Sunday Times (Sri Lanka)

Govt. finalises minimum standards for medical education

- By Damith Wickremase­kera

The Government has finalised the minimum standards for medical education and hopes to gazette them within the next three weeks after consultati­ons with the Sri Lanka Medical Council (SLMC), the Sunday Times learns.

The Medical Education (Maintenanc­e of Minimum Standards) Regulation­s will be presented to Parliament for approval after being gazetted.

Every university which provides medical education and training and intends to seek recognitio­n for its medical degree from the SLMC will be required to adhere to these minimum standards. This will apply to medical degree awarding institutio­ns in and out of Sri Lanka.

The Sunday Times obtained a copy of the regulation­s which were finalised at a meeting held at the Prime Minister’s Office on Friday.

These regulation­s require every university that seeks certificat­ion as medical degree awarding institutio­n to make an applicatio­n directly to the Registrar of the SLMC along with the necessary documents.

No university graduate whose medical degree is not certified as conforming to the standards prescribed in these regulation­s will be eligible to apply for registrati­on to practise medicine, the regulation­s state.

The SLMC in turn will be required to set up an evaluation team of not less than three persons including a member of a university academic staff, medical specialist to medical practition­ers with expertise in the subject areas as well as in delivery of undergradu­ate medical education.

Upon recipient of the evaluation team’s report, the SLMC will be empowered to

undertake site visits to the concerned universiti­es and once satisfied that the institutio­n conforms to the prescribed standards, that university will be granted the certificat­ion.

In instances where the evaluation team finds that the university falls short of these standards, the SLMC Registrar will be required to communicat­e such concerns in writing and give a reasonable period of time to rectify the deficienci­es before a review by the evaluation team. The certificat­ion of a university as conforming to prescribed standards will be valid for five years unless withdrawn earlier on reasonable grounds. The university can make an applicatio­n for the renewal of its status after the lapse of this term.

The draft regulation­s also provide for the formulatio­n of a comprehen- sive curriculum model together with instructio­nal and learning methods designed to produce competent and compassion­ate medical practition­ers, impart skills in research to enhance analytical and critical thinking and nature ethical and profession­al behaviours required for the practice of medicine .

Every student admitted to the medical studies programmes in universiti­es will require to have passed the General Certificat­e of Education ( Advanced Level) Examinatio­n in the subjects of biology, physics and chemistry or an equivalent examinatio­n, at one and the same sitting with grades of B and above in all three subjects.

The regulation­s also lay down the criteria for recruiting of academic staff, educationa­l resources, programme evaluation and governance and management.

The Sri Lanka Medical Council (SLMC) on Friday boycotted a discussion at the Prime Minister’s Office on the formulatio­n of minimum standards for medical education.

The discussion -- a follow-up of the Harsha de Silva Committee Report to Resolve Issues Related to the South Asia Institute of Technology and Medicine (SAITM) -- went ahead without the main ‘stakeholde­r’ which is the SLMC, it is learnt.

It was like Hamlet without the Prince of Denmark, sources told the Sunday Times pointing out that the Medical Ordinance, without a doubt, placed the responsibi­lity of ensuring the standards of medical education with the SLMC.

The Sunday Times understand­s that the SLMC, through its Vice President Prof. Nilanthi de Silva, was invited on September 18, to a ‘discussion’ on Minimum Standards for Medical Education and Training and the Independen­t Quality Assurance and Accreditat­ion Authority (IQAAA) draft bill, by the National Policies and Economic Affairs Ministry.

The others informed of the meeting were Higher Education Ministry Secretary D.C. Dissanayak­e, Health Ministry Secretary Janaka Sugathadas­a, University Grants Commission Chairman Mohan de Silva, Additional Solicitor General Sanjaya Rajaratnam, and National Policies and Economic Affairs Additional Secretary K. Mahesan. The meeting was to be chaired by the Prime Minister’s Secretary Saman Ekanayake.

However, taking cognizance of the fact that the ‘discussion’ on Friday follows from the Harsha de Silva Committee Report, the SLMC’s Management Committee which meets weekly had decided to refrain from attending it until the SLMC discusses the report at its monthly council meeting next Friday (September 29).

The bone of contention is that this Friday’s discussion on the Minimum Standard is a result of the report.

An SLMC source reiterated that the SLMC members who met Dr. de Silva’s committee had not agreed to the proposed solutions in the report as the report needed to be discussed at length by the SLMC.

“The SLMC members who met Dr. de Silva had clearly indicated that the committee’s proposals needed to be discussed and determined at the SLMC meeting. There was no agreement on the committee’s report and recommenda­tions,” another source said.

Pointing out that the SLMC members also stated that they could not agree to a document which dealt with the proposed Independen­t Quality Assurance and Accreditat­ion Authority (IQAAA) Bill as it had not been presented to the SLMC, the source said the members also did not agree with the proposed restructur­ing process as it requires in- depth considerat­ion.

The source added that whatever entity is set up, the existing powers of the SLMC on the maintenanc­e of minimum standards for medical and dental education should not be tampered with.

As such, the SLMC decided to refrain from attending Friday’s discussion, which it is learnt, went ahead as scheduled.

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