India’s medical education system has expanded rapidly over the years, but serious concerns remain about quality, access, and the gap between training and real-world healthcare needs. With increasing demand for doctors and healthcare workers, the present model of medical education is struggling to keep pace. Issues like limited seats, rising costs, uneven distribution of colleges, and outdated curricula have created barriers that need urgent attention if India is to ensure a stronger healthcare future.
I felt it was important to write on this topic because medical education in India affects not just aspiring doctors but also the quality of healthcare millions of people receive. The COVID-19 pandemic highlighted how critical a robust medical system is, yet many young students with the potential to become good doctors are either blocked by limited opportunities or pushed to study abroad. This is not just about producing more doctors but also about ensuring they are well-trained, ethical, and prepared for modern challenges. By talking about these issues, we can start thinking about the reforms needed to build a fairer and stronger medical education system in the country.
Limited access and rising demand
India has over 700 medical colleges today, but the demand for seats is far higher than supply. Each year, more than 20 lakh students appear for NEET, yet only around 1 lakh manage to secure a seat in MBBS. This competition leaves many talented students out, forcing them either to give up or spend huge sums to study abroad.
The problem of affordability
Medical education in private colleges is extremely expensive. Many families spend upwards of ₹1 crore to get a medical degree. This not only puts students under financial pressure but also raises concerns about accessibility for those from less privileged backgrounds. If the system continues this way, medicine may become a profession accessible only to the rich, which is unhealthy for a diverse country like India.
Curriculum vs. reality
Another challenge is that much of the curriculum is outdated and heavily theory-driven. While students study large volumes of medical science, the system often fails to train them adequately in practical, patient-centric care. Emerging fields like digital health, preventive medicine, and mental health often don’t get enough attention in the syllabus, even though they are vital in today’s context.
Shortage of faculty and infrastructure gaps
Many colleges face an acute shortage of trained faculty, especially in rural areas. The imbalance in infrastructure between top-tier government institutions and newer colleges further widens the quality gap. Students in rural or smaller colleges may not get the same level of exposure as their counterparts in established institutions.
The way forward
Reforms are urgently needed in several areas:
- Expanding medical seats without compromising on quality
- Revising curriculum to include modern healthcare needs
- Making education more affordable through scholarships and regulation of private fees
- Strengthening faculty training and infrastructure across colleges
- Encouraging rural postings and primary care training to address India’s doctor shortage in villages












