paradigm shift from MCI to NMC

the history of MCI and brief on MCI

1. PARADIGM SHIFT FROM MCI TO NMC AYSHATHUL FEMITHA 9897

2. MEDICAL COUNCIL OF INDIA

3. HISTORY

4. National Council for Human Resource in Health bill (NCHRH)

5. DISSOLVING MCI The MCI was taken over first in 2010, following the arrest of its president Ketan Desai by the Central Bureau of Investigation (CBI) for allegedly accepting a bribe of Rs 2 crore to grant recognition to a medical college in Punjab In may 15, 2010 an ordinance come up to constitute a Board of Governors to regulate MCI for a year

6. November 6 2016 the Indian Medical Association(IMA) organized pan India strike of doctors and medical students to protest against NMC Bill. Protest continued till March 2017

7. September 27, 2018 MCI (Amendment)Ordinance again dissolved the MCI with new BoG with 7 members The new board includes NITI Aayog member – VK Paul AIIMS Director – Randeep Gularia PGI Chandigarh Director - Jagat Ram NIMHANS Bangalore chief – BN Gangadhar AIIMS Professor – Nikhil Tandon Director General Health Services –S Venkatesh Secretary Health Research- Balram Bhargava

8. By the time, the Minister of Health and Family Welfare JP Nadda had introduced the NMC Bill of 2017 in the Lok Sabha This Bill too ran into trouble for several reasons. lack of representational character of the NMC powers relating to fee structures of private medical colleges proposing a "bridge course" for the practitioners to also let them practice and prescribe allopathic medicines  January 2 2018, the NMC bill was sent to standing committee March 2018, standing committee reported on NMC bill with changes made removal of bridge course

9. NATIONAL MEDICAL COMMISSION (NMC) The bill attempts to set up a regulatory body called the National Medical Commission in place of the tainted Medical Council of India (MCI). According to the government, the NMC bill will provide for a medical education system that improves access to quality and affordable medical education, and guarantee availability of adequate and high quality medical professionals in all parts of the country.

10. The National Medical Commission Bill of 2019 proposes to have four autonomous boards to take care of its different functions: Under-Graduate Medical Education Board Post-Graduate Medical Education Board Medical Assessment and Rating Board Ethics and Medical Registration Board

11. FUNCTIONING OF NMC

12. FEATURES OF NMC

13. Moreover, the Medical Assessment and Rating Board (MARB) under the NMC will rate institutions on quality of education/training imparted. These ratings, coupled with the transparency accorded by the NEXT, will ensure that fees are regulated through market forces. Responding to the demands from States to increase their representation in the NMC, the nominees of States and UTs in the NMC have been increased from 3 to 6. The NMC will comprise of 25 members of which at least 21 will be doctors.

14. NMC (pros and cons) PROS: As per the Bill, the government, under the National Medical Commission (NMC), can dictate guidelines for fees up to 50% of seats in private medical colleges. Recognized medical institutions don’t need the regulator’s permission to add more seats or start PG course. This mechanism is to reduce the discretionary powers of the regulator. the role of Community Health Providers (CHP) in providing primary and preventive treatment in rural areas which remain unserved by MBBS graduates.  National Exit Test (NEXT) for granting ‘license’ to practice and admission to postgraduate broad-specialty courses,  prevent suboptimal doctors getting the registration to practice and hopefully improve the quality of MBBS doctors..

15. cons By getting the power to set guidelines for setting fees in private colleges and recognition of medical institutes there is more chances for corruption It's not yet clear as to what kind of professionals could be certified as CHPs and up to what limit they should provide care and treatment to the patients. The new exit examination is expected to be implemented within three years of the bill becoming a law.  the crucial practical part of the present qualifying MBBS exam in the final year would lose its importance. Section 45 (2) says that “the decision of the Central Government whether a question is one of policy or not shall be final. The Act under the same clause restricts the Commission and the autonomous boards to express their views without giving an opportunity.

16. cons Govt failed to answer how NEXT Exam will work to calibrate the standard of medical education uniformly among all medical institutions across the country to enable candidates to take up such competitive nationalised tests. Also the one who couldn’t appear for NEXT will not be able to enter in the national registry, to practice or to do post graduate studies With the institution of NMC, the role of the state government will be reduced drastically—from being in the governance to a merely advisory one. At present, 70% of representatives in MCI are elected members. But when it comes to NMC, only 20% of the members would be the elected representatives

17. SIMILIARITIES AND DIFFERENCES (NMC vs MCI)

18. conclusion There is no denying that medical education needs continuous reforms to ensure improvements in health care. There cannot be just one solution. The success of any legislation depends upon how it is implemented and interpreted. The future of the medical education and treatment of our country is unclear till the new NMC system prove its efficiency .

19. REFERENCES : The Hindu. "Court extends judicial custody of Ketan Desai by 14 days". 14 May 2010. Retrieved 17 May 2010 My medical mantra:“NMC Bill defies the principles of democracy,” states IMA President-elect By Dr Avinash Bhondwe on August 8, 2019 The Economic Times health world:How to make the new NMC Bill more effective and acceptable: Vimal Wakhlu , August 28, 2019 India Today : Indian Medical Council (Amendment )bill 2019: continuation of ad hoc approach to regulatory functions. July 6, 2019 The Hindu business line: unfair criticism of NMC bill, Uravshi Prasad on September 04, 2019. Moneycontrol news.com: here’s how the NMC’s functioning differs from MCI , July 25, 2019 The tribune : govt dissolves MCI, new body led by doctors takes over, September 27, 2018

20. THANK YOU