Dr. YM Fazil Marickar
Principal, Mount Zion Medical College, Adoor.
Year after year, medical admissions in Kerala are becoming murkier and murkier, thanks to the inefficiency, corruption and lack of vision among all the parties involved. The problem can be solved very easily. The Hon. Supreme Court or the Central Government should issue orders accordingly.
Several problems in UG and PG admissions have been created in the recent past.
`If only more effort is taken by the Medical Council of India, it will be possible to improve the standards of medical education by incorporating smart classrooms and connecting the various colleges and having unified classes by expert teachers. The students of all the institutions in the country will ultimately benefit.
For example: There are several agencies which conduct post graduate entrance training classes in All India level which students in various parts of country sitting in different lecture halls and attending. Excellent satellite classes are taken by genuine teachers of caliber and simplicity. This sort of lectures can be made official, probably with a fee to be transmitted to various Medical Colleges. If the classes are regulated by electronic online versions, all the courses in the country can be started on a same day and all the examinations can be conducted on the same day and irregularities and disparities in the timing of the courses can be avoided. With the starting of online classes, the websites of the Medical Colleges can be updated with lessons presented by the various teachers and each class can become a module on the subject. Such modules can be incorporated in all the websites for the students to learn the subjects the electronic way.
The modules that are being taught (5330 modules) in a span of 8975 hours in MBBS course have to be equated to the 300 common diseases (diagnosis) which are likely to be seen by the undergraduate student during the period of the MBBS course. By equating modules to diagnosis, the learning process can be simplified and made more realistic in the line of Vertical Integration. Module to diagnosis will also be incorporated as a part of an Electronic Medical Record System, whereby all the medical colleges can be involved in a proper Electronic Medical Records maintenance program. In this set up, all the diagnoses are pre-planned and set by the Doctors concerned in their own way in different combinations and in different grades of disease and all the investigations, laboratory, endoscopic and operative procedures can be incorporated in to the system using the suggested new Electronic Medical Recording Program. The national grid should be created for the maintenance of the teaching materials in servers which can be transmitted to various Medical Colleges for improving medical education. The whole system of the Medical Council has to be redrawn in order to make these implementations effective.
Telemedicine should be incorporated in the teaching process of all the medical colleges so that the clinical pathological conferences, immortality conferences, the CME programs of various Medical Colleges can be clubbed and made available to all the other Medical colleges. This will enhance the opportunity for the students to see what is happening in other parts of the country and also to be aware of the rare diseases which are occurring in various parts of the country. This facility can be extended to international levels also to incorporate teachers of international repute in the teaching of under graduate, post graduate medical institutions in the country.
The scientific content of the post graduate medical entrance examinations is absolutely unscientific. There is no point in asking post graduate level of questions to students who have just completed the MBBS course. The questions should be set in such a way that they are based on an undergraduate level rather than a postgraduate level. Several students are forced to waste years of their precious life’s preparing for entrance examination. Most of the postgraduate knowledge is gained before the admission rather than after the admission. The purpose of selection is to identify the best group of students. There is no need to waste years of a student’s life for the sake of getting admission for the next course. Every year at the end of the MBBS course during before House Surgeoncy starts, the admission process to the post graduate degree courses should be completed. The House Surgeon will be able to perform his work in a way beneficial to himself and the institution.
It is the basic rights of the new generation of young budding medical professionals to get justice in our country. If the pre-nursery classes, the junior school, senior school and all the educational systems of one academic year can start on the 1st of June, why not the medical education also starts on the 1st of June? Precious man days of the budding doctors are lost because of the inefficiencies, irregularities and corruption in the medical education sector in this country. Irregularities lead to corruption and corruption leads to a vicious circle, whereby the ultimate sufferers are the students. If the rules and regulations are clear, there is no scope for corruption and all the admission processes are streamlined, the fees of the Management quota students can also be regulated. Capitation fees can then be controlled. The teaching processes can be unified and streamlined to be completed within the stipulated span of 4 years and 187 days.