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Which country's healthcare system can be emulated in India?

Thanks for asking me, ‘Which country's healthcare system can be emulated in India? ‘.I was in the Govt service (Defence) for more than three decades before I entered the private health care. With experience in both the sectors, I think I am qualified to answer this question.Before I discuss which system is better for India, its better to start with a brief history of health care in India to give orientation and ground for appreciating the ground reality.The first medical institution in India was founded in 1664 by the British East India Company, and it stands today as the proud Govt General Hospital (GGH), Chennai. Surprisingly, this hospital is younger to Taj Mahal by about 30 years only.Govt General Hospital (GGH), Chennai. ( Source: Google)The first medical college in India was started in Calcutta (1835) followed by the Madras Medical College (1835).BTW, I want the readers to know that the 2nd oldest Eye hospital to establish in the world after London, is Eye Hospital, Chennai, and not in Germany or France or America!!!These two medical colleges-Calcutta and Madras- formed the mother colleges to provide instruction in modern medicine, and their alumni went on manning the future medical colleges established gradually in various cities across India over a period of time.In the hospitals attached to the medical colleges, treatment was always free and till the early sixties, higher specialty treatment was available only in the medical college hospitals. Mighty MGR was treated in Govt.General Hospital (GGH), Madras, when he was near fatally shot at. Medical treatment in private was confined to only OP cases.This brief introduction is meant to let the readers appreciate that even the rapacious colonial masters considered health care is the responsibility of the state. The policy of free treatment has been in continuation till now albeit in such a diluted fashion that now the health care in govt hospitals is considered a mere tokenism.It will be of interest for the readers to know that in British India, there were two classes of doctors- The Indian Medical Service( IMS) on par with the ICS in status with even higher remuneration, and the lower qualified licentiates. Dr. Ronald Ross of malarial Parasite cycle fame, the second to win the Nobel Prize (NL) in the category of Medicine and physiology (1902), belonged to the Indian Medical Service (IMS). ( We for some unfathomable reasons do not count him among the NLs from India though the Nobel committee records him from India, officially ( born in Almora).The Bhore Committee:Abhorred by the discriminating two types of quality in medical care, in 1945, the Bhore committee strongly recommended to abolish the licentiate system and bring in uniformity in medical education across the country such that the basic medical qualification for practice of modern medicine remains only MBBS. This committee also recommended primary health care centres and secondary care centres at the district headquarters, and various other reforms that paved the way for expansion of healthcare, medical colleges and district hospitals and various specialties immediate post-independence.Till 1975 the products of these institutions were treated on par with the British qualified doctors, and the doctors qualified before 1975 could straight away register with the General Medical Council (GMC) of great Britain without exam (PLAB) and could practice anywhere in the commonwealth. Following introduction of bridge courses to grant MBBS to the graduates of integrated system ( ayurvedic and other licentiates) and ever falling standards, the GMC derecognized Medical Council of India in 1975. Instead of improving the standards we retaliated by derecognising diplomas of Royal Colleges (FRCS & FRCP), the craze for which only increased after that.The Deterioration of Govt Hospitals:The high quality medical manpower thus produced also has a flip side. After the mid-sixties, when the medical institutions started showing signs of deterioration due to failure of administration to improve the infrastructure commensurate with time, and poorer remuneration of doctors ( purchase power of doctors salary reduced nearly 10 times by the sixties compared to 1917), these highly competent doctors found themselves not fitting into the dated hospitals and started to see greener pastures away from govt. service. Slowly but surely many ambitious and talented doctors started quitting the govt. service to enter lucrative private practice. This is the beginning of flourishing of private practice. It gradually started to acquire commercial tones from the early eighties while the government hospitals showed further decline in the scope and quality of medicare both due to lack of leadership at the helm and over crowding with patients who could not afford private care.Importance of InvestigationsWith rapid strides in medicare and introduction of new gadgets and investigations, the domain of clinical medicine has gradually receded back giving way to objective investigation dependent diagnosis and medicare. This is one of the causes for growing trust deficit between doctors and patients. But patients have to understand that early diagnosis is lifesaving often and it is sometimes intense investigation dependent. By the time the diagnosis of cancer stomach can be made clinically, the patient has passed beyond the stage of operability / cure. Only sophisticated investigations offer hope of early diagnosis and pave way for effective treatment.Since the answer is becoming too big, I will rather try to be more concise.The National Health Service (1948) in the UK is considered one of the ideal health care services on the earth. More patients have trust in the NHS doctors and the services than those who decry them.It offers stratified health care where a General Practitioner is the entry level medicare provider and the patient gets referred if the disease/ condition falls outside the GP’s expertise. A specialist cannot be approached by walking in, like in India. Patient has to patiently wait for his/ her turn for treatment/ procedure while emergencies are immediately attended. The waiting for knee replacement can run to months while it can be fixed in less than a week in India.Though the quality of care is high, this waiting time for procedures can be frustrating. ( One Indian family known to me returned back to India when the waiting for a D&C was told six months).The doctors in UK are well paid and fall into the 2nd highest social strata with such income after entrepreneurs and business houses. But these days many NHS doctors find the job highly stressful and I heard from friends in NHS expressing frustration at the working conditions due to ever increasing complexity of managing of patients in advanced years with multi co-morbid diseases, and lack of say in the matters that affect the doctors. Yet NHS continues to be popular. Private healthcare though exists in Britain, its not the main player and only the rich can afford.The American system is highly evolved in so far as providing treatment with cutting edge technology is concerned but quite costly to the point that patients sometimes choose to suffer the disease rather than go to a hospital. Without insurance, it’s difficult to bear the costs of American medical treatment. A profession of ‘billing’ has emerged from this complexity of American system, which, honestly I, an outsider, found too complex to bother to know about. The system is lawyer and litigation oriented. No prescription comes without extreme investigation. No one wants to miss any and that ‘you-never know-syndrome works to the hilt.I have seen their hospitals. Simply superbly maintained and meticulously managed. There is a lot to learn from their attention to the minutest detail.Now coming to India. When the govt has failed to introduce such facilities as required and in demand, the private sector has evolved to fill the vacuum and take care of the needs of population. Many good hospitals have come up to provide contemporary medicare at a fraction of what it costs abroad. Be it liver transplant or bone marrow transplant India has the expertise widely available, if I may say, more wider and accessible than the America. No frustratingly long waiting lists unlike the West. India even started attracting medical tourism.But Indian private care suffers from the following.Lack of institutionalism. With rare exceptions, a consultant in private works almost unsupervised/ unaudited unlike in govt sector where the treating physician cannot do things the way he wants. This lack of scrutiny or overseeing has given rise to suspicion and dubious practices.Though insurance is becoming popular, most families end up spending from pocket and the burden can be quite heavy and sometimes almost make the patients bankrupt following the treatment of major diseases. This is not the fault of doctors. Medical equipment are imported and costlier than they are abroad and their maintenance is very costly. Gadgets become obsolete in about a maximum of 5 years.Many patients do not buy insurance or budget for medical treatment like they do for education and weddings etc. leading to despair, and find the doctors soft target to attack to vent out their frustration. Its no solution at all.Reforms in Govt HospitalsThe existing Govt hospitals are to be expanded with establishment of more peripheral treatment centres especially cancer centres across the nation and augmenting the strength of specialist doctors with built in performance based incentives.With the existing salaries and work culture of staff, quality in govt hospitals is a mirage. Hire and fire system and delegation of powers to the deans with autonomy only will bring in changes.The existing system is highly bureaucratic and inefficient to give desired results. The deans with supporting young hospital management guys as administrators shall be given powers and made responsible for omissions and commissions. And the selection of deans shall be confined only to those with outstanding annual performance reports and not based on seniority alone.The private hospitals shall have some kind of peer audits and regulation to check if they are following established norms of practice. Ethical and transparent billing shall become the norm.We are evolving but the recent move by the govt to introduce bridge courses and allowing vaids of other systems to practice modern medicine is an ill-conceived move which will sure to destroy what little we have achieved in the medical care.Instead of exploring ways to increase the penetration of the available medical expertise through better infrastructure and performance based incentives, government is trying to tinker with the system, which can do irreparable damage to the health of profession itself. In the sixties integrated system guys were there who were later conferred MBBS and this half baked guys were the weakest links in the chain. I have known such guys and their below par competence.Accreditation of hospitals through agencies like NABL etc shall be made mandatory for all the corporate hospitals and NABH norms shall be applied for all the private and govt labs. Drug control shall be more stringent. These are the pressing needs not bridge courses to ayurvedic vaids and exempting exams to pathetically trained foreign qualified doctors who could not clear the national exam. Their pass rate at 7–13% speaks of volumes of their quality. Exempting them from examination amounts to promoting quackery on one side and killing the majesty of noble profession. If people have complaints about quality of doctors, to avoid them, they shall support quality measures.Politicians come and go but its the systems which remain in place and guie the society.How much it costs annually per head for free health care?It needs about 5–6 thousands per head per year to provide primary care for every individual in the society .And it can go up much higher if tertiary and quaternary treatments are added. The govt just doesn’t have that kind of money and for that matter no govt on earth can afford nearly 8 trillion rupees /annum to provide high quality free treatment for 1.3 billion people.My viewCulturally, Indians abhor long waiting and queuing up at the government clinics for minor ailments. Primary care for trivial ailments may be left as it is going on now- part private and part public with choice left to the patients.Secondary and tertiary care and trauma care require urgent attention. It shall be fully augmented at all levels in taluks and cities and govt shall ensure quality through new additional recruitment, implementing modern well established norms of management and adequate funding. While insurance base shall get expanded for those wanting private care.Quaternary care shall be such, part of the costs shall be borne by the beneficiary. If it has to be free, cost overruns will destroy the quality to make it dysfunctional. No govt can spend tens of lakhs of rupees per patient.

What is the best way to prepare for SSB?

By Reading Yourself……!!!!!!Often SSB Aspirants, tend to ask question as What is the best book to Clear SSB, In my view You Yourself.!If you find it hard believe, let me tell you, it’s the normal response, but at the end of the day, actuality is same. It just you and yourself, who have any say to change the Results of the SSB.Crack in my view is not the correct word, crack is kind of word,where you find shortcuts to a destiny, or, just keep practicing without much of brain behind it. You can crack a Exam, But SSB is not a Exam and never was designed to be one. If one knows, in SSB results they never mention the word Pass or Fail, It’s Recommended or Not-Recommended for the Service. It’s a simple change of words, but holds a lot more meaning behind it.Before even i go into details of various entries and procedures, you need to first get yourself prepared till the end, so that you clear every round in One go.I believe even before setting in for above tasks and planning for them, invest good amount of time in yourself. Without Knowing yourself, one can never get through SSB, and that’s how each task is designed to get qualities out of your personality.Self Introspection of your qualities is very crucial. Knowing ones’ Strength and Weakness are the building blocks to success.Coming To Various Stages of Interviews, you can scroll down to the part which says SSB SELECTION PROCESS, if you are interested knowing more about how to Self Introspect, you can read further, otherwise i would suggest, you can stop your reading here.Now, as you have chosen to read further, well first of all congrats because You have PATIENCE my friend. Even before keeping any points in my mind for SSB, my friend you need look into you,i.e.Self Introspection is crucial aspect of SSB, and indeed Life. Unless and Until you don’t know about you Strengths and much more important your weaknesses, it will make things a lot tricky.SSB as a whole is rather very easy testing process, and why not it was designed to be like that, so that your real self can come out, its Us who make tough for us by trying the shortcuts, and this step is taken when someone is to much crazy about achieving something, well both this things don’t go well with SSB.I will what i did, for a start for self introspection, you can have your own way for it, I took a A4 sheet and started with my Strengths, an you know what i got a hell lot of strengths on the paper, but then came climax, When i started jotting down myweaknesses, i could only make 4–5 points max,if you see this in normal scenario its good that i have less weaknesses and even anyone would see it that way,and i am no different, but i took a random thought process, i thought why is it that i have so less weaknesses but then too i am not able to hit the target, answer was obvious, i was not looking in for weaknesses deeply, what my mind did while writing down weaknesses was it started categorizing them common, small or negligible weaknesses, whereas same didn’t happened in case of Strengths, there i had it, I broke down classification, and started finding weaknesses of mine, and believe and made me realize that there were many incidents which overlooked instead of learning from those mistakes.Sorry, for long explanation , but i guess you must have got my point, but don’t just stop at Strengths and Weaknesses, think of what you daily, your hobbies, you sporting activities, this will help you to confidently answer question about yourself, and believe me or not, when you don’t know yourself completely its this Questions On you which take you down.So, when you are out there in SSB, you need to make sure of this things in broader aspects,BE YOURSELF - let others response may sound how much interesting and thrilling, its your response and reaction that matters at that moment, from my experience i thing which i observed, SSB majorly focuses on how you do itordeal with a certain situation. Even if you give an interesting and impressive answers, which you have mugged up, it wont do any good, and in fact do a lot bad, Instead, you can give your answers, and think before answering so that when stressed upon, you can confidently support your point.PRESENCE OF MIND - Its very crucial, a lot go down just because they neglect this aspect. Presence Of Mind not brings in “A” Game of yours, it broadens your horizon of thinking, instead of getting excited and running just for the sake of running without any direction. This Aspect brings in Patience in you, and its no secret staying calm in stressful situation is key to go through it.BE POSITIVE & OPTIMISTIC - Putting you under stress is what SSB does to take your real out, so many times things don’t go the best way you would have hoped for, now at this point you need to have a optimistic view, analyse your mistake and move on, instead of crying and getting worried over it, as doing this just starts a chain reaction which will destroy all your tests.All the above mentioned three points together power up your CONFIDENCE, and it goes in your favor in a big way.SSB SELECTION PROCESSThe aim of five day testing is to assess personality of candidates by three pronged approach – Manasa, Vacha & Karmna, Translating into your thoughts, speech and deed/actions. These three approaches are termed as techniques and they are assessed by Psychologist, Interviewing Officer and Group testing Officer independently. The summation of three approaches in conference gives inputs for identifying a potential and a trainable Armed Forces leader.TESTING SCHEDULE AT SSBThe selection process is spread over five days testing schedule and is conducted in two stages. Stages I is conducted on the first day and the candidates having some chance of getting selected are retained for Stage II based on the performance of candidates in written test and Picture Perception and Discussion Test (PP & DT) conducted on Day 1. The brief program for five days is given below and the same is elaborated in subsequent sections.STAGE -1DAY 1 - Written Test, PP & DTSTAGE – IIDAY 2- Psych Test ; InterviewDAY 3- GTO 1 Day; InterviewDAY 4- GTO 2 Day; InterviewDAY 5- ConferenceREPORTING DAYRECEPTIONYour day of reporting starts with the reception as per the details given in call letter/ SMS sent to you, a reception is organised for all candidates at the railway station. You have to report to the Movement Control Office (MCO) at the time and date given in call letter/SMS. Here a representative of the SSB manning the reception will receive you and direct you to a bus that will take you to SSB.Candidates arriving late or by road/air should proceed directly on their own and report to the SSB. On your arrival at the SSB, you will be given sufficient time to settle down.OPENING ADDRESSThe first organised event at the SSB is the opening address. The duty officer gives and introductory talk, explains matters of administration arrangements, the DOs and Don'ts at the SSB and the routine at SSB in the brief for the next five days. Listen carefully to what he says.DOCUMENTATIONAfter the opening address Documentation check is the next event. You are required to produce your original certificates for verification and fill up certain forms like the TA form on the reporting day itself. You will also be allotted chest numbers for your Stage I testing.DAY 1 – STAGE 1OIR TESTMorning of the Day 1 begins with the Officer Intelligence Rating (OIR) Test. The test would start early, so ensure that you have a good night sleep and wake up in time to be ready for the tests. The tests themselves include verbal and non-verbal tests which require simple and analytical reasoning.PPDTThe second test of Day 1 is Picture Perception and Discussion Test (PP&DT). During this test a picture is flashed on screen for 30 seconds and candidates have to broadly note down certain basic parameters i.e. No of characters, their age, sex, mood and thereafter write a story relating to the situation in the picture. A story that could cover, what according to the candidate’s perception led to the situation in the picture, its present and future development? The time allotted for the story to be written down is 4 minutes.GROUP DISCUSSIONIn this test the picture and your stories would be discussed in a group. For this phase the batch is divided in small groups. The strength of a group is around fifteen candidates. To start the Group Discussion, each candidate would be required to narrate his perception and individual written story. Subsequently, candidates will discuss among themselves and achieve a common consensus about the characters and the theme of the story.RESULT OF STAGE 1Once all candidates have undergone this stage the results of Stage I are declared. Successful candidates are retained for Stage II testing and the balance are asked to leave after a short brief on general shortcomings. The candidates are provided with lunch and transport to go to the railway station. Candidates will also be paid the entitled Travelling Allowance for AC 3 tier class. This travelling allowance is paid to candidates appearing for the first time in SSB on production of the original tickets.STAGE 2The candidates retained for further testing in Stage 2 will be divided into groups of eight to ten candidates. Each candidate will be allotted a new chest number. It is important to remember that you are not competing with other candidates, all of you will be assessed against the common standard of suitability and it is possible that everyone in the group is selected or rejected. You will require to fill up Personal Information Questionnaire (PIQ) with correct and exact details about your life. In case of a large batch some of you may find yourself facing Interviewing Officer in the evening of same day.DAY - 2PSYCHOLOGICAL TESTThe second day sees the testing in the earnest and begins with the onset of Psychological Assessment. The candidates are taken through a series of situations projected as words, pictures and narrated situations. The reaction timings are stringent to bring in natural and subconscious behavioral pattern of individual. As the Psych tests takes time and one has to be fresh and natural, the tests are started early in the morning. Before the tests are administered you will be briefed by the Psychologist about the various tests you have to undergo, also before you undergo actual tests you will be familiarises with the example tests of each type. Psych test are administered on candidates to access the psychological profile acceptable for candidates of particular age group.THEMATIC APPERCEPTION TESTThe first test among the battery of Psych tests is the Thematic Apperception Test (TAT). In this test a total of 12 pictures including a blank picture will be shown for 30 seconds each, one after the other. Candidates are asked to write story around the picture shown, covering issues like what led to the situation, what is going on and what would be the outcome of the situation perceived in the picture. The picture is selected in a manner to allow your creative mind to evolve a number of stories.No story is correct or wrong, what matters is it must be a story triggered in your mind by the picture. Remember that the picture is shown only for 30 seconds and then you are asked to write about the picture within four minutes. In the blank picture, you have to imagine a picture of your own choice and write a story around that. Since the timings are stringent you are advised to write the story that occurs to you first on seeing the picture, that way your response will be natural and you will be able to write the entire story within the limited time available to you.WORD ASSOCIATION TESTThe next psych test is the Word Association Test (WAT). In this test a total of 60 words are shown to the candidates. Each word is flashed on the screen for 15 seconds. The candidate is required to write down the first thought or idea that comes to his mind on seeing the word in the space provided in the 15 seconds before the next word is flashed.SITUATION REACTION TESTThe third psych test is the Situation Reaction Test (SRT). This test consists of 60 routine life situations regarding day to day activities. The situations are printed in the booklet and candidate is asked to write his reaction by completing the sentences as to how he would feel, think and act in these situations. A total of 30 minutes are given to candidates to write down reactions to all the sixty situations in the booklet.SELF DESCRIPTION TESTThe last in the battery of Psych tests is the Self Description Test (SD). Each candidate is given 15 minute and is asked to write 5 separate paragraphs on the opinion of his parents or guardian, friends, teachers or superiors, self opinion and qualities the candidate would like to develop/ inculcate in himself.Following is the way how you will mostly probably sited for Psych Test.DOS & DON‘TS PSYCH TESTDOsListen and adhere to the instructions properly.Clarify all your doubts before the commencement of each test.Be as imaginative and spontaneous as possible.Give your first reaction to picture/word shown to you, don’t think twice as there is no right or wrong answer to the situation, everyone is like to respond in his own unique way.Be realistic and logical in your responses and keep track of time.Don'tsDo not use coached/ tutored ideas while responding to psychological test battery.Do not create mental sets about pictures during run up to the SSB as it may restrict your spontaneity and imagination.INTERVIEWOn completion of Psych tests and subsequent refreshment break, some of the candidates have to appear before the Interviewing Officer for Personal Interview. The interviews will continue in the afternoon and evenings of Day 2, 3 and 4. You will be interviewed only once and will be informed well in advance about the time and place.The atmosphere throughout the interview is relaxed and informal. The questions are generally based on your every day experiences and relating to your work, education, family and spare time activities, hobbies and interests. Each candidate is interviewed for a duration ranging from 45 minutes to an hour. The Interviewing Officer will discuss by way of questions and answers the opportunities you had in your life and utilisation you made of them. The Interviewing Officer is fairly senior and experienced in the armed Forces while he interacts with you, he assesses whether you have the essential qualities to be trained to become an officer in the armed Forces. What you have done till date with regard to your academics, your achievements and extra curricular activities, your interest in life, interaction with your parents, friends and society at large. Candidates’ general awareness, physical and mental fortitude, form important facets to assist him in his assessment. No one is perfect and the Interviewing Officer understands and gives more than adequate benefits for the shortcomings or mistakes which you may have committed thus do not try and hide anything. The tendency of lying and making false pretences is easily found and is viewed negatively.DOS & DON'TS – INTERVIEWLook smart, cheerful and enthusiastic.Be audible but not too loud and appear keen to speak and respond to questions.Sit straight and comfortably, do not fidget, do not keep moving your hands and legs as it may distract the interviewer from your responses.If you have not understood anything politely ask for clarification or to repeat the question.You are expected to be aware so as to touch upon current events if asked.DAY 3 - GROUP TESTINGThe third day is full of exciting physical activity in the Group Testing Grounds. The candidates will be briefed by the Group Testing Officer in the morning about all out door activities. The primary concern here is to see how you will face the obstacles and the tasks allotted to you and your attitude towards other members of the group both while working with them and while directing them. Group tests do not require specialised individual skills on your part, logical thinking, coordinated team efforts, work ability to receive and give suggestion is what is looked at by assessors. You will be provided with Sketch Board, Ladders, Ropes, Planks and other such things as your tools to help you in the assigned task. You are given few minutes to form plan and thereafter execute the task within the given timeframe. The battery of GTO tests consists of nine tests/ tasks.GROUP DISCUSSIONThe first task of GTO battery of test begins with Group Discussions on a debatable topic, which is usually given on a current event/social issues. In the first group discussion the group is allowed to select one of the two topics offered.In the second group discussion the topic is of the GTO’s choice. Each discussion will last for approximately 20 to 30 minutes. Each candidate is expected to participate in the discussions. Remember that the discussions involve the exchange of ideas and thoughts. It is not a traffic of words.GROUP PLANNING EXERCISEThe Group planning Exercise is the second test of the GTO test series. In this test a story on a model with a few problems is narrated. What you are required to do is to identify the problems and evolve the practical solution within the given time. You are expected to write down your own individual solution on the paper provided to you. A candidate while giving solution should think logically, write and draw neatly and also examine alternate solutions of the problem. Thereafter your group collective solution will be discussed by the group and you are expected to participate in evolving the group plan acceptable to everyone. One of you may then be asked to explain the acceptable group plan.PROGRESSIVE GROUP TASKProgressive Group Task is the next GTO test. Four obstacles are required to be collectively negotiated by your group along with a heavy load. Certain helping materials in the form of Rope, Planks etc are provided for the task to be completed within 40 minutes. Ground rules will be explained to the candidates in detail before the commencement of the tests. Make sure you and your group adheres to the rules strictly. Also remember that all of you and the load need to negotiate the obstacle together to move on during this test.GROUP OBSTACLE RACEUnlike other tasks here the entire group competes with other groups of your batch over a set of six obstacles. Each group has to carry a roll of tent/ stuffed gunny bags in the shape of snake from the start point to finish point. Therefore the task is commonly referred as Snake Race. The rules of the race will be explained to you, the winner is the group that cover all the obstacles against the challenge posed by opponents. Not to forget to include time, obstacles and load within the framework of rules of the race. After the race there is a short 20 minutes break for rest and refreshments.HALF GROUP TASK (HGT)After the break you will participate in the Half Group Task. This task is similar to the PGT except that it is conducted over one obstacle with smaller group.LECTURETTEOn completion of HGT the GTO will conduct the task called lecturette. Each member of your group will deliver a three minutes informal talk on a topic selected by candidate from the set of topics offered separately to each candidate.Approximately three minutes are given to the candidate to prepare the talk and thereafter speak for three minutes in front of group on the subject chosen by the candidate.DAY 4 - GROUP TESTINGThe balance of the Group Tests are conducted on fourth day. The test begins early in the morning with Individual Obstacle (IO) course.INDIVIDUAL OBSTACLESIn the individual Obstacle there are ten obstacles designed to test candidates individual ability in negotiating them, you are given three min to negotiate as many obstacle as possible on your own. If the course is completed within the time limit, you may repeat the obstacle of your choice. You will be given short break after all members of the group have completed their individual obstacle course.COMMAND TASKThe next task in line is the Command Task, each member of your group will be put in command of the group in turn, the objective being completion of the specified task as commander of a group. You will be first briefed by the GTO regarding the task and thereafter you will explain the task to your group as commander and give instructions to them and also monitor the completion of the task personally.FINAL GROUP TASKAs the name suggest the last GTO test is the final group task, here once again the entire group gets together to complete an assigned task within the stipulated time frame.DOS & DON'TS for GTO TESTDOsPerceive the problems posed correctly and assimilate all details.Have adequate awareness about general/ current affairs.Be quick enough to think and write solutions.Solutions should be logical and realistic.Be spontaneous and forthright in expressing yourself, participate actively.In outdoor task, be energetic, participate and contribute to the group activities.Understand the requirement of the task, plan and try to evolve/suggest workable ideas.Keep the group aim in mind.Be confident and develop perseverance in pursuing the aim/goal.Be effective in communicationDon’tDon’t limit yourself to one type of media-explore various types of media to acquire knowledge/awareness about topics of general interest.Don’t try to put pre-conceived knowledge / ideas, utilize them to generate own ideas.Don’t sit/stand back and wait for opportunity to come your way – grab the opportunity.Don’t shut out others’ ideas.DAY 5 – CONFERENCE DAYCLOSING ADDRESSThe last or the 5th day is spent in the conference. In the continuation of the process of selection, the day begins with the closing address. Closing Address is generally given by Dy President of the board before the Board Conference. During the address officer will highlight the merits of selection system, explain the qualities that we in the Armed Forces are looking for in your personality and provide clarification to any doubts or question that may arise in your mind. This is also interactive forum for you to put forward any problem complaint or any suggestion that you may have experienced during your stay at SSB.BOARD CONFERENCEThe Board Conference is the final event of the five day testing process, during the board conference which is chaired by president, Dy president and all the assessors that is the GTOs, Psychologists and Interviewing Officers, who have assessed you will be in attendance. Each candidate is discussed in detail by the three assessors, who have examined his demonstrated performance through the specific technique independently to arrive at consensus on acceptability of each candidate. Detailed process of validation and counter validation is undertaken to arrive at final decision about the candidate. Candidates will be asked to appear individually before the board. You will be asked some question during the conference. Your answers during the conference are also important. The board makes final recommendation about the suitability of the candidate as well as final marks to be awarded to each candidate.DECLARATION OF RESULTAfter all the candidates have appeared before the board and the result has been compiled, the Technical Officer of the board will announce the result. The candidates who fail to make the grade are seen off at the railway station. All those who are recommended by the board will stay on for the medical examination which may take one week.MEDICAL EXAMINATIONRecommended candidates appear before the medical board for carrying out their medical board after the SSB results. It takes 4 to 5 working days for the concerned Military Hospital to complete the medical board and after that the candidates are dispersed. NDA candidates are examined both for Army and Navy unless otherwise instructed and endorsement of fitness status will be made accordingly. President of the medical board will guide the candidates for Appeal/Review Medical Board procedures. Candidates may seek the advice of President Special Medical Board for review/appeal in case they have been declared unfit.Few Tips from my personnel experienceBE YOURSELF and I mean it, not just for the sake of saying. Trust you actions and Thoughts.Little Self Introspection such as your strengths & weaknesses will give you more clarity about your personality.If you don’t do physical exercise much, start jogging, it will help you to keep up your breath during GTO.Smiling brings positive thoughts. Make a habit to converse with others with smile on your face, but of-course don’t do it for serious moments otherwise i am not responsible for Slap…!!!!!!Don’t over do thingsStick to truth & facts, and they will be happy, go otherwise, and you will be sunken boat.and Once you get Recommended, you can tuck me in for having a McDonald’s or Pizza Party, after all it will be great mile to celebrate upon.All The Best.Thank You.!

What book do I need to prefer for the SSB?

You Yourself.!If you find it hard believe, let me tell you, it’s the normal response, but at the end of the day, actuality is same. It just you and yourself, who have any say to change the Results of the SSB.Crack in my view is not the correct word, crack is kind of word,where you find shortcuts to a destiny, or, just keep practicing without much of brain behind it. You can crack a Exam, But SSB is not a Exam and never was designed to be one. If one knows, in SSB results they never mention the word Pass or Fail, It’s Recommended or Not-Recommended for the Service. It’s a simple change of words, but holds a lot more meaning behind it.Before even i go into details of various entries and procedures, you need to first get yourself prepared till the end, so that you clear every round in One go.I believe even before setting in for above tasks and planning for them, invest good amount of time in yourself. Without Knowing yourself, one can never get through SSB, and that’s how each task is designed to get qualities out of your personality.Self Introspection of your qualities is very crucial. Knowing ones’ Strength and Weakness are the building blocks to success.Coming To Various Stages of Interviews, you can scroll down to the part which says SSB SELECTION PROCESS, if you are interested knowing more about how to Self Introspect, you can read further, otherwise i would suggest, you can stop your reading here.Now, as you have chosen to read further, well first of all congrats because You have PATIENCE my friend. Even before keeping any points in my mind for SSB, my friend you need look into you,i.e.Self Introspection is crucial aspect of SSB, and indeed Life. Unless and Until you don’t know about you Strengths and much more important your weaknesses, it will make things a lot tricky.SSB as a whole is rather very easy testing process, and why not it was designed to be like that, so that your real self can come out, its Us who make tough for us by trying the shortcuts, and this step is taken when someone is to much crazy about achieving something, well both this things don’t go well with SSB.I will what i did, for a start for self introspection, you can have your own way for it, I took a A4 sheet and started with my Strengths, an you know what i got a hell lot of strengths on the paper, but then came climax, When i started jotting down myweaknesses, i could only make 4–5 points max,if you see this in normal scenario its good that i have less weaknesses and even anyone would see it that way,and i am no different, but i took a random thought process, i thought why is it that i have so less weaknesses but then too i am not able to hit the target, answer was obvious, i was not looking in for weaknesses deeply, what my mind did while writing down weaknesses was it started categorizing them common, small or negligible weaknesses, whereas same didn’t happened in case of Strengths, there i had it, I broke down classification, and started finding weaknesses of mine, and believe and made me realize that there were many incidents which overlooked instead of learning from those mistakes.Sorry, for long explanation , but i guess you must have got my point, but don’t just stop at Strengths and Weaknesses, think of what you daily, your hobbies, you sporting activities, this will help you to confidently answer question about yourself, and believe me or not, when you don’t know yourself completely its this Questions On you which take you down.So, when you are out there in SSB, you need to make sure of this things in broader aspects,BE YOURSELF - let others response may sound how much interesting and thrilling, its your response and reaction that matters at that moment, from my experience i thing which i observed, SSB majorly focuses on how you do itordeal with a certain situation. Even if you give an interesting and impressive answers, which you have mugged up, it wont do any good, and in fact do a lot bad, Instead, you can give your answers, and think before answering so that when stressed upon, you can confidently support your point.PRESENCE OF MIND - Its very crucial, a lot go down just because they neglect this aspect. Presence Of Mind not brings in “A” Game of yours, it broadens your horizon of thinking, instead of getting excited and running just for the sake of running without any direction. This Aspect brings in Patience in you, and its no secret staying calm in stressful situation is key to go through it.BE POSITIVE & OPTIMISTIC - Putting you under stress is what SSB does to take your real out, so many times things don’t go the best way you would have hoped for, now at this point you need to have a optimistic view, analyse your mistake and move on, instead of crying and getting worried over it, as doing this just starts a chain reaction which will destroy all your tests.All the above mentioned three points together power up your CONFIDENCE, and it goes in your favor in a big way.SSB SELECTION PROCESSThe aim of five day testing is to assess personality of candidates by three pronged approach – Manasa, Vacha & Karmna, Translating into your thoughts, speech and deed/actions. These three approaches are termed as techniques and they are assessed by Psychologist, Interviewing Officer and Group testing Officer independently. The summation of three approaches in conference gives inputs for identifying a potential and a trainable Armed Forces leader.TESTING SCHEDULE AT SSBThe selection process is spread over five days testing schedule and is conducted in two stages. Stages I is conducted on the first day and the candidates having some chance of getting selected are retained for Stage II based on the performance of candidates in written test and Picture Perception and Discussion Test (PP & DT) conducted on Day 1. The brief program for five days is given below and the same is elaborated in subsequent sections.STAGE -1DAY 1 - Written Test, PP & DTSTAGE – IIDAY 2- Psych Test ; InterviewDAY 3- GTO 1 Day; InterviewDAY 4- GTO 2 Day; InterviewDAY 5- ConferenceREPORTING DAYRECEPTIONYour day of reporting starts with the reception as per the details given in call letter/ SMS sent to you, a reception is organised for all candidates at the railway station. You have to report to the Movement Control Office (MCO) at the time and date given in call letter/SMS. Here a representative of the SSB manning the reception will receive you and direct you to a bus that will take you to SSB.Candidates arriving late or by road/air should proceed directly on their own and report to the SSB. On your arrival at the SSB, you will be given sufficient time to settle down.OPENING ADDRESSThe first organised event at the SSB is the opening address. The duty officer gives and introductory talk, explains matters of administration arrangements, the DOs and Don'ts at the SSB and the routine at SSB in the brief for the next five days. Listen carefully to what he says.DOCUMENTATIONAfter the opening address Documentation check is the next event. You are required to produce your original certificates for verification and fill up certain forms like the TA form on the reporting day itself. You will also be allotted chest numbers for your Stage I testing.DAY 1 – STAGE 1OIR TESTMorning of the Day 1 begins with the Officer Intelligence Rating (OIR) Test. The test would start early, so ensure that you have a good night sleep and wake up in time to be ready for the tests. The tests themselves include verbal and non-verbal tests which require simple and analytical reasoning.PPDTThe second test of Day 1 is Picture Perception and Discussion Test (PP&DT). During this test a picture is flashed on screen for 30 seconds and candidates have to broadly note down certain basic parameters i.e. No of characters, their age, sex, mood and thereafter write a story relating to the situation in the picture. A story that could cover, what according to the candidate’s perception led to the situation in the picture, its present and future development? The time allotted for the story to be written down is 4 minutes.GROUP DISCUSSIONIn this test the picture and your stories would be discussed in a group. For this phase the batch is divided in small groups. The strength of a group is around fifteen candidates. To start the Group Discussion, each candidate would be required to narrate his perception and individual written story. Subsequently, candidates will discuss among themselves and achieve a common consensus about the characters and the theme of the story.RESULT OF STAGE 1Once all candidates have undergone this stage the results of Stage I are declared. Successful candidates are retained for Stage II testing and the balance are asked to leave after a short brief on general shortcomings. The candidates are provided with lunch and transport to go to the railway station. Candidates will also be paid the entitled Travelling Allowance for AC 3 tier class. This travelling allowance is paid to candidates appearing for the first time in SSB on production of the original tickets.STAGE 2The candidates retained for further testing in Stage 2 will be divided into groups of eight to ten candidates. Each candidate will be allotted a new chest number. It is important to remember that you are not competing with other candidates, all of you will be assessed against the common standard of suitability and it is possible that everyone in the group is selected or rejected. You will require to fill up Personal Information Questionnaire (PIQ) with correct and exact details about your life. In case of a large batch some of you may find yourself facing Interviewing Officer in the evening of same day.DAY - 2PSYCHOLOGICAL TESTThe second day sees the testing in the earnest and begins with the onset of Psychological Assessment. The candidates are taken through a series of situations projected as words, pictures and narrated situations. The reaction timings are stringent to bring in natural and subconscious behavioral pattern of individual. As the Psych tests takes time and one has to be fresh and natural, the tests are started early in the morning. Before the tests are administered you will be briefed by the Psychologist about the various tests you have to undergo, also before you undergo actual tests you will be familiarises with the example tests of each type. Psych test are administered on candidates to access the psychological profile acceptable for candidates of particular age group.THEMATIC APPERCEPTION TESTThe first test among the battery of Psych tests is the Thematic Apperception Test (TAT). In this test a total of 12 pictures including a blank picture will be shown for 30 seconds each, one after the other. Candidates are asked to write story around the picture shown, covering issues like what led to the situation, what is going on and what would be the outcome of the situation perceived in the picture. The picture is selected in a manner to allow your creative mind to evolve a number of stories.No story is correct or wrong, what matters is it must be a story triggered in your mind by the picture. Remember that the picture is shown only for 30 seconds and then you are asked to write about the picture within four minutes. In the blank picture, you have to imagine a picture of your own choice and write a story around that. Since the timings are stringent you are advised to write the story that occurs to you first on seeing the picture, that way your response will be natural and you will be able to write the entire story within the limited time available to you.WORD ASSOCIATION TESTThe next psych test is the Word Association Test (WAT). In this test a total of 60 words are shown to the candidates. Each word is flashed on the screen for 15 seconds. The candidate is required to write down the first thought or idea that comes to his mind on seeing the word in the space provided in the 15 seconds before the next word is flashed.SITUATION REACTION TESTThe third psych test is the Situation Reaction Test (SRT). This test consists of 60 routine life situations regarding day to day activities. The situations are printed in the booklet and candidate is asked to write his reaction by completing the sentences as to how he would feel, think and act in these situations. A total of 30 minutes are given to candidates to write down reactions to all the sixty situations in the booklet.SELF DESCRIPTION TESTThe last in the battery of Psych tests is the Self Description Test (SD). Each candidate is given 15 minute and is asked to write 5 separate paragraphs on the opinion of his parents or guardian, friends, teachers or superiors, self opinion and qualities the candidate would like to develop/ inculcate in himself.Following is the way how you will mostly probably sited for Psych Test.DOS & DON‘TS PSYCH TESTDOsListen and adhere to the instructions properly.Clarify all your doubts before the commencement of each test.Be as imaginative and spontaneous as possible.Give your first reaction to picture/word shown to you, don’t think twice as there is no right or wrong answer to the situation, everyone is like to respond in his own unique way.Be realistic and logical in your responses and keep track of time.Don'tsDo not use coached/ tutored ideas while responding to psychological test battery.Do not create mental sets about pictures during run up to the SSB as it may restrict your spontaneity and imagination.INTERVIEWOn completion of Psych tests and subsequent refreshment break, some of the candidates have to appear before the Interviewing Officer for Personal Interview. The interviews will continue in the afternoon and evenings of Day 2, 3 and 4. You will be interviewed only once and will be informed well in advance about the time and place.The atmosphere throughout the interview is relaxed and informal. The questions are generally based on your every day experiences and relating to your work, education, family and spare time activities, hobbies and interests. Each candidate is interviewed for a duration ranging from 45 minutes to an hour. The Interviewing Officer will discuss by way of questions and answers the opportunities you had in your life and utilisation you made of them. The Interviewing Officer is fairly senior and experienced in the armed Forces while he interacts with you, he assesses whether you have the essential qualities to be trained to become an officer in the armed Forces. What you have done till date with regard to your academics, your achievements and extra curricular activities, your interest in life, interaction with your parents, friends and society at large. Candidates’ general awareness, physical and mental fortitude, form important facets to assist him in his assessment. No one is perfect and the Interviewing Officer understands and gives more than adequate benefits for the shortcomings or mistakes which you may have committed thus do not try and hide anything. The tendency of lying and making false pretences is easily found and is viewed negatively.DOS & DON'TS – INTERVIEWLook smart, cheerful and enthusiastic.Be audible but not too loud and appear keen to speak and respond to questions.Sit straight and comfortably, do not fidget, do not keep moving your hands and legs as it may distract the interviewer from your responses.If you have not understood anything politely ask for clarification or to repeat the question.You are expected to be aware so as to touch upon current events if asked.DAY 3 - GROUP TESTINGThe third day is full of exciting physical activity in the Group Testing Grounds. The candidates will be briefed by the Group Testing Officer in the morning about all out door activities. The primary concern here is to see how you will face the obstacles and the tasks allotted to you and your attitude towards other members of the group both while working with them and while directing them. Group tests do not require specialised individual skills on your part, logical thinking, coordinated team efforts, work ability to receive and give suggestion is what is looked at by assessors. You will be provided with Sketch Board, Ladders, Ropes, Planks and other such things as your tools to help you in the assigned task. You are given few minutes to form plan and thereafter execute the task within the given timeframe. The battery of GTO tests consists of nine tests/ tasks.GROUP DISCUSSIONThe first task of GTO battery of test begins with Group Discussions on a debatable topic, which is usually given on a current event/social issues. In the first group discussion the group is allowed to select one of the two topics offered.In the second group discussion the topic is of the GTO’s choice. Each discussion will last for approximately 20 to 30 minutes. Each candidate is expected to participate in the discussions. Remember that the discussions involve the exchange of ideas and thoughts. It is not a traffic of words.GROUP PLANNING EXERCISEThe Group planning Exercise is the second test of the GTO test series. In this test a story on a model with a few problems is narrated. What you are required to do is to identify the problems and evolve the practical solution within the given time. You are expected to write down your own individual solution on the paper provided to you. A candidate while giving solution should think logically, write and draw neatly and also examine alternate solutions of the problem. Thereafter your group collective solution will be discussed by the group and you are expected to participate in evolving the group plan acceptable to everyone. One of you may then be asked to explain the acceptable group plan.PROGRESSIVE GROUP TASKProgressive Group Task is the next GTO test. Four obstacles are required to be collectively negotiated by your group along with a heavy load. Certain helping materials in the form of Rope, Planks etc are provided for the task to be completed within 40 minutes. Ground rules will be explained to the candidates in detail before the commencement of the tests. Make sure you and your group adheres to the rules strictly. Also remember that all of you and the load need to negotiate the obstacle together to move on during this test.GROUP OBSTACLE RACEUnlike other tasks here the entire group competes with other groups of your batch over a set of six obstacles. Each group has to carry a roll of tent/ stuffed gunny bags in the shape of snake from the start point to finish point. Therefore the task is commonly referred as Snake Race. The rules of the race will be explained to you, the winner is the group that cover all the obstacles against the challenge posed by opponents. Not to forget to include time, obstacles and load within the framework of rules of the race. After the race there is a short 20 minutes break for rest and refreshments.HALF GROUP TASK (HGT)After the break you will participate in the Half Group Task. This task is similar to the PGT except that it is conducted over one obstacle with smaller group.LECTURETTEOn completion of HGT the GTO will conduct the task called lecturette. Each member of your group will deliver a three minutes informal talk on a topic selected by candidate from the set of topics offered separately to each candidate.Approximately three minutes are given to the candidate to prepare the talk and thereafter speak for three minutes in front of group on the subject chosen by the candidate.DAY 4 - GROUP TESTINGThe balance of the Group Tests are conducted on fourth day. The test begins early in the morning with Individual Obstacle (IO) course.INDIVIDUAL OBSTACLESIn the individual Obstacle there are ten obstacles designed to test candidates individual ability in negotiating them, you are given three min to negotiate as many obstacle as possible on your own. If the course is completed within the time limit, you may repeat the obstacle of your choice. You will be given short break after all members of the group have completed their individual obstacle course.COMMAND TASKThe next task in line is the Command Task, each member of your group will be put in command of the group in turn, the objective being completion of the specified task as commander of a group. You will be first briefed by the GTO regarding the task and thereafter you will explain the task to your group as commander and give instructions to them and also monitor the completion of the task personally.FINAL GROUP TASKAs the name suggest the last GTO test is the final group task, here once again the entire group gets together to complete an assigned task within the stipulated time frame.DOS & DON'TS for GTO TESTDOsPerceive the problems posed correctly and assimilate all details.Have adequate awareness about general/ current affairs.Be quick enough to think and write solutions.Solutions should be logical and realistic.Be spontaneous and forthright in expressing yourself, participate actively.In outdoor task, be energetic, participate and contribute to the group activities.Understand the requirement of the task, plan and try to evolve/suggest workable ideas.Keep the group aim in mind.Be confident and develop perseverance in pursuing the aim/goal.Be effective in communicationDon’tDon’t limit yourself to one type of media-explore various types of media to acquire knowledge/awareness about topics of general interest.Don’t try to put pre-conceived knowledge / ideas, utilize them to generate own ideas.Don’t sit/stand back and wait for opportunity to come your way – grab the opportunity.Don’t shut out others’ ideas.DAY 5 – CONFERENCE DAYCLOSING ADDRESSThe last or the 5th day is spent in the conference. In the continuation of the process of selection, the day begins with the closing address. Closing Address is generally given by Dy President of the board before the Board Conference. During the address officer will highlight the merits of selection system, explain the qualities that we in the Armed Forces are looking for in your personality and provide clarification to any doubts or question that may arise in your mind. This is also interactive forum for you to put forward any problem complaint or any suggestion that you may have experienced during your stay at SSB.BOARD CONFERENCEThe Board Conference is the final event of the five day testing process, during the board conference which is chaired by president, Dy president and all the assessors that is the GTOs, Psychologists and Interviewing Officers, who have assessed you will be in attendance. Each candidate is discussed in detail by the three assessors, who have examined his demonstrated performance through the specific technique independently to arrive at consensus on acceptability of each candidate. Detailed process of validation and counter validation is undertaken to arrive at final decision about the candidate. Candidates will be asked to appear individually before the board. You will be asked some question during the conference. Your answers during the conference are also important. The board makes final recommendation about the suitability of the candidate as well as final marks to be awarded to each candidate.DECLARATION OF RESULTAfter all the candidates have appeared before the board and the result has been compiled, the Technical Officer of the board will announce the result. The candidates who fail to make the grade are seen off at the railway station. All those who are recommended by the board will stay on for the medical examination which may take one week.MEDICAL EXAMINATIONRecommended candidates appear before the medical board for carrying out their medical board after the SSB results. It takes 4 to 5 working days for the concerned Military Hospital to complete the medical board and after that the candidates are dispersed. NDA candidates are examined both for Army and Navy unless otherwise instructed and endorsement of fitness status will be made accordingly. President of the medical board will guide the candidates for Appeal/Review Medical Board procedures. Candidates may seek the advice of President Special Medical Board for review/appeal in case they have been declared unfit.Few Tips from my personnel experienceBE YOURSELF and I mean it, not just for the sake of saying. Trust you actions and Thoughts.Little Self Introspection such as your strengths & weaknesses will give you more clarity about your personality.If you don’t do physical exercise much, start jogging, it will help you to keep up your breath during GTO.Smiling brings positive thoughts. Make a habit to converse with others with smile on your face, but of-course don’t do it for serious moments otherwise i am not responsible for Slap…!!!!!!Don’t over do thingsStick to truth & facts, and they will be happy, go otherwise, and you will be sunken boat.and Once you get Recommended, you can tuck me in for having a McDonald’s or Pizza Party, after all it will be great mile to celebrate upon.All The Best.Thank You.!

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