Clinical Communiques and Medical Education (CCME) (Print ISSN 2320- 9208) is peer- reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published biannually. It has been established to publish material from a broad base of medical and paramedical researchers/expert. It is accepting articles of merit from contributors all over the world. Above all we adhere to the highest standards in research with particular emphasis on novelty of idea and methodological and ethical rigor. The article should have prior approval from ethical committee. The journal publishes original research papers, review, clinical studies, case series, brief communiques of interest in all branches of medical science and education.