#anesthesiology category

[jcmicr]

Publications trends in major anesthesiology journals: A 20-year analysis of five top-ranked journals in the field by Stefan Koppert in Journal of Clinical and Medical Images, Case Reports  

Abstract

Background: With the intention to quantify the importance of a medical journal, the impact factor (IF) was introduced. It has become a de facto fictive rating instrument of the importance of medical journals. Also, it is often used to assess the value of the individual publications within the specific journal. The aim of the present study was to analyze publication trends over 20 years in five high-ranked anesthesiology journals.

Methods: The Medline (NCBI) database PubMed was used for analysis which was restricted to the following journals: 1. Anesthesiology; 2. British Journal of Anaesthesia; 3. Journal of Neurosurgical Anesthesiology; 4. Anesthesia & Analgesia; and 5. Anaesthesia. Specific publication parameters (IFs, number of pages and authors, etc.) were retrieved using the PubMed download function and imported into Microsoft Excel for further analysis.

Results: The mean IF of the five journals analyzed increased significantly within the study period (1991 vs. 2010; +61.81%). However, the absolute number of case reports decreased significantly by 54.7% since 1991. The journals Br J Anaesth (12.2%), J Neurosurg Anesthesiol (51.9%), and Anesth Analg (57.2%) showed significant increases in the number of publications per year. The mean number of authors increased significantly in all the journals from 1991 to 2010 (3.0 vs. 4.3; +43.3%).

 Conclusions: The IF, as well as the number of articles per year and the number of authors per article, increased significantly. In contrast, the number of pages per article remained comparable during the period analyzed.

Keywords: Impact factor; scientific publication; scientific journal; publication trend.

Introduction

The scientific productivity of a institution or person in medical research is reflected by the number of published articles [1]. However, both medical science and publication options have changed dramatically over the last several years. Publishing medical data in the new open access journals (OAJs) and via the World Wide Web (WWW) has gained significant importance recently. Although the classic printed journal was the standard for any years, it is now easily possible to publish peer-reviewed medical work without printing on paper. Publishing scientific medical papers remains the standard in medicine with regard to scientific reputation.

 To quantify the importance of a medical paper, the impact factor (IF) was introduced by the Institute for Scientific Information (ISI, Thomson Scientific/Thomson Corporation, New York, NY, USA) in the 1960s [2]. The IF is a citation index calculated for a specific journal by dividing the number of citations within the last two years by the number of articles published [3, 4]. Therefore, it is a fictive instrument to rate the quality of a journal and the importance of an article because it is published within a specific journal [5]. The IF is relevant in medical research because it significantly impacts publication practice [6] and it has also gained enormous significance for research department funding [3]. The aim of the present study was to analyze the publication trends over 20 years in five high-ranked anesthesiology journals in Medline/PubMed [7]. We focused primarily on delineating trends in the IFs of each journal, as well as the numbers, types, and characteristics of each publication.

Material and Methods

Journals

The Medline (National Center for Biotechnology Information, NCBI, Rockville Pike, MD, USA) database PubMed (http://www.pubmed.com) was used for analysis [7]. Five high-ranked anesthesiology journals (excluding pain medicine), according to the Institute for Scientific Information (ISI, Thomson Scientific, Rockville Pike, MD, USA), were identified using InCites™ [2]. These top-ranked journals were selected by the highest IF in 2010. The IFs of these journals were gathered to analyze the trend in IF for each journal during the period from 1991 to 2010 [2]. Further analysis was restricted to the following journals: 1. Anesthesiology; 2. British Journal of Anaesthesia (Br J Anaesth); 3. Journal of Neurosurgical Anesthesiology (J Neurosurg Anesthesiol); 4. Anesthesia & Analgesia (Anesth Analg); and 5. Anaesthesia.

Data acquisition

For specific data analysis, the following publication information was recorded in the following data sets:

country of origin;

article type (i.e., randomized, controlled trial [RCT], clinical trial, comparative study, or case report);

number of articles per year and journal [n];

number of pages per article [n]; and

number of authors per article [n].

Letters to the editor, editorials, and comments were excluded from the analysis because they are not necessarily based on scientific, peer-reviewed data. All published articles from these journals were gathered by direct data import from PubMed via Microsoft Excel® 2003 (Microsoft, Redmond, WA, USA) for each year (1991-2010) and for each of the five journals (search string; e.g., "Anesthesiology"[Journal] AND ("2006/01/01"[PDAT]: "2006/12/31"[PDAT]). Data were retrieved using the PubMed download function (XML data format; “Extensible Markup Language“) and were imported into Microsoft Excel for further analysis.

Statistical analysis

Descriptive statistics were performed by using Microsoft Excel® 2003. The t-test and the Chi²-test were used for the statistical analysis. A value of p<0.05 was considered statistically significant.

Results

Impact factor analysis

Trends in the IF for each journal and year over the 20-year time frame (1991-2010) were gathered (Figure 1). During this period, the IFs of all journals increased (2.249 in 1991 vs. 3.639 in 2010; i.e., +61.81%). The IF of J Neurosurg Anesthesiol increased from 0.638 in 1992 to 2.205 in 2010, i.e., +245%. The smallest increase was +46.03% for Anesth Analg (from 1991 to 2010)

Figure 1: The trend in impact factors (IF) among the top five anesthesiology journals [2]. x-axis shows the years analyzed and the y-axis shows the impact factor (IF) during that time.

Country of origin

A total of 42,549 articles, containing 183,763 pages written by 154,437 authors, were found between January 1, 1991, and December 31, 2010, in the five journals. Among these articles, the greatest numbers of publications were submitted from the US (31.05%; Table 1), followed by the UK (13.64%), Japan (9.24%), Germany (7.68%), and France (6.22%).

Table 1: Country of origin, number of publications, and resulting rank (1991 to 2010).

Article type

The absolute number of comparative studies and randomized, controlled trials (RCT) was comparable between 1991 and 2010 (Figure 2) with minor changes during that time-frame. The number of case reports also varied from year to year; however, the absolute number of case reports decreased significantly by 45.8% between 2003 and 2010 and by 54.7% between 1991 and 2010 (p<0.0001; Figure 2).

Figure 2: Publication types (case reports, comparative studies, and randomized controlled trials [RCTs]).

Articles per year

During the time frame analyzed, the mean number of articles per year in each journal [n] was 425±226. Altogether, 42,549 articles were published in the five journals. Anesth Analg (n=14,085 of 42,549; 33.1%) published the most articles, followed by Anesthesiology (23.4%), Anaesthesia (22.5%), Br J Anaesth (18.6%), and J Neurosurg Anesthesiol (2.4%). In Anesthesiology, the mean number of articles published per year was 498.8±67.6 (maximum n=628 in 1999; Figure 3). Compared to 1991, the number of articles per year decreased by 5.0% in this journal until 2010 (p=0.009). In Anaesthesia, a decrease of 45.1% (p<0.0001) in the mean number of articles published was also observed between 1991 and 2010. In contrast, the journals Br J Anaesth (+12.2%; p=0.816), J Neurosurg Anesthesiol (+51.9%; p<0.0001), and Anesth Analg (+57.2%; p<0.0001) all showed increases in the numbers of publications per year.

Figure 3: Number of articles per year [n] in the top five anesthesia journals.

Pages per article

Although the mean number of pages per article (4.3±1.4) did not change between 1991 and 2010 (Figure 4; p>0.05), there were variations among the years. In the Br J Anaesth only, the pages per article remained stable during the time frame analyzed (p>0.05). In the other journals, the pages per article increased (Anesthesiology, Anesth Analg, Anaesthesia) or decreased (J Neurosurg Anesthesiol).

Figure 4: Pages per article [n] in the top five anesthesia journals.

Number of authors per article

The mean number of authors per article [n] was 3.6±0.7, which increased significantly in all journals from 1991 to 2010 (3.0 vs. 4.3, a relative increase of 43.3%; p<0.0001; Figure 5). Anesthesiology showed the smallest increase (1991 vs. 2010, 3.43 vs. 4.28 authors; relative increase of 24.8%), followed by Anaesthesia (2.3 vs. 3.2; +39.1%), Anesth Analg (3.35 vs. 4.67; +39.4%), and Br J Anaesth (3.08 vs. 4.62; +50%); the greatest increase was observed in the J Neurosurg Anesthesiol (3.0 vs. 4.8; +62.5%).

Discussion

The aim of the present study was to analyze publication parameters in five top-ranked anesthesia journals over a 20-year time frame. The following journals were analyzed: 1. Anesthesiology; 2. Br J Anaesth; 3. J Neurosurg Anesthesiol; 4. Anesth Analg; and 5. Anaesthesia. The absolute number of scientific publications has been rising since the 18th century [8]. Since then, the number of publications has doubled every 10 to 15 years [8]. This trend has been especially true in Anesthesiology, which has gained relevance recently, thereby resulting in a concomitant increase in scientific publications [9-11]

Figure 5: Number of authors per article [n] in the top five anesthesia journals (1991 to 2010).

Country of origin

In the present study, the vast majority of publications were submitted from the US, followed by Western Europe and Japan (Table 1). These data are in concordance with Li et al.’s study, analyzing journals between 2000 and 2009 [12]. The top five countries in the present investigation were among the top seven countries in the study by Li et al. [12]. Figueredo and colleagues also found that the USA, the UK, Japan, Germany, Canada, and France published the most articles in anesthesia journals between 1997 and 2001 [13]. In their study, the largest increase in scientific production in anesthesiology was observed in Germany [13]. However, they concluded that the geographical distribution of scientific production must not only be analyzed in absolute terms but should also be evaluated relative to other variables, such as financial spending on research and development, as well as population growth [13].

Articles per year

Altogether, 42,549 articles were published in the five journals within the time frame analyzed. In Anesthesiology, the mean number of articles published per year was 498.8±67.6. Compared to 1991, the number of articles per year decreased by 5.0% until 2010. In Anaesthesia, a decrease of 45.1% in the mean number of articles published was observed in the same period. In order to attain higher quality in journal articles and consequently a higher IF, several prerequisites for article acceptance have been developed in recent years. Currently, clinical trial registration, as well as plagiarism checks and ethical committee approvals, is a standard practice. Although this practice ensures higher-quality articles, it also could result in a decrease in the number of accepted publications.

Li et al. [14] confirmed these results in 18 different anesthesiology journals. The authors postulated that this decrease might be associated with an increasing IF. Feneck and colleagues also found a decrease in research publications from the UK in anesthesia journals from 1997 to 2006 [15]. In our study, the journals Br J Anaesth, J Neurosurg Anesthesiol, and Anesth Analg showed significant increases in the numbers of publications per year (1991 to 2010). Another study published by Li et al. [14] showed that these journals have decreasing numbers of articles while analyzing the period of 2000-2009 only. However, it is accepted that the absolute number of scientific publications is less important due to the difficulties that can occur in quality assessments of studies [16].

Impact factor analysis

Among the many surrogate parameters, the IF from the Institute for Scientific Information [2] has achieved the greatest popularity, especially in government research and medical schools [3, 4]. It is a common, but fictive, instrument for quantifying the importance of a medical paper based on citations [17] and it is used to rate the quality of a (medical) journal [4, 5]. Today, the IF also has enormous significance for research department funding [3, 18]. The IF was originally designed and sold as a product for advertisers, i.e., it was sold to advertisers, at very high costs for the purpose of helping them target their advertisements to the most widely read journals within the set of journals that were read by potential buyers of their products [19]. Although the IF is not an absolute measurement of the quality of a journal [3], it can quantify the influence of a journal in the medical field [4]. Because the IF influences medical research and funding [18], changes in the IF can significantly affect publication practice [6]. During the time frame analyzed, the IF of all journals in the present study increased (2.249 in 1991 vs. 3.639 in 2010; i.e., +61.81%). This phenomenon is not new and has been observed for several years also by other authors [20]. The median and highest IF in the present study have increased since 2005 [3]. This increase in IF has been observed for years [3, 20]. One main reason for the IF boom is the growth of research production [4, 20, 21]. More researchers are writing more contributions in more journals [22, 23] with more references [3]. In contrast, several journals have decreasing IFs, especially those in non-English languages and those that are difficult to access.

However, IFs can be manipulated by many strategies: self-citation; increasing editorials and reviews (more likely to be cited); and a reduction of the number of case reports (less likely to be cited) [4, 16, 18]. Therefore, the importance of the IF remains controversial [24] and there is no established current alternative available to rate the quality of scientific publications [4].

As the main factor that could lead to overestimate the IF is the amount of self-citations within a journal, in 2010 Landoni et al. [25] have suggested to apply a new metric called “new IF 20%”. This instrument, accounting the weight of self-citation with the aim of limiting their influence on the final result, is employed when the self-citation percentage is more than 20% of the total. Other authors present innovative journal metrics as IF substitute, e.g. the CAPCI factor (Citation Average per Citable Item) by E.P. Diamandis [26]. In addition, the International Committee of Medical Journal Editors (ICMJE) has outlined guidelines for the authorship of scientific papers [27], but it remains unclear whether authors comply with these prerequisites when submitting manuscripts. Therefore, the contributions of each author should not only be judged by the authors themselves but also by the editors to prevent misconduct by researchers and inadequate authorship.

Article type

Although the absolute numbers of comparative studies and RCTs were comparable between 1991 and 2010, there were significant variations per year. In contrast, the absolute number of case reports decreased significantly by 45.8% between 2003 and 2010 and by 54.7% between 1991 and 2010. Li et al. [14] also found a decreasing number of articles per year (both clinical studies and RCTs) when analyzing several different journals. Because case reports are cited less frequently in the years after their publication, publishing them can be counterproductive for a journal striving to obtain a higher IF. Therefore, publishing fewer case reports to enhance the IF might have motivated the major anesthesiology journals that were analyzed in the present study.

Pages per article

The mean number of pages per article was 4.3±1.4 and did not change between 1991 and 2010 (Figure 4; p>0.05). However, only in the Br J Anaesth the pages per article remained stable during the time frame analyzed (p>0.05). For Anesthesiology, Anesth Analg, and Anaesthesia the pages per article increased but decreased significantly for J Neurosurg Anesthesiol. However, due to lower publications costs and the availability of electronic publication [28], restrictions on the length of articles might not have been as relevant as such restrictions previously were.

Number of authors per article

The mean number of authors per article was 3.6±0.7 in the present study, and it increased significantly in all journals analyzed between 1991 and 2010 (3.0 vs. 4.3; relative increase of 43.3%). This increase was the lowest in Anesthesiology (+24.8%) and was significantly higher in the other journals (+62.5%). The increase in the number of authors per articles has also been a commonly observed phenomenon in other medical journals and in different countries [29, 30]. This phenomenon has been observed even in the most highly ranked journals (N Engl J Med, J Am Med Assoc, and The Lancet) [29, 30]. Kumar et al. [30] reported a gradual increase in the average number of authors over the past three decades [30]. Drenth et al. also found an increasing number of authors in the Br Med J [31]. These findings are congruent with the results of the present study, although different medical fields were analyzed. A number of reasons could be responsible for this phenomenon [30]. There has been an increasing trend toward cooperation among researchers in multiple disciplines and an increase in multi-center studies, as well as an increase in the complexity of research projects, which could facilitate collaboration and result in an increase in the number of authors per article [30, 32]. Additionally, it has been shown that studies with many authors are cited more often than studies with fewer authors, thereby contributing to the IF of the journal [23].

Limitations

The analysis in the present study was restricted to only five high-ranked anesthesiology journals listed in the Medline and PubMed database. All these journals are published in English. Due to the descriptive character of this study, it was possible to delineate variations in the specific publications measured, but it was not possible to provide definitive answers why these changes occurred. However, we used a 20-year time frame to compensate for variations in specific years. Although the journals were selected from the anesthesiology category of JCR, a few of the selected journals cover disciplines beyond anesthesia research.

Ethics approval and consent to participate

Not Applicable.

Consent for publication

Granted by all authors.

Availability of data and material

On request.

Funding

None of the authors received financial or other support for the data analysis or for the writing of this manuscript. This study was not funded and did not require outside writing assistance.

Authors' information (optional)

All authors contributed significantly to the data analysis and to the writing of the manuscript.

Acknowledgements

None

Conclusions

The present study could provide some interesting insight into the trends in several specific publication measurements. When interpreted in the global context of biomedical publishing, the present study identified the potential publication strategies used to enhance the prominence of anesthesia journals. The IF (mean: +61.81%), as well the number of articles per year (+57.2%) and the numbers of authors per article (+43.3%) increased significantly between 1991 and 2010. In contrast, only the number of pages per article remained comparable during the period analyzed. It is impossible to offer definitive answers explaining why these measures changed, but these changes could partially be due to the authors (e.g., number of authors per article). In our opinion, the publication process would have greater transparency if journals would provide such data at the end of each year.

For more details : https://jcmimagescasereports.org/author-guidelines/ 

[cariantha]

A Solid Strategy

Book: Open Heart, Book 2 Pairing: Dr. Ethan Ramsey x F!MC (Dr. Sawyer Brooks) Rating: General Warning: None Category: Rewrite; Angsty Fluff Word count: 1.1K Summary: Ethan loses his temper after Sawyer makes an impulsive decision.

“Sawyer!”

Ethan’s deep booming cry reverberated off the walls of the expansive atrium.  

She grabbed Lamar’s wrist just before he jumped off the narrow ledge. The confused man dangled precariously over the atrium as patients and staff watched in horror below.

Just as Sawyer’s feet lifted from the floor, Ethan slammed his body against hers, pinning her against the railing.

A strong arm wrapped around her waist, holding on for dear life, while another reached over the railing to grab Lamar’s flailing free hand. 

“I’m okay,” she promised with her feet once again planted firmly to the ground. “I’ve got this side. Let’s pull him up.” 

Together, they hauled their patient to safety and gently restrained him until additional help arrived. 

The scene was under control not long after. Lamar had been escorted back to his room by a couple of interns and hospital security. 

“Are you hurt?” Ethan asked, scanning Sawyer up and down.

She rubbed her abdomen where she had been crushed between him and the railing. “I’ll probably have some bruises tomorrow, but otherwise, I’m fine.”

“Are you sure?”

She nodded. 

“Then arrange the test and check in with Mrs. Stevenson to see if she has any questions about the procedure.”

He had already spun on his heel and started walking away before she could even say "Okay."

<><><><><><><><><><>

A while later, Sawyer tracked her boss down to his private office. With the door ajar, she peered inside.

Ethan sat at his desk, seemingly in deep thought as he stared at a picture of his late friend Dolores. The framed photograph that Sawyer gifted him last Christmas.

“There you are,” she greeted. “Anesthesiology is short-staffed today, so we won’t be able to do Lamar’s spinal tap until tomorr-”

Sawyer jumped in surprise when Ethan stood and slammed his hands on the desk, cutting her off.

“Don’t you ever pull a stunt like that again. Do I make myself clear, Dr. Brooks?” he admonished.

The adrenaline rush had worn off. His neck turned crimson with fury as the feelings that had been suppressed by his body’s natural fight-or-flight response now bubbled to the surface. 

“W-What? I…,” she stammered, caught off guard by his severe tone and the use of her last name. “I-I’m sorry. I…I didn’t think. I just reacted.” 

“No, you didn’t. You didn’t think at all. A man that size could have easily pulled you over that railing with him. He nearly did!” 

“Ethan, I-”

He motioned for her to stop talking. “I don’t want to hear your excuses. You’re lucky I don’t write you up for demonstrating reckless behavior and poor judgment.”

“He would have died! I had to do something,” she argued, cheeks burning hot with indignation.

“Your job is to save lives with medicine. You were not hired to be a goddamn superhero.”

“He wasn’t in his right mind, Ethan. I wasn’t going to let him hurt himself. And I wasn’t going to let that poor woman watch the man she loves fall to his death.”

Her words only enraged him further. “But you would let me watch you,” he thought to himself. 

Ethan hung his head low and took a couple deep breaths to control his temper before speaking again. 

“It would have been a terrible and unfortunate circumstance if Mr. Stevenson had hurt himself, but it would have been much worse if I…,” he cleared his throat, correcting his course, “...if we had unnecessarily lost two lives.”

Sawyer silently processed his words, having caught his slip. 

The way she looked at him, it felt as though she was daring him to say what he really meant. And it infuriated him. 

Too proud to admit his feelings and determined to keep their relationship professional, he hid behind his condemnation.

“You’re done for the day. Go home. I’ll find someone to take over your cases,” he barked.

Fighting back tears of frustration, Sawyer nodded and walked away.

She was only halfway down the hall when she stopped in her tracks. Looking back toward the now closed office door, she replayed their interaction in her mind. Though his words were cutting, and his temperament harsh, Sawyer suddenly felt bad for him. She had seen this side of Ethan before. This was the lashing out of a man who was afraid of losing someone he cared about.

A moment later, the door to his office opened and closed. 

Ethan stood with his back to the door, staring out the window. 

“I thought I told you to go home,” he growled, seeing her reflection in the glass.

Sawyer approached him cautiously but confidently, refusing to be cowed by his anger.

He turned to face her, prepared for the impending clash. An accusation of insubordination readied on the tip of his tongue.

She stopped within arms reach. With soft eyes she met his scrutinizing ones, and she waited until he discerned there was no fight to be had. Then lunging forward, Sawyer wrapped her arms around his torso.

He remained rigid, arms hanging at his sides.

Resting her chin on his shoulder, she apologized softly in his ear. “I’m sorry. I didn’t mean to scare you. If the roles were reversed, I’d feel the same way about you.” 

After a few seconds, she swatted him between the shoulder blades. “Stop being a jerk and hug me back.”

Ethan finally surrendered. He folded his arms around her and rested his head against the side of hers. 

Exhaling a deep, shaky breath, he released his remaining tension. 

“I owe you an apology,” he began, still holding her tight. “Though I stand by the sentiment, I am sorry for losing my temper.”

Sawyer placed a tender kiss on his jacketed shoulder. “Thank you.”

After a long, indulgent embrace, he pulled back and sighed.

“Christ, Rookie. How do you always seem to find trouble? How can I ever let you out of my sight?”

“Uh-oh. You’re on to me,” she winked. 

“I am somewhat serious. Have you forgotten when I found you turning blue behind the nurses’ station? Or your ethics trial?”

“Pft,” she waved him off. 

“Have you already forgotten when you nearly broke your neck at the Stevenson’s yesterday? And now we get to add being dragged over the balcony to that heart-stopping list.”

“Well…,” she shrugged her shoulders, “I did end up in your arms each of those times. So my evil plan must be working.”

With an endearing smile, she squeezed his hand and turned for the door. 

“Where are you going?”

“You ordered me to go home. If I leave now I might still catch the 3:30 train. And don’t worry, I’ll try not to get mugged or pushed onto the tracks,” she teased.

“Don’t even joke about that,” he warned with a shake of his head. “Give me a minute,” he instructed, pocketing his wallet and keys. “I’ll drive you home.” 

“See? It's a solid strategy.”

Tag List: @choicesficwriterscreations @openheartfanfics @potionsprefect @jamespotterthefirst @annfg8 @peonierose @socalwriterbee @tessa-liam @jerzwriter @quixoticdreamer16 @mysticalgalaxysstuff @inlocusmads @txemrn @trappedinfanfiction @mvalentine @takemyopenheart @openheartforeverinmyheart @coffeeheartaddict2 @genevievemd @starrystarrytrouble @hopelessromantic1352 @kyra75 @lsvdw-blog @rookiemartin @headoverheelsforramsey @zealouscanonindeer

[mcatmemoranda]

Trauma Center Levels

As mentioned above, Trauma categories vary from state to state. Outlined below are common criteria for Trauma Centers verified by the ACS and also designated by states and municipalities. Facilities are designated/verified as Adult and/or Pediatric Trauma Centers. It is not uncommon for facilities to have different designations for each group (ie. a Trauma Center may be a Level I Adult facility and also a Level II Pediatric Facility).

 

Level I

Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation.

Elements of Level I Trauma Centers Include: 

 

24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. 

Referral resource for communities in nearby regions.

Provides leadership in prevention, public education to surrounding communities.

Provides continuing education of the trauma team members.

Incorporates a comprehensive quality assessment program.

Operates an organized teaching and research effort to help direct new innovations in trauma care.

Program for substance abuse screening and patient intervention.

Meets minimum requirement for annual volume of severely injured patients.

 

Level II

A Level II Trauma Center is able to initiate definitive care for all injured patients.

 

Elements of Level II Trauma Centers Include:

 

24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. 

Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. 

Provides trauma prevention and continuing education programs for staff. 

Incorporates a comprehensive quality assessment program.

 

Level III

A Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.

Elements of Level III Trauma Centers Include: 

 

24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists. 

Incorporates a comprehensive quality assessment program.

Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. 

Provides back-up care for rural and community hospitals.

Offers continued education of the nursing and allied health personnel or the trauma team. 

Involved with prevention efforts and must have an active outreach program for its referring communities. 

 

Level IV

A Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center.  It provides evaluation, stabilization, and diagnostic capabilities for injured patients.

Elements of Level IV Trauma Centers Include:

 

Basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Available trauma nurse(s) and physicians available upon patient arrival.

May provide surgery and critical-care services if available.  

Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. 

Incorporates a comprehensive quality assessment program.

Involved with prevention efforts and must have an active outreach program for its referring communities. 

 

Level V

A Level V Trauma Center provides initial evaluation, stabilization and diagnostic capabilities and prepares patients for transfer to higher levels of care.

Elements of Level V Trauma Centers Include:

 

Basic emergency department facilities to implement ATLS protocols.

Available trauma nurse(s) and physicians available upon patient arrival.

After-hours activation protocols if facility is not open 24-hours a day.

May provide surgery and critical-care services if available.  

Has developed transfer agreements for patients requiring more comprehensive care at a Level I through III Trauma Centers.  

[pmedicalbilling]

Cracking the Dermatology Code Understanding CPT Codes by Time

Navigating the world of dermatology appointments can now and again sense like deciphering a complicated code. Between medical jargon, billing techniques, and coverage intricacies, both patients and specialists can recognize bit readability. One important detail on this puzzle is the CPT (Current Procedural Terminology) codes, in particular those determined through time. This weblog put up targets to get to the bottom of those codes, making them greater accessible to dermatology sufferers, medical coders, and healthcare experts alike.

The Basics of CPT Codes

CPT codes are a critical a part of the medical billing process. Developed by way of the American Medical Association, these 5-digit numeric codes are used to describe medical, surgical, and diagnostic offerings. Their number one purpose is to offer a uniform language for accurately describing medical services and techniques, facilitating green billing and verbal exchange among healthcare carriers and payers.

For sufferers, knowledge those codes can assist demystify their medical payments and insurance claims. For healthcare professionals and medical coders, knowing how to apply and interpret those codes successfully guarantees compliance and streamlines the billing procedure. In the world of dermatology, wherein processes can vary extensively in complexity and length, these codes come to be even greater crucial.

Why Time Matters in Dermatology Appointments

In dermatology, time is often an essential thing in figuring out the ideal CPT code. Unlike a few fields wherein methods are particularly uniform in duration, dermatology incorporates a huge range of services which can vary drastically in period. From a short skin take a look at to a more concerned surgical treatment, the time spent with a affected person at once affects the coding and billing procedure.

Time-primarily based CPT codes allow for an extra correct illustration of the services supplied. They ensure that healthcare companies are compensated fairly for their time and information, even as additionally offering transparency for sufferers. Understanding those codes can assist sufferers better assume the costs related to their dermatology appointments and make inform selections approximately their care.

Decoding the CPT Code Structure

CPT codes are divided into three categories, with Category I being the maximum not unusual. Within this class, codes are further organized with the aid of sections, which include Evaluation and Management, Anesthesiology, Surgery, Radiology, Pathology and Laboratory, and Medicine. Dermatology methods in most cases fall under the Evaluation and Management and Surgery sections.

Time-based totally codes are often used inside the Evaluation and Management phase, where the duration of an affected person come across performs a crucial role in code selection. Understanding this shape lets in medical coders to as it should be classify and document the offerings supplied throughout a dermatology appointment, ensuring that all parties involved are on the same web page.

Common Time-Based Codes in Dermatology

In dermatology, numerous time-primarily based CPT codes are often used to describe diverse offerings. For instance, evaluation and management codes together with 99201-99205 are used for new affected person visits, even as 99211-99215 are used for hooked up sufferers. Each code corresponds to specific time periods and ranges of complexity, reflecting the intensity of the carrier furnished.

Other time-primarily based codes would possibly follow to tactics inclusive of biopsies, excisions, or laser remedies, in which the length of the system affects coding. Familiarity with those codes permits healthcare specialists and coders to choose the most appropriate one primarily based on the time spent with the patient and the nature of the carrier achieved.

Navigating the Grey Areas in Time-Based Coding

While time-primarily based codes provide specificity, additionally they include challenges. Determining the precise time related to a service can be subjective, main to versions in coding practices. Discrepancies in time reporting can result in billing inaccuracies and potential disputes among providers and payers.

Healthcare specialists must preserve specific and correct data of the time spent on every element of a affected person's care. This documentation now not handiest supports the selected CPT code but additionally serves as a valuable reference inside the occasion of an audit. By navigating those gray areas with transparency and precision, vendors can make certain honest compensation and compliance with industry requirements.

The Role of Medical Coders in Dermatology

Medical coders play a vital position in dermatology practices, bridging the distance among medical care and economic operations. Their information in as it should be translating medical offerings into standardized codes is important for efficient billing and repayment. In dermatology, wherein time-based codes are regular, coders should be well-versed inside the nuances of these codes to make certain accuracy in claim submissions.

Coders collaborate carefully with dermatologists and different healthcare professionals to understand the specifics of each patient stumble upon. Their capacity to interpret medical documentation and pick an appropriate CPT code is important for retaining the financial health of the exercise and making sure compliance with regulatory requirements.

How Patients Can Benefit from Understanding CPT Codes

For dermatology sufferers, knowledge CPT codes can offer valuable insights into their medical payments and insurance. By familiarizing themselves with the codes related to their appointments, sufferers can better realize the costs on their statements and discover any potential discrepancies.

Additionally, understanding of CPT codes empowers sufferers to have knowledgeable conversations with their healthcare vendors. By asking questions and seeking clarification about the codes used for their appointments, sufferers can actively take part in their care and make nicely-informed decisions concerning their treatment alternatives.

Practical Tips for Healthcare Professionals

Healthcare professionals in dermatology can benefit from adopting first-class practices to make sure correct and green use of CPT codes. Here are some realistic guidelines to keep in mind:

Thorough Documentation: Maintain detailed facts of the time spent on each issue of a patient's care, which includes pre- and submit-service activities, to guide the selected code.

Stay Updated: Keep abreast of changes to CPT codes and guidelines to ensure compliance and accuracy in coding practices.

Collaborate with Coders: Foster open conversation with medical coders to make sure a clean knowledge of the services furnished in the course of appointments and the perfect codes to use.

Enhancing Transparency and Communication

Transparency and powerful communication is key to a success dermatology practice. By supplying sufferers with clean explanations of the CPT codes used for their appointments, healthcare providers can beautify agree with and pride. This transparency extends to verbal exchange with insurance companies, making sure that claims are processed easily and as it should be.

Healthcare professionals also can train their patients approximately the significance of CPT codes and their position in medical billing services. By demystifying this component of healthcare, companies can empower patients to take an energetic position in coping with their fitness and knowledge of their monetary responsibilities.

The Future of Dermatology and CPT Codes

As dermatology maintains to conform, so too will the position of CPT codes. Advancements in era, modifications in healthcare guidelines, and shifts in patient expectancies will form the destiny panorama of medical coding. Staying knowledgeable about those trends and adapting to new coding practices will be critical for healthcare experts and medical coders alike.

Looking in advance, the mixing of synthetic intelligence and gadget studying in medical coding might also streamline the manner and decrease the capacity for human mistakes. Such improvements ought to result in extra accurate and efficient coding practices; in the end reaping benefits both patients and healthcare companies.

Conclusion

CPT codes, in particular those decided by time, are an quintessential a part of the dermatology landscape. For sufferers, information those codes offers readability and transparency in medical billing. For medical coders and healthcare professionals, knowledge of time-based codes is important for accurate documentation and green billing practices.

By fostering open verbal exchange, retaining thorough documentation, and staying knowledgeable about coding traits, all parties involved can work together to ensure fair repayment and patient delight. As the sector of dermatology continues to adapt, embracing those excellent practices can be vital in navigating the complexities of CPT codes and handing over terrific care.

[uniquedonutkryptonite]

Bangalore Medical College and Research Institute (BMCRI)

Bangalore Medical College and Research Institute (BMCRI)

The Mysore Education Society founded the Bangalore Medical College and Research Institute (BMCRI) in 1955. The institute was originally affiliated with Mysore University and Bangalore University before becoming affiliated with the Rajiv Gandhi University of Health Sciences. The Medical Council of India has granted the institute recognition for undergraduate, postgraduate, and diploma programmes.

BMCRI offers the following programmes: MBBS, MD, MS, B.Sc. Nursing, M.Sc. Nursing, DM, and M.Ch. Aside from that, it provides a variety of diploma programmes.

Admission to the courses will be based on the results of the respective entrance exams. The institute has hostels, a library, and a research centre.

BMCRI Highlights:

Established | Type

1955 | Government

Accreditation

NABH

Also known as 

BMCRI

Courses offered

MBBS, MS, MD, Paramedical, Diploma courses

Admission criteria

Entrance exam

Facilities available

Library, hostel, research laboratory

Official website

BMCRI Courses:

MD, MS, B.Sc. Nursing, M.Sc. Nursing, DM, and M.Ch. are the primary courses provided by the institute. The following information pertains to courses, durations, and eligibility.

Courses

Details

MBBS 

Duration- 4.5 Years + 1 Year Internship Eligibility-50 percent in 10+2 with Physics, Chemistry, and Biology

B.Sc. Nursing 

Duration- 4 Years (including 24 Weeks of Internship) Eligibility- 10+2 from Karnataka State with English with valid Mark's. 

MD/MS 

Duration- 3 years Eligibility- MBBS degree Subject offered- MD: Physiology, Forensic Medicine, Microbiology, Pathology, Preventive & Social Medicine, Anesthesiology, General Medicine, Pediatrics, Dermatology, Radio Diagnosis, Obstetrics & Gynecology, Radiotherapy, Pharmacology, Biochemistry, Psychiatry. MS: Anatomy, Ear Nose & Throat (ENT), General Surgery, Ophthalmology, Orthopedics 

B.Sc. Nursing 

Duration- 2 Years Eligibility- a minimum of 55% Mark's in relevant subject (50% for reserved category) 

DM 

Duration- 3 Years Eligibility- MD/MS in the relevant subject. Specialization- Neurology 

M.Ch.

Duration- 3 Years Eligibility- MS or equivalent in relevant subjects in the regulations of the MCI from time to time. Specializations- Urology, Plastic Surgery, Surgical Gastroenterology, Pediatric Surgery, Neuro Surgery 

Diploma 

Duration- 2 Years Eligibility- 10+2 with relevant subject Subject offered- Radiotherapy, Tuberculosis and chest diseases, Orthopaedics, Gynaecology and Obstetrics, Child health. 

BMCRI, Bangalore Fees & Eligibility:

COURSE

FEES

MBBS

₹70,170 (1st Year Fees)

B.Sc

₹17,970 (1st Year Fees)

B.Sc {Lateral}

₹17,970 (1st Year Fees)

Diploma

₹20,000 (1st Year Fees)

PG Diploma

₹34,720 (1st Year Fees)

M.D

₹1.14 Lakhs (1st Year Fees)

M.S

₹1.14 Lakhs (1st Year Fees)

BMCRI Entrance:

Entrance exams determine admission. The state entrance exam fills half of the seats, and the all India exam fills the other half.

Admission to MBBS will be based on the Karnataka common entrance and aptitude test as well as the All India exam.

Admissions to B.Sc. Nursing and M.Sc. Nursing will be performed in accordance with RGUHS policies and procedures.

 Admission to the MD/MS programme will be granted on the basis of 50% through state entrance exams and 50% through all Indian entrance exams.

RGUHS holds a postgraduate entrance exam for admissions to the DM and M.Ch. programmes.

For admission to Diploma courses, the Rajiv Gandhi University of Health Sciences conducts a postgraduate entrance exam, as well as an all-India entrance exam.How to Apply?

Submit forms along with a demand draught for Rs 550 for candidates who completed their 12th grade in Karnataka and Rs 650 for students who completed their 12th grade outside of Karnataka.

Take the state level medical entrance exam or the all India medical entrance exam.

Attend the counselling with a copy of the entrance exam result.

Post-graduate admission requires a seat allotment letter from the Director General of Health Services or Rajiv Gandhi University for Health Sciences.

Postgraduate students must also submit a Rs 100 bond.

At the time of admission, internship completion certification and a medical registration certificate must be presented.BMCRI Admission:Bangalore Medical College (BMCRI) is a private medical college affiliated with Karnataka's Rajiv Gandhi University of Health Sciences (RGUHS). This college offers a variety of undergraduate and graduate courses in Medical Science and Nursing. Under the paramedical department, BMCRI also offers a variety of certificate and diploma courses.The college accepts NEET scores for MBBS admission. RGUHS conducts entrance exams to select students for Undergraduate Nursing and Postgraduate Nursing courses. Candidates with an MBBS degree may apply for MD and MS courses. The final selection will be based on two separate examinations:

Half of the seats are filled through the Rajiv Gandhi University of Health Sciences' State Entrance Examination.

The Director General of Health Services conducts an All India Entrance Examination to fill 50% of the seats.

Students are chosen for the MBBS programme based on their NEET performance. Students can evaluate their performance using the NEET cutoff. BMCRI MBBS Admission:Students can check the eligibility criteria as well as the number of seats available at BMCRI before applying for admission to the MBBS programme at the BMCRI.Course NameSeatsCourse DurationEligibilityMBBS2504 ½ Years + One Year Rotating Internship.(10+2) with subjects of English, Physics, Chemistry and Biology individually in the 12th standard + 50% marks in PCB For admission to the MBBS course, one needs to complete 17 years of age by the December 31 of the admission year.Selection Process: The NEET score is the only criterion for admission to the MBBS programme offered by BMCRI. With regard to the good NEET score, BMCRI conducts its own counselling for 85% of the total available seats. Centralized counselling is used for the remaining 15% of seats (all over India). The Medical Counselling Committee (MCC) and the Directorate General of Health Services oversee it (DGHS).BMCRI Application Form: Students must apply for NEET in order to be admitted to the MBBS programme at Bangalore Medical College. For more information on the NEET Application Process and Fee.Documents Required MBBS:At the time of final admission and counselling, prospective students must submit three sets of documents (original and attested by a Gazetted officer). The following documents are listed:

HSC and SSC mark sheets

Certificates of transfer and migration

Certificate of Caste, Certificate of Eligibility, Certificate of Income (Not less than 6 months)

Photographs in passport size (two)

Certificate of Fitness (From an authorised Government Medical Officer)BMCRI B.Sc. & M.Sc. Nursing Admission:Nursing courses are available at both the undergraduate and postgraduate levels at BMCRI. B.Sc. admission as well as M.Sc. Nursing courses are available through the RGUHS, Karnataka Entrance Exam. The length of the B.Sc. The course lasts four years, including an internship, and the M.Sc. The course lasts two years. Aside from the basic eligibility requirements, students must meet the following conditions:

SC/ST candidates must have a minimum of 50% in the qualifying examination.

The candidate must be registered as a Registered Nurse and Registered Midwife with the State Nursing Council.

The candidate must be under the age of 45 on the last date for submitting an application to the PG Degree Entrance Test.Course NameSpecializationCourse DurationEligibilityB.Sc.Nursing4 Years including Internship of 24 weeksCandidates should have passed their 10+2 Examination conducted by Karnataka State with English as one of the subjects and Physics Chemistry and Biology as optional subjects. Candidates should have passed all the above-mentioned subjects individually and also needs to secure 45% marks in PCBE.M.Sc.2 Years55% in B.Sc. Nursing (Basic) or B.Sc. Hons. Nursing or Post Basic B.Sc. in Nursing degree or Post Certificate B.Sc. Nursing from RGUHS, or any other University located in Karnataka state, accepted as equivalent by Rajiv Gandhi University of Health Sciences, Karnataka. (50% For SC/ST)BMCRI MD, MS, DM & M.Ch Admission:Bangalore Medical College offers a variety of postgraduate courses in Doctor of Medicine (M.D.) and Master of Surgery (M.S), as well as super speciality courses such as Doctor of Medicine (DM) and Master of Chirurgiae (M.Ch).· Admissions to MD and MS programmes are accepted through the RGUHS State Entrance Examination (50% seats) and the Director General of Health Services All India Entrance Examination (50% seats).· Admissions to the DM and M.Ch programmes are made through the RGUHS Postgraduate Entrance Examination.MD courses include 40 different specialisations, whereas M.S courses include six different specialisations. M.D./M.S. Degree Courses last three years and consist of six terms.D.M/M.Ch courses are also three years long and consist of six terms.D.M /M.Ch courses also take a period of 3 years consisting of 6 terms.CourseCourse NameSpecializationSeatsCourse DurationEligibilityPGMDPhysiology53 yearsPass in MBBS and through state entrance examinationForensic Medicine3Microbiology3Pathology5Preventive & Social Medicine3Anesthesiology9General Medicine19Pediatrics8Dermatology5Radio Diagnosis7Obstetrics & Gynecology7Radiotherapy2Pharmacology5Biochemistry3Psychiatry2MSAnatomy3Ear Nose & Throat (E.N.T)7General Surgery22Ophthalmology10Orthopedics7Super SpecialityDMNeurology23 yearsMust pass recognized degree of MD (or its equivalent recognized degree) in the subject specified. Must possess M.Ch courses in any subject must possess recognized degree of MSM.ChUrology2Degree of MS (or its equivalent recognized degree) in the subject specified in the regulations of the Medical Council of India from time to time.Plastic Surgery4Surgical Gastroenterology2Pediatric Surgery2Neuro Surgery3

Documents Required:

When seats for MD and MS courses are confirmed, students must produce the following documents:

 RGUHS or the Director General of Health Services issues a letter of seat allocation (as applicable)

 Marks Sheets for MBBS (Part-1, Part-2).

 Certificate of Internship and State Medical Registration

 Certificate of Completion (provisional, in case of non-availability of original marks sheet)

 Certificate of Age

 Bond Papers worth INR 100/- (Bond matter given at the end of this sheet).

 Certificate of Migration / Transfer

 RGUHS will issue an eligibility certificate to other university candidates.

 Certificate of Medical Fitness

BMCRI Facilities:

 Hostels- There are hostels for both boys and girls at the college. While boys have hostels only for undergraduate students, girls can use them even for postgraduate studies. The boys hostel has 300 seats and the girls hostel has 88.

 Research Center- This central research centre provides services such as blood and bone marrow karyotyping.

 Library- Aside from the general library, there is a section with SC and ST books that can only be used by SC and ST      students. A caste certificate is required to use this service.

Important Dates:

[namism]

closer to you | trafalgar d. law

➳ category: modern doctors au · female reader · fluff

➳ warnings: none

➳ word count: 4.8k

➳ summary: There was a senior resident at the hospital you worked at and you didn’t expect to like him so much.

➳ note: assume that law is more “open” here compared to canon law since this is a modern au and it’s impossible for half of his backstory to be true (even though bepo is a character)

i’m also not a professional doctor of medicine y’all i’m literally still about to enter uni LMFAO

➳ cross-posted on ao3

I.

There was a senior resident at the hospital you worked at and his name was Law. He was under the cardiology department and had been working his way up the ranks of the Executive Board for the last three years, and apparently, he was always the main attraction for the new ICU residents.

You used to be one of the said residents because you decided a small crush on a colleague who you weren’t close to wouldn’t hurt. Working at a hospital was already hard enough on its own so you wanted to brighten up your workplace by sprinkling in a little bit of spice; and Law Trafalgar happened to be just that. So in your first 10 months of being a resident, the 36-hour shifts everyone feared didn’t seem all that bad anymore, because he would always be there.

You specialized in anesthesiology and had been the anesthesiologist in Law’s operations for as long as you could remember. Long surgical operations—through the disquietude and uneasiness of them all—were the only opportunities for interaction with Law because he was (reasonably) a busy man. And when the operation was easy enough, you would talk to each other over the music tinkling from the sound system and the beeps and whirs of the machinery.

To your disappointment, you only ever talked about simple things like the breaking news from the Daily Inquirer or mild rumors from your respective departments because the rest of the surgical team would hear everything. There was little to no opportunity for you to make a move (not like you were confident enough for it anyway) so you left your romantic endeavors with Law up to fate. But little did you know, Law liked having you around and rambling away with whatever you had in mind—although whether he found romance within his interest for you or not was still a mystery for him, like an enigmatic clot of emotions buried deep in his heart that he had yet to incise and examine, yet to diagnose.

Law was a busy man with no time for romantic exploits, but he did have time for department lunches after morning operations. Today, with you and the rest of his team, he was going to dine in a restaurant which he hadn’t done in a while.

You were seated next to Law at your table but you paid him no mind as an attempt to keep your excitement at bay. Law didn’t seem to care that you hadn’t talked to him the entire 15 minutes you were waiting for your crew, but he eventually itched to talk to you after Shachi excused himself to the restroom and he had no one to talk to.

When you weren’t speaking to anyone, he inched a little closer to you. “Have you eaten here before?”

Holding in a squeak, you looked up from your phone and let a smile pass instead. “Nope. I don’t eat out anymore but I know they have a lot of food options.”

“That’s great. I wouldn’t know what to choose.”

“You can always ask the waitress for recommendations,” you supplied.

“Yeah”—Law smiled—“I’ll go with that.”

A few moments later, Shachi had come back from the restroom and the rest of the team were piling in. Tables were full and the restaurant buzzed with activity. You had to move closer to Law because of the limited space, and this went on until he was at the very end of the table, sandwiched between you and the wall.

There was less than an inch of space between you and him and needless to say, it was overwhelming. But you kept yourself at ease by talking to Ikkaku beside you, until your nonchalance was shattered with a slight touch of your leg with Law’s under the table.

Your breath hitched and his lips parted, but neither of you noticed the other’s reaction and just played it off like normal. Neither of you moved. Your legs, covered only by the thin cloth of your scrubs stayed put, as if they never touched at all.

You only forgot about this moment when the food came, too busy eating to remember Law’s presence next to you.

But he eventually asked you to pass the condiments, and you obeyed. When you handed him the bottle, however, your hands touched and you gasped.

“Sorry, thank you,” Law said quietly, but even his ordinary calm voice didn’t sound calm at all. He opened the ketchup bottle and proceeded to eat, although unusually quieter than earlier.

Compared to you and Law, the rest of your table was full of life. Bepo was telling a ridiculous story while Ikkaku was rambling about the new residents she encountered. She then tapped your arm and gossiped about one of their engagements, painfully jealous over the couple.

The entire time you were there, Law would be dragged in the conversation and all eyes would be looking toward you. Thankfully, Law was abnormally tall and much more massive, so he didn’t have a problem with craning his head to see the rest of the crew. You decided to just ignore your feelings for the meantime and listen to him talk away for the rest of the meal.

When it was time to leave, your group piled out of the booth one by one after processing the bill. But before you could exit, a waitress hastily passed by you and caught you off guard.

You took a few steps back to avoid bumping into her but it was far enough to hit Law’s body. Your back hit his chest and he had to stop you from losing balance.

“I’m sorry ma’am!” the waitress apologized. She repeatedly asked if you were alright and you reassured her. When she had settled the matter and went back to her duties, you realized that Law had placed his hand on the small of your back. Heat crept to your cheeks and you stepped away from him.

Too shy to look at him carefully, you thanked him with a weary, “Thank you,” and awaited his response before catching up with your team by the exit. Law was stunned by what he did, so his brain could only come up with a meek, “Hm,” shortly before he followed you out the restaurant.

It was back to hospital duty by the time you arrived at the ambulatory, so you parted ways with your team.

Law would had been glad to be back at work, but it wasn’t so easy when you wouldn’t leave his mind for the rest of the day.

II.

Ikkaku was crying over (rambling about, actually) the new residents because she got closer with the bunch over the past few days. She learned that two of them, the engaged couple she was yapping about days ago during lunch, were having a beach wedding and had booked a two-week long vacation for their Honeymoon in the Bahamas. Ikkaku couldn’t contain her squeal when she told you this, and truth be told you were squealing as well.

Suddenly, you were called to one of your patients’ room for post anesthesia care, so you bid Ikkaku goodbye before going back to work. You arrived at the patient’s room, a sweet woman just a few years older than you, and monitored her condition before exiting quietly.

A sigh passed your lips as you sauntered back to your department building, glancing at your watch to check the time. It was 5 PM—just a little more and you could finally go home. The dinner menu was ringing in your ears, and you realized you hadn’t eaten since that morning.

You entered the skybridge and tiredly looked out the glass panes. The sun had already met the horizon and its orange hues painted the vicinity. It was calm. But footsteps echoed from the other end of the skybridge and you were immediately distracted.

It was Law. He was wearing his scrubs underneath his white coat. He caught your eye and you smiled shyly, but it didn’t take long for it to get awkward. With the bridge running about 30 meters from the South Tower to the North, it took a few seconds for Law to be in close proximity, which left enough time for awkward tension to settle in, after already meeting eyes.

When you were near enough, you greeted him a good evening and he nodded at you.

“Good evening,” he greeted back. Then he passed you and continued his way to the South Tower.

As cold as he was, your feelings for Law pursued.

And you didn’t know if it was a good thing or not.

A few days later, you were ordered to deliver documents to Law and a couple of other surgeons before the end of the day. You didn’t mind the job because work was calm then—you didn’t say the word out loud, of course—and because you hadn’t seen Law in a while.

You happened to meet him in the small hallway near the patient ward alone and you chatted for a bit. The conversation went smoothly, although it was mostly about work and the documents you delivered.

Halfway through, a disabled patient emerged from the ward and Law gently pulled you to the side. Your brain stopped functioning. Law kindly let the patient and his nurse pass through, then got back to where he left off in your convo.

Shock registered in you and you let out an uncontrolled chuckle, cutting Law short. “You’ve got to stop doing that.”

“I’m sorry,” he apologized, “I made you uncomfortable.”

“No no no, I liked it,” you explained hotly. “Not-not like, in a creepy way.”

His lips parted open, as if he was shocked too. Then he made up his mind to just knowingly smile at you.

“I’ll see you some other time,” he said as he walked away.

III.

You were talking to Ikkaku over the phone hours before you went out with your brother. She helped you pick a dress to wear while nattering about the events at work.

“I learned something from the residents in my department today. It’s something that you might want to know,” she said with a light giggle. She watched you wear your jewelry and let a smirk morph onto her lips. “Where was It that you were eating out again?”

“Wolfgang,” you said. “For my brother’s early graduation. You’re really getting comfortable with the first-years, aren’t you?”

“They’re extremely nice and good at their job,” she replied. “They also have connections here and there, so y’know where I get my gossip from.”

“Of course, classic Kaku.”

“You’re the one to talk, girlypop. I know you’re getting into somebody’s pants at ours.”

Your eyes widened. “What?”

“A certain Mr. Trafalgar,” she said in sing-song.

You wanted to scream.

“Oh, don’t you dare give me that look (Y/N), it’s pretty obvious that you’re sneaking out together.”

“We aren’t sneaking out,” you defended. “We aren’t even together.”

“There are sparks though, right?” She pointed a teasing finger at you. “Hmm, whole ICU knows including the patients, so you shouldn’t be afraid. Workplace romance is very normal.”

“I don’t know where you’re coming from, but you’re totally wrong.” You huffed as you finished tending to your jewelry and hair. Suddenly, a call from your brother interrupted your flustered exchange, and you started packing your things at the notice. “I gotta go. Little brother’s here to pick me up.”

“Wait!” Ikkaku yelped. “Don’t you want to know what I was about to say earlier? From the residents?”

You frowned, upset that you had to decline. “I’m sorry. Can you text it to me?”

She sighed, but there was still a hint of tease in her voice. “Never mind, just find it out yourself. Have a fun night lovely.”

You dropped the call as you bid goodbye and all but ran outside your building and climbed into your brother’s car. As the vehicle sped off, Ikkaku’s words echoed at the back of your mind.

You arrived at Wolfgang 30 minutes later and were met with greetings from staff and assistance from valet. You and your brother were then led to your reserved seats for two and ordered your food once settled.

“Congrats on making it into the Honor Roll,” you said. “Higgs isn’t an easy school.”

“You know it was because of you and dad always telling me to work my ass off.” He rolled his eyes. “And he didn’t even make it here in the end.”

“He’ll be here in a few days,” you reassured, “and you did the work yourself, so at the end of the day you get the credit too. We were just there to help occasionally.”

He frowned, painfully visible in the candlelight. “I hope he gets here. It’s always just you, while mom is . . . doing whatever the hell she’s doing.”

“You have me,” you reassured again. He pursed his lips and shifted the conversation to your work life, and you shared a thing or two about your hospital experience and great bonding time with Ikkaku. You subtly mentioned Law as the cardiothoracic surgeon who you liked to work for and it luckily didn’t bring enough questioning from your brother.

The food arrived and you dug in. You hadn’t dined like this in more than five years and the experience was overwhelming; steak was served well-done and chardonnay was poured into delicate champagne glasses. Headlights were dimmed and candles lit every table. Your dress matched the dinner ambience, the food was good, and you and your brother were happy.

“Their steak is juiced up,” your brother murmured as he took a bite. “Love the honey flavor.”

“I always had an inkling that you would go to a culinary arts school if it weren’t for your becoming in law,” you commented.

“No, you’re right,” he said, “but I’ll finish law school then enter culinary arts. I have time. I’ll make it there.”

You blinked. “You will?” You didn’t know about this goal, never heard of it before. “That’s . . . really cool.”

“I will. I’m sure you’ve met Sanji before. He got me into all that cooking stuff.” He shrugged.

“Oh yeah, that blond guy with curled eyebrows?” You laughed. “He was nice. He was really . . .” You trailed off, distracted.

“Yeah”—your brother rolled his eyes—“flirty.”

You laughed nervously but you had stopped paying attention to what he was saying. Your eyes had flitted to a table of three, 4 tables away from you and had focused on a black-haired man dressed formally in a black dress shirt and slacks. He faced your direction but was engaged in conversation with two other guests. He looked down on his food, took a bite, then lifted his head back up and glanced at your table.

It startled him for a split second but Law regained his composure and went back to the conversation. Out of all places in the city, he didn’t expect to see you here on a Saturday evening in a beautiful dress and sparkling jewelry. You didn’t strike him as the type to eat out so it was pretty shocking to see you dolled up for a candlelit dinner with a . . .

Who’s that? Law thought to himself.

But never mind the guy. He had to worry about not looking obviously panicked when he met your eyes a few seconds ago, which he would hate if he ever failed to, because it was uncharacteristically him to be obvious.

“I’m glad we got to squeeze in this dinner today,” his cousin spoke, snapping Law out of his trance. “Duty has been peaceful recently. I think a big one is coming soon.”

His fiancée elbowed his side. “Don’t say that, you’re cursing the three of us.”

“We’re not at work,” her fiancé deadpanned.

“It’ll be fine. It’s only happened a few times,” Law said.

The couple across him laughed and continued to bicker about work. Law joined in. He felt that he needed to as the guest, and that he should give this one evening to his cousin and his fiancée who had both applied for an internship at the memorial hospital he worked at. Law didn’t know about it until recently because he had overheard Ikkaku talk about it with Bepo during break. Now that their wedding was fast approaching, it felt appropriate to treat them to an evening dinner as an early wedding gift.

The woman’s phone buzzed, and she shyly excused herself out. “Sorry, I have to take this.”

Her fiancé nodded in approval and she walked out to take the call. Law excused himself to the restroom while she was away, to both catch his breath and use the actual restroom.

You saw Law get up from his table and walk to the back of the restaurant where the restroom stalls were. You watched as he snuck into the comfort room and disappeared behind the door.

Would it be wrong if you met him outside?

Would he mind?

You could follow him and pretend to use the restroom even if you didn’t need to, pretend that you had to wash off a stain, or grease from your hands. But you weren’t sure if it would work, especially on a man like Law.

Well, even if it did work, you would still go back to ignoring your feelings anyway because of your job.

You told your brother about your business and strode to the comfort room, where a vanity stood behind the small partition from the dining area to the lavatories. You fixed your appearance—patting down your hair, smoothening out the folds of your dress, and retouching your makeup—until Law emerged from the men’s room and met your eyes in the mirror.

You flushed. Law was surprised.

“Hi, um,” you stuttered, “nice to see you here.”

“Hi.” You spun around and met him face-to-face. “You’re with—?”

“My brother,” you replied. “He’s graduating his undergraduate program for-for law school.”

“Law?” Law chuckled. Your cheeks grew hot. “Congratulations.”

You laughed nervously and thanked him, then Law explained that he was out with his cousin and his fiancée to celebrate their engagement. Law mentioned that they worked at your hospital, and it rang a bell in your head.

“By any chance, are they interns?” you asked.

“Yes,” he confirmed. “First-years.”

Your eyes widened, realizing what he just said.

So this was what Ikkaku wanted to tell you.

“If I remember correctly, Ikkaku is one of their friends. She must have told you.”

“She did, kinda. I’m-I’m just surprised to see you here.”

From the corner of his eye, Law could see his cousin regrouping with his fiancée who had gone back to their table. Looking back at you, he said, “It was unexpected,” then hesitantly added, “You look really good tonight.”

Law (uncharacteristically and internally) shoved his head into his palms as he let the words out, surprising both you and him. Your heart thumped loudly in your chest, and you couldn’t stop the genuine smile that formed on your lips. You laughed lightly.

“Thank you,” you said.

Law looked at you one more time until he had to excuse himself out and walk back to his table. You did the same after regaining your composure and fixing yourself again. Your brother met you at the table, confused on what took you so long.

“Just a girl thing,” you told him when he questioned it.

Meanwhile, at table six, Law was distracted for the remaining time he had left for dinner. He couldn’t fathom the encounter with you, couldn’t understand his unusual reaction and the strange feeling in his chest. Law thought he was going crazy when he couldn’t stop thinking about the first time you touched at the restaurant, or when you both awkwardly greeted each other in the hallways.

He couldn’t understand what was happening, or why he kept playing into it at all. But he rethought it all out and wondered deeply. Did he really not understand?

Or was he just afraid to admit that he was starting to?

He was probably lying to himself.

And the glimpse you took at his table, which he happened to catch just in time, confirmed that.

IV.

A month had passed since your encounter with Law and it had been a pretty fun four weeks.

Meetups were more frequent and conversation became less awkward. You had gotten comfortable with him when he began to approach you himself, sometimes due to work and sometimes just for fun. Neither of you acknowledged it, but it was clear that there was something going on between the both of you.

You and Law had finished an emergency operation together and were cooped up in the break room to get some rest.

He was exhausted, unsettlingly quiet with hooded eyes that screamed no sleep. He held a cup of water and periodically took small sips from it as he spaced out, thinking to himself deeply.

Your team went in and out of the break room until it was only you and him left. It was silent, with the only sound source coming from the air conditioner. It was nearly 1 AM and you were wondering how to get home.

Deciding between walking or being patient enough to wait for a cab, you stood up from your seat and disposed of your cup. Law looked up from the floor and watched your actions closely.

“Are you going home?” he asked softly. Tiredly, if you might.

You nodded. “You?”

“I’ll check out in a bit,” he said. “Are you commuting?”

“Um, yeah. I’ll probably find something.” You shrugged, evidently not caring about it much. You had gone through the trouble of commute a couple of times before and you were an expert at that point. The only problem was, commuting late at night took a lot of time and patience.

“You’re commuting home?” He furrowed his eyebrows unpleasantly, almost as if he was displeased that he had guessed correctly. “Let me help you. I’ll take you home.”

“Law,” you started, “I’ll-I’ll be fine. You need to go home too, you’re tired.”

“I will not allow that.” Law refused to let a woman go off on her own unattended at night especially if it was you. There was nothing in this world that could sway him to let you be in this situation. Law argued against your refusals until he was up and standing, properly trying to reason with your dilemma.

“I don’t want to bother you. It’s late, get some sleep and go home,” you whined when he didn’t budge even after a minute of convincing.

He sighed. Looking down at you with tired eyes, he said, “Please. Stay safe.”

You nodded in promise, glad that you had persuaded him despite his strong arguments. Law planned to leave, but he just gazed at you deeply.

You looked back at him.

Then, he glanced at the door and at the corners of the room for any signs of a camera. When he proved that it would be safe, he leaned into you.

He brushed your hair to the side and pulled himself close. Then he kissed you.

Your lips parted in surprise but you kept them open as Law kissed you a little harder. He moved his lips in sync with yours, remembering the pretty looks and touches you’ve given him the past month. Once you were comfortable, he started to guide you through the kiss until your lips were finally in motion with his.

You pulled back for air but continued. Law kept his hand on the side of your head still while you placed your hands on his chest. He was unbearably close and you swore your legs touched. When you ran out of air the second time, the both of you pulled back.

“Can I take you home?” he asked again, breathless.

You nodded.

Definitely.

Moments later, Law led you to your locker where you packed your things and checked out. He checked out along with you and offered to carry your bag as you both set foot for the parking lot.

In just a few minutes, you were in the passenger seat as Law drove out the lot and into the empty midnight streets of the city. A couple of cars zipped by when you reached the overpass while billboards showed themselves and littered the perimeter. Soft noise from the radio and the hum of tires on asphalt kept you awake.

Law cooed you to sleep during the ride but you refused to shut your eyes. Although tired, you knew better than to miss out on this one moment with Law where it was just you and him in private, with no work-related problem bugging your minds in the middle of the night. It was just you and him, alone together in secrecy; a dream you had always wished for ever since you took a liking to him.

It felt wonderful to be there with him.

When you neared your residence, Law was disappointed that he had to say goodbye sooner than expected, but one glance at you and he was convinced that you deserved to rest. He parked outside your lot and hopped off the vehicle, then went over to your side to pop the door open and help you dismount the car.

You and him stood at your front gate, faces barely visible in the moonlight but doe eyes blown enough to notice. You keyed the gate open and thanked Law for the night before telling him goodbye.

But courage pumped through your veins, and at the very last second you ran to him with delight and stood on your tiptoes to meet his lips again. Law was shocked but reacted quickly, and he kissed back the same way he did earlier at work.

When you both pulled away, you grinned at him. “Can you text me when you get home?”

He shyly smiled back, but you knew he reciprocated. “I will.”

Law drove off once he made sure that you had entered your home safely, and after 15 minutes, your phone lit up with a notification.

lawdtrafalgar: I’m home.

y/nl/n: You’re safe?

lawdtrafalgar: Just like you asked.

y/nl/n: Good :]

It was an exhausting day. But you were glad you spent it with him.

V.

Three weeks passed and Law made it a habit to take you out to eat or stroll around the city whenever you were free. You didn’t mind it—in actuality, you liked every moment you spent with him because he made you feel safe.

Sweet gestures became frequent but would be kept subtle and at a minimum since Law wasn’t the showy type. Nonetheless, you appreciated all the effort he put.

You walked beside Law on the promenade, where the city met the sea and the sea met the sun. It was a calm Wednesday evening after work and you had time to spare so you pulled Law to a 10-minute walk to kill time. He followed you with no objections, and walked with you in comfortable silence.

You later stopped at a bench and took a seat, Law following your actions patiently.

You found it the perfect time.

“I’ve been meaning to tell you,” you said as you held your gaze at the open sea, “I like you.”

Law didn’t reply much. He was half-surprised and half not because he knew how you felt, but didn’t expect you to say it now. He hoped to initiate this type of thing so it wouldn’t come to him out of nowhere, but this was fine too.

He knew he liked you back, so it was fine too.

After a long pause, he said, “I like you too,” then formulated the proper follow-up in his head and added, “I want to be with you,” a few seconds later.

You smiled sweetly, finally looking at him as excitement built inside you. Your heart thumped wildly the same way it did over a month ago, at the restaurant where things first sparked, in the hallways where you shyly spoke, and during lunch breaks when work was calm enough for a quick interaction. Law rested an arm around your shoulders and you nestled in his warmth.

“You read my mind just right,” you said.

“Would that make us official?”

“I’d say it would.”

Law stroked a comforting thumb on your shoulder and pulled you closer to him. You laid your head on his chest and hummed in content.

As you both looked into the horizon, traffic noise toning down and your surroundings becoming vibrant with each passing second, your worries washed away. With Law closely seated next to you, everything in the world felt just right.

pls be the judge if i should continue writing in this length or if i should shorten/lengthen it a bit <3 i think the problem with this one was that it started off as a chaptered fic until i decided to ka-boom everything in just one post so it seemed rush. i haven’t written in over a year though so i’m really rusty. thank u lot for reading 😭🧡

[maaarine]

Sufferers of chronic pain have long been told it’s all in their head. We now know that’s wrong (Linda Geddes, The Guardian, June 28 2021)

“Traditionally, doctors have divided pain into two categories: nociceptive pain, triggered by injuries such as bruises, burns, fractures, sprains or inflammatory conditions such as arthritis, and detected by pain receptors in our skin, bones and other tissues;

and neuropathic pain triggered by damage to the nerves that carry sensory signals from these tissues to the brain and spinal cord.

But a few years ago, the IASP introduced a third category: nociplastic pain – pain arising from the altered processing of these sensory signals, without any evidence of actual or threatened tissue damage.

One thing that can happen is that the pain signals carried by peripheral nerves from the skin, muscles, joints or internal organs to the spinal cord can become amplified, worsening the pain. (…)

For one thing, nerves in the brain and spinal cord – the central nervous system – can become hyper-excitable, meaning that minor bumps and grazes become agonising, and even non-painful stimuli such as brushing your hair or touching your skin can trigger pain.

“It is like an allergic reaction in the pain system,” Arendt-Nielsen says. This “central sensitisation” can also spread.

“One of the features that we see in many patients with chronic pain is that they have this generalised pain hypersensitivity.

They might have osteoarthritis and pain in their knee, but if you quantitatively assess the sensitivity of the pain system, they have a lower lower pain threshold throughout their bodies,” Arendt-Nielsen says. (…)

“In many people with conditions like low back pain, endometriosis, irritable bowel, headache, fibromyalgia, you’re not going to find a problem in the area of the body where the person is experiencing pain.

There’s more and more evidence that these are central nervous system, systemic conditions, where the pain can present in different areas of the body at different points in time over that person’s life,” says Daniel Clauw, a professor of anesthesiology, medicine and psychiatry at the University of Michigan.

He likens the experience of pain to the noise produced by an electric guitar; to make it louder, you can either strum the strings harder or turn up the amplifier. 

In this analogy, the strings are represented by the peripheral nerves carrying sensory information from our organs and tissues, and the amplifier by the brain and spinal cord.

A patient with third-degree burns is having their strings strummed extremely hard, whereas in someone with fibromyalgia – a long-term condition that causes pain all over the body – their amplifier has been set too loud. 

“They can have pain, without the strings even having to be strummed,” Clauw says. (��)

Not everyone who develops a chronic pain condition will develop more of them but they seem to be particularly prevalent among women, and those affected also often suffer from non-pain conditions such as sleep and mood disorders, and fatigue.

Some of this variation between men and women may be due to immune system differences, with women also more prone to autoimmune disease.

Immune cells trigger inflammation, which can trigger pain. 

Sex hormones such as oestrogen and testosterone can further exacerbate or dull pain, depending where they are released and in what quantities.

Laid on top of those basic amplifier settings are events that happen to you as you go through life.

Chronic pain is more common among people who experienced lots of surgery as children, or emotional or physical abuse.

There is also a strong link between chronic pain and depression. Of course, living with chronic pain can be depressing, but depression can also amplify pain processing in and of itself.

This is not the same thing as suggesting that someone’s mental attitude can affect their pain.

“Rather, people often don’t realise that the brain pathways that drive depression are intrinsically linked to the ones that drive chronic pain,” says Dr Kirsty Bannister, a senior lecturer at King’s College London, who researches these pain pathways. (…)

Although opioids are effective at dampening short-term severe pain or cancer pain, they are highly addictive and accidental overdose kills about 50,000 people in the US alone each year.

They can also make chronic pain worse.

This is because opioids provide relief by blocking pain receptors but your body responds by increasing the number of pain receptors, meaning you need higher doses to get the same relief.

In chronic pain conditions such as fibromyalgia, people have already been producing natural opioids called endorphins, which bind to the same receptors.

“Giving them an opioid is like throwing kerosene on to a fire,” Clauw says.”

[lordjohngreyreadingnook]

Lord John AU Event Master List

A very special thank you to all of the writers, artists, and readers who helped make the Lord John AU Event a success! All good things must come to an end, and the body of Lord John fanworks has grown immensely during this event.

Because Pan is still a geek, here’s an infographic with some of our stats. 

Below the cut, you’ll find a masterlist of all of the art and fics submitted for the event. Most of the fics can be found in the AO3 Collection, and all titles in the master list below are links to the original work posting (AO3 or Tumblr).

Here’s how we did!

Master List Below!

Art Links

“E-girl Claire and her boyfriend John” by @deanwinchesterangelfucker

“Gender-swapped, established relationship John and Jamie” by @deanwinchesterangelfucker

Fic Links

Title: extra credit Author: @iihappydaysii Rating: E Ship: Brian/John AU Category: High School Word Count: 2,532 Summary:  Brian Randall (Jamie Fraser's gay son, of course) needs to get his grade up in his trig class taught by who other than his father's friend, John Grey.

Title: Die for this Kingdom Author: @mistresspandorawritesthings Rating: M Ship: Jamie/John AU Category: Mob Word Count: 45,255 Summary:  All Jamie “Fortnight” Fraser wants is to provide a good, safe life for his family in Chicago. But with tragedies keeping him tangled in his uncle’s deadly schemes and one tenacious—and handsome—police officer determined to bring him in, Fortnight Fraser has a choice to make. Bend to Dougal’s will… or burn it all to the ground.

Title: Remember Hawaii Author: @mistresspandorawritesthings Rating: E Ship: Hector/John AU Category: Semi-Modern Word Count: 5,119 Summary:  The chances of John Grey unexpectedly seeing Hector Dalrymple in a group of Marines was always small but never zero. In the vastness of the Pacific Ocean, Hawaii is tiny. What are the odds they'd both be there at the same time?

Title: Tasting Sunshine Author: @andhopethatsoon Rating: E Ship: John/Stephan AU Category: Supernatural/Fantasy Word Count: 6,421 Summary:  Every fae and their godmother knows that you DON'T eat the oranges from THOSE trees or you will summon the Summer King who will demand your heart’s desire in return.

Title: At Operator’s Discretion Author: @mistresspandorawritesthings Rating: E Ship: Jamie/John AU Category: Assassins Word Count: 6,210 Summary:  John Grey is an operator specializing in surveillance and termination--that is, spying and murder. He keeps all this a secret from his husband, Alex Malcolm, for Alex's protection. But when a contract comes in for one James Fraser, Grey's life gets all kinds of complicated.

Title: Theatre Masks Author: @faeriesfanficblog Rating: G Ship: Jamie/John AU Category: Modern Word Count: 1,238 Summary:  A modern AU. Jamie Fraser is an autistic playwriter attending a theatre premiere with his husband Lord John Grey.

Title: The Wild Hunt Author: @mistresspandorawritesthings Rating: E Ship: Jamie/John/Tom AU Category: Supernatural/Fantasy Word Count: 8,033 Summary:  The Sorcerer is rumored to be the only being able to influence the Wild Hunt, the same Wild Hunt hell-bent on destroying the world to get to John Grey. But the Sorcerer's aid comes with stipulations.

Title: The Right Tool for the Job Author: @iihappydaysii & @mistresspandorawritesthings Rating: E Ship: Jamie/John AU Category: Modern Word Count: 5,825 Summary:  Jamie makes an embarrassing emergency call after a sexual mishap, and John Grey is the paramedic who shows up to help.

Title: gotta listen when the devil’s calling Author: @narastories Rating: E Ship: BJR/Jamie/John AU Category: Modern Word Count: 6,105 Summary:  John wasn't looking forward to his birthday. Aberdeen was cold and bloody far away. This year they also got a surprise travel companion last minute and John is convinced, it couldn't get any worse. But perhaps, it's not so bad after all.

Title: Off the Only Path I Knew (WIP) Author: @jesuisprest747 Rating: M Ship: Jamie/John AU Category: College/University Word Count: 8,920 Summary: Nothing about University is going as Jamie Fraser planned. He misses his family and friends back home, and the friends he's made at University don't feel quite right. Under pressure from his father, he is studying business instead of his true passion - Classics and Literature. To top it all off, his roommate barely speaks to him. A story about friendship, love, and following your heart.

Title: And Say We’ll Never Part Author: @mistresspandorawritesthings Rating: E Ship: Hector/John AU Category: Semi-Modern Word Count: 6,872 Summary: The war has been over for months, and the Allied forces are slowly demobilizing. With the help of his friend and battle buddy Harry Quarry, newly-discharged John Grey ensures that Hector has a home waiting for him.

Title: Lemon Drop Author: @mistresspandorawritesthings Rating: E Ship: Hal/John/Percy AU Category: Modern Word Count: 6,335 Summary:  Weeks into their mother's engagement, John and Hal still haven't been formally introduced to their soon-to-be step-brother. So Hal suggests they take matters into their own hands. And if it turns out Percy is up for a little fun... all the better.

Title: A Pocketful of Posies Author: @levisqueaks Rating: M Ship: Brian/John (end game); Jamie/John  AU Category: Modern Word Count: 3,483 Summary:  Jamie breaks up with John a mere week before his wedding to a girl John knew nothing about. 20 years later, John finally gets a little bit of closure.

Title: London Calling - Come out of the Cupboard Author: @angstosaur  Rating: E Ship: Claire/Jamie/John AU Category: Semi-modern Word Count: 24,337 Summary:  Setting – Bloomsbury, London, early 1980’s John is a newly qualified solicitor and is working in Holborn. When he was studying law in London his mother insisted he stay in her apartment in Bloomsbury. He agreed as long as he could share with his old school friend, Claire Beauchamp. Claire has just finished at medical school and has a post as a junior doctor at a large London Hospital. They’re just good friends. That’s all. Really. After all, John is gay. Then, Jamie Fraser enters their lives and suddenly all that was taken for granted is called into question.

Title: John Grey’s Anatomy (WIP) Author: @jesuisprest747​ Rating: E Ship: Claire/Jamie/John AU Category: Modern medical Word Count: 25,452 Summary:  When John Grey decided to move to America in early 2020 to escape his past and make a new start at Boston Memorial Hospital, he only wished to work hard at his anesthesiology fellowship and heal his broken heart. Little did he know that he would soon meet two people who would change his life forever, against the background of the world's first global pandemic in over a hundred years.

Title: Blood Bound (WIP) Author: @mistresspandorawritesthings​ Rating: E Ship: Jamie/John; Jenny/Minnie AU Category: Supernatural/fantasy Word Count: 2,862 Summary:  Jamie Fraser grew up with the knowledge of the unholy evil that walks the earth. For more generations than his father could count, Fraser women have been the lone soldiers charged with keeping the evil things at bay. But when one wrong move on a haunted bog in Ireland transforms Jamie into the very thing he was taught to help his sister eradicate, he's forced to reevaluate everything he thought he knew about monsters.

Title: Love is a three-edged sword (WIP) Author: @angstosaur  Rating: M Ship: Claire/Jamie/John AU Category: Authurian Word Count: 74,668 Summary: An Arthurian themed AU featuring characters from Diana Gabaldon’s Outlander series of books and the Lord John Grey stories. The enduring love triangle of Arthur, Guinevere and Lancelot retold with a different twist. Expect canon to be used and abused, mythology to be woven in as desired and for there to be scenes of an explicit nature.T his is neither Outlander nor Arthurian legend as you may know it, or accept it, but it’s a story that called to me many months ago and I shall endeavour to write it. The characters are fictional and I’ve put them in an indeterminate time, so there will be less historical accuracy than my previous long story.

[upperback56]

CONTACT

Address: Brooklyn, NY 11214

Phone: 347-801-8262

Website URL:

https://www.bogdanmd.com/

About US

Dr. Sascha Qian completed his undergraduate education at Stanford University and ultimately received her medical degree at Yale School of Medicine in New Haven, CT in 2012. Dr. Qian continued her education as a resident in anesthesiology at New York Presbyterian-Columbia Medical Center and completed her fellowship in pain medicine at Massachusetts General Hospital in 2012.

Dr. Qian is a member of many professional organizations, including, the Medical Society of New York State, the American Society of Regional Anesthesia & Pain Medicine, the North American Neuromodulation Society, and the International Modulation Society.

Patients can be assured that procedures are conducted in a manner that has their safety and long-term wellbeing in mind. Patient-Centeredness: We will work to understand the unique needs of all our patients.  Effectiveness: Patients will achieve the best outcomes possible with available state of the art treatments.  Efficiency: Patients will receive precisely the amount of care that they need. Timeliness: Patients will receive the care they need when they need it.

Related Searches:

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  Category: Pain control clinic, Pain Management physician, Sports medicine clinic,

Additional Details

Hours: Mon - Fri: 8am-8pm Sat 9am-3pm

Payment Method: cash, credit cards

Social Profiles

https://twitter.com/UpperBack1

https://web.facebook.com/Upper-Back-Pain-103027364798861/

GMB Listing

https://goo.gl/maps/2Sw5byzXJJho7XqKA

[ley-med]

Medblr asks! 4, 6, 11, 15, 24 GO!!! 😘

Thank you for the ask, finally got around to answer it. :)

4) Name some of Favourite specialties (as many as you like).

My number one is anesthesiology, but I really love pediatrics and dermatology too. And due to a really nice teacher, I also keep orthopaedics in my heart.

6) Name a specialty that makes you die a little inside. Why?

Neurology. It’s very specific, which doesn’t bode well with me, and also the lack of success. I mean, you can diagnose someone, even treat them more or less, but you can’t cure them, and I think it applies to most of the neuro patients. 

11) Name someone who has really inspired you recently.

He’s an anesthesiologist, and he was the lecturer at the last anesthesia lecture. Apart from the fact that I really respect what he does for the whole department and for us students, he told us a story about himself in his last year of med school, while he was working as a medic. The story didn’t have a happy ending, but it really touched me, and while now I’m scared sh*tless that I want to go down the same path he did... It really inspires me that you can learn from your mistakes, and that he could tell his mistake in front of a whole classroom, so we can learn from it.

15) Give us a pop - science/ medical book that you think we should read. (or two, or three…)

I really want to, I know I have read some amazing books in this category, but none of them comes to mind at the moment. (Well, the one I remember is only aviable in Hungarian.) In the last year apart from textbooks I’ve only read fantasy... I will reblog when something comes to mind :)

24) Share something you’ve done recently that you are proud of.

The last week. It’s been though, I had too many exams, and also had some personal/family problems, but I’m proud I stayed afloat. And did the exams like a pro.

[kneepain2-blog]

Address:

36 West 44th STE 914b

New York, NY 10036

 Phone:

(212) 408-1603

 Website:

www.sportspainmanagementnyc.com/knee-pain

 Category:

chiropractor

 Hours:

Mon- Fri 9am - 8 pm

 Payment:

All cc, cash

 Description:

 Best in class, top rated New York pain management doctor, Dr. Melepura provides highly personalized and comprehensive pain care in NYC. He is among the best pain relief doctors in the country. Pain specialist Dr Melepura board certified by American Board of Anesthesiology and Pain Medicine (Anesthesiology). He offers the most advanced pain management treatments available in the USA. Come see our new cutting edge, state-of-the-art pain management clinic in NYC.

 Pain behind the knee can lead to serious complications if you don’t receive knee pain treatment. At the very least, back-of-knee pain, posterior knee pain and inner knee pain can sideline you indefinitely until you find some knee pain relief. Knee pain has a large number of causes and should be investigated by a top knee specialist. Come see our pain management clinic to get a knee pain evaluation and treatment. Meet our pain doctor Dr. Melepura to get the pain relief you need in the safe, reassuring hands of the best pain management specialists in NYC.

 Knee pain complaints at sports medicine offices in Manhattan are nearly as common as back pain reports. And just as when you seek relief from lower back pain, knee pain relief is often as easy as simple homecare techniques as directed by a sports and pain management team in New York City.

 At the same time, treatment for knee pain may require many other, more substantial techniques. It all depends on the source of your discomfort and the final diagnosis. In Midtown Manhattan, your best choice for knee pain treatment is close by at the Sports and Pain Institute of NY.

 Keywords:

 knee pain, Knee Pain Treatment, Knee Pain therapy, Knee Pain Doctors, Knee Pain Specialists, knee pain relief, Manhattan, New York City, New York, NY.

Social Links:

https://web.facebook.com/Knee-Pain-Treatment-Doctors-Specialists-318805792315204

https://twitter.com/KneePain

https://www.linkedin.com/in/knee-pain-b4177b180/

https://www.pinterest.com/KneePain2/

https://sportspainmanagementnycknee-pain.blogspot.com/2019/02/address-36-west-44th-ste-914b-new-york.html

https://www.google.com/maps/place/Knee+Pain+Treatment+Doctors+%26+Specialists/@40.7553282,-73.9840994,17z/data=!3m1!4b1!4m5!3m4!1s0x0:0xdd0e9489095ea391!8m2!3d40.7553282!4d-73.9819107?hl=en

[reveal-the-news]

AANA recognized as a winner of Modern Healthcare's 2022 Healthcare Marketing Impact Awards

AANA recognized as a winner of Modern Healthcare’s 2022 Healthcare Marketing Impact Awards

Rosemont, Ill., November 15, 2022 /PRNewswire/ — Modern healthcare recently selected the American Association of Nurse Anesthesiology (AANA) as the winner of its 2022 Healthcare Marketing Impact Awards. AANA received the Gold Award for Integrated Campaign of the Year in the Advocacy category for its successful “Providing Arkansas Patients with Access to Quality Anesthesia Care”…

[getadmn]

FH Medical College Agra (FHMC BAMS 2022)

Dr. B R Ambedkar University, in Agra, Uttar Pradesh, has FH Medical College Agra (FHMC BAMS) as a partner institution. a college that the Medical Council of India (MCI) approved in 2014. A 650-bed hospital with all the necessary major amenities and cutting-edge medical technology is available at the F H Medical College & Hospital. Both undergraduate and graduate programmes at the FH Medical College provided courses. The FH Medical College provides students with high-quality medical education and training in order to meet their demands. The institute's primary goals are the development of research and the healing of the sick. We are aware of the scientific resources, know-how, and capabilities required to deliver a top-notch medical school completely devoted to educating doctors for the future of medicine. We have a highly skilled teaching staff that provides excellent lectures and is constantly available to offer advice to the students. The FH Medical College, the top private medical school in India's state of UP, regularly hosts extracurricular activities to keep students calm and relaxed.

The article provides you with a comprehensive overview of all the key facts regarding the FH Medical College and Hospital, including information on campus facilities, major courses, the admissions process, the fee structure, eligibility requirements, college cutoff, and more.

Organization Name

Agra, India's FH Medical College and Hospital

renowned as

Agra FHMC

Location

Agra, Firozabad (U.P)

Year of Establishment

2014

Category

Trust

connected to

Agra's Dr. B. R. Ambedkar University (U.P)

endorsed by

Indian Medical Council (MCI)

courses available

UG and PG Medical Courses

Facilities

Boys' and girls' hostels, a medical facility, a library, a laboratory, a hospital, and more

University Rating

3.7/5

Authentic Website

https://www.fhmc.co.in/

Category

Colleges of Medicine in Uttar Pradesh

Fees for FH Medical College

We warmly welcome you to FH Medical College, Agra, the premier private medical college in UP, India. It is our pleasure to welcome you, and we are honoured that you have chosen our Institute as the foundation for your professional career's medical education. The list of the FH Medical College's PG and UG course costs is shown below.

Price Structure for MBBS at FH Medical College

HEAD

AMOUNT (INR) (INR)

TUTORIAL FEE

14,90,000 (Per Year) (Per Year)

HOUSE CHARGES

3,00,000 (Per Year) (Per Year)

WARNING FEES

3,00,000 (One Time) (One Time)

Costs for the PG (MD & MS) Program at FH Medical College

COURSE

TUTORIAL FEE

HOUSE CHARGES

(Each Year)

SECURITY CHARGE

(Only Once)

OTHER FEES

(Each Year)

Anesthesiology

2150000

3,00,000

3,00,000

1,00,000

Generally Speaking

3900000

Orthopedics

3350000

Surgery in general

2650000

Psychiatry

2150000

Pediatrics

3550000

Ophthalmology

3050000

Radiology

3950000

Dermatology

3950000

FH Medical College's UG and PG Course Eligibility Requirements

Eligibility Requirements for UG Courses at FH Medical College

The eligibility requirements for FH Medical College's UG Course Admission are covered in the points listed below.

Age: Applicants for the MBBS programme at RMRI Bareilly must be at least 17 years old as of December 31 of the admission year. The sole Date of Birth registered for the I.C.S.E. high school.

A 10+2 diploma from an accredited university or board in any Indian state with English, Physics, Chemistry, and Biology as the primary courses is required. must receive at least 50% in the subjects of physics, chemistry, and biology.

For admission to the M.B.B.S. batch 2022–23, candidates must take the NEET UG Exam (National Eligibility Cum Entrance Test).

Student registration is possible through the official website at https://upneet.gov.in.

Plan for a 412 year course with a one-year, required, rotating internship.

Eligibility Requirements for PG Courses at FH Medical College

The qualifying requirements for FH Medical College's PG course admission process are covered in the paragraphs below.

To be eligible for admission to PG programmes, a college must be approved by the Indian Medical Council (MCI). Candidates must present a permanent or provisional enrollment certificate of MBBS qualification along with an MBBS Pass Certificate. It is also necessary to have an internship that will last a year or is likely to last a year.

For admission to various PG Courses, candidates must take the NEET PG EXAM (PG - National Eligibility Cum Entrance Test).

Getting Registered: Students can register on the NEET website at https://upneet.gov.in.

Course Length: 3 years spread across 6 semesters (i.e. 6 months per semester).

Admission to FH Medical College

The following information about the FH Medical Institution admissions procedure and crucial elements to keep in mind for admission to significant courses offered by the top medical college in Uttar Pradesh

For both the UG NEET Exam for MBBS Course and the PG NEET Exam for PG Course, candidates must achieve the minimum cutoff.

On the official NEET counselling website, all personal information and academic information must be provided.

Upload your scanned signature, left-hand thumbprint, and passport-size photo.

Pay the counselling enrollment cost of 2,000 rupees and the caution deposit of 30,000 rupees (for government medical colleges) or 2,000,000.00 for both private and public medical colleges.

Refundable is the caution deposit that was made.

After the payment has been received, the merit list will be announced.

Check your name after the NEET Merit List has been released and save F H Medical College as your top choice.

You might be given a seat in one of the rounds of NEET UG & NEET PG counselling depending on how well you did in the NEET UG Exam & NEET PG Exam.

You must promptly notify the college of the successful seat allocation and submit your original documentation.

Candidates who weren't chosen in either of the counselling rounds could go to a round for stray openings or apply through the management quota.

Documents Necessary

I.D. card

Rating sheet or rank letter

Marksheets for classes 10 and 12.

Verification of ID using Aadhar, PAN, a driver's licence, or a passport

Temporary Letter

Caste Document (if appropriate)

Certificate of PwD (if appropriate)

FH Medical College Cutoff

The list of past year's FH Medical College cutoff scores needed for admission to UG and PG programmes is provided below.

Aspirants must pass the necessary Cutoff in their NEET Exam to be considered for admission to various UG & PG Courses at the finest Private Medical College in UP.

The SC/ST/OBC must achieve AIQ and state guidance procedure 40th percentile scores.

For candidates in the general category, the 50th percentile is required.

CATEGORY

PERCENTILE

CUTOFF

(2020)

CUTOFF

(2019)

General

50%

701 – 134

701 – 134

OBC, SC, or ST

40%

133 – 107

133 – 107

General PH

45%

133 – 120

133 – 120

OBC, SC, and ST

40%

119 - 107

119 - 107

The reputation and ranking of FH Medical College

Many students at FH Medical College have seen these individuals' talents and skills in their participation in extracurricular activities, athletics, and academics. The college is listed among the best private medical schools in Uttar Pradesh. Additionally, they excel in professional university exams taken at Dr. B. R. Ambedkar University in Agra, U.P. The Institute also provided scholarships to the outstanding students as a way of showing its appreciation for their accomplishments.

Placement in FH Medical College

Many people visit the multi-specialty hospital on the campus of the FH Medical College in Agra, where doctors provide excellent care. The internship programme offered by the college for a year determines where passing students will be placed in the FH Medical College. Students will be required to attend college. Here, the college assigns students night shifts in addition to regular shifts in the hospital, and depending on how well they perform, a placement will be made.

Campus of FH Medical College

The FH Medical College Campus offers its students every amenity and ensures that they have a comfortable stay on campus. The site of the FH Medical College is made up of built-in smart classrooms, modern laboratory facilities, lush grassy lawns, and more. The foundation has received special attention to make sure it works for the pupils and presents no problems. The college offers both male and female dorm accommodations. Various indoor and outdoor programmes are often held to keep faculty and students in shape. It provides mess facilities in every hostel and canteens on campus that serve good meals at affordable pricing. The Institute also includes a health clinic on the campus with ambulance service available 24*7. The FH Medical Hospital has 600 beds and offers economical patient care. Students attend training programmes there as well.

Events

Dates

NEET 2022 Application Deadline

6th May 2022

Date of NEET Exam

July 17, 2022

Result Date

July 2022

Last Date to Download results

90 before the NEET Result

Start of counselling

TBA

[getadmission]

Rajshree Medical Research Institute (RMRI)

Rajshree Medical Research Institute Bareilly (RMRI) a medical institute founded under the guidance of the reputed Rajshree Educational Trust in the year 2014. It is a recently settled Medical College with 650 bedded Rajshree Hospitals at Rampur Road, Bareilly. The college is also known as RMRI Bareilly, one of the top private medical colleges in Uttar Pradesh India situated in Bareilly. The RMRI Institute Bareilly is work under MJP Rohilkhand University, Bareilly which is approved by the Medical Council of India. It is under the Rajshree Group, which additionally runs a Rajshree Medical Research Institute & Hospital, Rajshree Institute of Medical Science, Rajshree Nursing Institute Bareilly, and other instructive foundations.

Location

Bareilly Uttar Pradesh

Established Year

2013

Institute Type

Private

Affiliated

M J P Rohilkhand University

Approved

Medical Council Of India (MCI)

Courses Offered

MBBS/ MD/MS

Facilities

Hostel (Boys & Girls), Medical, Library, Auditorium, Laboratory. 

Official Website

https://www.rajshreemri.in/

Category

Medical Colleges in Uttar Pradesh

Rajshree Medical Research Institute Bareilly Courses Offered

The RMRI College, Bareilly is the Medical Council of India (MCI) Approved Private Medical College. The multiple UG & PG courses offered at Rajshree Medical College i.e. MBBS courses, MD & MS Courses in different specialization for medical students in total 150 seats granted by M.J.P. Rohilkhand University, Bareilly (U.P.). The Bachelor of Medicine and Bachelor of Surgery (MBBS) program is intended to teach the fundamental understanding of the students as the curriculum continues beyond medicine. The infrastructure of the Institute has been designed carefully to serve the intake of 150 (MBBS), medical students. The RMRI College introduced well experienced selected faculty and staff members that can deliver quality education to students. They also deal with the latest academic input, combining it with the organization of national seminars, conversations, seminars, and familiarization towards research, innovation, etc. Regular course curriculum with time-to-time practical on research and training program enables students to obtain frontline expertise. 

Every student shall experience a period of study extending over 4 ½ academe years divided into 9 semesters, (i.e. of 6 months each) followed by a one-year compulsory rotating internship.

COURSES

INTAKE

DURATION

MBBS Course

150 Seats

4 Years 6 Months

+

1 Year Internship

MD Course

34 Seats

3 Years

MS Course

11 Seats

3 Years

Rajshree Medical Research Institute Bareilly Fee Structure

We welcome you to India's top private medical college the Rajshree Medical Research Institute, Bareilly. It's our pleasure to welcome you and also we are overwhelmed that you have picked up our Institute for your medical education to set the base of your professional career. Below is the list of PG & UG Courses FEE structure at Rajshree College, Bareilly. 

Rajshree Medical College UG Course Fee Structure

COURSES

TUITION FEE

(INR)

HOSTEL FEE

(INR)

SECURITY FEE

(INR)

TOTAL

(INR)

MBBS

11,30,000

1,50,000

3,00,000

15,80,000

Rajshree Medical College PG Course Fee Structure

COURSES

TUITION FEE

(Per Year)

(INR)

HOSTEL FEE Non AC (Per Year)

(INR)

MISC. FEE

(Per Year)

(INR)

SECURITY AMOUNT

(one time, refundable)

TOTAL 

(Per Year)

(INR)

MD (General Medicine, Pediatrics, Radiology, Dermatology )

14,30,376

2,50,000

1,20,000

5,00,000

23,00,376

MD (Pathology, Anesthesiology)

1000000

250000

120000

200000

15,70,000

MD (Biochemistry, Pharmacology)

11,000

-

-

-

11,000

MS (General Surgery, Orthopedics)

14,30,376

2,50,000

1,20,000

5,00,000

23,00,376

Rajshree Medical Research Institute Bareilly Eligibility Criteria

UG Courses Eligibility Criteria for Rajshree Medical College

Below are the list points that cover the UG Courses eligibility criteria for the admission process in Rajshree Medical College.

Age - Candidates who apply for the MBBS course RMRI Bareilly must finish the minimum age of 17 years as on the 31st December of the year of admission. The only Date of Birth enrolled in the High School / I.C.S.E. 

Qualification - Passed 10+2 by recognized University/Board of any Indian State with English, Physics, Chemistry, and Biology as main subjects. Must score a minimum of 50% marks in Physics, Chemistry, and Biology.

Entrance Exam - Candidates need to attend the NEET Exam (National Eligibility Cum Entrance Test) for admission of M.B.B.S. batch 2020-21.

Registration - Students can go for registration through the official website NEET https://upneet.gov.in

Course Duration - 4½ years plan with a 1-year compulsory rotating internship.

PG Courses Eligibility Criteria for Rajshree Medical College

Below are the list points that cover the PG Courses eligibility criteria for the admission process in Rajshree Medical College.

Qualification - For admission to PG Courses at Rajshree College, candidates need to submit an MBBS Pass Certificate recognized by the Indian Medical Council Act 1956. The candidate needs to submit a permanent or provisional enrollment certificate of MBBS qualification. Required one year of internship or is likely to complete the internship on or before 31 March 2020.

Entrance Exam - Candidates need to attend the PG NEET Exam (PG -National Eligibility Cum Entrance Test) for admission in different PG Courses.

Registration - Students can go for registration through the official website NEET https://upneet.gov.in

Course Duration - 3 years plan divided over 6 semesters (i.e. 6 months per semester). 

Rajshree Medical Research Institute Bareilly Admission Process

The RMRI Institute admission process at for the MBBS course shall be based on the merit basis i.e. NEET Exam 2020-21. The candidates who are looking forward to starting their career in MBBS�Course from Rajshree Medical Research Institute Bareilly need to take the following steps:

Visit the official site of the Rajshree Medical Research Institute and select ‘Admission and Aid’.

A drop box will show up and the alternative of ‘Apply Now’ will be available.

Click on 'Apply Now' which redirects you to another page.

Select the course for which you are applying through the online mode.

Fill up your information that is requested.

Enter a unique number and email ID so you are refreshed with all notices utilizing that contact.

Enter your academic details carefully any solitary mix-up made by you can prompt the dismissal of your structure.

Submit your passport photos.

Present the application structure.

Make the installment of the application structure through an online method of net banking or by a charge or a Visa.

Documents Required

Admit Card

Scorecard or Rank Letter

Class 10 & 12 mark sheets

ID verification (Aadhar/PAN Card/Driving License/Passport)

Provisional Letter

Caste Certificate (if appropriate)

PwD Certificate (if appropriate)

Rajshree Medical Research Institute Bareilly Cutoff

Aspirants are required to acquire the least qualifying percentile checks in NEET 2020-21 selection tests to meet all requirements for additional confirmation procedures. The NEET Cut-off is the minimum marks directed by the college management for the student’s admission in MBBS Courses. The merit list will be declared on the basis of this cutoff.

CATEGORY

PERCENTILE

CUTOFF SCORE

UR

50th Percentile

701-134

OBC/SC/ST

40th Percentile

133-107

UR-PH

45th Percentile

133-120

OBC/SC/ST

40th Percentile

119-107

Rajshree Medical Research Institute Bareilly Ranking & Reputation

At RMRI Institute, a large number of students have witnessed their skills and abilities in their academics, sports, and other extracurricular activities. The college is included in the list of the top-ranked private medical colleges in Uttar Pradesh. They also achieve top positions in their professional University examinations conducted by MJP Rohilkhand University, Bareilly. The Institute also awarded the brilliant students with scholarships as a sign of appreciation for their achievements by Honorable Vice-Chancellor. Below is the list of the reviews and reputation of the colleges provided by the passed out students of the college.

College Name

Rajshree Medical Research Institute Bareilly

Rajshree Medical College Reviews

7.5/10

Reputation/ Education/ Faculty

Very Good

Rajshree Medical Research Institute Bareilly Placement

The Rajshree Medical College, Bareilly has its own hospital on campus where a number of patients come and doctors service them nicely. The Rajshree Medical College Placement for passing students depends on the internship program provided by the college for one year. Students will have to stay in college. Here the college assigns them night duties as well as daily duties in the hospital and based on the performance the placement will take place.

Rajshree Medical Research Institute Bareilly Campus

The Rajshree Medical Research Institute Campus provides all conveniences to its students and provides them a comfortable stay on the campus. The college has built-in smart classrooms, well-equipped laboratories with the latest instruments, grassy green gardens, and more that make the Rajshree Medical Research Institute college campus. Special attention has been given to the foundation so that it suits the students and they do not encounter any issues. The college provides hostel facilities, both for boys and girls. Various outdoor and indoor programs conducted on a regular basis to keep students and faculty fit. It has canteens inside the campus that serve quality food at base prices and mess facilities in all hostels. The Institute also has a health center on the campus with ambulance service available 24*7. The Rajshree Medical Hospital, a 600-bed capacity to serve people at affordable prices, and students also go there for their training sessions.

[gyankoshacademy]

MBBS BDS Admission in West Bengal India and Abroad, Total Admission Guidance and NEET Exam Coaching in Kolkata

 Students can specialize in a variety of fields during their MBBS Course. The most common specialty is General Surgery, but the course also offers students the chance to specialize in several other areas. They can choose from many different electives, including Anesthesiology, Nephrology, Gynecology, or Cardiology.

As an MBBS student, you will be learning the basic systems of the human body. The course will teach you about the respiratory, cardiovascular, and reproductive systems. You'll also learn about the muscles, nerves, blood, and special senses. You'll also study forensics and criminology, which will help you to understand cases involving medical negligence. You'll also learn how to conduct postmortems and medical legal aspects of cases.

There are 7 Private Medical Colleges in West Bengal for MBBS admission through management quota. Students must qualify the NEET exam for direct MBBS admission in West Bengal private colleges through the management quota. We can help the student to guide for admission counseling process for MBBS, BDS, BAMS, and BHMS courses from West Bengal, India, and Abroad like Bangladesh, Nepal, and other countries. Which students are interested in BDS admission in West Bengal can contact our experts to guide them about counseling and the college selection process.

Students who want to take direct MBBS admission abroad should be aware that there are several requirements and limitations. Applicants must first decide which country the MBBS course is suitable for them. For instance, not all medical colleges offer practical training, clinical, and internship. Therefore, prospective students should check what percentage of their education is spent on clinical skills. In addition, prospective students should check the reviews of previous and current students to make sure that the college is worthy of their investment. Those who are interested to take MBBS admission in Bangladesh, or Nepal should have a student visa.

As with most other degrees, an MBBS degree can lead to several different careers. The average MBBS graduate can open their own Hospitals or Nursing Homes around the world. In India, the average salary for an MBBS doctor is around Rs.6Lakhs to Rs.12Lakhs. Those who earn over Rs.12Lakhs per year are considered "highly skilled" in the field. Despite the high cost of training, you will enjoy a rewarding and fulfilling career. The only thing you need to prepare is the NMC. This test is mandatory for medical school applicants in India.

For MBBS course, you must have passed your intermediate examination with a minimum score of 50%. However, if you belong to a reserved category, the percentage requirement is 40%. You must have completed the required NEET entrance exam and be a general candidate. You must be at least 17 years old to apply for MBBS. The age limit is only 17 years old. There are no special requirements for a BDS course, but it is essential to qualify for the NEET entrance exam.

After completing the MBBS course, you must take up a residency. This residency is a demanding program and requires lots of time. An MBBS graduate with a strong medical background is in high demand in India and abroad. You can practice in a variety of specialties, including anesthesiology, ophthalmology, and emergency medicine. This training will ensure a job for you. If you want to work in the medical field, an MBBS degree can lead to a lucrative career with a good salary.

[collegesinjaipur]

Top 7 paramedical courses after 12th

Have you finished the twelfth? After the 12th, do you want to pursue top paramedical courses? If you answered yes, you've come to the proper site to learn all you need to know about eligibility, admissions, average salaries, average costs, length, and entrance exams.

Paramedical Courses After 12th — Therapists, prosthetic and orthotic technicians, medical technologists, radiographers, and radiotherapists are among the professionals who work in paramedical courses. By performing numerous exams and therapies, they assist doctors in giving better therapy to patients. Fracture management, spinal injury care, obstetrics, burn management, and accident evaluation are all key areas of paramedic practice. Laboratory, Radiology, Ophthalmology, Anesthesiology, and Dialysis are the primary branches of paramedics.

After 12th grade, a candidate who takes paramedical courses will become a qualified health care professional. As the medical industry grows. The need for paramedical experts is increasing in today's globe as a result of rising health-care costs.

Courses in paramedicine are provided in a variety of specialties. Students can pick from a variety of courses based on their interests. Those looking for short-term courses can enroll in a Diploma program that lasts at least one year. Those seeking a degree can pursue a three-year bachelor's degree, a two-year master's degree, or a three- to four-year PhD.

Medical Technology (BSc)

The Bachelor of Science in Medical Technology is a bachelor's degree program. It is a medical course, thus students who have studied science and have biology as one of their core topics are eligible. They might apply for BSc Para Medical Technology admission.

This programme is offered by DR. N.T.R UNIVERSITY OF HEALTH SCIENCES. The admissions procedure is simple. It charges Rs.5,500 for BSc Para Medical Technology. Students get admitted to N.T.R University based on their 12h class grades.

Bachelor of Science [B.Sc.] is a degree awarded to those who have completed a bachelor's degree in In the field of nursing

B.S.C in Nursing (Bachelor of Science in Nursing).

It is a four-year undergraduate nursing program (Paramedical Course). The entrance examination, which is held between April and June, is used to determine admission to the B.Sc Nursing program.

This programme lasts four years and individuals who desire to apply for admission must have passed their 12th grade from a reputable university. After completing Class 12th, the usual expenses for this course range from $10,000 to $55,000.

The Regular course lasts two years, and to be eligible for this category, you must have completed 10+2 and have a GNM (General Nursing and Midwifery).

The distance course lasts three years, and to be eligible for it, you must have completed 10+2, have a GNM, and have two years of experience.

GNM stands for General Nursing and Midwifery.

GNM is a three-and-a-half-year paramedics diploma program. After the 12th, this course is included in the Paramedical Courses. Candidate can be pursued after completing 10+2 in Science from any recognized university or board with a minimum of 50% marks. The cost of this training ranges from INR 20,000 to 1.5 lakhs.

The study lasts three years and is followed by a six-month internship program. Admission to paramedical programs is based on a Merit List as well as an Entrance Examination. Candidates who have passed the IGNOU OPENNET, JIPMER, and other entrance exams are also eligible for admission in 2022.

DGO stands for Diploma in Gynecology and Obstetrics.

In the Paramedical Course, DGO is one of the greatest employment alternatives. It is a postgraduate course in the field of medicine. Course This course will take two years to complete. For admission to Paramedical Courses After Class 12th, candidates must have an MBBS from an MCI-recognized institution. The training price ranges from INR 10,000 to INR 5 Lacs. After completing this degree, the typical beginning pay ranges from INR 3 to 20 Lacs per year. NEET-PG, JIPMER PG, AIAPGET, PUCET, and other entrance exams are held for admission to this course.

The understanding and study of female reproductive organs in both pregnant and non-pregnant scenarios is included in the gynecology syllabus. Obstetrics Pathology, Pregnancy-related Common Disease, Abnormalities During Pregnancy, Infant Care, Breastfeeding and Artificial Feeding, General Disease of Newborns Babies, Labor Complications, and so on are all covered in the Gynecology curriculum.

DCH (Diploma in Child Health)

After 12th grade, a diploma in child health is a form of paramedical course. This course is a three-year undergraduate degree program. For admission to the Paramedical Course in 2022, the candidate must have a 10+2 diploma with a minimum of 50% marks from a recognized university or institution. The system is divided into six semesters.

The majority of institutes and colleges provide paramedical courses based on entrance test performance. Community Health Centers, Mental Health & Child Health Centers, Health/Population/Nutrition Program, Medical Colleges & Universities, Military Hospitals, Private Clinics, and Medical Content Writing are among the top hiring companies. Associate Professor, Nutrition Specialist, Nutrition Coordinator, Sports Nutritionist, Personal Physician, and other positions for diploma holders in child health are available.

Orthopaedics - Paramedical Course Diploma

The course is two years long and is divided into four semesters. Graduates in this branch of medicine treat congenital problems, cancers, infections, degenerative illnesses, sports injuries, and musculoskeletal trauma with both surgical and non-surgical methods.

Professors, orthopaedic surgeons, physiotherapists, pharmacists, and other job profiles are offered in this course. Orthopedics prices range from INR 6000 to 27 lakhs a year, and fees vary depending on the schools and universities that provide the degree.