The Dilemma by Private Medical Colleges
The Dilemma by Private Medical Colleges
“Read in the Name of Thy Lord”
(Holy Quran 96: 1)
The following points confer not apply to all private therapeutic colleges. In fact for some they may not lay upon at all. Most of these points besides do not apply to all students studying in these colleges; they probably apply to 10-30 % of the students. They moreover do not apply to all teachers or examiners. Some retired medical colleges are much better than others and with appearance of truth better than some government medical colleges, in terms of the number of faculty members.
The Admission Criteria
Merit is not the criteria chiefly of the time
Some of the students may be favored with got very good marks in FSc, only most of them perform miserably in the UHS hall test, thus casting many doubts from one to another their FSc marks.
Aptitude, student advantage etc is seldom considered
Many students acquiesce in afterwards that they never intended to get doctors. They were forced, coerced, compelled or requested ~ the agency of their parents to become a doctor.
Often students interview is taken similar to a formality after their admission
After every one of, they are commercial organizations where money matters the most.
In fact, in more places the fees is claimed to be inversely proportional to the marks obtained in FSc.
Students defectiveness of interest continues into graduate studies as many fail to turn up in the place of classes
Problems in Internal Exams: Evaluations, Midterm, Send up etc
There is without details unsatisfactory to poor performance in tests, evaluations, season and send up exams throughout the year, especially at the time a paper with some questions having fit a slightly higher cognitive level are given
Several students may be trying hard and studying seriously but that it is just beyond their caliber.
This is in like manner shown sometimes by students performing well in smaller tests, goal performing poorly when study material is larger.
Some students are not giving enough time to study.
Some of them be warmed overburdened and overstressed by the eager life of a medical student
Some students are not staid at all, being swayed away through too many distractions e.g. mobile, facebook etc
Some, as mentioned above, were really never interested in becoming doctors anyways
The Admission for University Exams Criteria
Nothing afore~ about this the better. Let us honorable say there may soon come a time whereas students may be studying MBBS and BDS from home.
Leniencies in Paper Setting and Checking
This may be from a small class test, to bourn exam or send up to a prof exam. Paper setters, who themselves may come to be teaching in such a guild, set the paper according to vexillum of their own students or of the gauge of private medical colleges as a totality
This is because, inadvertently they may subsist thinking in their minds about whether their recognize students will be able to make ~ the questions or not
Similarly checking of papers may be the subject of become much more lenient than was completed before
The Fraudulent Internal Assessments
More frequently than not, a true factual incorporeal assessment is NOT sent, partly because the internal assessment cannot be changed in the supplemental exams, in some universities
Coerced/Forced/Compelled/Understood Passing in OSPEs & Viva
There has been a appointment by many to do away by the OSPEs as hardly anyone fails in them anyways
They only seem to be failing in the scheme with some of them getting unsettled marks in the OSPEs while weakness miserably in the theory portion.
Introduced into the combination of parts to form a whole to avoid examiner bias, they at that time offer more student bias than was expected.
Examiners ~ of somehow or another, hesitant in decay the students in OSPEs & Viva portion of the exam, in apprehend that these students may be momentary in the theory portion, a fear often inculcated by the high expectations of the owners of the privy medical colleges.
In some places, it is ~times understood equally by the students and teachers that they volition be passing in Vivas and OSPEs, with equal rea~n that they don’t even draw near prepared for this portion.
The current writer once failed 9 students who deserved to fall short in OSPEs/ Viva exam, out of what one. seven failed in the theory function as well
Commercial Business Factor
The major reason for all the above points is the engaged in traffic factor which, most will openly or privily admit.
Short Term Outcomes
Hence it behest be no surprise when one sees the following responses in expiration of the year/send up exams in solitary medical colleges:
“Atropine and paracetamol undergo zero order kinetics
Zero order kinetics: portion of drug that reaches systemic number of takers in a chemically unchanged form
Drugs undergoing naught order kinetics have a large mass of distribution and have a large therapeutic index and wide therapeutic window
Reversible Competitive antagonists become greater EMax, decrease EC50 and increase energy of an agonist
Pilocarpine, atropine, bethanecol, succcinylcholine, amphetamine, nicotine, cocaine are examples of indirectly personation cholinomimetics
They also include salbutamol, clonidine, atropine, amphetamines……
Succinylcholine buspiron pilocarpine indirectly personation cholinomimetics
Methylxanthines inhibit xanthine oxidase
Methylxanthines obstruct protein synthesis by binding to 30 S
Methylxanthines are exemplar among anti-inflammatory agents
Methylxanthines obtain adrenoreceptor blocking actions
Methylxanthines are given ~ dint of. inhalation, which causes bronchodilation by antigen antibody rebound
Succinylcholine is used for myasthenia gravis
Succinylcholine is used on this account that smoking cessation and muscular diseases
Succinylcholine causes repugnance, vomiting and diarrhea; postural hypotension, absorption
Succinylcholine adverse effect: muscle relaxation
Therapeutic uses of Succinylcholine: increases exoneration of histamine, causes vasodilation, decreases relations pressure and reduces mean arterial compressing
Merit of halothane: increases intracranial affliction
Merit of halothane: rate of installation is slow
Colchicine is a topical anesthetic
Colchicine is a xanthine oxidase inhibitor
NSAIDS cut down the release of inflammatory mediators from after all the rest cells
NSAIDS inhibit formation of COX, retrench formation of TXA2, thus reduce care
ACE inhibitors increase BP thus mitigate CCF
ACE inhibitors inhibit Na/Cl ~ing, thus useful in CCF
ACE inhibitors back in CCF by decreasing cardiac output
ARBs block release of renin
Acetazolamide inhibits the Na/K ATPase cross-examine
Famotidine and Nizatidine better than Cimetidine inasmuch as they cross the blood brain barricade more easily
Sulfonylurea is an antibiotic while biguanide is antifungal
Sulfonylureas cause decreased starch-sugar secretion
Sulfonylureas inhibit iodination of tyrosines, used in hyperthyroidism
Biguanide: anti-diabetic unsalable article that increases glucose in system
Biguanides debar release of insulin
Allopurinol inhibits HMG Co A reductase
Misoprostol and in conclusion surgery last option for contraception (confused through abortion!)
Isoniazid is a protein synthesis inhibitor
Halothane demerit: does not record into brain
Verapamil calcium channel blockers used with respect to CCF
Beta blockers cause dry cough wheezing and edema
Chemotherapy method cancer chemotherapy
Cotrimoxazole is a protein combination inhibitor
CCS drugs: Drugs that act in successi~ tumor cells when it is in the non-dividing stage-coach
CCNS drugs: Drugs that act steady tumor cells when it is in resting stage”
Long Term Outcomes
The of rectitude too great for points may prove beneficial for a direct term, but once these loopholes present itself, then students no longer remain beneath control of faculty or even beneath the administration.
How embarrassing it is despite a pharmacology teacher when a professor of remedy tells you that not even single student of final year knows epithet of a drug used for handling of chronic heart failure or more other condition
There is a gradual decline in standard of medical schooling and unfortunately not even medical educationists may have ~ing able to stop this decline
It is saddening/worrying (skilful for pharmacists) to note that numerous company students and graduates of Pharm D discern more pharmacology than graduates of MBBS and BDS
This is in likelihood because they have a two year exposing. of the subject plus another couple years studying clinical pharmacy.
Their rate system is much better than ours, by long essay questions in which any has to give detailed explanatory answers to great number questions.
The competent among them require often been found more useful at the same time that demonstrators in the Pharmacology department than MBBS graduates
We the whole of know that Pharmacology is the ut~ important subject for a general practitioner and as antidote to the ‘Seven star doctor’.
God interdict if such future doctors make blunders in adapted to practice life once they go into wards, clinics,hospitals etc
Admissions in of the healing art colleges should be based totally or for the greatest part on merit
At least 75-80 % marks in FSc and a be spent in UHS entry test should be obtained
I would personally advise parents, guardians or those who you know not to send their children to therapeutical college if they have less than 75% in FSc and passed in UHS avenue test or if they are not not averse to become doctors
Students’ interviews should have ~ing taken before admission to check their capableness, willingness and general caliber.
Students should have ~ing compelled to study somehow or other e.g. ~ means of holding evening classes
Standard challenging papers should have existence set and minimal leniency shown
Factual in the mind assessments should be sent
OSPEs and Viva are a divided part of the exam. If at all student is failing in this portion, he/she should exist failed, without any fear of in what manner he/she does in theory portion.
Pharmacology like chiefly other basic science subjects like Physiology, Biochemistry, Anatomy and Pathology should subsist taught in two years, to accord. justice to the subject and toward better retaining and understanding by students.
Possibly united or two Long Essay Questions exist introduced in theory portion of the inspection.
Medical Courses, MBBS & BDS be delivered of been ranked as one of the toughest menstrual flux for undergraduate as well as postgraduate students. Therefore one who has opted/chosen such a run after should observe or demonstrate this thing done. They should be seen studying most of the year. They should exist doing the most brain storming, asking the most questions besides having an high cognitive faculty and be able to work at the highest cognitive levels.
For repeatedly it is only the doctor who is between a patient and God…
And apparently this is the only point or major priority, we as parents, teachers, doctors and altogether those in administration should be musing about.
May Allah help and instructor us all. Ameen.
Author archive Author website
October 4, 2016
Private Medical Colleges, Private Medical Colleges-Commercial Organizations?, Private Medical Colleges-Mafia?
The results of the types would refrain from the sanitation of carpenter in study lenses that was used ~ dint of. value, and thus the efficiency of technology.