Indian Journal of Ophthalmology

LETTER TO THE EDITOR
Year
: 2009  |  Volume : 57  |  Issue : 1  |  Page : 77-

Postgraduate ophthalmic education in India?


Rajul S Parikh 
 Bombay City Eye Institute and Research Center, 5 Babulnath Road, Mumbai, India

Correspondence Address:
Rajul S Parikh
Bombay City Eye Institute and Research Center, 5 Babulnath Road, Mumbai
India




How to cite this article:
Parikh RS. Postgraduate ophthalmic education in India?.Indian J Ophthalmol 2009;57:77-77


How to cite this URL:
Parikh RS. Postgraduate ophthalmic education in India?. Indian J Ophthalmol [serial online] 2009 [cited 2020 Jul 14 ];57:77-77
Available from: http://www.ijo.in/text.asp?2009/57/1/77/44510


Full Text

Dear Editor,

I read the article by Thomas et al . [1] and accompanied editorial by Grover et al . [2] with great interest. The article by Thomas et al . shows the sad state of Indian ophthalmology residency training programs. [1] As this cannot be invisible to most of us, why are we turning a blind eye to this potential storm, which is only going to get worse in coming years. Is it not time that we abandon our ostrich-like approach?

I have faced some embarrassing moments because of this state of affairs (I am sure many of us would have had similar experiences), which I would like to share with other readers. When I appeared for my diploma examination in 1999, an examiner (from a college that had diploma and master's PG residents) asked me about the classification of diabetic retinopathy. When I mentioned the early treatment diabetic retinopathy study (ETDRS) classification, I was harassed for my entire practical exam. The question is not whether I passed, which I did, or failed, the question is that the professor of ophthalmology who was training postgraduate students had no knowledge of modern diabetic retinopathy classification, was not aware that a three-mirror is not the ideal method of doing gonioscopy, and did not believe in indentation gonioscopy and a lot more modern practices. He had no knowledge of the corneal ulcer classification from Thoft's textbook and wanted me to tell him some classification mentioned in Indian books. Fortunately, he did not ask me about using milk as a treatment for corneal ulcer!

The article by Thomas et al . clearly shows that providing the latest technology and training alone will not change the scenario. [1] The guest editorial mentions that we should improve the facilities and the infrastructure of our medical colleges and also help by providing assistance in terms of visiting specialists. [2] A specialist visiting the college that is equipped to run that particular department can only be a short-term solution, which may help the students but not the system. The system needs to be changed; the article shows that even providing the best instruments and training did not achieve that at least in one state. We need a radically different approach. Who will monitor those who are sitting at the top of these programs in many of the colleges and are not interested to change themselves and in turn do not want to improve the system?

References

1Thomas R, Dogra M. An evaluation of medical college departments of ophthalmology in India and change following provision of modern instrumentation and training. Indian J Ophthalmol 2008;56:9-16.
2Grover AK. Postgraduate ophthalmic education in India: Are we on the right track? Indian J Ophthalmol 2008;56:3-4.