If we protest the authorities will not sign our logbooks,
or they can put a week of extra duty by giving petty
reasons. That only further wastes our time. Due to
such threats, not many people raise their voice and
this practice continues to be there
Aathul Anand
Medical intern, Amala Institute of Medical Sciences, Thrissur
Due to such threats, not many peo-
ple raise their voice and this practice
continues to be,” says Aathul Anand,
a medical intern of Amala Institute of
Medical Sciences at Thrissur in Kerala.
This situation is not exclusive to any
one state as students in private colleges
across the country have been continu-
ously facing similar problems. News
of such unfair practices barely trickles
outside the campuses as managements
swiftly suppress any dissent. There are
also cases where the students inadvert-
ently sign on a bond during admission
that they will take only a certain portion
of the stipend and the rest will go to the
trust that runs the institution.
Ray of hope
During the last week of January 2019, a
public notice was put up on the Medical
Council of India (MCI) website that
provided hope for these students. The
notice addressed the lack of uniform-
ity in the stipends of MBBS interns of
private and government colleges of the
same state. In the notice, MCI Board of
Governors (BoGs) invited comments
from the stakeholders on paying sti-
pends to students pursuing a compul-
sory rotatory residential internship in
private colleges on par with those paid
to the interns of the state government
medical institutions.
Private medical colleges students
of Kerala remain sceptical about the
efficacy of this move. This scepticism
stems from their experience regarding
a previous government order. In June
2015, the government of Kerala ordered
an increase in stipends to Rs. 20,000
for all government, private and self-
financed medical colleges of the state.
This month marks the fourth year of
that order and still, most private col-
leges in the state pay a quarter of that
amount. “Yes, such an order was passed
by the government, but it has no effect
on the actual functioning of the col-
leges. Orders come and go but nothing
changes,” says Aathul.
The private colleges remain adamant
that they are under no obligation to pay
the interns more than what they deem
fit. “As far as interns are concerned,
neither the university nor the govern-
ment can dictate how much the stipend
should be. The internship is part of
the course, nobody can dictate us and
say that (they should be paid a certain
amount),” said Anil Kumar Vallil, Sec-
retary, Kerala Private Medical College
Management Association.
Hazy future
The issue though is a systemic one as
even the state governments are unable
to make the private colleges comply
with their orders. Even before the gov-
ernments of many states, including that
of Kerala, ordered an increase in sti-
pends, the issue was brought into the
MCI’s notice which then commented
that the Graduate Medical Education
(GME) regulations have no clause
regarding the stipends of MBBS interns.
The recent change in approach by the
MCI has brought the issue again to the
limelight. But an answer to the vexing
problem appears to be far off. The MCI,
which finds itself entangled in many
administrative problems, seems to lack
the clarity and direction to find a solu-
tion to an issue that can only be solved
through strict regulations.
With privately-run colleges continuing to
flout government orders who will ensure
that the medical interns get justice?
As far as interns are concerned,
neither the university nor the
government can dictate how much
the stipend should be. The internship
is part of the course, nobody can
dictate us and say that (they should
be paid a certain amount)
Anil Kumar Vallil
Secretary, Kerala Private Medical College Management Association.
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