EDITORIAL PHTHALMOLOGY IN India has a long his- schools. Specialist training is predominantly in the form tory. From the days of Sushruta (con- of a 3-year residency training given in more than 100 pro- sidered the first surgeion of the world grams. Most of these programs are in government medi- as well as the father of cataract sur- cal college hospitals and a few in the nongovernmental O gery) to the present time, the evolution sector. The variable quality of training is a cause for some has been arduous, given all the constraints in which health concern and warrants attention. Impediments include in- care has to be delivered. India is a country of a billion frastructural shortfalls and a lack of well-trained fac- people, 70% of whom live in rural areas. The per capita ulty, standardized basic curriculum, uniform examina- income is only around US $350. More than 10 million tions, and effective monitoring systems. Currently, each Indians are blind. Health care receives less than 2% of university awards its own postgraduate degree and this the budgetary allocation, and health insurance is virtu- contributes to the lack of uniformity in standards. An- ally nonexistent. The challenge of providing quality
JAMA Ophthalmology – American Medical Association
Published: Oct 1, 2000
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