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Students pursuing an MBBS degree in Maharashtra are required to work in rural areas for one year. But students are avoiding rural posts.
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Image credit: PTI
A startling statistic has come to light regarding Maharashtra’s largest government medical college Grant Medical College (GMC) or JJ Hospital in Mumbai. From 2015 to 2021, nearly two-thirds of the MBBS graduates of the state’s largest government medical college did not do their one-year mandatory rural service. Instead of leaving this position, he also had to pay a heavy fine. In fact, during this period, the hospital received a fine of Rs 27 crore that the students had to pay for refusing to post.
However, now the government has also changed the rules, so that MBBS graduates cannot leave their village posts just by paying a fine. According to the World Health Organization, there must be 1 doctor for every 1,000 people. And in Maharashtra, the ratio is 0.84 doctors per 1000 people. The situation is worse in rural areas of the state.
Do medical graduates make excuses?
To ensure the presence of doctors in rural areas, a few years ago, Maharashtra made rural work mandatory for one year. It is also known as ‘Social Responsibility Services’, which every student who completes an MBBS course is required to do. During this one year, these medical graduates have to treat patients at primary health centers (PHCs) or rural hospitals.
Doctors give many reasons for avoiding posting. Lack of medical facilities and infrastructure, academic delays and security concerns are the most commonly given reasons.
fined 10 thousand
According to a report by Indian Express, 1364 students were awarded MBBS degrees from JJ Hospital in Mumbai between 2015 and 2021. Of these, only 467 doctors (i.e. 34%) worked in rural Maharashtra . 897 doctors, or 66%, did not accept the job and paid the fine. The two epidemic years of 2020 and 2021 saw the highest number of doctors refusing rural jobs since 2015. During these two years, 390 people received degrees, of which 94, or 24 %, working in rural areas.
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Before the rule change, doctors had to pay a fine of Rs 10 lakh for refusing to post. In 2015, the hospital collected Rs 2.75 crore in fines. In 2016, the figure was Rs 1.44 crore and in 2017 it was Rs 3.37 crore. It increased to Rs 4.95 crore in 2018 and Rs 6.98 crore in 2019. In 2020, the fine was Rs 3.25 crore and in 2021 it was Rs 4.45 crore.
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