Vaibhav Srivastava •  M. Pharm, PGDBA

•  Marketing professional serving the Indian Pharmaceutical Industry since 1995

•  Director - Insignia Communications, Mumbai, India

•  Board of Directors – GAME

•  Program Director – GAME India Regional Conference

•  Board Member – JECME

AboutthePresenter

CountrySta1s1cs

•  Largestdemocra-c&secularcountryintheworld

•  7thlargestcountry(Geographicalareawise)

•  2ndintheworld(Popula-onwise:1.23bn)

•  17.6%ofglobalpopula-on

•  Popula-ondistribu-on(Urban-30%,Rural-70%)

•  Languagesspoken:122major&other1599

•  Officiallanguages:Hindi&English

•  Allmajorreligionsareprac-cedfreely

HealthcareSta1s1cs

•  Totalno.ofallopathicdoctors:0.8million

•  InIndia,0.7doctors/1000popula-on(WHOaverage2.5doctors/1000)

•  Industryneeds1.54millionaddi-onaldoctors

•  Mostofthedoctorsareconcentratedinurbanareas

•  AlldoctorsarefluentinEnglishlanguage

•  400MedicalColleges,totalseatsperyear:52,405

IndiawillovertakeChinaasthefastestgrowingemergingeconomyin2015–16byclockingagrowthrateof7.5%.Indiahasthepoten-altobecometheworld’s3rdlargesteconomyinthenextdecadeandlargesteconomyby2050-IMF

AboutIndia

Morethan800,000qualifieddoctorsinIndia

Lessthan25%aremembersofIMA

Lessthan15%arepartofvariousdoctors’socie1es

Morethan75%areprivateprac11oners

Prac1ceenhancementthrough–

•  Self-prac-ceexperience•  AccesstovariousNa-onal&Interna-onal

publica-ons/conferences

•  Majorknowledgeupdateinforma-onimpartedbyMedicalrepresenta-ves

IndiandoctorsarehighlypamperedbyPharmaceu-calcompanies

CMESeekers–Doctors&Paramedics

0%

10%

20%

30%

40%

50%

60%

70%

80%

Effec1veness

Surveyoutcomefrom751physiciansfrom8medicalspecial9esacrossIndia

CMESeekers–WhatTheyWant

•  AboutCMEdura1on:Preferred2hoursoflearning/CME

•  ATendingcriteria:Scien-ficagenda(78%)&Statureofspeakers(77%)

•  CMEagenda:Aboutdiseaseguidelines(88%),newdrugs/device/interven-on(86%)

•  Aboutspeakerandvenue:PreferIndianspeakers(66%),localvenue(75%),andhavingface-to-facediscussion(64%)

•  Aboutproviders:DoctorsmostlypreferCMEprogramsdrivenbyMedicalSocie-es(87%)

CMESeekers–WhatTheyWant

•IndianpharmaretailMrktismorethanUS$20billion)(MAT

April’16)expectedtoreachUS$55billionatCAGRof23.9

•Highlyfragmentedmarket(morethan20thousand

registeredcompanies)

•  Morethan60thousandbrands(Branded+Branded

generic)

•  8%ofglobalPharmaceu-calproduc-on

•  3rdbyVolume&14thbyvalue

•IndiacurrentlyfacesthedualburdenofAcuteCommunicable

diseases(69.1%)&ChronicNon-communicableDiseases(30.9%)

•Indiaisacompletelybrandedgenericmarket

•Doctorss-llpreferstoprescribemedicinesofbrandedgenerics

•HealthinsurancecompanieshavenosayonRx

•85%ofcostofmedicinepurchasecomesfrompublicpocket

•MedicalRepresenta-vesarecri-calinbrandpromo-on

AboutIndianPharmaceu1calIndustryanditsInfluenceonSeekers

LIVEMEETINGSMolecule/Therapyconceptbuildingthroughlivemee-ngs,(Advisoryboard/RTM/FGD/LiveCME)+

Indian/Interna-onalKOLs-withandwithoutinvolvementofIndian/Int.Socie9es

SCIENTIFICBRAND/THERAPYPROMOTION

Therapy/brandbuildingthroughscien-ficevidenceviadifferentmodesCUSTOMIZED/

PUBLISHEDsolu-ons

PRINT/ONLINE/DIGITALCMEMedicaleduca-onthroughPrint/Online/DigitalCME

BRANDPROMOTIONGins/Me-tooBrand

Reminders

CONFERENCERegional/Na-onal/Interna-onal

Conferencepar-cipa-onsponsorship

GROUPTOURDoctoreduca-ontripfor

infotainment

1Doctor:60–70pa1ents/day,10–15MedicalRep/day,60–70Brandsexposure/promo1onaday………Mostofthelearningofseekersgetfundedbysponsors

IndianPharmaceu1calsCompanies-DoctorsEngagementModel

Areyou(indevelopedCMEsystem)execu1ngCMEwithoutpharmasponsorshiporwithouttheirinterference?1.  Yes2.  No3.  Yeswithfirebowl

CanweexecuteaCMEwithoutpharmasponsorshipinacomplexmarketlikeIndia?1.  Yes2.  No3.  Maybe

Ques1onsforAudience

MedicalCouncilofIndia(MCI)isastatutorybodywiththeresponsibilityof

•  Establishingandmaintaininghighstandardofmedicaleduca-onandrecogni-onofmedicalqualifica-oninIndia

•  Registeringdoctorstoprac-ceinIndia

•  Isresponsibleforestablishingandmaintaininghighstandardsofhealthcareintheirrespec-vestates•  Registersdoctorstoprac-ceintheirrespec-vestates(council)•  RecognizesonlyliveCME,confusionononlineCMErecogni-onButonly9outof26statemedicalcouncilsannouncedCMEcreditpointsystemoutofwhichMaharashtrahasmadeitmandatory

April2011MCIpassedaresolu1ononCMEas-“Mandatoryforalldoctorstoa.end30hrsofCMEinevery5yrs.Iftheyfailtoa.end,theirregistra<ontoprac<cewouldbesuspended”CMECreditpointscanbegainedby-• Asacoauthor/authorinindexedNa-onal/Interna-onalmedicaljournals• Dr.pursuingPGcourse–likeDiploma,MD,MS,DNBandDM(4points/year)• Dept.andins-tu-onalac-vi-eslikejournalclubmee-ng,mortalityconferenceetc.

StateMedicalCouncil

CMERegulatorsandRegula1oninIndia

RoleinCMEexecu1on:Morethan1,700branches,organizedmonthlyliveclassroomCMEswithlocalspeakerssponsoredbyPharmacompanies(Creditedbystatecouncilbutunstructuredandunorganized)

Objec1ves:•  Promo-onandadvancementofmedicalandallrelatedsciences•  Improvingthepublichealthandmedicaleduca-oninIndia•  Maintainingthehonoranddignityofthemedicalprofession

•  Annualscien-ficconferencefor4–5daysarractlargenumbersoftheirmembers•  Eachconferenceoffers15to20CMEcreditpoints•  AverageconferencebudgetvariesfromUS$1to3million•  Morethan80%fundingcomesfrompharmacompanies

IndianMedical Associa-on (IMA) isthe only representa-ve voluntaryorganiza-on of Doctors of ModernScien-fic System ofMedicine, whichlooksaner the interestofdoctorsaswell as the well-being of thecommunity at large.Membership isapprox.178,000.

CMEFacilitators–Doctors’Associa1onsandOrganiza1ons

CurrentReformonMCI

A Preliminary Report of the Committee

on the Reform of the Indian Medical

Council Act, 1956

NITIAayogGovernmentofIndia

August7,2016

KeyFindings/Recommenda1ons

CurrentStatus

Medical educa-on is at the core of the access to quality healthcare in any country. Accordingly, a flexible andwell-func-oninglegisla-veframeworkunderlyingmedicaleduca-onisessen-alforthewellbeingofthena-on.ItisagainstthisbackgroundthatIndiaadoptedtheIndianMedicalCouncil(IMC)Act1956sixdecadesago.WhilethisActprovidedasolid founda-on for the growth ofmedical educa-on in the early decades, it has not kept pace with -me. Variousborlenecks have crept into the system with serious detrimental effects on medical educa-on and, by implica-on,deliveryofqualityhealthservices.

TheCommiTeeobservesthattheMCIastheregulatorofmedicaleduca1oninthecountryhasrepeatedlyfailedonallitsmandatesoverthedecades.

“ “ Itgoesontoofferalistoffailuresthatincludes:

•  FailuretocreateacurriculumthatproducesdoctorssuitedtoworkingintheIndiancontext

•  Failuretomaintainuniformstandardsofmedicaleduca-on,bothundergraduateandpostgraduate

•  Devalua-onofmeritinadmission,par-cularlyinprivatemedicalins-tu-ons

•  Failuretoputinplacerobustqualityassurancemechanics

•  Failuretoproduceanystandardizedsumma-veevalua-onofthemedicalgraduatesandpostgraduates

•  Failuretocreateatransparentsystemofmedicalcollegeinspec-onsandgrantofrecogni-onor

derecogni-on

•  Heavyfocusonniry-griryofinfrastructureandhumanstaffduringinspec-onsbutnosubstan-alevalua-onofqualityofteaching,training,andimpar-ngofskills

CurrentStatus

StructureandRoleofaNewNa1onalMedicalCommission(NMC)

UGBoardofMedicalEduca1on&Training(UGMEB)

Todetermineandprescribestandardsandoverseeallaspectsofmedicaleduca-onatundergraduatelevel

PGBoardofMedicalEduca1on&Training(PGMEB)

Todetermineandprescribestandards

andoverseeallaspectsofmedicaleduca-onatthepostgraduateandsuper-specialtylevels

MedicalAssessment&Ra1ngBoard(MARB)

Todeterminetheprocessof

assessmentandra-ngofmedicaleduca-onalins-tu-ons

Na1onalBoardforMedicalRegistra1on(BMR)

•  TheBMRshallmaintainaliveNa-onalRegisterofalllicensed

medicalprac--onerstobeknownastheNa-onalRegister•  Regula-onofProfessionalConduct

2ndGAMEIndiaRegionalConference13th Feb. 2016, Hotel The Leela,

Mumbai, India

Anuniqueini1a1vetounderstandglobalCME-CPDprac1cesandadop1ngthemtoanestablishedIndianCMEecosystem

Withpar-cipa-onof

LeadersofIndianMedical

Associa1ons

Indian/State

MedicalCouncils

LeadersfromIndianPharmaIndustry

GlobalCMEexpertsfrom

GAME

LeadersfromIndianMedcomcompanies

AGAMEchangingeventintheIndianCMEscenario:Forma1onofIndianCMEcommunityplaoormandforum

1stGAMEIndiaRegionalConference18th Oct. 2014, Hotel The Lalit,

Mumbai, India

………..BuildingastrongCMEcommunityunderGAMEleadership

Morethan20speakersandpanelistspresentedtheirviewsonIndianCMEscenariovs.goodglobal

prac-ce

Arendedby100oddCMEstakeholdersofIndiaincluding

Industrythoughtleaders,Medicaleduca-onproviders,andHealthcare

providerthoughtleaders

Cross-func-onaldebateanddiscussionononestage(Industry,Medcom,MedicalSociety,and

Regulator)

…Neverhappenedbefore

Inaugura-onofmee-ngfromkeystakeholdersofCMEofIndiai.e.

Educa-oncommireechairman-MCI,President-IMA,MD-HealthcarecompanyandGAME-President

1stGAMEIndiaRegionalConference-Outcome

2ndGAMEIndiaRegionalConference

OutcomeofGAMEIndiaRegionalConferences

Outcome & foundation

•  Overall,thefirst2GAMEIndiaRegionalConferencesweresuccessstories

•  Allthemembersfounditveryinteres-ngwithhighapprecia-onforthecontentandexecu-on

•  AnerarendingtheGAME2ndconference,morethanhalfofthepar-cipantsfeltlikeamemberoftheCMEcommunitywheretheycoulddiscussimportantissuesrelatedtoCME

•  Accordingtoallthepar-cipants,tolearnaboutaccredita-onintheWorldandinIndiaaswellastolearnabouthowtoputtogethereduca-onalac-vi-eswerethemajorreasonstoarendtheconference

•  Recommenda-onsonCMEcameoutfrom3differentstakeholdersofCMEi.e.MedicalSocie-es,Pharmaceu-calIndustryandMedcomcompaniesinthefollowingareas:

1.  IndiamusthaveuniformCMEaccredita-onpolicyacrossallthestates2.  Indiashouldhaveuniformselec-oncriteriaforCMEproviders3.  CME-CPDsystemtofollowminimumprocessguidelines4.  AseparateCMEwing/departmentwithintheCMEproviders

(speciallyinmedicalassocia-ons/organiza-ons/medicalcolleges)5.  Allmodesoflearningshouldberecognized(online/liveandprint)6.  IndiamusthaverecognizedACCME/EU-ACME/RCPaccreditedCMEs(whicharerelevantforIndianHCPs)

•  HighdemandofdevelopedCMEworldcontentandtheirexperts

•  Newregula-onmayrecognizeACCMEandEU-ACMEaccreditedcontent

•  Greatneedtoadoptexper-seofdevelopedCMEworld’sprocess

(enhancedcollabora-onneeded)

•  Adapta-onofinnova-ondoneindevelopedworldinIndianmarket

•  Greatopportunityfortechnology-basedCMEinIndiainnearfuture

HowdevelopedCMEcommunitycanbuildsynergywiththeIndianCMEecosystem?

Thank You…