Shortage of specialists crippling India’s healthcare: More Medical Colleges, More PG Seats Need of the Hour

By / 9 months ago / Experts Views / 92 Comments
Shortage of specialists crippling India’s healthcare: More Medical Colleges, More PG Seats Need of the Hour

Dr Dharminder Nagar, MD, Paras Healthcare

In 2016, India ranked a lowly 145 among 195 nations on a global healthcare access and quality (HAQ) index created by the Global Burden of Disease study. The index analyzes accessibility of treatment on 32 causes of death considered preventable with effective medical care. It ranks Bangladesh, Sri Lanka and Bhutan higher than India. Even the sub-Saharan nations of Sudan and Equatorial Guinea are ranked higher.

Shortage of doctors and specialists continues to be a major concern as far as India’s healthcare system is concerned. According to Statistics of the Ministry of Health & Family Welfare, around eight per cent of the Primary Health Centres (PHCs) across rural India were running without a doctor in 2014-15. At the same time, the Community Health Centres (CHCs) faced a whopping 81% shortage of specialists. In some states and Union Territories, there is not even a single specialist practicing in public healthcare sector.

India has a dismal doctor patient ratio of 0.62:1000, implying is less than one doctor for 1,000 people. A study found that there was just one government doctor catering to 10,189 people. In some of India’s poorest states, this ratio is even more pathetic. In Bihar, one doctor caters to roughly 28,391 people; in Jharkhand the ratio stands at 1: 18518 while in Uttar Pradesh it is 1: 19962.

The recent proposal of Union Health Ministry to scrap NEET PG and allow admissions to PG on basis on a national MBBS final exam (NEXT) is a good move in the direction of reforming medical education. It will not only reduce unnecessary burden from medical students but will also streamline the process. Currently post MBBS, students start practicing as junior doctors in hospitals which is a strenuous job. At the same time, they are also preparing for PG entrance exams, and this puts them under excessive stress. The national MBBS final exam has also been proposed to be sufficient for acquiring a license to practice, unlike previously when doctors needed to clear a separate exam for a license. 

Instead of preparing for these Medical Exams, one should focus on adding skills around medical treatments, usage of medicines and right line of treatment.

Removing this plethora of exams and replacing them by one national test will tremendously help improve the working conditions of doctors.

More Focus Points:

Specialists in short supply

An extreme shortage of specialists is another major roadblock in ensuring accessibility of treatment to all people. Talk any specialty, shortage is the story. Be it, pulmonologists, neurologists, nephrologists or general surgeons, India has a perpetual short supply of specialists. In a country which is increasingly being referred to as the heart disease capital of the world, there are a paltry 4,000 cardiologists, when what we require is 88,000. For a nation where more than 25% of all deaths occur due to cardiovascular disease, this is an unforgivable situation. Even as child mortality remains a major concern, we have an estimated 23,000 pediatricians only when the number should ideally be 2, 30,000. India has only 650 specialists in Endocrinology at a time when over 70 million of its people have diabetes. More worrisomely, most of the existing specialists are concentrated in urban areas, leaving a vast majority of the Indian population deprived of treatment for preventable diseases. It must be underlined that MBBS doctors cannot treat all life-threatening conditions which need specialist care.

Increase Post Graduate seats urgently

At present, there are 479 total medical colleges in the country in both government and private domains. The aggregate annual admission capacity in these colleges stands at around 67,352 MBBS and 31,415 Post-Graduate seats. Apart from this, there are 6,848 DNB seats which are equivalent to MD/MS. When a country of 1.25 billion people produces less than 50,000 specialists a year, it makes a mockery of its target of achieving universal healthcare. There are a meager 315 PG seats in cardiology against an estimated need for 3,375 seats. In nephrology, there are around 120 PG seats in total across the country when we need to produce more than 2,000 kidney specialist every year. Only 78 PG seats are available in endocrinology against a requirement of nearly 28,000. What is worse is the fact that a significant number of these doctors leave the country for foreign shores, leaving us with an even shorter supply.

The urgent requirement of the time is to not just increase the number of MBBS seats but simultaneously augment Post Graduate seats as well. The government has already announced plans to double MBBS seats and add 80,000 PG medical seats by 2024 with participation of private healthcare providers. In fact, through amendments in ‘Post Graduation Medical Education Regulations 2000’ recently, the Medical Council of India has changed the required ratio of PG teachers to students which will open up around 5,000 new PG and 250 super-specialty seats by the next academic year. These are welcome steps.

The Ministry of Health must now work to convert at least 100 district hospitals in India to medical colleges over the next 10 years with sufficient allocation for PG seats in all these colleges. It is also important that the hospitals chosen to be converted into medical colleges must be located in under-served areas. Understandably, this would require significant expenditure from the government. However, this is more an issue of political will than of availability of resources. A whopping 10.6% of the total amount in the last budget was allocated to defense while healthcare got a paltry 2.2 %. The paucity of funds share for healthcare is less a matter of resource crisis and more a matter of misplaced priorities. The government must find ways to fund a healthcare overhaul.

Relax norms for setting up private medical colleges

Even as the government pushes through the bill to replace the tainted Medical Council of India with a new body called National Medical Council, it must ensure that the lopsided past-era laws governing medical education must also be done away with to allow private players to establish more medical colleges.

The government must do away with the strict land area requirement that necessitates a 10-acre campus and a 25 lakh population (of the place)for establishing a medical college. Instead, the criteria should be based on the number of beds and the available infrastructure.Similarly,the provision to require a medical college to be run by a trust or a society must be done away with to allow individual entrepreneurs and private organizations to start medical colleges and institutes. Of courses, all these institutions must be subjected to a uniform quality control and rating mechanism to ensure the best education providers are rated as the most desirable.

Zya-ul Haque

Zya-ul Haque

The author didn't add any Information to his profile yet.


  • ethivido29. Mar, 2020

    where to buy cialis no prescription – generic zithromax buy cialis in the usa

  • Denny Tadeo24. Mar, 2020

    You made several fine points there. I did a search on the topic and found nearly all persons will consent with your blog.

  • ethivido20. Mar, 2020

    levitra sale no prescription generic viagra – buy cialis professional uk

  • ethivido18. Mar, 2020

    levitra where to buy viagra side effects – wholesale cialis pills

  • Cialis17. Mar, 2020

    Very informative and great bodily structure of content material, now that’s user genial (:.

  • web url17. Mar, 2020

    I was very pleased to find this web-site.I wanted to thanks for your time for this wonderful read!! I definitely enjoying every little bit of it and I have you bookmarked to check out new stuff you blog post.

  • ethivido14. Mar, 2020

    buy viagra in australia cialis 20 mg best price – cialis sale ireland

  • ethivido12. Mar, 2020

    buy levitra toronto generic levitra vardenafil – online viagra

  • ethivido05. Mar, 2020

    levitra buy in uk cheap viagra real viagra sale

  • ethivido03. Mar, 2020

    cheap cialis online pharmacy prescription ed pills order viagra online

  • ethivido01. Mar, 2020

    viagra sale tesco levitra buy online no prescription buy cialis canadian pharmacy

  • ethivido28. Feb, 2020

    cialis c20 pills buy levitra vardenafil buy viagra online europe

  • ethivido25. Feb, 2020

    legit cheap viagra can you buy cialis over the counter buy cialis from india

  • useful site22. Feb, 2020

    Having read this I thought it was very informative. I appreciate you taking the time and effort to put this article together. I once again find myself spending way to much time both reading and commenting. But so what, it was still worth it!

  • ethivido22. Feb, 2020

    buy viagra online mastercard cialis cost viagra sale america

  • weight gain meal plans20. Feb, 2020

    Some genuinely nice and utilitarian information on this web site, likewise I believe the style and design contains excellent features.

  • get fat fast20. Feb, 2020

    Hi , I do believe this is an excellent blog. I stumbled upon it on Yahoo , i will come back once again. Money and freedom is the best way to change, may you be rich and help other people.

  • why not try this out19. Feb, 2020

    Way cool, some valid points! I appreciate you making this article available, the rest of the site is also high quality. Have a fun.

  • ethivido19. Feb, 2020

    viagra 100 mg sale canadian viagra cialis generic viagra cheap uk

  • NDS16. Feb, 2020

    you are in point of fact a excellent webmaster. The website loading velocity is amazing. It sort of feels that you are doing any distinctive trick. Moreover, The contents are masterpiece. you have performed a great task in this subject!

  • ethivido16. Feb, 2020

    buy cheap cialis from india generic cialis available cheap viagra without rx

  • global warming and carbon tax13. Feb, 2020

    Simply desire to say your article is as astonishing. The clearness to your put up is simply cool and i could suppose you’re an expert on this subject. Fine along with your permission allow me to take hold of your RSS feed to stay updated with drawing close post. Thanks one million and please carry on the enjoyable work.

  • freedom financial network13. Feb, 2020

    I like this website very much, Its a real nice billet to read and receive info .

  • ethivido13. Feb, 2020

    viagra sale phone best liquid cialis buy cialis kl

  • Robertbroog09. Feb, 2020

    safe order cialis canada is it illegal to order viagra online genuine viagra for sale

  • Proteine05. Feb, 2020

    Definitely believe that which you stated. Your favorite justification appeared to be on the net the simplest thing to be aware of. I say to you, I certainly get annoyed while people think about worries that they just don’t know about. You managed to hit the nail upon the top and also defined out the whole thing without having side effect , people could take a signal. Will probably be back to get more. Thanks

  • Pronutrition05. Feb, 2020

    I’ll right away grab your rss as I can not find your email subscription link or newsletter service. Do you’ve any? Kindly let me know in order that I could subscribe. Thanks.

  • What is mob mentality01. Feb, 2020

    you’ve an awesome weblog right here! would you like to make some invite posts on my blog?

  • Waynereind31. Jan, 2020

    Really….such a believable web situation.

  • Waynereind31. Jan, 2020

    You’re a in point of fact effective entanglement neighbourhood; could not make it without ya!

  • Robertbroog31. Jan, 2020

    cialis discount code cheapest pharmacy cialis viagra sale mississauga

  • Waynereind30. Jan, 2020

    symbolize thanks to a masses in support of your internet locate it helps a unforgivable administer. comment augmenter le libido

  • Waynereind30. Jan, 2020

    Passion the website– very particular pleasant and great deals to over!

  • Waynereind30. Jan, 2020

    Provide for up the preposterous bother !! Lovin’ it! kinoki detox pleisters ervaringen

  • Waynereind30. Jan, 2020

    Wow because this is tiptop activity! Congrats and take care it up. integratori per muscoli glutei

  • Waynereind29. Jan, 2020

    Seriously, such a favourable online position.

  • Waynereind29. Jan, 2020

    hold responsible so considerably on your internet site it helps a a stack.

  • Waynereind28. Jan, 2020

    Eximious snare area! It looks very good! Keep up the helpful bother!

  • Waynereind28. Jan, 2020

    I like reading your net locale. thnx! biologische potenzmittel

  • Waynereind28. Jan, 2020

    Actually attractive, looking frontward to coming back again.

  • Waynereind28. Jan, 2020

    I lift checking your website. thnx! sportsupplementen informatie

  • Waynereind27. Jan, 2020

    With thanks for sharing your awful internet locality. los calvos tienen mas testosterona

  • Waynereind27. Jan, 2020

    Simply wished to emphasis Intermittently i’m fortuitous that i stumbled on the internet errand-boy.

  • Waynedaf27. Jan, 2020

    Cialis cialis ingredient price of cialis

  • Waynereind27. Jan, 2020

    Your evidence is very much expressive.

  • Waynereind27. Jan, 2020

    Fondness the locate– rather alcohol euphonious and lots to see!

  • Waynereind26. Jan, 2020

    I treasure the knowing on your internet locale. Glory! middelen spiergroei

  • Waynereind26. Jan, 2020

    You suffer with terrific info on this website. aumento de masa muscular rapido

  • Waynereind26. Jan, 2020

    Whoa this is a productive spider’s web page. dove comprare gli steroidi

  • Waynereind26. Jan, 2020

    I lift checking your place. Thanks for your time!

  • Waynereind26. Jan, 2020

    Maintain the remarkable work !! Lovin’ it! dieta disintossicante aloe

  • Stacybikaf25. Jan, 2020

    Howdy, select web-site you have got dyed in the wool at the moment.

  • Stacybikaf25. Jan, 2020

    Giant looking snare locality. Think you did a gathering of your very own coding. glutaminasi

  • Stacybikaf25. Jan, 2020

    I treasure reading your websites. Find worthwhile it! aumentare la lunghezza pene

  • Stacybikaf25. Jan, 2020

    Thanks, this website is actually usable. testosteron auf natĂĽrliche weise steigern

  • Stacybikaf24. Jan, 2020

    Definitely had to mention Under i’m thrilled I stumbled in your website!

  • HerbertHal24. Jan, 2020

    Thank you! This is definitely an astounding site!

  • HerbertHal24. Jan, 2020

  • HerbertHal24. Jan, 2020

    Just want to state I’m just thankful that i came on your web page.

  • HerbertHal23. Jan, 2020

    thank a lot for your website it helps a whole lot.

  • HerbertHal23. Jan, 2020

    Thanks regarding delivering this type of substantial write-up.

  • HerbertHal23. Jan, 2020

    Keep up the good work and producing in the group!

  • HerbertHal22. Jan, 2020

    Just want to say I’m ecstatic I came on your website page!

  • Hectorspuct22. Jan, 2020

    pilule pour grossir le penice

    Wow, attractive website. Thnx …

  • Marvin Bracklin22. Jan, 2020

    Some truly wonderful posts on this web site, thanks for contribution.

  • Hectorspuct22. Jan, 2020

    entgiftung darmreinigung

    Wow because this is really good work! Congrats and keep it up.

  • Hectorspuct22. Jan, 2020

    gel pour grossir verge

    Thanks a ton for sharing this amazing web page.

  • Hectorspuct21. Jan, 2020

    Good day, well put together site you’ve got going here.

  • Waynedaf19. Jan, 2020

    Cialis cialis in canada how much does cialis cost at walmart

  • Leonardvoice19. Jan, 2020

    Thanks for the purpose of furnishing many of these great posting.

  • Waynedaf15. Jan, 2020

    Cialis cost of cialis 20mg tablets best liquid cialis

  • sling tv14. Jan, 2020

    It’s not my first time to pay a visit this site, i am visiting
    this site dailly and obtain nice data from here every day.

  • Andy Pablocp13. Jan, 2020

    This is a very signal post. Thanks as a service to posting this.

    What do you think almost my website: agentie web design bucuresti

  • Johnny Muranoj13. Jan, 2020

    This is a truly weighty post. Thanks quest of posting this.

    What do you over nearby my website:

  • Peterwal12. Jan, 2020

    Hello, row-boat thanks you quest of data! how long does 20mg cialis keep in system
    viagra canada

  • sling tv07. Jan, 2020

    Keep on writing, great job!

  • EverettJag06. Jan, 2020

    Hello, recognition you in spite of information! when will viagra become generic I repost in Facebook.
    how much is viagra

  • how does cialis work01. Jan, 2020

    Hello, tender thanks you in regard to tidings! I repost in Facebook

  • plenty of fish vs free trial30. Dec, 2019

    Hello, just wanted to say, I loved this post. It was funny.
    Keep on posting!

  • ps4 games14. Dec, 2019

    This post is really a good one it helps new web people, who are wishing for

  • ps4 games12. Dec, 2019

    What’s up all, here every one is sharing these kinds of familiarity, thus it’s fastidious to read this website, and I used to pay a visit this web site every

  • quest bars cheap09. Dec, 2019

    I am curious to find out what blog system you
    have been using? I’m having some small security problems with my latest site and I would like to
    find something more safeguarded. Do you have any

  • ps4 games06. Dec, 2019

    Hello, I enjoy reading through your post. I like
    to write a little comment to support you.

  • ps4 games06. Dec, 2019

    Hi, I wish for to subscribe for this weblog to take hottest updates,
    thus where can i do it please assist.

  • quest bars cheap coupon twitter03. Dec, 2019

    Howdy just wanted to give you a quick heads up. The words
    in your content seem to be running off the screen in Firefox.
    I’m not sure if this is a format issue or something to do with browser compatibility but I thought I’d post to let
    you know. The design and style look great though!
    Hope you get the problem solved soon. Many thanks

  • quest bars cheap02. Dec, 2019

    Why users still make use of to read news papers when in this technological
    globe the whole thing is existing on net?

  • quest bars cheap30. Nov, 2019

    Hi, i believe that i noticed you visited my weblog thus i
    got here to go back the choose?.I am trying to to find issues to
    enhance my site!I suppose its ok to make use of some of your concepts!!

  • plenty of fish dating site26. Nov, 2019

    Awesome blog! Is your theme custom made or did you download
    it from somewhere? A design like yours with a few simple adjustements would really make my blog
    stand out. Please let me know where you got your design. Thanks

  • tinyurl.com24. Nov, 2019

    Hi! I know this is kinda off topic but I’d figured I’d ask.
    Would you be interested in trading links or maybe guest
    writing a blog post or vice-versa? My website goes over a
    lot of the same subjects as yours and I believe we could greatly benefit from each other.
    If you happen to be interested feel free to send me an e-mail.
    I look forward to hearing from you! Great blog by the way!

  • Nov, 2019

    This is a topic which is near to my heart… Many thanks!

    Exactly where are your contact details though?

  • Deepesh Naiminath25. Oct, 2019

    Hi, i like your post…..
    Thanks for share this post,
    keep on share it.

  • Stevavette10. Oct, 2019

    Levitra Posologie Buy Clomid In Australia Online [url=]cialis[/url] Dosis De Kamagra Recomendada Zithromax Online Overnight

Leave a comment

Your email address will not be published. Required fields are marked. *