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

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  No up skilling / CPD

Chhapra (Saran) 80 Km from Patna Capital of Bihar

AFPI: Academy of Family Physicians of India Academic association of residency trained family physicians in India

Family medicine Specialty of muti skilled competent generalist primary physicians

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

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

www.afpionline.com

Universal Health Coverage India

By 2030 Loss to India 5 trillion dollars due to NCD only World Economic Forum Report November 2014

National Consultation of Family Medicine

What is ailing our medical education system in India?

2 m 10 m Question: How does the goat eat grass?

Medical student Tertiary care centered medical education Community health services Answer: Goat can not eat grass!

Medical Education Human Health

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

Where am I going? Medical students

Save Doctor Movement USA has 19,000 UG seats and 32,000 PG seats. USA has 19,000 UG seats and 32,000 PG seats.

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

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

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

Google prefers to hire generalists

Family Medicine Specialist

Family Medicine Specialist: Multi Skilled

Genius: Generalist Painter Sculptor Architect Musician, Mathematician Engineer, Inventor, Anatomist Geologist Cartographer Botanist Writer Leonardo Da Vinchi

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”

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

RTI 2014 to MCI

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.

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

No one can stop an idea whose time has come Victor Hugo

2 nd 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

Thank you