A Brief Colonial History Of Ceylon(SriLanka)
Sri Lanka: One Island Two Nations
A Brief Colonial History Of Ceylon(SriLanka)
Sri Lanka: One Island Two Nations
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Thiranjala Weerasinghe sj.- One Island Two Nations
?????????????????????????????????????????????????Monday, May 8, 2017
A SAITM Solution: Take Over Medical & Allow Other Faculties To Continue
By Laksiri Fernando –May 6, 2017
There is no point in allowing the SAITM issue
to continue for so long without a solution. The government or the
country should be able to resolve such problems within a reasonable
time, let us say two months. The failure to do so, not good for the
country and its normal functioning, and much desired development. This
is not to say that resolving such a problem is easy. But most
difficulties are related to (1) the reluctance to give-in (2)
unwillingness to face the reality (3) hesitation to change previously
held views and (4) acrimonious political confrontations.
At present, the confrontation seems to be mainly between the government,
or certain sections of the government, and the GMOA (General Medical
Officers Association), although there are several other stake holders.
SAITM (South Asian Institute of Technology and Medicine) seems to have
taken a back seat, tactfully or not, and their medical students have
become the main victims of the situation.
Various Views
I have seen over 50 articles on the subject in various newspapers and
websites, the authors mostly expressing their views ‘for’ or ‘against’
SAITM based on their ideological/political views and/or self-interests.
On both counts, the reasoning could be considered ‘subjective,’ which is
something not easy to avoid even in my case. Dr Ruwan Weerasinghe
commendably analysed most of these views (“To SAITM or Not to SAITM – Is that the Question?” – Colombo Telegraph,
11 April), listing them into 12 issues, for the discerning readers to
make their own judgement/s. Unfortunately, even the present controversy
seems to be broadly – ‘To SAITM or Not to SAITM.’ In Weerasinghe’s view,
which I largely agree, the rational question instead should be: “Can the medical education be provided by the private sector?”
There have been various other articles, some addressing the professional
or economic/business aspects of the issue/s, nevertheless finally
expressing personal/ideological preferences. Two of the important ones
were by Professor R. P. Gunewardene and Dr W. A. Wijewardena. These are
my selections.
Whatever his personal views on the matter of private medical education, Gunewardene (“SAITM Issue: A Rational Approach Needed,”
– CT, 24 February) has frankly noted the following, in respect of
negligence or breach on the part of SAITM and also correctly blaming the
other authorities, for the present crisis.
“It is regrettable to note that SAITM on their part has continuously disregarded the guidelines issued by the regulatory bodies in their development process. Their gross negligence towards the stipulated guidelines is clearly evident as reported by Professor Carlo Fonseka. In addition, SAITM authorities have not explained the current status of their degree program to the students at the time of admission. It is rather unfortunate that no action has been taken by the appropriate authorities well in advance to avoid the present situation.”
Wijewardena, on the other hand, was highlighting the economic/business
aspects of the matter in fact even endorsing private medical education
emphasising the “failure of the government to meet the aspirations of
all students seeking to continue for a medical degree at a state
university.” Writing after the Court of Appeal decision, favouring the
request of students (31 January), nevertheless he was not completely
dismissing the institutional criticisms of SAITM by the GMOA or the
Padeniya Report. That is why he was talking about “SAITM and Private Medical Schools: One Bad Start should not lead to Throwing Away a Good Idea” – (CT, 20 February). One instance of his acceptance of institutional criticisms is the following:
“According to the correspondence between SAITM’s founder Dr. Neville Fernando and SLMC and between BOI and SLMC as reproduced in the Padeniya Report, SAITM had been called at that time in its original name, namely, South Asian Institute of Technology and Management. Thus, its transformation into South Asian Institute of Technology and Medicine would have taken place much later as a marketing device.”
Controversial Issues
SAITM initially has been a BOI approved private venture in 2008 to
conduct training (and not degrees) in management, nursing, languages,
vocational studies, health science and technology. It has been the
Ministry of Higher Education and the UGC which have given SAITM, the
degree awarding status (August 2011). By that time SAITM had already
started recruiting students for medicine. It is important to note that
this was Rajapaksa time, while some key decision makers are with the
present government.
However, the Sri Lanka Medical Council (SLMC) has clearly written to
SAITM in 2009, among other matters, that it cannot “recognise any degree
being awarded by an institution not set up under the Higher Education
Act.” This cannot be just a technical matter, which even the UGC has
overlooked. The present controversy is much on the substance, for
instance, whether the SAITM students have sufficient clinical experience
to qualify for national and international standards, whatever the
facilities they have in superior to even some of the state run medical
facilities.
On the part of the university student unions and other trade unions in
the country, they question the recruitment procedure of SAITM, based on
the capacity to pay high fees, leaving out many more qualified students
out of the possibility of entering the lucrative medical profession. If
you have, for instance, two Cs (with one S) in bio-sciences, you can
enter as a medical student at SAITM but not to a state university,
because of the higher Z-score required. Here has a strong equity
problem. Even then, enrolment of SAITM students for a batch is not more
than 30, because of the financial factor. This cannot even be considered
‘freedom of education’ by any means, they argue. However, the protests
should not be at all against the SAITM students or even SAITM, but
against the prevailing injustice.
Medical graduates are the only graduates who are assured of secure
employment in the country. Therefore, all those who are qualified,
should have the opportunity to enter medical education, whatever the
determined minimum qualification. There are more and more good doctors
needed in the country. They also have the opportunity to go abroad an
earn a good living, whether they contribute back to the country or not.
On the other hand, there is nothing wrong, under the circumstances, in
having fees for medical students either on the direct payment basis
(like at SAITM) or on an interest free loan basis like HELP (Higher
Education Loan Program) in Australia in the long run. However, this is
not an issue that should be settled now. Much more discussions are
necessary.