Sharma Nandini, Arora Ekta, Lahariya Chandrakant, Chopra K K
Deptt of Community Medicine, Maulana Azad Medical College, New Delhi, 110002, India.
Deptt of Community Medicine, Maulana Azad Medical College, New Delhi, 110002, India.
Indian J Tuberc. 2024 Jan;71(1):7-11. doi: 10.1016/j.ijtb.2023.12.001. Epub 2023 Dec 23.
Tuberculosis is a major public health challenge in India and has been targeted for elimination. The National Tuberculosis Elimination Program (NTEP), in its all-previous forms has been one of the leading national health programs with the institutionalized engagement of medical colleges. This article outlines the mechanisms for medical college engagement in NTEP and discusses how the recent adoption of competency based medical education (CBME) for graduate medical education provides an opportunity for strengthening medical college participation in NTEP. The authors propose that for an accelerated progress towards 'End TB' in India, there is need for scaling up faculty development programs, focusing upon operational and implementation research, adopting a practical approach in designing curriculum for graduate medical teaching and creation of online repository of training material as well as the data bank of post-graduate theses, and other published and unpublished research work. Alongside, these efforts need to be supplemented by the professional associations of medical specialties and the governments through organizing annual national scientific and policy forum; and the capacity building of postgraduate students and faculty members in operational research, amongst others. The adoption of CBME has-arguably- created an opportunity for innovations at medical college level to support End TB. The learnings could also be utilized for enhanced engagement of medical colleges in other national health programs. India's experience on medical college engagement in tuberculosis elimination could serve as a 'good practice' for TB endemic countries in other parts of the world.
结核病是印度面临的一项重大公共卫生挑战，印度已将消除结核病作为目标。国家结核病消除计划（NTEP），其以往的各种形式一直是主要的国家卫生计划之一，医学院校也参与其中。本文概述了医学院校参与NTEP的机制，并讨论了最近在研究生医学教育中采用基于胜任力的医学教育（CBME）如何为加强医学院校参与NTEP提供了机会。作者建议，为了在印度加快实现“终结结核病”的进程，需要扩大师资发展计划，专注于运营和实施研究，在设计研究生医学教学课程时采用务实的方法，创建培训材料在线库以及研究生论文数据库，以及其他已发表和未发表的研究工作。与此同时，医学专业协会和政府需要通过组织年度国家科学和政策论坛来补充这些努力；以及对研究生和教师进行运营研究等方面的能力建设。可以说，CBME的采用为医学院校层面的创新创造了机会，以支持终结结核病。这些经验教训也可用于加强医学院校参与其他国家卫生计划。印度医学院校参与结核病消除的经验可为世界其他地区结核病流行国家提供“良好实践”。
