Thursday, July 11, 2013

An Open Letter to the President and members of the DCI



An open letter to the President and members of the Dental Council of India
Dear Sirs,
We were shocked to read an office communication (No DE-190-2013/2630) where the DCI ‘has resolved’ to start a new course in oral and maxillofacial surgery called M.D.Ch which will be a higher degree in general OMFS. The communication sent on 24th May 2013 to several State secretaries, DMEs and Registrars of Universities goes on to explain that if they do not hear from the recipients within 21 days, the DCI would go ahead with the implementation of the new course with a duration of 5 ½ years after BDS or two years after MDS. Most importantly, it is also being offered to MBBS graduates. Please remember this is a general OMFS degree that is being offered- not a super specialty in Cleft , cancer etc. The letter was ostensibly written to the above Government and University authorities because they are defined as ‘stake holders’ as per section 20 of the Dentists Act. We are reasonably certain that most of these ‘stake holders’ may not have replied within the stipulated time (15th of June) and therefore the ground is being prepared for another ill advised adventure into our course curriculum. In 2007, a similar adventure under a different president was undertaken when the DCI for some inexplicable reason, had scrapped the internship. Then too the ‘stake holders’ remained silent!!! Thankfully that experiment with the course curriculum was reversed. ‘Stake holders’ like Secretaries and Registrars of Universities will naturally remain silent because they do not understand or care about the name of some obscure dental degree. Why should they?
Respected Sirs (and Madams), let us once again remind you that the real stake holders of the profession of OMFS are the more than 3,500 MDS degree holders in the country. Nearly 2500 of them belong to an organization called the ‘Association of Oral and Maxillofacial Surgeons of India’(AOMSI). We may not be government agencies or bureaucrats but we certainly are the real stake holders because we practice the specialty, serve the public and make a living with a ‘humble’ degree called MDS in Oral and Maxillofacial Surgery. We are aware that there are a couple of persons from the OMFS fraternity in the DCI trying to push forward an insidious plan to undermine the qualification of the existing MDS degree holders. We are also aware that it is being carried forward on the specious argument that the course duration needs to be increased. We strongly agree that the course duration needs to be increased taking into account the special medical training needs of the specialty. In fact several of us have petitioned the DCI on this matter. The argument that an increase in course duration must necessarily mean a change in the name of the degree is difficult to buy. When the MDS course was increased from 2 to 3 years we do not remember anyone changing the name of the degree. The argument that courses with different durations cannot be called by the same name is also not acceptable in principle. Let us illustrate. The  BDS course can be studied in 4 years in most universities but it is 4 ½ years in Kerala (24 dental colleges). The longer version is not called B.D.Ch or any such name. Similarly a condensed BDS of 2 years (for MBBS graduates) has been offered in Annamalai University for several years. To the best of my knowledge it is called BDS. Try the Medical specialties. One can do a 5 year Mch in Neurosurgery. One can also do a 3 year MCh after MS. They are all called MCh ,in case the DCI has not noticed. One can do an LLB in 3 years (after graduation) or a consolidated 5 years. Both are called LLB. In this country there are LLM courses offered for 1 year and for 2 years. Are they not called LLM? PhD degrees in different universities are offered for a minimum of 4 years and 5 years. Both are called PhD at the end.
We strongly recommend that the MDS course duration be increased if necessary. But please do not find disingenuous arguments to call the new format by a different name. What is more ridiculous is the offer to MDS persons to attain the new degree by studying for 2 more years. The implication is that the existing MDS qualified persons are sub-standard. The only people likely to benefit from these new fangled ideas are the numerous dental colleges that can charge more for a new degree (M.D.Ch) or from those wanting to study some extra years after MDS. In fact we are convinced that this may in fact be the real reason for pushing this forward with so much haste keeping the real stake holders in the dark.
Let me explain what happens if you change the name of the degree from MDS to M.D. Ch.  We are going to have a new kind of Oral Surgeon with a different name and a superior attitude. The humble MDS graduate, and there are 3500 of them, will be downgraded with one sweeping, inconsiderate act of the DCI. MDS graduates will technically be reduced to second grade post graduates. Is this what you want to do to a generation of young post graduates- disenfranchising and downgrading them and their precious degree?
The MDS graduates with oral and maxillofacial surgery have unanimously struck down this proposal in 2011 during a well attended conference in Delhi. The matter was clearly communicated to the DCI. We do not know what has changed in the statutory body. We will challenge it again in a court of law if necessary.
We request the DCI in its collective wisdom to withdraw this proposal. This is a request from the ‘real stake holders’ of the profession.
George Paul- Past Hon. Secretary, Past President (AOMSI) and member of the AOMSI education committee of AOMSI
Manjunath Rai- Hon. General Secretary AOMSI
Kishore Nayak- Past Hon. Secretary, Past President and President of the International Association of Oral and Maxillofacial Surgery
Prabhu. S- Past Hon. Secretary, Past President (AOMSI) and member of education committee
Sanjiv Nair- Hon. Editor of AOMSI national journal and executive member of the International Association (IAOMS)
Krishnamurthy Bonanthaya- Past executive member and member of the education committee of AOMSI.