Courtesy : Dr Ganesh Choudhari ( Laughing Doses: https://www.facebook.com/laughingdoses)

In already frustrating life of doctors working hard to get super specialty seats, TN government added fuel to the fire by adding a draconian bond clause. Service bond of 10 years or 2 crores. This was mainly done thinking outside state people will not opt and the seats will come to the state.

There is so much disparity in the medical  education bonds and stipends across states, that it is getting outrightly unjust for doctors from bond free states to pursue a course in states with a bond. This is creating virtual boundaries, where states like Tamil Nadu are locking their seats for local candidates.

The general life of doctors in these states is also getting degraded day by day, with lowest in country stipend, struggles with the bond, allocation in non specialty general posts while serving government bonds and loss of prime years of one's career in bond service.

Despite so many years of bond clause for taking government hospitals seats, there is very little benefit in terms of proper teaching, unlimited work hours, shitty hostel facilities, non availability of latest investigation and treatment protocols and around 4-5 lakhs of fees even for joining a supposedly free seat. This coupled with a 10 years of service in a district hospital with nil facilities will just make doctors who will be mediocre and never ready to provide a global standard of healthcare in India.

As against this, a doctor educated in a private medical college will have a clear edge in terms of latest technology, good learning facilities, time to settle and establish in a better rewarding career while having a good quality of life.

A recent Maharashtra government’s rule to disqualify postgraduate medical aspirants who have not completed the one-year rural service is also biased towards non-domiciles and students from private and deemed medical colleges, who don’t have to comply to a rural stint. By this rule, current students are being compelled to suffer as far as academics is concerned, when same 1 year bond period can be smoothly performed even at a later stage without risking the future prospects. This will jeopardize the selection prospects and the career of young deserving doctors who can provide world class medical care if allowed to train for super specialty. (News: http://www.freepressjournal.in/mumbai/mumbai-private-college-students-preferred-for-pg-medical-admissions/1160579)

It is high time such draconian bond clauses should be opposed by medical fraternity all over India with all the vigour!

Current status of PG bonds in various states:

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2/05/2020 03:30:00 AM

Got a whatsapp forward today, not sure who is the author of this forward, but it did resonate with my thoughts. A common proposition which is driving unreasonable service bonds in India is that medical seats cost runs in lakhs. But all these cost estimates do not take into account the real purpose of a medical college. Many a times we all doctors have heard people telling us that why we all run away from rural service when money has been spent on us by the government. But nobody asks the same question from graduates from other domains on whom the government has been spending even higher amounts of money. The post below gives a doctor's perspective:

----------------------------------------------------------

How much does it cost to educate a medical student?

6 lakhs? 13 lakhs?

Take the budget (yearly fund) of running a medical college and divide it by the number of MBBS students and you will get the figure.

But is this money really spent on the students?

Let's see.

What are the things bought with this money?

Medicines

ECG machines

Scanners (CT /USG)

Patient beds

Wards

Operation theatres....

THE WHOLE HOSPITAL BUILDING IS ONLY FOR THE PATIENTS!

What about the teachers?

The teachers are doctors, who are engaged full time in treating the sick (outpatient work, ward rounds, operations, medico legal - court and certificate work)

Basically they just explain the techniques of diagnosis and treatment to the medico during the routine work.

Theory and seminars (pure rescuing) are rare duties for these doctors- maybe once in a week or once in a month.

But are there staff only teaching?

Yes. There are three departments which do not routinely do patient- related work routinely.

Anatomy, physiology, and pharmacology.

WHAT ABOUT THE OTHER "NON CLINICAL" DEPARTMENTS? AREN'T THEY PURELY FOR TEACHING MEDICAL STUDENTS?

Even the so called "non clinical" departments like patho and micro are full time occupied in processing blood tests, infections and tissue samples.(patient care)

So this means there are just about 45 teaching staff, four or five lecture halls, some seminar halls, couple of hostels, and an "academic section" (13 clerks) and a principal - purely involved in teaching medical students!

The students have to pay tuition fees, van fees, hostel fees- to pay for all the above mentioned "luxuries" 

SO.....

A MEDICAL COLLEGE IS JUST A SUPER-SPECIALTY HOSPITAL WITH MEDICAL STUDENTS OBSERVING THE PROCEDURES.

The money spent purely on the education of a medical student is so small, because......

all the (medical college) funds are used for patients, wards, even cold rooms to store dead bodies

BUT NOT FOR MEDICAL STUDENTS!

Now go to an engineering college.... Or , go to an arts college-

Everything there- 

The buildings, 

The countless numbers of 

Lecture halls and seminar rooms

The office sections (all of them)

The laboratories,

The playgrounds, 

And the salaries of every single teacher, clerk and sweeper....

IS FOR THE STUDENTS!

ONLY FOR THE STUDENTS!

No direct community service by the teachers!

Just teach the students and go home! No other work!

What about engineering colleges? 

Their precision machinery, their high tech labs, their computers...

Does the civil engineering department build houses for the poor?

NO

Does electrical department provide lighting for the rural?

NO

Does chemical department help in control of pollution?

NO

Does mechanical department help repair our transport buses?

NO!

but every single medical student serves the poor and needy during house surgeoncy!

No lunch! 

No dinner!

No sleep!

And after that?One year RURAL SERVICE!

Does the B Com student help government in clerical work?

Does engineering student spend a year in PWD? or electricity board?

WHY NOT? 

WHY IIT STUDENTS GO TO AMERICA WITHOUT SPENDING A SINGLE MINUTE IN SERVING INDIAN POOR?

Are IIT graduates allergic to India?

Dear friend, government spends crores on education, BUT NOT FOR MEDICAL STUDENTS!

In fact, a medical student is the CHEAPEST GRADUATE produced by the government. (cheaper than even BA literature or LLB)

Spread the word. Doctor owes less to society than a BCom student! But still they serve you!

Your money will not compensate their sacrifices.

Respect their service to you.

That's all they want in return. 

If you have a doctor friend, a doctor relative, or a doctor whom you love and respect, show your love by forwarding this message!

Also Read: 

DISPARITIES IN THE SALARY OF RESIDENT DOCTORS IN INDIA

https://www.worldsurgeryforum.net/2020/09/disparities-in-salary-of-resident-doctor.html

10/09/2019 08:05:00 PM

This post was originally published on facebook group NEET PG and DNB 2018 Counselling Aid and Update by Dr Chiranjeevi Nayak . It very well describes the unheard demand of lakhs of PG aspirants. The author has highlighted funny and illogical ironies of Indian medical education system and why most Indian doctors are going to grow weaker clinically in the coming years. 

---

Long post. Bear with me.

After completing MBBS, most of us want to get into PG.  Whoever says just a MBBS degree is enough is joking. The kind of training we receive in MBBS is no where sufficient. (I did not know ACLS protocol or most emergency medicine protocols, till I studied them seriously for PG)

Now coming to the entrance exam itself, NBE changes the pattern every year. No clinical questions at all! How does knowing about HaraKiri and the height a mosquito can fly to, help me in becoming a good doctor. Maybe it increases your GK. Why cant we have a USMLE based paper. Two exams, one part containing first 2 year subjects, conducted on one sunday and the next part next sunday having next 2 year subjects. With more clinical and decision making questions.

But why take 1 month to declare results in the age of lightning fast Google search results?

Next, the dilemma with different courses. DNB, MD/MS and Diploma. Why have Diploma at all? Whats the point? Why cant it be converted to MD. And DNB has low passing rate but is considered clinically a better degree? So why does everyone prefer MD? Because you can pass easily? Then why do most MDs do DNB post MD? Also, why are there MD courses in non clinicals in PG? Why are non clinical taught by doctors? (In developed countries, its usually taught by MSC PhD candidates who are more research and teaching oriented) Why not a nationalized degree? Why not have only clinical PG seats?

Why doesnt the government keep equal number of seats in PG and UG. Why most PG seats in private colleges? America has more PG seats than UG seats. Also the training period being only 3 years for all MD courses? Just 3 years for Ortho and OBG? Every subject should be as long as the subjects course content and training requirement. (America has 5 year for OBG, 4 for Anesthesia etc) And why not Government sponsered PG course? Why ask the students to pay huge fees in private colleges? Rather they should be paid a stipend.

Reservations! (Im a category student) Do we require it in Post Graduation? UG accepted. But specialty PG? Or at least Category students should be made to do extra rural service?

Coaching institutes? I think it is more profitable in opening a coaching institute than being a super specialist.

There are many more such problems. But be determined guys. If not this time, certainly next time. Keep working hard. You will succeed.

RANT OVER.
Dr Chiranjeevi Nayak

---

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DRACONIAN GOVERNMENT BONDS IN INDIA FOR GOVERNMENT MEDICAL SUPER SPECIALTY SEATS: 10 YEARS OR RS 2 CRORE!
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2/13/2018 01:22:00 PM

1. Myth - Medical profession is a noble profession

Fact- Every profession, whether of a teacher, soldier, tailor or shopkeeper, is noble, if done with sincerity and integrity. A careless doctor can kill one, a careless driver can kill dozens, a careless engineer can kill hundreds.

2. Myth - As it is a service to humanity, doctors should not run after money

Fact - money is an important measure of success. Running after it is not good for anybody, but earning more money by doing more work is not a moral crime.
And all who advising doctors, themselves running after money, aren''t they?

3. Myth - The whole medical community is bad because a few doctors are not honest

Fact- doctors do not come from mars or venus. If a few supreme court judges or army generals can be corrupt, so can a few doctors be. That does not make the whole medical community bad.

4. Myth - Most of the time, doctors do not understand the disease and write unnecessary and costly drugs and advise tests and treat on a trial basis

Fact- doctor patient relationship is based on trust, if you do not trust your doctor, go to another one. Medical science is a life long learning process, and all treatment, to some extent is based on trial and error. The same medicine, which works for one patient may not work on another.

Second, the responsibility of providing quality drugs at affordable prices lies not with the doctor, but with the state authorities, just like providing for better roads, unadulterated quality food and dairy products, uninterrupted power and water supply etc and etc. Like cloths, cars and mobile phones, costly drugs are generally better than cheap ones. However, if the government makes it mandatory to write generics, it should ensure quality and the consequence of poor/non efficacy should not be blamed on doctors.

Third, tests are done for patient’s own safety. Just like wearing a helmet or seat belt, investigations increase the safety. Most of the doctors in india are trained to work on clinical hunch and common sense and not rely too much on tests, and advise much less tests than what is actually written in the book or done in the developed world.

5. Myth - Treatment costs are increasing because of doctors

Fact- The professional fee of doctors is just one fraction of the treatment costs. Increasing patient expectation for healthcare outcomes, rapid advancement in technology and equipments driven by years of costly medical research, for profit corporations running healthcare establishments are other factors which drive the costs.

6. Myth - Doctors are next to God

Fact - doctors are as human as can be. They also get tired, fall sick, have family commitments, get upset and stressed sometimes and can suffer from all the frailties of a human being. If anyone wanted to be treated by the God then they can simply visit their place of worship.

P.S.

This post is not meant to be objective and politically correct, but it is very subjective and carries a perspective of the ever tortured community of doctors in India having to bear the burden of government's' inability to provide proper healthcare to its people. There is a clear mismatch between the declared objective of universal healthcare through the public health system and the actual level of government expenditure. The doctors always being in frontline have been made easy scapegoats and poster boys for what is all wrong with our healthcare. Starting from the issues of never ending lifetime service bonds in exchange for medical education to draconian bills like KPME amendment bill 2017 (which is being tabled in karnataka assembly) shows how systematically the government is putting all the burden of its impotencies on the shoulder of India's doctors.

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11/17/2017 10:34:00 PM