FM SEPTEMBER 2018 ISSUE - digital edition
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straight talk<br />
“MEDICAL CURRICULUM IN INDIA<br />
IS MOSTLY THE SAME AS THAT<br />
I STUDIED 40 YEARS AGO”<br />
One of the serious concerns<br />
in the Indian healthcare scenario<br />
at present is the absence of a<br />
compulsory continued medical<br />
education (CME) system for doctors<br />
to update themselves with the fastevolving<br />
changes in medical science.<br />
It is high time the government put<br />
in place a strong law that restricts<br />
the practice of doctors who do not<br />
undergo a certain period/number of<br />
well-designed and recognised CME<br />
programmes every year. The Medical<br />
Council, or any other competent<br />
health authority, should have the<br />
powers to make doctors comply<br />
with this law, says Dr Azad Moopen,<br />
Chairman, Aster DM Healthcare<br />
Group, who built one of the largest<br />
hospital networks in India and the<br />
Middle East countries. Moopen, a<br />
successful doctor-entrepreneur who<br />
strongly believes that a fully updated<br />
medical education system and a<br />
medical fraternity abreast with the<br />
latest knowledge is an essential part<br />
of quality healthcare, engages<br />
in Straight Talk with<br />
C H UNNIKRISHNAN and<br />
SUMIT GHOSHAL, Edited excerpts.<br />
India is seeing an increasing trend of individual doctors<br />
taking up multiple roles as clinician, researcher and<br />
entrepreneur as they chase bigger growth trajectories in<br />
life. You have been a very successful doctor-entrepreneur.<br />
What is the key advice that you can give to the aspiring<br />
entrepreneurs who want to set up hospital chains or<br />
corporate hospitals?<br />
Entrepreneurship needs a completely different skill-set.<br />
The professional skills of a doctor may not always help one<br />
to be successful as an entrepreneur. One very important<br />
thing that these aspiring doctor-entrepreneurs must do is<br />
a preparation, preferably for at least five years, by taking<br />
a sabbatical to learn the different aspects of the business<br />
before jumping into their own venture. This includes a deep<br />
study on market opportunities in multiple geographies, as<br />
it could be a multi- or single-speciality hospital, or even<br />
creating a completely different model to cater to a need that<br />
exists. Another important requirement is to get trained in<br />
management. Would-be entrepreneurs should do a 2- to<br />
3-year internship at a large hospital or a course in a reputed<br />
institute on the management of finance, HR, technology and<br />
so on. This will help them avoid many mistakes that a maiden<br />
entrepreneur could potentially make. They may think that it<br />
can be managed, but the fact remains that a professional<br />
approach is required in all these aspects. Frankly speaking,<br />
I haven’t done this . I learnt it by committing mistakes, and<br />
from my experience, I can say that they can avoid most of<br />
those mistakes with this preparation. The third important<br />
thing is the access to funding, where you have to have good<br />
people or institutions who are on the same wavelength of<br />
thoughts to support you. It is also important that, at the same<br />
time, one should also look at access to capital from a bank<br />
or an institution. But, one thing that they should make sure is<br />
that the leveraging of loans should be at a respectable level,<br />
because the debt:equity position for the hospital business<br />
cannot be compared with that of other businesses. A hospital<br />
will take at least 5 to 10 years to establish its brand and gain<br />
patient trust, and it is easy for one to get into a debt-trap if<br />
they can’t hold on until that time.<br />
You mentioned that updating the skill-set and<br />
knowledge are the most important elements in a quality<br />
58 / FUTURE MEDICINE / <strong>SEPTEMBER</strong> <strong>2018</strong>