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Q. Niti Aayog on National Medical Commission: Discuss the NITI Aayog recommendations on new oversight body in Indian medical education syatem.
Sep 19, 2016 Related to : GS paper-3

Ans :

Introduction-

NITI Ayog has recommended to replacing Medical Council of India (MCI) by National Medical Commission (NMC). According to NITI Ayog, it will be first step to introduce reforms in medical education in India. As India healthcare system is understaffed, NITI Ayog has provided clear pathways to increase the supply of medical staff.

Issues- 

  • Currently India’s healthcare system is understaffed. According to world health organisation there should be one doctor for every 1000 population, but currently India has one for every 2000 population.
  • Similarly there is huge shortage of physicians due to current system of admission and lack of infrastructure.
  • The current input obsessed regulatory approach that contributes to corruption, and MCI has been branded as most corrupt institution.

Recommendation and Analysis-

  • The National medical commission as recommended by NITI Ayog mainly focuses on outcomes.
  • It has recommended a system of exit examinations, and periodic re-evaluation of medical licences to ensure that doctors keep up with medical research.
  • As oversight body, the NMC will be supported by an advisory council comprising state government representatives, who must be senior faculty members in a medical institution.
  • The NMC will have oversight of medical education and professional practice through four autonomous boards for, respectively, undergraduate medical education and training, postgraduate education, assessment and accreditation, and medical registration.
  • Similarly NITI Aayog dismissed fears over the consequences of doing away with fee regulation and permitting for-profit medical colleges. Fees will come down when the present, mala fide, reluctance to licence new colleges goes.
  • It said that, all well functioning hospitals should be encouraged to become teaching hospitals.
  • It also acknowledged the profit motive in education will allow payments to be accounted for and end multiple rents. There is need to increase the number of colleges, which will reduce costs and also put end on growing corruption.

Conclusion-

MCI has been surrounded by various issues like mala fide, corruption etc. Similarly Indian healthcare system is understaffed due to lack of proactive approach by current system. In this backdrop the NMC, oversight body recommended by NITI Aayog may address these issues if implemented effectively. And it will be first step to bring much needed reforms in medical education system.


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