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MD-DNB Equivalence: MCI, Oversight Committee to jointly decide fate of DNB candidates

MD-DNB Equivalence: MCI, Oversight Committee to jointly decide fate of DNB candidates

New Delhi: The issue of MD-DNB equivalence is soon likely to get a clarity of stand from the Medical Council of India as a medical council committee has requested a joint meeting between the Oversight Committee and the representatives of the council to jointly decide the matter.

Medical Dialogues team had earlier reported that the MCI had made its stand on the matter quite clear, stating the DNB candidates from non-teaching hospitals would have to do additional 3 years SR-ship to be able to enter medical academia. The PG committee of the council had also recommended removing the mandatory 3 year JR ship clause for such candidates. The same had been approved by the MCI board.

However, the oversight committee sent different recommendations to the Ministry of Health and Family Welfare, as a result, the matter had now been referred back to the council. As per a recent MCI  committee report, the council representatives are to meet the OC to reach a final conclusion on the matter

It is reported that  PG Medical Education Committee after perusing the matter and after discussions with the oversight committee had come with the following observations last year:

“…..The Postgraduate Medical Education Committee reviewed the whole issue of DNB equivalence with MD/MS (earlier notifications, correspondence from Govt.& views of Supreme Court mandated oversight committee). In a meeting with oversight committee on 22-9-2017, it was discussed that it is common observation that DNB candidates trained in non-teaching hospitals need practical experience in medical colleges for improvement in knowledge and skills to come at par with those trained in teaching institutions.

It is also a fact that large majority of specialists working in non-teaching hospitals (irrespective of number of beds) have no teaching experience and they are focused on one particular area which is their field of specialization whereas postgraduate trainees need vider exposure. At the same time most of the consultants are working at multiple hospitals and they are provided an OPD chamber for a few hours on limited weak days.

Still more important is the fact that in private hospitals (irrespective of their bed strength) all patients are paid patients and they expect to be treated only by the consultant of their choice for whom they are paying. They do not allow trainees to handle   them or perform any procedure on them on account of which trainees do not get adequate hands on experience. It will be pertinent to mention here that Medical Council of India does not count private ward beds in teaching institutions as teaching beds. Fully realising that there is shortage of faculty in newly opened medical institutions, but this aspect alone cannot overweigh the quality of medical teachers to be appointed since that is going to affect the standards of medical education in the country (present and more so in future).

After detailed deliberations, the Post Graduate Medical Education Committee reiterated its earlier decision dated 10/10/2017 that:

(I) Those candidates who pass DNB(broad as well as super-specialty courses) from non-teaching institutions be required to work as senior resident for three years in a teaching institution in the department concerned for appointment to the post of Assistant professor.

(II) They may be considered eligible for appointment to the post of senior resident immediately after passing DNB without asking them to do 3 years junior residency before appointing them as senior resident.

As per the recent MCI committee meeting report, the  above decision had been first approved by the oversight committee, However, in a letter dated 16.11.2017 and 19.02.2018 from Secretary, Oversight Committee to Joint Secretary, Govt. of India, Ministry of Health & Family Welfare, the Oversight Committee have issued directions contrary to the above-mentioned decision.

With lack of clarity between the MCI as well as MCI oversight Committee on the matter, the PG Medical Committee of the Council decided to ask for another meeting with the Oversight Committee so that the matter can be re-discussed quickly

The matter is of utmost importance and will have a bearing on the standards of medical education in the country. Hence, it was decided that the Oversight Committee be requested for another joint meeting with representatives of Medical Council of India for a re-discussion on the matter

Source: self
62 comment(s) on MD-DNB Equivalence: MCI, Oversight Committee to jointly decide fate of DNB candidates

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  1. Be that as it may, if DNB is not on par with MD why is it being advocated in the first place ?
    Fact of life learning lies in the learner and not wholly on the teacher, as per the saying \” education is more drawing out than putting in \” .
    It\’s a well known fact that these days students have an ocean of opportunities to learn the academic matters .
    Given the fact that the sick look to the actual person looking after them for most time, it\’s the residents that take most decisions ,under guidance of the higher ups, the hospital or medical college where one is trained or for that matter seven the teacher also does not matter in reality .
    Best teachers have failed to properly train a certain proportion of their students and vise versa ..

  2. DGO (2YRS)+2(yrs)DNB Having 4 year residency in which 2yrs from same medical colleges from where md/ms are passing ,and 2yrs hard working to cross dnb exam(more tough than ms/md. so they are having experience of both,practical exposure as well as high knowledge, why not they are superior to md/ms.after 4 yrs experience they should not require senior residencey or there will be age relaxation for them.

  3. Very true?

  4. PGI Chandigarh has MS surgery PGs who have hardly done a hernia. They get so frustrated that they haveto do an SR ship to cover for an incomplete education. Medical colleges often have cushy lifestyles anddo not have to fight to survive. The question is not whether MD is better than DNB or the reverse, it really depends upon the particular institution. Some DNB hospitals produce fantastic post graduates while many medical colleges produce extremely mediocre doctors. The reverse is also true.
    Instead of fighting about equivalence, MCI should sit and plan with NBE and work out a common exit exams and syllabus. If there is a common entrance exams NEET, there should also be a common exit exams. That will really tell us who is better or worse. The log book should be scrutinized by a common board to see that both boards and colleges/ DNB institute\’s provide equivalent education. Let\’s be objective and throw off our egos.

  5. And u think after this common exit exam , there will be no corruption in this exam,
    Student of private medical college will not give any money to pass the exam…and yes after passing the exit,they will come and sit in front of govt medicos and will say ..o hello we both are same…

    And that govt medicos will think why the hell I did crack that neet and crush under heavy schedules of medical

  6. user
    Dr.Sarath Chandran August 25, 2018, 2:27 pm

    I feel DNB should be given equal importance to MD / MS.
    1. The trainees of DNB are taught by consultants and expected highest efficiency since patients and consultants want zero error in the due process. The hospital name is at stake. While it is known many private college setups have done grave errors on patients just because newbies did mistakes and tried to cover them.
    2. The state of the art technology is more likely to be in DNB private hospitals than medical colleges.
    3. DNB Doctors are expected high level knowledge and experience to get pass marks while in ms/ MD, influence and recommendations without required level of knowledge might actually get their degree.
    4. To meet the increased current population, more ppl will be encouraged to choose DNB by merely making it equally recognised.

  7. if a postdnb candidate working in teaching institute as mo. or specialist how much experience is required