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呼吁执业家庭医生在国家医学委员会(NMC)中拥有强制性代表权:消除医学教育监管中的垄断壁垒。

Call for mandatory representation of practicing family physicians on the National Medical Commission (NMC): Leaving behind the monopolistic barriers in medical education regulation.

作者信息

Kumar Raman

机构信息

President Academy of Family Physicians of India, Chief Editor Journal of Family Medicine and Primary Care, 049 Crema Tower, Mahagun Mascot Crossing Republik, Ghaziabad, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2020 Feb 28;9(2):453-455. doi: 10.4103/jfmpc.jfmpc_279_20. eCollection 2020 Feb.

DOI:10.4103/jfmpc.jfmpc_279_20
PMID:32318362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7114026/
Abstract

The National Medical Commission is being constituted through an act of parliament, the NMC Act 2019. This new medical education regulator will take over the role of the Medical Council of India which is being currently run on adhoc basis through a board of governors (BOG). As per the provision of the NMC Act 2019 under section 24 (1) (c), the Under Graduate Medical Education Board is mandated to to develop competency based dynamic curriculum for addressing the needs of primary health services, community medicine and family medicine to ensure healthcare in such areas. Similarly under section 25. (1) (j) the Post Graduate Medical Education Board is mandated to promote and facilitate postgraduate courses in family medicine. It is important to note that the recently announced (2019) and highly publicized new MBBS curriculum the word "family medicine' has not been even mentioned in the 600 pages document. Through repeated engagements in the form of RTIs, and written representations, it appears that the experts of the Medical Council of India in the past have either deliberately blocked the development of family medicine in India or do not have the basic scholarship within this domain, despite clear direction from NHP and parliamentary standing committee. This has largely happened because there was never any representation of practicing family physicians in the Medical Council of India. The presence of practicing family physicians on the National Medical Commission should be mandatory.

摘要

国家医学委员会是通过议会法案《2019年国家医学委员会法案》设立的。这个新的医学教育监管机构将取代印度医学委员会的角色,印度医学委员会目前是通过一个管理委员会临时运作的。根据《2019年国家医学委员会法案》第24(1)(c)条的规定,本科医学教育委员会的任务是制定基于能力的动态课程,以满足初级卫生服务、社区医学和家庭医学的需求,确保这些领域的医疗保健。同样,根据第25(1)(j)条,研究生医学教育委员会的任务是促进和推动家庭医学的研究生课程。需要注意的是,在最近公布的(2019年)且备受关注的新MBBS课程中,长达600页的文件里甚至都没有提到“家庭医学”这个词。通过以信息公开申请和书面陈述等形式的反复交涉,似乎印度医学委员会的专家过去要么故意阻碍印度家庭医学的发展,要么在这个领域缺乏基本的学识,尽管有国家健康政策和议会常务委员会的明确指示。这种情况很大程度上是因为在印度医学委员会中从来没有执业家庭医生的代表。国家医学委员会中必须有执业家庭医生的代表。

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