Medical college education: NEET cut off variation: any moral questions by society, celebrities and media?

Going by selection of candidates as doctors, If given a choice, by whom  a patient will like to get treated? A candidate who scored 20 % marks or a person getting 60% or 80%  marks.   NEET eligibility getting lower and  a  candidate getting around 20 % of marks  may be able to secure a degree to treat patients.  What will be the deciding factor? The criteria as to why a person with 60%  marks will  not be given a seat and with 20% marks will be able to secure. It will depend upon, whether  a student  is able to pay the exorbitant fee or not. Present system and mechanism of admission permit and accept such huge  variation! That strange equation is acceptable in lieu of money paid!

In this whole process, who will be the sufferer?

Is it only the  meritorious  and honest candidate. children who has worked hard are going to lose faith in system, besides irreversible damage to career.

– the people and society, who wish for best doctors.

– in general, honesty and hard work and merit is a causality.

– But in the long run candidate, who purchase degrees with money  may also suffer. As in the times of consumerism and risk associated with less desirable medical services. Candidates may themselves be at risk. Rich candidates may be capable of becoming health investors and health managers by money power, so as to evade  the increasing litigation. But  those from average family backgrounds ,who practice as doctors, will  be at some risk in today’s  difficult environment   for doctors.

 Exit  exams from these paid colleges  need to be better regulated. These colleges are minting money for distributing degrees. Likely is that, ultimately  most of the  students will pass and try to recover  their investments.

Infrastructure ,  number of teachers and investment on training is unlikely to be uniform in such colleges.   It is a matter of speculation, how much facilities a student gets, specially at a time uncertainty  about uniformity of medical education is a matter of great debate. It is also doubtful that money charged  from students as fee, is spent on medical education of the aspiring doctors.

      National exit exam may solve uniformity issues to some extent, but like NEET, its correct  implementation is a big   uncertainty itself.  Doctors have to listen comments about quality of doctors everyday. Rather than doctors themselves, it is the system to select them  needs improvement, which permit and accepts such huge variation in marks and fee.  Someone will definitely ponder, why one should not get best available candidate as doctor?  



NEET implementation vital and will decide quality of doctors in future

NEET, the common test for MBBS admission all over nation, is perceived as most basic step  towards uniformity of medical education. It is a welcome single most important step to transform the medical education. But its effective implementation is extremely vital for it to be successful and that is possible only if government takes strong measures to implement it in a true spirit. NEET can reform medical education, weed out corruption and in turn can radically transform healthcare. This new system should allow fair play, transparency and should set an example for promotion of merit in other arenas too. But it needs to be seen how NEET is finally implemented. It will be very unfortunate if it is diluted for any reason and merit becomes another casualty in accommodating other priorities, rather than having best doctors. It  is a now or never situation for the country to pick up best brains of country for  training as prospective doctors , decided purely on basis of merit.  By diluting the merit criterion, not only do less deserving people get ahead of deserving ones, but it breaks the faith and enthusiasm of the best and deserving people in the system, thereby generating a negativism in the whole system. Failure to implement NEET effectively and strictly should be interpreted as government’s inability to control vested interests in the system.

Enthusiasm and the zeal is what we need here in medical care. With the shortage of thousands of doctors, and our infant and maternal mortality rates matching sub-Saharan countries, it is not only the number of doctors which matters. The most important factor, I think, will be quality and enthusiasm of the people who are working for the system.

Besides Infant and maternal mortality rates, innumerable diseases like tuberculosis, heart and respiratory, cancer, neurological and mental ailments, accident and trauma etc need work on war footing.  But the medical system has to be built on the touchstone of merit and enthusiasm for a greater impact. Merely creating number of doctors is not the solution. The need of the hour is more but pure meaning on pure merit. If that does not happen sufferers will be poor genuine aspiring doctors and casualty will be medical profession and ultimately health system and its users.

Let merit not be made a casualty of the system. The ball is now in government’s court and they should ensure that NEET is implemented in its true spirit, to fulfil the dream for which it was envisioned and introduced which is to bring medical care in India to its most cherished peak.

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