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11th February 2010 / Times of India / Pune Edition
Career Forum : News Archive

IMA team to dissuade CM from starting new course


Pune: Representatives from the state chapter of the Indian Medical Association (IMA) will meet chief minister Ashok Chavan and state health minister Suresh Shetty next week to dissuade them from implementing the newly designed three-and-halfyear undergraduate medical degree course meant for exclusively serving the rural populace . Since health is a state subject , the Union government has left it to the states to introduce the course in their region.

It may be noted that after incentives failed to lure MBBS doctors to practise in remote areas, the Union health ministry and the Medical Council of India (MCI) decided to start a threeand-half-year degree course in medicine and surgery. Experts from the IMA feel that this course will produce half-baked inferior quality doctors, who will lack confidence and credibility to lead a team of other health workers like nurses with diploma (three-and-half-year course)/ BSc nursing (four+one year course) or pharmacists (four years course).

Speaking to TOI on Tuesday, Bakulesh Mehta, state president of the IMA, said, A delegation of IMA representatives will meet Chavan and Shetty next week to stress the point that this course should not be implemented. The IMA has been opposing the course right from the beginning.

He said After the MCIs meeting with all stakeholders on February 4, the newly designed medical degree Bachelor of Rural Medicine and Surgery (BRMS) has been rechristened Bachelor of Rural Health Care (BRHC).

On one hand the health care in metros and big cities is quite advanced. On the other, rural areas where 60 per cent of the Indian population resides does not even have basic health care (primary care). This gap, however , cannot be filled by compromised health workers in the name of BRHC, said Mehta. How can there be two different standards for health care, one state of the art (comparable to the best in western countries) for the urban population and second, a sub-standard care for rural masses, jeopardising the latters health and life.

The spirit of the course is against the fundamental right of a citizen of India where every one should be provided quality health care of similar standards at an affordable cost, said Dilip Sarda, president of the city chapter of the IMA. Early detection of complicated disease conditions and appropriate treatment will suffer if the service of a qualified doctor is denied to the rural population.

The BRHC degree would be offered by institutes in rural areas with an annual sanctioned strength of 50 students. Selection of students would be based on merit in the 10+2 examination with physics, chemistry and biology as subjects. A student who has had his entire schooling in a rural area with a population not more than 10,000 would be eligible for selection.

Devendra Shirole, former state president of the IMA, said, Factors like paucity of doctors, low doctor-population ratio (1.62 per 10,000 only), absence of doctors , lack of infrastructure facilities contribute to the absence of proper health care in rural areas . But this situation cannot be corrected by compromised health workers in the name of BRHC. The IMA strongly opposes this proposal.

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