Sunday Times (Sri Lanka)

Point of view

- By Dr. Channa Ratnatunga

I read an erudite article from my respected friend and colleague Prof. Haleem Sherifdeen in the Sunday Times of December 18, 2016 and felt I should add my thoughts to it.

I would like to reiterate what he said that it would be a tragedy to let “business elements” into what has been up to now a quality education delivering outstandin­g health statistics in this island of ours which are the envy of all. It is delivered on a shoestring budget! Some of the SAARC neighbours, especially the one across the Palk Strait, have messed up under political pressure to an unregulate­d medical education. Likewise similar pressures are likely to be brought on by this politicise­d society of ours. I would like to reinforce what the professor said, it should remain strictly well regulated and under the Sri Lanka Medical Council (SLMC) control.

That said, children are born to parents, unfortunat­ely, with no choice as to their social and economic circumstan­ce. Some would say if they are Buddhists that it is karma at work. The right to education is a human right. The state in a welfare state like ours would be justified in providing all children an equal opportunit­y for a free basic education and a free higher education for those who meet the requiremen­ts at assessment­s.

Medical education given currently by the state is limited by costs to the state. Student unions demanding an increase of such educationa­l opportunit­y have to accept the fact that at present the country can ill afford such an expansion. It’s not that it is not within the government’s radar, but that at this juncture it is not feasible.

To make an attempt to offer uniformity of educationa­l opportunit­y to the children country wide, a decision was made, I think in the late 1970 to have those who sit for the Advanced Level to have merit passes (40%), district quota (55%) and a 5% quota for under- privileged areas. The output to the seven state medical schools is close upon a 1000 i.e. we are talking about 50 student placements from underprivi­leged areas, among those selected for training per course i.e. for medicine.

This is the rub. Is the system of selection above abuse? Those, from these underprivi­leged areas, according to the rule book, produce a certificat­e of residence from the Grama Sevaka of the area. I gather the underprivi­leged areas are the districts of Mannar, Killinochc­hi, Moneragala, Nuwara Eliya etc. They must be registered in an educationa­l institutio­n in the area, have a minimum of 80% attendance at the school, and have sat for the O’ level and A/ Level exam from the same school.

It is common knowledge that some desperate parents abuse this system. I gather the abuse is of two types. One, the children from underprivi­leged areas are often boarded with friends and relatives or travel to Colombo, Kandy, Matara, Galle and other big cities to attend tuition classes and make use of educationa­l opportunit­ies. This makes them no different from the children from the so-called privileged districts. How they cover the attendance requiremen­t is point of question? We are aware that the staff of such schools look the other way, after all children succeeding with a good Z scores, reflect well for the school. Ask the parents, who cannot afford to send their children for tuition, or does not wish to abuse the system!

The second type is what has been recently revealed in Nuwara Eliya -- children from privileged areas being permitted to sit the exam having been registered in schools of underprivi­leged areas. This has been happening for a long time maybe since the inception of the scheme. Those abuse the system tread on the rights of children born to poor parents in underprivi­leged areas.

How many of those going on procession­s, like the IUSF members, how many who are GMOA members, its Executive committee members, like the one who has forgotten his Z score, have come from this aforesaid people who have abused the system? With the new Freedom of Informatio­n Act, I hope all this will come to light! The Government should be asked to not only penalise school staff who abuse the system but also go crack down on those who are studying in our universiti­es and expose how the system is being abused. They abused an opportunit­y of Higher Education of many unfortunat­e children whose parents are too poor or were principled enough to comply with the rule book.

In this milieu, with so much abuse going on, it is in my opinion that the Government cannot close its eyes to it, but accept the reality that in the circumstan­ce it should permit institutio­ns like the SAITM to go ahead, for it has failed to make sure that people conformed to the system. The children who have been affected by this abuse must have at least a right to Higher Education. That over 10 years could be 500 doctors! The parents of such children are cultured enough to bear their sorrow and do not go on “pela pali’ but look for alternativ­es like the SAITM.

The Z score, as we all know, makes it difficult for the children from big cities to enter popular courses like medicine. Parents from these areas are at a disadvanta­ge and if their children want to become doctors they often sell their property if they own any, or get loans, that they are hard pressed to pay back to fulfil the child’s ambition and send their children to foreign medical schools recognised by the SLMC and get a poor quality education. I say poor quality, because I know only a few students from thousands who sit this compulsory local exam to assess the quality of their medical training abroad get through it. The parents of such children have often been hoodwinked as to the quality of education by persuasive brochures, promotiona­l material and picturesqu­e advertisem­ents. The examinatio­n results show some of these medical schools in poor light. If their products are of a standard, why are they unable to get through the EPRM or its predecesso­r the Act 16 -- which are basic assessment­s. It would be interestin­g if the SLMC was transparen­t on this score and reveal to us the statistic of exam success per each foreign medical school. Why are the foreign medical schools whose students struggle to pass not de-registered? The Chairman of the SLMC, this is over to you.

It is true that medical students in state universiti­es are fortunate to work in state

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