Radical changes in MBBS Curriculum Dr.N.Bayapa Reddy MD Assistant Professor Community Medicine Chennai Medical College Hospital Irungalur, Manachennalur (TK) TRICHY Mobile

Radical changes in Public Health The primary health care in India is often measured and expressed in terms of quantities rather than quality.The primary health care in India is often measured and expressed in terms of quantities rather than quality. All these years we are indulging in figures and target years to accomplish primary health goals.All these years we are indulging in figures and target years to accomplish primary health goals. Unfortunately even these quantitative targets we are not able to reach in timeUnfortunately even these quantitative targets we are not able to reach in time So conventionally we are trying to change these deadlinesSo conventionally we are trying to change these deadlines

Revamping Community Medicine Department in Medical Colleges The department should be renamed as department of Community medicine and Public healthThe department should be renamed as department of Community medicine and Public health It will have not only academic work in medical colleges but also Extension work of public health in the District/RegionIt will have not only academic work in medical colleges but also Extension work of public health in the District/Region Strengthening PH departments – expansion in medical collegesStrengthening PH departments – expansion in medical colleges The staff of the department should be strengthened to support, monitoring, evaluation and effective implementation of public health activitiesThe staff of the department should be strengthened to support, monitoring, evaluation and effective implementation of public health activities

Staff pattern suggested in the new proposed departments Staff AcademicPH work Total Professors 21 3 Professors 21 3 Assoc. Prof 22 4 Assist. Prof 44 8 Qualified tutors 24 6 All Programme managers, Municipal health officers and DM&HO will be under technical control of Community Medicine Department.

Flow chart of CM department Director of health with PH qualification RMO and ID ward Doctors and staff Immunization Staff of Regional training colleges DM & HO and NHP managers Community Medicine & PH dept with extension wing

UG training The course should be 4 years duration with 1 year compulsory InternshipThe course should be 4 years duration with 1 year compulsory Internship The course should be 1 years 1 st MBBSThe course should be 1 years 1 st MBBS 1 years 2 nd MBBS1 years 2 nd MBBS 6 months 3rd MBBS6 months 3rd MBBS 1 1/2 years final MBBS1 1/2 years final MBBS Community medicine Examination will be at the end of final year along with Medicine, Surgery and OBGCommunity medicine Examination will be at the end of final year along with Medicine, Surgery and OBG

CM theory classes should start in 1 st MBBS and continue in final MBBS (total period of 4 years)CM theory classes should start in 1 st MBBS and continue in final MBBS (total period of 4 years) In 1 st and 2 nd MBBS period Community medicine classesIn 1 st and 2 nd MBBS period Community medicine classes In the 1 st MBBS a paper on medical sociology and clinical psychology should be introducedIn the 1 st MBBS a paper on medical sociology and clinical psychology should be introduced In 2 nd MBBS a paper on research methodology and Biostatistics should be introducedIn 2 nd MBBS a paper on research methodology and Biostatistics should be introduced

Clinical postings in Community Medicine will start in 2 nd MBBS for a period of 1 ½ months on rotation basisClinical postings in Community Medicine will start in 2 nd MBBS for a period of 1 ½ months on rotation basis These postings will continue in the final MBBS also for a period of 1 ½ months on same rotation basisThese postings will continue in the final MBBS also for a period of 1 ½ months on same rotation basis In medical colleges in govt. sector posts of statistician with MCI stipulated qualification (M.Sc statistics) and any diploma in medical and health statisticsIn medical colleges in govt. sector posts of statistician with MCI stipulated qualification (M.Sc statistics) and any diploma in medical and health statistics Similarly posts of Medical sociologists and clinical psychologists should be created in govt. medical collegesSimilarly posts of Medical sociologists and clinical psychologists should be created in govt. medical colleges

Internship training In internship training 3 month posting is sufficient.In internship training 3 month posting is sufficient. one month interns work in Rural health centers/ Primary health centersone month interns work in Rural health centers/ Primary health centers one month interns work in Community health centers/ District Hospitalsone month interns work in Community health centers/ District Hospitals In both above period the interns should be trained in surgery, Medicine, OBG, Pediatrics coordinated by Community MedicineIn both above period the interns should be trained in surgery, Medicine, OBG, Pediatrics coordinated by Community Medicine Rest of the 1 month the interns will work in the participation in the National programmes/project work (survey).Rest of the 1 month the interns will work in the participation in the National programmes/project work (survey).

Induction training for doctors entering govt. service to work in health centres and hospitals All Doctors who wish to join govt. service and serve in the rural areas should have 1 year induction trainingAll Doctors who wish to join govt. service and serve in the rural areas should have 1 year induction training During this training the doctors will be paid stipend equaling to the final year PG studentDuring this training the doctors will be paid stipend equaling to the final year PG student Those doing 2 years DPH and 3years MD the first year training should be the same as induction trainingThose doing 2 years DPH and 3years MD the first year training should be the same as induction training

Training schedule for induction training 6 months training in state institutes of Health and Family Welfare6 months training in state institutes of Health and Family Welfare 3 months training in PHCs3 months training in PHCs 2 months training in District health organizations2 months training in District health organizations 1 months in Forensic medicine1 months in Forensic medicine Yearly 2 batches can be admitted with a strength of 30 to 40 candidatesYearly 2 batches can be admitted with a strength of 30 to 40 candidates

Regional health institutes in the state should be geared up to start these induction training for doctorsRegional health institutes in the state should be geared up to start these induction training for doctors No doctor should be allowed to join govt. service with out undergoing this compulsory induction trainingNo doctor should be allowed to join govt. service with out undergoing this compulsory induction training The doctors will be allowed to undergo this training immediately after completion of MBBS course.The doctors will be allowed to undergo this training immediately after completion of MBBS course. Such doctors can be directly absorbed into health servicesSuch doctors can be directly absorbed into health services