Report of Parliamentary Standing Committee on Health and Family Welfare on the Functioning of Medical Council of India
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nd Errata to the 92 Report of Parliamentary Standing Committee on Health and Family Welfare on the Functioning of Medical Council of India (i) On page (iv) in para 3, line 2, the words, "12th August, 2015" may be inserted after the words "27th July, 2015", st and the words "1 February, 2016" may be inserted after th the words "6 October, 2015,". (ii) After page 113, the Minutes at Annexure 'A' may be inserted. (iii) After page 118, the Minutes at Annexure 'B' may be inserted. REPORT NO. 92 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE NINETY-SECOND REPORT The Functioning of Medical Council of India (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 8th March, 2016) (Laid on the Table of Lok Sabha on 8th March, 2016) Rajya Sabha Secretariat, New Delhi March, 2016/Phalguna, 1937 (Saka) Hindi version of this publication is also available PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE NINETY-SECOND REPORT The Functioning of Medical Council of India (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 8th March, 2016) (Laid on the Table of Lok Sabha on 8th March, 2016) Rajya Sabha Secretariat, New Delhi March, 2016/Phalguna, 1937 (Saka) Website : http://rajyasabha. nic. in E-mail : [email protected]. in CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE................................................................................ (i)-(iii) 2. INTRODUCTION......................................................................................................... (iv)-(v) 3. ACRONYMS.............................................................................................................. (vi)-(vii) 4. REPORT.................................................................................................................. 1-63 Chapter - I Background........................................................................................................... 1-6 Chapter-II State of Affairs in Health Systems and Challenges in the Delivery of Health Services in the Country ................................................................................. 7-12 Chapter-III Constitution and Composition of MCI....................................................................... 13-19 Chapter-IV Establishment of Medical Colleges............................................................................. 20-25 Chapter-V Undergraduate (UG) Medical Education..................................................................... 26-33 Chapter-VI Post Graduate (PG) Medical Education...................................................................... 34-39 Chapter-VII Deficiency of Teaching Faculty................................................................................. 40-43 Chapter-VIII Need for an Accreditation Body for Medical Education................................................ 44-45 Chapter-IX Regulation of Professional Conduct of doctors........................................................... 46-51 Chapter-X Maintenance of Indian Medical Register (IMR)........................................................... 52-54 Chapter-XI Need for Attractive Remuneration for Doctors and Medical Faculty.............................. 55-56 Chapter-XII Corruption in the MCI............................................................................................ 57-60 Chapter-XIII Concluding comments............................................................................................. 61-63 4. OBSERVATIONS/RECOMMENDATIONS–AT A GLANCE........................................................... 64-84 5. APPENDIX................................................................................................................ 85-95 6. MINUTES................................................................................................................. 97-120 7. ANNEXURES............................................................................................................. 121-127 ANNEXURE- I........................................................................................................... 123 ANNEXURE-II........................................................................................................... 124-125 ANNEXURE-III......................................................................................................... 126-127 COMPOSITION OF THE COMMITTEE (2014-2015) 1. Shri Satish Chandra Misra – Chairman RAJYA SABHA 2. Shri Ranjib Biswal 3. Shri Rajkumar Dhoot %4. Shri Vijay Goel ^5. Dr.Bhushan Lal Jangde 5. Shrimati B. Jayashree 6. Dr. R. Lakshmanan 7. Shrimati Kahkashan Perween &8. Dr. Vijaylaxmi Sadho 9. Chaudhary Munvvar Saleem 10. Dr. T.N. Seema @11. Shri Jairam Ramesh LOK SABHA 12. Shri Thangso Baite 13. Dr. Subhash Bhamre 14. Shri Nandkumar Singh Chouhan (Nandu Bhaiya) 15. Dr. Ratna De (Nag) 16. Dr. Heena Vijaykumar Gavit 17. Dr. Sanjay Jaiswal 18. Dr. K. Kamaraj 19. Shri Arjunlal Meena 20. Shri J. J.T. Natterjee 21. Shri Chirag Paswan 22. Shri M.K. Raghavan 23. Dr. Manoj Rajoriya 24. Shri Alok Sanjar #25. Dr. Mahesh Sharma % Resigned from the membership of the Committee w.e.f. 2nd December, 2014 ^Nominated as a member of the Committee w.e.f. 19th December, 2014 &Ceased to be member of the Committee w.e.f. 28th November, 2014. @ Nominated as a member of the Committee w.e.f. 28th November. 2014. # Ceased to be member of the Committee w.e.f. 9th November, 2014. (i) 26. Dr. Shrikant Eknath Shinde 27. Shri Raj Kumar Singh 28. Shri Kanwar Singh Tanwar 29. Shrimati Rita Tarai 30. Shri Manohar Untwal 31. Shri Akshay Yadav *32. Shrimati Ranjanaben Bhatt **33. Dr. Pritam Gopinath Munde SECRETARIAT Shri P.P.K. Ramacharyulu, Joint Secretary Shri Pradeep Chaturvedi, Director Shrimati Arpana Mendiratta, Joint Director Shri Dinesh Singh, Joint Director Shri Pratap Shenoy, Committee Officer *nominated as a member of the Committee w.e.f. 22nd December, 2014. ** nominated as a member of the Committee w.e.f. 22nd December, 2014. (ii) COMPOSITION OF THE COMMITTEE (2015-16) 1. Prof. Ram Gopal Yadav – Chairman RAJYA SABHA 2. Shri Ranjib Biswal 3. Shri Rajkumar Dhoot 4. Dr. Bhushan Lal Jangde 5. Shrimati B. Jayashree 6. Dr. R. Lakshmanan 7. Shrimati Kahkashan Perween 8. Shri Ambeth Rajan 9. Shri Jairam Ramesh 10. Dr. T.N. Seema LOK SABHA 11. Shri Thangso Baite 12. Dr. Subhash Ramrao Bhamre 13. Shrimati Ranjanaben Bhatt 14. Shri Nandkumar Singh Chauhan 15. Dr. Ratna De (Nag) 16. Shri Devendra alias Bhole Singh 17. Dr. (Smt.) Heena Vijay Gavit 18. Dr. Sanjay Jaiswal 19. Dr. K. Kamaraj 20. Shri Arjunlal Meena 21. Shri J. Jayasingh Thiyagaraj Natterjee 22. Shri Chirag Paswan 23. Shri C. R. Patil 24. Shri M.K. Raghavan 25. Dr. Manoj Rajoria 26. Dr. Shrikant Eknath Shinde 27. Shri R.K. Singh 28. Shri Kanwar Singh Tanwar 29. Shrimati Rita Tarai 30. Shri Manohar Untwal 31. Shri Akshay Yadav SECRETARIAT Shri P.P.K. Ramacharyulu, Additional Secretary Shri Pradeep Chaturvedi, Director Shri Dinesh Singh, Joint Director Shri Rajesh Kumar Sharma, Assistant Director Shri Pratap Shenoy, Committee Officer (iii) INTRODUCTION I, the Chairman of the Department-related Parliamentary Standing Committee on Health and Family Welfare, having been authorized by the Committee to present the Report on its behalf present this Ninety- second Report of the Committee on the Functioning of Medical Council of India (MCI). 2. The previous Committee had identified the subject ‘Medical Council of India’ at its meeting held on 18th September, 2014. However, it could not conclude its examination of the subject. The present Committee also took up the subject for detailed examination at is meeting held on 23rd September, 2015. 3. The Committee examined the subject, in its sittings held on 25th September, 2014, 28th January, 2015, 12th May, 2015, 25th May, 2015, 27th July, 2015, 6th October, 2015 and 1st March, 2016. During the course of the examination it took oral evidences of representatives of the Ministry of Health and Family Welfare and experts on the subject. The Committee also received written submissions from experts. The Committee wishes to appreciate the contribution made by various official witnesses/experts (Annexures I and II) who richly deserve Committee’s encomia for sharing their perspectives and valuable views with the Committee and suggesting remedies to the problems afflicting Medical Education and Practice in the country through their evidences and written submissions. The Committee also benefited from discussions with certain stakeholders and representatives of the State Governments during its study visit to Tamil Nadu and Karnataka from 8th June to 12th June, 2015 and local study visit to Vardhaman Mahavir Medical College (VMMC), New Delhi and Shri Guru Govind Singh Tercentenary Medical College (SGGSTMC), Gurgaon on the 2nd February, 2016. 4. The Committee had also invited views from various stakeholders in response to which 46 Memoranda had been received (Annexure-III). The Memoranda were forwarded to the Ministry of Health and Family Welfare for comments which informed the Committee that the same had been forwarded to the MCI which has formed a Committee to examine the issues raised in the memoranda. The President, MCI informed that the report is already prepared and has passed through EC (Executive Committee) and now will go to GB (General Body) in March, 2016. On a direction by the Committee to expedite the said GB body meeting, the President, MCI promised