Docs’ cut: KEM dean draws first blood

No checks at personal labs and not using a go-ahead from chief scientific officials; brokers barred from hospitals

Dr Avinash Supe problems an inventory of measures to forestall BMC doctors from randomly referring sufferers to pvt labs

BMC hospitals have begun a clampdown on the nexus between its doctors and privately-run pathological laboratories, following a chain of proceedings about what's popularly known as ‘cut apply’ in scientific circles.

In an order issued on Wednesday, Dr Avinash Supe, scientific director and dean, KEM Hospital, said that BMC hospitals’ personal labs are supplied to maintain all kinds of pathological investigations and there should be no want to involve a private laboratory, barring a couple of remarkable instances.

The order listed a chain of measures to forestall the apply of BMC doctors randomly referring sufferers to personal labs. The list comprises prominently displaying an inventory of all the checks available in-house and barring entry of brokers representing personal labs in civic hospitals.

Dr Supe has additionally ordered that no sample be despatched to a private lab with out the clearance of a senior lecturer and the manager scientific officer. “The signatories should then put a note in health center’s records justifying the want to ship this actual sample out,” the order said.

Each of the 3 major BMC-run hospitals — KEM, Sion and Nair — generates around 10,000 take a look at slips every day. Of these, in line with an estimate, 70 according to cent checks are performed in personal laboratories. “Each of these hospitals generates a trade of Rs five lakh to 7 lakh an afternoon for personal laboratories,” said a senior physician who did not want to be known. The physician said part of this cash flows back to the doctors and lab assistants writing the take a look at as their ‘cut’.

Talking completely to Mumbai Mirror on Thursday, Dr Supe said he issued the directive after receiving a chain of proceedings from sufferers and other people’s representatives. “I don’t understand why blood samples are despatched to personal labs regardless of 90 according to cent of the checks being available in-house. I have noticed that even routine checks are referred to personal laboratories,” he said.


While some years in the past, doctors at BMC-run hospitals have been barred from the use of prescription slips supplied by means of personal laboratories, the brokers circumvented this ban by means of the use of plain, colourcoded slips, each and every color representing a specific lab.

All BMC-run hospitals will now must deal with a log of sufferers referred to personal labs. “Doctors and hospitals’ administrators might be held responsible if sufferers are unnecessarily referred to personal labs,” Dr Supe said.


Just lately, the Directorate of Medical Education and Research too drafted regulations against cut apply. The draft submitted to the state’s Medical Education Department titled ‘Prevention of Cut Practices in Healthcare Services Act, 2017,’ proposes a five-year jail time period and a penalty of Rs 50,000 for a doctor caught indulging in cut apply.
Docs’ cut: KEM dean draws first blood Docs’ cut: KEM dean draws first blood Reviewed by Kailash on June 22, 2018 Rating: 5
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