Cleaning Medical Education
The easiest way to earn money is take bribes from each of 200+ private medical colleges and turn a blind eye to the deficiencies that they have as per very strict MCI norms. This itself means hundreds of crores of rupees. Most of the medical colleges have been operated by India's education mafia which in turn is controlled by political bigwigs.
When a few years back MCI came to inspect one such college, the team was shown one ward as pediatric ward in the morning and in the post-lunch session the same was shown as medical ward. MCI inspectors counted the beds and went away happy even though most of the beds were vacant and the ones occupied had people hired for a few hundred rupees and meals from the constituency of the founder of the college who was also a minister in state government.
One question to any of these patients about there faked illness and truth would have tumbled out. MCI did not even honestly check the indoor registers which would have shown daily 4-5 admissions and sudden spurt one day prior to inspection.
Many of these colleges show, doctors who reside hundreds of miles away from the college , on the payroll. These doctors of course come once a month and sign the muster, pocket the salary and go home.
If MCI were to check any of these medical colleges without a warning, hardly a few would pass the test for MCI recognition and would have to close down.
Many teachers are known to accept bribes and pass the candidates not only in MBBS exams but even in post-graduate exams.
With corruption at every level of medical education it is no wonder the standards are going down.
Most of the medical college hospitals have few patients. Students do not get adequate clinical experience. Even during post-graduate studies surgeons hardly get any hands-on experience.
Here are some humble suggestions -
1. MCI recognition must be a continuous process. Random checks without warning must be conducted to confirm the colleges and hospitals have adequate facilities and maintain standards.
2. Very strict action against corrupt examiners and students who are ready to offer bribes.
3. Each medical college must make use of it's past students who are practicing outside. They should be encouraged to teach in their spare time, they should be allowed to come back to their alma mater for acquiring new skills . Though full time employees are compulsory , it will only help if experienced private practitioners are allowed to contribute to medical education.
4. Admission procedure must be controlled and supervised by MCI.
5. MCI should lay more emphasis on number of patients that hospital treats than on number of beds, while recognizing medical college.
6. Those institutions who commit willful fraud like hiring persons to act as patients should be blacklisted and criminally prosecuted.
7. Medical teachers who visit medical college only once a month should be criminally prosecuted in addition to debarring from medical practice.
8. Medical curricula need extensive overhauling. Can any one believe that a medical student is never formally trained to give an injection? He has to learn it on his own when he has OPD posting during clinical training. But medical teachers don't teach such things in classrooms.
9. Medical colleges should be rated regularly for teaching standards, teaching facilities, standard of medical teachers, availability of clinical material, standards and systems of medical care and many more criteria.
10. Students should be given choice to join medical college commensurate with their merit.
11. Medical colleges which persistently score very low need to be warned and ultimately closed down.
Most of countries are very serious about standard of medical education in their countries. We have the correct laws in place, correct machinery in existence
but it has been rendered useless by corrupt people at the all the levels and very little will to change the system.
The government , I hope, will make a change. more
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