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11 Reasons why Doctors are opposing National Medical Commission Bill

11 Reasons why Doctors are opposing National Medical Commission Bill

With the National Medical Commission Bill being sent to the standing committee, it is important that viewpoints and concerns of the entire medical profession be taken up and incorporated before the bill is again tabled in the parliament.

Recently, a Discussion on National Medical Commission (NMC) Bill was organized by RDA AIIMS in the presence of Vice president DMA and president JACSDO Dr Rajeev Sood, DMC registrar Dr. Girish Tyagi, Dr. Anoop Saraya HOD dept. of gastroenterology AIIMS, and various faculty of AIIMS like Dr. Minu Bajpai, Dr. Piyush Ranjan. Representatives from RDA AMU Aligarh, ARD PGI Chandigarh, RDA Lady Hardinge hospital, RDA RML hospital, representatives of FORDA, and various RDAs from all over India, private practitioners from Delhi, Haryana, Punjab,UP, Rajasthan, delegation of AYUSH doctors’ association from Haryana, representatives of student Union, Nurses union and other associations of AIIMS.

In the presence of 500 audiences of doctors, the AIIMS RDA discussed the National Medical Commission Bill and following conclusions have been made

1) We reject this bill in its present form for all aspects
2) This bill requires a complete makeover rather than amendments because it will not solve the purpose for which it was made.

The AIIMS RDA has submitted the 11 demands of the medical professionals to reframe the existing National Medical Commission Bill. Following are the reasons why we are opposing the bill

1) This bill promotes bureaucratization and politicization of medical education and doesn’t provide independence to the NMC. It will be more like the puppet in the hands of government and bureaucrats. Most of the members are nominated by the government and suggested by bureaucrats.

2) Decision on fees regulation of only up to 40 % and providing a free hand to private medical colleges is the worst part of the bill which will lead to the promotion of capitation and will increase the cost of medical education to a tremendous level. It will move the medical education out of the reach of the poor and underprivileged section of society.

3) No strict guidelines to regulate functioning of private medical colleges was mentioned in the bill, only monetary penalty that too not specified

4) National licentiate examination (NLE) is a welcome step for quality assurance of medical education but there is no clear description that how will this exam be conducted, whether objective MCQ based, subjective or clinical assessment or all together. There is no description whether bridge courses holder will also have to appear for NLE or not. And if not then how to ensure quality for bridge course holders. As this exam will also give entry to postgraduate courses but every year around 65000 doctors pass MBBS and give PG entrance exam for around 15000 seats. So what will happen to all those who cleared licentiate exam but didn’t get PG seat, whether they have to appear for NLE again next year or score of previous year will be calculated, and it will create a big backlog and further deteriorate the situation of medical graduates. Overall the concept is good but India is not ready for it yet.

5) No clear guidelines for registration process, whether registration is required every year or not

6) Though granting permission for establishing medical college is big task but the whole authority is given to single board named medical assessment and rating board (MARB) with only one president and two members of board.

7) A person who wants to establish the medical college and was refused by MARB and also by commission can appeal to government and might get permission. This opens doors for corruptions as a close ally of politician might be benefitted from this clause.

8) No clause for grievances redressal for students if they felt betrayed or looted by private medical colleges. No provision for them to say their words to board or commission.

9) Bridge course – this is the most unacceptable step of government, everyone in single voice complete refused the concept of bridge course, there is no clear definition of bridge course, what purpose it will serve, where they be recruited, whether they appear for licentiate examination, whether they will be trained enough to be liable for medico-legal cases and medical negligence, if not then is it ethical to allow them to practice. overall medical sciences and modern medicine are complicated issue to understand and government must consult medical professionals before taking such irrelevant decisions because by doing so it will play with health of Indian public which will not be an acceptable approach. Delegates from AYUSH also said that it’s insult forAYUSH practitioners for asking them to do bridge course and practice allopathy like a registered quack.

10) There is no description of foreign citizens in the bill, if they want to get register in India then what examination they will appear.

11) No clear description regarding the necessity of National board of examination (NBE) why it won’t be merged with NMC, why we need 4 boards in NMC and fifth as NBE.

Overall this bill has flaws in each and every section of it, we will not accept this bill in present form and will rewrite the complete bill with possible solutions as discussed in the meeting and will submit our proposed bill to chairman standing committee and also to union health minister. We will also request chairman, standing committee to give us time to present our proposed bill in front of them.

The Author is an SR with the Geriatic Medicine Department, AIIMS and the President of The AIIMS RDA Association

Disclaimer: The views expressed in the above article are solely those of the author/agency in his/her private capacity and do not represent the views of Medical Dialogues.
Source: self
15 comment(s) on 11 Reasons why Doctors are opposing National Medical Commission Bill

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  1. user
    DrSat Parkash Gupta October 14, 2018, 10:11 pm

    Why there is such a fierce rather do or die attempt for entry to the medical colleges in India? It reveals two things , one our students have appetite , stamina , will to study hard to enter these colleges not only with fair means even foul means and secondly being a doctor almost always assures one of a dignified life with earning and status in the society . It is also no secret that with the scramble for opening more and more medical colleges , increasing no of seats disproportionately in the undergraduate course vis a vis infrastructure ans resources , even private medical colleges , overzealouly by the Govt . there is steep decline in the quality of education and churning out of half baked , not so well trained graduates these days
    Fortunately it serves our purpose still as there is lack of infrastructure and facilities in average general hospitals , district hospitals , PHCs etc .Subsequently our people get what they deserve !
    To streamline and undo this mess , I suggest to revert back to dual system of education , one is revert back to old early years system practiced in our country , LSMF course , three yrs course , churn out army of them and strengthen the primary care at the grass root level . Secondly churn out limited no of say 50 to 100 MBBS graduates , ensure post graduation for most of them and utilize then as teachers and other places .
    I think it shall clear the mess created by the myopic , uneducated politicians till now

  2. And the 12 point : Issue of registration of foreign postgraduate medical degrees .
    Since the age old MCI act ,1956 act had no provisions for registering foreign educated Indian citizens with postgraduate medical qualifications(except for 5 English speaking countries), is this lacuna in the previous act now been taken care off?
    We need crystal clear provisions/ pathways for foreign PG holding Indian citizens/OCI holders/PIO to register themselves as specialists.Present provision allow foreign PG holders to register themselves after screening test but only as undergraduates.

    NMC act should clearly mention the methodology to register a foreign medical postgraduate degree for specialist registration with the registering body .

  3. user
    Dr Nirmal Kumar Soni January 12, 2018, 6:48 pm

    In this world, every country has a medical council as per MCI , even British Medical Council, but problem is in only India, not in other countries , ? Why.
    Bereaurocrates don\’t want, they want domination, rules on most intelligent people doctor who are seem to be weak & un united .
    In India, problem is for doctor \’s MCI.
    There is no problem with BAR Councils, because advocates are united,
    Similarly, not problem with Enginear \’ Councils & with technology & Scientists, problems & problems lie only in MCI & only in India i.e. Country in the world.
    Govt is jealous of the doctors intelligence, capable of hard working

  4. Because we have failed year after year, because we have produced Ketan Desai\’s from these medical councils, because we elect year after year the most tainted and. Irruption doctors, because we harass our own professional colleagues for money, because we need a bureaucrat to govern.

  5. Above discussion on NMC should be analysed and grey areas in that bill also be redrafted.In Toto.Medical education and Medical service conditions must be improved to attain the goal of voice to voiceless.

  6. Well explained