Friday, July 10, 2015

GMC Chanda: MCI’s rejection sans re-inspection deliberate?

NAGPUR: The decision of Medical Council of India (MCI) to reject permission to Chandrapur Government Medical College (GMC) to fill up 100 MBBS seats has raised many doubts. MCI rejected the permission without physically conducting a re-inspection even after it was directed to do so by the union ministry for health and family welfare, say college authorities. MCI was censured by the Nagpur bench of Bombay High Court on Wednesday, stating that MCI officials had used their "supernatural powers" to inspect the GMC from sitting in their AC chambers in New Delhi.

The Maharashtra government's affidavit filed by Chandrapur GMC dean Pradeep Dixit reveals how MCI "deliberately" reported about presence of 274 beds to union ministry, despite the fact that it had 300 beds since 2006. MCI pointed out 24 deficiencies in the college in an inspection it conducted there on December 29 and 30 last year. The government reduced a majority of the shortcomings.

Dixit's affidavit, which contained photographs of actual conditions, clearly proved that they tried hard to improve the infrastructure as required by the apex body for medical education. MCI chairman Jayashree Mehta did not answer TOI's calls seeking comments.

Counsel for petitioners Anil Kilor clarified the procedure of inspection, while blaming MCI for deliberately neglecting GMC's genuine claims. A new medical college must fulfill five basic criteria including 25-acre land, finance, well-equipped building, adequate faculty and a 300-bed hospital for getting a permission to start the academic session. Other requirements like hostels can be built eventually after getting permission. In government colleges, land and finances are considered so seriously, but the number of beds is thoroughly verified.

"The surgery department of GMC Chandrapur has 90 beds and gynaecology has 40. During MCI's inspection, there were more patients of gynaecology on that day which were shifted to surgery ward. The MCI inspector didn't count 26 beds of surgery ward which were allocated to gynaecology patients. He noted 64 beds in surgery but failed to add 40 beds of gynaecology, thus he marked 274 beds, instead of 300 which were in existence since 2006," Kilor said.

GMC officials told TOI that despite GMC authorities' demand for a hearing, MCI ignored their pleas. At a hearing with the union health ministry, GMC officials provided the entire list of infrastructure and facilities and also detailed how the college had removed all deficiencies that MCI had pointed out. The ministry then asked MCI to conduct a re-inspection by going to Chandrapur and submit a report before April 15.

But the MCI cited a Supreme Court verdict that observed that there was no need for inspection, if the college fails to make any of the five necessary requirements like the number of beds. MCI also took legal opinion from the additional solicitor general by allegedly misinforming him. All this led to the ministry rejecting GMC's genuine claims which otherwise would have been a big loss to 100 students from Vidarbha, officials said.

MCI INSPECTION: MANY QUESTIONS REMAIN UNANSWERED


MCI: THESE ARE THE DEFICIENCIES

1. Deficiency of Faculty - 41%

2. Deficiency of Residents - 44%

3. Out of 90 beds only 64 beds are available in surgery department

4. Demo rooms not available in ward area

5. College building is yet to be constructed, dean/principal office functions from hospital, staff room, college council hall

6. Lecture theatres and library is to be constructed

7. There are no books and journals

8. Staff is not available

9. UG Hostel not present

10. Resident doctors hostel absent

11. Nurses hostel are to be constructed

12. Residential quarters for teaching and non-teaching staff not there

13. OPD Registration counter - computer not working on day of inspection. Also no. of rooms for examination of patients (required four for all departments) are not available

14. Laboratory investigation workload is inadequate

15. MRD: It is located in one half of a hall; in other half there is a library without any wall or partition

16. Casualty: Disaster trolley, crash cart, defibrillator, ventilator not available

17. OT: Only three are available against requirement of four. Monitoring and resuscitation equipment are inadequate as detailed in report

18. Mobile X-ray 30 mA: Not available and AERB approval for X-ray machine not made available

19. Intercom is available but not working

20. Nursing Staff - 164 nurses are available against requirement of 175

21. College website not available

22. College building is yet to be constructed. Hence department of anatomy, biochemistry, physiology are not available

23. All teachers have been transferred from GMC Nagpur on December 9, 2014

24. No proper joining report is there and declaration forms are also incomplete

GMC: NO DEFICIENCIES EXCEPT THESE POINTS

3. Presence of additional beds in OBGY not mentioned in Inspectors Assessment report. Hence, total number of beds shown in assessor's report A-II is shown as 274 in the table instead of available 300 as shown in sentence above the table

15. Now complete hall will be utilized for MRD. Hence no deficiencies

18. a) New machine proposed this financial year and b) Sanction awaited

19. Sanction awaited. However individual phone lines are present

22. Equipments will be ready as per undertaking


DEFICIENCIES POINTED OUT IN ASSESSMENT REPORT

1. Playground and gymnasium not available

2. Capacity of teaching area in each department (30 students/departments required)

3. No proper boards displayed for various clinics

4. On the date of assessment OPD attendance/casualty attendance/indoor admissions are low

5. On the day of assessment operative works are low

6. Minor OT available but not functioning

7. Equipment not available in OT Block-Defibrillator/Multipara Monitor with Capnograph/Infusion Pumps

8. Static X-ray 500mA: Not available

9. PNDT Approval; Not made available

10. RHTC - No Government order has been shown nor it has been annexed hence not visited by Assessors. As per MCI norms only identification must at LOP inspection

11. UHTC - No Government order has been shown nor it has been annexed hence not visited by Assessors. As per MCI norms only identification is must at LOP inspection

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