Thursday, December 5, 2013

Bhuvaneswar, Puri and Konark- A Travel story



This year I did something different at the National Conference of my specialty. After several years, unburdened by official work, I took half a day off to do some tourism. This was my first visit to
Bhubaneswar, for that matter, Odissha. Kumar, Anjan, Sunil and I did a quick visit to Puri and Konark, places I had only heard about.
Pic 1 (above) Picture of the Jaganath Temple (down loaded from Wikipedia as no photographs are allowed)














Pic 2&3 The Sthumba in front of the temple with a section of the devotees outside and the sweet Khaja on Sale.


First, the Jaganath temple at Puri. It is of course famous for the annual rath yatra when the three gigantic deities are paraded through town. It commemorates the visit of the three deities to Gundicha Temple (their aunt’s house).  It would be impossible to visit the town during the event because of the sheer number of devotees. 
 However, it is the only time that non Hindus and foreigners (even if they are Hindus) can see the deities. Since the visit to Mausi only takes place in July, I would have to come another time to see the deities. In any case, at this time of the year things were expected to be quieter and I went nevertheless. This small town gave the English language a rather large, new word in the early 20th century-Juggernaut. I can imagine a colonial Englishman with his sun toppee  squinting up at the gigantic temple car on its annual Rath and exclaiming under his breath “ Juggernaut..” (the Englishman’s (mis)pronunciation for Jaganath) and thereby enriching the English language with another word for ‘enormous’. I must admit that I went to Puri with no hope of seeing the temple. As I said earlier it is one of those exclusive temples that do not permit non-Hindus entry into its premises.  Was it worth the trouble then? Well! Yes and no!
The panda (priest retained by my friends as guide and guardian angel) was kind enough to find me a little shade in a sort of waiting room adjacent to the temple. I would spend the better part of the next two hours watching the immense devotion of hundreds of ordinary people seeking solutions to their everyday problems. As a rather tolerant (and sympathetic agnostic) I was moved by the ordinary person’s quest for peace and salvation. In the 'waiting room' I had a few priests for company and they lounged around in various positions on the floor. This included a big mustachioed giant of a man and a young lad, both of whose legs were amputated. I suspect that they were not priests, but had some other kind of privilege in the temple complex. The young chap kicked of his artificial limbs (Jaipur foot, I believe), leaned it against a corner, plugged in his ear phones connected to a mobile phone and spent the rest of the morning humming a tune! 








Pic 4 The waiting room (note the Jaipur foot in the
 corner)




Sitting on the steps and looking a tad incongruous in my jeans and tee shirt, I decided to watch the milling crowd in front of the temple. It was an excellent vantage point from which to watch the devotees arriving and ‘cleansing’ themselves with a sprinkle of water and a ‘wade’ through running water.  In addition to the devotees, there appeared to be several others with some interest in the temple activities. Beggars and vendors were doing brisk business in the full knowledge that devotion does loosen one's purse strings. There were also persuasive priests selling their services. The system works like this. New visitors retain a recommended panda (temple priest) to protect them against other Pandas (also temple priests). If it sounds a little like a protection racket, Well! It is a little aggressive. ‘Selling’ is a mild word. They just point at themselves and inform you that they will be the ‘panda’ for the day. If one is timid, he will spend the next few hours shelling out money on one pretext or the other!  Kumar and Anjan later told me that the ‘friendly’ panda priest, who came well recommended and at a price, was almost a necessity because one can be pretty badly hassled by the resident  priests who rule the premises. The temple however also has its benevolent side. Free food is prepared and given away to the devotees and also to the poor from a large kitchen. The food is apparently prepared from 56 ingredients. The kitchen is apparently a huge affair with hundreds of cooks and assistants who prepare the food in earthen pots which are destroyed everyday (disposable and biodegradable). Anjan, the inveterate foodie, had a glint in his eyes when he narrated these facts and also the possible recipes that can be made from 56 ingredients.  It was lunch time, remember! I am not sure of the significance of the magic number. Earlier, sitting on the steps, I viewed the heaps of a yellow, fried, sugary snack that is sold all over the premises from small kiosks. This is called khaja and is a popular snack, the recipe for which was personally revealed by Lord Jaganath himself- the story goes! I had already tasted  it the previous day. I remembered the delightful quality of crispy sweetness that it had and  was tempted to buy some. Seeing the flies (who also obviously found the thing delightful), I chose to avoid the dangers lurking beneath its sweet exterior. After about an hour the giant with the fiery mustache lay down for his siesta. The amputee had also dozed off lying on his back. The other priests stepped out into the crowd and I saw one of them imposing himself on some hapless devotee who was making a vain attempt to shake him off. My ‘waiting room’ was now an island of peace in the otherwise intense activity outside. One of the striking aspects of the crowd was the complete absence of foreigners (as in Caucasian visitors) which is a common site at these touristy temples. The reason obviously has to do with the restriction on entry. And there were a fair number of bulls that wandered elegantly, unruffled by the pandemonium around them, dropping off large patties of steaming fresh dung that one had to watch out for- particularly when walking barefoot.
Pic 5. Priests, Bulls and Vendors on the Bada danda


























The Jaganath temple is one of the four centres (Char Dham) of Hinduism, specifically Vaishnavism. Its deities are Jaganath, Ramabhadra and Subhadra. The present temple was built in the 11th century century CE by Ananda Varma Chodaganga Dev which was again modified by Ananga Bhima Deva in the 12th century CE. Like several temples in India it was ransacked by foreigners including the Afghan emperors. I later found out that the temple not only disallows non Hindus but also foreigners, even if they are Hindus. This recently created a crisis when 3 Balinese who were Hindus ( 90% of Bali are Hindus) were not allowed because they did not look like Hindus or perhaps one needs to be born in India to be a Hindu. Remember, Sonia Gandhi has similar problems! The temple eventually permitted them entry, we are told. The reason is that the temple has traditionally been wary of foreigners, because they have been on the receiving end of foreign vandalism. The Aruna Sthambha, a pillar at the entrance represents the Charioteer of Lord Surya and was transplanted to Puri from the Temple at Konark which we were going to see later. This pillar is open for all to see!

 We drove out of the temple premises after collecting our footwear. One can leave footwear, mobiles and cameras at the numerous kiosks specializing in the 'custody' business. My friend’s cameras and mobiles however were in my safe keeping- no fee paid! The sea of humanity parted to allow the car to pass. We drove down the Bada Danda or great avenue which is also the traditional route of the annual Rath Yatra, when viewing points in the buildings are sold for as much as, take a deep breath,  Rs2000 per head. I must come back again sometime to see the rath yatra- perhaps the only way for a non Hindu to see the deities!
We were on our way to Konark. The drive from Puri to Konark was breathtakingly beautiful. We drove through well laid out roads flanked by pristine beaches, lagoons and mangroves. My friends, Kumar, Anjan and Sunil, who, having attained some state of grace in the rough and tumble of Puri, decided that we needed a little more spiritual reinforcement. I agreed. We stopped at a beach side beer parlour and got ourselves fortified.  Anjan eyed a couple of fried crabs lying in a basket and with great reluctance tore his eyes away, having decided that it would not be a good idea to eat the stuff.   


Pic 5.The famous Konark Wheel and the 'Famous Four'


Pic 6. View of the Konark Structure















We drove on to Konark which is indeed touristy in the real sense. The beach side tourist centre had numerous shops selling souvenirs and other sundries. There were also several guides offering their services. We selected a rather ancient looking gentleman who clearly had a serious respiratory problem. He informed us in breathless anxiety that he spoke English. Well! He did speak English in a telegraphic sort of way and conveyed to us the history of Konark in about three and a half sentences- between wheezes. I regretted not having googled about Konark before coming. The temple itself, built in the 13th century BCE to the Sun God (Surya), is an imposing piece of architecture in sand stone/ rock. I later learnt that it was built by Narasimha Deva of the Eastern Ganga Dynasty. The structure (no more an active temple) is meant to represent a grand, albeit stationary, chariot. The Charioteer, remember was transferred out to the Temple at Puri! The structure faces east to receive the first of the rising sun's rays. The numerous wheels of the emblematic chariot can be seen at regular intervals. The Konark palace (it is not an active temple any more) is a UNESCO heritage site. It is surprising that the intricate carvings have survived the onslaught of the sea winds laden with sand. We saw restoration work in progress. It was a good sign that someone was paying attention to our cultural heritage after all. “No cement!” said the guide, revealingly. Obviously! Portland cement is after all a new building material, I thought. There is so much of harmony and symmetry in the structures.
 Pic 7 Kumar doing a pole dance


  The Konark temple is an elegant architectural wonder whose significance was both spiritual and political.  Our guide’s attempt to explain the details of the architecture in English was quite incomprehensible. He could very well have talked to me in Oriya. As we went around the temple the gentleman suddenly became animated. He found a glorious new vocabulary and enthusiasm which was lacking until that point of time. He looked around and in a conspiring tone drew our attention to intricate details of the carvings. He then burst into what we might call inappropriate language that included words we do not use in civil discussions. Only when we saw the depictions did it become clear that he was giving a running commentary on the remarkable poses etched brilliantly on the rock face. It detailed the numerous possibilities between a man and a woman, a woman and a woman and some raunchy details of a ‘ménage a trois’ and more (if you know what I mean). Our guide, for the first time found vocabulary, which I thought he lacked. In fact, I thought his breathless excitement might kill him. “Very nice time” he finally wheezed as though recalling the salacious times which were never going to come back. Kumar celebrated the viewings by doing an impromptu pole dance on the railings around the structure. Anjan tried but failed! I sort of agreed that this Sun God was a fun God after all! We rushed back just in time to have the three guys dropped off at the airport. It was an amazing drive with the sky lit up in dazzling orange by the setting sun. A fitting tribute to Surya who will rise again with a certainty that we cannot aspire for in our lives!


 Pic 8- Anjan trying to do a pole dance (check out the background)

Pic 9-With our Interpreter of 'dreams'




Pic 10- The setting sun- adieu to Surya. Driving back!












George with Anjan, Kumar and Sanjay. November 24th 2013

Tuesday, November 12, 2013

Granada and the Al Hambra- A Journal

Moorish Architecture inside the Al Hambra

 A view of the Al Hambra from our room
Segway Tours in the Sacramento district
 The Al Hambra seen from our Balcony in the apartment- Terrace Al Hambra
Water Bodies inside the Palace
 












26th October 2013- Granada, Spain
Sanjiv, Archana, Bini and I reached Granada on a beautiful morning on an overnight train from Barcelona
 It was a bit of a mistake arriving early into a city. One cannot check into an accommodation until noon in most places and folks end up walking the streets unwashed in their overnight clothes. That is exactly what happened to us. However, we were in Granada for just 24 hours and we did not want to waste it waiting for our host to let us in. In any case we tried, and found ourselves waiting outside a small apartment on a street which was even smaller. Standing with our baggage on the street was itself a good reason to block all traffic on the road.
Granada is a smallish city in Andalucía. However its size belies the enormous historic significance of the place. It was a Moorish Islamic state from 711AD onwards. In fact the Granada we were visiting was an old Jewish settlement that was supplanted ( to use a mild term for massacred) and taken over by the Ummayed Dynasty. It was later transferred to the Berber Kingdom. In the 11th century the Nassrid dynasty took over Granada and ruled it till the end of the 15th century. In short it was ping ponged between several Muslim rulers generally referred to as the moors for almost 700 years. It was the Nassrid Kings who built the imposing Al Hambra as a palace, recreational home, harem and fortification for its rulers. Unfortunately, they did not enjoy the fruits of this architectural wonder- literally and figuratively perhaps.  In fact they planted several fruit trees including Pomogranates- the regional emblem of Granada (from granata for the fruit). Granada passed into the hands of the Catholic monarchs in 1492. The city itself is a quaint place that is a mixture of modern buildings, the medieval Al Hambra, the cave like dwellings of the gypsies in the hills and the gabled white and blue humble homes in the Sacramento region where we had booked our apartment. It has been made into a UNESCO heritage site- and for good reason.
After being told to return later to check in, we decided to have our breakfast and explore the city at our own pace. We chose to have a rather un-Islamic meal and for a change, an English breakfast of Bacon, eggs and sausages.
It was then that a young lady accosted us on a contraption that I had never seen before. It had two wheels and a single handle like a bicycle. The wheels were side by side unlike a bicycle. One stood on a little platform that lay over the axle connecting the two wheels. She invited us to stand on the platform and roll around. The vehicle/ contraption had a mind of its own. Getting on to it was quite a job. It would run away! Once mounted, it could go anywhere in the hands of  unacquainted riders- which we all were. On the promise that she would have us riding it with ease in ten minutes, the young lady Nadia convinced us to book a tour on the Segway (as it was called).
And thus we found ourselves riding away on the funny little thing on a tour of the Sacramento region of the town. It was the old Muslim and current gypsy quarter of town. The tour was an exciting adventure along narrow roads including the street on which we had booked our room (still unoccupied). There were steep hills and sharp turns with a moderate traffic of curious car drivers who had to be particularly careful to not run us down. As a precaution, we were given orange fluorescent vests and helmets- I suppose to indicate ‘dangerous amateurs’ ahead. Well! Exciting is an understatement. While three of us generally got the hang of it and rode it with reasonable control, trying to stay between the curb and the cars speeding on the narrow, winding streets, Bini was literally in tears- sometimes falling of the damn thing and sometimes allowing the contraption to take her wherever it wanted. Once we found her heading in the opposite direction and Nadia had to bring her back. One needs to ride the bloody thing to realize what I mean. I think it was a small prayer she had offered up to St Joseph at the Sangrida Familia ( the church in Barcelona) that saved her from being plastered like a Spanish omelet in distant Granada. It was an exciting tour otherwise and we saw some breath taking views from the top of the hills whenever we could take our eyes off the road- which was not too often.  At one stop we got a terrific look at the majestic Al Hambra, silhouetted in red against the azure blue sky. The trip also took us to the region where the gypsies lived in homes cut out of the mountains. This has apparently been their housing for decades. If you are thinking cave dwellers, let me assure you that they are modern dwellers with all the amenities. In fact the local supermarket is built into a mezzanine of caves. All of them have city housing licenses and live comfortably. I am not sure what they do for a living
Having thus escaped unscathed or almost (Bini had a couple of bruises to show off for her troubles), we set out to explore the Al Hambra. This time it was on foot. The climb to the Al Hambra can be a little steep and demanding. Sanjiv and Archana marched away in healthful zest while Bini and I trudged up the steep hill. Bini, after her morning adventures on the Segway, was beginning to look rather despondent and was convinced that we had chosen Granada as her final resting place.
Having reached the hill top and the entrance she perked up and we did an elaborate tour of the magnificent structure built in the 15th century as a fort, palace and military installation. It would easily take 4-5 hours to see the whole complex. Al Hambra was started as a small fortress in the 9 th century AD, we were told on a commentary available with a phone like listening device. The forts were renovated and structures were added on by subsequent Kings and Sultans in small increments. The walls around the fortress were completed in the 11th century. The grand palaces, gardens, water bodies and intricate inscriptions were essentially 14th century additions by King Yusuf 1 and Mohammed V the Nassrid Sultans of Granada, who made it their residence and palace from mid 14th century (circa 1333) to the end of the 15th century. The Moorish influence is evident in the architecture, and the elaborate gardens and the housing for the large harems of the reigning monarchs and their nobility. The structure takes into account every need from temperature control to entertainment to, of course, defense. It is an imposing facade of red stone on an elevated landscape that contrasts significantly with the surrounding. The tour of the Al Hambra takes us through the numerous palaces and gardens built to allow fresh air and light at all times. An enduring feature of the palaces is the numerous fountains and water bodies that give it a natural ambience.
It is unfortunate, at least for the Islamic kingdom, that the structure was completed at a time when Christianity was ready to take over. The ‘reconquista’ by the Catholic Monarchs (Reyes Catholicos) happened in 1492 when the Castilian and Aragon forces of King Ferdinand and Queen Isabelle took over the emirate of Granada- Al Hambra and all. To the credit of the conquerors who defeated the last of the moors, they refrained from wanton destruction of the art and architecture of the vanquished. There was some vandalism. Mostly it was indifference and neglect that left the grand palaces in ruins for the next two centuries. King Charles V built a large Cathedral on the premises. Cleverly, they converted some of the rooms into their own palace to house their armies and their families. Surprisingly, for me, the Islamic architecture survived the inquisition that was to characterize the next couple of centuries in an effort to re-Christianize the whole of the region- sometimes rather cruelly. The whole complex was restored only in the 19th century through the efforts of European interests and efforts. The Al Hambra became famous also through the writing of Washington Irving who stayed and wrote a book called the Tales of the Al Hambra- mostly fiction. In fact I first heard of the Al Hambra in reference to Irwing’s famous book. His statue stands in the premises as a testimony to the publicity that the palace got. Today it is the most visited site in Spain. The Al Hambra and for that matter almost the whole city survives as an UNESCO heritage site. It certainly is a place to see in Spain- a cultural pot pouri of old Islamic grandeur, Christian conquests and Gypsy traditions
 The long walk back from the Al Hambra was easy on the lungs but a bit of a strain on the knees. We were finally admitted into our rooms at ‘the terrace Al Hambra’ as our rented facility was called. It was a small but cozy little place with an amazing view of the Al Hambra, as promised . That evening the four of us sat on the balcony watching the amazing structure lit up at night. Mellowed by the whiskey, Sanjiv and I agreed that it was a day well spent- thanks to Archana for pushing us through a packed itinerary without a break for lunch. We unpacked for the night, only to repack again the next morning. We were set to head off to Seville, another Andalucían city steeped in its own history!





Thursday, August 1, 2013

Do patients get a fair deal from corporate dentistry? A note for the public!

The next time you step into a plush, well advertised, branded dental clinic that is part of a large chain, remember that you need to be cautious. You are entering a business centre not a health facility! I am not for a second suggesting that traditional dental clinics are altruistic establishments that render free treatment. But there is a vast difference between the ethos practiced in the well advertised branded corporate clinics and the traditional practices that you visited as a child two decades ago.The former is obviously based on questionable business models where success is measured in financial returns whereas the latter is an enduring example of a more flexible system of 'payment for services'. In other words a patient seeking treatment in a branded corporate clinic is not only paying for the dentist's services but also for the huge profits of the corporate company. 
The new genre of clinics may seem to sync with the ambiance of the swanky malls and eateries in metro centers. The question is whether you want to place your health in the hands of a business group that hires and fires it's nameless professionals or with the permanent neighborhood dentist who has serviced your community and who is answerable to his/her clients.
Of significant concern is the fact that these corporate houses peddling treatment with enticing offers, including dinners at the local restaurant, are involved in a practice that is forbidden by law. It is another matter that they are run by powerful businessmen rather than qualified dentists.
A quick glance through the practice guidelines laid down in the Dentist Act of  1948 , section 51 (1), unambiguously states that 'the profession of dentistry shall not be carried out by a company or corporate body'. It makes a small exception in 51(2) which permits a company to practice dentistry provided such company 'carries on no business other than dentistry or some ancillary business.......and if the majority of directors and all operating staffs are registered dentists'. It is obvious from the above statute that the intention of such a clause was to keep out  cloth merchants, goldsmiths and other business speculators from dabbling in health and profiteering from it. 
Ironically this provision has been grossly violated.
Let us take a look at some of the popular corporate houses. One of them runs a chain of medical shops and ophthalmic clinics and has ventured out into the establishment of chain dental clinics . They are explicitly prohibited from doing so because they are not dentists. The majority of directors in these companies are also not dentists as can be gleaned from their memorandum of articles. The irony of the whole business is that the CEO of one such company is a retired dentist who was once the Vice President of the Dental Council of India, the body that framed these rules. A decent retirement job indeed!
Another corporate company that runs tens of dental clinics in Karnataka is the founder chairman of a famous heart hospital that dabbles in chain dental clinics as a side business. The celebrated cardiac surgeon is also touted as the Henry Ford of Indian medicine for having created assembly line treatment ( like cars). I would have cringed at such a sobriquet. Are you happy to be put into an assembly line for your health needs? Both these organizations have been formed illegally and practice unethical methods to entice patients with shameful promises of free dinners and special offers as if your dental health was a packet of soap powder you bought at the local super market- Buy one get one free!The specific violations are section 51 of the Dentist Act and section 6(c), (d), (e), (f) etc of the code of ethics regulation. 
The question now is whether you would be happy to actually submit yourself to an establishment or persons who knowingly violates the law of the land and the ethical standards laid down by the government. What would prevent them from fleecing you. It is good to remember that anyone who offers you more than dental treatment for a fair price has something sinister up their sleeves.  Ingenious advertisement lines like 'we care', crafted by expensive advertisement agencies are only cosmetic and meant to give the impression that the humble private practitioner 'does not care'!
So how is the public affected by this new phenomenon?
1. Direct or surrogate advertisements running into crores of rupees are put out by these corporations, thus creating brand names. Despite being illegal they keep the law at length through their political and financial power. In a highly consumer driven society the patients are fooled by their tall claims. In the absence of a level playing field the traditional private practitioner and the neighborhood family dentist is slowly being wiped out.
2. Corporate dental clinics are run on tight business models and the doctors are under constant pressure to meet financial targets. These are supervised by non medical administrative staff to keep the till ringing all day. If you have wondered why you have been asked to take an OPG (a large full mouth X Ray) even before you mention your problem, remember that it is the first step in springing all kind of surprises on you, including real and fictitious treatment plans that involve eye popping estimates. They have regular meetings to take stock of their incomes and strategies to increase per patient income.
3. Most patients do not realize that in a corporate clinic you are not just paying your dentist for treatment. You are paying for the frills, the advertisements, the salaries of a bevy of non medical public relationship officers, marketing managers and administrative staff and a large profit that the company declares every year.
4.  All this would have been fine if you were getting the best doctors. Have you ever wondered why a dentist would work for a pittance of a salary if he/she was really talented?Except a few good dentists, most of the professionals are raw graduates with little experience, who are biding their time until a better opportunity comes their way. Take a look at the attrition rate in these clinics and you will realize the truth.

So the next time you step into a corporate clinic, remember that you are paying for all that empty glitz and glamour. In fact, you are paying for the reason you are there- clever marketing! Go back to your family dentist to whom you will be paying a fair fee for your services!
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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.