Quantity is not necessarily Quality

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projapoti

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Hi there, I am a Canadian first year resident in Internal Medicine, and recently I went to Kolkata to visit my family. During the course of my trip, I visited PG hospital in downtown Kolkata to get an idea of what a teaching hospital is like in West Bengal.

It was a great experience, though it was rather shocking to see the conditions that the residents have to work in. The thing that shocked me the most was the sheer number of patients on the medical "ward", and how they were all packed in to a single large room. God bless the nurses who have to work there all day among all those sick people.

Anyway, on to the point of my story: A first year general surgery resident (a friend of the family) showed me around. Every word out of her mouth was trying to impress upon me that her training is much better and more rigorous than Canadian residency because of the number of patients she sees (which admittedly is a LOT more than ours). That said, I wonder how a resident seeing excess of 100 patients a day in clinic can offer quality medical care to all of them.

For those of you doing residency in India, can you comment on this? Do you think that sometimes quality of medical care is compromised when you are seeing so many patients in such a little time in a teaching center?

Also, have any residents here done medical training in BOTH India and Canada? What are the main differences? Advantages or disadvantages of each system?
 
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