vayu tuvan wrote:gakakkad: No the friend is not a packee. Exactly the opposite. When he graduated - he was my calssmate from 3rd grade - with MBBS he got a Junior Doctor position in a PHC. He came to my dad for advise asking whether he should take that up or wait for a position in a hopsital in the city. Dad told him to take up the Jr. doctor position (just like my dad himself did - he went in as govt. degree college Asst. lecturer after his MA). My friend did exactly that and has been quite happy ever since. He worked in small rural towns all over AP and is quite happy about the experience. On the financial front he didn't do too bad. About a decade ago he wne tback to school to do fellowship in Anatomy and also taught at a medical college. Now back to govt. service and in-charge of a few PCHs.
This had been happening in AP is what he told me. Now you tell me that most of those fly-by-the-night instis have gone bankrupt indicating that things got tightened in the past few years.
paradoxically , the credit for tightness goes to the baboocracy ...
MCI inspectors are professor from various government medical colleges ... As per rule a new college needs to be inspected every year for the first 5 years (till the first batch appear for final MBBS , the practical exams of the first batch are conducted under the presence of MCI designated inspectors ) .. This rule has always been rigidly followed and hence we have not had any IIPM's in medicine ...
Now , when an inspector comes for a private college , usually he is housed in the best suites in a 5 star hotel and given the best available modes of transport .. He has to verify faculty forms ,and equipement forms and resident forms... He actually has to inspect every single member of the faculty and PG residents and certify their genuineness . In GMCs people ensure that inspectors are sufficiently drunk , for what is an ordeal even for them...
MCI maintains a central database of medical teachers...so if a teacher is registered in more than one places during inspections , it tends to get investigated and such teachers are black listed....Of late this has been implemented very severely ...
Other thing is that if an inspector fills a form in which some facility is marked as present and next year other inspector comes and the facility is marked as absent , the inspector who turned up the first time is questioned...
In a private college , inspectors tend not to get drunk....they ll go around nitpicking ...Supposing a particular facility is not present at the inspection , he may demand a bribe and that way corruption does happen...But that does not put the problem to rest forever..Next year the bribe will have to be given again...So it ends up cheaper to have the equipment , than to keep paying off inspectors...
Most of the time even if you have good facilities , you need to keep paying baksheesh , to keep surprise inspections at bay ...but that baksheesh is usually small...
MCI has cleverly stayed away from admission policy...ie it is not illegal as per MCI to accept NRI /Management quota fees , provided the kid is getting 60% marks in PCB class 12th and 50% in inglees..But that would violate state and other laws...but not MCI laws...
Donations jump up every time there is a new pay commission....In late 90s it was 15-20 lakh INR...Mid 2000s 30-40 lakh INR... Presently 60 lakh to 1 crore INR...By 2020 1.5 to 2 crore assuming the demand remains constant....
For 100 MBBS seats we need 2 professors for each of the 20 subjects ...And 8 to ten assistant and associate profs per subject So you need 40 professors and 200 APs minimum to start a college... The salary of professor has to be higher than what is offered in government ....Presently it will be 1.5-2 lakh per month... An assistant professor is given 70-80k INR per month... So the salary bill comes to 35-40 crore inr / year...This will be doubled in 5 years time as the next pay commission is round the corner...
Initially to get patients u need to subsidize treatments...Bills need to be paid etc... So the cost of running 100 seats of MBBS comes close to 60-70 crore PA ...The only source of income is the donation... You need to charge 60-100 lakh donations just to breat even....
You make real money only after 5 years when the first batch passes and you get full MCI recognition and can start PG courses...
The procedure is similar in the US....Costs are 50 times India's as their salaries are higher ....But usually they seek affiliations with an existing hospital...
For example kalamazoo michigan had a full fledged tertiary care centre for years which ran a large and successful PG residency program...The homer stryker medical college began 2 years ago onlee...
In the US the hospital and the college need not be in the same campus provided it is a reasonable distance...and their is a lot more flexibility that can help reduce costs...for example harvard has 3 affiliated general hospitals and a Childrens hospital... HMS students are posted in any of them depending upon where they want ...That is not permitted in India...
Also it takes a tedious procedure to do oversee electives if u are in an Indian med school... Many forms need to be filled in triplicate...