examinations and also on student’s
    performance, which shall be
    discussed in departmental and
    interdepartmental meetings.
  2. Each student appearing for II and III BHMS shall maintain one
    journal comprising of 20 cases (10
    short and 10 long cases) with complete processing of the case material
    for each examination, which shall be evaluated by the head of the department.
  3. There shall be provisions for the internal assessment of all these
    examinations and journal work in
    the Final II and III BHMS
    examinations respectively.

III. BHMS

When a student
enters the third year, he has already grasped the basic Sciences of Anatomy, Physiology, and Pathology and has been
introduced to Clinical Medicine, Surgery, Gynaecology, and Obstetrics.

Organon
including Philosophy is the subject that builds up the conceptual base for the physician. It illustrates those principles
which when applied in practice enable physician to obtain results which he can explain rationally and repeats them
in practice with greater competence.
Focus of the Education & Training should be to build up this conceptual
base. This can be delivered
effectively if there is proper integration of various disciplines, various knowledge
throughout the subject of ORGANON-PHILOSOPHY.

(I)
HAHNEMANN’S THEORY
OF CHRONIC DISEASE

Proper
emphasis should be made on the way in which each miasmatic phase evolves and
the characteristic expressions which are thrown off at various level. This will bring out the characteristic
PATTERN of each miasm. A definite attempt should be made to understand the theory of CHRONIC MIASM in the light of
our knowledge of basic sciences of ANATOMY,
PHYSIOLOGY, PATHOLOGY & MEDICINE. This would demand CO-RELATION OF

HOMOEOPATHIC PHILOSOPHY with allied sciences.

Teachers should bring out clearly therapeutic implications of the THEORY OF CHRONIC
MIASM in practice. This will demand comprehension of the EVOLUTION OF
NATURAL DISEASE from a miasmatic angle.
This will require to be correlated with applied Materia Medica. Here you demonstrate how various drugs would come up in
Psoric, Sycotic and Syphilitic state of the clinical
diseases.

Thus ORGANON
& PHILOSOPHY will bring out effectively integration of Anatomy, Physiology Psychology, Pathology, Clinical
Medicine, Materia Medica and Therapeutics. This would demand greater interdepartmental coordination.

(II)
HAHNEMANN’S ORGANON
OF MEDICINE Vth & VIth EDITIONS

(including Aphorism 1 to 294).

  • Kent’s lectures,
    Robert and Stuart's close works in
    Philosophy.
  • POSOLOGY.
  • DIET, ANCILLARY
    MODE OF TREATMENT.
  • INTRODUCTION OF REPERTORY.

Students
should maintain a journal of 20 cases wherein thoroughly worked out cases from
their clinic attendance would be there.

Cases should demonstrate the student’s
work on CASE TAKING - CASE ANALYSIS-
EVALUATION-DISEASE, DIAGNOSIS-MIASM-POSOLOGY-REMEDY SELECTION.

IV.
BHMS

Here
the focus is on applied aspect of Organon & Philosophy. Maximum emphasis
shall be given on practice-oriented teaching
of Organon and Philosophy.

This can be effectively achieved
by studying the various cases taken by students in OPD & IPD.

Case analysis,
evaluation and synthesis
takes into account
the application of the entire ORGANON from Aphorism 1 to 294 and all
principles of Philosophy as illustrated in I, II, III BHMS.

More
emphasis to be given on case taking, case analysis, evolution, posology
miasmatic diagnosis, potency
selection and repetition of doses, second prescription, diet, regimen and other pressures with the principle of
management during OPD and IPD visits, so that the students can have the practical
knowledge of the treatment and management of the patient.

The following topics shall
be taught during
IV BHMS in depth:-

  1. History of Medicine.
  2. History of Homoeopathy, its spread to different countries.
  3. Life and living environment.
  4. Concepts of health and factors modifying it.
  5. Concept of susceptibility and vital reaction.
  6. Concept of disease and totality of symptoms.
  7. Concepts of Drug, Medicine
    and Remedy.
  8. Concept of Cure and Disease and Drug relationship.
  9. Scope and limitations of different modes of employing
    medicines in disease
    Antipathy, Allopathy and Homoeopathy.
  10. Various methods
    of classification and evaluations of symptoms common and characteristic General and particular.
  11. Concepts of incurable
    disease, suppression and palliation.
  12. Prophylactics.
  13. Scope and limitations of Homoeopathy.
  14. Remedy response, prognosis after administration of a remedy.
  15. Principles and criteria
    for repetition and selection of potency.

Paper I – Topics from 1-15

Paper II- Topics from Kent’s lectures, Stuart Close and Roberts Philosophy, Case taking at beside.

APPENDIX

The purpose of Homoeopathic Case taking is not merely collecting the symptoms but comprehending the person in wider dimensions, with correct appreciation of the causes
for the illness.

The
adequacy in Case Taking and Physical examination should be judged from the
following angle:-

  • To carry out
    successful individualization of the case and to conclude about state of the susceptibility.
  • Finding out a simillimum with correct potency
    and doses.
  • Prescribing proper diet to the patient.
  • Advising the management of the case.
  • The pathology
    and homoeopathic prognosis.

Anatomy and Physiology

Study of Normal Man in
Pre-clinical Period.

Human
economy is the most difficult of all sciences to study. Man is conscious
mentalised, living being and
functions as a whole. Human knowledge has become so vast that for precise comprehension of man as a whole
development of different branches of science like anatomy physiology and psychology was necessary.
But such a division is only an expedient; man
nevertheless remains
indivisible.

Consciousness,
life and its phenomena cannot be explained in terms of cell physiology or of quantum mechanics nor by physiological
concepts which in their turn are based on chemico- physical concepts.

Though
anatomy and physiology are hitherto being taught as entirely different
subjects, a water-tight barrier
should not be erected between them; structure (anatomy) and function (physiology) are but correlated aspects
and the physio-chemical processes are but an external expression of an inexplicable phenomenon which is
life.

So anatomy
and physiology shall
be taught with the
following aims:-

  • to provide
    for the understanding of the morphological, physiological and psychological
    principles which determine and influence the organism of the living
    body as a functioning unit;
  • to co-relate and
    interpret the structural organism and normal physiology of the human body and thus to provide the data on
    which to anticipate disturbance of functions;
  • to enable the
    student to recognize the anatomical
    and physiological basis of the
    clinical signs and symptoms of disorders due to injury, disease and mal development;
  • similarly, to give the student to understand the factors involved
    in the development of pathological processes and the possible
    complications which may arise there from;
  • to give the
    student such knowledge on pre clinical subjects as will enable him ultimately to employ competently and rationally all the ordinary
    methods of

examination and treatment (including surgery) that may involve such knowledge; and

  • for enabling the
    student to pick out strange, rare and uncommon symptoms from pathognomonic symptoms for individualization of patients
    and drugs for the purpose
    of applying the law of similar
    in Homoeopathic practice.

Anatomy

Instructions
in anatomy shall be so planned as to present a general working knowledge of the structure of the human body. The amount of
detail which he is required to memorize should
be reduced to the minimum. Major emphasis should be laid on functional
anatomy of the living subject rather
than on the static structures of the cadaver, and on general anatomical positions and broad relations of the
viscera, muscles, blood-vessels, nerves and lymphatic. Study of the cadaver is only a mean to this end. Students should
not be burdened with minute anatomical details which have no clinical
significance.

Though
dissection of the entire body is essential for the preparation of the student
for his clinical studies, the burden
of dissection can be reduced and such saving of time can be effected, it considerable reduction of the
amount of topographical details is made and the following points:-

  1. Only such details as have professional of general educational value for the medical student should be presented to him.
  2. The purpose
    of dissection is not to create technically expert prosecutors but to give the student an understanding of the
    body in relation to its function, and the dissection
    should be designed to achieve this end, for example, ignoring of small and clinically unimportant blood vessels
    results in such clearer dissection and a much clearer
    picture of the main structures and their natural relationships.
  3. Much that is at present taught by dissection could be demonstrated
    as usefully through prepared dissected specimens.
  4. Normal radiological anatomy may also form part of practical
    training. The structure
    of the body should be presented linking functional
    aspect.
  5. Actual dissection should be preceded
    by a course of lectures on the general
    structure of the organ or the system under discussion and then its
    function. In this way anatomical and
    physiological knowledge can be presented to students in an integrated form and the instruction of the whole course of anatomy and physiology made more interesting, lively and practical.
  6. A good part of
    the theoretical lectures on anatomy can be transferred to tutorial classes
    with demonstrations.

A
few lectures or demonstrations on the clinical and applied anatomy should be
arranged in the later part of the
course. They should preferably be given by a clinician and should aim at demonstrating the anatomical basis of
physical signs and the value of anatomical knowledge to the clinician.

Seminars and group discussions to be arranged
periodically with a view or presenting different
subjects in an integrated manner.

Formal class room lectures to be
reduced but demonstrations and tutorials to be increased. There should be joint teaching-cum demonstration sessions with clinical
materials illustrating applied
aspect of Anatomy
in relation to clinical subjects.
This should be arranged once a fortnight and even form part of
series of introductory lectures if be needed.

There
should be joint seminars with the departments of Physiology and Bio-chemistry
and should be organized once a month.
There shall be a close correlation in the teaching of gross Anatomy,
Histology, Embryology and Genetics. The teaching of areas and systems in Anatomy, Physiology including Bio-chemistry shall be
integrated as far as possible.

THEORETICAL

A complete course of human anatomy with general working
knowledge of different
anatomical parts of the body. Emphasis
should be laid down on the general anatomical positions and broad relations
of the viscera, muscles, blood vessels, nerves and lymphatic,
Candidates should not be burdened with minute anatomical details of every description
which has no clinical significance.

Candidates
will be required to recognize anatomical specimen and to identify and answer questions on structures displayed in
recent dissections, to be familiar with the bones and their articulations including the vertebrae, the
skull and with the manner of classification of the long bones.

Emphasis will not be laid on minute details
except in so far as is necessary
to the understanding or in their application to medicine and surgery.
Candidates are expected to know the
attachments of muscles sufficiently to understand their action, but not be
precise- details of the origin and
insertion of every muscle. A knowledge of the minor details of the bones of the hand, foot, their
articulations and details of the small bones of the skull will not be required.

The curriculum of Anatomy should
be divided under
the following headings:-

  1. Gross Anatomy-to be dealt under the following categories:-
  • Introductory lectures
    with demonstrations.
  • Systematic series.

The study to be covered by deductive lectures,
lecture, demonstrations, surface
and radiological anatomy,
by dissection of the cadaver
and study of dissected specimen.
Knowledge thus obtained together with co-relation of facts should be
integrated into living anatomy.
Details of topographical relation should be stressed for these parts which are
of importance in general practice.

  • Superior extremity, inferior extremity, head, neck, thorax,
    abdomen and pelvis to be studied regionally and system by system (special
    reference to be made to development and its anomalies, regional, innervations, functional groups of muscles
    in relation to joints of otherwise and Applied Anatomy).
  • Endocrine organs
    with special reference to development and
    applied anatomy.
  • Development anatomy –
    General principles of development and
    growth and the effect of hereditary and environment
    factors to be given by lectures, charts, models and slides.
  • Neuro-anatomy,
    Gross anatomy of brain and spinal cord and the main nerve tracts.
    The peripheral nerves.
    Cranial nerves their relations course and distributions.

Autonomic nervous system-Development and anomalies, applied Anatomy.

The
study to be covered by lectures, lecture demonstrations of brain and cord, and
clinical co-relation.

N.B:- The practical study should proceed the
study physiology nervous system, Early co- relation with the
clinical course desirable.

  1. Micro anatomy
    (Histology) – Modern concepts of cell, epithelial tissue, connective tissue,
    muscular tissue, nervous
    tissue and systemic structure.
  2. Introductory Lectures:-
  • Modern conception of cell components and their functions, why a cell divides, cell division, types with their signification.
  • Genetic individuality:- (i) Elementary genetics
    definition, health and
    diseases, result of interaction between organism and its environments, utility of knowledge from a homoeopathic point of view.

(ii)
Mandel’s laws and their significances. (iii)Applied genetics.

  • Embryology.
  • General anatomy & Micro-anatomy.
  • Regional anatomy-Regional Anatomy shall be taught with emphasis on developmental anatomy, broad relationship,
    surface marking, Radiological anatomy, and applied anatomy.

(a) Extremities:-

(i). Skeleton, position
and functions of joints. (ii). Muscle groups,
lumber plexus,

  • Arterial supply,
    venous drainage, neurovascular bundles,
    lymphatic and lymph nodes, relation of nerves to bones.
  • Joints with
    special emphasis on lumbo-sacral, hip, knee and ankle joints, muscles producing movement, results of nerve injury.
  • Radiology of bones
    and joints. Classification, determination of age. (vi). Applied anatomy.

(vii). Surface marking of main arteries, nerves.

(b) Thorax:-

  • Skeleton of joints, of muscles, of chest wall-diaphragm, innervation of abdominal and thoracic respiration, different
    with age. The mammary gland,
    lymphatic drainage.
  • The pleura & lungs.
  • Arrangements
    structures in the mediastinum, heart, coronary artery great vessels, trachea, oesophagus, lymph
    nodes, thymus.
  • Radiology of heart, aorta,
    lungs, bronchogram.
  • Surface marking-pleura, lungs, heart-valves of heart, border,
    arch of aorta, superior venacava, bifurcation
    of trachea.
  • The abdominal
    wall-skin and muscles, innervation of fascia,
    peritoneum, blood vessels, lymphatics, autonomic ganglia and plexuses.
  • Stomach, small
    intestine, caecum, appendix, large intestine.
    (iii). Duodenum, pancreas, kidneys, uterus,
    supra-renals.
  • Liver and gall
    bladder.
  • Pelvis, skeleton
    and joints, muscles
    of the pelvis, organs internal
    and external genitalia in male and in the female, lumbosacral plexus,
    vessels, lymphatics, autonomic ganglia, and plexuses.
  • Blood vessels
    and nerve plexuses of abdomen and pelvis, the portal venous
    system.
  • Applied anatomy
    of referred pain, portal systemic anastomosis,
    catheterization of the urinary bladder
    in the male and female.
  • Surface marking
    of organs and blood vessels.
  • Scalp-Innervation, vascular
    supply middle meningeal artery.
  • Face-main muscles
    groups, muscles of facial expression muscles of mastication, innervation of skin and repair muscles,
    vascular supply, principles of repair scalp
    and face wrinkles.
  • The eyelids,
    eyeball, lackrymal apparatus, the muscles that move the eyeball.
  • The nasal cavity and nasopharynx, septum,
    conchae, paranasalsinus, Eustachian tube, lymphoid masses.
  • Oral cavity
    and pharynx.
  • Larynx and laryngeal part of Pharynx
    structure (No details)
    functions, nerve supply,
    larynage-scopic appearances.
  • Cervical vertebrae, joints of head and neck.
  • Structures of neck, sternomastoid, brachial plexus, main arteries and veins, disposition of lymph nodes,
    areas of drainage, phrenic nerve,
    thyroid gland and its blood supply, para-thyroid, the trachea, oesophagus. The position of the
    Sub-mandibular and sublingual salivary glands.
  • Teeth and dentition.
  • The external,
    middle and internal ear. (xi). Applied
    anatomy.

(c) Abdomen and pelvis:-(d) Head
and neck:-

(xii). Surface marking:
Parotid gland, middle meningeal artery, thyroid gland, common internal and external carotid arteries.

(e) Neuro anatomy:-

  • Meanings-functions of
  • Cerebrum-areas of localization, vascular
    supply basal ganglion,
    internal capsule.
  • Cerebellum-functions.
  • Pens, medullar
    midbrain, cranial nerves,
    palsies.
  • The cerebrospinal fluid formation, circulation function, and absorption.
  • (vi). Cranial nerves, origin, courses (with minimum anatomical details) areas of distribution;
  • The sympathetic and parasympathetic nervous
    system location, distribution, and function.
  • Applied anatomy of lumbar puncture, referred pain, spinal
    anesthesia, and increased intracranial
    pressure.
  • Histological study systemic

PRACTICAL

Demonstration of dissected parts/Dissection of the whole human body.

Identification
of histological specimen of tissues and organs viz, liver, kidney, lungs, thyroid, pancreas, spleen,
trachea, oesophagus, stomach, tongue,
intestine, large intestine, testes, every bone, adipose tissue, spinal cord, suprarenal gland, parotid
gland, anterior pituitary salivary glands,
skin, parathyroid gland, cerebellum, cerebral cortex, cardiac muscle.

The written
paper in Anatomy
shall be distributed as follows:-

Paper
I - Upper extremity, head, face, Neck, brain and Embryology Paper II - Thorax, abdomen, pelvis, lower extremity and Histology.

PHYSIOLOGY INCLUDING BIOCHEMISTRY

The purpose of a course in physiology is to teach the functions,
processes and inter-relationship of the different
organs and systems of the normal disturbance in disease and to equip the
student with normal standards of reference for use while diagnosing and treating deviations from the normal.
To a Homoeopath the human organism is an integrated whole of body
life and mind; and though life includes
all the chemico-physical processes it transcends them. There can be no symptoms
of disease without vital force
animating the human organism and it is primarily the vital force which is
deranged in disease. Physiology shall be taught from the stand point of description physical processes underlying them in health.

There
should be close co-operation between the various departments while teaching the
different systems. There should be
joint courses between the two
departments of anatomy and physiology
so that there is maximum
co-ordination in the teaching
of these subjects.

Seminars
should be arranged periodically and lecturers of anatomy, physiology and
bio-chemistry should bring home the point
to the students that the integrated approach is more meaningful.

THEORETICAL

Introductions

Fundamental phenomena of life. The cell and its differentiation. Tissues
and organs of the body.

Biochemical Principles

Elementary constituents of protoplasm, Chemistry
of proteins, carbohydrates and lipids, Enzymes.

Biophysical Principles

Units of concentration of ablutions, ions, electrolytes and non-electrolytes filtration, diffusion, ultrafiltration,
dialysis, surface tension, absorption, hydrotrophy, domain equilibrium colloid,
acid-base concentration.

Environmental Physiology

  1. Skin structure and functions.
  2. Regulations of body temperature hypothermia.
  3. General introduction and classification of muscle
    fibers.
  4. Excitation-construction coupling
    and molecular basis of construction.
  5. Properties of skeletal muscles
    and factors affecting
    development of tension.
  6. Energy metabolism of muscles.
  7. Structure and function of nerve
    cell.
  8. Bioelectric phenomena in the nerve and muscle. R.M.P., Action
    and its propagation, neuromuscular transmission.
  9. Classification and properties of nerve fibers.
  10. Wellerian degeneration, regeneration and reaction of degeneration.
  11. Composition and functions in general.
  12. Physiology of plasma proteins, normal values, E.S.R. & other blood indices.
  13. Physiology of
    R.B.C., W.B.C. and platelets formation, fate and physiological and functions of formed
    elements of blood.
  14. Body fluid compartments, their measurements, blood
    volume and its regulation.
  15. A.B.O. and RH Blood group systems.
  16. Lymphatics and R.E. system.
  17. Coagulation & haemostasis.
  18. Structure and properties
    of cardiac muscle.
  19. Generation and conduction of cardiac impulse,
    E.C.G. (Normal).
  20. Cardiac cycle with reference
    to pressure, volume changes, heart sounds etc.
  21. Heart rate and its regulations.
  22. Haemodynamics, B.P. and its regulation.
  23. Nervous and chemical control of blood vessel.
  24. Physiological basis of shock.
  25. Introduction, general
    organization.
  26. Mechanics of respiration, compliance.
  27. Pulmonary volumes
    and capacities.
  28. Pulmonary and alveolar ventilation
  29. Physical principles of gaseous exchange
    a transport of respiratory gases.
  30. Nervous and chemical control of respiration.
  31. Hypoxia, acclimatization, cyanosis, dyspnoea, asphyxia,
    abnormal respiration.
  32. Pulmonary function tests.
  33. Effect of high
    and low atmospheric pressure effect of respiration on circulation, artificial respiration.

Skeleton-Muscular SystemNerveBloodCardio Vascular System:
(C.V.S.)Respiratory SystemDigestive System

  1. General introduction, Organisation plan and evolutionary significance.
  2. Composition, function
    and regulation of salivary, gastric
    pancreatic intestinal and biliary’s secretions.
  3. Movements of G.I. tract.
  4. Absorption of G.I. tract.
  5. Physiology of Liver and Gall
    bladder structure and functions.
  6. General introduction, structure and
    functions of kidney.
  7. Mechanism of formation of urine.
  8. Mechanism of concentration and dilution of urine.
  9. Physiology of micturation.
  10. Physiology of pituitary, thyroid,
    parathyroid, pancreas adrenal cortex and adrenal medulla.
  11. Regulation of secretion of endocrine glands.
  12. Introduction in general and types of reproduction.
  13. Physiology of testes and ovaries.
  14. Physiology of menstruation, pregnancy and lactation.
  15. Placenta and its function, foetal circulation and respiration.
  16. General Organisation, structure and
    function of nerve cell and neuralgia.
  17. Cerebrospinal fluid.
  18. Physiology of synapse and receptor organs.
  19. Physiology of reflex
    action-classification properties etc. of reflexes.
  20. Sensory and motor tracts and effects
    of sections transaction & hemisection of the spinal
    cord.
  21. Spinal, decereberate and decorticate preparations
    and Regulations of posture and equilibrium.
  22. Reticular formation.
  23. Cerebellum and basal ganglia.
  24. Sensory and motor
    cortex.
  25. Physiology of voluntary movements.
  26. Higher functions
    of cortex: sleep and wakefulness, EEG, memory, speech, learning.
  27. Physiology of thalamus and hypothalamus and limbic system.
  28. Physiology of autonomic nervous system, peripheral and central mechanism.
  29. Physiology of taste and smell
    sensation.
  30. Ear-General anatomy,
    conduction of sound waves
    through external, middle
    and internal ear.
  31. Peripheral and central mechanism of hearing
    and auditory pathways.
  32. General anatomy
    refractory media and protective mechanisms in Eye.
  33. Formation, circulation and functions of aquous humor.
  34. Physiology of optics,
    Formation of image, accommodation errors of refraction, acuity of vision.
  35. Physiology of
    retina photographer functions, dark and light adoption, photochemistry of
    vision, colour vision.
  36. Visual pathway
    and effects of various levels.

Excretory SystemEndocrineReproductionCentral Nervous SystemSpecial SensesNutrition

1. Balanced diet and special
dietary requirements during pregnancy, lactation and grown.

BIOCHEMISTRY

Biochemical principles and elementary constituents of protoplasm Chemistry of proteins

Chemistry of carbohydrates Chemistry of lipids Enzymes
and vitamins

Metabolism of proteins, fats carbohydrates, minerals,
Biophysical process and their principles in relation to human body

LIST OF PRACTICALS IN PHYSIOLOGY

  1. Method of Collection of Blood.
  2. Haemoglobinometry.
  3. The Microscope-Construction; Use & Care.
  4. Total White Blood Cell Count.
  5. Differential WBC count.
  6. Packed Cell Volume.
  7. Packed Cell Volume.
  8. Calculation of Blood Indices.
  9. E.S.R.
  10. Bleeding Time.
  11. Clotting Time.
  12. Blood Groups.
  13. History taking and General
    Examination.
  14. Examination of Alimentary System.
  15. Examination of the cardiovascular system.
  16. Pulse.
  17. Determination of
    Arterial Blood Pressure in Humans and effect of posture, exercise and Cold stress.
  18. Clinical Examination of the Respiratory system, E.C.G.
  19. Stethography.
  20. Spirometry.
  21. Examination of Higher Functions.
  22. Cranial Nerves.
  23. Motor Functions.
  24. Reflexes.
  25. Sensory system.
  26. Recording of Body
    Temperature.
  27. Varieties of Stimuli: Faradic
    or induced and Galuanic or Constant Current Apparatus Used in the Laboratory.
  28. Excitability of Muscle.
  29. Effect of Graded Stimuli.
  30. Simple Muscle
    Twitch, Effect of temperature on the muscle.
  31. Effect of two successive stimuli on the Skeletal Muscle of Frog.
  32. Genesis of Tetanus.
  33. Fatigue.
  34. Effects of Fee and after Loading on Frog’s Gastrocnemius Muscle.
  35. Heart Block.
  36. Properties of Cardiac Muscle.
  37. Perfusion of Mammalian Heart and effect of various
    ions on it.
  38. Effect of stimulation of Vagosympathetic Trunk and Crescent on Frog’s Heart.
  39. Effect of Acetylcholine on Heart.
  40. Effect of Adrenaline on Frog’s Heart.
  41. Action of Nicotine on Frog’s Heart.
  42. Photokinetic stimulation, Ophthalmoscopy and Tonometry.
  43. Recording Mammalian
    blood pressure and respiration and study of factors influencing them.
  44. Specific Gravity
    of Blood.
  45. Gastric Analysis.
  46. Introduction to Biochemistry and familiarization with laboratory Instruments.
  47. Study of Disaccbarides-
    Lactose, Maltose & Sucrose.
  48. Study of Polysaccharides – Starch,
    Dextrin & Glycogen.
  49. Introduction of Proteins.
  50. Normal Urine report (Inorganic and Organic Constituents).
  51. Unknown solutions
    – Study.
  52. Quantitative &
    Estimation of Glucose
    in Urine.

LIST OF DEMONSTRATIONPRACTICAL IN BIOCHEMISTRYPaper-I

Elements
of Biophysics, Biochemistry, Blood and lymph, Cardiovascular system,
Reticuloendothelial system, spleen,
Respiratory system Excretory System, Skin, regulation of body temperature,
sense organs.

Paper-II

Endocrine organs, nervous system,
nerve muscles physiology, Digestive system and metabolism, Biochemistry of protein,
carbohydrate and lipoid,
enzymes, Nutrition.

Practical Examination

  1. Examination of Physical
    and chemical constituents of normal
    and abnormal urine (qualitative).
  2. Enumeration of total cell count of Blood (R.B.C.
    or W.B.C.) or differential
    count of peripheral blood or estimation
    of percentage of HB.
  3. Viva-voce on instruments and apparatus.
  4. Biochemistry examination of proteins/carbohydrate/lipoid.
  5. Experimental physiology.
  6. Laboratory Note-Book.
  7. Viva-voce on experiments.

Homoeopathic Pharmacy

Theory

Instruction
in Homoeopathic Pharmacy should be so planned as to present general working
knowledge of an industry and
dispensing various preparation. Major emphasis should be laid on evolution and relationship of Homoeopathic Pharmacy to
Organon and Materia Medica, the concept of drug Proving and Dynamisation.

The curriculum of Homoeopathic Pharmacy should be divided under
following headings:-

Part I:- Orientation to subject – elementary history
of Botany, Zoology
and Chemistry with rules of their nomenclature and their respective terminologies.

  1. (A) Explanation of terms like common names,
    synonyms, Hyponyms, typonyms, invalid names.
  • Advantages and disadvantages of Commercial names
    and botanical names.
  • Anomalies in the nomenclature of Homoeopathic Drugs.
  • Schools of Medicine: their discovery, principles pharmacology and Materia Medica, scope and limitations.
  • History of the art and science
    of Pharmaceutics.
  • Literature on Homoeopathic Pharmaceutics.
  • Sources of Homoeopathic Pharmacy.
  • Homoeopathic Pharmacy: its speciality and originality.
  • Importance of the knowledge
    of Pharmacy.
  • Sources of knowledge about curative powers
    of the technique of Drug proving in Homoeopathy.
  • Aspects of Pharmacy.
  • Relation of Pharmaceutics with other sciences.
  • Inter-relationship of different schools
    of Pharmacy with emphasis
    on relationship of Allopathic and Homoeopathic Pharmacy.
  • Properties of Drugs.
  • (a) Routes
    of Administration of drugs in general.
  • Routes of Administration of Homoeopathic remedies.
    1. Action of Drugs.
    2. Uses of Drugs.

    Part-II

    Explanation and definitions of:-

    • Foods, Poisons,
      cosmetics.
    • Drug substance, Drug, Medicine, Remedy.
    • Pharmacy, Pharmacology and Pharmacopoeia, Pharmacodynamics and other related
      terms used in relation to the subject.
      Homoeopathic Pharmacopoeia,

    Homoeopathic Pharmacy
    in relation to:-

    • Organon of Medicine Aphorism
      264 to 285.
    • Materia Medica.
    • National Economy.

    Pharmacy and Pharmacopoeia; its Sources and relation with other sciences. Classification of Homoeopathic Medicines according to
    their.

    • Botanical and
    • Zoological natural
      orders.

    English name of each medicine.

    Common
    names in Indian Languages like Assamese, Bengali, Hindi, Gujarati, Kannad,
    Konkani, Maithili, Malayalam,
    Marathi, Sanskrit, Tamil, Telgu, Urdu, Oriya etc. with emphasis on the students learning
    the common names of their
    region.

    Posology

    Homoeopathic Posology: Its logic,
    advantages and disadvantages. Potentisation: Its logic, scientificity and evolution and scales.

    Vehicles

    Scales for preparation of drugs

    Pharmacological Action of
    Polychrest medicines (50 medicine list attached) Abbreviations used
    in prescription writing.

    Legal part: legislation in respect
    of Homoeopathic Pharmacy, Drug and Cosmetic Act, Poison Act, Pharmacy Act.

    PRACTICAL

    • Identification, and uses of Homoeopathic Pharmaceutical instruments and appliances and their cleaning.
    • Identification of important Homoeopathic Drugs (vide list attached).
      • Macroscopic study of 30 drugs
        substances and listed
        in Appendix I,
      • Collection of 30 drugs substances for herbarium.
      • Microscopic study of two triturations up to 3x potency.
    • Estimation of moisture content
      of one drug substance with water bath.
    • Purity test of ethyl alcohol, distilled
      water, sugar of milk, including
      determination of specific
      gravity of distilled water and alcohol.
    • Estimation of size of globule, its medication of milk sugar and
      distilled water making of doses.
    • Preparation and dispensing and dilute alcohol
      solutions and dilutions.
    • Preparations of mother tinctures
      of 3 polycrests.
    • Preparations of trituration of 3 crude drugs upto 3X.
    • Preparation of mother tinctures
      and solutions other
      than 10 percent
      Drug strength.
    • Potentisation of 3 mother tinctures upto 6 decimal scale and 3 centesimal scale.
    • Trituration of 3 drugs upto 6x and their
      conversion into liquid
      potencies.
    • Preparation of external applications – one of each.
    • Writing of prescriptions
      and dispensing of the same.
    • Laboratory methods:-
    • Sublimation
    • Distillation
    • Decantation
    • Filtration
    • Crystallization
    • Percolation
    • Visit to a Homoeopathic Laboratory to study the manufacturing of drugs
      on a large scale.

    APPENDIX:

    PHARMACOLOGICAL ACTION

    List of Drugs included
    the Syllabus of Pharmacy for study of Pharmacological
    action (30)

    1. Aconite nap 16.
      Glononie
    2. Adonis vernalis 17. Hydrastis Can
    3. Allium cepa 18. Hyoscynamus n
    4. Argentum nit 19. Kali bich
    5. Arsenic alb 20. Lachesis
    6. Belladonna 21. Lihium
      carb
    7. Cactus G 22. Mercurius cor
    8. Cantharis 23. Naja t
    9. Cannabis ind 24. Nitric acid
    10. Cannabis sat 25. Nux vomica
    11. Cinchonna off 26. Passiflora incarnata
    12. Coffea crud 27.
      Stannum met
    13. Crataegus 28. Stramonium
    14. Crotalus hor 29. Symphytum
    15. Gelsemium 30. Tabacum

    LIST OF DRUGS FOR IDENTIFICATION

    VEGETABLE KINGDOM

    1. Aegle
    folia 2. Anacardium orientale

    3. Andrographis penniculata 4. Calendula
    offic

    5. Cassia sophera 6. Cinchonna
    off

    7. Cocculus
    indicus 8. Coffeea cruda

    9. Colocynth
    cittrallus 10. Crocus
    sativa

    11. Croton tig 12. Cynodon

    13. Ficus religiosa 14. Holerrhena antidysentrica

    15. Hydrocotyle 16.
    Justisia adhatoda

    17. Lobelia
    inflata 18. Nux vomica

    19. Ocimum 20. Opium

    21. Rauwolfia
    serpentine 22. Rheum

    23. Saraca
    indica 24. Senna (cassia acutifolia)

    25. Stramonium met 26. Vinca minor

    II.
    CHEMICALS

    1. Acetic Acid

    2. Alumina

    3. Argentum metallicum

    4. Argentum nitricum

    5. Arsenic alb

    6. Calcarea carb

    7. Carbo veg (charcoal)

    8. Graphitis

    9. Magnesium

    10. Mercury (the metal)

    11. Natrum mur

    12. Sulphur

    II.
    ANIMAL KINGDOM

    1. Apis malefic
    2. Sepia
    3. Blatta orientalis
    4. Tarentula cubensis
    5. Formica ruba

    HOMOEOPATHIC MATERIA
    MEDICA

    1. Homoeopathic
      Materia Medica is differently constructed as compared to other Materia Medica. Homoeopathy considered that study of the action of drugs on individual parts or systems of the body or on animal or their isolated organs is
      only a partial study of life processes under such action and that it does not lead us to a full appreciation
      of the action of the medicinal agent; the drug agent as a whole is lost
      sight of.
    2. Essential and
      complete knowledge of the drug action as a whole can be supplied only by qualitative synoptic drug experiments on healthy persons and this alone can make it possible to view all the scattered data in relation to the
      psychosomatic whole of a person and it is just such a person as a whole
      to whom the knowledge of drug
      action is to be applied.
    1. The Homoeopathic Materia Medica consists
      of a schematic arrangement of symptoms produced by each drug, incorporating no
      theories for explanations about their interpretation or inter- relationship. Each drug should be studied
      synthetically, analytically and comparatively, and this alone would enable a Homoeopathic student to
      study each drug individually and as a whole and help him to be a good prescriber.
    1. Polychrests and
      the most commonly indicated drugs for every day ailments should be taken up first so that in the clinical classes
      or outdoor duties the students
      become familiar with their applications. They should be thoroughly dealt with explaining all comparisons and relationship. Students should be conversant
      with their sphere or action and
      family relationship.

    The less common and rare drugs should be taught in outline, emphasizing only their most salient features and symptoms. Rare drugs
    should be dealt with later.

    1. Tutorials must be
      introduced so that students in small numbers can be in close touch with teachers and can be helped to study and
      understand Materia Medica in relation to its application in the treatment
      of the sick.
    2. While teaching
      therapeutics an attempt should be made to recall the Materia Medica so that indications for drugs in a clinical
      condition can directly flow out from the proving of the drugs concerned. The student should be
      encouraged to apply the resources of the vast Materia Medica in any sickness and not limit himself to memorize
      a few drugs for a particular disease. This Hahnemannian approach will not only help him in understanding the proper
      perspective of symptoms as applied and their
      curative value in sickness but will even lighten his burden as far as formal
      examination are concerned. Otherwise
      the present trend produces the allopathic approach to treatment of diseases and
      it contradictory to the
      teaching of Organon.

    Application of Materia Medica
    should be demonstrated from cases in the outdoor and hospital wards. Lectures
    on comparative Materia
    Medica and therapeutics as well as tutorials should
    be as far as possible be integrated with lectures on clinical medicine in the
    various departments.

    1. For the teaching
      of drugs the college should keep herbarium sheets and other specimens for demonstrations to the students. Lectures
      should be made interesting and slides of plants and materials may be projected.
    1. Introductory lectures:
      Teaching of the Homoeopathic Materia
      Medica should include:-
    • Nature and scope of Homoeopathic Materia
      Medica.
    • Sources of Homoeopathic Materia
      Medica.
    • Different ways of studying
      the Materia Medica.
    1. The drugs are to be taught under the following heads:-
      1. Common name, natural,
        order, habitat, part used, preparation.
      2. Sources of drug proving.
      3. Symptomatology of the drug emphasizing the characteristic symptoms
        and modalities.
      4. Comparative study of drugs.
      5. Complimentary, inimical, antidotal and concomitant remedies.
      6. Therapeutic applications (applied Materia
        Medica).
    1. A study of 12 issue
      remedies according to Schusler’s biochemic system of medicine.

    APPENDIX-I

    1. Acontile nap

    2. Aethusa cyan

    3. Allium cepa

    4. Aloe socotrina

    5. Antimonium crud

    6. Antimonium tart

    7. Apis malefic

    8. Argentum nit

    9. Arnica Montana

    10. Bryonia alb

    11. Chamomilla

    12. Cina 25. Silicea

    13. Colchicum autumn.

    14. Colocynthis

    15. Dulcamara

    16. Euphrasia

    17. Ipecac

    18. Ledum Pal

    19. Nux vomica

    20. Rhus tox

    21. Calcarea flour

    22. Calcarea phos

    23. . Calcarea sulph

    24. Ferrum phos

    25.

    APPENDIX-II

    Syllabus of Materia
    Medica for the II B.H.M.S.
    Examination.

    In addition to the list of drugs for the first B.H.M.S. Examination (Appendix I), the following additional drugs are included
    in the Syllabus of Materia Medica
    for the II B.H.M.S. Examination.

    EXAMINATION

    1.

    Acetic acid

    2.

    Actea recemosa

    3.

    Agaricus muscarius

    4.

    Agnus castus

    5.

    Alumina

    6.

    Ambra grisea

    7.

    Ammonium carb

    8.

    Ammonium mur

    9.

    Anacardium ori

    10.

    Apocynum can

    11.

    Arsenic album

    12.

    Arsenic iod

    13.

    Aurum met

    14.

    Arum triph

    15.

    Baptisia tinctor

    16.

    Berberris vulg

    17.

    Bismuth

    18.

    Borax

    19.

    Bromium

    20.

    Bovista

    21.

    Cactus g

    22.

    Calcarea ars

    23.

    Calendula

    24.

    Camphora

    25.

    Cantharis

    26.

    Chelidonium maj

    27.

    Conium mac

    28.

    Digitalis per

    29.

    Drosera

    30.

    Ferrum met

    31.

    Gelsemiun

    32.

    Helliborus

    33.

    Hepar sulph

    34.

    Ignatia

    35.

    Kali brom

    36.

    Kreosatum

    37.

    Natrum carb

    38.

    Nux
    moschata

    39.

    Opium

    40.

    Petroleum

    41.

    Phosphorus

    42.

    Phytolocca

    43.

    Platina met

    44.

    Sepia

    45.

    Spongia tost

    46.

    Veratrum alb

    47.

    Kali mur

    48.

    Kali phos

    49.

    Magnesia Ph

    50.

    Natrum sulph

    APPENDIX III

    In addition to the drugs mentioned in Appendix I&II, the
    following additional drugs are included in
    the syllabus of Materia
    Medica for the 3rd BHMS Examinations:-

    1. Actea spicata

    2.

    Adonis vernalis

    3. Antimonium ars

    4.

    Argentum metallicum

    5. Asafoetida

    6.

    Asterins rubens

    7. Baryta
    carb

    8.

    Belladonna

    9. Benzoic
    acid

    10.

    Bufo rana

    11. Caladium

    12.

    Calcarea carb

    13. Cannabis indica

    14.

    Cannabis sativa

    15. Carbo
    vegitabilis

    16.

    Causticum

    17. Crotalus hor

    18.

    Croton tig

    19. Cuprum
    met

    20.

    Cyclamen

    21. Diaoscorea villosa

    22.

    Equisetum

    23. Graphitis

    24.

    Hyoscymus n

    25. Hypericum

    26.

    Iodum

    27. Kali carb

    28.

    Kali sulph

    29. Kalmia latfolia

    30.

    Lachesis

    31. Lycopodium

    32.

    Mercurius sol

    33. Mercurius cor

    34.

    Mercurius sulph

    35. Moschus

    36.

    Murex

    37. Muriatic acid

    38.

    Naja t

    39. Natrum
    mur

    40.

    Natrum phos

    41. Nitric
    acid

    42.

    Onosmodium

    43. Oxalic
    acid

    44.

    Petroleum

    45. Phosophoric acid

    46.

    Physostigma

    47. Picric
    acid

    48.

    Plumbum met

    49. Podophyllum

    50.

    Pulsatilla

    51. Secale
    cor

    52.

    Selenium

    53. Staphisagria

    54.

    Stramonium

    55. Sticta
    p

    56.

    Sulphur

    57. Sulphuric acid

    58.

    Symphytum

    59. Syphylinum

    60.

    Tabacum

    61. Taraxacum

    62.

    Tarentula C

    63. Teribinthina

    64.

    Thalapsi bursa
    p

    65. Theridion

    66.

    Thuja

    67. Thyroidinum

    68.

    Vaccinum

    69. Zincum met

    APPENDIX IV

    List of drugs
    included in the Syllabus
    of IV B.H.M.S. examination:-

    1. Abies can

    2. Abies nig

    3. Abroma Augusta

    4. Abrotanum

    5. Acalypha indica

    6. Anthracinum

    7. Bacillinum

    8. Baryta mur

    9. Bellis per

    10. Calotropis indica

    11. Capsicum

    12. Carbo animalis

    13. Carbolic acid

    14. Carrica papaya

    15. Cassia saphora

    16. Caulophyllum

    17. Cedron

    18. Cicuta virosa

    19. Clematis

    20. Cocculus indica

    21. Coffea cruda

    22. Collinsonia

    23. Condurango

    24. Corallium

    25. Crataegus

    26. Crocus sativa

    27. Eupatorium per

    28. Ficus religiosa

    29. Flouric acid

    30. Glonoine

    31. Hellonius

    32. Hydrastis can

    33. Hydrocotyle as

    34. Jonosia asoka

    35. Justicia adhatoda

    36. Lac can

    37. Lac def

    38. Lilium tig

    39. Lithium carb

    40. Lobelia inf

    41. Lyssin

    42. Magnesia carb

    43. Magnesia mur

    44. Medorrhinum

    45. Melilotus a

    46. Mephitis

    47. Mercurius cynatus

    48. Mercurius dull

    49. mezerium

    50. Millifolium

    51. Occimum sanct

    52. Psorinum

    53. Pyrogenum

    54. Radium bromide

    55. Rananculus bulb

    56. Raphanus

    57. Rathania

    58. Rauwolfia serpentine

    59. Rheum

    60. Rhododendron

    61. Rumex

    62. Ruta G.

    63. Sabadilla

    64. Sabal Serulatta

    65. Sabina

    66. Sambucus

    67. Sangunaria can

    68. Sanicula

    69. Sarasaparilla

    70. Spigelia

    71. Squila

    72. Stannum met

    73. Syzygium jambolanum

    74. Trillium pendulum

    75. Urtica urens

    76. Vaccinum

    77. Variolinum

    78. Veratrum viride

    79. Vibrinum opulus

    80. Vinca minor

    81. Vipera

    II. B.H.M.S.

    GENERAL PATHOLOGY AND MICROBIOLOGY (INCLUDING PARASITOLOGY, BACTERIOLOGY AND VIROLOGY)

    Study of pathology must be in relation with concept of Miasm as evolved by Dr. Hahnemann
    and further developed by Kent, Boger, Robert
    and Allen.

    Concept of Miasm in view of Pathology, Reference
    to Koch’s Postulate.

    Importance of susceptibility and immunity thereby
    homoeopathic concept of Disease and Cure.

    • Characteristic expression of each miasm.
    • Classification of symptoms/disease according to Pathology.
    • Correlation of Miasm and Pathology for e.g.
      Psora –inflammation etc.
    • Natural evolution in Pathology.

    Resolution – Inflammatory
    exudative. Degeneration, Suppurative

    • Interpretation of Pathological report
      of all diseases and correlate the utility of it in Homoeopathic system of
      Medicine.

    Similarly
    all the topics in General Pathology and Systemic Pathology must be co-related,
    at each juncture, so that the
    importance of Pathology is understood by a Under-Graduate student in Homoeopathy.

    Topics of General
    Pathology in Relation
    with Miasms

    • Inflammation Repair Healing
      Injury
    • Immunity
    • Degeneration
    • Neoplasm
    • Thrombosis
    • Embolism
    • Oedema
    • Disturbances of Pigment
      Metabolism

    Calcium Metabolism Uric Acid Metabolism Amino Acid Metabolism

    Carbohydrate Metabolism Fat Metabolism

    • Hypertrophy Healing
    • Hyperplasia
    • Anaplasia
    • Metaplasia
    • Ischaemia
    • Hemorrhage
    • Shock
    • Atrophy
    • Relaxation
    • Hyperemia
    • Infection
    • Pyrexia
    • Necrosis
    • Gangrene
    • Infarction

    SYSTEMIC PATHOLOGY

    In each system the important and common disease
    should be done.
    By keeping in view its evolution, mode of presentation, progress and outcome of the disease.
    For e.g.

    In Alimentary System

    · Tongue - Ulcer, Tumour

    · Oral Cavity - Thrush, Tumour

    · Oesophagus - Inflammatory Disease, Tumour

    · Stomach - Inflammatory Disease

    · Auto-Immune Disease

    · Tumour

    · Duodenum - Inflammatory Disease, Acid Pepsin
    Digestion

    · Intestine Small and Large - Ulcers, Infection,

    · Tumour, Malabsorption

    · Appendix - Inflammatory Disease

    · Liver - Inflammatory Disease Tumours

    Cirrhosis Jaundice

    • Gall Bladder - Inflammatory Disease Tumour
    • Pancreas - Inflammatory Disease Tumour
    • Cardio Vascular
      Disease - Common Disorders
    • Central Nervous
      Disease - Common Disorders
    • Respiratory Disorders - Common Disease
    • Kidneys - Common disorders Tumours
      Urodynamics
    • Genitals Male and Female - Common Disorder

    Tumors

    • Skeletal and Muscular Disease - Common Disorders
    • Skin - Common Disorders, Melanoma, etc.

    Clinical Pathology - Complete Haematology

    Practical

    Clinical and Chemical Pathology:-

    Estimation of haemoglobin (by acidometer) Count of R.B.Cs.
    and W.B.Cs. staining
    of thin and thick
    films, differential counts and parasites.

    Erythrocyte
    sedimentation rate, urine, physical, chemical microscopical, quantity of
    albumin and sugar, faces-physical chemical
    (occult blood) and microscopical for ova and protozoa.

    Methods of sterilization, preparation of a media, use of microscope. Gram and acid fast stains.
    Motality preparation. Gram positive and negative cocci and bacilli. Special
    stains for corynebacterium-gram and acid fast stains of pus and sputum.

    Haconkeys
    plate-sugar reactions-gram stain and motility of gram negative intestine
    bacteria, Widal and demonstration of
    Pasteur and of spirochetes by dark field illumination Fountain’s strain-Lovaditt’s stain. Demonstration of Methods
    of nacrobiosis.

    Histopathology:

    Common teaching side from each systems.
    Demonstration of gross Pathological specimen. Practical demonstration of Histopathlogical techniques i.e. Fixation, Embedding.

    Sectioning staining by common dyes and strain. Frozen
    section. Its importance.

    Electron Microscopy Phase contrast
    microscopy.

    1.
    BACTERIOLOGY:

    Morphology,
    biology, sterilization, chemotherapy, principles of artificial media,
    infection, defence reaction,
    immunity, hypersensitiveness, skin tests, systematic study of bacteria
    habits, importance morphological, cultural biochemical, serological and toxic behaviour
    of the common pathogenic and non-pathogenic species.
    Pathologic changes produced
    by diseases bacteria
    and their laboratory diagnosis. Staphylococci, streptococci, displococci, Neisseria, Mycobacterium tuberculosis (Types)
    mycobacterium leprae, names and differentiation of spirochetes from
    pathogenic mycobacterium
    corynobacterium diphtheria. Aerobic
    spore bearing bacteria-bacillus anthreis, anaerobes, general and special features of the pathogens. Names of some important non-pathogens. Gram
    negative, intestinal bacteria classification, identification of the pathogen
    salmonella, vibric, bacterium, pasteruella, general idea about haemophiles, pseudomonas, brucella, ricktsia,
    proteus, spirochaetes- general
    idea details of treponema
    palladium and leptospiraictero haemorrhagica.

    Viruses-general
    characters, classification of disease, e.g. varecella, Rabies, bacteriophage. Koch’s
    postulates

    2.
    PARASITOLOGY:

    Protozoa-classification names of important
    rhizopoda, ent. Histolytica, pathogenesis and pathogenecity, diagnosis, difference from ent. Coli, sporozen species
    of plasmodia life history and pathogenesis differentiation of species.

    Mastigophora-general broad morphological features classification, pathogenesis, vectors, pathology of Kala-Azar, important features
    source disease due to balantidium coli.

    Helimnths-definition
    of certain terms, simple classification, differences between nematodes cestodoes
    and treamatodes Broad differentiating morphological features and broad life history
    and pathogenesis of important species,
    Cestodes and Nematodes-infecting liver, lungs, intestines and blood-general differences between schislosomes and other trematodes.

    1. VIROLOGY: Diagnosis
      of Infectious Diseases
      Host Parasite Relationship Disinfectants Mode of
      action

    Practical aspects of Immunology i.e. Application in diagnosis, Passive
    Immunization, Immunopathies in brief
    including AIDS.

    Bacteria Genetics (briefly)

    KIDNEY BLADDER URETER
    URETHRA

    • Glemerulo Nephritis
    • Pyelonephritis
    • Tuberecular Pyelonephritis
    • Nephrotic Syndrom
    • Metabolic Diseases and Kidney
    • Systemic diseases and Kidney
    • Acute and Chronic Renal Failure
    • Kidney Tumours
    • Calculi
    • Cystitis
    • Ureteric Stricture
    • Urethritis, Specific
      and Non Specific
    • Renal Function
      Test in Relation
      to Homoeopathy
    • Ischaemic Heart
      Disease
    • Rheumatic Heart Disease
    • Valvular Heart Disease
    • Hypertension
    • Cardiomyopathy
    • Infective Endocarditis
    • Congestive Cardiac
      Failure
    • Diseases of Pericardium
    • Cardiogenic Shock
    • Testicular Tumors
    • Acute and Chronic Prostatitis
    • Prostatic Tumours
    • Sterlity
    • CA Penis
    • Ovarian Tumours
    • Fibroids
    • CA Cervix
    • Infertility
    • Endometriosis and Endometrium
    • Breast Inflammation and Tumours
    • Pulmonary function test
    • Bronchial Asthma
    • Bronchitis
    • Bronochiactesis
    • Emphysema
    • Empyema
    • Cor. Pulmonari
    • Pheumonia
    • Bronchogenic Carcinoma
    • Interstitial Lung Diseases
    • Tongue, Stomatitis, Ulcers, Tumours
    • Oesophagus, Reflex Oesophagitis
    • Tumour of Oesophagus
    • Stomach, Gastritis, CA Stomach, Gastric
      Ulcers
    • Liver Cirrhosis, Hepatitis, CA Liver
    • Liver abscess.
    • Liver Function
      Test
    • Gall Stones
    • Pancreas Acute
      and Chronic Pancreatitis, CA pancreas
    • Intestines Ulcers, Duodenal colics, CA Colon and Rectum
    • Tumours
    • Mal absorption syndrome
    • Infections
    • Appendix, Acute Appendicitis
    • Infection and Tumours
    • Sarcoma, Osteoma,
      Paget’s diseases
    • Osteomyelitis, Tubercular Osteomyelitis
    • Rheumatoid Arthritis, Osteo Arthritis
    • Meningitis Pyogenic/Tubercular
    • Picture of various Diseases
    • Thyroid, Diabetes
      Mellitus

    CARDIO VASCULAR DISEASESMALE AND FEMALE GENITAL DISEASESRESPIRATORY DISEASESGASTRO-INTESTINAL DISEASESSKIN DISEASESBONES DISEASESGENERAL NERVOUS SYSTEMCEREBRO SPINAL FLUIDSENDOCRINAL SYSTEM

    Ist Paper – General
    Systemic Pathology and Miasms

    IInd Paper- Bacteriology, Parasitology, and clinical
    Pathology (Each divided into Two Sections)

    Pathology Practical

    Experimental/Microbiological Spots, Readings
    and Interpretation of Pathological Reports.

    IInd BHMS

    FORENSIC MEDICINE AND TOXICOLOGY

    The subject
    is of practical importance to the students
    of homoeopathic medicine
    as homoeopathic physicians are to be employed by Government in areas
    where they may have to handle medico-legal cases, and perform autopsies, apart from giving evidence in such
    cases. The training in forensic medicine at present conducted is inadequate to meet
    these needs.

    The course consist of a series
    of lectures and demonstrations including

    1.
    Legal Procedure:

    Definition of medical Jurisprudence. Courts, and their
    Jurisdiction.

    2.
    Medical ethics:

    Law
    relating to medical registration and Medical relation between practitioners and
    the State. The Homoeopathy Central Council
    Act, 1973 and the Code of Ethics under it, the practitioners and the patients,
    Malpractices covering professional secrecy, the practitioner and the various legislations (Acts) Provincial
    and Union such as Workman’s compensation Act,
    Public Health Act, Injuries Act, Child Marriage
    Registration Act, Brostal
    Schools Act, Medical
    Termination of Pregnancy
    Act. Lunacy Act, Indian Evidence
    Act etc.

    3.
    Forensic Medicine:

    Examination
    and identification of person living and dead: parts, bones, stains, etc.
    health, Medicolegal: putrefaction,
    mummification, saponification, forms of death, causes, agencies, onset etc. Assaults,
    wounds, injuries and death by violence. Asphyxial
    death, blood examination, blood stains, seminal
    stains: burns, scalds,
    lighting stroke etc. Starvation, pregnancy, delivery, abortion,
    Infanticide, sexual Crimes, Insanity in relation to the State life and accident
    insurance.

    Toxicology

    A
    separate course of lectures dealing poisoning in general, the symptoms and
    treatments of various poisons,
    post-mortem appearance and test should be given, study of the following poisons:-

    Mineral Acid, corrosive, sublimate, arsenic and its compound alcohol,
    opium and its alkaloids,
    carbolic acid, carbon monoxide, carbon dioxide. Kerosene oil, cannabis indica, cocaine, Belladonna, strychnine and nux
    vomica, aconite, oleander, snake poisoning, prussic acid, lead.

    4.
    Medico legal post-mortem:

    Recording post-mortem appearance, forwarding materials
    to chemical examiner:
    Interpretation of laboratory and chemical examiner’s findings. Students
    who are attending a course of lecture
    in forensic medicine should avail themselves of all possible opportunities of attending medico-legal post-mortems
    conducted by the professors of forensic medicine. It is expected that each
    student should attend at least 10 post-mortems.

    5.
    Demonstration:

    • Weapons,
    • Organic & Inorganic poisons
    • Poisonous plants
    • Charts, diagram,
      models, x-ray films
      etc. of medico-legal interest

    PRACTICE OF MEDICINE

    Homoeopathy
    has a distinct approach to the concept of Disease. It recognizes an ailing individual by studying him as a whole
    rather than in terms of sick parts. It emphasizes the study of the Man from his
    State of Health, till it travels to state of presenting illness, incorporating all major events and contributing factors in the
    process.

    The
    individualization study as above needs following background so that the
    striking aspects which are
    characteristic to the individual become clear, In
    contrast to the common picture of the respective Health disturbances:

    1. Primary
      correlation of the Health disturbances with basics of Anatomy – Physiology- Biochemistry.
    2. Knowledge of common evolution
      of study about its causation, manifestations, maintenance
      and prognosis details.
    3. Knowledge about
      factors which will worsen and improve the disturbance, including various medicines and non-medical measures
      and respective possible response elucidation by application of measures.

    The study
    obviously emphasizes more on:

    1. Comprehension of Applied part.
    2. Sound clinical training
      at bedside to be able to apply the learning
      accurately.

    These can lead towards
    developing a Homoeopathic Physician who will not be deficient at the
    practical Science of Medicine. He should be trained in a manner in which he is
    not locked up in Rare syndromes
    as Theoretical Exercise.
    Exercises but as a sound clinician with adequate
    discrimination, sharp observation and conceptual clarity. He will then be able
    to mould an effective appreciation of the patients
    picture utilizing his knowledge of Medicine.

    To
    evolve the above, following distribution of Theory and Practical Training in suggested
    so that there is gradual but clear and firm comprehension.

    Course of Study - 3 years

    i.e.
    in II (Second) BHMS in III (Third)
    BHMS and in IV (Fourth)
    BHMS

    Examination
    to be conducted at the end of the IV (Fourth) BHMS. Also in the side of the topics are suggested co-ordinations (with
    other department) which will improve the caliber of imparting training in Medicine. The distribution is made
    keeping in mind about other subjects in II, III and IV BHMS and the respective state of learning
    of student.

    IIND BHMS

    1. Clinical Methods
      of Examination of patients as whole:
    2. Respiratory diseases -Respective portion
      in surgery
    3. Alimentary Tract and Pancreas Disease -Respective portion
      in surgery
    4. Genetic Factors -Chronic
      Diseases and Miasms Dept. of Organon & Philosophy
    5. Nutritional diseases -Nutrition,
      Hygiene in Dept. of Community Medicine
    6. Immunological Factors
      in Diseases -Epidemiology in Dept. of Community medicine
    7. Climatric Factors
      in Diseases
    8. Metabolic Disease
    9. Endocrinal Diseases -Menstrual
      Disorder in Dept. of Gynaecology

    IIIRD BHMS

    The above all need to follow up with respective Therapeutics Topics
    also.

    IVTH BHMS

    1. Liver and Biliary Tract Diseases
    2. Hematological Diseases
    3. Cardiovascular system
      Diseases
    4. Kidneys & Urinary Tracts
      – Diseases
    5. Water and Electrolytes balance
      – Diseases
    6. Connective Tissue
      Disorders Bones and Joints Disorders
    7. Skin Diseases
    8. CNS & peripheral nervous
      system-Mental Diseases
    9. Acute Emergencies including poisonings
    10. Paediatrics

    The above in these terms will require a follow up of strong
    and emphatic training
    on Homoeopathic Therapeutics for the same.

    It will be conducted
    in IV (fourth) BHMS at the end of 3 years of course of study in Theoretical and Practical aspects of
    Medicine.

    Eligibility for examination shall include submission
    of 10 complete case histories,
    5 each prepared in III and IV BHMS.

    PRACTICAL & CLINICAL EXAMINATION

    The examination procedure will include one case to be prepared
    and presented to the examiner.
    The examiners will put stress
    on

    1. Comprehensive case taking
    2. Bedside procedure
      Investigations for diagnosis
    3. Principles of management

    GENERAL GUIDANCE:
    THERAPEUTICS

    Homoeopathy
    has a distinct approach to disease. Concept of individualization and concept of chronic
    miasm makes it distinct.

    It
    recognizes an ailing individual by studying him as a whole rather than in terms
    of sick parts. It emphasizes that study of man from the state of Health i.e. DISPOSITION DIATHESIS DISEASE,
    taking into account all predisposing and precipitating factors i.e. FUNDAMENTAL CAUSE,
    MAINTAINING CAUSE & EXCITING CAUSE.

    Hahnemann’s
    theory of chronic miasm provides us an evolutionary understanding of the
    chronic disease:
    PSORA-SYCOSIS-SYPHILIS & acute manifestations of Chronic Disease, Evolution
    of the natural disease shall be
    comprehended in the light of theory or chronic miasm. How our current
    knowledge of Pathology
    and clinical medicine
    assist in defining
    this must be demonstrated.

    Study
    of therapeutics does not mean simply list of specifics. For the clinical
    condition, but teaching of applied
    Materia Medica. Here we demonstrate how various drugs would come up in psoric, sycotic, tubercular or syphilitic
    state of the clinical conditions. Thus emphasis would be in correlating pace of evolution of disease, peculiar, respectively and cluster of characteristics.

    Thus
    teaching of therapeutics of Hypertension would demand delineation of various
    phases of hypertension taking into
    account what is happening to the STRUCTURE and what kind of forms are thrown off. Psoric phase would be
    characterized by LABILE hypertension which shoots up under stress especially with rise in systolic and manifesting flushes
    and emotional disturbances.

    This
    would draw our attention to drugs like GELSEMIUM, GLONINE, FERRUM MET etc. This is the functional phase. Tubercular hypertension would be
    characterized by fairly high systolic and diastolic B.P. oscillating wildly at
    higher range, manifesting bleeding like epistaxis etc. with erratic
    mental state. This will draw attention to PHOSPHORUS, LACHESIS etc.

    Syphilitic
    dimension would be characterized by immense destructive damage at target organs
    like heart, kidney and retina.

    Thus teachings of THERAPEUTICS would essentially demand an effective correlation of:

    • Knowledge of clinical/medicine/Surgery
    • Appreciation of Natural disease its evolution
      in the light of Theory
      of chronic miasm. Thus correlation with Organon
      Philosophy.
    • Applied Materia
      Medica and Repertory:

    Comprehending drug picture from the evolutionary angle- Boger’s approach
    towards Materia Medica
    and its application for the study of various
    clinical patterns of Natural
    disease.

    Correlation
    with MATERIA MEDICA and with REPERTORY. PAPER
    I: As per syllabus of II & III BHMS

    PAPER
    II: As per the syllabus
    of IV BHMS

    PAPER III: Homoeopathic Therapeutic

    SURGERY

    Homoeopathy as a Science need clear application on part of the physician
    to decide about the best
    course actions required to
    restore the sick to health.

    Knowledge about surgical Disorders
    is required to be grasped will so that the Homoeopathic Physician is able to:-

    1. Diagnose common surgical cases.
    2. Institute homoeopathic medical treatment wherever
      possible.
    3. Organise Pre and Post-operative Homoeopathic medicinal care as total/partial responsibility.

    And

    1. Organize a complete Homoeopathic care for restoring
      the susceptibility of the patient
      to normally.

    The conceptual clarity and Database needed
    for above is possible only by an effective co- ordination of the care of the patients.

    The study shall include training
    on :

    1. Knowledge of causation, manifestation, maintenance and prognosis
      of Health Disorders related to Surgery with stress on miasmatic evolution.
    2. Bedside clinical
      procedures.
    3. Correlation of applied aspects,
      with factors which can modify
      the course of illness, including medicinal and non-medicinal
      measures.

    The
    above can assist a Homoeopathic Physician who will be a Rational Physician not
    one locked up in whirlpools of rare
    conditions but one who can apply all the basics for an ailing individual.

    It will also facilitate him for individualization of the patient,
    necessary for final
    Homoeopathic management.

    The study will start in II (Second) BHMS and complete in III
    (Third) BHMS. Examination will be
    conducted in III (Third)
    BHMS.

    Following is a plan to achieve the above, it takes into account about the II (Second)
    and III (Third) year BHMS syllabus and respective stage of development.

    Some points are made co-ordinating with other departments (for a better training in Surgery, ultimately).

    That the SURGERY as a subject
    will include:-

    1. Principles of Surgery
    2. Fundamentals of Examination of a patient
      with surgical problems.
    3. Use of common Instruments for Examination of a patient,
      asepsis, antisepsis, Dressings, plaster, operative surgery etc.
    4. Practical Instruments, Training in Minor
      surgical Methods.
    5. Physiotherapy measures.
    6. Include also applied study
      in Radiology, etc. Diagnostics.
    7. Includes Orthopaedics, Ophthalmology, Dental Diseases,
      Otorhinolaryngiology and Neonatal Surgery.

    IV BHMS

    1. What are surgical
      cases? Orientation towards case taking and Examination of Surgical patients (Details to be done as part of Practical Training).
    2. Applied anatomy
      and physiology – its importance demonstration with good examples.
    3. Basics of general surgical
      procedures.
    4. Inflammation, Infections (Specific and Non-specific) Suppuration, Bacteriology, Immunity.
    5. Injuries of various kinds- wound healing and management including Ulcers, Sinuses,
      Gangrene, etc.
    6. Hemorrhage, shock,
      their management
    7. Resuscitation and support in emergencies.
    8. Accidents and Warfare injuries
      management.
    9. Burns Management.
    10. Fractures and Dislocation: general
      principles.
    11. Diseases of the bones: general principles including growing
      skeleton.
    12. Diseases of the joints:
      general principles including
      Rheumatology.
    13. Diseases of the muscles, tendons, Fascia, etc: General
      principles.
    14. Diseases of the Arteries:
      general principles.
    15. Diseases of the veins: general principles.
    16. Diseases of the
      Lymphatic system: general
      principles.
    17. Diseases of the nerves:
      general principles.
    18. Immunology: general
      Organ rejection, Transplants, etc.
    19. Oncology: Tumors,
      Cysts, etc. general
      principles of management.
    20. Congenital disorders: orientation and correction procedures.
    21. Lectures cum Demonstration on bandages, surgical
      appliances, etc.
    22. Lecture Demonstrations on X-rays.
    23. Surgical Diseases of the
      Infancy and Childhood.

    The above has to be followed
    up with relevant systemic Surgery Topics so as
    to cover:

    1. All common clinical conditions of various parts.
    2. Their evolution, examination methods and diagnosis.
    3. Their investigations and prognosis
    4. Their management especially principles
    5. Relevant minor surgical procedures
    6. Preventive aspects

    ORTHOPAEDICS: Study as above about injuries, inflammation, ulcer, sinus, tumors,
    cysts, etc. (related to common condition of all bones and joints
    including spine) with relevant management correlating with Physiotherapy etc.

    OPHTHALMOLOGY: Knowledge of common diseases, accidents,
    injuries etc. of various parts
    of Eyes.

    Clinical Examination of Eyes (various parts) using various instruments including
    Ophthalmoscopy.

    Common Eye operations and relevant care of the patients.

    OTORHINOLARYNGOLOGY (ENT): Study as above of Ears, Nose, Throat,
    Tracheobronchial Tree, Oesophagus.

    Management Of Common SURGICAL PROCEDURES AND EMERGENCY PROCEDURES: To be taught
    in theory as practice.

    1. Wounds, Abscesses, etc. Incision and Drainage.
    2. Venesections
    3. Dressings and plasters.
    4. Suturing of various types.
    5. Preoperative and post-operative care.
    6. Management of post operative
      complications.
    7. Management of shock
    8. Management of Acute Haemorrhage.
    9. Management of acute injury
      cases.
    10. Management of a Head Injury case.

    The above is
    utmost necessary for any
    physician.

    The above basically consists
    of Mechanical skilled
    procedure, supplementation, etc., measures which
    in no way interferes with scope and application
    of Law of Similars.

    EXAMINATION

    It will be conducted
    in III (THIRD) BHMS at end of 2 years of Course
    of study in theory and Practical Training of Surgery.

    Eligibility for examination will include the submission of 10 complete
    case histories, 5 (five) each
    from the study in II and III BHMS.

    Paper
    –I: Inflammation; infection; hemorrhage; shock; burns; ulcers and gangrene; tumors; cysts; injuries and diseases of
    nerves, muscles, tendon burase; lymphatic system, vascular system,
    spleen; general diseases, Ophthalmology.

    Paper-II: Head, Neck, Thyroid, Breast, Congenital
    anomalies, Abdominal Surgeries, Gastrointestinal system,
    Bones Joints, Spine, Thoracic Surgery,
    Otolaryngology, Dental Surgery.

    Paper-III: Exclusively on Homoeopathic Therapeutics.

    PRACTICAL AND CLINICAL
    EXAMINATIONS

    The
    examination will include one case to be prepared and presented by the
    examinees. The assessing examiners
    shall stress on: 1) Comprehensive Case taking: 2) Bedside Training: 3) Adequate
    grasp over the process of Diagnosis: 4) Adequate grasp over principles of management.

    GYNAECOLOGY AND OBSTETRICS INCLUDING
    INFANT CARE

    The
    attitude towards study of this subject remains same as for Surgery. It will
    have to be emphasized that the
    Training in special clinical methods or investigation and treatment of local conditions
    will go a long way in managing Gynae & Obst. Cases.

    There
    is a quite large part of the clinical territory of this subject which is
    amenable to Homoeopathic Treatment.
    Pregnancy and Development Phase of the foetus are very useful phases to treat a lot of familial
    dyscrasias. The problems studied herein constitute delicate phases
    of Female patients and have strong correlation with their general well being.

    The
    study will start in II (Second) BHMS and complete in III (Third) BHMS,
    Examination will be held
    in III (Third) BHMS.

    Following is the plan to achieve
    the above.

    II
    BHMS OBSTETRICS

    1. A Review of the Applied
      Anatomy.
    2. A Review
      of the Applied Physiology.
    3. Development of the
      Intra Uterine Pregnancy.
    4. Diagnosis of pregnancy.
    5. Ante-natal care.
    6. Abnormal Pregnancy: Introduction
    7. Normal labour
    8. Abnormal labour:
      Introduction.
    9. Post natal care Puerperal
    10. Abnormal Puerperal
    11. Care of the New born
    12. Applied Anatomy and Physiology
    13. Gynaecological Examination
    14. Development abnormalities
    15. Endocrinal Axis:
      abnormalities
    16. Uterine displacements
    17. Abnormal
      Pregnancies: Abortions, Molar pregnancy, Extra Uterine, Diseases
      of placenta and membrane,
      Toxaemia of Pregnancy, Antepartum Hemorrhage, Disorders of Genital
      tract Retroversion, prolapse,
      Tumours, etc. Multiple
      Pregnancy, Protracted gestation.
    18. Common disorders and systemic diseases
      associated with Pregnancy.
    19. Labour Abnormal Position
      and Presentation, Twins, Prolapse of Cord and limbs, abnormalities in the action of the Uterus
      Abnormal condition of soft parts contracted Pelvis, obstructed labour, Complications of third
      stage of labour,
      injuries of birth canals.
    20. Common Obstetrical operations.
    21. Abnormal Puerperal: infections etc.

    GYNAECOLOGYIII
    BHMS OBSTETRICSGYNAECOLOGY

    Inflammation, ulceration
    and traumatic lesions of the female genital organs, Malignant/Non- malignant Growths, Common Gynaecological operations and radiotherapy.

    Infant Care Neonatal hygiene Breast
    feeding Artificial feeding

    Management of premature child
    Asphyxia

    Birth injuries

    Common disorders of newborn

    EXAMINATION

    It will be conducted
    in III (Third) BHMS at the end of 2 years of Course of studying Theoretical and Practical aspects of Gynaecology and Obstetrics.

    Eligibility for examination will include submission of 20 complete
    cases of different types (10 each in Gynaecology and Obstetrics).

    Paper I: Obstetrics and Infant Care

    Paper II: Gynaecology

    Paper III: Exclusively for Homoeopathic Therapeutics

    PRACTICAL & CLINICAL
    EXAMINATION

    The Examinee will take and present one case.
    The examiners shall stress
    on:

    1. Comprehensive Case Taking.
    2. Bedside training.
    3. Adequate grasp over Diagnostics.
    4. Adequate grasp over Management Principles.

    COMMUNITY MEDICINE

    (including Health Education and Family Medicine)

    Instructions
    in this course should be given in the Fourth year of medical studies by
    lectures, demonstrations and field
    studies. This subject is of utmost importance, and throughout the period of medical studies the attention of
    the student should be directed to the importance of preventive medicine and the measures
    for the promotion of positive health.

    His function
    is not limited merely to prescribing homoeopathic medicines for curative
    purposes but he has a wider role to play, in the community. He has to be
    well conversant with the national
    health problems both or rural as well as urban areas, so that he can be
    assigned responsibilities to play as
    effective role not only in the filed of curative but also of preventive and social
    medicine including family
    planning.

    1. Introduction to
      preventive and social medicine concept, man and society: aim and scope of preventive and social medicine,
      social causes of disease and social problems
      or the sick, relation of economic factors
      and environment in health and disease.
    2. Physiological hygiene:-
    • Food and nutrition-food in relation to health and disease. Balanced
      diets. Nutritional deficiencies and nutritional survey.
      Food processing, pasteurization of milk. Adulteration of food and food inspection, Food poisoning.
    • Air, light and sunshine.
    • Effect of climate-humidity temperature, pressure and other meteorological conditions-comfort zone, effect of overcrowding.
    • Personal hygiene-
      (Cleanliness, rest, sleep,
      work) Physical exercise
      and training care of health in tropics.
  • Environmental sanitation:
    • Definition and importance.
    • Atmospheric pollution-purification or air,
      air sterilization, air borne diseases.
    • Water
      supplied-sources and uses, impurities and purification. Public water supplies
      in urban and rural areas.
      Standards of drinking
      water, water borne
      diseases.
    • Conservancy-Methods
      in villages, towns and cities, septic tanks, dry earth latrines-water closets. Disposal
      of sewage, disposal
      of the deceased, disposal of refuge incineration.
    • Sanitation of fairs and festivals.
    • Disinfection – disinfectants, deodorants, antiseptics, germicides. Methods
      of disinfection and sterilization.
    • Insects-insecticides and disinfection-insects in relation to disease. Insect
      control.
    • Protozoal and
      helminthic diseases Life cycle of protozoan and helminthes, their prevention.

    4.
    Medical Statistics

    Principles
    and elements of vital statistics Preventive Medicine

    • General principles of prevention and control of communicable diseases.
      Plague, Cholera, Small Pox
      Diphtheria, Leprosy, Tuberculosis, Malaria, Kala-Azar, Filariasis, Common viral diseases e.g. Common
      Cold Measles, Chicken Pox, Poliomyelitis, Infective
      Hepatitis, Helminthic infections, Enteric fever, dysenteries and also animal diseases transmissible to man. Their
      description and methods of preventive spread by contact, by droplet infection by environmental vehicles, (water,
      soil, food insects, animals, foundries, prophylaxis and vaccination).
    • General principles of prevention and control of non-communicable diseases
      e.g. obesity, hypertension etc.
    • Maternal and
      Child Health, school health services, health education, mental hygiene- elementary principles: school medicine its
      aim and methods.
    • Family Planning
      – Demography, channels
      of communication, National
      Family planning programme, knowledge, attitudes regarding
      contraceptive practices. Population and growth control.
    • Public health administration and international health relation.
    • Homoeopathic concept
      of prophylaxis, vaccination, Immunology and personal
      hygiene.

    Natural history
    of the disease

    N.B: Field demonstration-water purification plant, infectious diseases
    hospital etc.

    REPERTORY IV BHMS

    Repertorization
    is not the end but means to arrive to the simillimum together with Materia Medica based on sound principles of Philosophy. Homoeopathic Materia Medica is an encyclopedia of Symptoms. No mind can
    memorize all the symptoms or all the drugs with their characteristic gradation. The repertory is an index and
    catalogue of the symptoms of the Materia
    Medica, nearly arranged in a practical form and also indicating the relative
    gradation of drugs, and it greatly
    facilitates quick selection of indicated remedy. It is impossible to practice Homoeopathy without the aid of repertories.

    Each repertory
    has been compiled
    on distinct philosophical base, which determines its structure. In order to exploit full advantage of each repertory
    it is important to grasp thoroughly its conceptual base and construction. This will help student to learn scope, limitations and adaptability of the repertory.

    Case taking:

    Difficulties of taking a chronic
    case. Recording of cases and usefulness of record keeping. Totality
    of symptoms, prescribing symptoms: uncommon peculiar
    and characteristic symptoms. Analysis of the case uncommon
    and common symptoms.
    Gradation and evaluation of Symptoms. Importance of Mental symptoms. Kind and sources
    of general symptoms. Concomitant symptoms.

    Teaching of repertorisation should not merely be reduced to rubric hunting
    exercises. Patient is not
    a bundle of rubrics.

    Logic of Repertory, is delivered from Organon of Medicine as such Repertory
    should not be taught in isolation. Due emphasis should be made to:-

    1. Learning the language of repertory i.e. meaning of rubrics in correlation with Materia Medica
      and clinical experiences.
    2. Correlation of Repertory with Therapeutics
      and Materia Medica.
      1. History and development of repertories till date.
      2. Types of repertories.
      3. Explanation of terminologies used in various
        repertories.
      4. Boenninghausen’s
        therapeutic pocket book and Boger Boenninghausen’s repertory.
      5. Kent’s repertory.
      6. Introduction to card repertory.
      7. Specific regional
        repertories ALLEN’S FEVER, BELL’S DIARHOEA
        with their comparison.
      8. Brief introduction to puritan group of
        repertory as Knerr, Gentry,
        Robert in respect
        of their Clinic
        use.
      9. Introduction to Computer Repertorization.

    PRACTICAL

    Students shall repertories:-

    • 10 acute cases
      on Kent.
    • 5 chronic
      cases on Kent.
    • 5 chronic
      cases on Boenninghausen.
    • 5 chronic
      cases on Bogar-Boeinninghausen.
    • 5 cases to be cross
      checked on computer.

    Career Options

    A Homeopathic practitioner can get employment as a medical
    officer or doctor with government and private homeopathic centers. Graduates of Homeopathy can also start their own practice. Employment opportunities are
    also available in Health centers as professionals or supervisors.

    Further, one
    can pursue a career in academics after completing post-graduation. Research
    & development is another field as a career option to pursue Homeopathy post-doctoral and postgraduate scholars. In addition to this pharmaceutical
    industry manufacturing Homeopathic products is open for Homeopathic graduates and post-graduates as a career option.

    Interested Homeopathic professionals can also opt for the hospitality industry as health and
    wellness experts. Herbal drug cultivation and trade is another prominent area to
    explore as huge demand of Homeopathoic drugs is there across the globe. One can
    also go for hospital administration and other administrative services after his
    graduation.

    Courses After
    Bachelor of
    Homeopathic Medicine and Surgery (BHMS)

    After
    pursuing Bachelor of Homeopathic Medicine and Surgery (BHMS), a candidate could
    pursue the following courses programs, where Bachelor of Homeopathic Medicine
    and Surgery (BHMS) is a feeder qualification.

    These
    include:

    MD In Homeopathy:

    • MD (Hom) Allopathy
    • MD (Hom) Psychiatry
    • MD (Hom) Pharmacy
    • MD (Hom) Paediatrics
    • MD (Hom) Practice of Medicine
    • MD (Hom) Material Medical
    • MD (Hom) in Endocrinology

    MSc Courses after BHMS:

    • MSc Human Genome
    • MSc Applied Psychology
    • MSc Clinical Research
    • MSc Medical Biochemistry
    • MSc Genetics
    • MSc Food Science
    • MSc Health Sciences and Yoga Therapy
    • MSc Epidemiology

    MBA/MHA after BHMS:

    • MSc Medical Biochemistry
    • MBA in Healthcare Management
    • MBA in Hospital Management
    • MBA in Pharmaceutical Management
    • Master of Hospital Administration

    Frequently Asked Questions (FAQs) – Bachelor of Homeopathic Medicine and Surgery 

    • Question: What is the full form of BHMS?

    Answer: The full form of BHMS is Bachelor of Homeopathic Medicine and Surgery.

    • Question: What is a Bachelor of Homeopathic Medicine and Surgery (BHMS)?

    Answer: Bachelor of
    Homeopathic Medicine and Surgery (BHMS) is an undergraduate course for students
    who want to study Homeopathy. It is done by them after the completion of their
    10+2 exam or any other equivalent.

    • Question: What is the duration of Bachelor of
      Homeopathic Medicine and Surgery (BHMS)?

    Answer: B.H.M.S. is an
    undergraduate program of five and a half years which includes 4 and a half
    years of study and one year of internship.

    • Question: What is the eligibility for Bachelor of Homeopathic Medicine and Surgery (BHMS)?

    Answer: The candidate must complete the age of 17
    years on or before 31st December of the year of admission to the Bachelor of
    Homeopathic Medicine and Surgery (BHMS) course. The candidate must have passed
    the higher secondary examination or the Indian School Certificate examination
    which is equivalent to 10+2 Higher Secondary examination. The student must have
    obtained 50% marks in the subjects of Physics, Chemistry, and Biology, and must have
    qualifying marks in English. For SC, ST, or OBC, the minimum marks shall be 40%.

    • Question: What is the
      scope after doing Bachelor of Homeopathic Medicine and Surgery (BHMS)?

    Answer: Bachelor of
    Homeopathic Medicine and Surgery (BHMS) offers candidates various employment
    opportunities and career prospects.

    • Question: What is the
      average salary for a Bachelor of Homeopathic Medicine and Surgery (BHMS)
      candidate?

    Answer: The Bachelor of
    Homeopathic Medicine and Surgery (BHMS) candidate’s average salary ranges
    between Rs.30,000 to Rs.4 lakhs depending on the experience. The average salary may vary with experience.

    • Question: How
      selection is done?

    Answer: The selection is done on an annual basis which
    is based on performance in NEET UG and counseling conducted by Ayush Admissions Central Counseling
    Committee (AACCC).

    2 years 21 hours ago

    AYUSH,News,Homeopathy,Homeopathy News,Medical Education,Medical Colleges News,Medical Courses News,Medical Universities News,Ayush Education News,Medical Admission News,Latest Medical Education News,Medical Courses

    KFF Health News

    A $229,000 Medical Bill Goes to Court

    In 2014, Lisa French had spinal surgery. Before the operation, she was told she would have to pay $1,337 in out-of-pocket costs and that her insurance would cover the rest. However, the hospital ended up sending French a bill for $229,000. When she didn’t pay, it sued her.

    In 2014, Lisa French had spinal surgery. Before the operation, she was told she would have to pay $1,337 in out-of-pocket costs and that her insurance would cover the rest. However, the hospital ended up sending French a bill for $229,000. When she didn’t pay, it sued her.

    The case went all the way to the Colorado Supreme Court. In this episode of “An Arm and a Leg,” host Dan Weissmann finds out how the court ruled and how the decision is reshaping the fine print on hospital bills in ways that could cost patients a lot of money.

    Dan Weissmann


    @danweissmann

    Host and producer of "An Arm and a Leg." Previously, Dan was a staff reporter for Marketplace and Chicago's WBEZ. His work also appears on All Things Considered, Marketplace, the BBC, 99 Percent Invisible, and Reveal, from the Center for Investigative Reporting.

    Credits

    Emily Pisacreta
    Producer

    Adam Raymonda
    Audio Wizard

    Afi Yellow-Duke
    Editor

    Click to open the Transcript

    Transcript: A $229,000 Medical Bill Goes to Court

    Note: “An Arm and a Leg” uses speech-recognition software to generate transcripts, which may contain errors. Please use the transcript as a tool but check the corresponding audio before quoting the podcast.

    Dan: Hey there–

    Lisa French was a clerk for a trucking company in Denver. She’d been in a car crash, and her doctor told her that to keep her spine stable, she ought to get surgery.

    She asked the folks at the hospital what it was gonna cost her, out of pocket. They ran her insurance and told her: Your end is going to be one thousand, three hundred thirty-six dollars, and ninety cents.

    She said, thanks.

    Then, she and her husband sat down at their kitchen table and talked it over: They had a rainy-day fund. A thousand dollars they’d socked away, they kept it at home, in cash. Were they ready to spend it all for this? 

    They decided they were, and Lisa went to the hospital with a thousand dollars cash. 

    She had the surgery, it went fine. The hospital had been expecting about 55 thousand dollars from Lisa’s insurance. They actually got more like 74 thousand.

    But they decided that wasn’t enough. They decided they wanted their full sticker price: 303 thousand dollars. So they billed Lisa French for the rest: 229 thousand dollars.

    And when they didn’t get it, they sued her.

    Lisa French had her surgery in 2014. The court case finally got resolved last year, in 2022, by the Colorado Supreme Court.

    If you’ve been listening to this show for a while, you probably remember: We have gotten VERY interested in understanding, when we get a wild medical bill, what legal rights do we have? How can we use those rights to fight back? Even on a small scale, like in small claims court? 

    And even though Lisa French’s case is a LONG way from small claims court, it has a LOT to teach us about these questions.

    This is An Arm and a Leg, a show about why health care costs so freaking much, and what we can maybe do about it. I’m Dan Weissmann. I’m a reporter, and I like a challenge. So our job on this show is to take one of the most enraging, terrifying, depressing parts of American life, and bring you something entertaining, empowering, and useful.

    And I should say upfront: We won’t be hearing from Lisa French directly.

    Her case made a lot of headlines– in 2018, when a jury heard it, in YEAR when an appeals court overturned the trial court, and last year when the state supreme court made its ruling.

    Not in the kind of detail that we’re gonna go into, but come on: Who can resist the headline?

    Male Anchor: Well, tonight we have a story of David versus Goliath. David being a woman who needed spinal surgery in 2014 Goliath, the hospital that charged her more than $200,000 to do it.

    Dan: So over the years, a lot of reporters wanted a sound bite from Lisa French. Her attorney used to let her know when there was an inquiry, and she’d say yes or no.

    Eventually, she told her lawyer: Don’t even tell me when they call anymore. I just want to live my life.

    Fair enough.

    So here’s who we’ve got.

    Ted Lavender: I’m Ted Lavender. I’m an attorney in Atlanta, Georgia. I’ve been practicing law for 26 years,

    Dan: And he spent several of those years representing Lisa French.

    It’s probably worth answering one question up front: If Lisa French had to empty her family’s rainy-day fund to pay the hospital a thousand bucks, who’s paying the lawyer from Atlanta?

    The insurance from her job. Which had played a role in starting the whole mess.

    Ted Lavender: the company that she worked for had a health benefits plan that was slightly different than what you might call run of the mill health insurance.

    Dan: It worked this way: They weren’t in-network with any hospitals. Instead, they’d just take whatever bill any hospital sent, make their own evaluation of what a fair price would be, and send the hospital a check.

    It’s a somewhat unusual model– one survey says about 2 percent of employers use a plan like this– but Ted Lavender says it often works.

    Ted Lavender: a very large percentage of the time , the hospital would accept the check and no one would hear anything more from the hospital, which in legal parlance would mean acceptance

    Dan: And as a backstop, in case there was any trouble, the health plan would send a lawyer. That’s Ted.

    And here’s what happened that led to all the trouble in Lisa French’s case: Whoever ran her insurance card at the hospital, they didn’t read it very carefully.

    If they had, they would’ve seen a little logo under the insurance-company name that said, “provider only” — that is: This plan only has doctors and nurses and other PROVIDERS in network.

    With hospitals, there’s no network, no “in-network rate.” We’ll just send a check for what we think is right.

    The same health-benefits company has a different plan, one that does have a hospital network. You know how it is. Insurance companies, a million different plans, every one its own snowflake.

    The hospital mistook Lisa French’s snowflake for another one, and that’s how they came up with that estimate.

    Ted Lavender: based on their calculation, they expected to collect a total of

    $56,000, the 1,336 from Ms. French and the remainder from her health plan.

    Dan: And they presumably would’ve been happy with 56 thousand. But they got more. They got about 75 thousand dollars.

    But once they got it, they wised up to the mistake they had made about Lisa French’s insurance. They had no agreement with the insurance plan to accept 56 thousand.

    So, they decided: There’s no reason for us not to charge our full sticker price here.Three hundred and three thousand dollars.

    So Lisa French had been expecting a bill for three hundred thirty-six dollars and ninety cents. That’s the difference between what she’d been quoted and the thousand dollars she’d paid in advance. But the bill she got wasn’t what she expected.

    Ted Lavender: it turned out to be a whopper of a bill. We ended up with an itemized bill that showed every line item for every charge that totaled this

    $303,000

    And then at the bottom was, you know, subtracting the thousand she paid, subtracting the money the insurance paid, leaving a balance of 229,000 and change

    Dan: Of course, Lisa French did not have 229 thousand dollars, or anything like it.

    Ted Lavender: Eventually she got a visit from the sheriff who served her with a lawsuit and she was sued for that $229,000.

    Dan: And that’s where Ted Lavender entered the scene.

    The jury trial in 2018 took six days. As Ted Lavender says, it wasn’t exactly a splashy murder trial, in terms of drama.

    Ted Lavender: this was a six day trial involving hospital billing. So, you know, there was no murder weapon. There was no aha, big, gotcha moment that was really exciting.

    Dan: But Ted Lavender did his best. Like one time, when he got a hospital executive on the witness stand.

    To stabilize Lisa French’s spine, surgeons had implanted 13 pieces of metal into her body. So Ted Lavender had the hospital executive walk the jury through the price for each of those bits of metal. Or actually, the prices..

    Ted Lavender: And I first showed him the itemized bill and asked him to identify what they charged for these 13 pieces of hardware .

    I had given him sort of an oversized calculator that was sitting there in front of him on the witness stand, admittedly, for some dramatic effect

    And through adding these up on the itemized bill, he arrived at the number which was $197,000.

    Dan: A hundred and ninety-seven thousand dollars. So that’s about two-thirds of the three hundred and three thousand dollars the hospital is trying to charge Lisa French.

    And then the next thing I did was I handed in the 13 invoices that we had received from the hospital,

    Dan: That is, Ted handed the guy the invoices the hospital had received — and paid — when it bought those bits of metal..

    Ted Lavender: and I asked him to add up and tell this jury what did the hospital pay for these 13 pieces of hardware.

    He’s adding, and he’s adding and he’s punching in numbers, and he’s turning pages and he’s adding, and he’s adding with each addition, with each plus the jury seemed to ease a little closer up to the front of their chair, and ultimately he arrived at the total, which was $31,000 and change.

    Dan: So the hospital’s charging like six and a half times what they paid. And that’s two thirds of this 300 thousand dollar bill.

    Ted Lavender: It just, you know, the jury seemingly did not like that.

    Dan: So that was a good moment for Lisa French’s side. I mean getting the jury mad at the other side, that’s a win.

    And the big calculator wasn’t Ted Lavender’s only visual: He also had a giant post-it note, where he wrote down, in magic marker, all the different prices the hospital accepted for the surgery, depending on who was paying.

    Ted Lavender: and we got these numbers from the hospital, they would’ve accepted $146,000 from private insurance.

    Dan: That’s less than half of what they were trying to charge Lisa French. And they accepted less than that — a LOT less — from government-funded insurance, like Medicare, Medicaid, or Tricare, which covers folks in the military.

    Ted Lavender: The average of what they would’ve accepted for these. Procedures that Ms. French had were $63,199. Again, Ms. French and her insurance company combined paid almost $75,000.

    Dan: You can hear that post-it rustling around. It was a good prop, he’s held onto it. So, he’d shown the jury that the hospital charged a HUGE markup, and that what they were suing Lisa French for was way, way more than they charged anybody else.

    On the hospital’s side, they were like, Yeah, but this is our actual sticker price. And Lisa French signed a piece of paper that said she would pay “all charges of the hospital.”

    So the hospital was like, yep, and these are our charges. That 303 thousand dollars, it comes from a list we keep. It’s called the chargemaster. That’s what Lisa French was signing up for.

    And this became something the jury had to decide:

    When Lisa French signed a piece of paper saying she’d pay “all charges of the hospital” — was she specifically agreeing to pay what was on the chargemaster?

    And here’s one thing that might’ve made jurors a little skeptical on that score: The hospital never showed that chargemaster list to Lisa French. Not before her surgery, not after it. They said it was a trade secret.

    Ted Lavender: they went all the way through trial. Never producing it though. We, we, we asked at the very beginning, once the lawsuit was filed, , basically you get to ask questions. Give me this information, give me information that supports your case or helps my case.

    And we ask specifically for the charge master and they refuse to produce it on the basis that it was confidential and proprietary.

    Dan: By withholding that list, the hospital may have helped Ted Lavender make his argument: How could Lisa French have known what she was signing up for, if she couldn’t see the prices?

    Ted Lavender: if we can’t get it through our subpoena power, how in the world would Lisa Friendship been able to use it by, had she asked?

    And admittedly she didn’t ask for it, but if she had, surely they wouldn’t have given it to her either.

    Dan: In the end, the jury agreed: Lisa French had not specifically agreed to pay the hospital’s chargemaster prices.

    And the only other alternative was: She agreed to pay something reasonable.

    The jury decided she owed the hospital seven hundred seventy six dollars and 74 cents

    Basically, that’s the three hundred and some left over from the original estimate, plus some extra — because she wound up staying in the hospital one night more than expected: She owed a fee for late check-out.

    Of course the hospital did not take that lying down. They appealed the outcome– and won! Ted Lavender appealed that decision, which is how the case ended up in front of the Colorado Supreme Court.

    We’ve actually got tape of those proceedings. They’re kinda juicy. Plus the outcome, and why it matters for the rest of us. That’s right after this.

    This episode of An Arm and a Leg is produced in partnership with KFF Health News–formerly known as Kaiser Health News.

    They’re a national newsroom producing in-depth journalism about health care in America. We’ll have more information about KFF Health News at the end of this episode.

    OK, so Lisa French’s case was headed to the Colorado Supreme Court.

    And here’s the big issue. Remember how the jury found that Lisa French hadn’t actually agreed to pay the hospital’s chargemaster price, the three hundred and three thousand dollars?

    The hospital argued: The jury never should’ve been asked to consider that question.

    The law — legal precedent — makes it open and shut: The appeals court had agreed. And it had cited other cases from courts around the country.

    So when the hospital’s lawyer, Mike McConnell, got up to address the Supreme Court, he led with those citations.

    Mike McConnell: All of the questions that you have raised have been addressed in more than a dozen cases around the country. carefully and thoroughly.

    Justice Richard L. Gabriel: Well, let me push back on you. Good morning to you, Mr. McConnell.

    Mike McConnell: Good morning.

    Dan: This is Justice Richard L Gabriel, stepping right in. He notes that these dozen other decisions all rest on one original case, from 2008, where a court had said: We can’t intervene in health care pricing. Courts shouldn’t try. Health care is too complicated.

    Justice Gabriel wasn’t convinced.

    Justice Richard L. Gabriel: I guess the question I have is why, you know? I, you know, we may not be the smartest people in the world, but this is a contract and why should the hospital industry— different than any other industry on the planet —have different rules for contract principles?

    Dan: The hospital lawyer argued that hospitals couldn’t predict everything that would happen in a patient’s care. In fact, the hospital can’t even control it: Only physicians can decide what treatment to order.

    Mike McConnell: You can, uh, I guess imagine that hospitals ought to be able to predict in advance what a particular physician is going to order for a particular patient. Um, and, uh, perhaps, you know, obviously you feel that is the way it ought to be. It is not the way it is, but now

    Justice Melissa Hart: Mr. Mr. McConnell, I’m sorry, to interrupt…

    Dan: Here’s justice Melissa Hart breaking in

    Justice Melissa Hart: …the hospital did provide an estimate in this case. They did calculate what they thought this was going to cost and tell her that. So it is, it seems false to me that they can’t do it. Of course, they can’t predict with absolute certainty. In this case, she had the extra night stay in the hospital and she paid for that. But they can predict in a case like this, and they do.

    Dan: The justices didn’t seem super-persuaded by McConnell’s response to that. And that left one more big question in front of the justices.

    When Lisa French signed a document promising to pay “all charges,” was she definitely agreeing to pay three hundred and three thousand dollars? Or 229 after insurance.

    The appeals court found that the chargemaster rate — the 303 thousand — had been “incorporated by reference” to the document she’d signed, officially called the “hospital services agreement.”

    The supreme court wasn’t convinced. Here’s Justice Richard Gabriel again.

    Justice Richard L. Gabriel: There’s no reference to the charge master on the face of the hospital services agreement.

    How could she have assented to something she never even knew existed?

    Dan: And here’s how the hospital’s lawyer responded.

    Mike McConnell: When she read the provision, all charges not otherwise paid by insurance. She understood that the hospital charges would, she was responsible for paying the hospital charges that her insurance company did it,

    Justice Richard L. Gabriel: Whatever it was. They could have charged her a billion dollars and she’s your position to be she’s bound because she agreed. All charges means all charges.

    Dan: Huh! There wasn’t a real comeback to that.

    The Supreme Court ruled against the hospital, unanimously. Specifically, they ruled that the chargemaster– the 303 thousand dollars– had not been “incorporated by reference” to the piece of paper Lisa French had signed.

    She didn’t know those chargemaster list prices even existed. How could she agree to pay them?

    So that meant, the court ruled that, quote, “the hospital services agreements left the price term open.”

    Which is language that may ring a bell, if you’ve been listening to this show. It’s a legal principle — a bedrock of contract law:

    How the law treats an open-price contract — a contract that doesn’t specify a price term.

    Here’s a refresher on that principle from Ted Lavender.

    Ted Lavender: if you go to McDonald’s and order a, a quarter pounder with cheese and you know, value meal number three, they tell you the price and that is the price that you have to pay. And then they give you your meal.

    You enter that contract with an actual price term

    Dan: But you can also enter an open-price contract — a contract without a price term.

    Ted Lavender: if you have a contract without a price term, without a specific price in it, then the law infer into that contract a reasonable price.

    Dan: In other words, a contract with the price term OPEN is not a blank check. I don’t have to pay whatever number the other side makes up.

    And that’s what the Colorado Supreme Court found here.

    They ruled that, quote, “principles of contract law can certainly be applied to hospital-patient contracts.” They say, a court may have ruled otherwise in 2008, and other courts may have cited that opinion. We disagree.

    The Colorado Supreme Court is saying, even in health care, when no price is specified– when the price term is open– you have the right to a reasonable price.

    Yes!

    And that’s why Lisa French’s case is so interesting to us, here on this show.

    Because we’ve talked here about using this legal principle to fight back against outrageous bills.

    We’ve heard from one guy, Jeffrey Fox, who actually took a hospital to small claims court to enforce his right to a reasonable price. And won.

    We’ve heard from a listener who tried and failed, but said, more of us should try this.

    And this Colorado decision seems like good news for anybody interested in doing something like that.

    But honestly, it also raises a few concerns that I had not known about before. First:

    Well, there ARE all those other cases out there, in other states, that follow the 2008 case, the one that says health care is too complicated for courts to get into.

    And yeah, here’s Colorado saying, “No it isn’t.”

    But courts in other states aren’t bound by Colorado’s decision. Hm. And second: there’s also something the Colorado court DIDN’T decide:

    What if the paper Lisa French signed had specified, “I agree to pay the hospital’s CHARGEMASTER rates?” Could she be required to pay them then? Even if they were a billion dollars?

    In their decision, The Colorado court wrote that the chargemaster rates are “increasingly arbitrary” and “inflated” and “have lost any direct connection to hospitals actual cost.”

    So Ted Lavender thinks they might’ve said, No, we can’t be held to a billion dollars, just by adding the word “chargemaster.”

    Ted Lavender: I think they would’ve answered that. No, but they did not come right out and actually answer that.

    Dan: Because they didn’t HAVE to answer that question.

    Ted Lavender: Courts routinely, in fact, it’s almost an objective of appeals courts. They answer as few a number of questions as possible to get to an answer. ,

    Dan: So the Colorado court simpley ruled that in Lisa French’s case, the chargemaster rates weren’t “incorporated by reference” into papers she signed.

    Those papers didn’t didn’t mention the chargemaster at all– and the hospital kept that chargemaster as a trade secret. Open, shut.

    But… hospitals aren’t supposed to keep those rates secret anymore. For the last couple of years, thanks to an executive order from the Trump administration, federal rules have required them to post their chargemaster to the internet.

    And so I had all that in mind when I heard from a listener in Atlanta.

    Cindi Gatton: my name is Cindy Gatton and I’ve been an independent patient advocate for 11 years now.

    Dan: Cindi’s job is helping people deal with medical bills, but she had actually written to me about her experience as a patient.

    Before a medical appointment, she got the usual forms online, including one for “Patient Financial Agreement and Responsibilities”

    Cindi Gatton: so I thought, you know what? I’m gonna print it and just see exactly what it says. And I’m reading through the thing it says, patient understands and agrees that he, she will be charge. The Piedmont Healthcare Standard charge master rates for all services not covered by a payer or that are self-pay.

    I’ve never seen that before, and it shocked me that there was a reference to charge master rates in the financial disclosure.

    Dan: And Cindi has been dealing with medical bills full-time for a decade. She’s seen a lot. So when she says it’s new, and that it’s shocking, that seems worth noting.

    Cindi Gatton: it just feels wrong to me. It feels really wrong because it, it reminds me of, you know, you, you go to a website and they give you their terms and conditions. Nobody reads those. I don’t read them. You click yes so that you can move on with what it is you wanna do, which is to get care, to be seen by the doctor to, you know, have your procedure.

    And I don’t know this, this feels, um, it feels manipulative to me

    Dan: Yeah, and to me, it feels ominous. Like lawyers who work for hospitals have been paying attention to the Lisa French decision and thinking:

    There’s a wedge here maybe we could exploit. Like, if we get you to sign a document that says “chargemaster” on it, we’re getting you to sign away your right to a reasonable price. After all, the court in Colorado didn’t come out and say that wouldn’t be kosher.

    So, where I’m landing at the end of this story is: I’ve got a couple big homework assignments:

    First, if I’m interested in seeing how we can use our legal rights to fight back against outrageous, unreasonable bills — and I am —

    I need to learn more about which states recognize our rights to a reasonable price in health care, and which ones … maybe don’t. I’m on it, and if you’ve got any tips, please bring them.

    That’s the first assignment, and for the second, I’d love your help: How many hospitals are using this “chargemaster” language these days in those financial responsbility documents they ask us to sign?

    Do me a favor: See if you can get a copy of that document from any hospital system or doctor group where you get seen. And send me a copy of it?

    Redact anything you need to. And also know: we’re not aiming to share this with anybody outside our reporting team.

    Here’s what happened when I tried this.

    A hospital where I get seen uses a portal called MyChart– a lot of hospitals use it. I just logged on to MyChart there, and I did a little digging around. I found a link to something called “My Documents.” And I found a form there called Universal Consent.”

    It has stuff about financial responsibility.

    It doesn’t mention chargemaster rates. But it’s a year old. It also says it’s expired.

    And here’s an idea I got from Cindi, which I’m gonna try– and which seems worth passing around.

    When Cindi found that chargemaster language in the document from her Hospital, here’s what she did. She printed it out and changed it:

    Cindi Gatton: what I did is instead of the standard charge master rates, I drew a line through it and I wrote in two x Medicare rates.

    Dan: In other words, instead of saying “I’ll pay the chargemaster rates,” it says, “I’ll pay two times the Medicare rate.”

    We’ve heard about this strategy before, from former ProPublica reporter Marshall Allen, who wrote about it in his book, “Never Pay the First Bill.”

    Here’s the rationale. Medicare pays less than most commercial insurance; hospitals say that at least sometimes they lose money on Medicare. Doubling it seems … generous enough. But it also sets a limit.

    So that’s what Cindi wrote on her printout.

    Cindi Gatton: I have been taking it with me when I go to be seen that if they ask me for the document that I can say, you know, here it is.

    Dan: So far, she says, nobody’s asked for it.

    And, I don’t think anybody will be confused, but just to make sure, I’ll say: This isn’t legal advice. I’m not a lawyer. Cindi’s not a lawyer.

    She’s just a person going to the doctor, doing her best not to leave too many openings where she could get really screwed. And I’m gonna try following her example.

    And I’ve got another request for you: If you try this trick of printing the thing out, exxing out the chargemaster language and writing 2 x medicare rates– LET ME KNOW WHAT HAPPENS, OK?

    The place to do all this is on our website at arm and a leg show dot com, slash contact. That’s arm and a leg show dot com, slash, contact.

    You are this show’s secret weapon. You’re our eyes and ears. Cindi Gatton’s a listener who got in touch.

    How did I first learn about Lisa French’s case? Email from a listener. [Thank you, Terry N, for that note last year! Took us a minute, but we got to this.]

    Thank you for listening. You absolutely rule. I’ll catch you soon.

    Till then, take care of yourself.

    This episode of An Arm and a Leg was produced by me, Dan Weissmann, with help from Emily Pisacreta, and edited by Afi Yellow-Duke.

    Daisy Rosario is our consulting managing producer. Adam Raymonda is our audio wizard. Our music is by Dave Winer and Blue Dot Sessions.

    Gabrielle Healy is our managing editor for audience. She edits the First Aid Kit Newsletter.

    Bea Bosco is our consulting director of operations. Sarah Ballema is our operations manager.

    An Arm and a Leg is produced in partnership with KFF Health News–formerly known as Kaiser Health News.

    That’s a national newsroom producing in-depth journalism about health care in America, and a core program at KFF — an independent source of health policy research, polling, and journalism.

    And yes, you did hear the name Kaiser in there, and no: KFF isn’t affiliated with the health care giant Kaiser Permanente. You can learn more about KFF Health News at arm and a leg show dot com, slash KFF.

    Zach Dyer is senior audio producer at KFF Health News. He is editorial liaison to this show.

    Thanks to Public Narrative — That’s a Chicago-based group that helps journalists and nonprofits tell better stories– for serving as our fiscal sponsor, allowing us to accept tax-exempt donations. You can learn more about Public Narrative at www dot public narrative dot org.

    And thanks to everybody who supports this show financially.

    If you haven’t yet, we’d love for you to join us. The place for that is arm and a leg show dot com, slash support.

    Thank you!

    “An Arm and a Leg” is a co-production of KFF Health News and Public Road Productions.

    To keep in touch with “An Arm and a Leg,” subscribe to the newsletter. You can also follow the show on Facebook and Twitter. And if you’ve got stories to tell about the health care system, the producers would love to hear from you.

    To hear all KFF Health News podcasts, click here.

    And subscribe to “An Arm and a Leg” on SpotifyApple PodcastsStitcherPocket Casts, or wherever you listen to podcasts.

    KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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    Talk about AI in medicine often focuses on the most exiting possible innovations like precision diagnostics, clinical prediction systems, and analytics-driven drug discovery.

    However, with the arrival of large language models like GPT-4, Bard, and LLaMA, there is growing enthusiasm for how AI might reshape the more mundane aspects of clinical practice: clinical documentation and electronic health records. And it’s obvious why. As a patient, I hate the experience of having to talk to my doctors as they peer at me just over the laptop screen (all the while typing furiously). It really takes the feeling of care out of health care. And, of course, doctors hate EHRs, probably more than patients do. There’s no end to the complaints about increasing documentation demands, poor interface design, and incessant alerts.

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    Kozhikode: The Kasaba police on Monday arrested a senior paediatrician under the Protection of Children from Sexual Offences (POCSO) Act for allegedly sexually abusing a minor girl during a medical examination at his private clinic in Kerala's Kozhikode district.

    A senior paediatrician has been arrested for allegedly misbehaving with a girl during a medical examination at his private clinic in Kerala's Kozhikode district, police said on Wednesday.

    The accused was booked on Monday under the Protection of Children from Sexual Offences (POCSO) Act based on the complaint filed by the girl’s parents.

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    Kasaba police said he was arrested and produced before a local court on the same day, but he got admitted to the government medical college hospital here citing health issues.

    He was shifted to the special sub-jail here this morning, they added.

    Medical Dialogues team had earlier reported that a reputed psychiatrist and government doctor of Kerala had been booked by police based on a complaint moved by a female patient for allegedly misbehaving with her at his private clinic in Wayanad. The accused has been identified as a famous doctor who works as a consultant psychiatrist at the Government General Hospital in Wayanad. A case has been registered against the doctor based on the complaint of an 18-year-old patient, who alleged that the doctor misbehaved with her during one of the consultation sessions. The doctor was booked following a complaint moved by the woman.

    The doctor is quite famous in the locality and has made a few television appearances. It is still unclear whether his services have been terminated from the government hospital or if he is currently staying outside. Following the complaint of the patient, a first information report was registered under the non-bailable section of the Indian Penal Code. 

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    Some arthritis flare-ups may be linked with gum diseases

    Recent findings, published in Science Translational Medicine, suggests that breaches in damaged gums allow bacteria in the mouth to seep into the bloodstream, activating an immune response that ultimately pivots to target the body’s own proteins and causes arthritis flare-ups.

    “If oral bacteria are getting in and repeatedly triggering immune responses relevant to rheumatoid arthritis, that could make it harder to treat,” says Dana Orange, a professor of clinical investigation in the laboratory of Robert B. Darnell at The Rockefeller University. “When doctors encounter arthritis patients who do not respond to treatment, it would be worth it to make sure they aren’t missing an underlying gum disease, which is quite treatable.”

    The Darnell lab had been following a small group of arthritis patients over the course of several years, collecting weekly blood samples and looking for changes in gene expression to help explain why painful flare-ups occur, when they noticed a surprising trend. Two of their patients, who had moderate to severe periodontal disease, had repeated episodes of oral bacteria in their bloodstreams, even when they weren’t having dental work.

    Orange knew that rheumatoid arthritis patients generally have autoantibodies in their bloodstream (rheumatoid arthritis is an auto-immune disease, wherein antibodies attack the body’s own proteins and peptides). In many cases, autoantibodies take specific aim at proteins bearing the signs of citrullination, a process by which one amino acid in the protein is converted into a different one.

    Upon further examination, the team discovered that the oral bacteria they detected in the blood are also citrullinated in the mouth, much like the proteins targeted by autoantibodies in arthritis. They then demonstrated that the same autoantibodies that take potshots at the body’s citrullinated proteins activate in response to citrullinated bacteria.

    The results may explain why arthritis treatments do not work as well in patients with gum disease. If the gums are continuously releasing immune triggers into the bloodstream, treating arthritis without first solving the periodontal problem is like trying to haul water out of a ship without first plugging up its leaks.

    “Gum disease is quite curable; rheumatoid arthritis can be much more difficult to treat,” Orange says. “Our results indicate that periodontal disease leads to leaky gums that allow oral bacteria to enter the blood repeatedly. This level of oral bacteria in blood doesn’t cause obvious symptoms, so the patients were not aware this was happening, but they do trigger inflammatory and auto-antibody responses that are highly relevant to rheumatoid arthritis.”

    These findings also demonstrate the importance of conducting long-term research to better understand chronic diseases. The present study would not have been possible without a unique initiative, pioneered by Orange and Darnell several years ago, that empowers arthritis patients to collect their own blood samples at home with a finger-prick kit and mail weekly samples to Rockefeller. The lab now has several years of data to help track what happens in the blood right before an arthritis flare.

    “Without having weekly blood samples for at least a year, we wouldn’t have been able to find out what was happening before the patients had symptoms of their flares,” Orange says. “Our study revealed a plausible mechanism to explain why rheumatoid arthritis patients with periodontal disease do not respond well to treatment-something very hard to capture without long-term monitoring.”

    Reference:

    Oral mucosal breaks trigger anti-citrullinated bacterial and human protein antibody responses in rheumatoid arthritis,Science Translational Medicine,doi 10.1126/scitranslmed.abq8476 

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