NEET should create a “Neat” system

Sigh of relief! Supreme Court’s decision to give NEET (National eligibility cum entrance test) a green signal is good. It’s not only about NEET but it’s about reducing the unethical practices of private seat allotments and rampant corruption in medical fraternity. Due to lack of proper awareness and information, the doctor scene is pitiful these days. People are so desperate to do medicine, they don’t even feel shame in such unethical ways, malpractices  and they even migrate to abroad to study  there because it’s cheaper in abroad than here. There is nothing to be proud about being a doctor in these ways. Infact it’s disrespectful and such medical practitioners are blot and hindrance.  About 77% Indian students with a medical degree in foreign universities in the past 12 years have failed to clear the screening test conducted by Medical Council Of India. It is indicative of poor standards of medical education in some foreign countries. India is the only country that authorises, as official policy, the sale of medical seats by private medical colleges, implicitly accepting the principle that the ability to pay, and not merit, is what counts. Further, in the absence of any system of third party certification by way of an entry or, more importantly, an exit exam — which could guarantee the qualities and competencies a doctor must possess before starting to practice — many medical colleges are producing quacks. The tragedy is that we all know about it.

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 business

Archaic and outmoded rules, regulations and eligibility conditions requiring a capital base of more than Rs.150 crore have made the establishment of medical colleges a business proposition. Combined with no incentives for quality education, there has been a twofold impact: 1.commercialising the medical profession, where “recouping” the investment is the prime concern for the investor and graduating doctor alike; and 2. an aggravated shortage of doctors in three ways: 15 per cent of those in the Non-Resident Indian quota within the 50 per cent management quota do not practice in India; of the remaining 35 per cent, many do not practice, migrate abroad or establish themselves in cities for better incomes; and, poor training makes many “unemployable” as amplified in a provider survey. Clearly, the commercialisation of medical education is one of independent India’s biggest mistakes.

Therefore, the solution of “flooding the market with doctors by opening more medical colleges” to contain the menace of capitation fees without in the first instance, overhauling the regulatory framework related to quality of instruction, faculty development, better salary structures and banning private practice, etc has little merit.

[Pathetic: Doctors who graduated by paying hefty sum of donation have first goal to recuperate their investment]

These rampant malpractices are being carried out since many years. So, what about those Undeserving so called “qualified” doctors who have entered the medicine and healthcare?

Government should take a step to make doctors take a test every year to assess if they have updated their skills. Doctors who fail could be given a grace time of a year or two (and multiple attempts) to pass the test, failing which, their licence should be suspended.(Strictly)

There are no short cuts or easy solutions to what has become a highly political issue.

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.

Any person having degree of doctoral and who wears white coat should not be allowed in this profession. Screening is must. Regulatory authority must play critical role.

What happened to the conscience of people ? People are so blinded by their pursuit, that for their selfish motives and greeds they can risk lives of people by becoming a doctor. 

If NEET is implemented uniformly and few other measures are being taken strictly in this regard to improve the (quality) health of “medicine and healthcare.” There is some hope of victory. Only Merit should be the basis of medical admission, selection of regulators and medical fraternity.

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Source : Majority of excerpts are taken from The Hindu (Sujatha Rao), Career India, blog-post -Decline in medicine and healthcare.

 

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Decline in medicine and Healthcare.

The level of medical colleges is dropping down.

Any “jholachaap” doctor can graduate from the college and the institute will not fail those medical students as they are getting huge fees from the students. Just to run colleges, hospitals are being opened so that those jholachaap doctors can treat there.[pathetic]
The level of medical colleges is bound to drop.
This is a picture of private medical colleges. Just like engineering colleges mushroomed in the 90s and churned out graduates in such large numbers as to make a mockery of a BTech degree, similar is the case with private medical colleges. It’s so deeply incorporated in the medical system that it is beyond rectification. Even if measures are being taken to improve the conditions then it going to be very gradual process. In India true meritocracy will take years to come.

Let me also state that an average MBBS graduate from a good government medical college is much more accomplished than many of his peers across the world.
Just look at the state of a young doctor today…
6 years of graduation, most states employing bonds to make them serve in the villages, 3 yrs of post graduation and bond even after that in most states and at the age of thirty, you’re earning a pittance.
The number of medical seats for a candidate appearing in All India PMT is much less than the number of engineering colleges in the country!!
Tell me, who will not go for an easy BTech/MBA degree which is available relatively very easily as compared to the highly competitive medical exams. The number of students appearing for AIPMT has already started showing a decline in past few years.
A young kid of 18 isn’t that aware of what he exactly wants to do in his life…he just sees a vague shiny career and prepares of it. Reality is that medical sciences is losing it’s charm steadily and nothing is being done to restore it.
If the system fails to attract brilliant young minds towards medicine, how will the medical and healthcare of the country improve? Few years down the line , in a very short time I foresee a collapse and total chaos in the healthcare industry; and this will be totally the government’s own doing, be it state or central both.

SYSTEM IS SO HAZARDOUS.

The rich families whose kids could not have otherwise cracked the entrance exam ; the Medical college owners who could sell their seats to them.

When a person who has paid very huge amount of money for his education enters the profession, his first goal is to recuperate his investment. After all, why would one be willing to pay such hefty sums for a career if he did not think he could get it all back? This leads to further loopholes in Medical industry.
The society suffers when people who may not be qualified or motivated are allowed to enter a profession that deals with human lives. The people are allowed to do whatever they want because their parents can buy a career for them.

Powerful people will continue to exploit the system and the hard working student who missed out on a seat by 1 mark will keep having his dream squashed and a patient will be billed 25L for a trivial problem by a Doctor who graduated by paying “very huge amount of money” in donation.
Many kids of affluent parents(mostly doctors)do study medical sciences in obscenely pricey but indiscreet private medical colleges or abroad (study there is cheaper than here) who doesn’t know that MS/MD seats are literally sold at crores of rupees of coveted branches.

Except AIIMS and few good reputated government medical colleges, situation is terrible.

Why people are reluctant to do hardwork? Where the brilliant and diligent peoeple have gone?

What kind of mockery is done to this divine service? The human lives are being served here.

Undeserving people not allowed here, else playing with people’s lives is becoming favorite sport.Medicine and healthcare is becoming business, people are taking it as money minting machine.

Such people are blot and hindrance . They have degraded the health of the sector ‘medicine and healthcare’.

Any person having degree of doctoral and who wears white coat should not be allowed in this profession. Some screening is must.Regulation must play critical role.

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The first step would be for the government to commission more such studies on a larger scale to continually assess the quality measures. This will at least give us scientific evidence of the size and scale of the problem. The second is to institute and fully integrate protocol-based diagnoses and treatment systems into the teaching programme for medical students. The third step would be to make doctors take a test every five years to assess if they have updated their skills. Doctors who fail could be given a grace time of a year or two (and multiple attempts) to pass the test, failing which, their licence could be suspended. The fourth step could be to use technology with applications like clinical decision support systems to improve the quality of care delivery. All these are vitally important patient safety measures.

The tragedy is that our society seems indifferent to the fact that visiting a doctor may actually be injurious to health. Perhaps, it is our belief in destiny or karma that makes us reluctant to fight for this cause. There are very few strong patient bodies or consumer groups that take these issues up with the state or medical associations. A society that does not fight even for something as basic as quality health care, perhaps, deserves the health care it gets. The next time you visit your doctor, remember that your odds of getting the right diagnosis and treatment may be even less than that from the toss of a coin.

–The Hindu

 

20160402_115110The above article is published in ‘The Hindu’ in relevance with the post.

http://www.thehindu.com › article8418954

 

Source : Some excerpts are taken from a social forum.