Thread by @spinesurgeon

Thread :

There are news that MBBS Graduates will be posted Mandatorily in PHCs for 2 years and then only given certificate

In My Opinion

This is a very very wrong move

I say this not from the point of view of the graduate, but from point of view of a common man

Before one you jump and start your lecture on the importance of Doctors in Villages blah blah
Let me tell you that I had worked for 3 years in PHC

And
I can also tell you that I did not merely "scratch my chair" but did some work

You can read this thread

https://twitter.com/spinesurgeon/status/1232446987351445505

to

1.
Know (a part of ) work I did

2.
Know that PHC (Primary Health Centres) are not just for treating people who come to the centre
But they are the fulcrum of Public Health

So
Please read the thread

https://twitter.com/spinesurgeon/status/1232446987351445505

I had made in Feb 2020
first before proceeding with this thread

First and foremost

PHCs are not just Hospitals
It is a functional Unit for Primary Care

Seeing OP is the Last work of a PHC MO
He or she has to control at 15 to 20 workers
Including Village Health Nurses and Health Inspectors

The Medical Officer is the Head of the PHC
and
The Other Staff function based on his or her involvement

Hence
Only those who are willing to work need to be posted there

Posting someone who is not interested in the job
Will be a disaster
This doctor will "escape" at 11:30 AM Bus and every sub ordinates will "escape" at 12:15 Bus

So
If you are supporting this "Mandatory service" there are only two possibilities

1.
You don't know how PHCs work
2.
You are anti people / pro corporate and you want to close the PHCs

Do you have any questions ?
You will
But Before that
Let me tell few facts

It is a myth that doctors are not ready to work in PHCs

Take for example this Medical Recruitment Board Results

targetpg.in/7956

4781 doctors have applied for 911 vacancies.

So
Clear the wrong notion that doctors are not ready to work

PHCs in Tamil Nadu are not empty
They are full
Doctors are ready to work there
Why ?

Read this archive.nmji.in/archives/Volum… to find how TN addressed the issue

(NEET Spoiled few of this arrangement, but that is another story)

So
If you want to improve your PHCs
Follow #TamilNaduModel
If you want to maintain the PHCs like now
Keep Quite
If you want to destroy the PHCs
Implement Compulsory Rural Service

If some one supports mandatory Rural Service or Compulsary Rural Service

he or she is either ignorant of PHCs

or

is Anti People and want to close PHCs and go the US and UK way

Apologies if the language is a bit harsh and rude

What is going to Happen
1. The scheme will be implemented

2. Few in Media, who know, will write facts

3. Most in Media, who know nothing about PHCs, will glorify saying that this is a game changer blah blah

4. Doctors opposing this will be called names

5. Many doctors from "Reputed" institutions (Who have never worked a single day in a PHC) will come in Prime time and support this scheme

6. States like TN will oppose (as usual)

7. States where there is no PHC functioning, the students will get completion directly :) :)

8. States where PHC is being developed now, will face the maximum brunt and any development in the last 10 years will be wiped off in 3 years

And even then
The blame will not be on the wrong approach but only on the doctors and saying that doctors do not know management

9. After this
They will form a committee and find out that this is wrong and they need to outsource the PHCs to Private Hospitals [read Point 5 again :) ]

and our public will again support this move saying that govt employees don't work and only privatization will improve