No PG without year- long rural posting after MBBS

No PG without year- long rural posting after MBBS

In spite of it we will not be able to ensure that doctors will stay at the place of posting for one year in the rural areas. These doctors will spend most of the time on preparation for pre PG examination and now most of them are taking up tuitions and coaching for pre PG which is available in the cities only. There is apprehension that physical presence in rural areas will not be ensured with this change

We do need specialist also in the system and present seats for PG are unable to meet the demand in the sector and situation analysis reflects that under utilization of infrastructure is because of non availability of specialist.

In most of the situations the stipend given to PG student is higher than regular salary which makes more inclination for PG. This will promote migration of talented doctors out of country

Fresh graduate posted in the village will not be competent enough to handle Obstetrics, Medico legal &Emergency cases even if he is ranked gold medalist at MBBS examination. Such doctors require technical support of seniors & at the same time Govt. can not afford training program for these doctors.

In situations where doctor availed loan for studies the repayment will be delayed by another one year in the want of it doctor may go for private sector.

If human resource in health sector is reviewed there is gradual reduction in the no. of students in the Science Biology stream which is the entry point of the funnel for human resources in health sector

The positive version of it would be that we should create incentives for doctors willing for rural services, rapid promotion avenues on performance basis if possible time bound, recognition of services on the parameters of quality health care delivery and efforts to increase access and equity of underserved population and punishment for those who are not adhering to it..

It is the time when we should work on how to retain manpower in public sector.