278th Activity Report Book Final

Notice of the 278th State Working Committee Meeting......................................................................4 Agenda........................................................................................................................................................5 Minutes of the 277th State Working Committee Meeting.....................................................................8 State Activity of IMA Kerala State Branch from 01.10.2023 to 31.12.2023.....................................44 Audited Accounts of IMA Kerala State Branch from 01.10.2023 to 31.12.2023...........................128 Finance Committee Report..................................................................................................................140 Reports of Schemes / Committees / Projects SOCIAL SECURITY SCHEME I……………………………………………………………..…143 SOCIAL SECURITY SCHEME II………………………………………………………….…...164 SOCIAL SECURITY SCHEME III……………………………………………………….…......190 PROFESSIONAL PROTECTION SCHEME & HPS ……………………………………..……201 PROFESSIONAL EQUIPMENT & EMPLOYMENT PROTECTION SCHEME………...........212 IMAGE……………………………………………………………………………………..….....229 HEALTH SCHEME………………………………………………………………………..….....324 PROFESSIONAL DISABILITY SUPPORT SCHEME……………………………….…….…...345 CGP ........................................................................................................................................................351 JUNIOR DOCTORS NETWORK......................................................................................................352 MEDICAL STUDETNS NETWORK................................................................................................ 353 WIMA.................................................................................................................................................... 354 IMA NAMMUDE AROGYAM...........................................................................................................376 IMA DOCTORS CLUB ......................................................................................................................381 IMA HAC & NABH ACCREDITATION COMMITTEE ...............................................................382 COMMITTEE FOR MEMBERSHIP PPROMOTION....................................................................384 COMMITTEE FOR PREVENTION OF LIFESTYLE DISEASE...................................................386 COMMITTEE FOR PREVENTION OF HOSPITAL VIOLENCE................................................389 COMMITTEE FOR BLOOD BANKING..........................................................................................390 COMMITTEE FOR PROMOTION OF LEADERSHIP & COMMUNICATION SKILL..........391 COMMITTEE FOR PALLIATIVE CARE ........................................................................................393 EMERGENCY LIFE SUPPORT..........................................................................................................394 PATIENT CARE SCHEME.................................................................................................................404 HOSPITAL BOARD OF INDIA ........................................................................................................425 DOCTORS SUPPORT COMMITTEE..............................................................................................429 INDEX Celebrating Fraternal Fellowship 3 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

IMA KSB/SS/HQ/159/2023-‘24 Thiruvananthapuram, Dated 13.02.2024 To All State Office Bearers, CWC Members, Alternative CWC members, Local Branch Presidents/Secretaries, SWC Members, Senior Leaders, Office Bearers of all Schemes, Committees & Projects, District Committee Chairmen & Conveners of IMA KSB. Dear Colleagues, The 278th State Working Committee Meeting of IMA Kerala State Branch will be held at KPM Tripenta Hotel, Kozhikode on Sunday, 18th February 2024 at 9 am, hosted by IMA Kozhikode Branch. All members and invitees are requested to join the meeting. Thanking you, Yours in IMA, DR. SASIDHARAN K. Secretary, IMA KSB For any assistance to Travel and Accommodation please contact:- Dr. Venugopalan B., Mob: 9744271120 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 4

2 AGENDA 1. Silent prayer : 2. IMA prayer & Flag salutation : Dr. Raju K.V. Joint Secretary, North Zone 3. Obituary : 4. Self-Introduction : 5. Welcome address : Dr. Raju Balaram Cougnery President, IMA Kozhikode Branch 6. Presidential address : Dr. Joseph Benaven State President, IMA KSB 7. Presentation of the minutes of the 277th State Working : Dr. Sasidharan K. Committee Meeting held at IMA Periyar House, State Secretary, IMA KSB On29th October 2023 8. Presentation of the Report of Activities of IMA KSB : Dr. Sasidharan K. for the period from 01.10.2023 to 31.12.2023 State Secretary, IMA KSB 9. Presentation of Audited Accounts of IMA KSB for the : Dr. Roy R. Chandran period from 01.10.2023 to 31.12.2023 State Treasurer, IMA KSB 10. Finance Committee : Dr. Dr. V.U. Seethi / Dr. Ramesh R./ Dr. Roy Abraham Kallivayalil 11. GST implications : 12. Society Registration & PAN Registration of : Dr. Sasidharan K. IMA Local Branches State Secretary, IMA KSB 13. Address by : Dr. Sulphi N. Imm. Past State President, IMA KSB Dr. R.V. Asokan National President Dr. A. Marthanda Pillai Past National President, IMA 14. Discussion on Activity report & Accounts 15. Discussion on: 1) Membership Promotion – Strategies 2) CEA – The way forward 3) Year of Young Doctors 4) Hospital Protection Act – What next? * Those who wish to take part in the discussions should inform the State Secretary preferably in WhatsApp, latest by 16th February 2024 16. Report of Cabinet Members 17. Report of District Committees 18. Presentation of Reports & Accounts of Various Schemes / Committees / Projects:- Social Security Scheme I : Dr. A.V. Babu / Dr. Mohan Roy T. Social Security Scheme II : Dr. C.K. Chandrasekharan / Dr. Ramalingam A. Social Security Scheme III : Dr. Alex Franklin / Dr. Aji P.N. Professional Protection Scheme : Dr. A.V. Jayakrishnan / Dr. Cyriac Thomas Celebrating Fraternal Fellowship 5 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

3 Health Scheme : Dr. V.G. Pradeep Kumar / Dr. Jayakrishnan B. IMAGE : Dr. Abraham Varghese / Dr. Sharafudheen K.P. Professional Equipment & Employment Protection Scheme : Dr. Sreejith N. Kumar / Dr. Ajit Bhaskar Pension Scheme : Dr. Dominic M. Palett / Dr. Sreekumar Sarma G. Professional Disability Support Scheme : Dr. K.V. Devadas / Dr. Manish Nair Hospital Board of India : Dr. P.K. Mohammed Rasheed / Dr. Rajesh Kumar M.P. Patient Care Scheme : Dr. M.E. Sugathan / Dr. Rajeev Nambiar C.K. Academy of Medical Specialities (AMS) : Dr. Joju Pomson / Dr. Renjin R.P. College of General Practitioners (CGP) : Dr. Abdul Salam B. / Dr. Krishnakumar K. Kerala Medical Journal (KMJ) : Dr. Kavitha Ravi / Dr. Prakash V. Nammude Arogyam : Dr. M. Muraleedharan / Dr. Sankar Mahadevan Advisory Board : Dr. A. Marthanda Pillai / Dr. T.N. Babu Ravindran Committee for Membership Promotion : Dr. M.N. Menon / Dr. Sajeev Kumar P. Committee for Prevention of Hospital Violence : Dr. Surendrababu V.P. / Dr. Nilar Muhammed Committee for Promotion of Leadership & : Dr. Ramesh R. / Dr. Asha Varier Communication Skills Committee for Prevention of Substance Abuse : Dr. Alfred V. Samuel / Dr. Sagar T. Committee for Emotional Well-Being & Suicide Prevention : Dr. Sudarsan K. / Dr. Suresh Kumar P.N. Committee for Public Health Issues : Dr. Mohanan Nair V. / Dr. Althaf A. Committee for Social Media : Dr. Sulphi N. / Dr. Sasidharan K. Committee for Young Doctors’ Forum : Dr. Sajeev Kumar P. / Dr. Pavan Madhusudhan Committee for Membership Promotion : Dr. M.N. Menon / Dr. Sajeev Kumar P. WIMA : Dr. Deepa Augustine / Dr. Nirmala P. Committee for Tribal Welfare : Dr. Venugopalan K. / Dr. Hema Francis Committee for Innovation & Entrepreneurship Development : Dr. Joseph Benaven / Dr. Arun Krishna Committee for ELS Training : Dr. Sasidharan P. / Dr. Pushparaj S.R. Committee for Hospital Accreditation : Dr. M.E. Sugathan / Dr. Venugopalan B. Committee for Child & Adolescent Health : Dr. Shimmy Paulose / Dr. Sangeetha Joseph Ethics Committee : Dr. Joseph Mani / Dr. Sabu Paul Committee to Promote Healthy Aging : Dr. Samuel Koshy / Dr. Praveen G. Pai Committee to Promote Health, Wellness & Sports : Dr. Bibin P. Mathew / Dr. Saleem P.M. Committee to Promote Cultural & Literary Talents : Dr. Kochu S. Mani / Dr. Sathyajith R. Committee for Overseas Extension : Dr. Nigel Kuriakose Mathew / Dr. Aji Varughese Committee for Digital & IT Integration : Dr. Jain Chimmen / Dr. Ramesh S. Shenoy Committee for Legal Affairs : Dr. Joseph Mani / Dr. Samuel Koshy Medical Students’ Network (MSN) : Dr. Lalith Sundaram / Dr. Arun N. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 6

4 Junior Doctors’ Network (JDN) : Dr. Kavitha Ravi / Dr. Swapna S. Kumar Committee for Organ donation : Dr. Vasudevan S. / Dr. Zacharias T.S. Committee for Blood Banking : Dr. Seethi K.A. / Dr. Anitha Balakrishnan Committee for Palliative Care : Dr. Radhamony M. / Dr. Biji M.S. National Initiative for Safe Sound (NISS) : Dr. Sunny P. Orathel / Dr. Geetha Nair Anti-Quackery Committee : Dr. Pradeep Kumar K. / Dr. Manoj Kumar K.T. Committee for Disaster Management : Dr. Madana Mohanan Nair R. / Dr. Vijayakumar J. Committee for Blindness Control : Dr. Rajagopalan Nair P. / Dr. Sureshbabu P.M. Committee for Prevention of Lifestyle Disease : Dr. P. Gopikumar / Dr. R.K. Prabhu Doctors’ Club : Dr. Benny P.V. / Dr. Syam D. Gopal IMA Research Cell : Dr. Rajeev Jayadevan / Dr. Chandni R. Doctors Support Committee : Dr. Srikumar Vasudevan / Dr. Syam D. Gopal Action Committee : Dr. Kamarudheen A.I. / Dr. Mohandas M.K. 19. Approval of Report of Activities and Accounts 20. Resolutions if any 21. Any other matter with the permission of the Chair 22. Vote of Thanks : Dr. Sasidharan K. State Secretary, IMA KSB National Anthem DR. SASIDHARAN K. State Secretary, IMA KSB Celebrating Fraternal Fellowship 7 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

IMA KSB - MINUTES OF 277TH SWC MEETING HELD AT IMA PERIYAR HOUSE, ALUVA ON SUNDAY, 29TH OCTOBER 2023. Dr. Joseph Benaven, State Secretary adorned Dr. Sulphi Noohu, State President with the Presidential medallion. The President called the meeting to order followed by silent prayer. Flag salutation was invoked by Dr. Ajitha P.N., Joint Secretary, North Zone. Obituaries: IMA Ponnani : Dr. P. Bhaskaran Namboothiri IMA Thrissur : Dr. Girijan Paliyath, Dr. P.K. Joseph Dr. M.S. Gopalakrishnan Dr. Rethi Anoop & Dr. Antony Kavalakkad. IMA Kollam : Dr. S. Jagadheesh Dr. Asoka Menon & Dr. Ramanathan IMA Kozhikode : Dr. Kurian IMA Kottayam : Dr. Kumar IMA Karunagappally : Dr. Ameen The State President requested the members to rise for a minute in silence as a mark of respect for the departed souls. Self – Introduction Following State Working Committee Members & Invitees attended the 277th SWC meeting: 1. Dr. Sulphi N. 2. Dr. Joseph Benaven 3. Dr. Samuel Koshy 4. Dr. Abdu Kalladi 5. Dr. Abdul Jaleel T.K. 6. Dr. Abdul Salam P.M. 7. Dr. Abhdulla K.M. 8. Dr. Abraham C. Peter 9. Dr. Abraham Varghese 10. Dr. Ahammedkutty 11. Dr. Aji Balakrishnan 12. Dr. Ajit Bhaskar 13. Dr. Ajitha P.N. 14. Dr. Alex Franklin S. 15. Dr. Alfred V. Samuel 16. Dr. Ali M.B. 17. Dr. Alias Joseph 18. Dr. Althaf A. 19. Dr. Amina Abdulla 20. Dr. Anish Krishnan 21. Dr. Aravind B. Dixit 22. Dr. Arun N. 23. Dr. Asha Varier 24. Dr. Asoka Valsala T.A. 25. Dr. Babu A.V. 26. Dr. Babu K.V. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 8

27. Dr. Babu Ravindran T.N. 28. Dr. Bibin P. Mathew 29. Dr. Bilay Bhaskar 30. Dr. Binoy S. 31. Dr. Byju N. 32. Dr. Chandrasekharan C.K. 33. Dr. Cini Priyadarshini V.A. 34. Dr. Cyriac Thomas 35. Dr. Deepa Augustine 36. Dr. Devadas K.V. 37. Dr. Dinesh K. 38. Dr. Dinesh N. 39. Dr. Ditto Tom 40. Dr. Dominic M. Palett 41. Dr. Freddy T. Saimon 42. Dr. George John K. 43. Dr. Gopeenathan P. 44. Dr. Gopi 45. Dr. Haneesh M.M. 46. Dr. Hareendranathan A.M. 47. Dr. Jacob C.V. 48. Dr. Jain V. Chimmen 49. Dr. Jayadevan G. 50. Dr. Jayakrishnan A.V. 51. Dr. Jayakrishnan B. 52. Dr. Jayaramdas K. 53. Dr. Jiju Kandanssery 54. Dr. Jose Abraham 55. Dr. Jose Kurian Kattukkaran 56. Dr. Jose Kuruvilla Kokkat 57. Dr. Joseph George 58. Dr. Joseph Mani 59. Dr. Joseph Varghese P. 60. Dr. Joson Varghese 61. Dr. Kamarudheen A.I. 62. Dr. Kavitha Ravi 63. Dr. Krishnakumar P.V. 64. Dr. Latha 65. Dr. Madana Mohanan Nair 66. Dr. Madhu N. 67. Dr. Majesh Antony 68. Dr. Manish M. Nair 69. Dr. Mathew Varughese 70. Dr. Menon M.N. 71. Dr. Mini Balakrishnan 72. Dr. Mohammed A.P. 73. Dr. Mohammed Rasheed P.K. 74. Dr. Mohan G. M. 75. Dr. Mohan Roy T. 76. Dr. Mohanan Nair V. 77. Dr. Mohandas M.K. 78. Dr. Muhammed Asharaf P. 79. Dr. Mukundan Nambiar M. 80. Dr. Murugesan V. 81. Dr. Musthafa 82. Dr. Ninan Koothoor 83. Dr. Oommen Varghese 84. Dr. Padmanabhan T.V. 85. Dr. Pareed K.A. 86. Dr. Paul O. Raphael 87. Dr. Pradeep (72) 88. Dr. Pradeep Kumar V.D. 89. Dr. Pradeesh C.B. 90. Dr. Prasad A. Cheeramatta 91. Dr. Prethi Kumar C.N. 92. Dr. Radhakrishnan C.R. 93. Dr. Radhakrishnan K.G. 94. Dr. Radhi Suresh 95. Dr. Radhika K.P. 96. Dr. Rajalakshmi K. 97. Dr. Rajeev Jayadevan 98. Dr. Rajendran Pillai M.R. 99. Dr. Rajesh Krishnan 100. Dr. Raju K.V. 101. Dr. Ramadas K. 102. Dr. Ramalingam A. 103. Dr. Ramesh Babu T.R. 104. Dr. Ramesh R. 105. Dr. Ranganna Kulkarni 106. Dr. Redhin P.S. 107. Dr. Reghuthaman C.K. 108. Dr. Riyas Ahammed 109. Dr. Roshin Aboobacker 110. Dr. Roy Abraham Kallivayalil 111. Dr. Sajeev Kumar P. 112. Dr. Sajeevan E.S. 113. Dr. Salim P.K. 114. Dr. Selim P.M. Celebrating Fraternal Fellowship 9 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

115. Dr. Sandhya Kurup K. 116. Dr. Sasidharan K. 117. Dr. Sathyajith R. 118. Dr. Seethi V.U. 119. Dr. Shaji C.K. 120. Dr. Sharafudheen K.P. 121. Dr. Shimmy Paulose 122. Dr. Sidharthan B. 123. Dr. Sonia Suresh 124. Dr. Sreejith N. Kumar 125. Dr. Sreekumar Sarma G. 126. Dr. Sreevilasan K.A. 127. Dr. Subeen Hussain K.V. 128. Dr. Subhash K.S. 129. Dr. Sudarsan K. 130. Dr. Sugathan M.E. 131. Dr. Sunny George 132. Dr. Suresh Kumar 133. Dr. Susan Samuel 134. Dr. Swapna S. Kumar 135. Dr. Syam D. Gopal 136. Dr. Syam N. 137. Dr. Thomas George 138. Dr. Varghese T.G. 139. Dr. Velayudhan K. 140. Dr. Venugopalan B. 141. Dr. Vijayachandran V. 142. Dr. Vijayakumar G. 143. Dr. Vijayakumar J. 144. Dr. Vijayan K. 145. Dr. Vinod 146. Dr. Vinod George Philip 147. Dr. Viswanathan L.N. 148. Dr. Zacharias P.T. 149. Dr. Zacharias T.S. Following branches attended the 277th SWC Meeting: 1. Adoor 2. Alappuzha 3. Anchal 4. Chalakkudy 5. Chengannur 6. Cherthala 7. Chirayinkeezhu 8. Cochin 9. Desinganad 10. Guruvayur 11. Irinjalakkuda 12. Kanhangad 13. Kannur 14. Kazhakkoottam 15. Kodungallur 16. Kolencherry 17. Kollam 18. Kothamangalam 19. Kottakkal 20. Kottayam 21. Koyilandy 22. Kozhencherry 23. Kozhikode 24. Kulanada 25. Kunnamkulam 26. Madhya Kerala 27. Malappuram 28. Mannarkkad 29. Mavelikkara 30. Mukkom 31. Mulamkunnathukavu 32. Muvattupuzha 33. Nedumangad 34. Nedumkandam 35. Nemom 36. North Paravur 37. Pala 38. Palakkad 39. Pandalam 40. Pathanamthitta 41. Pattambi 42. Payyannur 43. Perinthalmanna 44. Perumbavoor 45. Ponnani 46. Sulthan Batheri 47. Taliparmaba 48. Thalappilly INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 10

49. Thalassery 50. Themmalapuram 51. Thiruvalla 52. Thodupuzha 53. Thrissur 54. Tirur 55. Tirurangadi 56. Trivandrum 57. Vaikom 58. Valluvanad 59. Vandiperiyar 60. Varkala 61. Vatakara The State Secretary read out the list of members who had intimated their leave of absence: Dr. Vinayaranjan Dr. Biju Nelson Dr. Narayanan P. Dr. Pradeep Kumar V.G. Dr. Hema Francis Dr. Jayakrishnan B. Dr. Abdul Salam Dr. Joson Varghese welcomed the well-known, popular State President Dr. Sulphi Noohu & efficient State Secretary Dr. Joseph Benaven; IPP Dr. Samuel Koshy, all other cabinet members, Past Presidents & SWC members. Dr. Sulphi said IMA has gained popularity in 10-15 years especially in covid time since IMA has contributed immensely to the management of covid and all and also the result of the work done by our leaders over the last few decades. IMA has the tradition of many of our leaders who, while going to meetings in many places, did not get a bus/train, spread paper, slept in the railway station and travelled from the bus all night to reach their own homes. 2023 is a period when we forgot all the differences of opinion and stood together. The law that we have achieved in relation to hospital attacks is not of IMA, it has become a milestone in the health sector of Kerala and perhaps in the health sector of India because of the efforts of all of us. Even small branches have gone ahead with strikes and met politicians. As per our team's opinion, a draft should be made with it in the first week, led by Dr. R.V. Asokan, Dr. Joseph Mani, Dr. A.V. Jayakrishnan, Dr. Samuel Koshy etc.. All branches cooperated. We were able to met 140 MLAs through branches, met the Chief Minister and Health Minister. As a result of several discussions, the Assembly announced the need for a new Hospital Protection Act. When we met the Chief Minister, we asked for an ordinance, he replied that he would think about it, but he had to go to the ordinance itself. It is also a fact that a very positive decision was made from their side in the first place. Attacks on hospitals are going on 5 per week. This is history, because there is no other issue that is so genuine, as per the call of IMA, 54 specialty associations were able to hold a strong strike together. The focus is on the youngsters, their difficulties and the problems they face. Celebrating Fraternal Fellowship 11 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

If we take a look at the record of the last five years, this team has gained the most membership, there are many new difficulties including GST, but the highest rate of 1700 new memberships has been achieved in the last five years. Dr. Sulphi congratulated all the office bearers, both ELS and WDW performed very well. A team trained in communication skills has been prepared. The sports meet was very grand. Dr. Joseph Benaven was able to bring a stream line in terms of staff salary. 16 crores has already been paid in connection with GST. Dr. Joseph Benaven, the State Secretary presented the minutes of 276th State Working Committee meeting held at Pagoda resorts, Alappuzha on 06.08.2023. He said the minutes of 276th SWC were already circulated in advance to members and some corrections received in advance. Dr. Gopeenathan said there is a spelling mistake in page No.26. The correction is regarding the name of Dr. Gopeenathan. Dr. Joseph Benaven read out the decisions taken in the 276th SWC meeting held at Pagoda Resorts, Alappuzha. The minutes passed and proposed by Dr. Babu and seconded by Dr. Gopeenathan. State Secretary presented the activity report and the salient points of activity report were presented by a Power Point and said need of increase in memberships in all the schemes & congratulated IMA Perumbavoor branch where all the office bearers are women. He reminded all members should use the benefits of IConnect and can use it through mobile phones also. He then highlighted the position of cases in the court especially the GST issue. He said that this SWC will be his last SWC as the State Secretary & expressed sincere thanks to Dr. Sulphi Noohu, State President of IMA KSB & all the cabinet members, Past State Presidents, senior leaders, all the branch Presidents and Secretaries & all the members of IMA KSB. And sincerely thanked the staff of IMA Kerala State HQ. Dr. Sulphi N. requested all to keep in touch with Dr. C.R. Radhakrishnan regarding the registration of IMA State Annual Conference. Dr. Shimmy Paulose (State Treasurer) said that this SWC will be his last SWC as a treasure of IMA with this cabinet team. He read out the account details and presented a Power Point Presentation of the audited accounts and clarified all doubts. He sincerely thanked all the Cabinet members and all IMA members. Dr. M.E. Sugathan briefed the Finance Committee report of last quarter ending September 30th. The Finance Committee meeting conducted on 27th of September and the participants were Dr. M.E. Sugathan, Dr. V.U. Seethi, Dr. R. Ramesh, Dr. Joseph Benaven, Dr. Shimmy Paulose and Finance Consultant Chartered Accountant R. Lakshmi Narasimhan. He then read out the decisions & deliberated in detail on the various issues of IMA KSB, the schemes and committees concerning the financial aspects. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 12

First, Nammude Arogyam publication is an organ of IMA KSB which goes to the public on various health issues, it has to sustain at any rate, but it should be physically self-reliant as far as possible. The number of copies should be at least double from the present 11,500 and off-late the circulation has increased as per the quarterly report from the Nammude Arogyam. The IMAGE contribution per copy is Rs.20/- and requested image to shell out Rs.30/- per copy. Next, Doctors Club; The annual financial status from 2017-18 onwards to 2021-22 yet to receive & recommended, the latest one on the Doctors’ Club. The IMAK KSB has to be paid establishment charges as applicable for hosting parties and events by the Doctors’ club utilizing the terrace of headquarters and proposed a tariff, included in the report book on page 109 onwards. Now regarding the Pension Scheme, it is noted that the IMAK KSB annual share of Rs.100/- per member is not seen remitted yet. The income from the first three floors in the form of rental along with the expenses for this specified area can be operated distinctly from that of the residential part of the Periyar House, recommended to split the accounts into two until the third floor is directly operated by the IMAK KSB operated by the State Secretary & State Treasurer and the residential part to be fully separated, that is the residential area transaction does not invite levy of GST. A new tariff recommended for the halls and rooms. IMA KSB Auditors M/s. Sridhar & Co. have to be sent to Periyar House for the scrutiny. Revised rental tariff of IMA Headquarters, along with the revised rental in Periyar House included in the report book. Regarding the updates of the GST case, it is making steady progress and finance committee fully endorse the running of the GST case. Regarding consolidation under the Tally cloud of all the accounts of KSB and the various schemes, whole process is in the right direction although at a slow pace & will be fully operational by 31st December. Regarding quarterly audit in the various schemes, informed all scheme offices not to do quarterly audit any further from 1st October 2023, only annual auditing is necessary which will be done by the auditors of IMA KSB; IMAGE, PEPS and Nammude Arogyam are exempted as they are don’t come under the tally cloud system. Non-payment of IMA KSB share from State conferences, sent letters to the Nilambur and Kollam local branches which is long overdue. Regarding the job portal by IMA KSB for young doctors, is a welcome initiative approved by the Finance Committee. Renovation of IMA Headquarters office space, State Secretary has brought in an estimate of rupees 17 lakhs, Finance Committee suggested negotiating & bringing it down to 14.5 to 15 lakhs if possible. Celebrating Fraternal Fellowship 13 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

The guest rooms in the headquarters may be installed a proper intercom facility. The sign board at the gate of IMA Headquarters to be replaced with an attractive one. The Finance Committee endorses the newly drafted and widely deliberated service rules of KSB and its scheme employees. The Labour Consultant, Mr. Vincent Alex may be utilized as a regular consultant with a proposed retainer fee ranging from Rs.10,000/- to Rs.15,000/-. On behalf of Finance Committee, Dr. Sugathan thanked the State President, the State Secretary, State Treasurer, all the esteemed offices of schemes, the office staff of IMA KSB, finance and accounts controller Smt. Sreejalatha, Chartered Accountant and our Finance Consultant CA Lakshmi Narasimhan, Chartered Accountant for their unstinted support and help whenever asked for. He thanked all the members & read out the recommendation from the State President to look into the financial status of the Health Scheme by himself & Dr. Kamarudheen. He then read out the comments on excess of income over expenditure in the 2022-23 financial year. We have shelled out more money than what we have collected. Now, our impression of a trend is openly visible where the quarterly claims surpass the corresponding AFC collections. So also, the general fund declines steadily, which is inevitable in the present scenario. Now our recommendations for the way out. 1. The claim dispersal now takes more than three months stipulated in the by-law. It is a major deterrent in promotion of KHS. Make the claim dispersal faster by sending the cheque well within four weeks of the corresponding monthly scrutinizing committee meeting. 2. It is noted that AFC dues are appending with more than 3,000 members as of now. Suggested making all attempts to collect the dues under war footing. The KHS office activities have to be shown. Increase the capping amount across the entire spectrum of illnesses our scheme covers. Increase the AFC & the annual premium by at least 20%. Run active membership campaign district-wise by galvanizing the district representatives and the IMA branch office bearers and final recommendation to think of tie-up with other health insurance in the market. Dr. Sulphi replied that we will discuss the matter in appropriate forums and make decisions accordingly. He invited State Secretary to present upcoming State conferences. Dr. Joseph Benaven apologized to IMA Thodupuzha branch, since missed to include in the activity report that they hosted the IMA AMS national state conference AMSCON 2023 on 3rd September 2023 at Thodupuzha. It was one of the best conferences that has been organized by any branches in IMA Kerala State last year. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 14

Dr. Samuel Koshy: For many years we have wanted and worked for the Hospital Protection Act. 2023 has its own significance as a year in which it is received. Along with this, the death of our dear sister Vandana Das has also been a year that has left IMA completely in mourning. Even if we claim to have made a lot of gains in hospital attacks, we are obliged to follow them up properly. Don't think that with a good law there will be no more attacks on hospitals and Doctors. We must prepare for how to counter attacks if they occur. Membership is essential for any organization to thrive. For that we need to run a high quality membership campaign. Membership of the schemes should also be strengthened with the membership campaign. All SWC members should take responsibility for it. We need to keep young doctors with us, so should develop a working style that they want. The salaries of nurses and paramedical staff have been increased and they will be disappointed when our junior Doctors are not. We need to demand a salary structure for them. We have to make a definite decision regarding CEA. The government is ready to negotiate with us for small hospitals. The CEA should go ahead with those discussions and amend the laws that make it difficult for small hospitals. Mechanisms to oppose the practice of hybrid therapy should also be developed on the part of the IMA. If the national leadership does not take the initiative, the state IMA should prepare for it. Dr. Mukundan Nambiar: Recently our State Secretary Dr. Joseph Benaven, handed over two receipt books & asked to register maximum numbers for the conference and immediately got 22 registrations. But unfortunately, the parent branch Payyannur, the general body decided to restrict the registrations to just 10 and I was not present at that general body meeting. I have been giving the registrations for the successive State Conference every year I mean all these years sometimes 40, 45 even more than 50. I don't know why this decision was taken by the general body and the subsequent executive committee meeting and the general body. Few questions: Can a branch challenge the decision of the State leadership? Second, is it fair on the part of a leader a CWC member of that State Chair and third if this decision is allowed to continue is it going to be applicable to the enrolment of the various schemes? Because definitely the other members will start complaining about it and they will refuse to give the membership. He requested to discuss the issue & give a guideline. Dr. Sulphi N.: Replied that as far as the State conference is concerned, many branches are doing their support from their funds, if any branch member can help in registration, there is nothing wrong in that. We have to support our State conference, there is no restriction particularly in the registration. Celebrating Fraternal Fellowship 15 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. Babu K.V.: Mukundan Nambiar did not come to GB then. In the meeting just before that, two members clearly said that they are not interested in paying cash. The branch said that they would pay the amount for ten people. It is subject to amendment in the future. There is no freedom to forcefully buy cash. Only the branch can understand the feelings of the members. The contribution will increase depending upon the strength of the branch. Dr. Sreejith N. Kumar: All branches should encourage maximum registration for all conferences. Whatever be the conference the State Working Committee should request our members that all the branches should encourage maximum registration. Dr. Joseph Benaven: The State Working Committee will encourage all branches to give maximum registration. But the branches have the right to decide on how much they are giving a lump sum which would be a percentage of whatever their membership is. And the individual members can obviously register for the conferences depending on their personal relationships. Dr. Sulphi N.: Replied that will be encouraging conference registration from the State Working Committee also decides that we have to encourage registration. Dr. Ditto Tom: In many hospitals patient reports are kept in the hospitals. Should always be patient friendly, then only people will have a commitment. The IMA should take the initiative to issue a circular and give at least one copy of the report to the patients. Membership can be increased only by youngsters. Conducting camps are considered for awards. Dr. Sulphi N.: The bylaw has to be amended and we have to make a decision on that and we can definitely consider the decision. Regarding documents, some apprehensions are persisting. I think there should be a centralized document system in which everything is kept. The problem you are practicing in the government sector and I face every day is that they lose the OP ticket and they come back again without any document. So it is not easy to give all the documents to the patient and you know it should be electronic. We can ask our members to give the documents. There is a court judgment and we have to give it. Regarding Kunnamkulam branch, yet to give the state share for the conference already given and opined that 50,000 is a very small amount, it should be 5 lakhs minimum. He requested Kunnamkulam and Nilambur branches to pay this since State needs a lot of funds. Dr. M.N. Menon: The main rising Madhya Kerala activity of the year was the Platinum Jubilee which was excellently organized and conducted in the presence of State President and Secretary and many of the Past Presidents. Regarding the hospital violence it is great that we got the act amended. It is not the bill or ordinance; it is the act which was amended. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 16

We have to focus on the membership and have to catch them young. The junior doctors are now in the JDN & is very much within the IMA reach. So we should be able to bring up the membership drastically next year & similarly schemes. Kerala Health scheme membership has to improve mainly because they are facing a financial crisis. During the COVID, we recruited so many members and gave them enough money; after the COVID they have vanished & reforms have been submitted by the committee. Financially they have a huge amount to be paid to the members. For many of the members, payments are pending and many members have not renewed their membership after that COVID period. Regarding the clinical establishment act, once again we silent about it. Because whether we have to register or not the government's instruction is that we register. What should be the IMA stand? We don't have a clear picture. We say that small institutions are exempted. That is not very clear. So we have to get some clear order from the authorities regarding whether to register or not and whether the small institutions are really exempted. One of the major things is the increasing suicide rate among the medical professionals. This has to be actually addressed by the mental health committee or otherwise. Because a lot of people have problems which should be addressed at the branch level itself. When we know that some of our friends have some issues we should seriously get involved and find out what is the real thing and try to sort it out. The financial discipline which occurred last year is very much creditable and things will turn into a good financial security and financial status as well as the organization is concerned by next year. Dr. Sulphi N.: The act force committee was created last year. Clinical establishment act is under the leadership of Dr. Samuel Koshy did a wonderful job and then Dr. M.N. Menon and many people contributed and that guideline was published in this year also & there is a flowchart. It is there in our green book also what to do when in a schematic form. Regarding the clinical establishment, we are in touch with them. Regarding increased number of suicides; the mental health committee entrusted to do further action and we have to do lot of work in that area. Regarding the health scheme the discussion will be going for reforms. Dr. George John: State conference of an organization that preserves the dignity of that organization. Only 1,200 people have registered for the state conference of the IMA, which has over 40,000 members. Dr. Radhakrishnan C.R.: Preparations for the Annual State Conference are 90% complete. This year, despite being the best venue, the registration is low. Leaders who have come here should take the initiative to get registration from their respective branches. Celebrating Fraternal Fellowship 17 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. Sulphi N.: Invited all for the state conference as a State President. This is not the Tiruvalla branch, our state annual conference. Dr. Venugopalan B., Calicut: He thanked for the support for conducting the National Conference at Kozhikode. He suggested to support the youngsters. Whether it's a JDN or a young Doctor's job opportunities or self-employment we have to do something for the youngsters. And second is just like what IMAGE is doing to the hospitals. We have to conduct some accreditation systems and they're supported because all the insurance companies are coming with the accreditation. All the private companies they are charging very huge amounts for accreditation services are raising and continuing the support. So why don't the Medical Association take over this especially for the young and small and medium hospitals because corporate hospitals have their own systems but the small and medium hospitals are struggling with the accreditation systems. Regarding the basic salary I am working in a hospital there itself charging 10 rupees for camps and all. I think the IMA has to take some action at least they don't publicize it. It is just tarnishing the profession by giving consultation fee on Rs.10/-. Why don't they let it free make it free. So we have to do something for stopping such advertisement or publicizing such an Rs.10/- fee we have to do something. Regarding this conference we already gave 100 registration and more or 50 more are taking from another hospital and the National Conference in 95, 96 is already given. Camp is still relevant in tribal areas maybe urbanised area it is not a problem but tribal areas, it is still relevant Dr. Sulphi N.: Replied definitely look into the junior doctor’s issue. Discussions on consultation fees are going on in WhatsApp groups. Gradually, we will decide the minimum consultation fees in different areas and also we should send a letter to the hospitals stating that. Dr. Ramesh R.: We have 15 master trainers who had been trained by the Indian Institute of Health Care Communication. It was a 10 week long online training session & these 15 master trainers are to be utilised by all the local branches to conduct communication skill training for health care providers. It can be done at the branch level, district level & institutional level both in the govt. & pvt. We have already sent circulars to all the local branches giving the details of these 15 masters trainers & please utilise their services. We need to have it as a continuous process every year. State President handed over the training certificate to the master trainers. Dr. Devadas K.V.: Distributed the paper about DRRI & have suggested the names of the Doctors for Chairman, Convenor & 14 Co-Convenors to President for nominating. They have to work for it with the working group from each branch under the guidance of SP, SS & Chairman, Co-Chairman & Convenor. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 18

A survey was conducted with 22 people of Scheme-3 over a period of one month; 10 of them joined by paying dues. Dr. Joseph Benaven: IConnect has a valid system. When the cash is in hand, deposit it in Iconnect and when the dues are due in the scheme it will be deducted and the balance will be there. Dr. Sreejith N. Kumar: Requested all to register with the National Conference; we have confirmed almost 120 scientific talks, business conclaves and nonmedical topics, health policy workshops, global affairs committee, youth conclave, women’s conclave, huge medical expo primarily focus on needs especially on digital health & detailed the accommodation & JDN/MSN registration fees. Dr. Salim, President, Koyilandy Branch: Previous team has done a wonderful job, will offer a wonderful year next time. Dr. Abdu Kalladi, SWC, Mannarkkad: IMA purchased land for branch building & the branch has been registered, PAN card taken. He suggested to include a clinic in the IMA branch building. Dr. Sulphi N.: Branch can definitely do. Dr. Bipin P. Mathew, SWC, Kottayam: One or two Ayurvedic doctors in a private hospital in Kottayam have requested to outsource anaesthesia in their theatre facility, need vigilant action in this issue. During the tenure of SP & team, there are so many nominated posts like DC Chairman & Convenor, but getting the notifications too late. He requested when the state president is installed, the aforementioned posts are announced and they are included in the team, so that they can complete the 1-year term. Dr. Babu K.V.: Raised three issues:- 1) Integrative Medicine PIL: Delhi HC - W.P.(C) 6632/2022. 4. Learned Additional Solicitor General has informed this Court that vide Office Memorandum dated 13th August 2020, a twenty-member committee for formulation of an “Integrative Health Policy” has been constituted by Health and Family Welfare Division of the NITI Aayog. He prays for listing of the matter after six weeks to await the committee’s report. The prayer is allowed. The committee is requested to expedite the process. 5. List on 19th January, 2024. The committee is chaired by Dr. S.K. Sarin (Expert committee). The ToR include. To develop an implementation plan for phased roll out of Integrative medicine. Filed an RTI to avail the report. IMA as an organisation or otherwise should intervene. 2) Stipend for interns: 1. In 2017 August the MCI executive washes their hands off saying "As such the issue is beyond the purview of MCI"! Celebrating Fraternal Fellowship 19 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

2. In 2019, the BOG did not Gazette the amendment after the draft notificationThe Board of Governors in Supersession of Medical Council of India are considering to include the following provisions in the Regulations on Graduate Medical Education, 1997:- "All the candidates pursuing compulsory rotating internship at the institution from which MBBS course was completed, shall be paid stipend on par with the stipend being paid to the interns of the State Govt. Medical Institution / Central Government Medical Institution in the State / Union Territory where the institution is located". All concerned are requested to give their comments / suggestions within 15 days to bring the above amendment in Regulations for payment of stipend to interns. 3. In 2021, the NMC drafted vague regulations, in spite of objecting it. 4. Now, after the intervention by the SC of issue, interns are paid fair stipend (SC of India, October 16th). Mr. R. Balasubramanian, Senior Counsel appearing on behalf of the first respondent, states that in compliance with the interim order, an amount of Rs.25,000/- per month is being paid to the current batch of interns and a total amount of Rs.26.25 lakhs for 105 students was paid on 30th September 2023. 3) Divya Pharmacy Ad: "In this regard, it is to be mentioned that through various letters of the Directorate, you have been directed from time to time not to publish advertisements of approved formulations in any media without the permission of the Licensing Officer. Therefore, again enclosing the copy of Dr. Babu K.V. Kerala letter dated 31.08.2023, it is directed that the undersigned must ensure to provide his clarification regarding the matter in question within fifteen days". As per reliable information 29 cases registered against Divya Pharmacy in Kerala for contravening DMR (OA) Act 1954. Dr. Abdul Jaleel T.K., SWC, Mukkom: Thanked the leadership for sending bylaws & he asked the state branch regarding a couple member who had joined IMA without fee. Dr. Jayaramdas: He opined, if the schemes are profitable, should contribute a good amount from each scheme to the state conference. He also mentioned that his reimbursement was rejected by the Health scheme. Dr. Jayakrishnan B., Secretary, Health Scheme: Clarified Dr. Jayaramdas questions. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 20

Dr. T.N. Babu Ravindran: Congratulated President & Secretary for the wonderful year. State President tried level best & is getting support by the Secretary by his very meticulous work and restructuring the work process and proceedings & financial aspects and administrative aspects, taken care off. He congratulated for the law against hospital violence. Definitely it is because of a consolidated effort & the unity & it is a great achievement. Ethics committee should be reactivated and all illegal things whenever it comes to our notice an appropriate action should be initiated. So then only the credibility of the organisation can be established. State Conference is the consolidated efforts of our members. Efforts should be made from the organising team whenever they visit the branches & meet the members. So many problems regarding Junior doctors, student’s stipend issue, advt. issue & all. Dr. …………...: There are many issues for junior Doctors to strengthen the membership. So if a scheme is introduced which can be paid instalment (within 4-5 years) youngsters are more likely to join. Hospital Protection Act has become a reality. After evaluating it and publishing its follow-up every month or annual report, it can be understood whether it is effective. The work of ethics committee should be strengthened. Only creating awareness among the public against the corruptions in our midst will help in empowering the new generation. Despite the new amendment in SSS 3, there is no significant difference in the amount. Rs.30,000/- per year is coming only for SSS-3. So Youngsters are not interested to join. If branch transfer is made paperless, branch transfer will be done a little faster. Dr. Sulphi N.: Regarding instalment scheme, we are already forwarded the intimation to branches. Dr……………. (Kothamangalam Branch): Dr. K.A. Cherian received Rs.1 lakh from the Patient Care Scheme which was very beneficial. Medical camps for tribals are also held in Kothamangalam, a tribal area of Ernakulam district. Dr. Jose Kuruvilla Kokkat, SWC, Pala: He mentioned about District Committees. Branch-level and district-level activities of the IMA are led by the district committees. The State says that the cost should be collected from the branches. But the branches are not ready for it as they have not received any official communication for the same. This is seriously affecting the functioning of district committees. Celebrating Fraternal Fellowship 21 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Regarding membership, all active leaders in IMA are members of the schemes. It is possible to increase the scheme membership and move forward only by paying to the marketing strategy by educating the junior doctors and telling them about the benefits of the scheme membership. Junior Doctors are going through very complicated issues - In many hospitals, they are not given the salary they deserve, excessive workload & face many problems. If more involvement is done in this regard, more junior doctors can be added to IMA and kept with them. Similarly talking about myxopathy a corporate hospital in my country is doing neuro therapy. It is very sad that our modern medicine doctors are responsible for all this. Dr. A.I. Kamarudheen: In Malappuram district, we talk to the branches and asked each branch to pay. Dr. Sulphi N.: Buy a share from the branches and the rest is borne by the state. That is what we are doing now. Dr. P. Gopeenathan: He congratulated the team for achieving the amendments in Hospital Protection Act. The concern is that we have got the amended powerful law, but the thing is that we had demanded that even the court is said that we can have a security force just like CISF. Regarding membership, last year when the Treasurer presented the accounts there was an expenditure of 1.5 crore over the income. The number of members increases, the expenditure will be same. We should see that at least half of the new graduates who are registering in the Medical Council are add members of the IMA. Regarding the Schemes, every year in Social Security Scheme-I nearly 800 to 1000 members will become honorary members. And this year only 541 members joined. So that we should see we should enrol at least 1000 members or the minimum number of how many become the honorary members. That is very crucial, especially for Social Security Scheme-I. An important thing is regarding the integration, the Court has asked the Committee's report and unless the IMA intervenes this. The Central IMA is not at all doing anything in this, had sent a mail to the National President regarding the importance of this. But no response from the central office bearers and the Secretary has also pointed out this. The national level leaders of IMA should meet his board of governors or who are there in the committee and make them understand that integration should not happen. We should see that there is a strong agitation or resistance from part of IMA in this regard. Another concern regarding the suicide among doctors. Not only among the MBBS Students or PGs, even the senior doctors are committing suicide. IMA Mental Health Committee should see the mental health of doctors’ junior as INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 22

well as seniors. The Committee should come with some proposals on how we can address this problem. Regarding the consultation fee I think State IMA may not fix a uniform fee throughout the State. But the State can give a direction to the branches that according to the circumstances of the branch they can fix a minimum consultation fee. Dr. Sulphi N.: Thank you for the valuable suggestions. Will look into all the points. Dr. Alex Franklin S.: Although we got the Hospital Protection Act, there are a lot of things to be done. If we want to frame it as a law, the Hospital Protection Act will be effective only if we do the follow-up of the law department. The purpose of the health scheme is different; Health Scheme means 'we are sharing ours' but after tie up with the insurance company, fees will go up, it will never be a fixed amount from the insurance company. Once an amount is claimed, the next payment will increase, but we don't, we never add an annual subscription, it is not practical. More IMA members need to be added, only then the health scheme will go without problems. Regarding Clinical Establishment Bill, if it is not followed up properly, it will affect us badly in future. Dr. Joseph Varghese P.: He pointed out two things - The first thing is integrative medicine. The Central IMA has not a wing & they are not going to the Supreme Court. IMA Kerala State Branch will have to go, because the national leaders are not interested in this matter. He requested to do it immediately as early as possible. The second thing is regarding the financial status. We have to cut down the expenses. Dr. Sulphi N.: Replied that regarding the integration issue will definitely have a discussion with the Legal Cell also, and what options we can take immediately will move forward. The second thing is finance, actually we have spent almost 80 lakhs on the GST and also we have done some renovations in the State Headquarters and also in the office structure. We will look into this. Dr. Joseph Benaven: With regards to the finance, whatever the expenditure every penny is counted before it is expended at the IMA State Office. But the thing is that we need to carry out all the expenditure. We need to look into the doctors' issues concerning, court cases & a lot of issues; these are not only an operational expenditure. Over and above that IMA Kerala State branch will be catering to the needs of more than 41000 members, and we have huge expenditure coming to meet their expenses. Income only from the membership and we get a particular amount from all the schemes. There is no way to reduce our expenditure, the only way is we need to increase our source of income. Previous year we have the GST expenditure, installed the solar panel Celebrating Fraternal Fellowship 23 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

etc. This year we had so many additional expenditures and the revenue path has come down. Dr. Sulphi N.: Replied that its all given in the Green Book. Dr. Aji Balakrishnan: IMA Muvattupuzha bought 1 Acres of land for Old Age Retirement Home for All Doctors in Ernakulam District. Dr. Sulphi N.: Replied it is a very good initiative & anyone interested to stay near by can definitely participated. Dr. Mohanan Nair V.: It is not possible to fix the consultation fee uniformly & let it be taken as a registration fee. If it is a charity, let it be made free registration/ consultation free. For conference, approached doctors for the membership collection, their attitude is very bad. Anyway, we collect Rs.1000/- from every members & got 24 registrations. He opined that we should collect a small fund for the state conference with the working fund & can be diverted. The branch activities of Kerala State IMA, more than 50 % activities are being done by the women. & suggested to include non doctors also to the WIMA for strengthening IMA. Dr. Sulphi N.: If any branches come forward to hosting the State conference, they have to work hard. It is not fair to collect the money from all other branches & it cannot be entertained. Minimum 10 members will be there for hosting the conference. Dr. Kavitha Ravi, Kazhakkuttom Branch: We had an issue during the branch election at IMA Kazhakoottam regarding the rejection of the nomination of a candidate. This issue has nothing to do with the politics in the IMA Kazhakoottam it was in fact and extension of the internal politics among the batch mates of a particular MBBS batch and the issue has been solved among themselves. The Chief Returning Officer should also give an orientation session to the branch returning officers and circulate something regarding the guidelines of rejection. Dr. Sulphi N.: Regarding the election complaint, a particular member has forwarded the complaint to many members. There are three complaints from one person and even the returning Officer gave a complaint. Dr. Ali: Regarding Yatra, requested either permanently reduce the membership amount or give some incentive to the branches saying that if you give such number of new memberships, you will give some incentive. People who are taking a membership immediately prior to the Yatra, and immediately after this yatra, but always complained that we lost the opportunity things. So either completely reduce the membership fee as it is not right to give to reduced amount to few people. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 24

Dr. Sulphi N.: This year, we did not give any concession at all & we don’t believe in giving concession in getting memberships. We give some reduction for the junior doctors may be less than 5 years. There must be the uniformity regarding that. Dr. Jose Abraham, Pathanamthitta: Requested all to take multiple units & enhanced schemes in PPS. He suggested extending the election process from 1 year to 2 years; and should give term of 2 years to all officials including National President, so that the conference can be conducted in 2 years and can save the time. Dr. Sulphi N.: How is it possible? Dr. Roy Abraham Kallivayali: Regarding the National Exit Test- NEXT: After getting MBBS degree, our young doctors are required to appear for the NEXT examination to practice and register. NEXT is only deferred and not cancelled. This should be taken up with the National IMA. Another issue is the salary of Junior Doctors. It should be at least Rs.70,000/- to Rs.1,00,000/-. The IMA State President and Secretary should make press statements and hold a press conference exclusively to highlight the plight of the junior doctors. There is no health without mental health (WHO statement). Suicide rates are high in Kerala and the rising trend of suicides among doctors is alarming. He said, mental health resource persons should be appointed in every branch of IMA. Action Taken Report is important and it should be followed up. He appreciated the State President & State Secretary for their exemplary work. Dr. Joseph Benaven: The action taken was explained in detail at this meeting explained point by point. Dr. Sulphi N.: Regarding the NEXT, National IMA has done some work & may be the action committee Convenor can look into this. Salary is a burning issue and we have to talk. Dr. Seethi V.U.: Very happy to hear about the new Hospital Protection act. We should be very careful when we communicate as well as for documentation. For Integrative medicine, need a pull-up from the State also. Regarding the issues of junior doctors, should give good directions since majority of doctors are working in private hospitals and should give strict instruction to the hospital in consulatation with the KPHA regarding the salary. Dr. Sulphi N.: Asked for Ethics Committee Reports. Dr. Jain Chimmen: President has assured that he will give more importance to the Ethics Committee in the last meeting, because many people have already mentioned that Ethics Committee is not doing anything, is just a paper tiger. Dr. Sulphi N.: Ethics Committee Meeting has not called. Celebrating Fraternal Fellowship 25 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. M.N. Menon: Ethics Committee had 3 meetings. We have been discussing on the grievances received and some communications regarding what more awareness has to be done & waiting for the NMC perfect guidelines, that is the one reason why we couldn’t come out with more seminars and more communications. Communication regarding how to respect your colleagues, there are lot of cases coming up off late, with regards to as mentioned, issuing the medical certificate without seeing the patients, then talking bribes repeatedly. Police case have been registered even those cases also happening rampantly. There are more other cases. I think our attitude as far as the ethics committee is concerned we have no statutory powers. We have presented the report in the last SWC meeting on Orthopedician’s case. We never suggested any punishment but we suggest that should be discussed in the SWC and we should plan what should our line of action. It is the high time that we wants some plans when there are perpetual offenders and proved ethical violations what should be the stand of the organisation. Never tried to suspend somebody boldly in spite of unethical activities. Have referred some case history from medical council they have taken an action. The humble suggestion which has come out of the deliberations of the last ethics committee meeting. So I have the humble submission to the esteemed SWC and the State President. About what should be our line of action in cases of such things, our duty to protect the members. Dr. Sulphi N.: Replied that Ethics Committee is very active and have lot of work and they are submitting reports. But need to change the attitude, take action directly and according to the byelaw we can suspend the people and we can take action against the bribery force case at General Hospital Trivandrum and also the case in Thrissur. We must have a strong stand on such occasions. Dr. T.V. Padmanabhan: Asked 15 minutes to speak for representing 3 branches in Kasargod district. Dr. Sulphi N.: Replied, it is difficult since he is representing only one branch. Dr. T.V. Padmanabhan: At the time of giving the Ethics Committee report. It is the duty of the President to announce what is the Ethics Committee and what is recommended discuss it. IMA has had a policy of protecting bribe-takers since its inception. In 2008, when Khedan Desai was caught red-handed and put in jail, only 2 branches protested it. Payyannur branch of Dr. Babu K.V. and Kodungallur branch of Dr. Rashid sir took correct stand on ethical right. Now Kanhangad has done Dr. Venkata Giri, Anaesthelogist at Kasargod General Hospital, who is going to retire at the age of 60 was President of Association of Anesthesiologist Society of India, IMA North Zone Vice President, North Zone Joint Secretary & caught. He cannot enter Kasargod District for 3 months. He said, I showed what I could do even though IMA didn't do anything. There is no point in saying that IMA is helpless. According to Indian Medical Council 2002, every doctor has a right to expose wrong doing on INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 26

dishonest or corrupt behavior for another doctor. When 15 lakhs were seized from Sherry Issac's consultation place and taken away by the police, the IMA was speechless. It has been a month now since the Giri issue took place. IMA has no tongue. What is our ethical clarity? What is ethical stand? Protecting them? Protecting Offenders has been done since Kedan Desai till now. Dr. Benaven, incoming President, one thing he started, regarding the Non liability Certificate, No objection certificate to be given by the branch members who are changing branches. A couple who was in my branch 18 years ago, 15 years have passed since they left the branch. 15 years of arrears have not been given. Especially KGMOA, government service people don't give at all when they get transfer. If you want, just give the last 2 years. Its creating wrong proceedings and promoting members indiscipline. He said, he is from Kanhangad branch, we have gone to court and defeated such wrong things done by IMA KSB before. Hospital Act, as Gopi said, it doesn't matter because this Act came, the important thing is Safe zone and security. If there is no security system in the hospital, the beating is sure. But if you say that Act came and won everything, it will be more slapped. If the Ethics Committee commits such a mistake, he must be suspended from the Association. That's what needs to be done. We can't wait and say that we can decide in the next SWC. You are shielding the delegance, that you will shield the criminals. Dr. Joseph Mani: Hospital protection act should be displayed in all hospitals, there is no act like this anywhere in the world. It is our duty to give publicity, otherwise people will forget everything after a while. There are three things that have been said in general, one of which is a strict act on hospital violence. Our target should be clinical establishment act & another thing is the Consumer Protection Act. Regarding GST, already discussed in the cwc that 25% will be paid by National IMA & 25% will be by State IMA. 99% chance of winning the case, IMA Kerala State showed boldness for it. Special thanks to Dr. Benaven. National IMA has no time to learn anything about this. National IMA also conducted a detailed study on the GST issue & in the NEXT exam too, thanks to the involvement of IMA. Understood the importance of IMA in many issues like this, there are many complaints. When Dr. R.V. Asokan comes to the national level, there will be changes at the national level. If we talk about the National conference, it is very important for us. Dr. Althaf A.: Last year we accomplished a mission called the Hospital Protection Act, and we have many issues like this in front of us. Usually, schemes are formed for 2-3 years, similarly each of our committees are prepared every year and there is no continuity follow-up next year. What we need to do is to look ahead 10 or 15 years and prepare a detailed document including the public health sector, medical education and private health care delivery system of Kerala and chart out the activities accordingly. The Celebrating Fraternal Fellowship 27 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

unemployment issue of junior doctors was discussed. The entire govt health system, whether it is under health service or under medical education, there are a total of 8000 posts. With the new scheme of Govt of India, all the sub centers will become health and wellness centers and nurses can be trained and placed there instead of doctors. At least in Kerala we can demand that all medical graduates should be posted in sub centers. As mentioned about the committees, the problem with kerala medical journal changing every year is that it loses its continuity. Dr. Gopi: Said the campaign of new members was very backward this year, we have prepared a new plan and 2 municipalities and 19 panchayats, in which each mbbs doctors of each panchayat have been assigned the task of finding new members. Dr. Abraham Varghese: He pointed out the attention of the President, because this is the installation period which is going on now, yesterday I had brought it to your notice, because our year starts on October 1st and ends in September 30th, so many branches are very late to install their Presidents and Secretaries, means somebody goes up to December, January, you're losing one or two months when you're delayed by it, because your term gets over on September 30th. Regarding Integrated Medicine, the Central Government is very adamant on that stand, that they want to implement the Integrated Medicine. So we, at least, Kerala State branch should take the initiative to see that it is, as mentioned by Dr. K.V. Babu. Regarding the Ethics Committee, no idea whether they have submitted the report. So there have been many instances where the bribery cases are increasing. Image, in today's Finance Committee report, IMAGE is giving 20 rupees per copy now. You have mentioned that it should be raised to 30. The Editor of Nammude Arogyam has requested for only 26 rupees. Then how come the Finance Committee raises another four rupees. Regarding Adoor Project, had an environmental study and that State Environment Committee, Chairman and two other officials have visited the site today. And they have made some negative remarks there, but we are waiting for the report to come in another three or four days. We have to construct building in three levels. So we will be able to construct two or three major buildings which has to be there. And remember this is not a replica of the image plant is at Palakad, probably we will have a very small version where we will be able to take care of about 10, 15 tons. The Adoor Project will also be somewhat similar to that, very smaller version of that. He then mentioned about discipline in the headquarters building, wearing uniforms & implemented uniform service rule to all staff including schemes. Dr. Sulphi N.: Requested all to prepone the branch installations. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 28

Desinganad: We can make it successful only if we act against integrated medicine now. The current team has done a lot of work for juniors. Dr. Cini Priyadharsini: In the last State sports meet, Desinganad branch gor 3 golds, 1 silver. Constructing a hall by occupying 250 members, inauguration will be in January. Health check-up, ECG etc. will be included in the next GB meeting so that can contribute in membership also. Dr. Kamarudheen: 50% share of State conference, how long ago we decided that, first we were conducting state conference for 500 rupees. Now it is 3000, 4000 rupees. Even though it is natural, the share given by the branch to State should be increased. Exceptions about Schemes are already there, whether taking 3.5 lakhs and paying 1 crore is not a loss, so it is not a loss at all. The health scheme crisis is not due to our fault. Membership is given to people who came during Covid 19. He suggested there should be at least one past president in the scrutinizing committee. There are no problems with the health scheme. It means that the capping amount should be reduced, in order to increase the caping amount, we will have to increase its proportion accordingly. And the clinical establishment has been said by many people, the correct answer should be state ptesident or state secretary. If we are talking about the state conference, we are sharing the amount of registration divided by total members. This can be implemented in small branches. When talking about integration, what is the attitude of medical students that is going to be affected the most. Dr. A.V. Jayakrishnan: He appreciated the leadership of Dr. Sulphi & team. When hospital violence has been an issue for several years, we have discussed many times what are the solutions for it & understand that there is a need for a strong law. Due to the influence of the President in the social media, the strictness of the Indian Medical Association's scientific point of view, without any change, is seen as the biggest achievement. While talking about mixopathy and integration here, President’s social media presence was able to bring accurate messages against it to the people. Similarly GST was a very big crisis and still that crisis has not changed & we are working on legal processes. Another issue, integration and mixopathy, strong stand has been taken in the state. But I would not say that the national leadership is watching the activities at the national level, in which very limited things can be done at the state level. Even if there are delays in these cases, legal and NMC level interventions are required in these cases, for example in the issue of the ayush ministry giving them permission for surgery, as well as in the Delhi High Court cases pointed out by K.V. Babu, human rights commission and other cases, the Indian medical association has joined at the national level and decided to make a definite resistance to it. There are, even though I understand that there are some delays in implementing all of them, but under the leadership of our Asokan Sir, we can expect more robust activities in this field as he is ready to take up integrative medicine as his main agenda next year. Celebrating Fraternal Fellowship 29 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Our schemes are now going strong. Schemes can be brought forward by including maximum facilities along with the sector. 50000 should be paid as road tax for the car driven by the doctor, or ima may be able to create a situation where it can be brought to 25000. We have to change the scheme in such a way. Even issues related to GST will have to make changes in our accounting system and scheme. GST is a business model and our other activities are a charitable model. When the problems affecting small hospitals came up in the clinical establishment act, we strongly opposed it. Changes made when the rules came from the original act. The changes that occurred when the minimum standard regulations came from the rules. This is the law of Kerala State today. The laws passed about four to five years ago. We can check whether we can sustain, not only some parts of the clinical establishment act, but also the ability to take action against wrong things by understanding all its negative aspects. We have to discuss all the changes in our new syllabus. The hope is that we will be able to work strongly in these areas with the utmost unity. Dr. Jayaramdas K.: Installation was done at Chirayinkeezhu branch. According to the Finance Committee report, it has been said that an establishment cost should be paid for using the terrace of Doctors’ Club, 22 cents of the land purchased by Doctors’ Club has been contributed to IMA. Today, that land worth crores of rupees is a land that was purchased by 180 people who were members of the Doctors’ Club at that time and has written to the Doctors Club. As a solution, there was a situation where new members coming to the club could do small activities on the terrace of the club. It has been requested that it should be stopped as per the directive of the new finance committee. That action should be put on hold for the time being. Dr. Sudeep T.K., SWC, Cherthala: Sports meet was held in Alappuzha three weeks ago, did not see anywhere how much ima contributed. Suicide should be reduced. This is related to sports activity. After doing something like that, the financial responsibility of it has come to the district where the Alappuzha district committee belongs, it is said that the state should take this responsibility. It is the responsibility of the state to participate in the national level of those who have won the sports meet at the state level. We have to fight against the central policy. We have to go forward with more strength. If the national leadership does not take it up, the state leadership should take it up. Dr. C.K. Chandrasekharan: The new law, Hospital protect act is an achievement. There are 24 medica colleges visited as part of the membership campaign. More doctors to be posted in the Govt. service. Sulthan Bhathery: When the executive meeting was held in the branch, the health scheme was discussed. One of the members questions is how to reduce our reimbursement. As Dr. Jayakrishnan said, we will get more benefits if we join the health scheme as another insurance scheme. It is a little difficult to INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 30

say that the State Conference should fund the schemes. The scheme has its own difficulties. The branch conducting the conference has to collect funds and conduct the conference. Dr. Joseph Benaven: All banks have a BLR & is decided by the RBI. We can decide after consulting with the Star Health firms. Dr. K.A. Sreevilasan: Last year was a year that achieved a lot in the history of ima. Best wishes for the new law that we achieved in 2012 by meeting all the political leaders and taking the necessary actions at the beginning of this year after understanding the defects in the Hospital Protection Act. Each district should have separate protective courts for hospital protection. If there is an attack on a hospital, it is not enough for a constable to come and check, a police officer not below the rank of SI should come and check and reach the court within 60 days. The case must be decided within a year. How to give employment to 6000 doctors who pass out every year. Government employment is less likely as in the past. One is to pressurize the government to increase job opportunities. ima should bring a system that only those who have at least passed MBBS can be appointed in the sub centers all over Kerala. Now ima has more than 40000 members and it would be great if each of them can bring at least one new membership. Taliparamba: We should be more vigilant regarding the patient load. Dr. Vandana Das was brutally murdered when this type of patient load came there and IMA should think about the work load & Dr. Babu K.V. should take up this issue for the State leadership. Thalassery: IMA State branch had given a wonderful year in 2022-’23. IMA’s full professional support should be given to Dr. Babu K.V. It is not a good practise to collect funds from the schemes for the State Conference. Dr. ........, Thodupuzha Branch: Munnar is a dead branch for us. Finally, we have decided to club Munnar and Adimali together. It will be good if you get the permission to form one. Dr. Sulphi N.: I don't think that branch can be dissolved if the members of that branch change instead of making a club. Dr.............: Then dissolve the branch. Only 3 or 4 members will be there & one branch will decrease next year. Dr. Sulphi N.: Don't reduce the branch, let it lie down, just increase the members. Dr. ..........: How far the year sincere to the death of Dr. Vandana Das, whether IMA was utilizing till that death. what was our sorrow and sentiments at the time of funeral but how far they have used. Dr.........: After the death of Vandana Das, there was a long association with the family. There was follow up. People called from there, 'didn't you kill everyone?' you get what you wanted? including from their family members. Celebrating Fraternal Fellowship 31 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

With that we stopped that contact. It is true that we have done everything we can do. Some politicians and social activists were there, they came and made an intrusion and tried to make it look like this happened because of IMA. State President: There was a social media troll, in which I have planned that murder. There was a troll going on. So what should I say there is no need to answer such things. Dr....... Thriprayar Branch: Installation done. Recently 2 days back.... Dr. Jose Kurien Kattukaran: We should think about making multiple units in the Health Scheme. Because now it is invasive medicine & it takes lakhs & lakhs. In a Pocso related case of the Supreme Court, it was said that sex education should be conducted nationwide. An awareness should be given after 8th standard. State Government has constituted a committee for private hospital staff. 15 names were from hospitals and 15 names were government employees. Why we doctors are not involved in it. Everywhere one hears that it has been dissolved and that it will be dry from tomorrow. De-coupling is an issue. What is its procedure? Direction should be given to all branches. Banner Distribution must be done through IMA branches. He has been a member of the Hospital Management Committee for 22 years. When it was raised there, the MLA said that it was notice to possible. We must change it. In Govt. Hospital, banner distribution should be done by the Government. Dr......... (IMA Thriprayar) representing Dr. Muhammed Rafeek, who has sent the complaint was not heard in the Health scheme also. In many cases, the members of the Health Scheme after submitting the bills & all will get small amount from the Scheme. Dr. Sulphi N.: According to the Byelaw, sorry even if I am the person. Dr. P.T. Zacharias: Is the Police Manual included in the Hospital Act? If there is a police manual, the new SI will act accordingly when taking charge. We should pay special attention to this. Dr..........: Thanked the Cabinet for the commendable work done under the leadership of President and Secretary. The state should bear the full cost of the activities sponsored by the state in the activities of the district committee. Each branch spends a lot of money for their operations. We should get a solid answer about CEA. When asked by a member last week, they said that they are considering it. Dr. Murugesan V.: Integrated Medicine has already been discussed. Recently in a whatsapp group, an advertisement said that a clinic run by a doctor should be welcomed there with a board called Physiotherapist. How do we take it? Supreme Court has already received letter from IMCL & they are not allowed to. In the Finance Committee report, expenditure was almost 1 & 2 Crores more than income last year. We can say that it is not because of the decrease in INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 32

membership but because of the legal expenses. But membership drive is not enough. When it comes to membership, the current generation is not interested in organization. We have given 18 lakhs in 'Pradeep Benevolent fund'. It would be better if you indicate how much is the total collection. Dr. Sulphi N.: The whole amount given to Pradeep Benevolent fund. Dr. Joseph Benaven: The thing is that we could not actually collect 18 lakhs. It is actually less by around 5000/6000 rupees to 18 lakhs was taken from the IMA President's Benevolent fund. That's how it is rounded up to 18 lakhs. Dr. Murugesan V.: Things should be known to the members also. Dr. Jayakrishnan A.V. said everything about CEA. Two things to abolish quackery & to standardize the Healthcare System - main aim is a corporate healthcare issue. Almost all schemes are going well, but if the membership is not increased, the situation will change when honorary members come. It is everyone's responsibility to raise the membership in schemes. Why should the advance contribution be collected? He suggested paying advance for 20 members first, when it is over, the next 20 members. Other states will collect like that only. we must think of that final byelaw amendment. Dr. Sulphi N.: Thanked him. Dr............ Vatakara Branch: Integration of the medical sciences, it is not enough to implement it, the leadership of the expert committee should be convinced. Medical students are going to be affected the most. Must convince MSN. Children who come out cannot be given jobs here, nor can they get jobs outside. They should understand that. If we want modern medicine doctors, we will have to get children who studied in China or Ukraine. Children who have studied Mixopathy will come later. In Vatakara, the consultation fee is revised every four to five years. Dr. Sulphi N.: Need opinion from the SWC regarding the recommendation of the Ethics Committee with states that Ethics Committee Meeting held on 1st August 2023 decided to submit the following recommendations to the State President. Ethics Committee of IMA Kerala State branch unanimously suggest that Dr. Sherry Issac, we suspended temporarily from the organisation pending the final report by the police or judiciary. Dr……... : SWC decided to send a notice to the doctor to suspend the doctor's version, not the show cause notice. State President: So already said with reminder. Dr. ...........: As a person who knows service matter, suspension is not a punishment. Any person can be suspended, no need to ask. The Suvo Motto case is something to pick up. There is no such word as temporarily suspension and permanent suspension. There is nothing like temporary suspension. Celebrating Fraternal Fellowship 33 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. Samuel Koshy: To add one or two things to the service rule, (1) Indiscriminately suspend as per service rules. But as far as IMA is concerned, there is no such clause. (2). The State IMA has no right to suspend or dismiss a person on the basis of an alligation or arrest. Now if we want to take action on it, either a person who has taken Medical Council action/ a person who has been punished according to the byelaw of the police/Government, we have the power to take action. As per byelaw, IMA Kerala state does not have any members. All members are National IMA Members. Therefore neither IMA Kerala state nor IMA local branch has any rights to take any action against any person. Recommendations can be sent. What is required for suspension or dismissal can be sent to the Central Working Committee. The CWC can decide what action is required under the byelaw. Dr......... : Dr. Sherry should be expelled from IMA because he took bribe. But everything should be done as per byelaw of the association. Dr. Sulphi N.: We will close this discussion, we will initiative of the suspension procedures, according to the byelaw we will send the notice. Dr. Muhammed A.P.: District Committee has been very active for few years. If you want to be active, you need funds. There is no fund for the district committee. It is financially difficult for them to squeeze all the branches while doing each thing. District Committee is the branch of State Committee. Therefore, the State Committee has to finance the District Committee. This is the decision of all district committee officials. Last time State Sports was held in Alappuzha. Alappuzha branch is responsible for that. Therefore, the state should bear the necessary funds for the state programs. Dr. Sulphi N.: Replied that a positive decision is there. Ethics Committee is looking of that. Dr. Joseph Benaven: Alappuzha has not submitted the official account of Sports Committee that sports event took place in Alappuzha the District Committee, hosted by the Chengannur Branch. There is some ambiguity happening here. Alappuzha has collected a lot of sponsorships & please note that state will never subsidise entire expenditures & we need both Income and expenditure statements. Dr. Rajalekshmi: We are also having a leadership crisis in WDW because there are enough members but they are not ready to take up leadership roles. Dr. Sulphi N.: Said WDW was done a wonderful job last year. Dr. Syam D. Gopal: We should have a conference fund. Every year, when the Annual Conference fund is collected, an additional of Rs.200/- should be added to this account by all branches. But there will be a basic fund. Collecting every year is a difficult thing to say. Especially year by year that amount also increases. Rs.1000/- only the collection is done correctly. If 3000/4000 people want to participate, Registration Fee should be Rs.1000/- INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 34

only. It needs base fund. It is a meeting of all our members. This is the only way they can contribute to it. exceptional Rs.200/-. Those who go will pay an additional fee of Rs.1000/-. There will be a huge fund that should be given in advance to the people. We can do it with our sponsorship. Rs.3500/- the amount just above should be collected there. So basic, 200 rupees should be bought at the branch level. Dr. Sulphi N.: I was saying byelaw, very clearly the terms and conditions in which we can suspend the clause no. 30. So accordingly, we will go to that only. We have given a press release and a covered by all the media and that day itself. Dr. Sugathan M.E.: The Ethics Committee once they give a recommendation should be promptly attended to something like that. The Finance Committee report is the report of the meeting held on 27th September 2023; Pension Scheme IMA's action fund has not been given. Pension Scheme Chairman has pointed out. If it is due to the lack of clarity of Doctor's Club, we don't charge for using the club space, if the club rents out, many people often have to pay for it without using our hall. Then the terrace will be used instead of the hall. Such a recommendation was made because there is such a utilization. I don't think there is anything wrong with that. Dr. Sulphi N.: Clear, I have a question, you go to the hotel, take food from there and you have chat or speech there may be meeting. Dr. Alex Franklin: Talking without knowing the history of Doctor's Club. The plot of Doctors Club itself is 28 cent. It has been completely surrendered to IMA. 20/22 lakhs have been given to IMA. It is collected from members. Have you given all the permission to carry out the Club's activities, for verify the old file? That day I am the Secretary with Dr. Jayaram. 14+14 = 28 cent is suggested for Headquarters. Dr. Sugathan M.E.: Anyway, the recommendation of the Finance Committee is open to criticisms or what ever by president August body the State Working Committee. Dr. Samuel Koshy: There is a little clarification for what Alex Sir said, which is the rights to use Doctors Club. I understand that only members have the rights for that. Is there a clause to use the premises by the non-members. Dr. Alex Franklin: Suppose, if I call my friends and conduct a party, I am entitled. It is earlier. The director board has recognized since ancient times. Just look at old minutes. Dr. Samuel Koshy: You have to look at the Minutes, there are Clauses on transfer of land. Dr. Alex Franklin: There is no Clause, purely 28 cent land was bought for Doctors Club when I was Secretary. Although it belongs to Doctors Club, it is Celebrating Fraternal Fellowship 35 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

the property of IMA Hqrs. We agreed. from 148 members Rs.25000/- was collected. Again, more amount has been collected. That's how Doctors Club comes into existence. Dr. Joseph Benaven: There is an issue in this, actually Finance Committee has stated that people who are totally unrelated are also functioning in Doctors Club. There is only on that; this reference that the Finance Committee. Dr. Sreejith N. Kumar: As far as the Doctors Club is concerned for any activity of the Doctors Club to happen, we are supposed to provide the space for members. When Doctors Club first came into being, it was an exclusively an affair of the doctors club. Only those who joined were using the club's facility. But later including all state officials of IMA, any member of IMA who comes there. So it is in Periyar House. Whatever the decision is, Chairman and Secretary of Doctors’ Club in IMA are nominated by IMA itself. State President has only nominated. It is not a financial thing to prepare the conditions for them to function. IMA's job is to prepare the situation, not to make a profit from it. So whatever privileges are given to the Doctors Club not only that we should continue we should also see, because the Doctors Club is declining. How best the Doctors Club can be survived. Dr. Samuel Koshy: IMA Doctors Club is state owned doctors club whether it is in Periyar House or State Hqrs. As far as we are concerned, there is an issue of giving resources to outside members and not to our members. How many lakhs have been given to help doctors club survive. The facility has been provided whenever the need arises. Dr. Sreejith N. Kumar: Either you should define, the Doctors Club or IMA Kerala State who can come there or who cannot come there. The State President and Doctors Club Chairman should have a right to form internal guidelines. If he intends to do so now, no one who has nothing to do with Doctors or IMA or the club comes there. Is it possible to do a program there only for Engineers? The Finance Committee should not intervene in it. IMA State leadership should intervene and discuss with the doctors club and make a code of contact and regulations. It is beyond the Finance Committee. I think that the state president, and the incoming president should constitute a committee, should look into anything wrong while conducting the parties, but see that the club becomes financially viable and survives. State President: Actually, for the time being the decision is that status quo will continue. Dr. V.U. Seethi: How we will meet the expenses of Doctors’ Club. Dr. Sulphi N.: That is a very important point. Dr. A.V. Babu: When a function is held, food should be given from Doctors’ Club. They don't charge rent when they eat on the terrace above instead of INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 36

taking the hall below. Wherever we give food, we don't charge rent. We will charge if catering outside. Dr. Sulphi N.: There is one more thing that is internal in this. In the Doctor's Club, there were programs coming to the C/o. of the members since before. The lower hall is attractive and everyone wants to go down and enjoy food there. They go higher because the charge is higher there. Dr.……..: Definitely we have to look into the matter. We have to redraft and how to make it effective it has to be viable it has to function but it has to be within certain guidelines and rules. Dr. M.E. Sugathan: Regarding conduct on the state conference, those branches who can do confidently conduct State Conference and they should go to all branches and collect. Dr. Sulphi N.: Exactly, there is a simple problem in this. If we collect cash from all branches and conduct Annual Conference with any branch, if any branches taken, they must work hard and they must collect money and then doing. If State have lot of money we will do that. There is one more danger in this. I don't know if I can be honest. Dr. Cyril Thomas: it is not easy to conduct a State Conference, National Conference also. There will be no calculation and even in the name of members, there is some meeting going on. Dr. Joseph Benaven: We should not take Thiruvalla, the State Conference has a reference point. Now already two branches come forward to call the next state conference. Dr. Devadas: Last time we had a conference at Kunnamkulam. Profits have been made in a meager way. Let us everyone go to every branch and get it. State President: Exactly, Kunnamkulam people came to Trivandrum 5 times. Thiruvalla does not say how many times they came. Dr. Cyriac Thomas: A senior member of a branch called one day. He was the president 2 years ago, and if you want to take PPS membership, you have to be a life member. He was a member and past president of PPS for so long but not a life member. Once everyone is incorporated into IConnect, this can be resolved as soon as possible. Dr. Joseph Benaven: I Connect only has data of scheme members. Now all the members are being incorporated into the I Connect lot. Membership application is also looking to be made digital. The issue in the scheme is that a doctor registers on an Email ID. You will register with a different email id in a different scheme. Now going through the process of De-duping. Dr. Sulphi N.: That secrecy is happening for the last 15-20 years. Deleted names are names of deceased persons. That is totally unofficial. Celebrating Fraternal Fellowship 37 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. Cyriac Thomas: We have changed the accounting heads of PP Scheme in the last 2 years. The membership fee renewal amount that we get will be shown in liability. Now when GST has started, GST upon protest is being paid for everything. But when looking at Income Tax, whether it comes on income. Dr. Joseph Benaven: PPS Scheme is as such its not submitting ITR, which is not issued. Income tax return is filed by Sridhar & Company & can talk to them. Dr. Cyriac Thomas: Looks like Sukumaran Sir (Auditor) can be removed completely. Dr. Joseph Benaven: All schemes are centralized and come under a single Chartered Accounts Act. This problem will be solved next year. Dr. Babu K.V.: We need clarity on 3 things. There has been a lot of discussion about CEA. There should be a white paper about it from IMA KSB. For Doctors, Clinics, what to do and what not to do, they should be clear. Dr. Sreejith N. Kumar: It is clearly written in Act. OP Services are not included. We doctors will not agree to that. Every day I would just approach the government saying I want. At least if someone makes a single man clinic in this name, then we can intervene. Exemption is what we have achieved after a lot of struggles. Let us go pure hospitals, OP services without IP Clinical Establishment Act are not applicable. Let there have been no doubt let us not discuss. Now what we are doing is to exempt upto 20 bed and upto 50 bed. That's what we need to talk about. Dr. Babu K.V.: The request to State President is something that is being asked again and again in all branches. Let there be communication from IMA KSB to the branch Secretaries. It seems that four or five people have asked this question in the Working Committee. Dr. Sreejith N. Kumar: At this point if you unnecessarily send the circular, you unnecessary inviting attention just tell all are, we do not know whether we send a circular or the government can do this Act. Dr. Babu K.V.: A discussion was held in Payyannur branch regarding quackery. Earlier in the website of Medical Council of India we have no topic about MBBS. At least 3 people are practicing as cardiologists around Payyannur with just post graduation. They are not qualified Cardiologists. There was a discussion in IMA Payyannur branch about the need for clarification. A communication either for IMA KSB/Antiquackery Cell should be communicated to the branches. After a meeting, when circulating the minutes of the next meeting, No.1 is that, it is an action taken report. That's what I said this morning. Secretary did not like it. The suggestion is this, after the decision, what are the action taken report below it? First of all, I don't need to go to the SP and tell him privately, I will have to tell him when I see him. That's all. Thank you. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 38

Dr. Sulphi N.: Regarding Hospital CEA Single man clinic is exempted, there is no doubt at all, No IP service, only OP service. What should be done now, but we should not touch what is already exempted. Dr. Ajit Bhaskar: I just had a query from regarding the CCTV problems of our PEPS, Even if you don't get that phone that call gets transfers to 3 different phones. Solar Scheme is active again. Regarding, If you have year TCMC Registration number has your unique id number, we don't require another email ID's. Whatever let me have 5 email ID's. we use go for the association meetings like the specialty meetings whenever we use talk about IMA they use to ask specifically why are you talking about IMA in academic specialty meetings. And now when my department, Department of Pulmonology has been through MBBS Criteria you should understand that for starting a new medical college you don't require the department of Pulmonology, which was mandatory till last year. You are a large organization and you are a mother organization. I have too many friends. But that should not the criteria bringing in numbers to attend the meeting. This is bad thing because I have heard some of youngster’s go to IMA, you get free spiritual affairs. State President: Asked What is this spiritual affair? Prayer. Dr………: Regarding, the Health Scheme, which is wonderful scheme. It should go on for that I have a small suggestion. All the family members should be made a member. State President: It is a lot of discussion we will, I will give you a first chance of State Council Meeting. Dr………. : It should be age friendly branches also. Dr. Sulphi N.: There are two requests to the state president - one is from Dr. Anie Antony. It’s supported by the president of IMA Thiruvalla for some financial support. Second one, the treatment for Muhammed Afsal P., Govt. Medical College, Ernakulam, MSN student. He treatment for Acute Lymphoblastic Leukaemia. He needs a treatment request with QR Code that was in official letter head. Dr. Joseph Benaven: The treatment cost is 20 lakhs. Dr. Sreejith N. Kumar: We are supporting them for professional things, professional activities and we have to be guardians. It's better that we lead them. Dr. Sulphi N.: Asked to give him the mandate to take account. According to the merit of these Rs.1 Lakh is clear. Another one I have a look. Dr. Samuel Koshy: Upper limit of contribution will be 1 lakh. President can decide upto 1 lakh. Celebrating Fraternal Fellowship 39 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

Dr. Joseph Benaven: This was forwarded to me by Dr. Kavitha Ravi. She is a very responsible member of IMA. The students that gave to her. She is given it; I would like to defer disagree with Dr. Ajit Bhaskar. See there is no way MSN is getting any money from IMA Kerala State Branch. For the last one year we could not pay them any money. National IMA ask us for the report we complied all the amount that was sent from IMA Kerala State Branch and this money has to be divided between individual medical colleges depending on the strength and portion goes to the state MSN units for their activities. No money has ever gone from IMA Kerala State Branch except we gave them I think in the last two years are I was Secretary probably we would have paid them to for the various activities they did we would have given them with a total amount of Rs.50000 or 55000, and they are very happy with any amount with the small amount we will pay. Only thing is they have to know strict procedural protocols to get the money from us. Dr. Devadas: PDSS claim for permanent disability has come. After nominating 3 specialties from medical colleges there, the report will be submitted to the apex body. If the list of VDRI is published here today, we can start the work from tomorrow, I assure that, we will do our maximum best. Dr. Sulphi N.: Please give a mandate and will take a suitable decision with you and also have a discussion with the incoming President. Dr. Devadas: As it is initiative, there is no financial commitment. but you can be nominated. Dr. Sulphi N.: There are few names suggested by him, Devadas sir as Chairman, Gopikumar sir as Vice Chairman, Dr. Byju N. as Convenor, District representatives in each District. I have a discussion with the incoming President and let's see. Dr…….. : He was silent about the Health Scheme. It was started by me and Dr. Ramesh. It has been stable for a few years. Scheme is not going well. It has re-warming and re-modification. The next president should do this. Dr. Sulphi N.: Yes, I think, let's form the Reforms committee again and discuss. Dr. .........: There were no congratulations and appreciations that itself is something not worthy because otherwise most of the times call for congratulations. But I think that at Fragrant the state working committee should be resolved to thank Dr. Sulphi, State President, the whole of State office bearers including State Secretary Dr. Joseph Benaven, IPP Dr. Samuel Koshy and all the office bearers. For the single greatest achievements of in acting getting the Hospital Protection Act enacted. The amended Hospital Protection Act is inacted. Its an act so I think we place on record sincere INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 40

appreciation of SWC on behalf of all the members of IMA KSB. Congratulations Dr. Sulphi and the team of 2023 for this great achievement. Dr. Sulphi N.: The whole credit must go to the members, the branch legends of leaders, all the Past President's and senior leaders. Dr. Sulphi N.: Reports of activities and accounts can be passed? Yes. Dr. Joseph Benaven: It decided to provide adequate support to the District Committee for executing various programs as per the direction of the IMA KSB. Dr. Sulphi N.: The expenses will be strictly monitored by..... Dr. Samuel Koshy: Sreejith is right. If we say that the norms that we have followed up till now, routine activities of the District Committee should be met by the branches. Any additional thing, extra constitutional as per hour is not in the byelaw. They have to find the fund for routine activities themselves. Dr. Joseph Benaven: Only special activities, last year will be paid some money this evident pay too much last what we gave the total of some specific activities we gave Rs.10000/- that's enough of them. rest of the money they will collect and they will do them the question of giving some support there. The National Medical Council through the teacher’s eligibility qualification in medical institution, regulation 2022 mandates one-year Senior residency is mandatory for appointment as an Assistant Professors in Medical Colleges. Doctor's working in Health services denied opportunity to apply to the post there unable to, due to lakh of adequate senior residency post. IMA SWC here by passes the resolution submitted to the memorandum to Government of Kerala not to enforce the PSC criteria based on the mandatory one-year senior residency clause at the eligibility criteria for selection to Assistant Professors post under the DME. State Secretary read out the Decisions of 277th SWC held on 29th October 2023 @ IMA Periyar House, Aluva 1. It is decided to implement the recommendations of the Finance Committee report presented at the 277th SWC except the following clauses. i) Levy of charges from Doctors’ Club for organizing meetings. Amended to: Status quo to be maintained. ii) IMAGE to pay Rs. 30/- per copy to Nammude Arogyam. Amended to: IMAGE to pay Rs.26/- only per copy to Nammude Arogyam. 2. IMA KSB will look into the possibility of positively intervening in the case going on in the Hon. Delhi Court regarding integrative medicine. Celebrating Fraternal Fellowship 41 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

3. The SWC resolves to congratulate Dr. Sulphi Noohu & team 2022-2023 for the Hospital Protection Act amendment enacted by the Government of Kerala. 4. The SWC resolves to condemn the unethical practices engaged by any Doctor of Modern Medicine. 5. It is decided that IMA KSB initiate disciplinary action on Dr. Sherry Isaac, arrested on charges of bribery, in accordance to the bylaws of IMA KSB as recommended by the Ethics Committee of IMA Kerala State Branch. 6. It is decided to allot adequate funds from IMA KSB to fund the various programs conducted by the District Committees. 7. The SWC resolves to submit a memorandum to the Government of Kerala, not to enforce the PSC criteria of eligibility based on the NMC Teachers Eligibility Qualification in Medical Institutions Regulation 2022, which mandates one year Senior Residency for appointment, Assistant Professor in Medical Colleges as doctors working in Health Services are denied opportunity since they are unable to undergo Senior Residency due to lack of adequate approved Senior Residency posts. The number of Senior Residency posts in Kerala to be increased in proportion to the number of Post Graduate seats. 8. In corollary to the decisions of the SWC, that branches can only collect 2 years of pending Working Fund arrears once a transfer request is submitted, the 277th SWC empowers IMA KSB to effect branch transfer if the parent branch fails to complete the transfer within 6 weeks of submission of transfer request, in consultation with the parent branch, and National IMA to be intimated of the same. Dr. ………: For Transfer of the branch does not start the process 6 weeks. They don't complete the process within 6 weeks. Says we will. Just add "Doesn't do without adequate reasons". Dr. Joseph Benaven: The process is very simple. The moment the member files of an application branch for a branch transfer the copy has to be sent to the state office. So state office will be keeping it there in file. Obviously, the state office will be monitoring if the transfer process is completed by the branch. If its not completed obviously with the state office will communicate the branch as to the status. Dr. Samuel Koshy: Padmanabhan, this is not an issue to bulldoze. It is an issue that denies the fundamental right of every member. Dr. Sulphi N.: Told to Dr. Padmanabhan if you use unparliamentary expressions, you will have to leave the hall. What did you talk to Devadas sir? INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 42

Dr. T.V. Padmanabhan: I have not spoken to Devadas. Dr. Samuel Koshy: About 40% people are additional in that list in all branches. At the same time, genuine members of many branches may switch to their right branch from time to time as per their byelaw due to various reasons. That delay is often delayed due to many reasons. If an election comes, it is often not known which branch is the fundamental right to vote for each member. For those in Thiruvananthapuram, the branch will be located in Kasaragod. After coming like this, we are denying their fundamental right. There should be a genuine solution in this. It does not mean the rights to bulldoze any branch. How can we protect their right which is genuine. It has been 10-12 years and requests are being made to all branches. Report such matters, report the details of deceased persons. This is not happening. That is why we are saying that we should give that right to our state secretary. After proper communication with branch. We are never against any branch. Dr........... : Branch Transfer has become an issue for us today. We should change according to change in trends. We can only find some modifications for this. The next president should change the current system. People are now running here and there for employment. Dr. Sulphi N.: Yes, now the discussion is closed. IInd part, the Dr. Sherry Issac disciplinary action against Dr. Sherry Issac will be done according to the byelaw. Dr. Joseph Benaven: Disciplinary action against the Dr. Sherry Issac will be initiated as per the existing byelaws of IMA KSB. Gratitude to all the members of the State was a commitment and dedication to IMA KSB and all the healthy discussions that we had. Thank you all. Dr. Sulphi N.: National Anthem. Celebrating Fraternal Fellowship 43 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

STATE ACTIVITY INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 44

INDIAN MEDICAL ASSOCIATION KERALA STATE BRANCH MEMBERSHIP STATUS AS ON 14.02.2024 Type of Membership Total Life Single 22094 Life Couple (9460 x 2) 18920 Total 41014 Celebrating Fraternal Fellowship 45 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

STATE PRESIDENT/SECRETARY STATE PRESIDENT / SECRETARY’S DIARY DIARY 11.11.2023 & 12.11.2023 66TH ANNUAL STATE CONFERENCE - DR. JOSEPH BENAVEN SWORN AS STATE PRESIDENT, IMA KSB THIRUVALLA SP/SS 14.11.2023 IMA KERALA STATE BRANCH OBSERVANCE OF WORLD DIABETES DAY KOZHIKODE SP/SS 16.11.2023 TEAM 2023 - 24 TOOK CHARGE OF IMA KERALA STATE BRANCH IMA STATE HQ, TRIVANDRUM SP/SS 17.11.2023 STATE PRESIDENT INAUGURATED RENOVATED HALL OF TALIPARAMBA IMA TALIPARAMBA SP/SS 17.11.2023 INAUGURATION OF KANNUR SAHODAYA ANNUAL SPORTS MEET KANNUR SP 19.11.2023 RECEPTION TO STATE PRESIDENT ALAPPUZHA SP MET CHIEF MINISTER, HEALTH MINISTER & CHIEF SECRETARY ON THE OCCASION OF "NAVAKERALAM SADASS " PROGRAM AT THALASSERY THALASSERY SS 23.11.2023 INAUGURATION OF "MICROMED", SPECIALTY REFERRAL LAB AT KANNUR KANNUR SP 24.11.2023 INSTALLATION CEREMONY OF NEW OFFICE BEARERS PATHANAMTHITTA BRANCH SP 26.11.2023 CABINET MEETING IMA PERIYAR HOUSE, ALUVA SP/SS 26.11.2023 MEETING OF COMMITTEE FOR MENTAL HEALTH & SUICIDE PREVENTION IMA PERIYAR HOUSE, ALUVA SP/SS 01.12.2023 INSTALLATION CEREMONY OF NEW OFFICE BEARERS OF IMA NEDUMBASSERY BRANCH MUSCAT SP 02.12.2023 & 03.12.2023 BRANCH PRESIDENT SECRETARIES MEETHARDCOPY OF GREEN BOOK RELEASED IMA PERIYAR HOUSE, ALUVA SP/SS 03.12.2023 RELEASE OF POSTER FOR PROMOTION OF IMA NAMMUDE AROGYAM IMA PERIYAR HOUSE, ALUVA SP/SS 06.12..2023 PARIYARAM MEDICAL COLLEGE. DECLARING SOLIDARITY TO THE HOUSE SURGEONS WHO ARE ON STRIKE AGAINST THE DENIAL OF STIPEND. MET THE COLLEGE PRINCIPAL, VICE PRINCIPAL AND MEDICAL SUPERINTENDENT. LATER MET SRI. M.V.GOVINDAN PARIYARAM MEDICAL COLLEGE, KANNUR SP/SS 07.12.2023 INAUGURATED & ADDRESSED PARTICIPANTS AT KARMANTHA 2023, NATIONAL MANAGEMENT FEST, HOSTED BY VIMAL JYOTHI MANAGEMENT INSTITUTE AT KANNUR KANNUR SP 08.12.2023 CONVOCATION OF OUTGOING DOCTORS OF PK DAS INSTITUTE OF MEDICAL SCIENCES SP 10.12.2023 SOUND OF SILENCE UNVEILING HUMAN RIGHTS VIOLATION AGAINST DOCTORS - A MOMENTOUS OCCASION WHEN THE PRESIDENTS & EXECUTIVE COMMITTEE MEMBERS OF KGMOA, KGMCTA, KGIMOA, KPMCTA & KMPGA JOINED HANDS WITH THE IMA TO "TREAD THE ROAD LESS TRAVELED " IMA PERIYAR HOUSE, ALUVA SP/SS INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 46

10.12.2023 JOINT MEETING ON CEA - REPRESENTATIVES OF KPHA, IDA, QPMPA , KASC ATTENDED IMA PERIYAR HOUSE, ALUVA SP/SS 12.12.2023 MEETING WITH KMPGA REPRESENTATIVES OF GMC, THIRUVANANTHAPURAM IMA STATE HQ, TRIVANDRUM SP 13.12.2023 STATE PRESIDENT AND STATE SECRETARY WITH MSN GMC IMA THIRUVANANTHAPURAM BRANCH SP/SS 13.12.2023 ADDRESSED ORGANISING COMMITTEE MEETING OF IMA NATIONAL CONFERENCE IMA STATE HQ, TRIVANDRUM SP/SS 14.12.2023 INAUGURATION OF RENOVATED IMA STATE OFFICE IMA STATE HQ, TRIVANDRUM SP/SS 15.12..2023 ADDRESSED THE GATHERING AT THE OCCASION OF INSTALLATION CEREMONY OF I.A.P. THALASSERY THALASSERY SS 15.12.2023 ATTENDED THE 1ST ANNIVERSARY & PHASE II COMMISSIONING EXPANSION OF BABY MEMORIAL HOSPITAL KANNUR SP/SS 16.12.2023 TECON, KERALA 2023... HUNTING PARTNERS FOR PROMOTING ENTREPRENEURSHIP & INNOVATION AMONG DOCTORS. HAD MULTIPLE MEETINGS... ON THE WHOLE PROMISING!! SP 17.12.2023 MEMBERSHIP PROMOTION COMMITTEE MEETING IMA PERIYAR HOUSE, ALUVA SP/SS 17.12.2023 MEETING OF THE COMMITTEE TO PROMOTE HEALTHY AGING IMA PERIYAR HOUSE, ALUVA SP/SS 26.12.2023, 27.12.2023 & 28.12.2023 98TH IMA NATIONAL CONFERENCE - THARANG KOVALAM SP/SS 28.12.2023 IMA NATIONAL CONFERENCE INAUGURATION BY HON. CHIEF MINISTER OF KERALA SRI PINARAYI VIJAYAN KOVALAM SP/SS 28.12.2023 DR. R.V ASOKAN ADDRESSED THE GATHERING AFTER INSTALLED AS IMA NATIONAL PRESIDENT KOVALAM SP/SS 28.12.2023 ADDRESSED MSN LEADERS AT YUV THARANG KOVALAM SP/SS 02.01.2024 FELICITATED BY YMCA SP 03.01.2024 FELICITATION BY LIONS CLUB TALIPARAMBA SP 03.01.2024 RECEPTION TO STATE SECRETARY IMA THALASSERY SS 04.01.2024 X’ MAS & NEW YEAR CELEBRATION AND RECEPTION TO STATE PRESIDENT & SECRETARY IMA KANNUR SP/SS 05.01.2024 DC MEETING KOLLAM SP/SS 06.01.2024 HEADQUARTERS VISIT IMA STATE HQS, TVM SP/SS 06.01.2024 MEETING WITH DEPUTY DIRECTOR – TRIBAL DEVELOPMENT, CHIEF CONSERVATIVE OFFICER - TRIBAL WELFARE, PRINCIPAL SECRETARY - IT DEPARTMENT TRIVANDRUM SP 06.01.2024 GREETED DR. GANGADHAR, NMC CHAIRMAN TRIVANDRUM SP 06.01.2024 X’ MAS & NEW YEAR CELEBRATION IMA STATE HQ, TRIVANDRUM SP/SS Celebrating Fraternal Fellowship 47 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

06.01.2024 GOLDEN JUBILEE / NEW YEAR CELEBRATION IMA CHERTHALA SP/SS 07.01.2024 WIMA INAUGURATION WIMA KOTTAYAM SP/SS 07.01.2024 X’ MAS & NEW YEAR CELEBRATION IMA KOTTAYAM BRANCH SP/SS 07.01.2024 DC MEETING IMA KOTTAYAM BRANCH SP/SS 08.01.2024 MEMBERSHIP CAMPAIGN @ 1. @ ASTER MEDICITY, KOCHI. WITH MR FARHAN, VICE PRESIDENT ASTER GROUP, DR. ANUP WARIYAR, DR. JOHN 2. WITH DR. KRISHNANUNNI, CMD @ RENAI MEDICITY, KOCHI 3. WITH MR ABDULLA .C.K, MD @ LAKESHORE HOSPITAL, KOCHI COCHIN SP/SS 08.01.2024 HAD A MEETING WITH ADV. HUSSAIN KOYA THANGAL, PRESIDENT KPHA AT ERNAKULAM. DISCUSSED ABOUT THE ISSUES FACED BY DOCTORS IN PRIVATE HOSPITALS. HE SHARED FEW OF THEIR APPREHENSIONS. DECIDED TO HAVE MUTUAL EXCHANGE OF CHARTER OF DEMANDS AND TO HAVE A MEETING AFTERWARDS. OTHER ASSOCIATIONS LIKE CHAI, AHPI WILL BE INCORPORATED INTO THE DISCUSSIONS COCHN SP/SS 08.01.2024 DC MEETING ERNAKULAM SP/SS 09.01.2024 MET MR SUDARSAN, CEO & DR.RAMESH KUMAR, DIRECTOR @ APOLLO ADLUX HOSPITAL IN CONNECTION WITH MEMBERSHIP CAMPAIGNING KORATTY SP 12.01.2024 STATE PRESIDENTS/SECRETARIES MEETING NEW DELHI SP/SS 13.01.2024 THE INDUSTRY ACADEMIA PARTNERSHIP SUMMIT - PROBING OPPORTUNITIES FOR DOCTORS!!! NIT KOZHIKODE SP 13.01.2024 DC MEETING KOZHIKODE SP/SS 14.01.2024 ATTENDED THE STATE CONFERENCE OF KGIMOA – “SEACON” KOZHIKODE SS 14.01.2024 GOLDEN JUBILEE CELEBRATION & INAUGURATION OF CEEYEM HOSPITAL VATAKARA SS 14.01.2024 ANNIVERSARY OF DREAM FLOWER IVF CENTRE KASARGOD SP 15.01.2024 DC MEETING KANNUR SP/SS 16.01.2024 FELICITATION BY NORTH MALABAR CHAMBER OF COMMERCE KANNUR SP 16.01.2024 DC MEETING KASARAGOD SP/SS 17.01.2024 ANNIVERSARY CELEBRATIONS OF MVR CANCER CENTRE CALICUT SP 19.01.2024 ADDRESSED DMWIMS MEDICAL COLLEGE ADDRESSING DOCTORS WAYANAD SP/SS 19.01.2024 ADDRESSING STUDENTS AT WIMS WAYANAD SP 19.01.2024 INAUGURATED THE 10TH ANNIVERSARY CELEBRATION OF IMA NEDUMBASSERY AND WIMA ACTIVITIES MUSCAT SS 20.01.2024 MVR CANCER CENTRE & RESEARCH INSTITUTE, KOZHIKODE. HONOURING THE CHIEF GUEST AND OVERJOYED TO TAKE THE OPPORTUNITY TO INTRODUCE KOZHIKODE SP INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 48

OUR CHIEF GUEST OF THE DAY TO MVRCCRI 7TH ANNIVERSARY CELEBRATIONS 20.01.2024 DC MEETING MALAPPURAM SP 20.01.2024 IMA IMAGE PARISTHITHI MITHRA DISTRICT LEVEL (HOSPITAL CATEGORY) AWARD 2023 IS BEING AWARDED TO M/S. EDAPPAL HOSPITAL, MALAPPURAM. DR. GOPINATHAN (MD OF THE EDAPPAL HOSPITAL) HAS RECEIVED THE AWARD FROM STATE PRESIDENT MALAPPURAM SP 21.01.2024 STATE INAUGURATION & TOT PROGRAM BY COMMITTEE FOR PROMOTION OF LEADERSHIP & COMMUNICATION SKILLS IMA HALL, MADHYA KERALA MADHYA KERALA SP 21.01.2024 KGMOA STATE CONFERENCE MUNNAR SP/SS 22.01.2024 VISITED KARAKKONAM MEDICAL COLLEGE, TRIVANDRUM GOVT. MEDICAL COLLEGE, KIMS HOSPITAL, SUT MEDICAL COLLEGE AS PART OF MEMBERSHIP PROMOTION TRIVANDRUM SP/SS 22.01.2024 DC MEETING TRIVANDRUM SP/SS 22.01.2024 MEETING WITH DME DR. THOMAS MATHEW TRIVANDRUM SP/SS 23.01.2024 SUBMITTED A MEMORANDUM TO HON’BLE CHIEF MINISTER SRI. PINARAYI VIJAYAN AT CLIFF HOUSE, TRIVANDRUM SP/SS 23.01.2024 MEMORANDUM SUBMITTED TO HON’BLE HEALTH MINISTER SMT. VEENA GEORGE TRIVANDRUM SP/SS 23.01.2024 MEETING WITH HON’BLE SPEAKER SRI. A.N SHAMSEER AT THE CHAMBER, TRIVANDRUM SP/SS 23.01.2024 MEETING WITH SRI. MUHAMMED HANEESH PRINCIPAL SECRETARY, HEALTH AND FAMILY WELFARE AT HIS CHAMBER TRIVANDRUM SP/SS 23.01.2024 DC MEETING ALAPPUZHA SP/SS 24.01.2024 DC MEETING PALAKKAD SP/SS 25.01.2024 IMA MEMBERSHIP PROMOTION MEETINGS CONDUCTED IN DAYA HOSPITAL AND JMM HOSPITAL THRISSUR BY STATE PRESIDENT DR. JOSEPH BENAVAN THRISSUR SP 25.01.2024 IMA MEMBERSHIP PROMOTION MEETINGS CONDUCTED IN AMALA MEDICAL COLLEGE HOSPITAL , DAYA HOSPITAL, JUBILEE MISSION MEDICAL COLLEGE THRISSUR SP/SS 25.01.2024 DC MEETING THRISSUR SP/SS 27.01.2024 ANNIVERSARY CELEBRATIONS AT MEDITRINA HOSPITAL KOLLAM SP/SS 28.01.2024 MANAGING COMMITTEE MEETING OF SCHEMES IMA PERIYAR HOUSE, ALUVA SP/SS 28.01.2024 INAUGURATION OF COMMITTEE FOR CULTURAL AND LITERARY PROMOTION IMA MADHYA KERALA SP/SS 29.01.2024 DC MEETING IDUKKI SP/SS 29.01.2024 MEETING WITH CHAIRMAN, SANTA MONICA COCHIN SP Celebrating Fraternal Fellowship 49 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode

30.01.2024 THE COVID MARTYRS DAY COMMEMORATION ORGANISED BY THIRUVANANTHAPURAM DISTRICT COMMITTEE IMA STATE HQS, TRIVANDRUM SP 30.01.2024 THE COVID MARTYRS DAY COMMEMORATION ORGANISED BY THALASSERY BRANCH IMA THALASSERY BRANCH SS 31.01.2024 “SNEHAHASTHAM” – TRIBAL WELFARE PROGRAM OF IMA KSB VANA BHAVAN, TRIVANDRUM SP 31.01.2024 ATTENDED ONLINE MEETING ON "TO INTENSIFY THE ACTIVITIES FOR CANCER DETECTION & PREVENTION”, CONDUCTED BY DEPARTMENT OF HEALTH SERVICES VIRTUAL PLATFORM SS 01.02.2024 DC MEETING WAYANAD SP/SS 02.02.2024 SNEHAHASTHAM DISTRICT WISE INAUGURATION CONDUCTED ARALAM, KANNUR SP/SS 03.02.2024 INAUGURATION OF "MOCHANAM" AT IMA HOUSE, KOLLAM BY STATE PRESIDENT - STATE LEVEL CAMPAIGN ON ANTI SUBSTANCE ABUSE BY THE COMMITTEE FOR PREVENTION OF SUBSTANCE ABUSE KOLLAM SP 03.02.2024 HEADQUARTERS VISIT IMA STATE HQ, TRIVANDRUM SS 03.02.2024 INAUGURATION OF INAUGURATION OF ‘MOCHANAM – PREVENTION OF SUBSTANCE ABUSE & HPV VACCINATION AWARENESS CAMPAIGN BY WIMA, KOLLAM KOLLAM SP 03.02.2024 N.S COOPERATIVE HOSPITAL, TRAVANCORE MEDICITY MEDICAL COLLEGE & HOLY CROSS HOSPITAL KOTTIYAM IN CONNECTION WITH MEMBERSHIP CAMPAIGN KOLLAM SP 03.02.2024 DC MEETING PATHANAMTHITTA SP/SS 04.02.2024 MANAGING COMMITTEE MEETING OF SCHEMES IMA STATE HQ, TRIVANDRUM SP/SS 04.02.2024 OFFICIAL LAUNCH OF ONLINE CRASH COURSE FOR COMPETITIVE EXAMS AND RESEARCH ORIENTATION FOR POSTGRADUATE STUDENTS CONDUCTED BY IMA JDN IMA STATE HQ, TRIVANDRUM SP/SS 06.02.2024 GST HEARING COCHIN HIGH COURT SP 08.02.2024 ADDRESSED ‘EMPOWER -TRICHUR MANAGEMENT ASSOCIATION THRISSUR SP 09.02.2024 INDIAN VETERINARY ASSOCIATION INAUGURATION ELS TRAINING PRGM CALICUT SP 09.02.2024 NAMMUDE AROGYAM PROMOTION CALICUT SP 11.02.2024 IMA CGP NZ CONFERENCE TALIPARAMBA SP/SS 13.02.2024 SNEHAHASTHAM @ KALLAR TRIBAL SETTLEMENTS HOSTED BY IMA NEDUMANGAD KALLAR, TRIVANDRUM SP 14.02.2024 HEADQUARTERS VISIT IMA STATE HQ, TRIVANDRUM SS 15.02.2024 BRANCH FORMATION PRELIMINARY MEETING BAHRAIN SP 16.02.2024 INAUGURATION – IMA MATTANNUR BRANCH @ DAMMAM DAMMAM SP 18.02.2024 SWC MEETING CALICUT SP/SS INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 50