WHO IS KILLING MODERN MEDICINE IN INDIA?

Dr.T.V.Rao MD To know better about mishappening in our Indian Medical system, let us know the Anatomy of our

Medical Educational system, which is rapidly falling with many crisis, one blame other for no

solutions as Private medical colleges have proliferated rapidly in India. When in 1980 there were

around 100 public colleges and 11 private, the latter now outnumber the former by 215 to 183.

Most are run by businessmen with no medical experience. Last January, the British Medical Journal

found that many private medical colleges charged "capitation" fees, which are essentially

compulsory donations required for admission. Jeetha D'Silva, who authored that report, wrote,

"Except for a few who get into premier institutions of their choice purely on merit, many students

face Hobson's choice - either pay capitation to secure admission at a college or give up on the dream

of a medical degree. “I am just a little drop in the occasion of misstatement of Medical Profession,

Today everybody reports in a big way for the corrupt practices in the Medical Profession , imposing

that Medical council of India, however it was mended to needs of the politicians and rich people in

power almost I am in this private Medical college as a Poor and helpless Microbiologist, If you wish

to continue a privatized profession you should be silent spectator, practically in many Medical

colleges, there is no rule of law, only the managers near to management take decisions, TOME DICK

HARRY ARE THE INTELLECTUALS, in some privates run on caste creed and religion play the game

and real strengths and rarely academics matters, and Controversies, discussions and conflicts

surrounding the state of medical education in India are like the common cold, everybody suffers but

no body complains it keeps surfacing every now and then. The challenges that it often confront are

that of poor government control over the accreditation process, lack of skilled faculty, curriculum

with inconsequential detail, complicated nature of the selection process, etc Many retired teachers

join to spend their time and many enjoy long privileges from private managements for even baby

sittings, this all they call it agreements, I cannot blame the private managements they are at the

mercy of senior faculty they have to tolerate whether they are sane or insane to the modern needs, I

sustained to continue as Heading the department tolerating matters like a learned Money, working

for salary not to see all the foolish and blunders going around, or I may be out of Job, People say

they have decades of experience in serving the government and oppose any change except their

conveniences. Almost many teach and believe what they are doing 30 years back than what is

needed today to modernize medicine so it means we cannot blame the MCI or private managements

as they are mercy of TOM DICK AND HARRY, so the mismanagement grow roots of our educational

system.

Please read the important observation of well-read intellectual BM Hedge, scientist, and author,

notes, “Key players have questioned the validity of selection on the basis of pre-medical tests

consisting of multiple-choice questions. The universities are just degree-selling shops. Medical

schools should make radical changes in the curriculum, adopt innovative pedagogical strategies for

enhancing students’ learning, improve the methods used to assess students’ performances, and

focus on the professional development of faculty as teachers and educators.” We all observe, “In

India, we follow a rote method of learning, so the clinical bedside knowledge is far below the

requirement. How is this going to make us reliable doctors? While preparing for PG exams to study

abroad, one realises the importance of adequate clinical skills. The system must emphasise more on

this than on distinctions.”

EVERY BODY ADVISES BUT WHO FOLLOWS Policymakers, physicians and those who teach physicians

must open their eyes to the opportunities, realities, and responsibilities. We need a holistic, radical

surgery to restructure the entire medical education system in India. Whether one aggress or not 60

to 70 Doctors in majority of the private medical colleges are substandard and prove to be harmful as

many of them pass the examination with power of money I just do not blame the students and

money, we have more 70% of the SENIOR faculty are non-productive, LIVING AND MAKING

MONEY BECAUSE OF MCI REGULATIONS as the main role of a Teacher in Private Medical colleges is

pass the students, forgetting the objective of A medical COLLEGE is about dealing with patients and

their lives, and not about examination or passing the subjects. What we are taught always comes

with a label 'Important from examination point of view', never as 'Important to learn and apply',

both being mutually exclusive of each other. Even the most passionate doctors I've met hardly differ

in this aspect, and clearly outnumber those who think the other way round.

WHY COLLEGES LOADED WITH SUBSTANDARD STUDENTS so is it any surprise with the quality and

character of the doctors of the new era. The brightest and smartest don’t want to become doctors

since it’s simply not reasonable for a middle class family to sustain a medical student. This makes

way for corruption and only the people with the insane amounts of money can become doctors in

the new era. Are these the kind of doctors you want to trust your lives with?

There are very few inspirational teachers in Medical Colleges (thankfully few are still there). Again it

is related to low pay of professors in medical colleges. This low pay will prevent the best talents to

become teachers/mentors for the next generations of doctor

ONLY MONEY MATTERS AND NEVER THE MERIT The issue is not just about illegal capitation fees that

range from Rs.50 lakh to Rs.1 crore for a MBBS seat. The process of admission is itself flawed with a

walk-in system for those with money but for the others, it is a harrowing tale of expensive tuitions

and writing 15 to 20 examinations across the country — a process that once again excludes and

deters several

AS REPORTED BY THE HINDU sorting out the mess in medical education requires a consensus across

the political spectrum. Any shifts in the status quo will be bitterly opposed, so deeply entrenched are

the vested interests. But the time has come for the government to act as the acute shortage in

human resources is the main barrier to achieving universal health coverage. The more the delay in

addressing the critical challenges facing human resources for health on grounds of political

expediency, the greater the social, political and financial costs this country will have to bear in the

years ahead. Prudence lies in stemming the rot by decisive action and before it is too late. (Sujatha

Rao is a former Secretary, Ministry of Health & Family Welfare)

I always fought the system bitterly, of course to my satisfaction as Human taken the Hippocratic

oath however induvial vanish soon or later but the system continues for good or bad, hope whether

it is politician rich man poor man want to live in peace not succumbing to the corrupt and inefficient

system hope all humans have a responsibility above all our governments should be concerned about

the degenerating medical education, and I am certain that India faces many iatrogenic deaths than

country in the hands of inefficient doctors, I do not believe it is MCI along or many of us we are

enjoying the hospitality of the Medical educational system without contributing to save many

humans

What next? Parliament has done its duty. The onus is now on the government to demonstrate its

commitment to bringing in ‘achche din’. Unlike its predecessors, it is not a prisoner of vested

interests that control the MCI today and were allegedly behind the untimely transfer of a Union

Secretary and the Cabinet Minister for Health in 2014.

The PSC has indicted the MCI and this alone is sufficient reason to set it aside with immediate effect.

A group of eminent people should be appointed as a transition team to work out the new

architecture, even as the Law Commission should be requested to draft an appropriate law with

safeguards to ensure that the new body does not become overly centralised.

India has paid a huge price by sacrificing its traditional wisdom and not developing human resources

suited to its needs. Given the disparities in the country, there is a need to guard against elitism. In

the U.K. and in many European countries, medical education falls under the government. It is time

for the same in India. (Sujatha Rao is former Union Secretary, Health, and Sita Naik is former

Member of the Board of Governors of MCI and also member of the Ranjit Roy Chaudhury

Committee.)

UNASWERED QUESTION WHO IS KILLING MODERN MEDICINE I, YOU, OR MCI THE GOVERNMENT –

THE ANSWERS IS SIMPLE ALL OF US?

WHO WILL SET RIGHT THE MATTERS TIME WILL TELL?

Ref what is wrong with medical education and residency training in India? QUORA Raghuraj S.

Hegde, an ophthalmic plastic surgeon.

2 Doctors by merit, not privilege Sujatha Rao The Hindu dated June 26/ 2013

3 Getting medical education on track March 18 the 2016

Dr.T.V.Rao MD Professor of Microbiology Freelance writer