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196 Professor Seetharaman Hariharan is presently the Professor of Anaesthesia and Critical Care Medicineand Programme Coordina- tor of Anaesthesia Intensive Care at the Department of Clinical Surgical SciencesFaculty of Medical SciencesThe University of the West IndiesSt.Augustine. In addition he holds the position of Deputy Dean Clinical Sciences at the faculty. He is also the Director of Operating Theatres and Honorary Consultant at the Eric Williams Medical Sciences Complex EWMSCTrinidad.He is the current Secretary of the Medical Board of Trinidad Tobago.He is the Vice-President of Trinidad Tobago Anaesthetists AssociationExecutive Member of Bioethics Society of the English-Speaking Caribbean and a member of other learned societies including Society of Critical Care Medicine USA American Society of Anesthesiologists Association of Anaesthetists of Great Britain and Ireland World Institute of Pain International Association of Bioethics Indian Medical Association and others. After a basic MBBS degree he gained clinical experience in internal medicine for five years. He obtained a post-graduate degree in anaesthesiology from Kasturba Medical College Manipal ranking first in the university. He was employed with the Queen Elizabeth HospitalBarbados for five years before he joined The University of the West IndiesSt.Augustine. He was awarded an Honorary Fellowship in Critical Care Medicine by the American College of Critical Care Medicine during February 2009 for his outstanding contributions to the field of Critical Care Medicine. Research Prof. Hariharan has been the primary supervisor for 20 candidates for their postgraduate doctoral dissertation in the form of a research project and co-supervisor for another ten candidates many of these research papers have been published in peer- reviewed international journals. He has also guided and super- vised 15 undergraduate research projects which have produced many publications thus far. He mentored more than 60 students enabling their first peer-reviewed publication. He has several ongoing research projects. Prof. Hariharans primary area of academic specialty and research is evaluating risk-adjusted outcomes in intensive care units ICU and other healthcare units. What are the performance markers of a healthcare unit Traditionallymortalityhas been always considered as a metric of performance of a healthcare unit. However there can be process measures which can be influenced by infrastructural parameters which can influence the outcomes of a healthcare unit. Prof Hariharans team developed several innovative models adapting tools from the project management arena for performance appraisal as well as quality improvement of ICU and other health- care units. Analytic Hierarchy Process AHP is one such tool used in project management for benchmarking purposes which his team applied for performance measurement of ICUs as well as hospitals. This has been a pioneering and well cited work in the area of healthcare management. Is it right to interpret death in a hospital as always a failure of the healthcare system What is the concept of death in contempo- rary society What is futility of medical care What is the role of life-support technology in medically futile patients How does cost influence the decision-making process Death in the hospital is always seen as a failure of the health- care system. However there has been a cultural change globally that death is no more an event but has evolved into a process. Most people want to die at home however in the contemporary era most people die in hospitals often in ICU. Hence it is obvious that death in the hospital must not always be interpreted as a failure of the healthcare system.Many patients who are terminally ill get admitted to hospitals and ICU consume a vast amount of resources before the inevitable happens since there is a death- denying attitude spreading across the communities. With the explosive availability of media and internet people tend to believe that all lives can be saved by high-technology support available currently. Prof.Hariharans research investigated the paradigm of futility of care in ICU the factors influencing the continuation of life support measures in futile situations and how free healthcare versus fee-for-service healthcare can influence decision-making processes in these situations. How do we efficiently allocate our scarce healthcare resources Cost evaluationcost-effectiveness analysis has been another major focus of his research. He conducted cost and outcome evaluation of ICUs in Barbados Trinidad Tobago and compared MEDICAL SCIENCES Professor of Anaesthesia Critical Care Medicine Programme Coordinator Anaesthesia Intensive Care Unit Deputy Dean Clinical Sciences Director of Operating Theatres Consultant in Anaesthesia ICU Tel 868 662 4030 E-mail PROF. HARIHARAN SEETHARAMAN