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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>

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