PYQ Relevance:Q) Appropriate local community level healthcare intervention is a prerequisite to achieve ‘Health for All’ in India. Explain. (UPSC CSE 2018) |
Mentor’s Comment: UPSC mains have always focused on the ‘Health for All’ (2018) and primary health structure is a necessary precondition (2021).
No students enrolled in postgraduate (PG) medical pre-clinical courses like anatomy, biochemistry, physiology, forensic medicine, microbiology, and pharmacology at Vydehi Institute of Medical Sciences and Research Centre (VIMS), Bengaluru, until the second round of PG-NEET counselling.
Today’s editorial discusses the issues related to postgraduate medical seats. This content would help in GS Paper 2 and 3 in the mains paper.
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Let’s learn!
Why in the News?
Many postgraduate medical seats are vacant this year because students are choosing pre-clinical courses.
Why are postgraduate medical students reluctant to choose pre-clinical courses in Karnataka?
- Lack of Job Opportunities: Pre-clinical graduates cannot practice as doctors and are limited to working in laboratories, diagnostic centers, or as faculty. Example: Despite reducing tuition fees and offering job guarantees, private institutions like the Vydehi Institute of Medical Sciences struggle to fill pre-clinical seats due to limited employment avenues.
- Lower Salary Compared to Clinical Courses: Pre-clinical roles offer significantly lower remuneration than clinical practice, making them financially unattractive. Example: A clinical doctor can earn a higher salary working in hospitals or private practice, while pre-clinical graduates face salary stagnation in academic or lab-based roles.
- Limited Career Progression and Mobility: Clinical course graduates have the flexibility to work globally and in various healthcare sectors, while pre-clinical graduates are restricted to teaching or research roles. Example: An MD in General Medicine can practice as a physician anywhere, whereas an MD in Anatomy primarily qualifies for academic positions.
- High Capital Requirement for Self-Employment: Establishing independent diagnostic centers requires significant investment, which deters pre-clinical graduates from entrepreneurial ventures. Example: Diagnostic centers with advanced technology demand substantial startup costs, making it challenging for pre-clinical graduates to become self-employed.
- Persistent Seat Vacancies Reflect Low Demand: Consistent under-enrollment over the years signals a long-term disinterest in these courses. Example: In 2024-25, only 6 out of 104 MD Anatomy seats were filled in Karnataka, despite five rounds of counselling and reduced cut-off percentages.
What is the trend of student enrollment in PG medical courses at the all-India level?
What is the significance of pre-clinical courses?
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How has the National Medical Commission (NMC) addressed the issue of unfilled PG medical seats in Karnataka?
- Reduction of NEET-PG Cut-off Scores: In an unprecedented move, the NEET-PG 2023 cut-off was reduced to zero, making all candidates who appeared for the exam eligible for PG medical programs. This decision aimed to expand the pool of eligible candidates and fill vacant seats across various specialties.
- Guidelines for Interstate Posting Under District Residency Programme: The NMC issued directives emphasizing strict adherence to the Post-Graduate Medical Education Regulations, 2023.
- These guidelines facilitate the interstate posting of PG medical students under the District Residency Programme, ensuring a more even distribution of medical professionals and addressing regional disparities in seat occupancy.
- Monitoring and Rectifying Seat Allocation Discrepancies: The NMC has been proactive in addressing discrepancies between its records and those of state authorities. For instance, admissions to 23 PG medical seats in Bengaluru were put on hold due to mismatches between NMC and Directorate of Medical Education (DME) lists. Such actions ensure that seat allocations are transparent and accurate.
- Annual Increase of PG Seats: The NMC has facilitated the process for medical institutions to apply for an increase in PG seats for the academic year 2025-26. By inviting applications and setting clear guidelines, the commission aims to enhance the availability of PG medical seats, thereby reducing the likelihood of vacancies.
Way forward:
- Enhance Pre-Clinical Career Prospects: Introduce incentives like research grants, industry collaborations, and fellowship programs to improve career progression and salary prospects for pre-clinical graduates.
- Targeted Seat Distribution and Quality Monitoring: Implement region-specific seat allocation policies and strengthen regulatory oversight to ensure quality education and equitable access across underserved states.
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