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Lack of quality in medical education

by Vijay Garg
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Such reforms should be seen in medical education
There are many types of messing with MBBS education.  According to the law, only those students who have been selected from the NEET exam according to the number of seats should get admission in the medical college.  But the situation is that the students who are in the rank of more than two lakhs, they are also getting admission on the basis of money.
Despite the shortage of doctors in the country, it is a matter of concern that one thousand four hundred and fifty six seats remain vacant in the postgraduate classes of medical education.  These seats have remained vacant after the National Eligibility Entrance Test (NEET PG).  Expressing displeasure over this, the Supreme Court had strongly reprimanded the Medical Consultative Committee (MCC).  Along with this, it was instructed that not a single seat should remain vacant, so the seats should be filled after special consultation.  But in the next hearing, the court upheld the decision of the Central Government and MCC and said that it cannot be called an arbitrary decision, because the quality of education cannot be compromised.  If they do so, public health will be affected.  Hence the decision of MCC is in the interest of public health.  The irony in this perspective is that on the one hand a large number of seats remained vacant due to lack of quality education, and on the other hand, many talented students do not want to pursue post-graduation in complex subjects.
When any one prevailing system is in trouble, many questionable questions are bound to arise.  One of the reasons behind the remaining vacant seats in medical science postgraduate courses is also the lack of interest of the students.  In this context, in 2015-16, one hundred and four in surgery (heart), fifty-five in cardiologists, eighty-seven in pediatrics, 58 in plastic surgery, forty-eight in neurological specialists and forty-eight seats in nervous system surgery are vacant.  Was left  Two reasons were cited for this decrease.
One is that sufficient number of qualified candidates were not found for the entrance examination of these courses and secondly that even the qualified students who got the post graduation, they refused to study in these courses.  Now the absence of qualified students is said to be the reason behind the vacant seats of one thousand four hundred and fifty six.  After all, what are the reasons that despite the increase in many facilities in medical education, the crisis of quality education is deepening?
Medical experts believe that today’s students do not want to study in courses that take a long time to specialize.  On the contrary, they want to acquire proficiency in such courses, where one can get the degree of specialization soon and there are opportunities to earn money.  Kidney, nose, ear, tooth, throat diseases and various technical examinations specialists start surgery after reaching the age of thirty-five, whereas heart and nervous system specialists get this opportunity after the age of forty-five years.  Is.
Clearly, the matter of heart and mind is very delicate, so long experience is also necessary in these.  But if this problem persists, then in future there is bound to be a shortage of doctors related to the treatment of these diseases.  Where is the deficiency in this system, finding it and then resolving it is the job of the government and the people associated with allopathy education.  But at present, in the background of the reasons for this, whether the formation of a ‘National Medical Council’ by rejecting the Medical Council of India and medical education is becoming more and more expensive?
NMC was formed in the year 2016.  Its objective was to improve the deteriorating standard of medical education, to make the profession corruption-free and to break the unethical nexus of private medical colleges.  But when NMC came in the form of law, there was a big flexibility in it that Ayurveda, Homeopathy and Unani doctors also get the right to do allopathic medicine legally by doing bridge courses at the government level.  This process also went on across the country through voluntary organizations.
Twenty five thousand rupees for this course.  Although still most of these doctors prescribe allopathy medicines without any hesitation, but this system is still illegal and runs on the malpractice of the government health department of the district.  It is possible that from the point of view of eliminating this contradiction and making illegal treatment legal, it has been giving legality to allopathic medicine by facilitating bridge-course in this law?  That is why the question arose whether an ordinary auto-taxi licensee driver could be allowed to operate an aeroplane after training for some time?  In fact, every method of treatment is a scientific method and has been perfected by hundreds of years of experiments and training.  Everyone’s studies are different.  The methods of knowing the symptoms of the disease are different and the medicines are also different.  In such a situation, how can any alternative doctor become a doctor or specialist of allopathy after four-six months of different studies?
The entrance exam for MBBS and postgraduate courses in allied subjects is very tough.  There are total sixty seven thousand two hundred and eighteen seats in MBBS.  According to the set standard of the World Health Organization, there should be one doctor per thousand population, whereas in our case this ratio is 0.62.  In 2015, the then Union Health Minister had told in the Rajya Sabha that there is a shortage of fourteen lakh allopathic doctors in the country.  But now this figure has crossed 20 lakhs.  Similarly, there is a shortage of four million nurses in the country.  From government district hospitals to all other health centers, the supply of technicians was not in proportion to the equipment.
If seen, there are many types of playing with MBBS education.  According to the law, only those students who have been selected from the NEET exam according to the number of seats should get admission in the medical college.  But the situation is that the students who are in the rank of more than two lakhs, they are also getting admission on the basis of money.  This situation persists because the meritorious students who are not able to pay the fees of private colleges, they give up their seats out of compulsion.  Later, the students ranked in the lower class get admission by purchasing this seat.
The cost of this seat ranges from sixty lakh to one crore.  By the way, the fee for one year in government colleges of the country is only four lakhs, whereas in private universities and colleges the same fee is sixty four lakh rupees.  The same rigging is being done with NRI and minority quota students.  For admission in MD, in private institutions which have management jurisdiction and grant based seats, the amount of admission fee is two crore to five crore.
On the one hand, we scoff at caste-based qualifications and disqualifications in the name of reservation, while on the other hand, through this law, private colleges have been allowed to fill 60 percent seats at the discretion of the management.  Now only forty percent of the seats will be filled through competitive examination.  Clearly, the management will openly auction 60 percent of the seats under its jurisdiction.  As a result the effect of this law is now clearly visible as PG seats remain vacant.  This situation is a sign of jeopardizing the future healthcare of the country.  In fact, such reforms should have been seen in medical education, which would have blocked the entry of money into it.

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Imphal Times is a daily English newspaper published in Imphal and is registered with Registrar of the Newspapers for India with Regd. No MANENG/2013/51092


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