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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Dr.N.Bayapa Reddy MD
Chennai Medical College Hospital
Irungalur, Manachennalur (TK)
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
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 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.
Director of health
with PH qualification
DM & HO and
& PH dept with
Staff of Regional
RMO and ID ward
Doctors and staff
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
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).
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
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