≡ Menu

International Call to Revamp India’s Crumbling Medical Education and Healthcare Regulatory System

Lancet, top international medical journal published from United Kingdom, has published a scathing report this week highlighting the deep-rooted corruption and gross inefficiency in the Medical Medical Council (MCI) in view of the recent findings by a multi-party high-powered Parliamentary Standing Committee on Health and Family Welfare (see the Lancet report and related news report below). Apart from severe criticism of the way medical education and complaints of medical negligence are handled by the biased doctor-only members of the medical council, the report has underscored the wide-spread corruption that has plagued the MCI for a very long time including the serious case of bribery for which the disgraced ex-MCI president, Dr. Ketan Desai, was arrested by the CBI in 2010. Ironically, the criminal case of bribery against Dr. Desai is still waiting for trial to begin as Dr. Desai roams free on bail. The report has also called the need for inclusion of “non-doctor” members in the medical councils in the manner it is done in most developed countries including USA and UK. PBT president has pressed the need for inclusion of “non-doctor” members in the medical councils in order to bring transparency and fairness in the Ethical Committee while Dr. K.K. Aggarwal, Indian Medical Association (IMA) secretary-general and a staunch defender of Dr. Desai, has claimed that medical councils should be made only by elected members from the medical fraternity.

Lancet (April, 2016)

TOI (April 8, 2016)

Comments on this entry are closed.

  • Dr. S. K. Thakur April 12, 2016, 12:10 am

    Dear Dr. Saha
    We, the victims of gross medical negligence can better understand the corruption prevailing in the MCI and the continued deterioration in the standard of medical education in our country. Even then the article in the Lancet, BMJ on this issue has made me uncomfortable. I would like to share my experience. I lost my younger brother in a big corporate hospital in Kolkata due to gross medical negligence. The hospital in question is accredited with Joint Commission International, a USA body, with the highest ranking in the world in this field. The consultant in question is MRCP(UK), DRCPath, MRCPath(UK), FRCPath(UK) ,CCST(Haematology,UK). My brother was admitted with red patches on the skin and slight oozing of blood from the mouth with platelet count of only 17000/cmm and grossly abnormal peripheral blood picture(34% blast cells). Urgent transfusion of platelets would have been life saving to prevent anticipated bleeding into the brain but it was not even thought of until the patient was brain dead. On being questioned by me for the reason of not transfusing platelet immediately, the clinician replied and also put it in writing on the patient’s file “The history given over phone was suggestive of ITP with mucocutaneous bleeding. Therefore I recommended sending tests for ITP including predialysis serology and ANA. I recommended Inj Pause to stop bleeding. As the patient with ITP rarely bleeds inside brain[intracranial haemorrhage] and as patient’s platelet count was 17,000[our threshold for plt transfusion is 10000], I did not recommend platelet transfusion at night.” The fallacy of this statement can be judged even by a well trained Intern from across the globe and this reflects the corrosion in the standard of the degrees of the Royal College . And so I do not understand why the Lancet and BMJ are talking only about the deterioration of our standard of medical education and the role of MCI in it, instead of doing some introspection?
    With regards

  • Dr P Prakash April 12, 2016, 10:28 am

    As long as there are corrupt politicians and doctors only are in medical council, nothing will change, there needs to be lay people, women and also lay observers who have had medical negligence allowed to attend medical council hearings

    • Kaiden May 1, 2016, 11:00 am

      Oh sweet, sweet Snowy! There’s another sweetheart at the Rainbow Br;&3ed#82g0iher name is Madison. Please tell her that her mommy misses her with all her heart. Play together until we meet you all there! Love and hugs to all of you…you will have many people praying for you today and the days to follow.

  • R N Sen April 13, 2016, 2:25 am

    Dr Thakur,
    So Sorry for your loss of your younger brother. I shall say RIP ( Return If Possible)…. It is not even an Intern , but a human with little bit of idea of medical science can find the statement made by the consultant so ridiculous. he says it is ITP and send for test…. which test can find ITP ( as it Idiopathic itself stands for reason not known) ? and a diagnosis of exclusion of underlying causes!!!! whether 1st line, 2nd line, 3rd line of therapy ( as 1st line start with corticosteroids and so on…….) was initiated? In treatment guideline Tranexamic Acid( Inj Pause) have any role? please have a look of this drug info in manufacturer web site( e.g. drugs.com)…..In short, if ITP then inj pause is in treatment protocol or not? If not, then appropriate therapy why was not initiated?
    with regards.
    R N Sen

    • Cayden May 1, 2016, 9:15 am

      Apnaleptry this is what the esteemed Willis was talkin’ ’bout.

  • Parag April 16, 2016, 12:39 am

    Hi All,
    In my opinion, this is a big and good move to have a top international medical journal publish and bring to light the rampant amount of corruption and unethical practices in the medical field in India. I do not see it as a western country looking down upon India in the field of medicine, but I see it as a publication stating facts about the poor state of MCI. Such publications in turn might help put pressure on our Legal System and healthcare ministry to wake up and do something about this whole scandal that is going on.

    Mr. Thankur, I feel sorry for the loss of your younger brother and I hope that you seek and get justice in your brother’s case.

    My family is also a victim of medical negligence. I’ve started the petition “Medical Council of India, Lilavati Hospital: Cancel License, expel Corrupt Nephrologist Hemant Mehta, Prashant Rajput who killed my Mom” and need your help to get it off the ground.

    Will you take 30 seconds to sign it right now. Here’s the link:

    http://www.change.org/p/medical-council-of-india-lilavati-hospital-cancel-license-expel-corrupt-nephrologist-hemant-mehta-prashant-rajput-who-killed-my-mom

    Thanks!
    Parag

    • Dollie May 1, 2016, 10:38 am

      It constantly amazes me just how blog writers for example your self can find some time plus the dedication to keep on writing terrific blogposts. Your site isdrnweoful and one of my own ought to read blogs and forums. I just wanted to thank you.