Bad medicine

Legitimacy of offshore medical school being challenged

Mere months after it accepted the first batch of students in April this year, the Washington University of Barbados School of Medicine (WUB) is facing questions about its legitimacy, as 15 of the 80 foreign students have indicated a desire to leave.

This follows the circulation of a letter sent to the media earlier this week via email by someone purporting to be a representative of the student body.

The writer claimed that the students, who are said to be mainly from India, were mistreated, harassed and were given false promises before they embarked on the journey here to study medicine.

The list of grievances included inadequate classroom furniture and equipment, a lack of air-conditioning, improper ventilation, poor quality food, a lack of study materials and, unlike traditional universities, no proper campus, with WUB operating from the Hibiscus wing of the Casa Grande Hotel at Oldbury, St Philip.

Serious concerns have been raised about the WUB, including those levelled by its Dean Dr Ram Prasad Upreti.

But most damning is a video believed to have been filmed by a student with a mobile phone, in which the university’s Dean Dr Ram Prasad Upreti expressed disdain for the campus.

In an emotional speech during which he received raucous applause, and in which he threatened to call Prime Minister Freundel Stuart, the unions, the media and even the police to intervene, Upreti all but dismissed WUB as a legitimate medical school.

“There are no books in the library, this is university? There is no drinking water, this is university? The students are kept like in a prison, this is university? No,” he said in the clearly edited video posted on August 2, 2017 under the heading, Dean Exposes Fake University.

“All of our faculty may leave this place. No salary is given to the faculty, they are crying. No salary is given to the staff, they are crying . . . . What the hell? This is not a university,” he continued, before suggesting he was prepared to quit but planned to stay on to fight for the students.

Dr Ram Prasad Upreti

In defending the school Director Deoraj Dalchand told Barbados TODAY the first batch of students to arrive here was originally scheduled to be enrolled at a similar facility in Guyana but had to be redirected because the medical board in India was late in providing the necessary documents to the Guyana school.

In any event, Dalchand said, the issues raised by the students were being addressed.

“It was done in a relative short time space so as to avoid any delays with their studying. Our main concern is that the students get what they need so we went ahead and started putting things in place, but some things took a little bit longer to get sorted out.

“[But] most, if not all of the complaints have been resolved, but those that haven’t been, we are working on them. I know they had concerns about the hospitals attached to the school, but the first hospital that we will need for any clinical studies will be in 2019. That is being done but not open,” he explained.

He said the medical school continued to hold discussions with the students and a timeline had been set to resolve the problems.   

“Some of the students, 18 or 19 of them, I’m not sure, were very interested in transferring from out the school and I told them . . . ‘is it a concern that you want addressed so that you don’t move?’ They said ‘no’. They just wanted to leave and it seems as though they have some grievances. If it is associated with the school, I don’t know what exactly the grievances are.  None of the students has come forward,” Delchand stated, adding that the university held no hard feelings against those who chose to leave.

“We at WUB are committed to providing a high quality of education, to ensuring that the environment for the students is in a manner that is in keeping with our goals and our mission and we will continue to do that.

Only last week we had the health inspectorate pay us a visit and they were very happy with what they saw. We were praised for what we have actually been doing. They actually pointed out a few things that we needed to be doing and we quickly dealt with it,” he added, while stressing that the school had all the necessary documents and its application for accreditation was before the Barbados Accreditation Council (BAC).

An official source has confirmed to Barbados TODAY that the BAC has received the documents, but stressed there were no guarantees that WUB would be accredited.

Minister of Education Ronald Jones has refused to comment on the development.

ryangilkes@barbadostoday.bb

14 Responses to Bad medicine

  1. Caroline Clarke
    Caroline Clarke August 5, 2017 at 1:07 am

    The AFricans now the Indians

    Reply
  2. Hewers of wood August 5, 2017 at 5:28 am

    Ok Ronald, this is your moment to shine. Don’t be two mouted now.

    Reply
  3. The Negrocrat August 5, 2017 at 7:56 am

    You mean three of four mouted, he passed two already.

    Reply
  4. Greengiant August 5, 2017 at 8:07 am

    This is not the first controversy with a medical school in Barbados. Can anyone remember the St. George’s Medical School now well entrenched in Grenada with a well respected reputation was started in Barbados. Gabby’s song ‘CADAVERS’ is about that scandal.

    The former scandal was under a B L P administration, so again history will show the photo copy concept.

    Reply
  5. Sisleen Greene August 5, 2017 at 8:49 am

    Mrs. Ram’s hotel/educational facility again? What is the greatness between her and the Government that they can allow an educational institution be set up in her place after all the earlier confusion with the Africans . Minister Jones please tell enlighten us, since you you were so elated that all these bogus medical schools were being set up here and about the foreign x exchange that the Island would earn.

    Reply
  6. lswiltshire August 5, 2017 at 10:11 am

    Please kindly note St. George’s Medical School was NOT started in Barbados.It existed in Barbados for a short time after the US intervention into Grenada.

    St. George’s Medical School was NEVER a scandal in Bim despite Gabby’s song. Gabby knew/knows nothing about Medical schools or cadavers.

    St. George’s Medical School is the best of the Carribean medical schools and is actually acredited by CAAMC
    CLEARLY GREENGIANT IS TOTALLY IGNORANT ABOUT MEDICAL SCHOOLS AS GABBY WAS AND AS RONALD JONES IS

    There is nothing wrong with Mrs. Ram’s hotel/educational facility when compared with places that I have seen where Carribean medical schools have been convened in the pass, and even currently. Examples include the Basseterre docks in an old building, up top a mall in St Lucia, in a bungalow in Basseterre, and I can go on.

    All of the troubles noted above are quite common at such schools.

    WUB is obviously not set up well. You just have to read their website.

    Reply
  7. lswiltshire August 5, 2017 at 10:20 am

    An offshore Carribean medical school is essentially a parasitic relationship between greedy business men and equally greedy and myopic politicians in cash strapped islands. Such politicians see the students brought to the schools as long term tourists who contribute to the local economy by paying rents and paying for other basic goods and services.

    NONE OF THESE SCHOOLS CONTRIBUTE ANYTHING TO ANY OF THESE ISLANDS. THEY DO NOT PROVIDE MEDICAL EXPERTISE OR EQUIPMENT , Or DO MEANINGFUL RESEARCH
    SOME DO NOT EVEN PROVIDE ADEQUATE FACILITIES OR STAFF
    VERY FEW EMPLOY LOCALS, EXCEPT AS WATCHMEN OR MAIDS OR SECRETARIES

    Reply
  8. lswiltshire August 5, 2017 at 10:59 am

    ONE OF THE FEATURES OF AN OFFSHORE IS THE GRANDIOSE STATEMENTS ON THEIR WEBSITES
    HERE IS AN EXAMPLE FOR WUB
    WUB – STUDENT FACILITIES
    Student facilities at Washington University of Barbados are extensive and abundant. The University has an in-house campus where the students and the faculty stays together under a single roof. WUB enhances the safety and security for the students through the security personnel serving 24/7. Barbados being a crime-free country makes it more secure for aspiring students and fearing parents.

    WUB provides the students the best food of their choice. The library at WUB is a treasure house of knowledge with hundreds of volumes of the most reputed medical books and journals. It also has access for online journals and multimedia sources so as to make a student to grow overall to his full potential.

    Considering all the above factors, students have the ability to choose their action in pursuit of their dream.

    COMPARE THIS WITH THE STATMENTS IN THE ARTICLE

    Reply
  9. lswiltshire August 5, 2017 at 11:11 am

    more lies from WUB website
    Washington University of Barbados’ mission is to provide an effective, sufficient and brighter future as successful doctors for highly dedicated students. WUB focuses on the student’s skills, knowledge, and talent required in establishing a sufficient and a successful career.
    WUB seeks to provide a universal medical education in an environment that appreciates humanity. Here, the students are taught in a way sufficient to be practiced all over the globe. Our aim is to teach the student to be innovative, characteristic and result oriented.

    Wish to study medicine in caribbean islands? Washington University of Barbados is one among the top medical universities in caribbean, located in the barbados.Washington University of Barbados medical school aims at providing the students with a high quality education in an affordable fee structure.

    Washington University of Barbados is a medical school with its campus located in the humble abode of Barbados, a beautiful island among the group of Caribbean Islands in the Central America.
    It has an amazing and eco-friendly campus enclosed with a fabulous green gallery. WUB provides well furnished and comfortable hostels separated for girls and boys. The campus of WUB is well-developed with modern technologies.

    The Faculty at WUB utilizes well equipped 3D technology with monitors connected to advanced media players to enhance the teaching experience. These lectures are recorded which indeed serves a great help.

    WUB serves with well equipped laboratories, medical libraries, well-furnished classrooms, patient examination room, computer stations and the best quality food. WUB seeks to provide a safe and secure environment to the students, faculty as well as the staff members, the reason it has security personnel 24 hours a day and 7 days a week.

    Reply
  10. gsmiley August 5, 2017 at 11:39 am

    It has nothing to do with location Sisleen Greene.

    This school could have been set up anywhere. The question is legitimacy.

    People were quick to cuss Dr Massy when he made his comments but he knew what he was talking about.

    Reply
  11. lswiltshire August 5, 2017 at 11:40 am

    One wonders why the students are complaining to a local newspaper instead of posting their grievances on the internationally read valuemd.com website so that all can know about this new bogus school. There is NOTHING ON VALUEMD ABOUT THIS MATTER.

    Things must be real bad there that students and faculty are complaining mere months after Washington University of Barbados School of Medicine (WUB) accepted its first batch of students.

    One wonders why the students from India, in particular continue to allow their countrymen to lure them to the Carribean to be “ mistreated, harassed” after receiving “ false promises before they embarked on the journey here to study medicine.”

    IT IS THIS INFLUX OF INDIANS (and Africans recently) THAT ARE KEEPING ALL OF THSE BOGUS SCHOOLS GOING. IT IS INDIANS THAT OWN AND RUN MOST OF THESe SCHOOLS.

    Perusal of the WUB website reveals that WUB promised proper facilities and a proper campus and food inter alia. The student complain of a lack of study materials but thy should have seen the libraries of IUHS , UHSA St Martinus or St James!

    What medical students don’t buy their texts online these days. Which serious med students don’t have their own texts?

    Reply
  12. lswiltshire August 5, 2017 at 11:49 am

    How do you define the legitimacy of an offshore school?
    BY THE HOST GOVERNMENT GRANTING THE SCHOOL A CHARTER TO OFFER DEGREES

    USUALLY MONEY IS PASSED UNDER THE TABLE TO THE MINISTERS OF HEALTH AND EDUCATION TO DECLARE THAT THE SCHOOL IS LEGITIMATE

    NONE OF THESE MORONS HAVE BEEN TO MED SCHOOL OR KNOW WHAT IS REQUIRED

    ALL THESE IDIOTS CAN SEE IS THE LICENSING FEE EVERYWHERE AND HOPEFULLY NUFF POTENTIAL “long term tourists”

    Reply
  13. Jimmy Jones August 5, 2017 at 2:01 pm

    But the minster of EDUCATION is proud to have so many medical schools and universities in Barbados. Perhaps he should be the minister of tourism.

    Reply
  14. lswiltshire August 6, 2017 at 5:48 pm

    A LITTLE MORE ABOUT BOGUS MED SCHOOLS
    Investigators want to know if the quality of offshore medical schools justifies the cost
    For decades, the school on the Caribbean island of Dominica has been accepting U.S. students whose poor test scores make it impossible for them to get into medical schools in the States.
    And though Ross is 1,500 miles from the mainland, U.S. residents who attend the school, and about two dozen other offshore medical schools, qualify for federal student loans.
    That has meant more than $150 million a year in government-guaranteed aid for Ross, which has about 3,500 students, double the biggest U.S. medical school.
    Ross and other foreign medical schools say they’re responding to U.S. demand for new doctors as the population ages.
    And there’s no question that these schools have produced thousands of practicing physicians. There are more than 80 Ross graduates in the Tampa Bay area alone.
    But federal regulators are taking a closer look at evidence suggesting taxpayers and students may be getting shortchanged by foreign medical schools.
    • At Ross, fewer than one-third of the students finish in four years, compared to nearly 100 percent at U.S. medical schools.
    • Since Ross, like other Caribbean medical schools, doesn’t have a teaching hospital, it pays hospitals stateside for students’ clinical training, with wide variations in quality.
    • Students of foreign medical schools like Ross graduate with higher average debt, $235,000 compared to the average $158,000 owed by graduates of U.S. medical schools, according to an August report to Congress by regulators.
    • About 20 percent of Ross graduates fail to land a residency, the key to a license to practice in the United States. If they cannot pay their student debts, taxpayers are left holding the bag.
    Steven Moxley, a former Navy corpsman, graduated from Ross in 2005 but can’t get a residency due to low test scores. Now 54, with $250,000 in unpaid loans, Moxley is working construction jobs in the Washington, D.C., area and renting a room from his son.
    “I’m living hand-to-mouth,” he said. “I’ve got debt out the ying-yang.”
    Started in a motel
    Robert Ross, a commodities trader in New York, opened his medical school in 1978 in a motel in Dominica’s capital at the suggestion of an employee whose son couldn’t get into medical training in the States. By 2000, Ross had sold majority interest in both the medical school and an affiliated veterinary school in St. Kitts to a group of New York investors. Three years later, both schools were acquired by DeVry for $310 million.
    Ross is the only offshore medical school owned by a publicly traded corporation, which must disclose more financial data than privately owned schools.
    Last year, DeVry, better known for its tech training schools, reported $165.7 million in net income after taxes. But the company also reported an additional $140 million in tax-free income from the Ross operations.
    In order to qualify for federal student loans, schools must report how many students default on their debt over the two years immediately after leaving school.
    Ross says less than one percent of its medical students fail to pay their loans during this time frame, but critics question how meaningful that is.
    “Lots of schools have developed very sophisticated hand-holding techniques to help their graduates or dropouts get through the two-year window without defaulting,” said Barmak Nassirian, spokesman for the American Association of Collegiate Registrars and Admissions Officers. “The student can be making $5 a month payments and the school can come out looking fabulous.”
    Ross graduate Robb Holley, a pediatrician who is interim director of newborn medicine at Tampa General Hospital, expects to have no problem paying off his $200,000 in school loans but is not in a hurry.
    “I could do it earlier, but I just bought a house,” the 41-year-old Tampa native said.
    The situation is different for Amer Alata, who got his M.D. from Ross in 2007, then quickly washed out of an internal medicine residency — and his prospects of becoming a physician. Now saddled with $470,000 in debt, he’s teaching part-time but has never been able to afford a payment, making him one of Ross’ official defaults.
    “I’m in a state of paralysis,” said Alata, 30, who lives outside Detroit. “The worst part is that I know I am not alone.”
    A spokeswoman for Ross, which has offices in North Brunswick, N.J., declined to discuss Alata’s case but defended the institution’s “high-quality education and successful student outcomes, comparable with U.S. medical schools.”
    “At a time when our country is in desperate need of quality physicians, they will help fulfill the unmet need and make important contributions to society,” said Ross’ Rebekah Herbison.
    The curriculum
    No one disputes that it’s easier to get into Ross than a U.S. medical school. Ross accepts scores on the MCAT, the standardized test all medical school applicants must take, as low as 17, compared to an average of nearly 31 at U.S. medical schools.
    Like all medical schools, Ross divides its four-year program into a basic science curriculum followed by hands-on clinical experience. But U.S. medical students usually spend two years in the classroom followed by two years in a teaching hospital on the same campus.
    Ross students have 16 straight months of concentrated coursework on Dominica, followed by a fifth semester of intense test preparation in Miami or Saginaw, Mich. Once students pass Step 1 of the U.S. Medical Licensing Exam, they’re assigned to two years of clinical rotations in hospitals around the country that have contracts with Ross.
    Like U.S. medical students, once Ross enrollees complete their clinicals and pass another standardized exam, they graduate with an M.D. degree, then go on to post-graduate residency training before becoming a licensed physician.
    Many Ross students don’t make it that far. Even after six years, only 66 percent of entering students graduate.
    Some students bail within days of arriving on Dominica, where there is little shopping and few restaurants. Others spend extra time on the remote island, repeating failed courses and running up debt. Ashley Sullivan, who had a 4.0 GPA during her two years at Ross, said one classmate was allowed to repeat three semesters he had failed. “He’s a dear friend, but I’m not sure I’d want him taking care of me,” she said.
    Sullivan lost faith in her physician-educators at Ross after they misdiagnosed her swollen arm as an allergic reaction. When she returned home to Houston, doctors there discovered she had a massive blood clot. Once recovered, Sullivan returned to Dominica only to learn that Ross was reneging on a promise that she could do her clinical rotation in a Houston hospital not officially affiliated with Ross.
    “My confidence in Ross had been obliterated and so I left,” she said.
    Now $100,000 in debt, Sullivan, 29, is working in management consulting for oil and gas companies.
    “I realized I wouldn’t have been proud of myself if I graduated from Ross,” said Sullivan, whose parents are helping with her loan repayments, keeping her out of the default category. “It was a horrible experience.”
    Hospital placement
    After finishing their coursework and passing the USMLE Step 1 exam, Ross students vie for clinical rotations at more than 70 locations nationwide that contract with the school.
    Michael Rendon, registrar at Ross from 2006 to 2007, said finding suitable clinical training sites was always a challenge.
    “Clinicals is the school’s Achilles’ heel,” said Rendon, now registrar at Texas A&M University at Corpus Christi. “There are simply not enough sites, and that problem is not going to go away anytime soon.”
    Anand Dasrath, 52, says he was forced out of Ross because of the shortage of clinical sites. A pharmacist from New York City, Dasrath finished his studies on Dominica with nearly a 3.0 GPA, but was told he flunked the semester in Miami, though he never received a formal grade.
    Back working as a hospital pharmacist, Dasrath, who took on about $60,000 in loans for school, is suing Ross for age discrimination and breach of contract. His lawyer, Salvatore Compaccia, said, “Ross takes your money, then when it’s time to place you in a hospital, they create an excuse to get rid of you.”
    A crisis arose in February when two New York hospitals where Ross had paid for 135 training slots closed, sending students scrambling. Graduates say there are always last-minute scheduling changes that can mean cross-country relocations and sites with widely disparate opportunities.
    Students doing clinicals in the States continue paying tuition to Ross, which at more than $30,000 a year is comparable to that at private U.S. medical schools. Yet Ross students say they have virtually no contact with the school’s faculty. That means they’re on their own if problems arise.
    Alata, the Detroit-area graduate, said he had a six-week psychiatry rotation supervised by a surgeon. “He gave me an assignment on cardiovascular disorders,” Alata said. “I never had the opportunity to interview a psychiatric patient. There was no clinical experience whatsoever.”
    During training in Miami, Alata, who speaks no Spanish, was unable to communicate with most of the patients.
    “Ross is supposed to monitor those sites, but in two years, I never saw anybody come to visit or ask me about them,” he said.
    Some students say they thrived despite the loose structure. Holley, the TGH pediatrician, said he sought out the toughest rotations and got valuable experience at his assignments.
    “The patients I saw in New York City were from all over the world, and I saw all kinds of diseases I would not see in Tampa,” he said. “I’m really glad I did it. It made for a well-rounded experience.”
    Dr. Mamatha Geddam, who recently joined a family medicine practice in St. Petersburg, also had all her Ross rotations in New York City. She said the students helped each other through.
    “It would have been helpful to have an academic adviser because we were quite a big herd,” she said. “But we learned from whoever had done it before.”
    Not ready for residency
    Alata said he received “very high evaluations” from supervisors during his clinical rotations in Miami, New York and Chicago and passed his mandatory USMLE Step 2 exam.
    But three weeks into a residency in internal medicine and pediatrics at Virginia Commonwealth University School of Medicine, Alata was suspended from all clinical activities because of poor performance. A few months later he voluntarily withdrew.
    “Once you start your residency, you find out how little you know,” Alata said. “It was a complete shock when I sat down with the dean and she said I should go back to Ross and tell them how inadequate my training was.”
    Officials at the Virginia college declined to comment.
    Directors of residency programs at the University of Florida College of Medicine in Jacksonville and Bayfront Medical Center in St. Petersburg, both of which have accepted Ross graduates, said they’ve seen these students succeed.
    “Once they’re here, we’re in training mode and they do fine,” said Dr. David Parrish, head of family practice residency at Bayfront, which has three Ross grads.
    But Dr. Peter Fabri, former dean of graduate medical education at USF College of Medicine, said his school has had a different experience.
    “The quality of clinical education Ross students get is very, very unpredictable,” said Fabri, a professor of surgery who retired as dean in September. “We’ve had some Ross students whom I’m told are superb, but we’ve also had a number from Ross who ended up being dismissed because they just didn’t have it. And it’s rare that any residents are dismissed.”
    More schools coming
    Fabri, who has served on national commissions on graduate medical education, said students from foreign medical schools are going to be at a growing disadvantage.
    Five new U.S. medical schools, including the University of Central Florida and Florida International University, have begun enrolling students and four more schools are in the permitting process. Those new graduates will make it tougher to get residency slots, which have not increased.
    “I have not encouraged our program directors to take students from Caribbean schools,” Fabri said. “And now that the competition is greater, I’m telling them to be very, very thoughtful.”
    In a report to Congress in August, the group that accredits offshore medical colleges recommended that the schools raise standards and improve reporting on everything from test scores to graduation rates to total cost.
    Rendon, the former Ross registrar, said he agrees with the need to stiffen entrance requirements.
    “We want doctors but we can’t give that kind of money to everyone who’s chasing a dream of being an M.D.,” he said. “We need to be a little bit more discriminating about who those tax dollars go to.”

    Reply

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