Thursday, June 12, 2014

Open Letter to the President and Members of DCI



Dear Sirs/ Madams,
We are informed that the DCI is preparing to conduct its General Body Meeting on Friday the 13th of June! As practicing dentists we have several concerns. We have personally raised these issues in the past as well and would like you to once again look into it.
1.       Following our persistent objections the slew of new dental colleges has thankfully ceased or at least decreased dramatically. We however note with some alarm that a backdoor mechanism is in function. The seats in the existing dental colleges are being increased. Several Dental Colleges have applied for doubling of existing seats. I wonder if you realize that the reason for asking for moratorium on new dental colleges was based on the fact that there are too many dentists in ratio to population. By increasing the seats in existing colleges, the problem persists. It might even be said that this amounts to favoring existing dental colleges who benefit from this. The Health Ministry and the recommending body (The DCI) must call for a complete moratorium on the number of dentists graduating. The Dentist to population ratio has already been highlighted and the increase of seats must be based only on the manpower resources required. The State Governments, Central Government and the DCI have completely ignored this issue in giving ‘essentiality’ and ‘No Objection’ certificates. This is true for Government and Private Dental Colleges.
2.       There must be a complete review of all dental colleges by an independent body similar to the Anil Dev Singh Commission and a complete weeding out of improperly functioning institutions must be effected. In fact the Ministry of Health can undertake an exercise similar to the Flexner Committee report in the early 1900’s in the USA where medical education was rationalized and almost 50% of existing medical institutions were shut down or merged. The existing DCI inspections are unlikely to fulfill such a drastic exercise. Where is the Anil Dev Commission report (2004) by the way? An RTI by one of us indicates the Health Ministry does not even posses a copy of it after spending crores of rupees!!
3.       We understand that several institutions are scheduled for getting PG seats (new or increased). As per procedure the DCI has to recommend the names of these institutions to the Health Ministry for them to grant permission. However, we understand that the word ‘Council’ as defined in Section 3 of the Dentist’s Act 1948 refers to all categories of members in the General Body (GB) of the DCI. The powers and responsibilities of the EC are mentioned in several sections of the DCI separately and distinctly from that of the ‘Council’. They obviously cannot be interpreted as the same.  We have learnt that the recommendations under item no 8 of the agenda for this meeting seeks to approve new courses or seats in various institutions. The recommendations for these institutions were sent by the EC (not Council) to the Health ministry.  Do the 5 or 6 persons in the EC represent the will of the whole Council? The Health Ministry has apparently given permission based on this questionable reference. The ratification by the GB therefore appears to be a mere formality and is obviously ‘post facto’. We see a major procedural lapse in this sequence. The GB ratification appears to be eyewash and the whole exercise raises questions on the enormous powers being asserted by the handful of persons in the EC. We request the DCI to rethink on the recommendation particularly because there are institutions in this list who are under investigation for precisely the same issue- grant of PG. How did they get the permission now?
We need greater transparency in the functioning of regulatory bodies! The role of the GB has been reduced to a superfluous one. Justice should not only be done, it should also be seen to be done!
George Paul- Salem
V. Viswanathan- Calicut
Murali Venkataswami- Chennai
Varghese Mani- Thrissur
Raveendranath M- Kannur

CC- To Hon Minister of Health and Family Welfare

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