No standard set for minimum surgeries to be performed by PG students: National Medical Commission | Nagpur News
In its response, the NMC stated that “there are no set guidelines regarding the number of surgeries that should be performed personally by an MS surgery during the three-year course.”
RTI candidate, Dr. Neeraj Nagpal, said that during his university studies, a master’s or medical degree is awarded depending on the skill level of a candidate. “Now we award degrees and certificates, but we don’t teach surgeries and procedures,” he said.
Dr. Nagpal said earlier that colleges would not award master’s or medical degrees until the candidate has demonstrated competence in performing surgery on an average patient. “Take any country’s training program and you’ll find MS degree criteria based on numbers of catheterization, endoscopy, laproscopy, etc.,” he said.
Dr. Nagpal recalled the process while studying at Christian Medical College in Ludhiana. “A freshman used to learn surgeries from his senior. The final year student was teaching the second year. By the time a PG medical student graduated, he used to be good at surgeries,” he said.
The internships and training programs designed by NMC are theory-based and they are as good as online courses, Dr. Nagpal said. “When the NMC has not defined any criteria for the practicals, then it must hold an online session only. According to NMC, a student just has to watch. In fact, an operation is best viewed on YouTube,” he said.
A qualified MBBS student is better than a degree holder without practical knowledge, he said. “The patient thinks you’re a medical specialist when the reality is that the degree holder may not know how to do cataract surgery,” he said.
Another query, Dr. Nagpal said, reveals that NMC has not established any regulations for the recognition of institutes based on the practical training they provide to MD/MS, MCh/DM trainees. The NMC has also not derecognized any medical school for the lack of such a training module, the response suggests.
As part of the Medico Legal Action Group (MLAG) with members across the country, Dr. Nagpal said they intend to bring about reform in medical education.
The city’s pulmonologist Dr. Rajesh Swarnakar said the Indian Chest Society and the National Medical Society were trying to fill the void by organizing certified courses in specific skills for these postgraduate students.