Agitation against the NMC’s New Guidelines of Medical Teachers Appointment

As per the erstwhile Medical Council of India’s (MCI) Teachers Eligibility and Qualifications (TEQ) guidelines, candidates with Medical M.Sc/Ph.D qualifications could be appointed as teachers in the five non-clinical specialities to the extent of 30% (50% in Biochemistry) of the total faculty strength. NMC was expected to carry forward the MCI’s guidelines. The draft released for public feedback by NMC was in tune with the MCI norms. However, when the finalized norms were published through a gazetted notification, the permissible percentage was halved to 15% in Anatomy, Physiology and Biochemistry and completely removed for Pharmacology and Microbiology disciplines, sending shockwaves among the Medical M.Sc/Ph.D community. In a FAQ subsequently released by the NMC, it was clarified that the said notification would apply to new medical colleges starting 2021-22 MBBS batch. At the same time, the guidelines would apply to the existing medical colleges that would seek to enhance MBBS seats. Also, all new appointments in old and new medical colleges alike would be as per the new norms.

The teachers with Medical M.Sc/Ph.D qualifications (inappropriately labeled as “non-medical”) are agitated. Over 150 such teachers and students pursuing Medical M.Sc courses from medical colleges across India had converged at the national capital to protest these guidelines and demanded an immediate restoration of the previous MCI noms.

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“With the new guidelines in place, the current faculties, especially in Pharmacology and Microbiology, would be forced to remain in the same job. One will have to remain in the same college until retirement, is sacked or forced to leave as all doors for appointments in other medical colleges have been closed. One will not be able to move to other locations for career or personal reasons. With no other prospects, these faculties could be subjected to a variety of harassments and denials of opportunities including promotions or salary hikes. This would be a serious human rights violation”, said Dr. Sridhar Rao, President of the association.

“Hundreds of such teachers are currently working on tenure or contract basis. Medical colleges are refusing to continue or renew their services citing the new guidelines. All of them would be rendered jobless. NMC’s statement that existing faculties wouldn’t be affected is untrue. Tutors, who have already put in four years are being denied promotions. A couple of teachers have already been sacked”, said Mr. Arjun Maitra, General Secretary of NMMTA.

“Over a thousand students, who are pursuing their 3-year Medical M.Sc courses in the 35-odd medical colleges across India, hoping to have a career in medical education have their opportunities vanished even before they complete their study”, said Dr. Ayan Das, Joint Secretary representing Delhi.

The practice of appointing non-doctors as teachers in the non-clinical subjects dates back to the 1960s, when there was an acute shortage of teachers with MBBS/MD qualifications. This is also the practice followed in most medical colleges across the world. In the US medical schools, 26% of all teachers are non-doctors. In some medical colleges of the West 80-90% of teachers are scientists with Ph.D qualifications. A section of non-clinical doctors have been clamouring for the elimination of non-doctors from medical education.

“We are an important stakeholder in medical education and have been rendering our services for decades in medical education and diagnostic laboratories. Overnight reduction and cessation without due consultation or considerations are improper”, added Dr. Rao. “Despite several representations and memoranda to the NMC explaining why the move is flawed, there has been no response. While we were able to meet the health secretary, NMC has neither replied nor agreed to meet us. There is panic and anxiety among our members as they are being denied promotions, extensions or opportunities to apply for teaching jobs. An unresponsive NMC is only adding to our miseries. With no option left, we are forced to protest”, he added.

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“Despite an increase in the MD seats in the non-clinical specialities, 40-50% of them are remaining vacant each year, as most MBBS graduates prefer PG in clinical specialities. Therefore, faculty deficiency in the non-clinical specialities will continue. The faculty positions in many colleges are still vacant despite several rounds of interviews as candidates with MBBS/MD qualifications are unavailable. These vacancies are more pronounced in the remote, hilly or suburban areas. Instead of letting the medical education suffer due to such a paucity, suitably qualified teachers with Medical M.Sc/Ph.D qualifications can fill that void”, stated Mr. Maitra.

At Jantar Mantar, where the faculty and students had gathered, slogans were raised denouncing the NMC and seeking health ministry’s intervention. “NMC, being dominated by the doctors has a prejudiced attitude towards non-doctors. We expect the health ministry to ensure the well-being of all the stakeholders without taking sides. This is just the begining, more such protests will follow in Delhi and elsewhere”, added Mr. Maitra.

NMMTA is a national association of persons with Medical M.Sc qualifications. There are over 2000 members from 27 states and UTs, which also include students. It is estimated that around 7000 such faculties are woking in medical colleges. The association has already filed a writ petition in Delhi High Court against the NMC, the hearing will continue in July. Upon being advised by the health ministry, the association has formally filed an appeal with the NMC under the relevant sections of the NMC Act, 2019. The agitating members have submitted a memorandum to the health ministry seeking rollback of the guidelines, representation in the NMC, formation of a council, ending academic apartheid, promotion of research, PhD and post doctoral fellowships in medical colleges among others.