When it comes to care provided by the orthopaedic specialists for one condition the care provided is not uniform throughout different parts of the country. Orthopaedic training is not customised as per our need.

It was noted long back that there has been a considerable decline in standard of knowledge, particularly the basic sciences, namely anatomy, embryology, physiology, pathology, and genetic engineering which are alternatively going to play vital role in development of speciality [3]. The postgraduate training in India is not comprehensive enough and some graduates may have insufficient training to practice independently [4].

In India there is one death every 4 minutes due to road traffic accidents, for every death there are 30 severe and 50 minor injury patients [5]. Primary care physician encounters trauma more than any other condition. Making orthopaedics a major subject in MBBS training program and providing practical training during internship can improve the level of care. During post graduate courses inclination of students and teaching faculty is towards super speciality like spine arthroscopy, arthroplasty and at the end of course students are incompetent to independently take care of common traumatic, infective, neoplastic, degenerative and deficiency diseases [6].

The post graduate curriculum needs to be revised and focussed on the immediate needs of the society. The imparted training and assessment test should be uniform throughout the country to ensure standardised orthopaedic care to whole society.

Current literature is full of evidences for management of almost all clinical conditions which are prevalent in western world, in contrast the scarcity of literature for conditions endemic in India pose a decision-making problem. Proper training during postgraduate training to perform a quality research for the conditions which are endemic in our country can make a difference. Developing research instinct in all trainees is highly desirable [7].

All the improvements in the orthopaedic training are not possible without having a brigade of trained competent medical teachers justifying the need for a structured and mandatory faculty development program [8].

We have lots of advantages, huge number of patients which we have, makes us capable of making guidelines for the orthopedic practices in the developing countries. This is possible by introducing mandatory research to the institutions and encouragement, incentives to the researchers. We need to sensitize and convince policy makers to implement the desired actions to improve orthopaedic education and in turn the patient care for our society.

References