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Posts Tagged ‘MCI’

IMA joins issue with health ministry on short-term medical course

November 2, 2011 Leave a comment

NEW DELHI: A day after TOI reported on the Union health ministry’s plans to roll out the 3.5-year medical degree, the Indian Medical Association (IMA) asked the Medical Council of India (MCI) not to compromise on patients’ safety.

Reacting to the three-week ultimatum given by Union health minister Ghulab Nabi Azad to the MCI on the BRM (Bachelor of Rural Medicine), national president of IMA Dr Vinay Aggarwal on Tuesday said the MCI would not bend before the government and refused to endorse the course. IMA called for more debates ahead of falling in line with the government’s directive. “IMA is willing to cooperate with the government to find a solution on rural health,” the letter said.

It added, “There are better ways to overcome the shortage of modern medicine professionals in rural area. Lowering the standard of medical education and producing low-quality professionals is not the solution.”

Dr Aggarwal said, the MCI is mandated to upkeep certain standards and cannot be bullied. “It is duty bound to consider patient safety and cannot obliviously reverse a process initiated by the Bhore Committee report of 1946 to abolish such mediocre short-term courses.” IMA says it is not convinced about the government’s intentions on BRM.

“The notion that over 30% of primary health centres do not have a MBBS doctor is not supported by statistics. Only 5.3% of PHCs are without a qualified doctor. For whatever small shortfall that exists, compulsory rural health posting of MBBS graduates for one-year after internship would make available 30,000 MBBS graduates every year. The National Human Rights Commission has come out against such a course, and has termed it as discrimination,” IMA said.

TOI on Tuesday had reported that Azad set the MCI a three-week deadline to endorse this new course, failing which the ministry will issue a directive to the MCI to recognize and roll out the course. Azad had said that the course had enjoyed the backing of all the state governments for long, and attributed the tardiness to MCI’s apathetic attitude.

“We have made up our mind to introduce the Bachelor of Rural Medicine degree. Sometimes the MCI gets influenced by its own fraternity. With doctors unwilling to serve in rural areas, even after being given incentives, we are left with no choice but to introduce a new cadre of health workers,” Azad had told TOI.

He had added, “We want an MCI stamp on the degree so that it is universally recognized. The syllabus of the course is ready and it is need based. If MCI endorses it, students will get the confidence that the degree has a standing. If MCI does not agree, we will send them a directive which they have to adhere to.”

Union health secretary P K Pradhan had added, “They will be rural public health officers and will look after primary and preventive healthcare. They will not carry out surgeries.”

Sources:- Times of India

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MCI wants docs to spend at least 10 mins with each patient

September 1, 2011 Leave a comment

NEW DELHI: The Medical Council of India (MCI) feels that a doctor should spend more than 10 minutes per patient in an OPD and much more time if the case is complicated.

In an informal conversation with TOI, MCI governing body member Dr Purushottam Lal said doctors not giving enough time to patients has become a common complaint.

Dr Lal, who is also a member of the Delhi Medical Council, cited that at least 80% of the present consumer court cases filed against doctors or hospitals by families of patients is “because of lack of communication”.

“I feel doctors should spend at least 10 minutes with every patient in an OPD, and more time if it’s a complex case. Patients must be satisfied. At present, most patients complain that their doctors hardly explain the condition of the patient causing major anxiety,” Dr Lal said.

He added, “Some doctors in India charge astronomical fees but hardly spend any time with the patient. Family counselling must be made mandatory. This will improve doctor-patient relationships. We will soon start a survey to quantify how much time doctors spend with their patients in India.”

The Union health ministry is also writing to the MCI to specify how much time doctors should spend with their patients so that the regimen of medicines being prescribed to them is clear.

A recent World Medicines Situation 2011 report brought out by the World Health Organization (WHO) – as reported by TOI first -said that doctors, on an average, in developing countries spend less than 60 seconds in prescribing medicines and explaining the regimen to their patients.

Consequently, only half of the patients receive any advice on how to take their medicines and about one-third of them don’t know how to take drugs immediately on leaving the facility.

Union health minister Ghulam Nabi Azad had said last Friday that the government proposes to issue an advisory to the MCI to disseminate appropriate instructions among all registered medical practitioners.

According to WHO, the dispensing process greatly influences how medicines are used. The WHO database shows that the dispensing time is only one minute. “Under such circumstances it is not surprising that patient adherence to medicines is poor,” the report said.

Azad had said, “The doctor population ratio is not favourable in our country. Hence, there is tremendous pressure on the doctors serving in public sector hospitals. This may be the major reason for patients getting less than adequate time for consultation.”

MCI’s own assessment says India has just one doctor for 1,700 people. In comparison, the doctor population ratio globally is 1.5:1,000. MCI has set a target to have one doctor for 1,000 people by 2031.

The assessment note, available with TOI, also looked at the situation in other countries. China’s doctor population ratio stands at 1:1,063; South Korea 1:951; Brazil 1:844, Singapore 1:714, Japan 1:606; Thailand 1:500; UK 1:469; the US 1:350 and Germany 1:296.

Sources:- Times Of India

Give doctors incentives to stay

August 18, 2011 Leave a comment

New Delhi–The Medical Council of India (MCI)’s latest figures point out a problem area for India – a brain drain of doctors. India has just one doctor for every 1,700 people, while the global ratio is one doctor for every 670 persons. It’s estimated that 60,000 Indian physicians work abroad, and the MCI says 767 more doctors left this year, till July 27. The potential for improving India’s doctor-patient ratio by retaining more medical personnel is obvious. But the best way to do so is not by making it tougher for trained medical professionals to make their living elsewhere; it is by giving them incentives to stay.

This can be done by providing financial incentives and improving working conditions, to cite just two possible measures. Vast swathes of rural India lack access to even the most basic healthcare. Why not provide adequate financial compensation to incentivise doctors to apply for such postings? Improving the condition of government health facilities – notoriously lacking in many states – is another way. Doctors move abroad not just in search of better compensation but also out of frustration at being unable to do what they are trained for due to a lack of proper infrastructure.

The problem also needs to be addressed from another angle – boosting the effectiveness of the supply chain that produces doctors, nurses and technicians. The higher education sector in the country is decaying and in urgent need of reform. That affects medical institutions too. There is no need to see the number of doctors in the country as a zero-sum game. We should produce more of them, and welcome it if some travel abroad and come back home with enhanced skills. Build the institutions, and they will come.

Now, India to churn out 4,452 more doctors

Kounteya Sinha, TNN | Jul 27, 2011, 01.46AM IST| NEW DELHI:

India is all set to produce over 4,400 more doctors every year.  The Medical Council of India (MCI) has increased the number of seats for undergraduate medical education by 4,452 from this academic session (2011-12).

Around 2,650 seats have been increased due to the opening of new colleges. And, the rest of seats (1,802) came about after the strength of the existing colleges was increased.

India has around 335 medical colleges – 185 and 150 in private public sector, respectively – and will produce over 40,000 MBBS doctors every year.

Even though the requirement is much higher, experts say the increased number of seats is a positive step forward.

According to MCI’s governing body member Dr Purushottam Lal, the Council received 86 applications for permission to start medical colleges this year. Around 43 were disapproved on scrutiny, and 43 were inspected. Of those inspected, 22 weren’t cleared.

Of the 21 new colleges cleared, 16 and five are in the private and public sector, respectively.

The MCI received 104 applications from registered colleges for further increase of seats. Around 43 were disapproved on scrutiny, and 61 were inspected. Of those inspected, only 33 (18 and 15 in private and public sector, respectively) fulfilled the criteria, and were given permission to ramp up their strength.

“We’ve an additional 4,452 seats from this academic year itself for undergraduate medical education,” Dr Lal added.

India faces a severe shortage of doctors.

Earlier, a planning commission study had said India is short of six lakh doctors, 10 lakh nurses and 2 lakh dental surgeons because of which it has a dismal patient-doctor ratio.

For every 10,000 Indians, there is one doctor. Another recent paper, “human resources for health in India”, published in the British Medical Journal Lancet, said, there are eight healthcare workers, 3.8 allopathic doctors and 2.4 nurses per 10,000 population. When compared to other countries, this is about half the WHO benchmark of 25.4 workers per 10,000 people.

MCI’s own note on “curricular reform in undergraduate medical education”, available with TOI, says, the current doctor population ratio in India is 1:1700 when compared to a world average of 1.5:1000. The committee came reached a consensus that targeted doctor population ratio should be 1:1000 by 2031.

Sources:- Times Of India

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Unique reservation norm enforced in JNIMS 2 seats for faculty State share reduced by two seats

Source: The Sangai Express

Imphal, July 18 2011: As against 85 seats received by the State last year out of 100 MBBS seats available in Jawaharlal Nehru Institute of Medical Sciences (JNIMS), allocation of seats to students of the State would be reduced to 83 seats this year.

The allocation of 83 seats for students of the State has also been approved by the JNIMS governing body headed by the Chief Minister as chairman.

An agreement on reducing the State’s share by two seats as compared to last year was struck during a meeting of the governing body held today at the Chief Minister’s Secretariat with the Chief Minister in the chair.

A well-known member of JNIMS governing body informed The Sangai Express that the meeting agreed on reserving 83 seats for State students and keep the remaining 17 seats open for students coming from other States under the category ‘others’ .

Earlier, JNIMS authority notified that out of 85 seats available to students of the State after subtracting 15 seats for central pool, five seats would be reserved for JNIMS faculty staff thereby reducing the number of available seats to just 80 .

Despite the written intimation sent by JNIMS authority for reservation of five seats for faculty staff, Administrative Department has been withholding the necessary convey order.

Out of 17 seats categorised as ‘others’, 15 seats would be set aside as central pool and the remaining two seats are likely to be reserved for faculty members.

To a query raised by The Sangai Express, the governing body member said that the members were of the opinion that the Administrative Department should issue necessary convey order for reservation of two seats for faculty staff.

The question of reserving five per cent seats for JNIMS faculty staff was already approved by the 7th and 11th meeting of the governing body.

Today’s meeting deliberated on the number of seats and the modality of reserving the seats.

In the event of reserving two seats for JNIMS faculty staff, two students who make to the merit list of the tough MBBS entrance test conducted by the Health Directorate would be compelled to forgo the opportunity of undergoing MBBS course even though they deserved it rightfully.

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RIMS opens promotion line by default as regular posts against recruitment rules

July 18, 2011 1 comment

IMPHAL, Jul 17 : Tutors, Demonstrators and Regis-trars of Regional Institute of Medical Sciences (RIMS) who were recruited directly to regular posts may now enjoy the possibility of getting promoted to the top post of Director.

A reliable source in RIMS  informed that the new possibility of promotion to the post of Director opened up after some Tutors, Demonstrators and Registrars were given time-scale promotion to the post of Assistant Professors and treated as regular posts against recruitment rules.

However, efforts of The Sangai Express to get an explanation from RIMS authority how and why Tu- tors, Demonstrators and Registrars were given time-scale promotion to the post of Assistant Professors in total contradiction to the recruitment rules proved futile.

According to the recruitment rules, no subordinate official/teacher can be promoted to the post of Assistant Professors.

Professors and Assistant Professors should be appointed through direct recruitment, conveyed the source.

Rather than giving any attention to the time-scale promotion given in total defiance of the recruitment rules, the Union Health Ministry signed and sent back all the documents sent in connection with the time-scale promotion.

Associate Professors may be given time-scale promotion but their posts cannot be treated as regular.

Further, those who were given time-scale promotion cannot be given full-time scale.

However, in RIMS all those who have been given time-scale promotion are being treated as regulars and they have been given full time-scale.

On account of given full-time scale, money collected from different cash counters like OPD, Casualty etc are being utilised in giving salaries to employees. According to rules, all the money collected from OPD and casualty cash counters should be deposited as corpus fund at UBI RIMS branch.

The corpus fund should be used for purchasing necessary materials for patients of the hospital, added the source.

Sources:- The Sangai Express

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JNIMS authority puts in more punch to get Govt nod to 5 pc reservation

IMPHAL, Jul 12: Authority of Jawaharlal Nehru Institute of Medical Sciences (JNIMS) has been reportedly trying to get the green signal from the State Health Department in connection with its effort of reserving five MBBS seats out of 100 in the institute for the wards/children of its faculty.

According to a reliable source, the frantic effort of the JNIMS authority to get the convey order from the Health Department has started anew after realising that  reservation of seats for the wards/children of its  faculty staff would not be possible without such an approval.

It may be noted here that based on an intimation letter sent from the Secretariat of Health Department on April 6 last, the Director of JNIMS communicated to the Director of Health Services, Government of Manipur in connection with finalisation of reserving 5 MBBS seats out of 100 in the institute for the wards/children of its faculty.

However, after realising that the intimation letter of the Secretariat of Health Department does not have any convey order of the Government, the JNIMS authority has started making efforts to get the convey order of the Government. The source said that reservation of 5 MBBS seats for the faculty staff of JNIMS, which is under a governing body headed by the Chief Minister as the chairman, is now in the hands of Secretariat Health Department.

The issue can be settled once and for all, if the Secretariat of the Health Department refuses to accept reservation of seats for the wards/children of faculty staff of JNIMS in consideration of the fact that reservation of seats for the wards/children of faculty staff in any State run medical colleges is not practised, apart from other likely complications in future.

Sources in the Directorate of Health Services said that a letter would soon be written to JNIMS authority to make it clear that the intimation letter sent from the side of the Secretariat Health Department on April 6 did not have the convey order of the Government.

In accordance with the guidelines of the Medical Council of India (MCI), the admission process for MBBS in JNIMS, which has 100 seats, is to be completed by July 31.

Sources:- The Sangai Express

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