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Why do young Indians feel the need to leave the country to get a medical degree?

 Yes, the craze for medical degree is still raging in the Indian Diaspora. Why do young Indians feel the need to leave the country to get a medical degree?

It’s pure economics! and little bit ignorance!

93% Indian students aware of just seven career options: What are parents doing wrong? 

A recent survey on career option awareness among Indian students has revealed that a staggering 93% of the students aged 14 to 21 were aware of just seven career options though there are more than 250 different types of job options available in India. Are parents doing something wrong?

just seven career options -- law, engineering, medicine, accounts and finance, design, computer applications and IT, and management.

According to researchers, India has a variety of 250 career options available across 40 domains covering 5,000 job types.

 

According to data, around 25,000 students go abroad every year to study medicine. A look at the data provided by the NMC  and the Ministry of Health and Family Welfare reveals where the problem lies. As many as 16.1 lakh candidates sat for the MBBS entrance exams in 2021. This is against roughly 90,000 seats across the country recognised by the National Medical Commission. The skewed ratio is the root of the issue. There are 562 medical colleges offering MBBS in the country, of which 286 are government institutes and 276 are private.


USUALLY MIDDLE CLASS (OC category) FAMILIES SEND THEIR CHILDREN who couldn't compete with the reservation system in govt med colleges and couldn't pay the  astronomical donations in private med colleges, TO FOREIGN COLLEGES.

Left with no option, these aspirants often aim to study medicine in countries such as Ukraine, China and Russia where the cost of the entire course is between Rs 20-25 lakh.

All universities in Ukraine are approved by the World Health Organization (WHO) and United Nations Educational, Scientific and Cultural Organization (UNESCO). Besides, the Pakistan Medical and Dental Council, the European Council of Medicine, and the General Medical Council of the United Kingdom also recognise Ukrainian medical degrees.

 

Most of the ‘new' colleges in india are lying defunct due to the lack of teachers and infrastructure.

While lakhs appear in NEET every year, only about 40,000 get admission to government medical colleges. In such a situation, a large number of NEET-qualified students turn to “small foreign nations”.
As per the Economic Survey , the expenditure on education was only 3.1 per cent of the GDP in 2021-22.

India’s best students go to government medical colleges. And those who can’t, choose international schools in countries like Ukraine and Russia over private medical colleges in India. 

Students returning from countries such as Ukraine, who wish to practice medicine in India, are required to clear the Foreign Medical Graduates Examination, which reportedly has an abysmally low pass percentage of just 10-20 per cent. Those who have studied in the United States, the United Kingdom, Australia, Canada and New Zealand are not required to write the screening test.

At present, the number of medical colleges is hugely disproportionate across Indian states, with a large number of them concentrated in Karnataka (63 colleges with 9,795 MBBS seats according to NMC), Maharashtra (61 colleges and 9,600 MBBS seats), Tamil Nadu (69 colleges and 10625 MBBS seats), Telangana and Andhra Pradesh (34 colleges and 5,340 seats; and 31 colleges and 5,210 seats respectively), and Uttar Pradesh (67 colleges and 8,678 seats).

The average annual fees for a medical course in government colleges is Rs 2 lakh and in private colleges is Rs 10-15 lakh. This means, for a four and a half year course, students need to shell out Rs 14 lakhs  in government colleges and Rs 60-70 lakh in private institutes.

The importance of career counselling : INDIA NEEDS 1 million career counselors

Children need to first become aware of the many subjects and career options that exist and before they finalise one, they will also need to build their profile for the chosen career. "The ideal age to start considering career counseling is 13-14 years where they start with subject exploration and selection and then work towards career selection. Giving enough time to plan will even out the stress and give them time to engage in critical thinking,

Recent Guidelines from NMC   Indian Citizens/Overseas Citizen of India intending to obtain primary medical qualification from any medical institution outside India, on or after May 2018, shall have to mandatorily qualify the ‘National -Eligibility-cum- Entrance Test for Admission to MBBS course’. The result of the ‘National- Eligibility-cum-Entrance Test for Admission to MBBS course’ shall deem to be treated as the Eligibility Certificate for such persons, provided that such persons fulfil the Eligibility Criteria for admission to the MBBS course prescribed in the Regulations on Graduate Medical Education, 1997.”

Furthermore, the result of NEET-UG shall be valid for a period of three (3) years from the date of declaration of result, entitling a candidate to pursue MBBS or equivalent medical course including pre-medical/language course, if any, followed by MBBS or equivalent medical course.

 For further details:  https://www.nmc.org.in/information-desk/for-students-to-study-in-abroad/

Recent directive from NMC: Now the upper age limitation to sit for NEET-UG exam is lifted.  At present, 16 lakh  aspirants are  COMPETING for 95000 MBBS SEATS. With this GO, more number of aspirants and more chances!

What is FMGE? How the FMGs faring in this exam??

The FMGE is conducted twice a year in June & December and a candidate has to score a minimum of 50% marks in each of the papers to be declared passed. A candidate has a maximum of 3 attempts to pass the examination.

This is a statutory requirement as per section 13(4A) of the Indian Medical Council Act, 1956 amended in 2002. Those who hold an under graduate as well as post graduate medical degree from the following countries need not take the FMGE and they can directly be registered by the SMCs.

  • Australia
  • Canada
  • New Zealand
  • United Kingdom
  • United States of America
What percentage of candidates pass the Screening Test (FMGE)?

As per the data available with the government, only about 16% of the candidates who appeared for the screening test between 2012-13 and 2016-17 have passed the FMGE. Close to 14000 candidates appeared for the FMGE in 2012-13. This number reduced to 6395 in 2013-14. Since 2014-15, the number of candidates appearing for the FMGE is more or less close to 12000. 

Students who study medicine in countries like Ukraine have to write FMGE - Foreign Medical Graduate Examination to practice in India. Last year the pass percentage was 23%.If you don't pass the examination in India the degree from Ukraine is like a waste paper. 

Foreign Medical Graduates..only after completing their Degree Graduation are eligible to sit for Foreign Medical Graduate screening test...to apply for Provisional/Permanent Registration at State Medical Councils.

 


Foreign Medical Education Standards
The pass percentage of only 20% is indicative of poor standards of medical education in some of these countries. Students are often lured because of the lower fee and a guaranteed seat. Though the government has issued certain guidelines, the number of students pursuing medical education abroad hasn’t gone down.

Incredible India

In India, one’s caste dictates the admission in government medical colleges and religion/riches in private medical colleges.

Unless these fundamental issues are dealt with head on, we will continue to see the exodus of students abroad.

Policy makers should pay attention to the fundamental weaknesses and problems associated with the education system in the country.

Every year, thousands of students go abroad to study. This is not the surprising part. What’s interesting is the field of study they go out to study - medicine - and the countries they are opting for their higher education - China, Ukraine, Azerbaijan, even Bangladesh, etc.

There are layers within layers when it comes to classification of medical seats in India. At the basic level, there are two main divisions - government seats and seats in private sector. Under government, there are seats exclusively with Central government (where Centre’s quota policy is followed and 60 per cent seats are reserved), seats in All India Quota which is a pool formed after states surrender 15 per cent of the seats in colleges that come under them (here, only SC/ST quota was followed until the Modi government introduced the OBC quota last year) and then there are 85 per cent seats with the state governments who follow their own quota policies and give admissions to their domiciles (with Tamil Nadu having the most reserved seats).

This means that when new colleges and new seats get added in Tamil Nadu, there is little incremental benefit for students in unreserved category as compared to when other states expand capacity. Moreover, Modi government’s move to implement OBC reservation in AIQ has also lessened the capacity that would’ve been otherwise available for unreserved category students in light of addition of tens of thousands of seats since 2014. Effectively, it has been a ‘two steps forward and one step backward’ approach. Overall, it’s still progress but it would require significant expansion in seat capacity over the next few years to compensate for the limitations of the quota system.

That leaves the private sector as a useful avenue which could’ve acted as a fruitful partner for the government where the latter could focus on giving quality medical education to economically and socially backward at affordable prices and letting the former to cater to those who missed out on government seats. But private sector is also hobbled by two chief problems.

First is artificial scarcity that has been ensured for decades because it’s extremely hard for genuine edu-preneurs to open medical colleges thanks to suffocating regulations - one requires hundreds of crores of initial investment, annual license approvals, requirement of setting up various teaching departments, setting up an attached hospital with certain number of beds, more approvals to even add seats/beds in already functioning colleges/hospitals, etc to name just a few.

When Modi government junked the Medical Council of India and replaced it with National Medical Commission (NMC), it had a historic opportunity to bring a transformational change. Not only it didn’t do that, earlier this month, it issued exhaustive guidelines for regulating fees for 50 per cent seats in private medical colleges which will be forced to charge fees equal to what the government colleges do. The government thinks that it is helping subsidise seats for 50 per cent students studying in private colleges but has lost sight of the fact that colleges will be forced to increase the fees for remaining 50 per cent seats by a huge amount and there may not be many takers for them. Even without such cross-subsidising, students are forced to go to Ukraine, Bangladesh, China et al because of low fees.

The second issue in the private sector space is the dual regulatory structure that governs minority and non-minority colleges where the former is at much bigger advantage because the protection given under Article 30 of the constitution allows minorities to run their colleges with great autonomy (and there is a good chance that they will be exempted by the judiciary from NMC’s fee regulation which will further put them at advantage). It’s not without reason that minority-run colleges rule the roost in medical education and are almost at par in numbers with non-minority ones. Moreover, majority of the seats in minority colleges are reserved for people of their own religion - For ex: around 84 per cent of the seats in CMC Vellore are reserved for Christians. PM Modi should’ve done away with this discriminatory legal regime on the first day in office. Alas!

Yes, Essentially in India, one’s caste dictates the admission to government medical seats and religion/riches in private medical colleges.

It’s still not too late. Rather than exhorting the state governments to frame good policies, PM Modi ji will be well advised to actually start with his government. Otherwise, we will continue to see the exodus of students abroad. 

 

 

 

 



 

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