good points raised there vy sydras and wraith.
Its hell of a life if you become a doctor, if you go out in market to purchase something people say you are a doctor whats the problem. While you charge the patient, they say we are not good earning and you are a doctor you will get some other rich patients which we never get
.
Anyways lets compare the scenario :
An US grad after passing out from university MD degree(its called MD but still its equivalent to MBBS) takes a qualifying or licensing exams and then is able to either do PG or join service.
The kind of job they are elligible to get is enormous, anything from clinician to assistant to many other research jobs too.
The pay packages are really good as per their own standards. and as they go to remote places the packages gets more attractive. And in clinics they are supposed to see only patients and take care of them.
If you are lucky enough to secure a PG seat its just money raining even if you dont sweat a little.
Imagine 200k US$ package per annum, vacations twice a year totalling 3 weeks accumulative, you only see 25 patients a day not more, once a week emergency call and one in every 4/6 sundays emergency call.
Now lets see Indian scenario :
First and foremost you serve a Personal Bond to government to serve the rural area for requisite period (1-5 years according to conditions and state).
Then you live in fear of passing out by grace of shoddy teachers and university.
After you obtain an MBBS degree, you are courageous and rebeleous enough to serve the needy persons you go to commissionarate office to get he job.
Instead of giving you the place of your desire they throw you to a place which is difficult to access by raod.
They expect you to remain present in the PHC and do the duties.
The duties include serve the higher ranked officers (not medical but administrative like DDO, Deputy Collector, Collector, DM).
You are responsible for work of support staff of PHC including nurses, health workers, servants, ward boys, drivers.
You have to fullfill the targets of various state sponsored schemes like malaria control, tb control, family planning, make and maintain the register.
You need to frequent the Headquarters thrice in a week to attend the meetings with higher babus, in jeep / ambulance without two wheels.
Afterall this at the end of month you are paid a princely 15k rupees.
If you survive this torture then you can exmine the patients.
And access to you as cheap as hitting a stray animal with a stick, people comein your office without knocking, without appointments.
Now you are not that adventourous and go for PG, if yuo are lucky enough and get a seat within first trial get yourself prepared for the biggest torture of the life.
The residency system is really painfull to complete. You are responsible for everything happening in wards, you dont get time to brush, bath, eat, sleep.
I remember taking baths twice a week during my first year eventhough being in relatively lighter loaded branch like ENT. while people in Orthopedics and Surgery have history not taken bath for 1 month altogether.
During emergency days you are on your feet for almost 48 hours at a stretch.
With so much diffficulties and with a big amount luck when you pass out from PG, you have two choices join government (little respite here as specialists are placed in little better placed centres) or go on your own.
the salaries do not improve much just upto 20k in beginning.
If you join government you get reprimanded by government for doing your job sincerely. (Yes its a stark truth)
Here is a true story:
One of my friend was working in a district hospital as a gynecologist, during the 2002 post godhra riots he was deputed to a refugee camp in Ahmedabad City.
The camp was in high risk area, there was a case of delivery while he was stationed there, to the best of his abilities he conducted the delivery and patient and the newborn were well taken care off and happy.
After his deputation was over he was called by Commissioner of Health, Gujarat State and was reprimanded for not conducting his duties (horrible!), he was blasted why did he conduct the delivery and he should have instead send the patient to the medical college associated hospital. (imagine a situation now if patient is transferred to a bigger referral hospital and during transit some complication arises) then again the doctor is a scapegoat and fired immediately.
very next week he resigned from the job and started his own private practice he is well settled now ( A happy blessing in disguise).
So working with a double edged sword over you head is really painfull.
Thats why people head west wards.
Mr. Ramadoss if you read this better make such arrangements that a qualified doctor can deliver better care to INdian Citizen. In trying to take over the premier health institution of the country rather egoistically you are forgettting the basic hippocratic oath of doctors.
IMO this is a saga of dirty Congress politics which is being thrusted upon us the same was the control over IIM saga is running so is the case with AIIMS.
when An IIM-A grad lends an offshore jobs with multimillion dollors job its flashed everywhere as the success of Indian Economy. While an AIIMS grad goes for better prospect to abroad he is cursed.
Both are financed by people of india.
God bless my country from this dirty politicians.
, and i respect those who do .
