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Radical changes in MBBS Curriculum. Dr.N.Bayapa Reddy MD Assistant Professor Community Medicine Chennai Medical College Hospital Irungalur, Manachennalur (TK) TRICHY-621105 Mobile-+918098132659. Radical changes in Public Health.

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Radical changes in mbbs curriculum

Radical changes in MBBS Curriculum

Dr.N.Bayapa Reddy MD

Assistant Professor

Community Medicine

Chennai Medical College Hospital

Irungalur, Manachennalur (TK)

TRICHY-621105

Mobile-+918098132659


Radical changes in public health
Radical changes in Public Health

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.

Unfortunately even these quantitative targets we are not able to reach in time

So conventionally we are trying to change these deadlines


Revamping community medicine department in medical colleges
Revamping Community Medicine Department in Medical Colleges

The 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/Region

Strengthening PH departments – expansion in medical colleges

The 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 pattern suggested in the new proposed departments

Staff AcademicPH workTotal

Professors 2 1 3

Assoc. Prof 2 2 4

Assist. Prof 4 4 8

Qualified tutors 2 4 6

All Programme managers, Municipal health officers and DM&HO will be under technical control of Community Medicine Department.


Flow chart of cm department
Flow chart of CM department

Director of health

with PH qualification

DM & HO and

NHP managers

Community Medicine

& PH dept with

extension wing

Staff of Regional

training colleges

RMO and ID ward

Doctors and staff

Immunization


Ug training
UG training

The course should be 4 years duration with 1 year compulsory Internship

The course should be 1 years 1st MBBS

1 years 2nd MBBS

6 months 3rd MBBS

1 1/2 years final MBBS

Community medicine Examination will be at the end of final year along with Medicine, Surgery and OBG


CM theory classes should start in 1st MBBS and continue in final MBBS (total period of 4 years)

In 1st and 2nd MBBS period 60-80 Community medicine classes

In the 1st MBBS a paper on medical sociology and clinical psychology should be introduced

In 2nd MBBS a paper on research methodology and Biostatistics should be introduced


Clinical postings in Community Medicine will start in 2nd 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 basis

In 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 colleges


Internship training
Internship training

In internship training 3 month posting is sufficient.

one month interns work in Rural health centers/ Primary health centers

one 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 Medicine

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
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 training

During 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 training


Training schedule for induction training
Training schedule for induction training work in health centres and hospitals

6 months training in state institutes of Health and Family Welfare

3 months training in PHCs

2 months training in District health organizations

1 months in Forensic medicine

Yearly 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 doctors

No 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.

Such doctors can be directly absorbed into health services


Thank you to start these induction training for doctors


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