Date: 26-04-18  Time: 12:24 PM

Author Topic: Training of Health Professionals  (Read 2085 times)

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Training of Health Professionals
« on: November 08, 2011, 10:34:58 PM »
Training of Health Professionals

   
  • We must redefine the training structure & curriculum of doctors as well as paramedics according to our own social and health/disease statistics.
  • Efforts are needed to pump in desired strength of health professionals in health delivery system to meet the goals of delivering quality health service. Any deficiencies can be met through creating additional training slots. The trainees at various levels provide a very useful work force so we should never hesitate in opening additional training slots whenever needed. Any surplus amount of trained professionals can later be easily diverted to other countries and that will generate handsome foreign exchange as compared to sending unskilled labor.
  • We should abolish open merit system for girls and boys and revive the previous quota system for girls. The government spends a significant amount on the training of doctors but most of our Female doctors do not continue their profession after marriage. Similarly female doctors do not perform duties at BHUs which reduces the actual availability of trained doctors especially for service at rural health facilities. Resultantly the amount spent on the training of such female doctors goes down the drain. Only those girls should be admitted to govt medical colleges who sign a bond to serve for a minimum of 5-7 years at appropriate govt health facilities. If by training more male doctors we get surplus doctors then we can facilitate their expatriation through MOUs with different govts which will generate Foreign Exchange for us.
  • 2 years mandatory service at BHU should become part of a structured postgraduate training program. Targets to be achieved and tasks to be performed during the tenure must be clearly defined. Supervision of that service tenure must be carried out at regular intervals through specially designed methods for ensuring proper output of doctors during that tenure. The doctor after 2 years experience at a BHU will become eligible to appear in an intermediary module. Qualifying it in addition to points attained through assessments during that service tenure will entitle him for a one year training program at a teaching hospital. In case of joining the specialty of Family medicine this whole tenure will be counted towards total training requirement for specialization while in case of joining other specialties this time period will only partially be counted towards total training req of specialty provided the doctor achieves certain targets related to his own specialty during the tenure. After that the doctor will be eligible to appear for MCPS. If desirous to go for fellow ship then he will need to enter another 2 year program at Teaching hospitals + BHU rotations (1 year each). The doctors thus trained will be given appropriate Promotion and salary incentives according to their professional competence.  The organization of training structure on these lines for primary health care specialists will provide us a work force of expert and dedicated professionals who can make our dreams of a quality primary health care facility for all come true. As a further incentive any doctor who gets an appointment in BHU will automatically become eligible to enter into the training program of CPSP from the same date after registering with them. He will however have to clear FCPS-I within a particular time frame to be eligible for appearing in next modules.
  • A plan for proper training of health technicians working at rural health facilities is desirable. These people should get initial training at some training centre for three months which will cover theoretical aspects of basic nursing skills, human anatomy and physiology. Then they will receive on job training at BHUs under supervision of doctor and senior technicians for two years (One year at low salary and the second year at raised salary). During that period they will be required to prepare for basic exam. If they qualify the exam at that level then they will be given the designation of regular short service technical staff rather than trainee.  After qualifying that exam they will be given one year on job training at a bigger hospital. The doctor will receive credit for appropriately training nursing staff. These trainings will be organized at district level and appointment of staff will be within district. Survey of the existing health facilities will be carried out so as to incorporate teaching classes within the buildings of already existing hospitals etc so as to avoid extra unnecessary expenditures.  Any technician who is desirous to enter into a specialty will be able to do so through entrance exams and service records instead of sifarish.