It’s a rather sad and worrisome state of affairs when the current scenario says that present 398 medical colleges in India fail to provide the much-needed healthcare and proper place for medical education for its 1.2 billion-strong population. So let’s discuss why shouldn’t you go for medical education from India?
1.) Lack of good infrastructure and seats across India.
India is a vast country with a population of 134 crores people across it’s land, and it is also clear that a country with such a big population should hold a vast number of seats for students aspiring to become doctors in order to fulfil both the demand of India of having a good doctor – patient ratio and the hopes of Indian students to get their medical done in both the effective and efficient manner but alas!! a recent report on the HRD ministry’s website showed the disparity in the opportunities for medical education in the various states of the country. Only four states – Andhra Pradesh, Karnataka,
Maharashtra and Tamil Nadu – account for about 1.3 lakh out of nearly 2.4 lakh medical seats across India.
As there are very limited seats in government colleges that are considered both good and affordable for the students, only few of the aspiring students get the chance to get those seats to study well on the other hand students scoring less have to pay huge loads of money in the form of donations, tuition and other charges to get admissions in private medical colleges and the remaining students who fails to get admissions in private university due inability to pay such huge amounts, students just tries again and again in NEET to get good scores for the seats in government colleges.
2.) Backdated syllabus and teaching style
Regular breakthroughs take place in the medical field everyday, but the medical studies syllabus in India is not updated accordingly. Science fields are segregated from each other owing to an incomplete understanding of how different bases of knowledge can be put together for better implementation. New domains of medical science are also barely touched upon. Students study in a teacher-centric pattern, which doesn’t employ technology as much as foreign countries.
3.) Lack of skilled teachers
Teachers for medical institutes are selected based on their degrees and not their clinical experience. This cuts down the effectiveness of the knowledge they can impart to the students. Moreover, no teaching training is provided and teaching innovations are also lacking.
The problem is as basic as the low salary offered to the teachers and professors as the salary given to a full time government college professor, needs to be rationalised. The lower salary ensures that only the poorest talent is available, because the more talented will go in for a private practice. In government hospitals a constant threat of transfer also remains
4.) Wrong methodology of Indian Education system.
In the system of evaluating doctors followed in India, anyone who is able to memorise a large amount of information can become a doctor. The fundamental exam pattern has remained the same-banking on rote learning techniques, while the humanitarian criterion is not taken into account.
Would-be doctors are evaluated according to the answers they give in MCQ questions. These tests are more for memorizing skills rather than knowledge. India doesn’t follow the use of OSCEs (objective structured clinical exams) to test medical candidates. Thus, their clinical skills are not tested till they start practicing.
5.) Lack of social accountability
Indian medical students do not receive training which instils in them a social accountability as health practitioners. Medical education needs to be aligned with the societal needs, which differ from country to country. Strong emphasis needs to be put on rural and social issues and making students strongly aware of their responsibilities towards the same.
6.) Super-specialty craze is destroying the basic vision
It is not possible to create one breed for doctors to cater to every sort of issue in a country as big as India. While some doctors need to be trained in providing the right kind of healthcare in rural sectors, others would need to be familiar with the latest medical technology for the most complicated surgeries.
MBBS students specialise in certain fields to be able to get a job and thus, research is neglected. However, amid the specialisation craze, students miss out on learning about all these aspects. Colleges must take the responsibility of familiarising students with all the different sides of medical studies.
7.) Problems with private medical colleges
A change in the law in the 1990s made it easy to open private schools and so, many such medical institutes cropped up in the country, funded by businessmen and politicians, who had no experience of running medical schools. While there were 100 government medical colleges and 11 private medical colleges in 1980, now, the government schools have doubled while the private institutes have increased twenty-fold, according to MCI.
Though this practice was implemented to solve the issue of the grave lack of doctors, it commercialised medical education to a great extent. So, even if a student lacks the mettle required to become a doctor, if he has money, there is no problem.
When these students go into private practice, they are prone to carry out socially wasteful practices and diagnostics in order to earn the money spent in getting the medical degree.
Moreover, the current government regulation state that private medical colleges must be built on at least 20 acres of land. Thus, many private colleges are built in rural areas, where it becomes very difficult to recruit good, qualified, full-time doctors because of the difficult living conditions and low pay scales.
8.) Doctor-patient ratio is too less
India has less than one doctor for every 1000 population which is less than the World Health Organisation standard, the Lok Sabha was informed.
Minister of State for Health Anupriya Patel said as per information provided by the Medical Council of India, there were a total 10,22,859 allopathic doctors registered with the state medical councils or Medical Council of India as on March 31 this year. Assuming 80 per cent availability, it is estimated that around 8.18 lakh doctors may actually be available for active service. It gives a doctor-population ratio of 0.62:1000 as per current population which is estimated to be of around 1.33 billion.
9.) Corruption in medical education
Fraudulent practices and rampant corruption in the medical education system needs to be looked at immediately. The following types of malpractices are quite common in the country:
In a four-month investigation conducted by Reuters last year, it was found that one out every six medical colleges in India holds cheating records against them, according to government records and
The study found that to pass inspections, medical colleges take the help of doctors from other institutes, provided by recruiting companies, who stand in as faculty in return for a fee
The study also found that healthy people are rounded up to pretend to be sick during inspections, so that teaching hospitals can show they have enough patients to provide clinical experience to medical students. This was often done with promises of free inspections, which weren’t provided to all Paying bribes in the form of “donations” in order to gain admission to medical colleges is a very common and popular practice Fake degrees can be so easily procured that the Indian Medical Association estimates 45 per cent of
Indian medical practitioners-700,000 doctors-to be unqualified and lacking formal training
10.) Lack of good quality supplies in medical colleges around India.
As the corruption is going on in the field of education in India, the corruption has also entered in the basics features of the colleges as nowadays there is a huge lack of good quality supplies for performing practical and other practices in medical colleges which makes it harder for the students to understand the practical well and perform well.