Tamilnadu Hospitals enrol doctors for PG in boost to Tamil Nadu healthcare,will other States follow ? 

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Non-teaching hospitals, particularly district headquarters and in taluks in the Tamilnadu State have started enrolling students for postgraduate courses, with Diplomate of National Board (DNB) degree awarded by the National Board of Examinations.The directorate of medical service, which administers district hospitals, said the health department decided to use non-teaching district hospitals for DNB courses as human resources and infrastructure there would also improve.

           The Medical Council of India has made it mandatory for all medical colleges to start PG courses. At present, TN has 22 medical colleges in 19 districts (Chennai has four). “District hospitals have adequate teaching material for postgraduates. These DNB courses in district hospitals will strengthen speciality services in rural areas,” said director of medical services Dr M R Enbasekaran. TN plans to get 100 DNB seats in district hospitals in two years, he said.
               
                While MBBS graduates can do a three year primary course, PG diploma holders can apply for a two-year secondary course. Counselling will be organised by the National Board of Examination in New Delhi, based on the results of NEET-PG. “Students from across the country can apply, but we have proposed a bond which they have to sign, mandating them to work in the hospital for two years after completing the course,” said Dr V Vijaykumar, TN nodal officer for DNB courses. Students will have to clear an all-India examination conducted by the board to get the degrees.
                    In 2017, the state health department had applied for 48 PG seats in eight streams in 11 district hospitals and has now been accredited with 29 seats in general medicine, paediatrics, orthopaedics, ophthalmology, and gynaecology in seven hospitals. “Centralised counselling is on and we expect more students to join soon. The board has completed inspection for nine more seats in emergency medicine,” Vijayakumar said.
                  To train students, DMS has tied up with the nearest medical college from where a professor will take regular classes. The hospital will also have a senior and junior consultant to guide the students. At least two resident doctors will also be added to the training team.In an attempt to increase post-graduate medical seats and give a boost to non-teaching hospitals, the state health department plans to start diplomate in national board (DNB) courses in at least 10 district headquarters hospitals.
                 Every year, 2500 doctors graduate from 21 government-run medical colleges but there are less than 1,000 MD/MS seats in 14 government colleges. "DNB courses are equivalent to PG degrees. When we use non-teaching district hospitals, human resources and infrastructure in these hospitals will also improve. There will be more specialists for people in rural areas," said director of medical services Dr K Senguttuvan. The state plans to get at least 100 DNB seats in district hospitals in two years, he said.
               Such facilities of post graduation in District hospitals will be an encouraging step for PG in India provided beside experiencing clinical cases as they are abundant in District hospitals,their proper management,Diagnostic facilities and treatment opppurtunity if provided with education materials,classes,seminars and workshops under guidance of teaching doctors publishing research papers.

                  Other States should also follow it as National Board examinations who awards this degree is under Ministry of Health,Govt of India which want to increase PG seats in india and has loudly stated that DNB and MD/MS are equivalent examination.When many private hospitals are running DNB courses then why District Hospitals under State or Central Government not running this course?

          As many Pvt hospitals exploit DNB students badly as they compel these students to work almost 18-20 hrs a day including on Sunday,saturday and on holidays with only 20 leaves in a year but pay them very less about 30-35 thousand rupees per month and that too as salary so their tds and income tax is deducted whereas NBE clearly states that stidend should be paid to these students and allowing them to work not more than 8hrs a day with holidays and compensatory leaves for work on sunday but as NBE Board has many Pvt hospitals doctors in their committee and management Committee so no actions against Big Pvt Hospitals for such open exploitation  of students is undertaken but if such couses will start in District hospitals than such exploitation will be stopped,students will be paid adequately and shall be allowed to work as human not as animal as practised now a days due to color blindness of corruption in NBE Governors.