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NMC Bill: Inclusion of AYUSH practitioners, Bridge Course to MBBS
The Bill also states that the a separate register shall be maintained by the Ethics and Medical Registration Board that would contain the details of the AYUSH practitioners who have cleared the bridge course
New Delhi: Doctors pursuing Indian systems of medicine, including ayurveda, and homeopathy may be allowed to practice allopathy after clearing a bridge course, according to a bill introduced in the Lok Sabha.
The National Medical Commission Bill, 2017, which seeks to replace the existing apex medical education regulator, the Medical Council of India (MCI), with a new body, was moved by the government in the House on December 29.
Clause 49 of the Bill calls for a joint sitting of the National Medical Commission, the Central Council of Homoeopathy and the Central Council of Indian Medicine at least once a year “to enhance the interface between homoeopathy, Indian Systems of Medicine and modern systems of medicine.”
It has also proposed that specific educational modules or programmes for developing bridges across the various systems of medicine and promotion of medical pluralism, can be done with the approval of all the members present in the joint sitting.
“The joint sitting, may, by an affirmative vote of all members present and voting, decide on approving specific bridge course that may be introduced for the practitioners of Homeopathy and of Indian Systems of Medicine to enable them to prescribe such modern medicine at such level as may be prescribed,” according to the bill.
It provides for the constitution of four autonomous boards entrusted with conducting undergraduate and postgraduate education, assessment and rating of medical institutions and registration of practitioners under the National Medical Commission.
The commission will have a government-nominated chairman and members, and the board members will be selected by a search committee under the Cabinet Secretary, it says.
A 25-member commission will replace the elected MCI, the bill says.
The proposed measure has been strongly opposed by the Indian Medical Association (IMA) which claimed that it will “cripple” the functioning of medical profession by making it completely answerable to the bureaucracy and non-medical administrators.
“Regulators need to have an autonomy and be independent of the administrators. The National Medical Commission will be a regulator appointed by the administrators under their direct control,” IMA’s president K.K. Aggarwal said.
The bill also proposes a common entrance exam and licentiate (exit) exam which all medical graduates will have to clear to get practicing licences. The licentiate (exit) examination will have to be conducted within three years after the Parliament passes it.
A medical advisory council, including one member representing each State and Union Territory (vice-chancellors in both cases), the chairman, University Grants Commission, and the director of the National Accreditation and Assessment Council will make recommendations to the NMC.
No permission would be needed to add new seats or to start post-graduate courses, it says.
The bill is aimed at bringing reforms in the medical education sector which has been under scrutiny for corruption and unethical practices, a senior Health Ministry official said.
What BILL Says
Clause 49 of the Bill states the following
(1)There shall be a joint sitting of the Commission, the Central Council of Homoeopathy and the Central Council of Indian Medicine at least once a year, at such time 30 and place as they mutually appoint, to enhance the interface between Homoeopathy, Indian Systems of Medicine and modern systems of medicine.
(2) The agenda for the joint sitting may be prepared with mutual agreement between the Chairpersons of the Commission, the Central Council of Homoeopathy and the Central Council of Indian Medicine or be prepared separately by each of them
(3) The joint sitting referred to in sub-section (1) may, by an affirmative vote of all members present and voting, decide on approving specific educational modules or programmes that may be introduced in the undergraduate course and the postgraduate course across medical systems and to develop bridges across the various systems of medicine and promote medical pluralism.
(4) The joint sitting referred to in sub-section (1) may, by an affirmative vote of all members present and voting, decide on approving specific bridge course that may be introduced for the practitioners of Homoeopathy and of Indian systems of Medicine to enable them to prescribe such modern medicines at such level as may be prescribed.
Moreover , the Bill also states that the a separate register shall be maintained by the Ethics and Medical Registration Board that would contain the details of the AYUSH practitioners who have cleared the bridge course. Namely, relevant subsection of Section 31(8) of the bill states the following.
The Ethics and Medical Registration Board shall maintain a separate National Register in such form, containing such particulars, including the name, address and all recognised qualifications possessed by a licensed AYUSH practitioner who qualifies the bridge course referred to in sub-section (4) of section 49, in such manner as may be specified by regulations.
Explanation.—For the purposes of this section, the expression "AYUSH Practitioner" means a person who is a practitioner of Homoeopathy or a practitioner of Indian medicine as defined in clause (e) of sub-section (1) of section 2 of the Indian Medicine Central Council Act, 1970.
Meghna A Singhania is the founder and Editor-in-Chief at Medical Dialogues. An Economics graduate from Delhi University and a post graduate from London School of Economics and Political Science, her key research interest lies in health economics, and policy making in health and medical sector in the country. She is a member of the Association of Healthcare Journalists. She can be contacted at meghna@medicaldialogues.in. Contact no. 011-43720751
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