Monday 23 May 2011

Indian students are upbeat about medical colleges, job prospects; admire Russian culture



Dinesh Chakraborty: 'I sailed through everything'

"Having lived in Russia, I can say that it is a wonderful country; such an interesting mix of Europe and Asia," says Dinesh Chakraborty, a sixth-year student at I.M. Sechenov First Moscow State Medical University. He admits that cheaper education was the main reason he chose to attend a university abroad. The entrance exams proved to be easier than he had expected: 40 minutes were all he needed to complete his assignments. 

“Many of my classmates said that they had found the exams difficult, but I sailed through everything, perhaps thanks to having studied chemistry, biology and physics very hard while in secondary school,” says Dinesh. Exams in these subjects are taken as a part of the admission process at medical schools. Physics is the only subject you do not have to take an exam on at some universities. A Russian language exam, however, is mandatory for everyone.

If a university offers courses in English, it costs $1,000 per annum more, but, on the other hand, you can skip your first year of foundation courses. This was the option Dinesh chose. After he completes his general medicine degree, Chakraborty is planning to specialise in public healthcare. “This is a new major and involves a lot of administrative work. It does, however, draw on concrete knowledge in practical disciplines.”

Russian universities offer students three main disciplines. A degree in pharmaceuticals can take five years. The degree for this course can feature such majors as pharmaceutics or medicinal production technology. The general medicine course takes six years. General practitioner’s training is followed by a clinical internship and further clinical traineeship (one year and two years, respectively) that allow students to specialise in their chosen field. Internships are normally suitable for specialising in the most popular fields, such as general medicine, surgery, paediatrics, obstetrics and gynaecology. A further clinical traineeship allows students to access a wider range of fields (featuring over 100 majors), including the so-called “elite” professions such as cardiovascular and maxillofacial surgery, as well as psychiatry.

The dentistry course is completed over five years. Specialist training, for instance, in periodontology also follows this general degree course.

Experts believe that serious discrepancies between the Indian and Russian medical training systems was the main reason why the flow of Indian students to Russian universities started ebbing in the 1990s. In India, general medical training and a bachelor’s degree (Bachelor of Medicine or Bachelor of Surgery) can be obtained in five years. The Doctor of Medicine title comes with a degree that takes another three years to complete. A Russian university course in general medicine takes six years and gives you a MD degree, but the course involves many more disciplines and academic hours. Following a compromise reached by both countries’ ministries of education, Russian universities are expecting an increase in the number of Indian students. 

Practical training is normally carried out at the hospital: students start learning the ABCs of working with patients during their very first years of university. At first, this involves the not-so-pleasant work of being a hospital attendant. 

But every doctor has to be “educated by adversity”. The 3rd year involves feldsher (assistant to a medical doctor) training, followed by years four, five and six spent almost entirely at clinics, where students learn to make decisions in more serious circumstances under the supervision of their advisors, who are at the same time practicing doctors. Interns are said to almost “live” at the hospital while honing their skills in their chosen field.
Kishore Repaswal: 'It wasn't difficult to find a job'
The language barrier, however, makes hospital work a tall task for foreign students. In 2003, Kishore Repaswal graduated from PFUR after completing his traineeship; he got his doctorate in 2004. He is now a neurologist at a large medical centre in Moscow. “Our practical training was provided at a hospital but unfortunately, patient contact was a struggle. Sometimes, we just could not understand each other. That’s when our Russian professors would come to the rescue".

Having finished his education, Repaswal went back to India and worked for two years. After that, he found himself in Russia once again: “I like the climate. I certainly admire the Russian culture. I have a lot of doctor friends, which is why it wasn’t difficult to find a job here. "Once they return to India, medical doctors fresh out of school have to get their qualifications verified by the Medical Council of India, i.e. take qualifying examinations.

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