All India Foreign medical graduate association wrote of Health ministry regarding grievances pertaining to Parliamentary committee report for NMC bill and latest amendments in NMC bill. The letter reads as; ‘Biased’ Report of Parliamentary Standing Committee on Foreign Medical Graduates in NMC Bill 2017.

1. In clause 4.15.7, the Committee, observes that unless the NLE is carefully designed, there is apprehension that a sizeable number of MBBS doctors who have passed their university level examinations, may be debarred from practice on disqualifying NLE. This will not only undermines the sanctity of the examinations conducted by various universities but also put an extra pressure on the system when the country is already facing a shortage of doctors. This will create a dichotomy where the university certifies a doctor as fit to practice and the failure to qualify NLE exam renders him unfit to practice. It is obvious that the implementation problem will be huge and the country will, over a period of time, have a population of mismatched unhappy doctors, who have nowhere to go.

AIFMGA STAND:
The same conditions also applies the Indian citizens of foreign universities. SO why discriminate. Thousands of FMG are disqualified and have nowhere to go in a country with acute shortage of doctors.

2. In clause 4.15.8 Committee concluded that the NLE will put undue stress on students, especially those who come from backward sections of the society and States, who cannot afford private guidance/tuitions for NLE and may not be able to crack the Multiple Choice Questions (MCQs).

AIFMGA STAND:
Many Indian citizens from foreign universities are too from backward sections of the society and are forced to spend money on coaching classes. In fact due to cheaper fees in foreign universities more weaker section students go to foreign universities than studying at Indian Private colleges
3. Clause 15 – 4.15 This clause provides that National Licentiate Examination for students graduating from the medical institutions for granting license to medical practice, enrolment and admission to postgraduate medical courses.

AIFMGA STAND:
We completely agree to the governments stand. Merging NLE with Final exam have many disadvantages like
• Knowledge of only 4 subjects would be tested to grant license.
• Universities may not agree since their right to confer degrees would be subordinated to an exam conducted by NMC.
• Those who fail would have to stay behind in the concerned medical college, leading to issues of infrastructure and extra fees payment. They would not even become graduates in order to qualify for various recruitment examinations which are open to graduates.
• Students tend to repeat NEET-PG in order to improve their rank, so that they can get admission to PG courses in good colleges. Rank improvement will not be possible with a common final year exam.
• NMC would become party to all litigation related to local issues in Colleges. In the event of a stay order granted due to local reasons such as delayed session in a College, the entire licentiate exam will get affected.
• Foreign medical graduates who wish to practice in India would either have to be asked to rewrite the common final year exam or FMGE will have to be restored.
4. Clause 4.15.7 The Licentiate exam is proposed to be compulsory for any MBBS doctor to make him eligible to practice medicine. The Committee, however, observes that unless the NLE is carefully designed, there is apprehension that a sizeable number of MBBS doctors who have passed their university level examinations, may be debarred from practice on disqualifying NLE. This will not only undermines the sanctity of the examinations conducted by various universities but also put an extra pressure on the system when the country is already facing a shortage of doctors. This will create a dichotomy where the university certifies a doctor as fit to practice and the failure to qualify NLE exam renders him unfit to practice. It is obvious that the implementation problem will be huge and the country will, over a period of time, have a population of mismatched unhappy doctors, who have nowhere to go.

AIFMGA STAND:
Indian citizens from foreign medical universities are already a huge group of mismatched unhappy doctors , who have nowhere to go and hundreds are them commit suicide each year. The commission have no such leniency for them. NLE will at least promise a common platform and level playing field for all equally without discrimination.

5. Clause 4.15.8 The above analysis leads the Committee to the conclusion that the NLE will put undue stress on students, especially those who come from backward sections of the society and States, who cannot afford private guidance/tuitions for NLE and may not be able to crack the Multiple Choice Questions (MCQs).

AIFMGA STAND:
Yes we agree to the commission on this point but the mercy shown by the commission should be shown equally on Indian graduates and foreign graduates
6. Clause 4.15.9 Taking all the above factors into account, the Committee recommends that the Licentiate examination be integrated with the final year MBBS examination and be conducted at the State Level. The final MBBS examination should be of a common pattern within a particular State, initially due to the logistical constraints, and could be extended across the country as the system streamlines. The Committee also recommends that the final year MBBS exam should be designed in such a way that it takes into consideration not only the cognitive domain but also the assessment of skills by having practical problems/case study types of questions as a major component, with a strong tilt towards primary healthcare requirements.

AIFMGA STAND:
We have no problem with the scheme and curriculum etc of the examination as long as its common to both Indian and foreign graduates and its MBBS level exam as per the Supreme court guidelines.

7. Clause 32- 4.32 This clause provides for rights of persons to have license to practice and to be enrolled in National Register or State Register. A person who qualifies National Licentiate Examination shall be enrolled in the National Register or State Register.

AIFMGA STAND:
We partially disagree with the Governments view. NLE is to be basic MBBS level examination as per the guidelines of Supreme court for MCI screening test but NEET PG is more advanced examination with more difficulty level. Also NEET PG is presently percentile based however FMGE/ MCI screening test is percentage based. Its a trend now to reduce the cut off marks in NEET PG but in FMGE exam cut off is never reduced in the history of examination. Regarding Committee’s view its mentioned earlier that Final MBBS level exam will have many disadvantages.

AIFMGA

MEDICAL REPORTER

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