Medical Training

Duration of MBBS- 5 yrs- Assessments at completion of each module- not EXAM TIME at the end of professionals .................................................................................Pre-clinical: 1 year Anatomy Biochemistry Physiology

Para-clinical: 1 year Microbiology Pharmacology Pathology

Clinical: 4-5 years1 year - Foundation1 year - Carry On Foundation 1 Year - Advanced Foundation1 year - Directly Supervised Hands on 1 Year- Optional/Gap year

Post-Graduation:3 years- Residency in choosen speciality

Superspeciality training1 Year (or more depending on sub-specilaity) ..................................................................................Foundation- 4 modules Starter- theoritical-Skill lab/Dummy based etcNo hospital postings/attchements yetMedicine, Surgery ,Gynae/Obst, PaedsFocussing on simple Principles rather on details-------------------------------------------------------------------------------- Hospital/Community attachments starts now--------------------------------------------------------------------------------Carry On Foundation -7 modules

Medicine...more detailsSurgery...more detailsGynae/Obst...more detailsPaeds...more details
Medical Law, \nEthics and forensic Medicine\u003cbr\>Community medicine and organisation of health \nservices\u003cbr\>Medical information \ntechnology\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>.................\u003cbr\>Advanced \nFoundation / Allied to foundation- Modules and Sub-modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Medicine- Psychiatry,Endocrinology, \nDermatology,Rheumatology, Transfusions \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Surgery- Burns, Orthopaedics, Eye, ENT, \nDental/Maxillofacial, Neurosurgery, Cardiac surgery\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Cancer Medicine- Hematology,Chemotherapy, \nRadiotherapy, cancer surgery \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Diagnostic Medicine- Pathology, Biochemistry,Radiology, \nNuclear Medicine, \nPost-Mortmes\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>Hands \non/ Practical/ Directly Supervised - 7 Modules\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Acute medicine \n(Anaesthesia)-Resuscitation\u003cWBR\>,Transfer,Intensive care\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Hospital/Community based Management training\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>General Medicine- Emergency / Basic /Common \u003cbr\>Surgery - \nEmergency / Basic /Common \u003cbr\>Trauma - Emergency / Basic /Common \u003cbr\>Obstetrics- \nEmergency / Basic /Common \u003cbr\>Paediatrics- Emergency / Basic /Common \n\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear- Optional/Gap- Two or more modules in \u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Top up training other Hospital, particular \nspeciality\u003cbr\>Inter-state/ Overseas/ Exchange programmes/ \nSponsorships\u003cbr\>Defence services\u003cbr\>Community/ NGO\u003cbr\>Alternative \nMedicine\u003cbr\>Academics/Research\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>3 \nyears- \u003cbr\>Residency in choosen speciality( traditional)",1]
);
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Medical Law, Ethics and forensic MedicineCommunity medicine and organisation of health servicesMedical information technology.............................................................................Advanced Foundation / Allied to foundation- Modules and Sub-modules

Medicine- Psychiatry,Endocrinology, Dermatology,Rheumatology, Transfusions

Surgery- Burns, Orthopaedics, Eye, ENT, Dental/Maxillofacial, Neurosurgery, Cardiac surgery

Cancer Medicine- Hematology,Chemotherapy, Radiotherapy, cancer surgery

Diagnostic Medicine- Pathology, Biochemistry,Radiology, Nuclear Medicine, Post-Mortmes..................................................................................Hands on/ Practical/ Directly Supervised - 7 Modules

Acute medicine (Anaesthesia)-Resuscitation,Transfer,Intensive care

Hospital/Community based Management training

General Medicine- Emergency / Basic /Common Surgery - Emergency / Basic /Common Trauma - Emergency / Basic /Common Obstetrics- Emergency / Basic /Common Paediatrics- Emergency / Basic /Common

..................................................................................1 Year- Optional/Gap- Two or more modules in

Top up training other Hospital, particular specialityInter-state/ Overseas/ Exchange programmes/ SponsorshipsDefence servicesCommunity/ NGOAlternative MedicineAcademics/Research..................................................................................3 years- Residency in choosen speciality( traditional)
Introduction of \nFamily/General/Referal Medicine, \u003cbr\>Introduction of Acute Medicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Entry exams \u003cbr\>In Training Assessments\u003cbr\>Abolish exit \nexams\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Uniform titles...MD /MS /DNB\u003cbr\>Abolish \nDiplomas\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Academics and reserach should be segregated from this \ntraining\u003cbr\>Allow to integrate depending on interest and aptitude.\u003cbr\>Not forced \non everybody- save resources for those with aptitude\u003cbr\>Delink from \nMD,MS,DM,MCh\u003cbr\>Uniform BSc, MSc, MPhil and \nPhD\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003cbr\>1 \nYear (or more depending on sub-specilaity) Superspeciality training \u003cbr\>Uniform \ntitles DM and MCh \u003cbr\>Abolish PDCC and ambiguous \nfellowshis\u003cbr\>..............................\u003cWBR\>..............................\u003cWBR\>......................\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>Emphasis should be on -\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>1.Clear objective- to make High Quality CLINICIANS- NOT \nALL ROUNDERS e.g. Keep research and academics for those willing to pursue \nit\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>2.Inefficient/unrealistic/failed methods should be \nabandonded or given only due importance in training e.g.Preventive and social \nmedicine\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>3.Early introduction of Management in to the curriculum to \nhelp them apply their skills/ knowledge and to dovelop right \nattitude\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>4.Stop producing walking encyclopedia( limit MCQ exams to \nbasic sciences) but encourage dovelopment of application skills\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>5.COMPETENCY BASED IN HOUSE assessments- Onus to organise \nand pass THEM should be on the candidates not the teachers who should only \nfacilitate.\u003c/font\>\u003c/div\>\n\u003cdiv\> \u003c/div\>\n\u003cdiv\>\u003cfont face\u003d\"Arial\"\>6.Regular assessments,feedback and MUTUALLY agreed \ncorrection plans",1]
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Introduction of Family/General/Referal Medicine, Introduction of Acute Medicine

Entry exams In Training AssessmentsAbolish exit exams

Uniform titles...MD /MS /DNBAbolish Diplomas

Academics and reserach should be segregated from this trainingAllow to integrate depending on interest and aptitude.Not forced on everybody- save resources for those with aptitudeDelink from MD,MS,DM,MChUniform BSc, MSc, MPhil and PhD
..................................................................................
1 Year (or more depending on sub-specilaity) Superspeciality training Uniform titles DM and MCh Abolish PDCC and ambiguous fellowshis
..................................................................................

Emphasis should be on -

1.Clear objective- to make High Quality CLINICIANS- NOT ALL ROUNDERS e.g. Keep research and academics for those willing to pursue it

2.Inefficient/unrealistic/failed methods should be abandonded or given only due importance in training e.g.Preventive and social medicine

3.Early introduction of Management in to the curriculum to help them apply their skills/ knowledge and to dovelop right attitude

4.Stop producing walking encyclopedia( limit MCQ exams to basic sciences) but encourage dovelopment of application skills

5.COMPETENCY BASED IN HOUSE assessments- Onus to organise and pass THEM should be on the candidates not the teachers who should only facilitate.

6.Regular assessments,feedback and MUTUALLY agreed correction plans

7.Ensure basic training in 'Common and Acute problems' before allowing any independent- or credible supervised- patient interaction

8.Alternative career(?within healthcare) advice to mal-adjusted at the earliest opportunity

9.Reform of medical education Funding - not purely by tax-payers money(govt subsidies/grants)- Govt Medical colleges should also generate some income- Rather than subsiding and later ending up failing to force bonds on unwilling beneficiaries or be content with substandard pay-back service , govt can provide legally sound education loans.-This will also discourage rich parents to hijack merit by money,provide level opportunity for poor aspirants and may check brain-drain too.-Private medical college should be banned from charging upfront fees but asked to set up education loans for every applicant successful purely on merit.

All in all, this would be more of reorganisation of the existing training structure.Further fine tuning can be undertaken in later phases.