CTSNET READER COMMENTS

First of all i would likt to congratulate Siddharth for writting on such a topic which
is very important for all budding surgeons from asiatic countries. I think for anyone
to become successful in any field one requiers to have focus, patience and plan with
timelimits. In country like india there are best training opurtunities but what we lack
is proper system for trainees to get alround exposure. Here it is cardio vascular and
thoracic surgery which is actually three specialities in one which is a bit too much
for a resident. Also most hospitals do not have a review committee/programme for
trainees and trainers. We spend all the three years of training in only one institute
under only one guide which is not ideal. In situation like this one has to be lucky to
be in a good center under a good guide or one has to be extremly focused and self
driven to be able to self train.

Surgeons who get oppurtunities to get training
overseas when they return they dont join the training institute or there are no vacancy
for them in the training institute. This leads to loss of the implementation of the
vision and experience one may have acquired overseas. In this situation nobody benefits
excepts for the person(who is trained overseas) himself in private practice. There are
lots of things like these but i think acquiring the sesitivity and sensibility about
training is very important and it is good that we are discussing such things openly in
forum. But i would like to make a point that surgeon who are trained in india may be
good or average or bad depending upon where they have received there training and what
kind of oppurtunities he/she has got. I have been to quite a few centers across the
world and i have seen some the best surgeons in India so i would like to add that one
should have vision and focus and should have self assessment ability to constantly
improve upone oncself.

Siddarth has written a nice article and am sure his experience as a trainee has been
great. The article is a bit too idealistic to be true, I think. I primarily trained in
India and had great trainers but really speaking the training programmes that we run in
India are not quiet adequate . After our so called MCh how many of us are competent to
do even a basic cardiac procedure like CABG?
I went to Australia after my training in
India and have spent 2 years here  and have benefitted immensely. Am here for another
year when I plan to go back.
There is a lot of scope of improvement and standardisation
of our training programmes in India. Currently, I think it is far from satisfactory...I
would have loved if Siddarth would have addressed some of these issues.. am sure  he
has faced these situations of inadequate training and knows what I am talking about.

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