My thinking came to a halt a few days ago on a subject. That had been quickly building for some time. I decided to give it some thought, and it seemed worthy of a blog post.

The MCI and the Union Ministry of Health collaborated on a proposal for a standard, universal ‘national exit test’ for Pakistan MBBS admission before practicing medicine in 2010. The proposal has been met with some opposition until recently, when it attracts notice and strong supporters.  

MBBS training:

I restate, as I have for a long time in numerous settings, that today’s graduate MBBS program does not provide a sufficient practical approach or aptitude for practice, and that additional time of supervision is essential. 

The MBBS admission process is in desperate need of modernization. To summarize, the theoretical component of the study has received significantly more attention than it merits. If you take a look around medical schools, you’ll find that a lot of effort is devotes to figuring out how to pass the theory exams.  

Assessments about MBBS:

Our evaluations are formulaic and archetypal, and they usually need more tact than comprehension. The quality of our practical instruction varies greatly between institutions, and there is often little rigor, quality control, or order enforcement in practical training. 

Furthermore, the required rotating internship year, which is crucial for gaining a global perspective in medicine. It is typically consume by repetitive work, meaningless activities, and a chaotic environment that insures little learning. With all of this in mind, the idea that simply passing another exam will guarantee us uniformly and appropriately qualified MBBS admissions appears improbable.

Five Important things for MBBS:

•    The MBBS admission period would be reduced from 3.5 to 4.5 years.
•     Early on in their academic careers, students should be given the choice of choosing a specialty and studying just relevant areas.
•    The academic council will be given the expertise to develop any medical theoretical program.
•    The MCI will have its own mechanism for accrediting medical colleges.
• We’ll concentrate on the first proposition for the rest of this discussion.

MBBS admission in Medical College:

To put it another way, an inspection is something you do when you want something to meet a certain standard. And if you want something to achieve a certain standard, you have to have faith in the delivery system’s ability to do so. Obviously, we must be confident that our medical school system can produce suitably competent MBBS admissions before adopting a competency-based exit exam.

The goal of MBBS:

A similar discussion can be extend to the other purpose of this exit test. The exit test, according to the MCI’s academic council, will help to standardize the quality of doctors’ competence. Nonetheless, it offers little about how to avoid the standard difference in the first place. And assure that every institution, independent of administrative or social division. Provides a specified, holy standard of medical training. How can such a test be useful before attempting to level the playing field between merit-based government schools. And for-profit colleges that sell seats for millions of dollars?

Exam Process:

In some ways, a national exit exam given in such an off-kilter setting will do everything it can to highlight the issues we face while doing little to address them. Then there are concerns about the topic of the exam. Is this going to be a typical multiple-choice test? Or how about a well-known descriptive examination, like those used in university theoretical exams? 

Medical training:

Is it possible to compare the competence acquired via months of intense, thorough medical training to the preparation and passing of a test? Without a doubt, a test like this will swiftly become “just another exam” with dubious utility. It will threaten to engulf the deep canyon of inadequacy that has arisen from inadequate education. 

Even if we construct a near-ideal exit test that lives up to its promises, a considerable portion of our MBBS admissions may fail due to defects in our educational system, wreaking havoc on the medical community.

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