Thursday, July 05, 2018

Public eye on medical college inspections

The Telegraph India: New Delhi: Thursday, July 05, 2018.
The Central Information Commission has directed the Medical Council of India to place in the public domain inspection reports of all medical colleges in the country within six weeks, seeking greater transparency in approvals and denials to colleges.
The directive to the MCI, the apex regulatory authority that approves new medical colleges and additional seats in existing colleges, is expected to reduce the "opacity in the prevailing system of medical education" in the country, the commission said.
The CBI is probing several cases related to alleged corruption in finalising inspection reports on the basis of which medical colleges are either granted or denied approval to admit students.
Information commissioner Yashovardhan Azad, responding to an application for an inspection report of the Gandhi Medical College, Bhopal, said leaving no room for administrative ambiguity and countering likelihood of corruption was as important as fighting actual corruption in all forms of governance.
"Keeping assessment reports hidden in files away from public gaze is counter-productive for efficiency of medical education as prevailing in the nation," Azad said.
"Probity demands that the MCI ought to have proactively disclosed assessment reports on its website so that stakeholders, the government, the promoters of medical institutions, surveyors, existing and aspiring medical students get to know a real-time crystal clear report card of a particular medical institution," he said.
The case pertained to a Right to Information application filed by Deepak S. Maravi, who had demanded the inspection report of the Gandhi Medical College that was denied by the MCI saying the assessment report is under consideration of the council's postgraduation committee.
Maravi approached the commission, the highest adjudicating body on RTI matters.
When prodded by Azad,an MCI official said inspection reports of medical colleges were not made public as per prevalent practice. When asked for the reason and legal justification under Section 8 of the RTI Act to keep inspection reports as classified, the public information officer was unable to cite any reason.
Azad said as on date, a common citizen does not know the input, assessment process, the parameters of evaluation by the MCI or the precise reasons for decisions to grant or reject recognition to medical colleges. What is available in the public domain is the end result of the assessment process, he said.
On the basis of MCI recommendations, the Union health ministry had earlier this year denied 82 existing medical colleges permission to accept students for the 2018-19 academic session and disapproved proposals for 68 new medical colleges.
The head of a proposed new medical college denied approval had last month expressed disappointment at the MCI's decision and claimed that the council's inspection report had misleadingly claimed the institution did not have enough patients.
Information commissioner Azad said medical education was a "completely regulated sector" and the inspection report was a statutory assessment. The assessment report cannot be denied to Parliament and hence, the commission sees no reason to keep the same precluded from public glance, he said.
"The commission strongly feels that by placing the MCI-recognised medical institutions' periodic assessment report in the public domain, the opacity in the prevailing system of medical education in India would be reduced," Azad said.
He said regulatory bodies like the MCI had much to do to keep the faith of millions in their tasks performed to uphold the highest standards in medical education. The commission has directed the MCI to place on its website state-wise arrayed inspection reports from the current academic year within six weeks.