Shortage of Doctors and Medical Seats, Number of Doctors Registered with State Medical Councils / Medical Council of India as on 31st January, 2019

Shortage of Doctors  and Medical Seats, Number of Doctors Registered with State Medical Councils / Medical Council of India as on 31st January, 2019

(a)  As per information provided by Medical Council of India (MCI), there are a total 11,57,771 allopathic doctors registered with the State Medical Councils/Medical Council of India as on 31st January, 2019. Assuming 80% availability, it is estimated that around 9.26 lakh doctors may be actually available for active service. It gives a doctor-population ratio of 1:1457 as per current population estimate of 1.35 billion, which is lower than the WHO norm of 1:1000. Besides, there are 7.88 lakh Ayurveda, Unani and Homeopathy (AUH) doctors in the country. Assuming 80% availability, it is estimated that around 6.30 lakh Ayurveda, Unani and Homeopathy (AUH) doctors may be actually available for service and considered together with allopathic doctors, it gives a doctor population ratio of 1:868. Further, the State / UT wise data regarding doctor – population ratio is not maintained centrally. However, the details of number of allopathic doctors registered with the State Medical Councils / MCI is at Annexure - I and State wise details of registered number of Ayurveda, Unani and Homoeopathy doctors is at Annexure - II.
Shortage+of+Doctors
(b)  Health, being a state subject, the primary responsibility of making recruitment of doctors lies with the respective states. 

(c)  The Government has taken several steps to increase the number of seats in various medical educational institutes/medical colleges across the country. These include: 
For increasing UG Seats:- 
  • Enhancement of maximum intake capacity at MBBS level from 150 to 250. 
  • Relaxation in the norms for setting up of Medical College in terms of requirement of land, faculty, staff, bed/bed strength and other infrastructure. 
  • Strengthening/ upgradation of existing State Government/Central Government Medical Colleges to increase MBBS seats. 
  • Establishment of New Medical Colleges attached with district/referral hospitals preferably in underserved districts of the country. 
For increasing PG Seats:- 
  • The ratio of teachers to students has been revised from 1:1 to 1:2 for all MD/MS disciplines and from 1:1 to 1:3 in subjects of Anesthesiology, Forensic Medicine, Radiotherapy, Medical Oncology, Surgical Oncology and Psychiatry in all medical colleges across the country. Further, teacher: student ratio in public funded Government Medical Colleges for Professor has been increased from 1:2 to 1:3 in all clinical subjects and for Asso. Prof. from 1:1 to 1:2 if the Asso. Prof. is a unit head. The same has also been extended to the private medical colleges with certain conditions. This would result in increase in number of PG seats in the country. 
  • DNB qualifications have been equated with MD/MS/DM/MCh qualifications and recognized for appointment as faculty in medical colleges. 
  • Enhancement of age limit for appointment/ extension/ re-employment against posts of teachers/dean/principal/ director in medical colleges upto 70 years. 
  • Strengthening/ upgradation of State Government Medical Colleges for starting new PG courses/Increase of PG seats. 
  • By amending the regulations, it has been made mandatory for all medical colleges to start PG courses within 3 years from the date of their MBBS recognition / continuation of recognition. 
  • Colleges are allowed to apply for PG courses in clinical subjects at the time of 4th renewal it will serve to advance the process for starting PG courses by more than 1 year. 
(d) & (e)  The Ministry of Health & Family Welfare is implementing a Centrally Sponsored Scheme namely Establishment of new Medical Colleges attached with existing district/referral hospitals‚ with fund sharing between the Central Government and States in the ratio of 90:10 for NE/special category States and 60:40 for other states. Under the scheme, 82 districts hospitals in 21 States/UT including 13 in Uttar Pradesh were identified to establish new Medical Colleges attached with existing district/referral hospitals. Out of these, 39 have become functional. The admission policy including reservation in these colleges is decided by the concerned State Government. 

Annexure -I 
Number of Doctors Registered with State Medical Councils / Medical Council of India as on 31st January, 2019
S. No. Name of the State Number of Registered Doctors
1. Andhra Pradesh
100587
2. Arunachal Pradesh
973
3. Assam
23902
4. Bihar
40649
5. Chattisgarh
8771
6. Delhi
21394
7. Goa
3840
8. Gujarat
66944
9. Haryana
5717
10. Himachal
3054
11. Jammu & Kashmir
15038
12. Jharkhand
5829
13. Karnataka
122875
14. Madhya Pradesh
38180
15. Maharashtra
173384
16. Kerala
59353
17. Mizoram
74
18. Nagaland
116
19. Orissa
22521
20. Punjab
48351
21. Rajasthan
43388
22. Sikkim
1405
23. Tamil Nadu
133918
24. Uttar Pradesh
77549
25. Uttrakhand
8617
26. West Bengal
72016
27. Tripura
1718
28. Telangana
4942
29. Medical Council of India*
52666
Total
11,57,771
Note - The other State / UTs do not have their own Medical Registration Council. Hence, their workers get registration with the Councils of other neighbouring States.

* 52666 doctors were registered only with MCI. They are presumably working in States / UTs which do not have a medical register or anywhere in the country.
Annexure-II
State wise AYUSH Registered Practioners (Doctors) as on 1-1-2018
S. No.
States/Uts
Ayurveda
Unani
Homoeopathy
Total
1.
2
3
4
5
6
1. Andhra Pradesh
15921
702
5247
21870
2. Arunachal Pradesh
55
1
336
392
3.
Assam
1018
0
1160
2178
4.
Bihar
96841
7123
32506
136470
5. Chhattisgarh
3430
148
1927
5505
6.
Delhi
4661
2570
4965
12196
7.
Goa
668
0
714
1382
8.
Gujarat
26716
327
22930
49973
9.
Haryana
8319
216
5586
14121
10. Himachal Pradesh
10338
0
1283
11620
11. Jammu & Kashmir
3123
2596
410
6129
12.
Jharkhand
219
54
538
811
13.
Karnataka
35886
2074
9450
47410
14.
Kerala
25142
118
13847
39107
15. Madhya Pradesh
46981
1783
18284
67048
16. Maharashtra
79200
7000
66947
153147
17.
Manipur
0
0
0
0
18. Meghalaya
0
0
368
368
19.
Mizoram
0
0
0
0
20.
Nagaland
0
0
143
143
21.
Odisha
4874
26
9825
14725
22.
Punjab
11374
211
4411
15996
23.
Rajasthan
9762
983
8063
18808
24.
Sikkim
0
0
0
0
25. Tamil Nadu
4357
1182
5596
11135
26. Telangana
10937
4762
4911
20612
27.
Tripura
0
0
447
447
28. Uttar Pradesh
37262
13884
34343
85489
29. Uttarakhand
3117
133
823
4073
30. West Bengal
3503
5215
38231
46949
31. A&N Islands
0
0
0
0
32. Chandigarh
0
0
165
165
33. D&N Haveli
0
0
0
0
34. Daman&Diu
0
0
0
0
35. Lakshdweep
0
0
0
0
36 Puducherry
0
0
0
0
Total
443704
51110
293455 788269
Source: State Boards/Councils

Ayurveda : 
  • Figures in no states  of Andhra Pradesh (2017), Bihar (2016), Chhattishgarh (2017), Rajasthan(2017), Tamilnadu (2016), Telangana (2017) and West Bengal(2017) has been repeated as the current year information not available.

Unani : 
  • Figures in no states of Andhra Pradesh (2017), Bihar (2016), Chhattishgarh(2017), Rajasthan(2017), Tamilnadu(2016) and Telangana(2017) has been repeated as the current year information not available.

Homoeopathy : 
  • Figures in no states of Andhra Pradesh(2017), Assam(2017) and Punjab(2017) has been repeated as the current year information not available.

Note : figures in no Manipur, Mizoram, Sikkim, A&N Islands, D&N Haveli, Daman & Diu, Laksdweep and Puducherry have been indicated Nil in all streams as there is no separate Board/Council for registration of practitioners in these states.Note : figures in r/o Meghalya, Nagaland, Tripura and Chandigarh have been indicated Nil in Ayurveda, Unani, a as there is no separate Board/Council for registration of practitioners in these states.Note : "The information of Ayurveda, Unani for the state of Andhra Pradesh (as on 31.03.2014) and Ayurveda for the State of Bihar (as on 31.03.2016) is updated based on the information received from CCIM.

The above statement was submitted by Ministry of Health and Family Welfare of undermentioned Lok Sabha Question:-

GOVERNMENT OF INDIA 
MINISTRY OF HEALTH AND FAMILY WELFARE 
DEPARTMENT OF HEALTH AND FAMILY WELFARE 

LOK SABHA 
UNSTARRED QUESTION NO.1336 
TO BE ANSWERED ON 28TH JUNE, 2019 

SHORTAGE OF DOCTORS AND MEDICAL SEATS 

1336. SHRI SUSHIL KUMAR SINGH

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state: 
  • (a) whether there is severe shortage of MBBS Ayurvedic and Homoeopathic doctors in the country, if so, the details thereof, State/UT-wise including Bihar; 
  • (b) the steps taken to fill up such vacancies; 
  • (c) whether any steps have been taken to increase the number of seats in various medical educational institutes/medical colleges across the country during the last three years and the current year, if so, the details thereof; 
  • (d) whether new medical colleges are being set up to enhance the number of medical seats in various States including Uttar Pradesh keeping in view the provision of reservation for various categories; and 
  • (e) if so, the details thereof and if not, the reasons therefor? 
ANSWER 
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE 
(SHRI ASHWINI KUMAR CHOUBEY) 

As above
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