Curricular Reforms
“Curricular Reforms in Medical Education: Indian Scenario” Avinash Supe Medical
Colleges
in
India
have
been
growing
exponentially
over
the
past
20
years
and
now
number
more
than
330
with
an
output
of
35000
doctors
every
year.
As
medical
graduates
from
India
serve
all
over
the
world,
their
training
as
well
as
competence
is
global
concern.
History of Medical Curricular Reforms in India India
has
a
rich
tradition
of
medical
education
from
2000
BC
with
Sushruta
and
Charak
clearly
specifying
skills
and
curriculum
of
the
then
graduates.
One
to
One
Gurukul
system
was
very
powerful
and
had
great
cultural
heritage.
Lord
Macaulay
–
in
his
speech
in
British
parliament
in
1835
said,
"I
have
traveled
across
the
length
and
breadth
of
India
and
I
have
not
seen
one
person
who
is
a
beggar,
who
is
a
thief.
Such
wealth
I
have
seen
in
this
country,
such
high
moral
values,
people
of
such
caliber,
that
I
do
not
think
we
would
ever
conquer
this
country,
unless
we
break
the
very
backbone
of
this
nation,
which
is
her
spiritual
and
cultural
heritage,
and,
therefore,
I
propose
that
we
replace
her
old
and
ancient
education
system,
her
culture.
For
if
the
Indians
think
that
all
that
is
foreign
and
English
is
good
and
greater
than
their
own,
they
will
lose
their
self‐esteem,
their
native
self‐culture
and
they
will
become
what
we
want
them,
a
truly
dominated
nation!”.
British‐Influenced
medical
colleges
started
in
1835‐40
in
our
country
and
brought
imperial
influence
on
Medical
education
for
the
next
150
years.
The
first
major
recommendations
were
made
by
Sir
Joseph
Bhore
in
1946
who
recommended
integrating
preventive
and
curative
health
services,
basic
doctor
philosophy
and
3
months
training
in
preventive
and
social
medicine
to
prepare
“social
physicians”.
It
also
suggested
training
of
teachers
and
providing
refresher
courses.
Srivastava
committee
report
in
1974
and
Reorientation
of
Medical
Education
(ROME)
in
1975
recommended
strengthening
of
Primary
Health