Thursday, November 2, 2017

Latest proposals


                                                                      
The sudden response from vice chancellors (VC), to agree to the proposed solutions to SAITM, proves my concern of the credibility of those whom we claim to be educated. Is this because they agreed for a solution to SAITM? Obviously, the circumstance is so, but the original idea was there long time back. Firstly, why did the VCs; a group, who never even bothered of SAITM issue, suddenly agree? I was wondering if they were even worried of SAITM at all.
I expected the recent proposals to be super important and crystal clear, to be approved by Vice Chancellors of universities; a highest academic position to be hold in Sri Lanka. I expected the proposal to be flawless and doubtless to be approved by the VCs in such quick time.
I am just a new graduate, and hence have no experience in academic work or academic decision making. But I was trained in a medical faculty that maintained very high standards and logic in arriving at decisions. As a student, I have witnessed, how much detail the administration and the teachers go in to, even in simple issues like a change in a date of a short appointment. As a graduate, who was trained under such strict and logical background, I do not see a rationale of the VC or anyone for that matter suddenly agreeing to a solution which leaves us with so many unanswered questions.
To begin with, the authority under which this proposal was proposed. I recall, that the previous proposals were from responsible authorities related to this matter, The Ministry of Higher education, and Ministry of Health and later from the Presidential secretariat. But this was from the Department of Government Information. I see a huge issue of credibility of the proposals in first place.
However, as the media overwhelmingly published, SAITM is abolished now, ie, the MBBS degree awarded by SAITM is stopped, and SAITM can no longer recruit students or award MBBS here after. This is a good thing. At least prevent the other students from digging their own graves.
Also, the minimum standards, that was in the process of gazetting for months, is to be gazetted soon. However, the health minister; the responsible authority, himself promised to do so several months back, but has failed to do so yet. Hence, for me, although this is proposed, raises serious concerns in implementation, since it is in the authority of the health minister and the new proposal is issued by an authority with no credibility over this matter.
Biggest issue for me in accepting this proposal is the doubt it has left regarding this so called “new entity” to be established in “one month” to award “MBBS degrees” on a “regular basis”.
SAITM has already put Sri Lankan medical education in crisis, and disgraced the reputation of the Sri Lankan medical degree by being blacklisted in the General medical council (GMC), UK. Hence, the crisis need to be managed quickly but effectively. If you trace the history of SAITM; BOI approval, UGC approval, SLMC approval, hospital for clinical training and many more were to be completed and over the last 8 years, SAITM couldn’t fulfil them and hence attempted all the illegal and cunny attempts to get the approval. With credit to the student community and the academic and trade union community, the fraud of SAITM was exposed and hence the government is now proposing to Abolish SAITM. These approvals, and the fulfillment of the criteria must be achieved by the proposed “new entity” as well, because it is to be established to award MBBS in a REGULAR BASIS and not only as a solution to the SAITM students. On surface analysis, it is evident that no medical school can be set with all those approvals and other related developments in one month. For that matter, at least in few months. More so, as the government has not yet identified who this not for profit investor is. Hence, even though the VCs and few other parties have agreed, as a simple graduate, I have doubts in accepting this hypothetical new entity because, it can be of no difference to SAITM if it fulfills all the requirements in a few months.
Speaking of the standards, it is proposed that “all” the credits of the current SAITM students, should be recognized by the “new entity” as it is. This itself contradicts the idea that the “new entity” would be of better standards. If they are of better standards, they would worry about accepting the credits of a degree which is rejected by Sri Lanka Medical Council and blacklisted by the General Medical council (GMC), UK. This also endangers the degrees of those who are claimed to be MBBS(SAITM) qualified. As per the proposals, SAITM is abolished. Hence, the degree awarded so far is not valid. The “new entity” cannot directly offer it’s degree for those who are MBBS(SAITM) qualified. That contradicts the idea of standards in the “new entity”. Hence it is paramount, that the outcome of SAITM assets should not be a “new entity” that will continue to award MBBS, because to set such a continuous entity it will need a lot of further discussion and planning, and a prompt decision is only going to cause more future problems. Instead, as the deans proposed, and Interim authority (IIA), only to provide solution for the current SAITM students would be more suitable to find a prompt solution for SAITM crisis, than delaying the solution with the “new entity” under discussion. Since the only objective of IIA is to find solution for the 900 students at SAITM, that may be more acceptable to solve this crisis than planning a long lasting “new entity”. If the government is planning a new medical school, that itself would need in depth discussion. For eg. The area of the new medical school. If someone has identified where the medical schools are distributed in the country, it is obvious, they are distributed all around the country improving healthcare provision. The right hospital has been identified, and later developed to a teaching hospital and then a medical school has been started. Government has stated that they have plans to start state medical faculties in Sabaragamuwa and Wayamba, making Kurunegala hospital the teaching hospital of one of them. The “new entity” will have to be planned accordingly. Just because SLIIT or any other investor has a wish to take over, “new entity” should not be established without proper planning.
World federation for medical education describes the process to follow in setting up a new medical school in the link below.
In a country, where there are already planned new medical schools coming, the “new entity” should be decided only after assessing the healthcare needs and the plans for the next 20 years at least. I fail to understand, undertaking the mammoth task of setting up a “new entity” would be ideal when solving a crisis as that of SAITM, and an IIA just to find solutions for those affected students would be better and could be implemented with less in depth and situation analysis as that would be needed with a “new entity” that is long lasting.
I was amused to hear the vice chancellors, suddenly declaring they agree to the proposed solutions, considering the in-depth analysis the faculty I studied would do, even before deciding a simple matter such as that of a tree, exam or a clinical appointment. Agreeing to a “new entity” with no information at all cannot be expected from the learned community. Particularly so, form a place like that I have studied, considering the level of analysis, the faculty used to do in much simpler situations. And I’d expect the faculty and the university community to stand on their grounds to make sure they would make the ideal decision after much analysis, as they would do, even when cutting down a tree in the faculty.

A few hours after the said proposals were released, the health minister himself contradicted the essence of the latest proposal, and hence as learned people, it would be much wise to trust the action of the politicians than believing the words of a notice. I am sure the same standards followed for a usual faculty decision would be considered, at least by the faculty that nurtured me, based on the past experiences and the circumstances, in deciding if the solutions are good or bad.

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