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Time of India
2 days ago
- Health
- Time of India
Dental Curriculum India: Urgent Overhaul Needed to Align with Modern Practices
A major overhaul of the curriculum will require multi-domain expertise and inputs from education technology experts Rooban Thavarajah India's dental education system is now at a critical point. The last major overhaul to the undergraduate (UG) dental curriculum occurred on July 25, 2007, based on the domain expertise requirements and evaluation (outcome-based assessment) framework of the time. Since then, the field of dentistry, teaching-learning (TL) methodology, and assessment characteristics have evolved rapidly. Over these years, Indian dental classrooms have seen students from the 1990s, the 2000s, and now the Gen Alpha generation. The gap between what is taught and what is needed in real dental practice in India has grown significantly. But the syllabus has failed to include landmark developments in dentistry. Digital dentistry, for example, is increasingly integrated into regular dental practice, becoming a mainstream tool in an average dental practice. Such advances offer greater precision, efficiency and patient comfort. Globally, there is also a fundamental shift from focusing only on treatment to emphasising prevention, behavioural changes and patient education. But the current syllabus still focuses on procedures and diseases. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like My 4-year-old kidneys are failing, only you can help Donate For Health Donate Now Undo Even well-known dental filling materials such as silver amalgam and gold fillings are replaced with composites and glass ionomer cement. Important legal updates, such as changes in the Consumer Protection Act, the Clinical Establishment Act, and new rules /guidelines on infection control and antimicrobial resistance (AMR), have also not been incorporated into the basic structure of the curriculum. This leaves new graduates less prepared for real-world dental practice. The 'COVID-19' batch (the ones who did higher secondary schooling during the pandemic) and subsequent batches were forced to make a rapid shift to online and hybrid learning, opening newer dimensions in TL methodology. Today's undergraduate dental students are digital natives, accustomed to fast access to information, interactive learning, and technology-driven environments. But the curriculum, education framework, and assessment, designed for a pre-digital era by such teachers, fail to engage students effectively or equip them for the realities of modern dental practice. Motor-skill transfer is a crucial part of learning in dentistry. It is at this training-delivery system that dentistry is unique. Studies evaluating multi-dimensional competency-based training for dental students have found such structured skill-transfer modules to be far more effective in imparting practical, real-world skills and knowledge than traditional methods. In India, the National Medical Commission has shifted medical education to a competency-based model. Yet, these innovations wait to be integrated into the dental curriculum. At the evaluation and assessment front, students are graded based on subjective impressions rather than objective competencies. This must be replaced by better options. Additionally, to produce better dentists, entrepreneurial training, financial literacy, and practice management content must be incorporated into the core curriculum. There have been attempts to update the syllabus and TL framework, but with limited success. Regulatory inertia, lack of consensus among stakeholders, and the sheer scale of the system have all contributed to this stagnation. The National Dental Commission Bill 2023, which is yet to come into full force, aims to replace the 75-year-old Dental Council of India (DCI) with a new regulatory body. The new commission promises reforms, including a National Exit Test for licensure and a standardized accreditation system. However, these changes are still in the pipeline and have yet to impact the day-to-day reality of dental education. Also, the Indian student's shift in cognitive domain, attention span and fine motor skills have to be accounted for while updating the curriculum. The societal acceptance and use of edutainment, coaching classes and advanced digital TL aids transformed the entire domain of TL methodologies, none of which are taken generally into account during the curriculum development. The need for an immediate and comprehensive update to India's dental education system is clear and urgent. It must begin with a comprehensive curriculum overhaul based on a multi-dimensional competency-based framework, enabling students to achieve the minimum EPA essential for modern dental practice. To ensure consistent quality, uniform standards and accreditation policies must be established nationwide, supported by robust faculty development programs, adoption of student-centric teaching-learning methodologies, and the implementation of best policy practices. It is imperative to shift away from the traditional time-bound, didactic teaching model toward a competency-based education system that focuses on real-world skills, including the precision and fine motor skill requirements unique to dentistry. Such a shift will prepare graduates to meet contemporary clinical demands and align Indian dental education with global standards. A major overhaul of the curriculum will require multi-domain expertise and inputs from education technology experts. Assessments should be realistic, continuous throughout the year, and cumulative rather than limited to a few exams. Digital tools for assessing knowledge and skills, as well as for maintaining academic records, should be used. The world of dentistry is evolving at a breakneck speed, and the curriculum must keep pace with it. The time for incremental change has passed; what is now needed is a bold and comprehensive curriculum overhaul. Uniform educational standards needed Unlike medical education, where nearly half of all colleges are govt-run, only about one in eight dental colleges in India is govt-run. The rest are private, with most being deemed universities. This has led to several challenges. Govt colleges often have better patient inflow and clinical exposure, while private colleges may focus more on research, innovation and rankings. Hence, striking the right balance between innovation and foundational core competencies for maintaining minimum educational standards across all institutions is the need of the hour. If an imbalance is created, it has the potential of skewing the profession's core ability. Ensuring uniform dental educational standards across such a diverse and predominantly private sector is a big challenge for regulators. Globally, dentistry is moving towards Entrustable Professional Activities (EPAs), which focus on real-world competencies and essential fine motor skills for dental practice. Time for India to do the same. (The writer is with the department of Oral & Maxillofacial Pathology/ Microbiology at Ragas Dental College & Hospital in Chennai)


New Indian Express
2 days ago
- Health
- New Indian Express
NMC warns against admission in undergraduate courses at four foreign medical colleges, issues advisory
NEW DELHI: The National Medical Commission (NMC) on Monday strictly advised medical aspirants not to seek admission in undergraduate medical courses at three medical colleges in Central America and one in Uzbekistan. Failure to adhere to the advisory will result in ineligibility for medical registration in India, the NMC stated. The medical colleges in question are: Central American Health and Sciences University, Belize Columbus Central University, Belize Washington University of Health and Sciences, Belize Chirchik Branch of Tashkent State Medical University, Uzbekistan The alert was issued after the Indian Embassy in Mexico and the Eurasia Division of the Ministry of External Affairs raised serious concerns that these institutions were not meeting the required Indian standards in medical education. 'It is also advised that, before seeking admission to any foreign medical institute or university, prospective students and their parents carefully read the alert/advisory uploaded on the National Medical Commission (NMC) website dated 19th May 2025. The advisory contains critical information regarding recognised institutions, eligibility criteria, and other important guidelines,' said the alert issued by Sukh Lal Meena, Director, Under-Graduate Medical Education Board (UGMEB).


The Hindu
2 days ago
- Health
- The Hindu
BAMS, BHMS graduates found practicing allopathic medicine in Hyderabad, TGMC to file cases
The Telangana Medical Council (TGMC) on Monday, July 21, conducted surprise inspections at multiple clinics in the Hayathnagar area of Hyderabad. The action, part of an ongoing campaign to safeguard public health, exposed a troubling nexus of fake doctors operating under the guise of legitimate practitioners. During the inspections, five establishments were found flouting medical regulations. Among them was Sunrays Hospital and Diagnostic Centre, where Umakant, a Bachelor of Ayurvedic Medicine and Surgery (BAMS) graduate, was caught administering allopathic treatments he is not licenced to provide. Despite lacking the qualifications mandated for such practice, he had allegedly been treating patients with modern medicine. At Sri Vijaya Brahmendra First Aid Centre, the operator, identified as Brahmendra, was found offering allopathic services in clear violation of medical norms. Similarly, at Hanuman First Aid Centre, an individual named Vinod, with no medical degree and only an Intermediate qualification, was reportedly providing unauthorised treatment to unsuspecting patients. In another instance, Sri Sai Poly Clinic was found to be run by K.S. Prasad, a Bachelor of Homeopathic Medicine and Surgery (BHMS) graduate who was allegedly posing as an MBBS doctor while practising allopathy. At Balaji First Aid Centre, the operator, Rambabu, was delivering medical services without any recognised medical registration or qualifications. The inspection team comprised TGMC Vice Chairman Gundagani Srinivas, K.U.N. Vishnu, and Vigilance Officer Rakesh. TGMC officials confirmed that cases would be filed against all those found violating the law. The charges will be registered under relevant sections of the National Medical Commission (NMC) Act, including Sections 34 and 54, the Telangana State Medical Practitioners Registration Act (Section 22), and Sections 318 and 319 of the Bharatiya Nyaya Sanhita.


The Print
2 days ago
- Health
- The Print
Once brought in as ‘historic reform', National Medical Commission is showing same symptoms as predecessor
NMC comprises 33 members, a chairperson, 10 ex-officio members, and 22 part-time members. In addition, there are four autonomous boards to support its functioning—for undergraduate (UG) and postgraduate (PG) education, medical assessment and rating, and ethics and registration. What was considered the most appealing feature of the new medical education regulator was that its members would be 'selected' on the basis of 'merit'. New Delhi: In 2020, the constitution of the National Medical Commission (NMC) was hailed as a ' historic reform ' in the field of medical education and the practice of medicine. It replaced its predecessor Medical Commission of India (MCI), a network of elected representatives set up in 1933 and governed by Indian Medical Council Act, 1956, which had come to be viewed as a den of corruption, inefficiency and arbitrariness. 'Men and women with impeccable integrity, professionalism, experience and stature have been now placed at the helm to steer the medical education reforms further,' the Centre had said, announcing NMC's inception on 25 September, 2020. However, nearly five years later, a massive 'scandal'—involving senior NMC officials, some from the Union health ministry and a former University Grants Commission head—has been unearthed by the Central Bureau of Investigation (CBI), and many suspect it is just the 'tip of the iceberg'. The allegations being probed include unauthorised sharing of classified regulatory information, manipulation of statutory inspection processes, and widespread bribery to secure favourable treatment for private medical colleges—reminiscent of the MCI era. The episode has once again triggered passionate debates on the commission's functioning, with doctors and medical experts telling ThePrint that NMC has not been able to deliver on its promises. Many point out that NMC has been unable to successfully perform any of its stipulated 'key functions'—streamlining regulations, rating of institutions, raising focus on research, introducing a national licentiate examination after MBBS course, creating an all-India register of doctors, and preparing guidelines for fee regulation by private medical colleges. Neither has it been able to develop standards for Community Health Officers with limited practicing licence, and no MBBS degrees, providing primary healthcare services in rural areas, those in the fraternity rue. Additionally, many doctors anonymously express concerns about the growing influence of the RSS-backed National Medicos Organisation (NMO) on the functioning of the NMC, and the alleged religious agenda. Also Read: Health diagnostics is a game of 'molecules & money'. Amazon has just entered the race 'Bureaucratic & political interference' According to the previous national president of Indian Medical Association Dr R.V. Asokan, NMC was 'never meant to perform'. 'It was meant to be its master's voice, which it is. The expectation was that it should perform as an arm of the government, favouring medical colleges at the cost of quality in teaching and training, and promoting mixopathy and crosspathy (integration of modern medicine with alternative medicine), and it it faithfully doing it,' Dr Asokan told ThePrint. IMA—the largest network of doctors in the country—had fought tooth and nail against the constitution of the NMC, arguing that MCI was a democratic body duly elected by the entire medical fraternity of the country, and that it deserved a clean-up, not extinction. Dr Ravi Wankhedkar, another former IMA president, said that the only 'achievement' that the NMC can showcase is the massive expansion of UG and PG seats, and the number of medical colleges coming up at the cost of alarming dilution of infrastructure and faculty norms, and declining teaching standards. Government statistics show that India had 731 medical colleges offering 1,12,112 MBBS seats, and 72,627 PG or PG-equivalent seats in medicine in the 2024-25 academic session. According to health ministry data, this was a substantial hike from 387 colleges, 51,348 MBBS seats and 31,185 PG seats before 2014. 'But so poor is the quality of teaching and learning in medical colleges these days that we will be extremely wary about getting treated by the doctors passing out of the current system. I am really concerned about what happens to patient safety and healthcare services in this country once the new generation of doctors takes over,' Dr Wankhedkar told ThePrint. Yet, he added, the benefit that the government is getting out of this is that they can boast about opening medical colleges and increasing the number of seats in medicine to 'score political points'. Asked about the many such observations about the NMC, the body's outgoing chairman Dr B.N. Gangadhar told ThePrint that while he respected his colleagues' opinion, given that the expectations from the commission were huge, it had done a 'reasonably fair job thus far'. 'Several changes have been brought out, including massive expansion of medical colleges, number of UG and PG seats. Implementation of these changes will take time. It's all a work in progress,' he said. Incoming NMC chairperson Dr Abhijat Sheth, appointed last week, is set to take charge soon. Dr Gangadhar also described the announcement of new teaching recruitment norms this month, allowing specialists in non-teaching hospitals to be able to work as teachers, as a move aimed at correcting the biggest problem plaguing the sector—faculty shortage. But many have argued that this will further dilute teaching training standards. A senior NMC functionary, whose term ended two years ago, confirmed the assessment that others in the medical fraternity have made. 'We tried to do many things, but the bureaucracy harassed us like anything. The intent of setting up NMC was right, but the way things are, I see little hope. There is too much political and bureaucratic interference,' said the ex-NMC member, requesting anonymity. ThePrint also reached Union Health Secretary Punya Salila Srivastava via email for a comment on these allegations. This report will be updated if and when a response is received. 'Reforms' that turned out to be non-starters The NMC Act of 2019 had envisaged the National Exit Test or NExT as a singular qualifying examination to replace three existing exams in the field of medicine—the final MBBS exams, the National Eligibility-cum-Entrance Test for PG seats (NEET-PG), and the Foreign Medical Graduate Examination (FMGE) for foreign graduates to practice medicine in India. The Act had stated that qualifying in NExT would be a must—within three years of the Act getting notified—for every MBBS graduate to receive a licence to practice medicine in the country. Later, in 2023, the NMC had announced that from 2024 onwards, the NExT exam would be conducted twice a year, only to face stiff resistance from medical students across India forcing the regulator and the government to put the idea on hold. In a representation to the government in 2023, the IMA had said that the group, along with various networks of medical students, rejected NExT in toto for its 'anti-student content'. In January last year, the NMC sought public feedback on the feasibility of the test, indicating that it was unsure about the basic premise of the test. There has been no word on the fate of this proposed examination since. In 2022, the commission had ruled that private medical colleges in India will have to keep the fee for half the seats at par with that charged by government colleges in the respective states they are located in. This had come amid concerns that fee for MBBS seats at a private medical college in India could range between Rs 10 lakh and Rs 30 lakh a year, meaning that students would have to shell out anywhere from Rs 50 lakh to Rs 1.5 crore for the duration of the course. This move was, however, challenged in different high courts and the Supreme Court, and was stayed and never implemented. Another key task of creating a national medical registry (NMR), meant to create a database of credentials and details of the nearly 13 lakh doctors practicing in the country, has also been struggling to take off. Over the last five years, the database has been able to register just about a few hundred doctors, with most doctors in even metro cities yet to be registered on the portal, NMC sources said. 'I feel that the MCI-Board of Governors (BoG) that had been put in place after dissolution of the MCI was at least able to carry out certain measures. NMC has fared poorly on many counts,' said Dr Satendra Singh, professor of physiology with the University College of Medical Sciences, Delhi. MCI-BoG—headed by Dr V.K. Paul, member-health, NITI Aayog—which worked on an interim basis for two years between 2018 and 2020, had brought in plans like district residency programme (DRP) scheme, and allowing private hospitals to start PG-equivalent courses that were later implemented by the NMC. Worse still, Dr Singh said, the commission has so far not even been able to ensure implementation of the competency-based medical education (CBME) curriculum across the country, mandatory under the World Federation for Medical Education's (WFME) Global Standards for Quality Improvement: Basic Medical Education, 2020. Established by an initiative of the World Health Organisation and the World Medical Association, the WFME had awarded recognition status to the NMC for 10 years in 2023. Also Read: Bringing dramatic drop in TB deaths, how TN set an example for rest of India with one-of-a-kind model Series of U-turns In September last year, NMC was forced to amend its contentious CBME guidelines after vehement protests by activists who called the guidelines 'outdated' and 'archaic'. The 2024 guidelines for the undergraduate forensic medicine curriculum were set to replace the 2019 guidelines in the upcoming academic session, and apply to one lakh medical students across universities in the country. Those who opposed the guidelines, however, underlined that the guidelines deemed 'lesbianism and sodomy' as unnatural sexual offences, clubbing them with sadism, necrophilia and voyeurism. This was not the first time that the NMC had gone back on a decision, which was being publicised as a 'reform'. A similar controversy had erupted in 2023 when the body had mandated doctors to prescribe generic drugs or face penalties, forcing it to put the professional conduct regulations on hold. The same year, after strong protests from southern states, the NMC had deferred its decision to set up more MBBS colleges, and add more UG seats based on the population of different states. 'The number of corrigendums and addendums that the NMC has published over the last few years is higher than what the MCI published in the over seven decades that it existed,' Dr Singh said. 'It shows how this body is functioning—without the required seriousness and vision that are absolute must.' The regulator, he stressed, has turned out to be 'old wine in a new bottle with little action that matters, and a master of U-turns that put a question mark on its credibility'. He also pointed out how the body has been working on an ad-hoc basis for the last two years. Dr Gangadhar, former director of the National Institute of Mental Health and Neurosciences, Bengaluru, who had been the chairman of the commission's Medical Assessment and Rating Board since 2020, was appointed as officiating NMC chairman in 2023, when the term of its first chief Dr S.C. Sharma ended. In July last year, he was appointed as NMC chairman, but the positions of whole-time members and chairpersons of three out of four boards at the commission have been lying vacant for nearly two years, though several whole-time and part members of NMC were selected through a draw of lots by Health Minister J.P. Nadda last week. Besides the new chairperson, name of the new president of the medical assessment and rating board was also announced on 11 July. 'If the medical education regulator has to be run with a draw of lots, why not even choose our parliamentarians like that?' remarked Dr Asokan. He added that while there were issues with the way MCI had been functioning, mainly as too much power was vested with one person, it at least ensured that 'ruthless standards' were maintained in colleges leading to Indian doctors making their name world over. The former NMC member quoted earlier said that 'quality people' were reluctant to work with the commission, given the tight bureaucratic control. Influenced by NMO's ideology? In 2022, NMC had made it compulsory for every medical college to have a 'Department of Integrative Medicine Research' to promote integration of modern medicine with homoeopathy and Indian systems of medicine, such as Ayurveda. In December 2023, a section of doctors had protested strongly against the change in the logo by the commission, calling it a move aimed at 'altering' the 'secular' face of the government agency. The new logo had a colorful picture of Dhanvantari, recognised as the physician of the gods in Hinduism, and called the 'God of Ayurveda' in some religious texts. In April this year, the regulator had ruled that offering medical duty during the Char Dham Yatra in Uttarakhand would be counted as part of the District Residency Programme—a mandatory requirement for PG students to serve for three months in district hospitals or district health systems. 'These decisions have largely been due to NMO's line of thinking, which many in the medical fraternity now believe has too much influence on the commission's policy decisions,' said a doctor and faculty member at a medical college in Delhi, requesting anonymity. However, Dr Gangadhar dismissed these concerns. He said that the adoption of the logo followed a collective decision by NMC members after the idea was floated by a local IMA president from Maharashtra. 'The idea to include Char Dham Yatra in DRP for colleges across the country came after wide consultation within the commission, but a particular group associated with an organisation from some colleges decided to follow it,' he clarified. On the claims that the commission is actively promoting crosspathy—a term he said he does not agree with—the outgoing chairman maintained that the idea exists in the NMC Act itself. 'The (NMC) Act itself says that multiple boards (of different streams of medicine) should be meeting and discussing with an open mind as to what is needed and can be done. We are just following these provisions. Otherwise, the Act itself should be scrapped,' he remarked. (Edited by Mannat Chugh) Also Read: Govt tightens drug billing norm for CGHS claims. What new rule is & why pvt hospitals are pushing back


Time of India
3 days ago
- Health
- Time of India
MCC NEET UG Counselling round 1 registrations to start today: Check important details here
NEET UG counselling process 2025 : The Medical Counselling Committee (MCC) is set to open the registration window for the National Eligibility cum Entrance Test Undergraduate (NEET UG) 2025 counselling process from today, July 21, 2025. The nationwide procedure will determine admissions to MBBS, BDS, and BSc Nursing courses under the 15% All India Quota (AIQ) and 100% seats in key central medical institutions. According to official data, nearly 12.36 lakh candidates have qualified NEET UG 2025 and are now competing for approximately 1.18 lakh MBBS seats available across 780 medical colleges in India. Top seat-contributing states include Karnataka (12,545), Uttar Pradesh (12,475), Tamil Nadu (12,050), and Maharashtra (11,846), as per the National Medical Commission (NMC). NEET UG 2025: Round 1 counselling schedule and key dates The MCC will conduct the counselling in four phases: Round 1, Round 2, Round 3, and a Stray Vacancy Round. The detailed schedule for Round 1 is as follows: Activity Dates Registration & Fee Payment July 21 – July 28 (up to 3:00 PM) Choice Filling July 22 – July 28 (up to 11:55 PM) Choice Locking July 28 (from 4:00 PM to 11:55 PM) Seat Allotment Processing July 29 – July 30 Result Announcement July 31 Reporting to Colleges August 1 – August 6 Verification by Institutes August 7 – August 8 NEET Round 1 counselling 2025: Steps to register Candidates can follow the steps mentioned here to register for the NEET round 1 counselling 2025 from the official website: Access the official Medical Counselling Committee portal at to the UG Medical Counselling section and select New Registration. Input your NEET UG 2025 Roll Number, Application Number, and other necessary credentials. Proceed to pay the registration fee and refundable security deposit as per your category. Finalise your choice filling and locking within the stipulated time frame to complete submission. NEET UG 2025: Institutions participating in counselling MCC's centralised counselling covers several major institutions including: 15% AIQ seats in government medical and dental colleges (excluding J&K, unless they contribute seats), 100% MBBS/BDS seats of AIIMS, BHU, AMU, JIPMER, and Jamia Millia Islamia, 100% seats at ESIC, DU, IP University (VMMC/ABVIMS/ESIC Dental), 5% internal quota at JMI for Jamia students. NEET UG 2025: Mandatory documents for counselling Candidates must keep the following documents ready for verification: NEET UG 2025 admit card and scorecard Class 10 and 12 certificates & mark sheets Birth certificate (if not in Class 10 certificate) Category and domicile certificates (as applicable) Passport-sized photographs (as per NEET application) Valid photo ID (Aadhaar, PAN, etc.) Provisional allotment letter, medical fitness certificate Migration certificate (if applicable) Candidates are advised to stay tuned to the official website to get the complete details of the NEET UG counselling process 2025. Ready to navigate global policies? Secure your overseas future. Get expert guidance now!