Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2017  |  Volume : 22  |  Issue : 1  |  Page : 1--2

Presidential Address at 42 nd Annual Conference of the Indian Association of Pediatric Surgeons (IAPSCON 2016) Agra September 29-October 2, 2016

Kishore Panjwani 
 President, Indian Association of Pediatric Surgeons

Correspondence Address:
Kishore Panjwani
President, Indian Association of Pediatric Surgeons

How to cite this article:
Panjwani K. Presidential Address at 42 nd Annual Conference of the Indian Association of Pediatric Surgeons (IAPSCON 2016) Agra September 29-October 2, 2016.J Indian Assoc Pediatr Surg 2017;22:1-2

How to cite this URL:
Panjwani K. Presidential Address at 42 nd Annual Conference of the Indian Association of Pediatric Surgeons (IAPSCON 2016) Agra September 29-October 2, 2016. J Indian Assoc Pediatr Surg [serial online] 2017 [cited 2022 Jan 20 ];22:1-2
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Full Text

Honorable Chief Guest Prof. H. S. Asopa, President World Federation of Pediatric Surgery Prof. D. K. Gupta, Secretary General World Federation of Paediatric Surgery Prof. Alistair Millar, President of BAPS (British Association of Pediatric Surgeons) - Prof. Mark Davenport, President Japanese Association of Pediatric Surgeons Dr. Taguchi Tomoki and other overseas, faculties, my teachers, seniors, and friends. I welcome you all in the City of Love and Hospitality.

In India, pediatric surgery completed 51 years of existence, last year we celebrated our Golden Jubilee program at Mumbai. Now, pediatric surgeons have spread all over India barring very few places. Many of the district centers can also boast of pediatric surgeons. The training centers in India have done extremely well to turnout reasonably trained workforce to take care of surgical problems of children.

 Health Insurance

We are seeing that various health insurance companies and government organizations are making clear-cut discrimination in the treatment of babies having birth defects. This discrimination is done by all insurance agencies as almost all insurance companies have not extended any medical insurance facility/policy for treatment of various birth defects during or after pregnancy. Similarly, unlike huge budget and schemes for infective diseases of newborns, there is extremely inadequate facility for the management of newborn babies with congenital problems at government level in our country.

We have filed A PIL (under the leadership of Dr. Sanjay Kulshrestha) Delhi High Court on August 11, 2014, and following prayers have been made before the court: one is to ensure universal health insurance policies for medical and surgical diseases for fetuses, newborns, and children during pregnancy and after delivery; second, to make a national program for the management of birth defects to ensure adequate facilities available in all districts and medical colleges for routine fetal screening during pregnancy for congenital anomalies.

There have been 14 dates so far in the court and every time we (Dr. Kulshrestha) attend the court personally. Last time, it was listed a week ago on September 23. Reply from the Government of India including ministry of finance, health and insurance regulatory bodies have already been submitted in court. Most likely, there would be final arguments on the next date. We have meticulously prepared counter affidavits with consultations of some known lawyers of Supreme Court and expect some positive response from the court. For this, I am really thankful to Dr. Sanjay Kulshreshtha.

 Health Infrastructure and Finance

Our government hospitals and institutes notice a large number of patients, of which majority are from poor class of our society. But unfortunately, still, many of the district hospitals and government medical colleges of many districts lack pediatric surgery department and pediatric surgeons, so most of the patients are treated by general surgeons. Even the pediatric surgeons who are posted in those medical colleges are working on the post of general surgeons. You see in my state Uttar Pradesh only postgraduate medical university is having established pediatric surgery department, but rest of the medical college lack this facility. Our next president Prof. S. N. Kureel is resourceful and politically well-connected person, so I am sure he will take care of this issue.

 Standard Teaching Guidelines

India needs about 4000 pediatric surgeons; at present, we have <2000. We are having approximately 135 training institutes (MCh and DNB), but many are under subscribed and we all know each institute have its own way of teaching standard. There is no uniformity in teaching guidelines. In this regard, last year during Annual Conference of the Indian Association of Pediatric Surgeons (IAPS) at Mumbai, an academic council was formed under the leadership of Prof. Ravi Kumar. With the help of many senior teachers of faculty and inputs from Prof. Minu Bajpai, we prepared a comprehensive draft of curriculum for undergraduate, postgraduate, and MCh students in pediatric surgery. It was based on the AIIMS recommendation made in 2007 by our honorable Prof. D. K. Gupta. We submitted these drafts to the Medical Council of India (MCI) for taking an appropriate decision and MCI formed a committee under chairmanship of Prof. Minu Bajpai for this. This has been circulated to all the members of IAPS so that final draft can be presented to the MCI. Thanks Prof. Ravi Kumar, Prof. Minu Bajpai, Prof. D. K. Gupta, and so many others along with Hon. Secretary Dr. K. Ramesh Reddy.

 Public Awareness Programs

We should organize the public awareness program so that public should know the meaning of pediatric surgery and its depth. Last year, our subchapter CHIPS was formed, and Dr. Rasik Shah - Past President IAPS was nominated for coordinator and under his leadership, a public awareness week was conducted in November 2015 on surgical congenital defects and their management. It was a great success. We conducted this program in 72 districts and towns. On September 25, Can Kids India organized a public awareness program at Taj Mahal with name of "TAJ GOES GOLD" for the awareness of pediatric malignancies, and Agra Paediatric Surgery Club was part of it. It was a great success more than 1500 cancer survivor children attended this program. Such programs will give boost to our specialty.

 Our Future

In the last 5-6 years, postgraduate students are losing interest in pediatric surgery although the number of MCh seats became just double in the last 5 years, but on the other hand, almost one-third of these are vacant except institutes such as AIIMS, PGI, Chandigarh, and few others. I know there is a sense of despondency in the fraternity, low income, and professional status, and this has impacted negativity on recruitment. I do not know with 400 million children in India, how can there be lack of opportunity. We should be positive about it. I suggest my junior budding pediatric surgeons to settle at town and district level where there are lot of opportunities for pediatric surgeons. Moreover, I will request my seniors to support these young generation. We should start mentorship programs for this purpose. I am thankful to Dr. Ketan Pareek (Chairman - Pediatric Endosurgeons of India) and Dr. Vikesh Agrawal to start such program for pediatric laparoscopic training.

I congratulate all the state chapters, subchapters for holding an excellent meeting in the last 1 year few of them I could not attend due to my health issues and apologize to the organizer. West Bengal IAPS Chapter celebrated 98 th Birthday of Prof. Subir K. Chatterjee, which was a unique experience to honor our seniors. I request other chapters also to organize such functions to respect our seniors.

I thank our overseas faculty and delegates for coming to our meetings at their own expenses to share their experiences with our delegates. My special thanks to my friend Dr. K. Ramesh Reddy, our Hon. Secretary and members of our executive committee for their help to run association smoothly.

I cannot end with our thanking my family, my organizing team for their untiring help during this last 1 year. I am thankful to all members of IAPS for rapid progress of association for the last few years. I request you all let us combine and work together toward the welfare of organization. May the IAPS thrive and prosper!

Jai Hind!