DEPARTMENT OF FORENSIC MEDICINE
MUMBAI – 08
Phone - 02223091650, 02223027156 /157
Email - tnmc4nsicmedicine@gmail.com
ISO 9001:2008 Certified Department
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To,
Medical Council of India,
New Delhi
Medical Council of India,
New Delhi
Memorandum about hasty & vision-less : Vision 2015
DOCTOR: POPULATION RATIO --
· While considering the shortage of the doctors in India there is no statistics given of the doctors: population ratio with other recognized alternative medicine (AYUSH).
· The availability of doctors in India in July 2005 as per MCI data, revealed by the then minister of state for health and family welfare, Panabaka Lakshmi, was 1:781 (1:1,722 if only allopathic doctors were considered), which means we have already achieved the target ratio in 2005.
· The projected ratio by MCI is based on comparison of other countries, however the facts like availability of other healthcare professionals, doctors in other available alternative medicine, GDP of the country, infrastructure etc. have not been considered.
· We consider that there is no need of doubling the seats by 2020 & quadrupling by 2030.
· This will worsen the scenario in India like professional malpractice and exploitation of doctors.
· Such ambiguous data is used for the formulation of vision 2015, a national policy. This raises a big doubt on the competency of Undergraduate Education Working Group 2010.
· It shows their more inclination towards supporting private institutes for starting new medical colleges.
· Ultimately there will be deterioration of the medical profession in India.
SHORTAGE OF TEACHERS:--
· The projected need and shortage of teachers as mentioned under Table-3 (page11) Pertaining to Forensic Medicine appears to be misleading. The data look like being cooked up entirely. As per the information available at MCI website; there are total 1493 forensic medicine teachers (1390+103) i.e. approx 1500 whereas the table 3 shows only 500 teachers in place.
· In the same table a simple mathematical calculations were wide of the mark. In the subject of psychiatry and dermatology they have calculated total additional need as 960 in place of 880. This shows reluctant and careless makeup of the Undergraduate Education Working Group.
Teacher shortage – funny ways out
1. Dual appointment - Does it mean a teacher can be appointed at 2 medical colleges?
2. Interdisciplinary appointment?
3. Retired teacher pool - How many such teachers can be appointed & up to what age?
4. Superannuation- What could be the increased age of superannuation? What about the fitness (physical & mental) of such teachers? Will the teacher from retired pool & those with increased superannuation be only visiting professors or full time & head the department? Will these not blocked promotional avenues of young teachers in the department, their by actually causing decrease in doctors obtained for medical education as a career?
Rocket model:
· MBBS graduate = 50,000/yr
· M.MED = 50,000/yr == which means everyone will get some subject for M. MED; however this shows disparity in objective of the vision i.e. to create “Basic doctors”.
· MD = approx.25,000/yr == i.e. only 50% doing M.MED will get MD == this means the other 25,000/yr M.MED doctors will start a private practice taking almost 8 years, In comparison with other streams , it could be too late for M.MED doctors to settle down in practice.
Rocket model is wrong as
· It should be a pyramidal model.
· A & B, C & D seats are not proportional.
This rocket model should be fired now to save the nations medical profession.
Doubts and suggestions -
· One National Entrance Exam - already rejected by Central Government. How it will be possible to conduct one national exit exam. It appears that the plan of vision 2015 could not be implemented in the suggested manner.
· Professional exams at the end of 1st and 2nd year – Who will conduct the exams? What will be the consideration and significance of these exams, when these marks will not be accounted for further PG education?
· Exit exam Step 1 at the end of 4yrs - How student will able to read so many subjects for a single exam at the end of 4yrs.
· Exit exam Step 2 - Which subjects will be there? What will be the pattern?
· Will the students be allowed to give exit exam 1 or 2 once more, even though he is passed in 1st attempt, for the betterment of his score to get a better PG seat.
· If fails in Step 2- Re-examination after 3mths - Is it possible to hold an exam at the end of 3mths? Which 3mths - after declaration of the results or conclusion of examination? Is the period of 3mths between the declaration or conclusion of the previous exam (Step 2) sufficient?
· Level 2- Basic laparoscopic skills & level3 – advanced laparoscopic skills, will it be useful for a ‘basic doctor’?
· Why MS & MCH nomenclature has been abolished? Is it really necessary to change the nomenclature? Does MCI feel that merely changing the name of degree will improve the quality of that specialty doctor? If current nomenclature MS & MCH stands abolished does it apply only to future candidates or those who have already acquired MS / MCH & are practicing?
· The common public of the country is aware that M.S / MCH is a surgeon and M.D/DM is non surgical person or from branches of medicine. If these nomenclatures are abolished, doctors acquiring MD degree in surgical fields will be at disadvantage during his private practice compared with those who have acquired MS degree previously.
· Is M.MED an alternative nomenclature for diploma?
· Will the course of M.MED same for all P.Gs?
· What work is expected to be done by those registered for Anatomy, Physiology, Biochemistry etc. non clinical subjects in district hospital or industry?
· Who will decide to give 5% incentives? If it is in the hands of medical officer / civil surgeon etc. our future doctors (M. Med) may be exploited for this reason.
· After M.MED examination will there be specific number of seats for every options whether the availability of options (1 to 5) on the basis of M.MED Marks.
· What will be the basic criteria for selecting a medical teacher & whether any particular option category will be given preference e.g. Option I, II, III & IV.
· The service bond after graduation and post-graduation have not been considered while preparing the flowchart of PG education.
· The MBBS result was about 65-70% till 1999 in Mumbai University & other Universities in Maharashtra. In the present university the results increased upto 90%, then why there is a need to change the system – do u want to make result 100%!! for creating ‘basic doctors’.
· If aim of MCI is to provide doctors to rural areas by selecting students from rural and under-served backgrounds, do the Government / MCI ensure that then doctor will go back to their local region & provides service?
· How does MCI plan equitable distribution of doctors in urban & rural areas (No explanation given)
· Restructuring of MBBS course – 4 year course + 1 year internship (which includes 6 months of electives) Page no 13. If electives are before or after internship, the course will be of 4year +1year +6months. However vision 2015 suggests4+1 model of training (4 years course with 6 months elective+ 1 year internship); 1+1+2+1. Page no 7.
· Should legal experts be called for medico legal examination? What will a legal expert teach?
· Does this have control on exam especially of Deemed University?
· Why names of PG boards not mentioned on site
The BOG & MCI has put up noticed on 28/12/2010 & asked for comments suggestion within 21 days i.e. 17/01/2011.
a. Does BOG have powers to make such drastic changes?
b. Why the comments & suggestion were not asked before preparing such nationwide policy documents?
c. The notice was posted on 28/12/2010 i.e. at the end of the year when many teachers on leave & most of the universities have U.G, P.G. exams during that period & the teachers are not free to study the policy document in detail.
d. Why the BOG did not informed constituents of UG & PG working groups in July 2010. What was the basis adopted to constitute working groups in July 2010?
Budget-Total 19880 Cr. ????
We think that the main objective of BOG is to support private medical colleges like Ketan Desai doing it under different names?
Drafted by -
Dr. Shailesh Mohite, Professor & head,
Dr. Pawan Sabale, Asst. Professor,
Dr. Rajesh Kharat, Asst. Professor,
Dr. Sachin Sonawane, Asst. Professor,
Dept of Forensic Medicine,
Topiwala National Medical College, Mumbai.
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