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Experts perform autopsy of ailing health care
2/10/2013 12:24:58 AM

Early Times Report
Jammu, Feb 9: Of late, degrading teaching standards and patient care especially in medical colleges in Jammu and Kashmir have been widely discussed.
The experts have come up with a solution to improve both. According to them, Health Department and Medical Education Department are essentially two different organs of patient care.
Health department provides basic primary and secondary care along with national rural and urban programmes whereas medical colleges impart tertiary care apart from training doctors and research activities but often the two overlap resulting in chaos at both levels, they said.
They said medical teachers are less paid with lower grades and pay as compared to faculty of other medical colleges of India with no clear promotion policy incentives according to MCI regulations. "Everywhere one becomes Professor with 8-9 years of teaching experience while in JK there is no guarantee even after 13 years", they said.
No regular appointments of para medical staff or increase in staff positions keeping in view the patient load is done, they said.
House jobs seats, they said, have not been abolished although 3 year residency was started long ago.
They said people keep on overstaying their actual deputation/tenure posts of registrars and demonstrators. "Many manage court stay orders in view of changing rules now and then by college and Government authorities", they added.
"Many B grade specialists manage postings in college instead of Government hospitals of health services keeping a large gap of specialist services at district and sub-district levels. Even there stands no logic of retaining Health Department posts in colleges which run by Medical Education Department with adequate faculty", they said.
According to them, there was no internal/external audit of laboratory services done for outsourcing, clandestine referrals outside hospital with active connivance of staff and agents /touts exists, principals having remained mute spectators of deteriorating condition of patient care and teaching standards of Medical colleges with few HODs playing truant by remaining most of time away for attending conferences.
They said there was no separate staff both doctors and paramedics employed exclusively for Emergency/Casualty.
All medico legal cases are referred for autopsy etc to Medical Colleges whereas these should be dealt at respective hospitals of that area, they suggested.
"Dental College faculty recruited not attending to Dental studies. Instead they work at GMCs against set recruitment norms thus spoiling both places and enjoying immunity", they said.
Besides, they said, senior level-associate prof/professor posts not being filled by promoting the existing staff of both Medical Colleges.
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