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  1. Article ; Online: The curious case of extinction of family physicians from the Indian Health System – An open letter to the members of the National Medical Commission

    Raman Kumar

    Journal of Family Medicine and Primary Care, Vol 12, Iss 8, Pp 1477-

    Draft competency-based medical education curriculum regulations 2023 – Complete exclusion of family physicians/family medicine education from the MBBS course curriculum!

    2023  Volume 1484

    Abstract: In 2012, India Today, a news agency, reported that 'Family Physicians are dying silent death' in India. The number of practicing family physicians is declining rapidly in the most populous country in the world with pressing public health needs. The ... ...

    Abstract In 2012, India Today, a news agency, reported that 'Family Physicians are dying silent death' in India. The number of practicing family physicians is declining rapidly in the most populous country in the world with pressing public health needs. The previous generation of general practitioners/family physicians/family doctors has entered the age group of the seventies and eighties in both urban and rural areas. Unfortunately, no new family physician is opening the practice in these areas. The recent COVID pandemic has clearly demonstrated the ongoing need, demand, and popularity of family physicians among the general public as first-contact dependable and trustworthy doctors. While it may be an enigma why MBBS doctors are no longer opting to become family physicians, to the experts of this domain, it is not a surprise. To outside observers, this phenomenon may appear to be an outcome of changing times, the expansion of medical sciences, new emerging career choices for medical students, or competition within the healthcare market. However, a closer study reveals that the decline of family physician services in India is not a default situation but an outcome of decades of institutional neglect and perhaps a deliberate exclusion. According to the recently released National Medical Commission (NMC) draft curriculum 2023, the undergraduate medical education program is designed with the national goal of creating an “Indian Medical Graduate” possessing the requisite knowledge, skills, attitudes, values, and responsiveness so that she or he may function appropriately and effectively as a PHYSICIAN OF FIRST CONTACT of the community while being globally relevant. However, we are disappointed to note that the Family Medicine subject (discipline of family physicians) component has been entirely excluded from the draft of the MBBS curriculum. The words such as 'Family medicine', 'Family Physician', 'General practitioners', and 'Family Practice' have not even been mentioned in the entire 83 pages of the draft MBBS curriculum ...
    Keywords draft cbme ; family medicine ; family physicians ; general practice in india ; human resource in health ; mbbs curriculum ; medical education ; medical education reforms ; national medical education ; national medical commission ; nmc act 2019 ; national health policy 2017 ; iphs guidelines 2022 ; supreme court of india ; universal health coverage ; Medicine ; R
    Subject code 900
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Increase in the number of MBBS seats through the scheme of one medical college per district

    Raman Kumar

    Journal of Medical Evidence, Vol 3, Iss 3, Pp 280-

    The debate on quality versus quantity and opportunity to strengthen family physician system In India

    2022  Volume 285

    Abstract: India currently hosts the largest medical education system in the world with 650 medical colleges and 98613 MBBS (undergraduate) training seats. The reasons for Indian Medical Graduate's international migration and internal distribution within India have ...

    Abstract India currently hosts the largest medical education system in the world with 650 medical colleges and 98613 MBBS (undergraduate) training seats. The reasons for Indian Medical Graduate's international migration and internal distribution within India have been multifactorial. There are push factors (with India) as well as pull factors (international host countries). Almost the same reasons are implied to the distribution and availability of the medical workforce geographically within India. To address the regional disparities in medical education and the availability of human resources in health, the policy of establishing one medical college in each district in India was initiated. Impressive progress has been achieved so far. However, the policymakers must look at it critically to be able to steer this project towards meeting the public health objectives of the country in the coming century. The discussion must include arguments on the type of doctor India needs. Indian can no longer afford the policy of having many cardiologists as compared to miniscule number of trained family physicians. All specialist system is being perused at the cost of a generalist health system. This paper critically looks at the district medical college scheme and exponential growth in the number of medical seats in India. Statistical success alone cannot address the public health needs and medical care of the Indian population. The creation of the National Medical Commission (NMC) has eased the criteria for recognition of new medical colleges; however, several limitations of the Medical Council of India are being carried forward within the functioning of NMC. Unless, there is a focus on creating employment and retaining medical graduates within the health system, it is worthless producing millions of them.
    Keywords competency-based medical education ; district medical college ; indian medical graduate ; neet pg ; next ; Medicine ; R
    Subject code 320 ; 950
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: District medical colleges in India – Addressing the rural health-care needs

    Raman Kumar

    Journal of Surgical Specialties and Rural Practice, Vol 3, Iss 3, Pp 45-

    2022  Volume 46

    Abstract: The shortfall of human resources in health has resulted in skewing the distribution of health workers such that vulnerable populations in rural, tribal, and hilly areas continue to be extremely underserved. To address the regional disparities in medical ... ...

    Abstract The shortfall of human resources in health has resulted in skewing the distribution of health workers such that vulnerable populations in rural, tribal, and hilly areas continue to be extremely underserved. To address the regional disparities in medical education and availability of human resources in health, the policy of establishing one medical college at each district in India was initiated. The situation of human resources in health remains inadequate. To address the regional disparities in medical education and availability of human resources in health, the policy of establishing one medical college at each district in India was initiated. Impressive progress has been made during the past few years with respect to opening new medical colleges in the area of need across geographical coverage.
    Keywords district medical college ; health policy in india ; human resource in health ; rural health ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Reservations in medical colleges were justified and should continue

    Raman Kumar

    Journal of Medical Evidence, Vol 2, Iss 3, Pp 252-

    Favour

    2021  Volume 255

    Keywords Medicine ; R
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Protecting national interest through public health policy - Why does India need to shift from selective primary health care (disease focused vertical programs) to a comprehensive health care model; lessons from COVID 19 pandemic!

    Raman Kumar

    Journal of Family Medicine and Primary Care, Vol 10, Iss 5, Pp 1801-

    2021  Volume 1803

    Abstract: The COVID virus and the pandemic are defying the general laws of epidemiology and virology. The pandemic shows how the economy can be crippled due to health care. Health is a key area which directly drives the economy. Incapacity in health policy leaves ... ...

    Abstract The COVID virus and the pandemic are defying the general laws of epidemiology and virology. The pandemic shows how the economy can be crippled due to health care. Health is a key area which directly drives the economy. Incapacity in health policy leaves us vulnerable as a country. Global organizations and development partners have been too keen to lend technical help, policies, and procedures to India. Gone are the days when India used to receive any international funding in the health sector but at present most of the money is our own. We often take stewardship for implementation of these surrogate policies and procedures countrywide. The International donors and development partners pushed India on the path of selective primary care - disease based vertical programs. It was part of a geopolitical strategy. It is not resources but capacity. Capacity to make any innovation or change. There is a need for a new public health order in India. A massive change; a massive reform. Covid is an opportunity to think, push for institutional capacity building. As far as COVID pandemic is concerned, we need to strengthen the general health system in India, and not yet another vertical National Covid Control Program (NCCP) - Eliminate Covid by 2050; committing all national resources to one disease only. There is an urgent need for India to shift from selective primary health care to a comprehensive health care model. We have capacity and resources, we only need a national resolve! It is time to protect national interest. We cannot keep ourselves artificially vulnerable for ever.
    Keywords covid i9 ; comprehensive primary care ; health policy ; national interest of india ; national security ; selective primary care ; vertical health programs ; Medicine ; R
    Subject code 320
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  6. Article ; Online: Call for departments of public health at all medical colleges in India

    Raman Kumar

    Journal of Family Medicine and Primary Care, Vol 10, Iss 8, Pp 2729-

    2021  Volume 2731

    Abstract: Public Health has always been important for the general public, governments, and governance as it deals with the objective of improving population health through prevention, promotion, and health education. Public Health is defined as “the art and ... ...

    Abstract Public Health has always been important for the general public, governments, and governance as it deals with the objective of improving population health through prevention, promotion, and health education. Public Health is defined as “the art and science of preventing disease, prolonging life and promoting health through the organized efforts of society” (Acheson, 1988; WHO). The COVID 19 pandemic has brought a focus on the concept of public health more than ever. Independent departments of Public Health do not exist at medical colleges in India. Public health is a multidisciplinary domain. The body of knowledge is cross-cutting and multidimensional in nature. Public health education is optimal only with the contribution of the participating faculty from different educational and professional backgrounds. Lack of strong public health academics may adversely impact the capacity to formulate indigenous public health policy. In many parts of the developing world, public health policies are heavily influenced by the knowledge developed by the western universities within the domain of global health. Global health policies and goals become synonymous with national health goals. For the democratic republic of India, there is an urgent need to strengthen the public health education system so that the future challenges of health, safety, economy, security can be met The National Medical Commission (NMC) has invited comments on the draft postgraduate medical education regulations 2021. It is an apt opportunity to fundamentally reform public health education in India.
    Keywords public health ; mph ; community medicine ; covid pandemic ; health policy ; medical education reforms ; national medical commission ; Medicine ; R
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Do we need more AIIMS type institutions? Yes!

    Raman Kumar

    Journal of Medical Evidence, Vol 2, Iss 1, Pp 66-

    2021  Volume 70

    Keywords Medicine ; R
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Protecting Rural India from COVID-19

    Raman Kumar

    Journal of Surgical Specialties and Rural Practice, Vol 2, Iss 2, Pp 19-

    Second wave 2021

    2021  Volume 20

    Abstract: The population of India is 1.380 billion. Sixty-five percent of the Indian population lives in rural habitat. However, the healthcare facilities are largely concentrated in urban areas. The first peak of the COVID pandemic peaked in September 2020 ... ...

    Abstract The population of India is 1.380 billion. Sixty-five percent of the Indian population lives in rural habitat. However, the healthcare facilities are largely concentrated in urban areas. The first peak of the COVID pandemic peaked in September 2020 gradually declining till mid-February 2021. Rural India has often travel to urban centers for treatment and disease management. The second wave started in March and peaked with a daily number ranging more than 400,000 till May 10th. It is now spreading into rural India. The culture of access to healthcare among rural populations is different from the urban areas. Facilities and infrastructure are also scarce as compared to the urban areas.
    Keywords Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  9. Article ; Online: Impact of artificial intelligence and big data on the healthcare profession?

    Raman Kumar

    Journal of Primary Care Specialties, Vol 2, Iss 3, Pp 61-

    2021  Volume 62

    Abstract: If one looks back on human history, there are cycles of civilizational growth and destruction. One can admire the craftsmanship and statesmanship from the past as we move forward and create the future of new complexities. We are at the crossroad of human ...

    Abstract If one looks back on human history, there are cycles of civilizational growth and destruction. One can admire the craftsmanship and statesmanship from the past as we move forward and create the future of new complexities. We are at the crossroad of human history. Social media and digital infrastructure have already changed the social transactions of human beings forever. Intelligent robots, drones, digital monitoring, ever-evolving decision-making algorithms, consumer analytics are impacting human transaction. The rapidly enabling tech environment is bound to have a long-lasting impact on the human interface of the healthcare delivery system; the medical professionals and the healthcare workers.
    Keywords artificial intelligence ; big data ; future of healthcare ; remote healthcare ; digital health ; Medicine (General) ; R5-920
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Migrant in my own country

    Raman Kumar

    Journal of Family Medicine and Primary Care, Vol 9, Iss 10, Pp 5087-

    The long march of migrant workers in India during the COVID-19 pandemic 2020—Failure of postcolonial governments to decolonize Bihar and rebuild Indian civilization after 1947

    2020  Volume 5091

    Abstract: The world is passing through the unprecedented crisis of COVID 19 pandemic. A large section of the global population has been living under mandatory mass quarantine, the lockdown, as a strategy towards slowing down the expansion of the pandemic. This ... ...

    Abstract The world is passing through the unprecedented crisis of COVID 19 pandemic. A large section of the global population has been living under mandatory mass quarantine, the lockdown, as a strategy towards slowing down the expansion of the pandemic. This lockdown is being eased out across world in a phase wise manner. India being one of the most populous countries is hardest hit by the pandemic and soon the number of positive cases is likely to touch one million mark. One of the most significant phenomenons observed during the Indian lockdown, has emerged as the long march of migrant workers from cities to their native places. Bihar, one of the Indian provinces is the major provider of migrant labourers for Indian agriculture and the industry sectors. As depicted on social media and television, the plight of migrants was disturbing and exposed modern Indian democracy's vulnerabilities. Many of them had to walk on foot for thousands of kilometers, with their hungry families, from the industrial cities to their native places. Nothing has changed for the migrant workers through the past three centuries, including the first century of postcolonial India. Why are they called migrant workers? Are they not citizens of India? How come being Bihari—a native of Bihar province, one of the primary sources of migrant workers in India, become a stigma? So how did the historical symbol of the most significant accomplishments of Indian history, literature, science, and culture come to be identified with poor migrant workers' image? Bihar's underdevelopment is often blamed on corrupt local politicians and caste politics. However, the history of migrant workers from Bihar and eastern Uttar Pradesh states of India is worth a closer attention for possible solutions. The phenomenon has a historical linkage with the fall of once upon a time the great Indian civilization; centuries of occupation, colonization, slavery, and indentured servitude. India has made steady progress in economic terms since 1947, India's independence from the ...
    Keywords Medicine ; R
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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