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Dr.T.V.Rao MD
Many thought that need for learning practising Microbiology will vanish in 1980s. The community of
Microbiologists were grateful to onset of Pandemic of AIDS, associated with many opportunistic
infections, and woke up the world that the world of humanity lives at the mercy of Microbes, in spite
Modern medicine has led to dramatic changes in infectious diseases practice. Vaccination and
antibiotic therapy have benefited millions of persons. With few limitation with much access in the
developing world was at advantage with much resources, however, in Developing countries like
India with constrained resources now threaten our ability to adequately manage threats of
infectious diseases by placing clinical microbiology services and expertise distant from the patient
and their infectious diseases physician. The microbiology laboratory of the past featured primary
care doctors and hospital-based specialists periodically visiting the on-site laboratory to review
smear and culture results. Looking through the microscope or examining a culture plate solidified
impressions that were carried to the bedside and prominently used in therapeutic decision making.
It was told for more than two decades by those with vision to human progress that Microbiologists
should be out of their chair from comfort zones to linking the laboratories with the hospital services,
Today India needs much changes in thinking the role of Microbiologists in many teaching hospital to
be redefined emerging challenges conversation among medical microbiologists is needed to focus
efforts on defining, standardizing and improving our performance as clinical microbiology laboratory
directors Current changes mainly consist of moving from a hospital-based service with close
interaction among interested physicians, laboratory professionals, and other staff involved with
patient care hospital-wide to a centralized laboratory service that is distant from many hospital sites
and thus renders frequent, direct interaction impossible. Now with efforts of Medical Council of
India many teaching hospitals are going in the establishment of centralised diagnostic laboratories.
Yet many of our Microbiologists have to learn the concept of effective communication with the
clinicians, Because Effective communication is one of the most important characteristics of a
microbiology laboratory, wherever it is located. To be effective, the opportunity for dialogue
between health care providers and laboratory personnel must be readily accessible, if not
immediately available. Provision must be adequate for bidirectional interaction, because the
information provided is nearly always qualitative and interpretive. However I have realised many
decades back if we as Professor or senior consultants have to move from comfortable arm chair job
to war zone in the hospital where there is true fight of microbes and patients is going in the wards or
critical care areas,
WE NEED THE CHANGES IN TRAINING OF OUR MD GRADUATES The future does look
different. Changing POST GRADUATE training and contributions to match the new needs of the
profession must be combined with a renewed energy by individuals and professional organizations
to underscore the value of clinical microbiology laboratory PERSONAL to fellow professionals, I wish
future may change if the MD students in Microbiology are spending at least 6 moths in the critical
care areas and septic patients, it will make them to realise the importance of human life than just
laboratory supervisors and resting teachers with growing conflicts in the departments with idleness
and lack of accountability to life.
TEACHERS SHOULD CHANGE TO FUTURE Many times I am sceptical about the role of many
teachers who wish to be safe in a system without contribution however when we really fight for
change matter may have much repercussions on us as many still believe living with ignorance is a
bliss however for me it is truly dangerous for institutes which wish to progress,