Medical Council of India - Statutory Body

Medical Council  of India	Medical council of India a statutory body Medical registration Education both private and public Ethical conducts
Problems in Medical Education	Poorly regulated Expensive Opaque Considerably  corrupt Quality Failing to stop medical seat in private colleges for capitation fee Accreditation to institutions and assess their quality(conflict of interest) Conflict of interest Parliamentary Standing committee report on 'Functioning of medical Council of India' : at the 'lowest ebb' and suffering from 'total system failure' Ossified and opaque body Ill-prepared to serve in poor resource settings Graduates lake competence Unethical practice is growing
Issues	Conflict of interest Unethical Practice : Organ Smuggling and Trade Competence 80% of Practitioners do not have a qualification certificates 80% of Qualified degree holders are not able to pass the minimum standards requires for practice in India (Both Foreign and domestic)
Problems in MCI	Appointment Being a elected body   Structural Lack of diversified Stakeholders Opaque Composition 'exclusive club of socially disconnected doctors Functioning Minimum standards : Irrational and Rigid  No provision of constructive feedback Penalising rather than improving Corruption Mis-governance favouring private college
Other problems in medical education	High cost Low access High doctor-to-population ratio(1: 1674 instead of 1: 1000 even these all do not practice, and if practice confined to urban areas) Sharp asymmetry in no. of seats for post graduate and under graduate Contentious issue of common entrance test (rural-urban divide and language barrier )
Solution (as recommended by PSC)	Revamping architecture according to present need Election to be replace by nomination Four independent board Curriculum development Teacher training Standards setting Accreditation and assessment Separation of functions Ranjit Roy Chaudhary Creation of National Medical Commission to oversee education and policy Separate boards for training, assessment and ethics Inclusion of non medical  professionals and community health experts
SC Courts	R M Lodha Oversight Committee
Way ahead	Upgrading the district hospitals to government medical colleges rather then giving them to private on leasing in order to prevent cross commercialisation of health To ensure the credibility Rigorous and periodic assessment by high level committee of hospital and colleges Affordability New law for this purpose should be formed to ensure comprehensive and safeguard