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NATIONAL MEDOCOS
ORGANISATION
ABOUT THE INSIGNIA
NMO is a medical organisation with a true Bharatiya approach. The
medical insignia adopted throughout the world has been derived from the
Greek mythology-the snake/is encircling the staff (rod) of Aesculapeus
or Caduceus.
NMO searched for a Bharatiya legend to symbolize the Bharatiya heritage
to its true sense. Rishi (Saint) Dhanwantari, the first physician
treated as the mythological figure, who rejuvenated his patients by his
treatment naturally represents the golden era of Bharatiya Medical
Sciences.
The NMO insignia visualizes Rishi Dhanwantari stepping to the land of
Bharat after emerging from “Samudra-Manthan” (sea churning) said to be
held between Sura (gods) and Asura (demons) with ‘kalash’ (pot) filled
with ‘Amrit’ (the elixir of life) which was dispensed to the ailing
mankind. It also symbolizes the assimilation which was dispensed to the
ailing mankind. It also symbolizes the assimilation of all living
creatures and thus divinity. The manuscript in left and denoted
”Aayurvigyan” (The knowledge of the medical sciences) which is a part of
“Atharva Veda” (one of the four holy books of this land).
(PRANINAM ARTINASHNAM) is the part of a Sanskrit Shloka which has been
the source of inspiration for the people of this country from time
immemorial. The shloka is:
(One should not desire for a kingdom nor the heaven nor freedom from
rebirth, let one desire for total freedom of the ailing living creatures
from suffering and diseases).
NMO : How it came up – Founded at Varanasi, the cultural centre of
Bharat, on 5th Nov. 1977, NMO has paved its own way in its own right. It
is a service-oriented medical organisation in the phase of expansion.
Successive 12 national conferences held and publications of 32 issues of
Aayurvigyan Pragati, our official organ, have amply proved the worth of
NMO.
NMO Units – An Update
Jammu, Amritsar, Faridkot, Simla, Rohtak, Lucknow, Prayag (Allahabad),
Agra, Harigarh (Aligarh), Jhansi, Bareilly, Kanpur, Gorakhpur, Jaipur,
Ajmer, Udaipur, Bikaner, Jodhpur, Karnavati (Ahmedabad), Jamnagar,
Rajkot, Vadodara, Surat, Indore, Raipur, Bhopal, Gwalior, Reva, Solapur,
Ambejogai, Pune, Mumbai, Mysore, Thrissure, Kozikode, Thiruvananthapuram,
Kottayam, Madurai, Bhagyanagar (Hyderabad), Kakinada, Warangal, Guntur,
Kurnool, Bhubaneshwar, Cuttack, Brahmpur, Burla, Calcutta, Durgapur,
Guwahati, Dibrugarh, Silchar Patna, Bhagalpur, Gaya, Bagmatipur (Darbhanga),
Khudirampur (Muzaffarpur), Jamshedpur, Ranchi and Delhi.
1. Policies of NMO
THE FIELD OF HEALTH AND THE POLICIES OF NMO
* Paraphrase:
This is an organisation of medicos (allopathic medical and dental
students, teacher and practicing – (Private / Govt. and voluntary sector
doctors). We ought to understand that medicos are not just a peg in the
health plant of GOI/WHO, nor mere the class of professionals in a
society in the least.
Let us define our role, not only in the context of our profession, but
also vis-à-vis our society, nation and especially the health of our
brethren.
Many governments of the world reiterate – health of the people, health
for the people and health by the people, and promise health for all by
2000 A.D.
But, if anybody, is responsible and accountable the most (through it is
the Govt. in a Welfare State), it is WE. Let us accept this challenge.
We are not just modern day doctors in an affluent society, we are the
sons of eternal (Amrit), of ancient Rishis – like Dhanwantari, Sushruta
and Charak, of Bharat-Mata, of the mother earth.
* Medical Education vis-à-vis Our Academic Activities and Demands
Prologue:
Of all the medical and dental colleges and various institutions run by
various Govts. And Private trusts, recognized by the Medical Council of
India, and or otherwise affiliated to various universities, aided by UGC
– Govt. or donors, NMO appears familiar to them. On the other hand, in
two decades (in the history of independent Bharat), NMO has identified
some problems and solutions pertaining to medical education as at
present. It has put to certain just demands and NMO raised its voice.
NMO demands
* Colleges/Institutes: Campus: (State)
- Separate UG, PG and Super PG study centres with Central admission
pattern, separate for each category.
- Adequate buildings and facilities/especially hostels.
- Well-equipped laboratories and rich libraries.
- Campus should essentially be residential for both students and
teachers.
- Eradication of hooliganistic activities in campus. No unauthorized
person should reside in the campus.
- Adequate facilities for the teaching hospitals, for patients and their
attendants and for staff.
- Each teaching hospital should have total link-up with adjoining
district hospitals, CHCs, PHCs and Sub-Centers, both referral and
administrative.
- Political meddling should vanish. There should be autonomous
administration, say functioning of State Medical Education
Administrative Board, in compliance with the Council.
- No new or unrecognized colleges.
- No minority colleges.
- No capitation fee-based colleges.
* University: (State)
- Each State should have an autonomous State Medical/Health University.
- Review of conduct and system of examinations, in compliance with the
Council.
* Council: (Center)
- Review of admission (schooling subjects, bonds, etc.) and examination
systems.
- Recognition of degrees in foreign countries.
- All India Entrance Tests for Pre-Super-PG, Pre-PG, Pre-UG (and
Pre-Diploma) courses.
- Thesis work to be reserved for Ph.D.
- A basic Diploma-cum-Pre-Degree (Modern medical knowledge with the
basis of Ayurveda, Homeopathy, Siddha, Unani, Tibbi and any other
health-system like Naturopathy, Acupressure, Acupuncture, etc.) course
should be commenced, say DMS (Diploma in Medical Sciences), equivalent
to LMP (Licenciate of Medical Practitioner) in co-ordination with other
systems regulatory (Council-like) authorities. DMS can only solve our
health requirements in rural, tribal and slum areas and will also wipe
out quackery in all forms.
- Streamlining the names of degrees.
- Enough powers to enforce its directives.
* UGC: (Center)
A separate autonomous Medical University Grants Commission should be set
up (as also for other branches of higher education). All grants must
pass after NOC from Council.
* ICMR: (Center)
Co-ordination with Medical Council and paramedical bodies to mould the
direction of research as per national (especially rural) requirements.
Syllabus : Council and Universities are required to attend the following
demands :
- DMS course (as above).
- Cadaver dissection may be averted by artificial models.
- Native language usage to break language barrier.
(Ayurvigyan Shabdavli of GOI can be used).
- Bharatiya books and journals by Bharatiya authors. (A separate
authority may be set up for this purpose). Any private endeavour must be
promoted and supports.
- Not only administration, syllabus should also be changed to suit ROME
(Reorientation of Medical Education) and national epidemiology. Emphasis
on CME, clinics and Community Medicine.
- Suggested New Subjects:
Humanities
Code of Ethics (part of Medicine)
National Health Policy of GOI (part of Community Medicine)
History of Medical Sciences (emphasising) on great persons of Bharatiya
Medicine)
Mass Health Education (part of Community Medicine)
Computer application in Medicine
- Suggested New Courses:
All above at PG level, and other PG courses as follows:
Medical Bio-engineering
Genetic Bio-engineering
Hospital Management
Insurance Medicine
Sports Medicine
Occupational Medicine
Critical Care Medicine
Yogic Medicine
Calamity Medicine
Geriatrics
Emporiatrics (in-country and out-country travellers’ diseases)
Adolescent Medicine
Endocrinology
Sexology
A research endeavour should be, dedicated towards Holistic/Integral
Medicine also.
* Epilogue:
Soul of education is samskar, the unique dimension of Bharatiya Culture.
NMO appeals all concerned to preserve and propagate the values of
culture. We do it on our behalf through Dhanwantari Day (National
Doctors’ Day) celebrations, Charak Oath ceremony is our innovative, yet
traditional symbol.
Our academic activities, our journal and our conferences all focus on
these points.
* Medical Professional Structure vis-à-vis Our Organisational Activities
and Professional Demands :
We are a registered society within a constitutional frame, though
certain amendments are expected in next decade, especially,
Hindi/Sanskrit name, state-level committees, etc.
In the last couple of decades, NMO has identified some problems (and few
solutions) of our medical profession. NMO has voiced certain demands in
its wake. Students, teachers, practicing – Govt., Private or voluntary
sector doctors – all face certain difficulties. Some of them, especially
the problems of human behaviour vanish by the mere routine activities of
NMO. e.g. teacher-student relationship, doctor-patient relationship-both
improve through NMO. Certain difficulties require change in structure.
These need to be attended by various authorities concerned with medical
profession. NMO has been drawing their attention through various
activities e.g. creation of IMS to man the health administration of
Govt. NMO raises this issue at various levels.
*Students (UG-PG):
Accommodation problems, ragging, harassment, study and routine expenses,
casteism and factionalism-groupism, alienation, addiction, frustration,
brain-drain, westernization, lack of nationalism and service-spirit.
NMO organises fresher’s welcome function in traditional style, ‘One
College, One Village Seva Programme’, rural service orientation camps in
vacations and meetings with social workers of national organisations.
NMO demands proper accommodation, subsidized food, books and instruments
for them from State Govt.
We may also arrange study tours of various seva projects and other
educational projects and or institutes.
* Internees:
System of internship is not up to the expectations. It should be
arranged as any other annual study calender modified to suit practical
rural requirements (University and Council). Special fortnight long
field camps may be arranged by college/college units of NMO to bridge
the yawning up between theory and practice. We also demand re-casting of
syllabus.
* Residents: These doctors are amongst the most-burdened lot. Casually
and ward and OPD concerned MOS must be appointed to partially relieve
them for their study and to attend to their daily routine as ‘All’ the
brunt of the teaching hospitals fall on these juniors.
Pay-scales and allowances of internees and residents should be
sufficient and proper and uniform all over the country. (For Govt.,
concerned)
* Teachers (UG-PG): Non-practising allowance should be provided.
Teacher-student relationship require to be improved. NMO organises
teachers and students on one platform as one family. Our college units
to celebrate Guru-Poornima.
Selection of teacher should be based on aptitude tests, continuous
training should be provided (Attention : Govt. And University and
Council).
We should reconsider the system of honorary teachers. There should be
proper accommodation for residents and teachers also.
* Private practitioners: Dichotomy (cut practice), irrational
prescriptions and procedures, prescriptions by non-qualified persons,
dispensing unlabelled drugs, poor facility of some nursing homes,
disproportionate fees, disrupted doctor-patient relationship, lack of
skilled paramedical staff-this is one side of private practice. Seniors
can guide juniors in this regard. NMO District units can arrange for new
practitioner’s welcome. NMO stresses upon ethical rational practice.
Dhanwantari Day celebrations rejuvenate pristine glory and age-old
nobleness of this esteemed profession. Application of CPA, registration
of clinics and nursing homes and application on commercial electricity
and other tariffs, professional tax – these are some other problems
which the Council and Govt. should together attend.
* In-service doctors (Govt. Health Service Doctors):- Accommodation, no-practising
allowance, creation of IMS and its conduct by UPSC and all over the
country proper and uniform pay-scales, autonomy of health service
administration (i.e. to get rid of political interventions) – these are
some of the demands that NMO has raised.
Council should be further decentralized and strengthened to regulate the
professional at district levels and thereby the need of Consumer
Protection Forum be set at naught. Streamlining Govt. health
organizational structure; Ministries and Depts., separate Population
Planning Ministry, and subject of drugs should be with the Ministry of
Health as a separate Dept. which should also deal with the instruments
and other materials required for health services.
* Voluntary Sector Doctors: Though they are few, these dedicated
doctors, working in remote areas with self-restrained poverty and with meagre facilities, are the ideals of NMO. Their work should be
recognized, emulated and respected by the nation. They have come up to
our ultimate goal of Swasthya Seva – Rashtra Seva through their human
hearts and helping hands alleviating the suffering of millions.
Authorities concerned should render all necessary help to them. Bond
prevalent in Govt. service should be nullified for them. All voluntary
health professional/service organisations should co-ordinate with each
other and function with democratic, national, cultural and social basis,
to further the cause of health of the people of Bharat, and the world.
*To guard national interests, NMO advocates Swadeshi Abhiyan.
*All doctors should be provided with certain privileges, especially, for
the means of communication and transport, cheap land, electricity and
gas connection, etc. for clinics.
*NMO advocates self-medical-audit-reports in meetings and seminars.
*All concerned authorities should provide continuing medical education (CME)
for all doctors. NMO also concentrates on CME.
*NMO expects all doctors to provide preventive services and to spare
time for social services.
*NMO expects doctors to avoid allurements from drug companies.
*To cultivate nationalism and social awareness, meetings should be
arranged with selfless workers of national organisations. This can be
coordinated by NMO district units.
*National Health Services vis-à-vis Our Service Activities and
Suggestions :
The ultimate aim of medical educational and professional network is but
rendering good health services. Govt. provide horizontal health care
network as also vertical health programmes. Our country is also bestowed
with laudable voluntary sector health services.
Govt. Health Services and NMO’s Suggestions :
* Creation of Indian Medical Service (IMS) to provide better
administration for health services.
* Statewise autonomous corporations to cater health services. All
Central schemes and programme to be operated by these bodies.
* Family Welfare Programme needs to be cater health services. All
Central schemes and programme to be operated by these bodies.
* Family Welfare Programme needs to be operated by a separate Ministry
of Population Planning, which should also conduct census and related
surveys, registration work, etc.-both at Center and State.
* Adequate budget for health services in annual outlays, atleast 10% of
annual planning expenditure: health budget is investment, not an
expenditure. Swadeshi approach be in Govt. purchases.
* Integration of Allopathic health services with other systems through a
separate authority, which should develop a swadeshi model of health
services.
* Govt. should concentrate on preventive and rural health services.
* Health education, co-ordinated by Health Services Authority, should be
taken up by all ministerial and subordinate agencies, especially
information, broad/tele-casting and educational agencies.
* Drugs, instruments and diagnostics as also other material requirements
ought to be controlled by a special authority through a national policy,
National Health Policy should be revised accordingly, Subject to drug
should be with the Ministry of Health; as a separate department guided
by autonomous authority.
* National Drug Policy – cheaper, fewer, safer drugs, use of generic
names, essential national drugs’ list, research, import manufactures
labeling, packing, storage, sale, supply, promotion, prescription, use,
monitoring of effects, disposal, withdrawal-all these stages besides
economic and information aspects to be regulated.
Rules of fiscal commerce and consumerism, trade and industry should be
modified in this sector considering its humanitarian mission. Protection
from adverse effects of GATT/WTO/MNCs. National Drug Formulary be
revised.
A law be enacted to regulate certain medical/surgical procedures such as
for organ transplant.
*Control of quackery/malpractice through effective authorities and
well-endowed policy.
*Co-ordination with private and voluntary sector health services should
be attained fully. A registry as per a law may be prepared and
maintained, through a Council-like authority.
*Govt. Should ban/prohibit all activities detrimental to health, e.g.
consuming liquor, smoking, Gutakha, Pan Parag, etc.
*All auxiliary services like nursing, physiotherapy, diet and nutrition,
technical and managerial services – should be comprehensively regulated.
Voluntary Health Services – Our Suggestions:
*The use of health services for sectarian/political purposes must be
deplored, and should not be allowed.
*Internal co-ordination is the prime need of this sector.
*Govt. duties, tariffs and labour laws, etc., should not be a source of
hindrance to this sector.
*Voluntary agencies should decide their priorities as per required
needs.
Private Health Services:
*NMO is sure cure for human weakness by consistent efforts but certain
structural reforms are anticipated. Regulation of practice and related
services-food, air, water, housing, drugs, instruments, diagnostics is
must-to-avert the malafide aspirations of individuals, companies and
even foreign countries and their cartels.
NMO cultivates Seva-Bhava through
- Its policies and programmes
- Its ideals
- Our culture
- Organisations traditions.
NMO honours dedicated doctors, organises their lectures in our meetings
and conferences. We also consider formation of NMO National Emergency
Health Grid and expansion of service programmes and projects. NMO has
prepared a model “Arogya Achar Samhita” for a common person’s usage.
(2) Medical Professional Swadeshi Movement: NMO
“ADOPT SWADESHI, BOYCOTT VIDESHI”
NMO ia a unique service-oriented organisation in the field of health,
organising medicos-medical students and doctors since 1977, all over the
country. Allow us to draw your attention towards a burning national
problem. Our country is in economic crisis. Our Govt. at the cost of
national honour, and i9n the name of economic development, has accepted
to facilities multinational companies through various policies including
the GATT and Dunkel treaty. This is bound to culminate in economic
instability and ultimate total slavery. (Remember, East India Company
leading to British Rule).
Allopathic pharmaceuticals, surgical, hospital items and diagnostics are
major partner of our nation’s industrial fraternity. Multinational
companies draw the nation’s precious money through our prescriptions for
drugs and instruments.
Besides, it is a myth that their products are of superior quality as
most of them are produced by local manufacturers, only labeled as
multinationals. Moreever, their products are profit-oriented rather than
need-oriented.
We should come out of this “multinational hangover” and proceed for
rational therapeutics.
Let us prescribe the products of standard Indian companies preferably
whenever and whenever possible, ADOPT Indian Pharmaceuticals such as –
C.F.L. Pharma, Ashish Pharma, Unison Pharma, Kopran Limited, Samir
Remedies, Shakun Pharma, sarabhai Chemicals, Cadila Health Care (Alidac
Division), Bombay Tablet Mfg. Co. etc.
Aims and Objects of NMO:
(a) To create a nationwide organisation of the medicos on a democratic
basis, irrespective of caste, colour, creed and sex for positive health
of the nation.
(b) To work for the all-round welfare and development of the medical
profession.
(c) To utilise their energy and dissemination of the medical knowledge
for solving the various health problems of the downtrodden people of the
nation particularly for the rural and tribal people with the help of
central and state governments, educational, professional and voluntary
organisations.
(d) The work for satisfying the basic needs of the medicos and to guide
and help them in solving their various problems arising from time to
time.
(e) To develop national character and discipline among the medicos.
(f) To promote constructive activities in social and cultural spheres
and utilise medicos’ energies in the various nation-building activities.
(g) To promote progressive outlook among them along with love for the
cultural heritage of the land.
(h) To develop harmony and homogeneity among the various components of
the society by reviving a sense of tolerance and brotherhood.
(i) To seek the co-operation and good-will of doctors, educationists,
educational and health authorities in the work of the NMO.
(j) To promote better teacher-student relationship in medical colleges
and institutes.
(k) To promote the academic environment in medical colleges and
institutes.
(l) To form a common academic on the basis of a common mode of work for
all the members of the medical community, viz., students, doctors and
educationists for the reorganization of medical education in the
comprehensive context of national reconstruction. |