COVID-19 has disrupted the life of millions with frontline healthcare workers being
at the greatest brunt of this pandemic. The second wave of the COVID-19 pandemic has
crippled India enormously. It caught the entire country unprepared with daily numbers
and deaths soaring record high. In this perilous predicament, doctors and nurses have
tried their hardest to deliver the best possible treatment to those affected with
the disease. In the absence of any effective medication and a highly infectious behavior
of the virus, many health workers got infected and even lost their precious lives.
Going by the numbers given by the Indian Medical Association, more than 500 doctors
have lost their lives to this deadly virus in the second wave and more than 700 during
the first wave.[1] Many doctors and other health professionals have faced mental stress and fear of
passing on the disease to family members while going back home from duties. However,
this was a testing time for all of us as we were fighting against an unknown enemy
while doing the sacred duty in the service of society. Doctors and nurses are frontline
warriors in this struggle; hence, some casualties were expected. Our physician friends
who lost their lives in this struggle will be remembered for their sacrifices.
This pandemic has taught us many lessons and exposed the weakness of our health system.
We not only need adequate infrastructure but also competent professionals. The quality
of training and development of specialities is the need of the time. We have very
few critical care specialists and infectious disease specialists in the country. Similarly,
the number of trained nurses in the ICU care is limited. The medical profession needs
serious reforms. The long duration and lack of opportunities for professional growth
has seriously affected the attraction to join this profession. Presently, it is no
longer the preferred career attraction amongst the bright students. The society cannot
afford to have their health care needs in the hands of mediocre students. This pandemic
has taught that health profession needs dedicated bright brains with excellent training
to handle serious health issues. The importance of having public health specialists
to handle such health crisis has been amply realized. Hope, the new NMC addresses
these issues to ensure quality training, development of new desired medical disciplines
and ensure adequate opportunities. Another lesson we learnt during this pandemic is
having adequate resources for providing adequate infrastructure and facilities to
health professionals. Problems concerning the (re)allocation of scant medical services
are pervasive, with healthcare professionals not only fighting to combat the virus,
but also limiting accessibility and the grade of treatment for several other patients,
presenting underlying ethical considerations of equality and equity.[2]
Guidance control (capacity to complete a planned activity) and regulatory discretion
(capacity to select amongst options) are required to be both professionally liable
and ethically right.[2]
Medical professionalism in clinical settings requires communication involving physicians
and patients, and this should be a relationship founded on empathy, honesty, and accountability,
which has proven to be challenging in this pandemic scenario. Trust is a prerequisite
for a positive physician–patient relationship. The patient should have faith in their
clinicians that the decision made by them serves their optimal interest.[3] However, to care for others in a sustained manner, health care worker should first
care for themselves, which necessitates the use of adequate personal protective equipment
(PPE) along with adherence to infection-control policies, even if this defers or decreases
contact with patients in the ER. We shall triumph over this generational challenge
counting on our medical professionalism if we work united with a shared goal. Physicians
have a professional obligation to operate in accordance with the core doctrines of
medical professionalism, which include prioritizing patient care, patient autonomy,
and social justice.[4] The community and the government have a comparable responsibility to ensure that
the infrastructure along with the assistance obtained will permit professionals to
carry out their duties as securely as feasible.
Doctors' physical and mental well-being have suffered because of their active involvement.
Several recent studies have revealed that frontline medical workers involved in direct
care and treatment of COVID-19-infected patients are more susceptible to depression,
post-traumatic stress disorder, or other mental health ailments.[5] Due to the scarcity of appropriate protective gear, long working hours, insufficient
drugs, distress of catching the illness, and lack of suitable skill have put health
caregivers under tremendous physical and emotional stress.[5]
There seems to be an immediate necessity for a system-level approach to address challenges
raised by COVID-19 to effectively secure and preserve our medical professionals in
the future. Such methods must emphasize organizational culture and employee well-being
as essential components of professionalism and patient care. Physician well-being
must be recognized as a quality-of-care metric for all health-care systems.[6] Improving physicians' professional environment may enhance health care delivery,
enhance patient experience, promote population health, and reduce costs. Alongside
ensuring medical professionalism, care and safety of the physician well-being is equally
imperative for the system to function optimally.
