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Summary:

The Service Doctors and Post Graduates Association (SDPGA) in India has raised concerns about the uneven distribution of postgraduate (PG) doctors under the District Residency Programme (DRP). A survey revealed that several government hospitals, including those in Cuddalore and Tiruvallur districts, received no PG postings despite demonstrating strong performance and patient care. The SDPGA argues that the current allocation process, overseen by the Directorate of Medical Education (DME) and Research, lacks clear criteria and disproportionately burdens already overworked staff in high-performing hospitals. The association is requesting a more equitable distribution based on hospital performance metrics, transparent counseling for PG postings, provision of accommodation and food for PGs during the DRP, and advance preparation of posting lists.

News Article:

Uneven PG Doctor Distribution Hampers Patient Care in Tamil Nadu Hospitals

CHENNAI, December 28, 2025 – The Service Doctors and Post Graduates Association (SDPGA) has criticized the distribution of postgraduate (PG) doctors under the District Residency Programme (DRP) in Tamil Nadu, claiming that it is creating an undue burden on some of the state’s most effective government hospitals.

According to a survey conducted by the SDPGA, several government hospitals (GHs) have not received any PG doctors under the DRP, a mandatory three-month posting program required by the National Medical Commission (NMC). The association highlighted 12 such hospitals, including those in Cuddalore and Tiruvallur districts.

“Hospitals with high Institutional Services Monitoring Report (ISMR) performance, indicating excellent patient care, are being penalized,” said Dr. P. Saminathan, President of the SDPGA, in a letter to the Health Secretary. “The lack of PG doctors in these facilities is adding stress to already overworked staff.”

The SDPGA alleges that the Directorate of Medical Education (DME) and Research, responsible for assigning the PG postings, is not following clear criteria. For instance, PGs from Cuddalore government medical college were assigned to other facilities but none to Cuddalore GH.

The association is calling for a more equitable distribution of PG doctors, based on the ISMR and vacancies with transparency in counseling for postings. They are also advocating for the provision of accommodation and food for PGs during their DRP assignments, and for the advance preparation of posting lists as per NMC guidelines.

“We urge the Department to redistribute the PG doctors equitably. It’s essential to support hospitals that are already demonstrating excellence in patient care and to ensure that the burden is not unfairly placed on their existing staff,” Dr. Saminathan concluded.

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