Posted on 09/05/2004 4:22:12 PM PDT by freedom44
Can you send me the link to the guidelines you are referring to?
I have been doing clinical trials for a while now and have never had to undertake comparability trials with studies conducted in India (unlike China).
You are partially correct. I know some Indian schools that are as good or better than US schools. Then there are other Indian schools that are worse than Mexican schools.
What you say is true. But we do eat a lot of curry.......
I don't know where you live, but it may be a regional phenomena. I live in New York, and usually my mother's friends only encounter it amongst new transplants.
http://www.fda.gov/fdac/features/2003/303_race.html
Here's one of them that I found. It seems that the FDA thinks about this more than I do?
Curry is good. I've been eating it since I was a baby, and I still don't get why people think it smells *lol*
The best surgeon I ever worked with was Pakistani.
The best OBGYN I ever saw was West Indian.
The best cardiologist I ever worked with was Dravidian.
The problem is that the system of competitive exams with high failure rates has broken down, and nothing has taken its place.
The poster who wrote about Indian med schools is completely wrong-they are among the best in the world, just behind UK, Canada, US and Ireland.
However, they graduate everyone. The valedictorian from Lady Hardinge Medical College in New Delhi can run rings around the average HMS grad-but the last one in that class shouldn't be allowed to practice even in India.
At least half of every US medical school class should not be allowed to graduate-perhaps 2/3.
As long as getting in and paying the tuition guarantees graduation, and as long as passing the USMLE gets a foreign grad a license, our quality problems can't be solved.
The old system of extreme stress training, extreme competition, and honor was invented by white males, but anyone from anywhere could play, and often did.
What do you think of decreasing the work hours of residents?
Simple answer. SOCIALIZED MEDICINE. You want better doctors let them compete and let them charge based on the quality of their services. Why do the British complicate everything?
I think the very idea that residents have "work hours" is an absurdity.
Are the long hours leading to exhaustion in interns and residents largely a myth? If that's true, then there should be concern for nurses who work twelve hour shifts. I've worked twelve hour shifts in life before, but not in a hospital setting and lived through it.
The old system served two important functions:
1) Break quickly those who don't have the right stuff.
2) Identify quickly people who loved medicine so much that they had to be dragged out of the hospital.
We have fleets of people now who can get to practice (which is extremely stressful) without ever, ever being stress tested while they could still be stopped.
This, IMO, is very bad.
I think a lot of people are not interested in hospitals but concerning themselves with private practice. At least that's what I see from the amount of doctor offices cropping up in my area.
Not at all.
I worked 36 hour shifts for two years.
They don't do it any more, of course.
This is the only part that concerns me, neither of the doctors my family uses is white except they are older but it's the change in the type of person interested in becoming a doctor independent of ethnicity. It's all about government regulations, managed care plans, govermnent control.
This is a story that will not hit the MSM.
It is a phase we are going through. It will explode back to the way it was. Men in general are aggressive, and will not continue. I imagine a lot of men holding their tongue are suffering from stress, and it is time they let go.
But at the same time, I'd hate to be one of those patients at the "fag end" of one of those medicine-maniacs' shifts. Even if he or she loved it to death. Hey, wasn't I supposed to get the Celebrex, not the Celexa?
Excellent - I am so pleased to be able to address source documents rather than theories.
1. Asian generally means orientals. There are lots of differences between Caucasians and Orientals. Not many between Indians and Caucasians. In fact, the higher you go in the caste system (oh, no, now I've done it), the closer the similarity. Brahmins are more than 99% genetically identical to Europeans. This is not surprising if you know Indian history.
2. As the FDA says, they want racial data on ALL studies on ALL populations as the demand for identifying genetic basis for efficacy and safety increases. The web page gives examples, and so I won't repeat it here. The web page does not address specifically from which areas/countries it will accept data without bioequivalence studies.
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