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