Setting up New General Practice

A beginners guide for setting up new General Practice

1. SETTING UP GENERAL PRACTICE DR.AVINASH BHONDWE President IMA, PUNE(2008-09)

2. REQUIREMENT FOR G.P. QUALIFICATIONS- CLINIC- BEGINNING QUALITIES SPECIAL SKILLS CONTINUING EDUCATION CHANGING AS PER PROGRESS

3. REQUIREMENT FOR G.P. QUALIFICATIONS

4. Additional Qualifications MD Family Medicine DNB Family Practice FCGP MRCP Family Medicine EMS Diploma CPS- Pediatrics, Gynec,

5. Legal Requirements Registration with Local Authority Shop Act License Professional Tax Registration Bio-Medical Waste Registration Form III C Registers & Case Papers Income Tax

6. REQUIREMENTS FOR CLINIC SPACE SMALL- 200-400 SQ FT LARGE- 1000-1500 SQ FT LOCATION- MARKET IN RESIDENTIAL AREA OUT SIDE CITY VILLAGES SMALL TOWNS

7. INTERIORS OF A CLINIC

8. DOCTOR’S ROOM

9. LOCATION BUSY LOCALITY OUTSIDE CITY

10. VILLAGE & Small Town Clinics

11. Display of Clinic Board

12. Basic Requirements Good Interior with light & ventilation Reception Doctor’s Room Examination Room Dispensing Room Fees Collection Registers & Other Papers Waste Collection,Dustbins Sink, Tap & Toilet

13. Basic Equipments Stethoscope BP Apparatus- Mercury type Percussion Hammer Torches ENT Head Mirror Weighing Scale IV sets, scalps & IV stands

14. Special Equipments Nebulizer Oxygen Cylinder with meter ,tubing & masks ECG Machine Pulse Oxy meter Gluco meter

15. Visit Bag BP- Dial Type Stethoscope Emergency Injections Syringes, needles Spirit swabs Gluco -meter Pulse-oxy meter Scalp-veins Dressing Materials

16. Injections Required for General use For fever- Paracetamol NSAID- Diclofenac Antiemetic- Metoclopromide, Ondencetron Antispasmodic- Dicyclomin Steroids- Dexamethazone, Hydrocortisone Anti Convulsants- Dizepam For EPS- Phenergan IV 25% Dextrose, NS ampoules

17. Injections Required for General use IV Fluids- 5% Dextrose, NS,RL,DNS Budesonide for nebulisations Vaccines- TT, Typhoid, Polio, Triple, Measles,Rabies , Hepatitis A,B, HIB, Varicella ( Chickenpox), H1N1 Lignocaine Adrenaline, Atropin CPM, Avil B12,Bplex

18. Surgical Equipments Scissors- All Types Allis Needle Holder Forceps- Toothed & Non Toothed Artery Forceps- Medium & Small, Curved & Straight Needles All Stitches- Mersilk , Blacksilk,Linnen , Catgut all types Surgical Blades & holders Plaster Material

19. Dispensing Medicines Proper Purchase from ethical companies Compounder- qualifications Expiry Date Disposal Prescription & dispensing

20. Dispensing Drugs Analgesics- Diclofenac,Nimesulide,Ibuprofen Antipyretics- Paracetamol, Aspirin Anti-spasmodic-Dicyclomine Anti allergic- CPM, Cetrizine Anti amebic- Metronidazole, Tinidazole Anti emetic- Metoclopromide, Stemetil, Ondencetron Anti Diarrheals- Seperamide Bronco-dilators- Salbutamol, Theophyllines

21. Dispensing Drugs Anti anginals - Nitrates Anti Platelets- Clopidogrel , Dispersible Aspirin Steroids- Prednisolone , Dexamethazone , Ointments Antibiotic Powders Anti Fungals - Creams, Lotions, Powders Anti Helmenthics - Antibiotics- Cipro,Levo,Norfloxacin , Amoxycillin Syrups & Capsules

22. Staff for a GP Clinic Reception Nurse Sweeper Attendant Compounder Computer Operator or Clerk Accountant Asst. Doctor YOU

23. Inauguration

24. Advertisements

25. Adevertisement in Lay Press AVOID SUCH ADVT

26. Invitation List Do not invite only Friends & Relatives Invite the People residing around your New Clinic

27. Qualities to Sustain Punctuality & Regularity Confidence Outfit Greetings Socializing Dignity

28. Qualities to Sustain Principles Simplicity Good Listener Compassion Good Adviser Be a Family Member

29. Special Skills Minor Surgeries Stitches- Skin & Mucus Membranes Special Dressings Splints & Plasters I.V . Fluids & Injections ECG Spiro meter Physio –Therapy Refraction

30. Continuing Education New Rules of Re-registration Changing Knowledge of Diseases Newer Medicines & Concepts Newer Treatment Modalities Newer Investigations New Diseases Banned Drugs New Laws & regulations

31. Changing Practice as per Socio-economic Changes Fees Structure Interiors & recreation Patient education literature, PPTs, Screens Appointments & Schedules Newer Technology- Computers, Websites, Mobiles-SMS Prescriptions & records

32. Telemedicine ECGs Confirmation of Diagnosis New Information Patients Data monitoring E- Consultations