Integration of Medical Education with Primary and Secondary Health Care – on the lines of CMC, Vellore and Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha.
The following are the details of the above innovative practice how it has taken forward through series of meetings, video conferences, field visits and workshops:
20th & 21st January, 12:
Presentation made by Dr. Anand Zachariah, Vice Principal, CMC, Vellore at Bangalore Workshop. This paved the way for the conduct of a major National Workshop on Integration of Medical Education with Primary, Secondary and Tertiary Health Care at CMC, Vellore, Tamil Nadu.
The above theme was exhaustively discussed at the workshop held at Vellore, Tamil Nadu in April, 2012. About 44 Senior Heal Professionals from different States attended the Workshop. This paved the way for a series of meetings of officials of Govt. of India and State Governments.
The proceedings of this workshop have been sent to all the states.
- A policy document has been prepared for adoption at the National Level and has been sent to all the states as prelude to sending to the GoI and the ICMR & National Academy of Medical Sciences.
CIPS has addressed all the Prl. Secretaries/ Secretaries/ Directors of Health & Medical Education, Secretary, Department of Health & FW, GoI, ICMR, MCI and the Principals of about 284 Medical Colleges all over India duly enclosing the proceedings of the CMC, Vellore.
Communications have been received from Dr. V M Katoch, Secretary to the Govt. of India& Director General, ICMR and Sri Sanjay Kothari, Secretary, Ministry of Personnel, Public Grievances & Pensions, DARPG, New Delhi commending the model and expressing a desire to take it forward.
7th November, 2012:
Director, CIPS made a presentation on this at a conference of Secretaries of Administrative Reofrms of the North Eastern States at Guwahati.
4th December, 2012 - New Delhi
Meeting held by Sri Sanjay Kothari, IAS,Secretary, DARPG, GoI, Sri Keshav Desiraju, IAS, Spl. Secretary, Shri Vishwas Mehta, IAS, Joint Secretary, Department of Health and Family Welfare, GoI.
5th December, 2012 – Chandigarh
This has also been discussed at Chandigarh with Mrs. Vini Mahajan,
Prl. Secretary (Health), Govt. of Punjab, Mrs. Raji P Shrivastava,
MD, Punjab Health Systems Corporation, Dr. Ashok Nayar,
Director, Health and Family Welfare, Dr. Karanjit Singh,
Director, Health Services Family Welfare and others. Dr. Anand Zacharaiah,
Vice Principal, CMC, Vellore made a detailed presentation on the CMC, Vellore model.
28th of February, 2013:
In continuation of the meeting of 4th December, 2012, a Brainstorming Session was held on this subject in the Chambers of Sri Keshav Desiraju,
IAS, Secretary (Health) MoHFW, GoI on. This meeting was attended among others by Sri Sanjay Kothari,
IAS, Secretary DARPG, GoI, Jt. Secretary Health, Secretaries & Heads of Department of some of the states, as also the representatives of CMC, Vellore, MGIMS, Wardha, Aravind Eye Care, Madurai and Sankara Netralaya, Chennai.
As a result of the advocacy of CIPS, it has been decided by the Govt. of India to replicate the model of Integration of Medical Education with Primary and Secondary Health Care on a pilot basis in the following 5 Medical Colleges in different parts of the country.
- Rangaraya Medical College, Kakinada, Andhra Pradesh
- Agartala Government Medical College, Agartala, Tripura
- Government Medical College, Patiala, Punjab
- Jorhat Medical College, Jorhat, Assam
- Vadodara Medical College, Gujarat
The following Video Conferences, Field Visits and Workshops have been conducted CIPS has conducted with CMC, Vellore, MGIMS, Sewagram and respective colleges on Integration of Medical Education with Primary, Secondary and Tertiary Health Care:
Video Conferences & Field Visits
Field Visit: The Field Visits were useful in the following manner:
- Video Conference on 21st March, 2013
- Video Conference on 28th March, 2013
- Video Conference on 8th April, 2013 (with Rangaraya Medical College, Kakinada, Andhra Pradesh)
- Video Conference on 24th April, 2013 (with Patiala Medical College, Punjab).
- Video Conference on 8th May, 2013 (with Government Medical College, Agartala, Tripura)
- Video Conference on 27th May, 2013 (with 5 Medical Colleges)
- Field Visit to Rangaraya Medical College, Kakinada, Andhra Pradesh on April 15th -17th , 2013
- Field Visit to Government Medical College, Patiala, Punjab on April 29 – 1st May, 2013.
- Field Visit to Agartala Government Medical College, Tripura on May 17th – 18th , 2013.
- Field Visit to Jorhat Medical College, Assam on 30th May – 1st June, 2013.
- Developing an awareness of the functioning of each one of the medical colleges and the peculiar health/disease profile of the people, who are served by the medical college and the attached hospitals.
- Sensitising the faculty and students of the medical colleges on the good practices relating to the CMC, Vellore and MGIMS, Sewagram.
- Developing the research orientation on the part of the faculty members of the respective institutions to carry out intensive studies which are relevant to their locale.
- The distance education in medical and para medical programmes can be initiated by the respective medical colleges.
- Sensitizing the medical education in different states of the need to bring on board the functionaries of the health systems in their respective areas.
These efforts were included in the Annual Report of 2013-14 of MoHFW, GoI as follows:
- Workshop on Integration of Medical Education with Primary and Secondary Health Care at CMC, Vellore on 10th – 13th June, 2013. This was conducted for the core teams of 5 medical colleges all over the country.
- Workshop on Integration of Medical Education with Primary and Secondary Health Care at Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha on 21st – 23rd October, 2013. This was conducted for the core teams of 4 medical colleges all over the country.
One of the report of the Task Force on Medical Education of the National Rural Health Mission had spelt out the need to draw upon MGIMS Sevagram’s initiatives and experience in curriculum innovations and rural placement of its graduates and had suggested launching a participatory exercise with MGIMS and other like-minded institutions, so that national guidelines could be formulated. As a result of that during current year the Ministry of Health & Family Welfare, Govt. of India has selected MGIMS and CMC Vellore in co-ordination with the Centre for Innovations in Public Services (CIPS), Hyderabad as co-coordinators to disseminate to other colleges the innovations conducted by the two Institutes. As an initial initiative, five medical colleges, one each in Kakinada (A.P), Vadodara (Gujarat), Patiala (Punjab), Jorhat (Assam) and Agartala (Tripura) have been selected and MGIMS and CMC are interacting with them in order to help them replicate the innovations introduced in the curriculum by the MGIMS, Sevagram and CMC, Vellore.