The mass exodus of senior lecturers from public medical
schools as reported in the media is a serious cause for concern which should
addressed with great urgency. In fact the brain drain was waiting to happen, it
was only that the authorities were blind and arrogant to ignore it.
The acute shortage of senior lecturers has resulted in some
clinical departments being closed down leading to not just students facing
difficulty in clinical training but patients being denied treatment at the
clinics run by the medical lecturers who are specialists in the their fields of
medicine. Not only medical students’ needs to be trained but postgraduate
doctors too need specialised units and expertise for their training to become specialists
themselves. The MMA
says there are almost 40,000 medical graduates in the
country to become specialist and consultants.Who
is going to train them if we keep losing invaluable, experienced and senior
clinicians cum lecturers?
The government keep insisting it is due to poor enumeration
in public universities that are driving lecturers out. It asks them to be more
realistic and not be guided by greed but be willing to sacrifice a little in
their service to the nation. The lecturers say that that money may be a just a
consideration but the bigger factor is the total lack of appreciation for their
services in which they excel. Excessive politicking, poor administration and favoritism, based on race and politics, are listed as the main causes for them
leaving public universities. Private colleges may pay more but the perks
and training facilities are badly
lacking as most private medical schools do not have their own hospitals to
practice their skills in the various disciplines they are trained.
Not only public medical schools, even private ones are
facing acute shortage of lecturers. Many of them are so acutely short that it has
begun to affect the quality of the graduates they churn out in large numbers.
To add to this problem of lecturer shortage, the colleges have increased the
number of students. It is shocking that some colleges take in as much as 400 -
500 students a year, divided into 2 batches. How can you effectively train over
200 medical students in each batch especially during their clinical years in
the wards?
The unacceptably large number of public and private medical
schools in the country is the main cause of the problem facing our medical
education today. There at present more than 30 medical schools in the country
capable of churning out about 5,000 doctors yearly. These fresh doctors need to
be trained before they are sent out to the various hospitals and clinics to
attend to patients. Declining quality of our medical graduates will soon be an
invariable consequence of this large number of trainees in each batch.
The commercialization of medical education must stop and
measures taken to not just raise salaries but give better facilities and
promotions based on merits. Heads of departments must be people with merits and
deserving not political stooges. The truly good, dedicated and skilled specialist
lecturers must be duly appreciated and rewarded regardless of their ethnicity
or political affiliation.
The exodus of specialists and lecturers must be stopped at
all costs if we want to progress. These may be difficult tasks for the present
administration but unless they do that, our standards of medical education will
soon deteriorate to levels from which we will never be able to recover. At
recent meeting with the DPM concerned top MMA officials warned that Malaysia
will closed down if racism continues. Will the PM and his team take this
warning seriously remains to be seen?
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