Dr Raman Kumar Paradox : 1.3 Billion Population 50,000 Medical - - PowerPoint PPT Presentation

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Dr Raman Kumar Paradox : 1.3 Billion Population 50,000 Medical - - PowerPoint PPT Presentation

Jul 27, 2023 426 likes •1.2k views

Dr Raman Kumar Paradox : 1.3 Billion Population 50,000 Medical Graduates / year 380 medical college s highest number in the world. No Campus Interview Low salary Under employment/ Unemployment Dysfunctional status

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Dr Raman Kumar

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Paradox : 1.3 Billion Population

50,000 Medical Graduates / year 380 medical college s – highest number in

the world.

No Campus Interview Low salary Under employment/ Unemployment Dysfunctional status No up skilling / CPD

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Chhapra (Saran) 80 Km from Patna Capital of Bihar

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AFPI: Academy of Family Physicians of India

Academic association of residency trained family physicians in India

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Family medicine

Specialty of muti skilled competent generalist primary physicians

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Family Medicine: Practicing Discipline

General Practitioners Family Physicians Medical Officers ( CGHS and Stare Services) NRHM Contract medical officers GDMO (Services, ESI, CPO, Railways, Municipal corporations, ordinance factories ) RMO (Resident medical officers) Rural physicians Physicians and surgeons

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Don’t be a faceless doctor Claim your academic specialty Family Medicine

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www.afpionline.com

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Universal Health Coverage India

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By 2030

Loss to India 5 trillion dollars due to NCD only World Economic Forum Report November 2014

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National Consultation of Family Medicine

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What is ailing our medical education system in India?

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10 m 2 m

Question: How does the goat eat grass?

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Tertiary care centered medical education

Community health services

Answer: Goat can not eat grass!

Medical student

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Human Health Medical Education

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Hierarchy of service providers

Primary care physicians – Basic MBBS Specialist MD/MS Super (Sub) Specialist DM/MCh

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Where am I going?

Medical students

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USA has 19,000 UG seats and 32,000 PG seats.

USA has 19,000 UG seats and 32,000 PG seats.

Save Doctor Movement

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40 Years of experience 3 years of MD MBBS MBBS MBBS Basic doctor Specialist doctor

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Perceived to be more skilled Professional recognition Social prestige Higher monetary compensation Power and position to regulate medical education

Specialist doctor

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Hierarchy of service providers

Primary care physicians – Basic MBBS Specialist MD/MS Super (Sub) Specialist DM/MCh

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Google prefers to hire generalists

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Family Medicine Specialist

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Family Medicine Specialist: Multi Skilled

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Painter Sculptor Architect Musician, Mathematician Engineer, Inventor, Anatomist Geologist Cartographer Botanist Writer

Leonardo Da Vinchi

Genius: Generalist

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Policy discussions emphasizing need of community based skilled primary care physicians

  • Sir Joseph Bhore Report -“social physician”
  • Patel report (1971) “basic doctor”
  • Shrisvasta Committee Report “family and community oriented practitioner”
  • Bajaj Committee Report “Community Physician”
  • Mehta Committee Report “Family Medicine Specialty”
  • National Health Policy 2002 Family Medicine Specialty
  • National knowledge Commission “50 % seats for generalist physicians”
  • Taskforce on medical education for NRHM “Family Medicine”
  • Vision 2015- Medical Council of India “Family Medicine”
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RTI 2009-10 to MCI and NBE

Question: Please Define the Specialty of Family Medicine Answer: MCI in its regulations has not defined family medicine

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RTI 2014 to MCI

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Few positive developments

 First MD program started at Calicut Medical College  CMC Vellore: first department of family medicine  All new AIIMS institution having department of

community and family medicine

 DNB family medicine emerging a popular choice at

CET counseling.

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Family Medicine: Practicing Discipline

General Practitioners Family Physicians Medical Officers ( CGHS and Stare Services) NRHM Contract medical officers GDMO (Services, ESI, CPO, Railways, Municipal corporations, ordinance factories ) RMO (Resident medical officers) Rural physicians Physicians and surgeons

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No one can stop an idea whose time has come

Victor Hugo

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2nd National Conference Family Medicine and Primary Care

19 – 22 November 2015 19-20 Family Medicine Post Graduate

Update 2015

21-22 Main Conference India Habitat Centre New Delhi

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Thank you