We need social physicians
While medicine remains central to public health, medical academia has never been a torch-bearer for the public health cause. Apart from the inherently individualistic character of medicine, part of the reason can also be located in Indian medical education originally “carrying the cultural accretions of the West”.
Multiple policy deliberations have upheld the idea of training a socially oriented physician i.e. social physicians who are responsive to community and public health needs. However, a deficient social emphasis is still a stark feature of India’s medical curriculum.
The COVID19 realisation –
The pandemic has served to water down the elitist and individualistic barriers of medicine that have hitherto kept apart the private and the public, the rich and the poor, and the individual patient and the community. COVID-19 has delivered one strong message: when it comes to a nation’s health, private care is of public concern, and public health is of medicine’s concern.
Lack of empathy –
- The perception about medical academia is that it is too preoccupied with cultivating scientific and professional excellence to cast an eye upon politics.
- One reason given to explain leftist dominance in humanities academia is the keen social orientation that humanities education inculcates. By the very virtue of their education, humanities students feel strongly about inequity, stratification, and deprivation.
- This element remains missing in technically oriented, competition-driven professional fields such as engineering and medicine. Both the number and profundity of emotional experiences that medical college-hospitals see on a regular basis can scarcely be fathomed in any other category of educational institution.
- The Competency-based Undergraduate Curriculum applicable since 2019 emphasises on inculcating communication skills and empathy in medical students to improve clinical practice. However, that such empathy can create stronger positive ripples at the societal level has been given little attention.
Way forward –
- The idea is to emulate purely the ‘social orientation’ element. The same empathy shown at the singular-patient level, and which improves clinical practice, can manifest at the societal level to confront the inequalities and deficiencies of public health.
- For this, the foundation of India’s medical education would need to be radically remodelled along bio-social lines. There is need of radically enhancing community exposure during both undergraduate and postgraduate years. For this, medical training will need to shift a considerable part of its base away from medical colleges in cities to lower-level health facilities and the community, along with seamless integration of medical colleges with the health services system.
- There is need to pep up the community medicine curriculum and teach health policy to medical students emphasising particularly the sociological and political-economic aspects.
It is argued that the biggest stumbling block to realising socially oriented physicians is the commercialisation of the medical profession. But commercialisation is something that has largely arisen from within the profession. Given this, corrective measures will also need to be effected from within. The aforementioned measures can actually help us combat commercialisation among multiple others, given an environment conducive for the same.
Source – The Hindu
QUESTION – The issue of imparting empathy in medical profession has come at the fore during the COVID19 pandemic. Discuss the issue and what needs to be done to ensure a cadet of competitive social physicians in our country.