Medical Council of India
The MCI has recently kept new regulations on Graduate
Medical Education 2012 on their web page for public opinion. I think that we
need to take opportunity to give opinion on the major changes.
My personal inputs which I am giving and also putting for
brain storming for medical teachers –
First I like to congratulate the MCI for thinking about the
quality medical education. In last 12 years there are more than double medical
colleges in India and still it will be going to double by 2020 or 2025. So the
number of doctors are going to increase, but everybody in medical education has
little dilemma about the quality. Since last few years, I tried to get the
inputs from various Medical Educators and I found that they are not satisfied with
the way of teaching is going on. There is very urgent need to improve it. But
the million dollar question is How?
I love to teach sociology and Health. Since long I am
observing the changes in society and its impact on the health of the society.
Similarly here in medical education, we need to understand the social change
theory. Majority of present teachers are seniors and more set with the
traditional way of teaching form books with chalk and board or transparencies
or now power point slides. But we are forgetting the major social change in
last five years of Information Technology. This IT revolution has changed the
major access to information. Students have every topics with powerpoint ppt in
their tablet or mobile or laptops. But they are not in their brain or not developed
the skill. The generations are fast changing. Every year students come with new
ideas and with fast implementation of their ideas. Sorry to say but teachers
are not able to pace with the students demand. Thus generate the dissatisfactions
in students mind.
Here there is very high time to develop faculty for various
new innovation and changes. Each college must have atlest 10-12 faculties who
are young and know the fast pace of students. The college management should use
them for front-liners in medical education. They should use for mentorship
programme and should work as catalyst between students and traditional staff. The
change has always the resistance. All staff will not accept the changes but
young staff are ready to take up challenges. They should use for solution.
So this is the background to accept change in Graduate
Medical Education of MCI. Now the salient points in the changes and its impact
on the medical education
1.
The MCI has written the competencies to be
developed by the Indian Medical Graduate. There are large competencies but
still I feel that they missed something about social competencies. They need to
understand the Indian society, community, life style, changing society,
changing lifestyle, social change, family structure and impact of all on the
health of individual and thus society. Without understanding, social aspect
student can not completely learn the
Health. I think in professional development along with Ethics, humanities we
need to include the social science of health.
2.
MCI wants to introduce the Clinical Training
Certification proframme. It is really a great innovation step. During the
course students have to get certificate on essential skills like community
care, primary care, secondary care and emergencies. But still not getting clear
from document, who will design the programme? Will government or college or
private body? What will be the duration of this certification? What are the skills
to be included in this certificate course? Questions are unanswered.
3.
Log book with skill based training – Its really
welcome change. This will increase the accountability of students and the
organization towards the goal of Indian Medical Graduate.
4.
The documents wants clear focus on Faculty
Development programme. The lots of innovations in teaching and delivering good
to the medical students are the need of hour. So its great challenge for
medical education unit of each medical college.
5.
Most welcome step is the Elective of 2 months. But
the present document is failed to tell more on elective. Research and community
projects and self directed learning are limited key words in this section.
If MCI really wants to utilize these two
months there is need to explore the elective topics. Here there is urgent need
of inputs form faculty. Is it possible to put elective like posting in
geriatric care in Geriatric Home, Nutrition care in Nutrition rehab center,
posting in food nutrition department to learn health recipes, software development
in medical health sciences and like other.
6.
Last very important step which was long demand
of medical teachers that was NEET conducted before internship. The internship
period is considered as useless and students are busy with preparation of entrance
exams. So they are not able to develop the required skill. This will take care
by the NEET in moth of Feb of every year.
These are my salient observation.
Please read and give inputs to MCI
Best
Dr. Niraj Pandit
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