Newly Proposed Indian Medical Degree 'Bachelor in Rural Medicine and Surgery' Comes Under Fire


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by Thilaka Ravi on  January 12, 2010 at 2:59 PM Indian Health News
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Newly Proposed Indian Medical Degree 'Bachelor in Rural Medicine and Surgery' Comes Under Fire
Indian Medical Association's Tamil Nadu State Branch (IMA TNSB) has sharply criticized the move by the Indian Health Ministry and Medical Council of India (MCI) to create and train doctors under the category, Bachelor in Rural Medicine and Surgery (BRMS). Doctors of the IMA TNSB point out that the proposed BRMS category will only create poorly qualified and ill trained doctors because there is already a shortage of medical teachers in India.  Lacking a comprehensive medical study, a BRMS doctor may mismanage patients leading to complications and even death. Also, the objective of providing medical care for rural India can never be met by creating this new category for doctors because these doctors may eventually migrate and start practising in urban areas.

Observing that medical graduates today opt for a PG degree or to fly abroad because of poor pay and poorer working conditions, the IMA TNSB suggests that a three year period of compulsory rural posting with good infrastructure and good salary for doctors working in PHC, created for every 20, 000 population can take care of the medical service for rural India.  

In order to cater to the 70% demand in rural areas, the Ministry of Health should take immediate measures in the budget to better equip PHCs and sanction an encouraging salary for medical graduates to draw their attention to rural India. IMA TNSB also suggests instituting a post graduate degree such as MD Rural Medicine with subjects including Community medicine, Toxicology and Infectious diseases, allowing those working for five years to appear directly for the exam.  

Parallely the local Administration should step up its efforts to provide fresh air, safe drinking water and safe disposal of waste and sewage to check infectious diseases that constitute 80% of rural India's ailments.

The move to create the BRMS study category has been dubbed a retrograde step that could dilute the high standard associated with Indian medical professionals everywhere in the world. IMA TNSB has presented the case before Indian citizens and welcomes suggestions for further course of action to oppose the newly proposed BRMS category of medical study in India.



Source-Medindia
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07/08/2012

now more than 1,50,000 Homeopathic doctors working in Rural India Aftar compliting Degree they practing under allopathic hospital and with very nice experince they are practicing homeopathy even in emergiengy they use allopathy for saving life of rural area..of india ..thease ppl actually devoted to health sevices in rural india...so instade of launching new course for rural health...one should give additional course with emergiency allopathic medicin to this doctors so they can work freely..with Govt.Health policies in Rural India



bglad(Guest)

12/10/2010

previous BAMS course was good enough to give medical service in rural areas Generally most of the MBBS students go for post graduation or they prefer to practice in arban areas only .IF bams doctors are trained to give knowledge in medical emergencies like cardiac problems ,accidental injuries head injuries ,coma ,neurological emergencies acute abdomen , gynaecological ,bleeding conditions it will be beneficial for the poor pepole of rural areas .they charge less than MBBS Doctor .



aditya143(Guest)

11/22/2010

this is nice cours sir and



03/01/2010

Faclity for 10+2 medical is not available in almost all of villages in india. So govt should also do something about this issue.
So BRMS course is not beneficial for village students and people.



02/04/2010

Thanks to the Hon, Health Minister Mr. Gulam Nabi Azad, core issue of rural health-care came to debate. we think he is the most able and efficient health minister. He has tackled the H1N1 pandemic in India very efficiently & effectively. While tackling the situation he has understood the ground realities of Indian Health Care System.

He has promptly tackled the opportunistic elements in the medical field, who were viewing the situation as opportunity.

Some were marketing masks, some were marketing ayurvedic capsules claiming research product & some big hospitals were giving false H1NI negative reports & treating the patients till he/she breaths last. The minister countered this " dukandari in medical field" promptly.

We have already sent our feelings regarding BRMS course. We are sure that he will take right decision in this regard without falling prey to any lobbying...

NATIONAL INTEGRATED MEDICAL ASSOCIATION



rajiv_thukral(Guest)

01/28/2010

The move of the central Government Ministry of Health and MCI is not good one even though their intentions to make available the health care at the door steps of the rural people is praise worthy. I strongly feel that doctors are not made even in the prescribed period of five and a half years. A PG degree is required to actually make a doctor complete professional. The concept of training and making a doctor in a short span and then confining their activities to rural areas for all times to come is also not worth. It would be unfair to restrict the activity of operation of any doctor. Actually what is is undisputed is that we are short of doctors. Secondly, the doctors are reluctant to go and serve in rural area on account of various reasons that are not too ungenuine. For example the quality of life in villages is certainly not better on account of various reasons eg. electricity is not there, good schools for the education of their children are not there, no means of relaxation bla bla. Therefore there is a need to upgrade the infrastrcutre in the rural villages so that doctors willingly go to villages. Besides, Government has also given various incentives to doctors for serving in villages. There is an urgent need to increase the number of seats in medical colleges under the government. There has been increase in the seats at undergraduate level in the private sector medical colleges. These colleges adopt nefarious means to give admission to the MBBS course. Govenment should concentrate on eliminating unfair practices that are adopted while giving admissions.
I have another suggestion. There has been tremendous increase in the colleges for BDS in private sector in the last few years. Each year more than 40000 dental doctors are being produced in the country. These doctors are finding themselves in a very difficult position after passing out. There are no jobs. And for private practice one has to make a huge investment for installing the where withals. Government should consider training these BDS doctors by introducing a capsulised course to bridge the gap of curriculum of MBBS and that of BDS.This couse should be of a suitable duration and the standard of instructions to such doctors should not be compromised. At the end of the course they can be given MBBS degree. This would enable the govenment to make competent doctors in a short span of time and on the other hand the BDS doctors would also get an alternative career option.


01/31/2010

it is a practical and good suggestion.



07/13/2010

sir I wud like to discuss the issue with you in detail.




01/28/2010

To The Health Minister
Government of India

Sub : Regarding the proposal of MCI to start new course for rural health

Respected sir,
We came to know from news paper reports that MCI & Health Ministry are going to start new three& half years course (BRMS) for rural health.
Sir, we are BAMS & BHMS general practitioners in Maharashtra. Most of us are from rural background and practicing in rural area since last 10 to 20 years.
BAMS practitioners are allowed to practice modern medicine under Drugs & Cosmetics Act 1945 Sec 2ee, in Maharashtra.
Sir, we are competent to provide proper health-care in rural area. We are also ready to undergo any qualifying test or training, if Ministry thinks so.
According to us there is adequate number of general practitioners in rural Maharashtra, and there is no need to start three & half years BRMS course as far as Maharashtra is concerned.

With regards..
PRESIDENT,
NATIONAL INTEGRATED MEDICAL ASSOCIATION


01/31/2010

We respect ur views. But, in a population of 110 crores, or say in 21 crores families, we've a minimum of 1 patient in every family. No age restrictions in morbidity. Any government after thorough survey comes out with solutions like this. In THIS REGARD,One may read the books by DR. JAMES OF U.K. "THERAPIES OF 21ST CENTURY" WHERE HE HAS MAINTAINED THAT ALL THE THERAIES BASED ON BIO-ELECTRICITY WILL PREVAIL IN THE 21ST CENTRURY. AND OUT OF ALL THE THERAPIES BASED ON BIOELECTRICITY, ACUPRESSURE IS THE ONLY THERAPY WHICH GIVES PREVENTION SELF- DIAGNOSIS WITHOUT ANY TESTS AND COSTS AND HAS CURE FOR ALMOST ALL THE DISEASES INCLUDING EVEN DREADED DISEASES LIKE CANCER/HIV/AIDS.




uresh81(Guest)

01/24/2010

BRMS course, if approved, will create more Quackery rather than standard of care. This will create rural people getting poor standard of care and BRMS doctors also will migrate to urban areas & city. The Govt cannot trace where they are exactly practicing.
Indian Govt instead of spending money in BRMS, if central Govt pay is allotted to all doctors in Govt service(both state & panchayat doctors), no doctor will migrate anywhere.
Because a Doctor's profession is one in which even a small mistake being done in managing a patient will endanger his life which will never be regained.
so our Govt should rethink about this decision to save our people lives
TNGDA secretary,
Villupuram


ashish2325098(Guest)

01/26/2010

oho common my dear friend, if educated doctors had to be practiced in rural areas the would die on hearing it we need doctors who are likely to be with their soil in which they have born then u will see the change of India in a new fashion



PrayerF1993(Guest)

01/27/2010

well I don't thing so




01/23/2010

That is nice course. Students will be attracted to BRMS, but try to start this course erlier. Vishwajeet N



nikhilgopinath(Guest)

01/20/2010

brms..... totally absurd concept!!
What are the MCI people thinking??? Rural people in India are not 2nd rate citizens nor are they scapegoats to be in the mercy of an unskilled practitioner!... what they require are real doctors like their urban counterparts...
Besides, creating such a cadre system will only create more problems in the health care field.... medicine is such a vast topic that such a course wont serve its purpose....
I doubt whether the people in MCI are real doctors! No one with a sane mind would try to implement such an utopian idea....
PATHETIC!!!!!!!!




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