my note as a MBBS doctor - change the system EDIT - Page 2

Created

Last reply

Replies

48

Views

30.6k

Users

14

Likes

180

Frequent Posters

-Purva- thumbnail
14th Anniversary Thumbnail Engager Level 4 Thumbnail + 5
Posted: 13 years ago
#11
Agreed to all the points you make.

But the biggest losers in the fake medical colleges are not students but patients.

What happens in these colleges is that there is inadequate teaching staff and the students do not get the benefit of the same tough education system that you mentioned in your first post. The students more often than not come out with half knowledge and who is going to suffer from this inadequate education - the patient.

When one goes to a doctor, one does not question him about where he got his degree from, how many years he took to complete the medical course, how much did he score et al. The patient-doctor relationship is that of implicit trust.

The other point you've raised - that of restrictions on going abroad. This comes as a result of the brain drain hat happened in the 70s and 80s. There were not so many doctors in India then and there was a crying need for doctors. The government was subsidizing medical education and yet soon as a doctor passed he would go to more lucrative countries like US, UK, Canada etc. So rampant was the practice that doctors were leaving the country in droves. Sorry but it is the medical community itself that is to blame for the current state of affairs.

The same goes for rural practice, when so many people claim that they are not in the profession for money, why is it that the hospitals like AIIMS are inundated with patients everyday when these ailments could be cured in the local hospital also? The answer is that doctors refuse to go and practice in rural areas. It is a shame that most people die of gangrene, insanitary conditions, women and children dying in childbirth, oh the list is endless. And it could all be arrested if more doctors would practice in rural areas.

The fees you say are high, but why is it so, have you considered? People are ready to pay any amount to get a seat in the college close to their homes or the most prestigious college of that area. Why not go to the other colleges? The subsidies of funds of these other colleges are cut because students don't go there. Students want everything as swanky as they see in movies before they would go to other colleges. It is a Catch-22 situation.

-Purva- thumbnail
14th Anniversary Thumbnail Engager Level 4 Thumbnail + 5
Posted: 13 years ago
#12
Sorry my first post came out as excessively preachy, and the medical community has been maligned enough and all these arguments trotted out often enough to sound like cliches. If we keep doling out the same age-old lines, then the discussion would go nowhere.
earth1978 thumbnail
13th Anniversary Thumbnail Navigator Thumbnail
Posted: 13 years ago
#13
canada is a closed system. they allow only graduates from canadian medical coleges to practise.
even people with US degrees cant go and work in canada.
something which happenned in 70 ot 80 should not affect the law makers today.
i dont think she has stressed these points for that. the thing is if u want ur doctors to stay
1) provide PG degrees to all. ie create more PG seats and not UG seats.
2) provide safe workign atmoshere
3) imrpove the pay structure ... a stipend of 3000 or 5000 rupees is ridiculous if someone has studied as hard as someone studying MBA. u can agree that thsi dsnt sound like a positive incentive to stay back in india.
4) stop the exploitation of doctors inthe name of DNB.
by the way i have to say ... my class of 2002, 95% are outside india.
many of my batch mates decided it is better to leave even without trying indian entrances. i cannto blame them, they want job satisfaction and want to earn . why the restriction on just doctors? even other professionals leave for greener pastures.
if u think imposing restriction like putting a clause in their visa is going to make doctors stay and work in the existing appaling conditions then you are wrong. it may spoil the lives of few doctors but inthe end people will stop making theirchildren join this profession. the outcome will be worse.
thenwhat will government do? force all high school children in biology streams to join medicine?
i think the onus is clearly on the public to revamp their attitude towards doctors they come in contact with and government to improve the workign onditions and fast. the root couse of uncommon cases of malpractises is dis satisfaction ... i know i am not defending it but rather want it to never happen. from my view point i dont see doctor community much at fault.
Edited by earth1978 - 13 years ago
bewafa thumbnail
19th Anniversary Thumbnail Dazzler Thumbnail Commentator Level 1 Thumbnail
Posted: 13 years ago
#14
Wow.

Man, the system is broken.

I know this may sound selfish and all those bad things but, I am so glad my parents made the decision to leave India.
I have many friends who have chosen the MBBS route...and while it's hard work...I know for a fact that it is a lot easier compared to India. Much easier...and there is a lot of focus on practical learning...but that is true for most studies. There is less of "ratta maaring".

I really hope things work out for you.

To change the system, everyone needs to be willing to change though...doctors, admin people, politicians and those who own the hospitals etc
You can't expect the govt to just "fix" the system. The system is not a separate thing...it is interconnected with everything else.

BTW, try for that hospital near Bangalore (I think)...its doco comes on Al Jazeerah...how it treats poor people too. It seems like a good hospital to work for.
642126 thumbnail
Posted: 13 years ago
#15

They did try to raise point of causes by talking about private medical colleges, donations etc.

But I agree that this show's biggest weakness and reason for it getting bashed are that it does not discusses root causes of problems. Only in episodes on DV etc. did it discuss cause.

Look, Aamir or his team never applied all or none principle and never said all doctors are bad. It's people who are assuming he called all docs bad.

Also, because conditions and life of a medical student and doctor are harsh it does not mean malpractices are justified. Corruption and malpractices by doctors directly endanger lives of people.

I think it is for people to decide what they want. If you want cash, quick ''settlement'' in life, comfortable working hours etc., then pick up some other profession. One should know what one's getting into.

My own dad's a doctor so yes I know the issues plaguing healthcare sector are more complex - doctors get beaten up, they are pressurised by pharma companies, politicians interfere too much, they are overworked and underpaid, there's added pressure in criminal cases and they are forced to make fake reports or else threatened with dire consequences etc. I wish Aamir had shown at least a bit of this on his show. Still it does not mean that pressures on doctors give them excuses for indulging in malpractices.

earth1978 thumbnail
13th Anniversary Thumbnail Navigator Thumbnail
Posted: 13 years ago
#16

Originally posted by: annika20

They did try to raise point of causes by talking about private medical colleges, donations etc.

But I agree that this show's biggest weakness and reason for it getting bashed are that it does not discusses root causes of problems. Only in episodes on DV etc. did it discuss cause.

Look, Aamir or his team never applied all or none principle and never said all doctors are bad. It's people who are assuming he called all docs bad.

Also, because conditions and life of a medical student and doctor are harsh it does not mean malpractices are justified. Corruption and malpractices by doctors directly endanger lives of people.

I think it is for people to decide what they want. If you want cash, quick ''settlement'' in life, comfortable working hours etc., then pick up some other profession. One should know what one's getting into.

My own dad's a doctor so yes I know the issues plaguing healthcare sector are more complex - doctors get beaten up, they are pressurised by pharma companies, politicians interfere too much, they are overworked and underpaid, there's added pressure in criminal cases and they are forced to make fake reports or else threatened with dire consequences etc. I wish Aamir had shown at least a bit of this on his show. Still it does not mean that pressures on doctors give them excuses for indulging in malpractices.

my dear when u take the hippocratic oath and u actually have a person's life at ur hands ... the responsibility feelis tremendous.
i may not be a very nice as a person but as a doctor ... i can NEVER endanger anyone's life. not just me ALL doctors i ahve coem across are like that.
there is simpyl no question of defending malpractises. we know what conditions we are getting into ... but is it not desirable we try an dappeal for a betterment?
does it make sense we keep on languishing in the lapses of system and keep making ourselves miserable? i think amir khan should definitely do a feature on the issues of doctors in india. becuase what ever he has been saying in satya mev jayate has created a lot of damage to the already existing bad attitude about doctors. thats my POV thanks.
Edited by earth1978 - 13 years ago
earth1978 thumbnail
13th Anniversary Thumbnail Navigator Thumbnail
Posted: 13 years ago
#17

Originally posted by: Chitrashi

Agreed to all the points you make.

But the biggest losers in the fake medical colleges are not students but patients.

What happens in these colleges is that there is inadequate teaching staff and the students do not get the benefit of the same tough education system that you mentioned in your first post. The students more often than not come out with half knowledge and who is going to suffer from this inadequate education - the patient.

When one goes to a doctor, one does not question him about where he got his degree from, how many years he took to complete the medical course, how much did he score et al. The patient-doctor relationship is that of implicit trust.

The other point you've raised - that of restrictions on going abroad. This comes as a result of the brain drain hat happened in the 70s and 80s. There were not so many doctors in India then and there was a crying need for doctors. The government was subsidizing medical education and yet soon as a doctor passed he would go to more lucrative countries like US, UK, Canada etc. So rampant was the practice that doctors were leaving the country in droves. Sorry but it is the medical community itself that is to blame for the current state of affairs.

The same goes for rural practice, when so many people claim that they are not in the profession for money, why is it that the hospitals like AIIMS are inundated with patients everyday when these ailments could be cured in the local hospital also? The answer is that doctors refuse to go and practice in rural areas. It is a shame that most people die of gangrene, insanitary conditions, women and children dying in childbirth, oh the list is endless. And it could all be arrested if more doctors would practice in rural areas.

The fees you say are high, but why is it so, have you considered? People are ready to pay any amount to get a seat in the college close to their homes or the most prestigious college of that area. Why not go to the other colleges? The subsidies of funds of these other colleges are cut because students don't go there. Students want everything as swanky as they see in movies before they would go to other colleges. It is a Catch-22 situation.

i am sorry if u find anything offensive in my reply to you. but as a non medico perhaps it is easy for you to imagine ... that doctors shoudl go to rural practise. doctors shoudl do social service.
have u ever wondered the conditions rural services involve. have u ever been to a village?
i hav ebeen to quite a few in my time. the experience was horrendous. i used to sleep in a bed soaked with moisture. i got sinusitis. the campus was unmanned and un guarded. there was no light to walk back , we held torches.
so i am a female what if in the darkness i am kidnapped and raped?
who is there to come to my rescue.
tomorrow i may want to get married ... my husband may not be a doctor ... what will i do? postpone even marriage becuase i have to go in rural areas? or pay lakhs of rupees to get out of the situation?
suppose my husband is also a doctor , then both of us practise inthe village ... then we get kids ... where shoudl we educate them?
in the village?
in hostles away from us?
shoudl we as husband and wife stay separate with one in village an done in city completely disrupting our family life?
our kids would also want the colors of city life which even we had seen ... btu they are forced to spend their live sin a village becuase their parents are doctors?
please think.
Edited by earth1978 - 13 years ago
567043 thumbnail
Posted: 13 years ago
#18

Originally posted by: BHAVI1972

Natasha, thank you for showing us the issues with the profession. Being a professional there are law and ethics that every one has to follow. Just because you spent so much time and money does not warrant you to do things that are wrong.


You are lucky that you will be getting 16000-18000 /month as your first salary. There are many professions who does not even hit 10000/ month as their first salary.




I don't think the TM saw the whole episode-one of the panelists did mention the amount that the Government invests in subsidizing a doctor's education-If I remember right the figure was over Rs One crore per doctor.Not very many of the doctors who get a degree at the tax payers expense chose to work in rural areas. Many women who are qualified doctors opt to not work after marriage or as was mentioned on a thread-their husbands don't let them pursue a carrier.This is a criminal waste of scarce resources.

I agree Doctors have to put in long years of studies with very low pay at the end of the tunnel-but it is the individual who chose to be a Doctor-the Government paid for it-else doctors would not only have low pay but also ruinous "student loans" as in the west.

In India-because there are so few of them,per head,Doctors are treated like Gods & get used to thinking they are entitled to special dispensations.Before cribbing about their lot and/or striking,perhaps a small reality check-divide the Government subsidy by the number of months you study in Med School-the figure you arrive at IS your salary FROM the Govt DURING the years you spent acquiring the degree.

You made an informed career choice, the GOVERNMENT paid for it-if your salary is NOT as high as you wanted/expected then yours was NOT an informed choice.
567043 thumbnail
Posted: 13 years ago
#19

Originally posted by: earth1978

i am sorry if u find anything offensive in my reply to you. but as a non medico perhaps it is easy for you to imagine ... that doctors shoudl go to rural practise. doctors shoudl do social service.
have u ever wondered the conditions rural services involve. have u ever been to a village?
i hav ebeen to quite a few in my time. the experience was horrendous. i used to sleep in a bed soaked with moisture. i got sinusitis. the campus was unmanned and un guarded. there was no light to walk back , we held torches.
so i am a female what if in the darkness i am kidnapped and raped?
who is there to come to my rescue.
tomorrow i may want to get married ... my husband may not be a doctor ... what will i do? postpone even marriage becuase i have to go in rural areas? or pay lakhs of rupees to get out of the situation?
suppose my husband is also a doctor , then both of us practise inthe village ... then we get kids ... where shoudl we educate them?
in the village?
in hostles away from us?
shoudl we as husband and wife stay separate with one in village an done in city completely disrupting our family life?
our kids would also want the colors of city life which even we had seen ... btu they are forced to spend their live sin a village becuase their parents are doctors?
please think.



OMG! You got SINUSITIS?! In a village?? Is that a life threatening disease? People living in cities are immune to this disease?(Not a doctor so ignorant AND living in a village where there are DEATHS of mothers & infants,but no rapes or kidnappings-not in the last twelve years that I have lived here)
>>While doing your rural service in the Godforsaken village were kidnappings and rapes rampant in the village?
>>Do you KNOW that 90% of Indians LIVE in villages? Sunning a bed is adequate to dry out moisture from the most soaked charpai!
>>You had to make do with torches? Did the villagers have even that?
>>You ARE married & have a daughter! So why pose it as a hypothetical situation?? IS your husband a Doctor? Do you practice in the US/Canada? NO? So you took the grant that the GOI doled out and then went off to greener pastures!
>>Do soldier's not stay away from their families for long periods AND with much less pay & MORE dangers...so why not the doctors? YOU opted to serve people, you took the Government dole and when it comes to rural service you crib?
>>Crores of children live and are educated in Indian villages-FYI-your children could have too-but you were seduced by the "charms" of living in the US,weren't you?
>>COLORS OF THE CITY?! If you not been sneering at the deprived lives villagers were living while doing rural service-you MAY have noticed the colors of rural India
Edited by znursingh - 13 years ago
charminggenie thumbnail
17th Anniversary Thumbnail Stunner Thumbnail + 2
Posted: 13 years ago
#20
This post brought back my memories of me being an aspirant of this field, infact i did made it through to a prestigious med school only to realize soon enough that i was more driven to it emotionally then nythin else and hence i found my calling in sumthing else happily.But my journey was a true eye-opener, so here are my two-cents.

"Why does one decide to be a doc?" this is a very important questions as the actions are interelated, is it the desire to serve people, one's skills best suited for this profession,or is the money and the fame that precedes it or the whole totality of it. There is nothing wrong in any of these reasons as I beleive that want can be anything its the ways we get them that should be questioned.

If one's life aim is to serve people, then the only frustration i see if in terms of facilites available , there can be nothing of any importance to that person.
If one has the best suited talent , then he would be able to make a mark , he would thrive on all the challeges his job would present and his aim will solely be to better than his/her best.
Now is its the money and fame, then i see nothing wrong in getting these as well, our's is a country with immense opportunities espcially as there is a blooming privatization in the medical profession.There are large number of nursing rooms mushrooming around, all eager to lay hands on a limited supply of highly trained doctors.Also i feel many will pay extra few buks to visit a doctor who might charge a bit more but can provide an honest and sincere treatment.

The point I am trying to make is that irrespective of the reasons I fail to see the motivation for a Doctor to play with someone's life or indulge in illegal activities like female foeticide,medicine scams etc.

Now the blame cannot be put on the govt solely but the major chunk as superbly highlighted by SJ is the inefficiency o the IMA- it failes to break down this doc-pharma nexus, doesnt take stringent actions against misdemenours and public is not imformed about a doctor's wrong doings. It fails to regulate and implement its actions.All it comes across as a body with Docs vying for political millege, it twice appointed a chairman who was convicted for corruption. It should be its duty to report hospitals, doctors and other staff whoi ndulge in malpratices.

Now for the issue medical education, though India has highly subsidised medical education but the number of seats available is very less, I remember when i gave AIIMS exam there were 34 general seats nationwide and other had 7 seats, so this does brings the need for private education.These insititutes charge lakhs but many of them dont adher to the baisc guidlines presented medical council. I feel govt should provide loan facilites to candidates going for private education and sign them up for gov positions for "n" number of years, once they complete their education. THis way such universites will be regulated and students would get the employment.

I agree we need to revise the pay scale of junior doctors ,in particular but then they should be contracted for a particualr number of years.This will solve the problem of fewer doctors across country and streamline education all across.

Now for doctors serving the rural areas, ts not like v are asking a delhi bred to go to the dense jungles of jharkhand, its more about serving the local area whereever the medical school is based. Intership year can be used to rotate students across lesser developed areas , it can be both a learning experience as well as a satisfying spell for a budding doctor.It can be achieved by patnership between the med school and a particular local area.

Yes, ofcourse the onus for the govt is to improve infrastructure both in rural and urban areas and to increase the number of med schools.
It can only be strong govt action which can break the doc-pharma nexus, generic medicines is right step.

See the intent of SJ was never to question doctors but it talked about accountibility which is essential for every profession and even medicine should be brought under its scan.COz not only it deals with the lives of millions but also it effects future doctors who are left to deal with the mindless politics played by the bigger sharks.

See no profession is easy, we might see sumone earn big money but we dont see the tension and hardships that go behind it. Noone will question a doctor earnings if he is ensured that his health is in safe hands and he wont be cheated.Accountability and regulation is very much desired coz this profession is so spread across both public and private sector and it deals wth the hleath of the nation.It has to be the no 1 priority of the govt, so rather than beleiving SJ's episode as a judgemental mouthpiece, Doctors should push for greater healthcare reforms, sadly right now they by blaming SJ are coming out as the shadier side -not the gvt,the pharmas or the IMA


Edited by charminggenie - 13 years ago

Related Topics

Top

Stay Connected with IndiaForums!

Be the first to know about the latest news, updates, and exclusive content.

Add to Home Screen!

Install this web app on your iPhone for the best experience. It's easy, just tap and then "Add to Home Screen".