No promotion, no pay rise: TN’s super specialty seats go begging

No promotion, no pay rise: TN’s super specialty seats go begging 

Chennai: Govt doctors in Tamil Nadu are shunning super specialty training because the additional qualification brings no assured promotion, salary increase or posting in whichever field they train in, doctors’ associations said, leaving the state with hundreds of unfilled seats in disciplines critical to public hospitals. 

Supreme Court this week directed Tamil Nadu to surrender 151 unfilled super specialty seats to the Directorate General of Health Services, triggering a political tug-of-war. While DMK accused the govt of failing to defend the seats, the ruling TVK said the order protects the state’s claim if cut-offs are lowered. But doctors’ bodies say the deeper question remains unanswered: why would a govt doctor spend years in advanced training if the job that follows does not change? 

Records show that 119 seats in 2024 and 145 seats in 2025 were surrendered to All India Quota during the previous regime. “We are an army of more than 20,000 doctors. If seats are vacant, it is because the govt has failed to expand specialist care in govt hospitals,” said Service Doctors and Post Graduate Association general secretary A Ramalingam. 

Doctors who complete a DM or MCh course say the state does not consistently reward that training through promotions, adequate pay rises or appointments in their specialty. Tamil Nadu Govt Doctors Association, welcoming SC judgment, said the govt must increase at least 350 super specialty seats if it wants to place doctors where they are needed. “We must have a wide range of specialists in all medical colleges. 

Without opportunities, it will be difficult to encourage govt doctors to study further,” said association state president A Srinivasan. Beyond pay and postings, mid-career doctors are also bound by service rules mandating them to remain in govt employment until retirement. Specialists in some branches say the workload is high, the risks are greater, and the incentives are too modest. 

TN Medical Officers Association said the loss of seats would eventually weaken public hospitals. “These posts and facilities are created by the state with taxpayers’ money. The quota exists because service doctors will serve in govt hospitals until superannuation,” said general secretary M Akilan.