May 7, 2009

Doctors Degrees and “Diplomatosis”

Dr Maung Maung Nyo


Prologue


Many doctors who graduated after the Second World War know that they are

degree holders as they were conferred the degree M. B., B. S. before they are

given the medical registration number (SAMA) to practise or work. However,

some old Burmese doctors are not medical graduates as they are LMP

(Licentiate of Medical Practice) granted by the Government of Burma.


(The Foremost Burmese University, University of Rangoon Celebrating

the Diamond Jubilee and Its Convocation Hall)


Of course, in France all the first degrees are called the Licensee that is equivalent

to a baccalaureate (First) degree. But, old holders of the LRCP, MRCS are

not degree holders as their medical qualification is granted by the Conjoint Board

of the Royal College of Physicians and Royal College of Surgeons.


(Dr Ba Than M.B.(Cal), FRCS (Edin), FACS, FICS


It is not a postgraduate degree either. Just after Burma’s independence one

LRCP, MRCS holding the consultant surgeon post at the Rangoon General

Hospital bragged about and boasted that he possessed the postgraduate degree in

surgery similar to Professor of Surgeon Dr Ba Than M.B. (Calcutta), FRCS,

FICS, FACS. But, he was not. He left Burma later.


(Old Rangoon Medical College, now University of Medicine 1, Lanmadaw,

Rangoon, Burma)


Many Burmese doctors are fond of writing their medical qualification behind

their names. It’s natural and necessary as the patients have the right to know

his doctor’s degrees, but some qualifications are superfluous. For example one

surgeon writes that he has FRCS (Edinburgh), FRCS (England) and

FRCS (Glasgow) because all three fellowships are equal or the same. It’s similar to

saying I have passed the matriculation examination thrice.


(University of Medicine 2, North Okkalappa, Rangoon)


Professor Kyee Paw ridiculed such persons when I was a final part 1I student

at the medical college in Rangoon in 1960. Two surgeons were coming back

from England with two fellowships each. Dr Kyee Paw said, “ Two Burmese

surgeons have come back from the UK to join our department.

Both of them are double FRCS!”


(Royal College of Surgeons, England at Lincoln's Inn Fields, London)


We applauded thinking that more fellowships meant more qualifications.

“No!” They have to learn from Sayagyi U Kyee how to operate! U Kyee Paw

was pulling their legs.


(University of Medicine Mandalay)


Professor Colonel Tin Ohn was angry with me for pointing out that the MRCP,

FRCS and FRCP are not degrees but diplomas. “Ko Nyo, you should not have

written that in your book”, he told me. “Why, Bohmugyi (Colonel)? I was telling

the truth as most Burmese doctors don’t know. I’m sorry if it hurts you”, I have

to explain to him.


(Senate House, University of London, England)


Professor Dr Aung Than Ba Tu also told us to agree in the 5th

Medical Education Seminar in Burma that FRCS, MRCP and Ph.D. are equal

postgraduate degrees. All the Ph.D. holders, professors and scientists, had

to explain to him that Ph.D. is a higher degree conferred by a university and

the MRCP and FRCS are the diplomas granted by the respective royal colleges

and so they are not the same. He was then chairman of the 5th Medical Education

Seminar and the Director-General of the Medical Research Department acting

as the D-G of the Department of Medical Education also.

(This is not personal, it’s a fact.)


(Royal College of Physicians, London)


Therefore, I wish to write about the degrees, diplomas and “diplomatosis” that is

the disease of writing many of them attached to one’s name in the medical

personnel of our country. This is purely academic and educational matter and

there is no personal thing involved. I am not directing or projecting to any one.


What is a degree or diploma?


A degree is a qualification conferred by an established university to a matriculated

student who has finished a course of study for a certain years satisfactorily and who

has passed the required examination. In this definition it is important that

the university was established legally by a royal charter in case of UK or by a law

as in Burma or in countries of the former British Empire. A private university must

have the government recognition like in Malaysia. Any other institution cannot

claim to be a university.


(Rangoon General Hospital, RGH, where Candidates for All Medical

Degrees and Diplomas are Trained)


A course of study for certain years is also important. The course must have

prescribed curriculum, syllabus that lasts for at least three years, usually four years,

for a first degree. Malaysia in the late 1990s granted first degrees after 3 years

from 4 years, now reverted back to a minimum of 3 and half years for the first degree.

So, if a person gets a degree after a period of less than the prescribed duration

of study, his degree may not be what he claims or not recognized by other

universities and government or employers.


A matriculated student means a student who has passed the prescribed examination

set for admission by the university. In Burma we call the 10th standard examination

as the matriculation examination as we had only one university (Rangoon) previously

and all the Burmese universities later accept the students who have passed the said

examination. In other countries it may be GCE A level (UK) or 12th Year Examination

(India) or Form 6 or equivalent examination (Malaysia). Any other student may not

be granted a degree.


A diploma is granted after finishing a course of study lasting less than 3 or 4 years

that is not eligible for a degree with or without examination (GTI and LMP).

The postgraduate diplomas are certificates granted by any higher institute of learning

like Royal Colleges in UK (MRCP, MRCS now, FRCS, MRCOG etc) or other

Government or Government Recognised Bodies (Barrister at Law, Diploma in

Teaching, DOMS, DTM & H etc.)


(Dr U E M.B./B.S.(Rangoon), LRCP (London), MRCS (England),

DTM H (London),MRCP(Edin), FRCP (London)


Intermediate Degrees are those granted before graduating for the professional

degree like B.Sc. (Honours or Special) in anatomy, physiology in the British

Universities and at Institute of Medicine 2, Yangon, Burma. They are also

known as the intercalated degrees.


(Maung Maung Nyo M.B., B.S.(Rangoon), Ph.D.(London)


Higher degrees are postgraduate degrees after the first degree like M.Sc., M.Phil.

or Ph.D. Oxford and Cambridge Universities called their Ph.D. as D.Phil.

At present an M.Phil. is higher than an M.A. or M.Sc. An M.Phil. candidate

must do research and submit a thesis based upon the research. An M.Sc. may be

given by reasearch or course work and by both in case of Burma.



(Dr Nan Ommar To be admitted to the Master of Science in Anatomy

Degree at the Institute of Medicine 1, Rangoon)


Highest degrees are D.Sc., D.Litt. or Doctor of Law. They are given based on

the publications of a candidate or by a written book. Only Dr Than Tun Ph.D.

got D.Litt. from the University of London.


A professor is more than qualified for any profession or field and you need

not state your degrees if you like to be humble and you are well known. But for

strangers and in publications you may describe your position and degrees together.


Note: An M.D. in UK is a postgraduate higher degree after M.B.B.S. or

M.B., Ch. B. degree. Only the holder of the first medical degree from the university

can pursue the M.D. course at the same university. Professsor Shwe Zan was

the only Burmese who got M.D. from the University of Edinburgh as he graduated

M.B., Cb.B. from there.


In USA and Canada, an M.D.

is the first medical degree. There is another medical degree in USA. That is D.O.

or Doctor of Osteopathy. An M.D. is said to be an allopathic medical practitioner.

Both State and University may grant M.D.


Professional and Other degrees


A medical degree is a professional degree. The word ‘professional” means

one can earn by using the training for the degree by practicing it. Only a privileged

member of that profession can practice and earn from it. Such professions

are doctors, engineers and lawyers, architects, accountants etc in the strict

sense of the word as each profession requires a long duration of training and

registration.


Most educators believe that the following minimum durations apply

to different categories of livelihood:


A profession requires a minimum of 4 (calendar) or 5 (academic) years

ike M.B., B.S. or B.Sc. (Engg.) or B.E. These have their respective professional

bodies like medical associations or royal colleges and regulated by the

Medical Councils and law.


A semi-profession requires less than 4 or 5 years but more than 2 years like nurses,

physiotherapists, dental technicians etc. They may also have their respective councils,

association and licensing bodies.


A trades require less than 2 or 3 years and only a certificate or diploma is granted

like laboratory technicians, ECG technicians, nursing assistants etc.

A certificate of training may be obtained by attending any course, long or short.

I have collected more than ten certificates after attending several workshops and

training at the University Malaysia Sarawak (UNIMAS) in Kuching.

It will be a shame to boast them.


Describing Qualifications


Medical doctors, dentists and nurses are required to state their qualifications and

as such doctors or physicians state their degrees and qualifications behind their

name like John Smith M.D. or Maung Maung Nyo M.B., B.S., Ph.D. But it’s

the norm to describe the highest qualification if the field of training is the same like

Daw Khin Nu M.B., B.S., FRCOG.


(Doctors With Degrees and Diplomas)

Last Row 2nd from L: Dr Sein Myint M.B.,B.S.(Rgn), FRCSE, FRCS (Eng.)


She does not need to describe her MRCOG or D.Obst., RCOG.

In other academic fields only the highest degree is stated like

Dr Hla Pe Ph.D.. He was professor of Burmese at the SOAS (School of Oriental

and African Studies) at the London University having omitted the B.A.(Hons.),

M.A. and Dip. Edu.


(Dr Hla Pe Ph.D. in Burmese from the University of London)


The medical personnel may state all his fellowships if they are different in the colleges

or in areas of specialty like U Kyee Paw M.B., B.S., FRCS, FACS, FICS, FCCP or

U Shwe Tin M.B., B.S., FRCS, FRCOG. Stating many fellowships of the same

specialty and equivalent rank are frowned upon by some like Johnny Smith

M.B., B. S, FRCS (Edin), FRCS (England), FRCS (Glasgow) etc.


(Professor Shwe Tin M.B., B.S.(Rangoon), FRCS (Edin), FRCOG (London)

with Medical Graduates of Institute of Medicine 2,Rangoon)


Many graduates are fond of stating their universities or royal colleges for their

degree and diplomas like me stating Maung Maung Nyo M.B., B.S. (Rangoon),

Ph.D.(London), M.A.(Michigan State), but my supervisor, the late Professor Ruth

E.M. Bowden, did not state the universities as it was assumed and known that she

was a graduate of the London University. She just stated as

Ruth E.M. Bowden M.B., B.S., D. Sc., F.R.C.S.


Dr Maung Maung Nyo with His Supervisor Professor Ruth Bowden OBE

M.B.,B.S.(London),LRCP (London), FRCS(England),D.Sc.(London)


The US medical graduates usually can describe only M.D. suffixed to their names

as the postgraduate trainings are only board certified. But, in the author lists for

textbooks and monographs it’s usual to state their qualifications in full like

John Smith B.A., M.D., FACS, FCCP etc. There are also M.D., Ph.D. or

M.D., D.J. and M.D. Ed.D.


“Diplomatosis”


The so-called “Diplomatosis” is such a disease or condition when a person collects

so many diplomas without being able to practice all of them at the same time and or

if he is fond of collecting and stating his diplomas and degrees of the same specialty.

Many Burmese suffer from this condition as we are fond of boasting our education in

the ABCD of English alphabets. I found a senior colleague of mine collecting

postgraduate diplomas in medicine such as DPH, DTM and H, DIH, DTCD and DOH

while he was in the UK. He died as an administrator in Burma.


(London School of Tropical Medicine and Hygiene where Many Diplomates

such as for DTM, DPH, DIH, DCMT etc are Trained)


It is amusing when a person states that he has two or three Ph.D. The present

SPDC Government conferred many professors with Ph.D. from foreign universities

like London and Glasgow with another Ph.D. honorary to upgrade their qualifications.

A Ph.D. is a higher degree in many universities and countries. Once you have got

Ph.D. it’s complete. You can do any research, you can publish any thing and you

can teach any subject. Therefore, it is not necessary to confer another Ph.D. to

a professor or lecturer who already has it.


Dr Hla Pe Ph.D.(London)


It’s also not good to state a degree or diploma that one does not have.

In the pre-war days in Burma a person stated his name with B.Litt (Oxon).

He did not know that only three Burmese had been successful to get it from

the Oxford University namely U Pe Maung Tin, Min Thu Wun and Daw Mya Sein.

So the Registrar of the Rangoon University asked the person concerned when and

where he got the degree from. The person wrote back that he liked the degree and

he just put it behind his name!


Sitting L to R: Saya Zaw Gyi aka U Thein Han M.A. (Rangoon) in

Burmese and History, Dip. Lib. (Dublin); U Wun M.A. in

Burmese (Rangoon) and B.Litt (Oxon); All other persons are M.A.(Rangoon)


For the medical people attaching an un-conferred medical degree may be jailed

as a bogus doctor. Dr Maung Maung Taik,Head of Forensic Medicine, used to

tell us about such charlatans.There are real charlatans in the medical profession.

Once, the Burma Medical Council took action to a person who stated his name

as Dr U Pho Toke M.B., B.S.without reallygetting it. He explained that he was just

writing in short form for Myanmar Beindaw Bamar Saysaya!


And there was a case of a chronic Final Part II M.B., B.S. student writing his name

as Maung Thin Mun M.B.,B.S. (Fin) as he was practicing in his town in

Tenesarim Division. Dean of Medical College and

Chairman of the Burma medical Council Colonel Min Sein had to cajole him for

writing such spurious degree. He said “Fin” meant to be final and not Finland.

He graduated only after studying for 11 years at the medical college!


False Degrees


Lately there are many Burmese people, both medical and non-medical, who are

fond of attaching Ph.D. to their names. Some got the Ph.D. by paying to an

un-recognized University and some got it by correspondence. It’s not good

for the medical graduates to covet them as they have no value what so ever in

the academic field. The Ph.D. obtained by correspondence is also of no value.


I once met a person who visited my home for one reason and he was surprised

that a medical doctor has a Ph.D. from the London University. He has a Ph.D.

in economics by correspondence from a little known European university while

he was staying in India.


In UK and Europe there are many medical people who were conferred Ph.D.

or D.Sc. or D.Litt., even D.LL (Law) by the respective universities either earned

or honorary on merits. We should strive to be like that.


Notable Burmese Doctors with Postgraduate Degrees


Professor Daw Yin May was the only Burmese who was awarded three fellowships

from three Royal Colleges of the UK. She was FRCS.FRCP and FRCOG.

And there was a disease named after her, Yin Mays’ Disease that is amoebic

vaginitis or vaginal ulcer. It was described in the Report of the Royal Free Hospital

School of Medicine, University of London, 1967, incidentally where I worked

for my Ph.D. from 1966 to 1969.


There were some other Burmese doctors with postgraduate qualifications

earned from two royal colleges like Professor U Shwe Tin FRCSE, FRCOG,

Professor Khin Maung Win FRCP, FRCPath.,


Colonel Ko Ko Gyi M.B., B.S.(Rangoon), American Board Certified

Internal Medicine and Psychiatry, Roughly Equivalent to FRCP and FRCPsych.


Colonel Ko K Gyi Board Certified Internist and Psychiatrist (USA) or two different

higher qualifications like Professor Daw Aye Yee (Rina Wong) M.B.,B.S.,

M.D. (Pathology), FRCPath. Professor U Shwe Zan was the only Burmese who

earned an M.D. from a British University as he got his first medical degree from

the University of Edinburgh.


Dr U Kyi, urologist, earned a Ph.D. in surgery from the University of Glasgow.

He was the only Burmese clinician with a Ph.D.


L: Dr Kyee Paw M.B.,B.S.(Rangoon), FRCS (Edin),FACS, FICS and

R: Dr Mang Maung Taik M.B.,B.S.(Lucknow), B.L.(Rangoon)


Dr Maung Maung Taik is the only Burmese doctor who was conferred a

Bachelor of Law degree in Burma as all medical doctors are not allowed to take

the law degree, not because it would amount to double professional degrees, but

because the Burmese doctors have not studied English up to the final year of the

undergraduate degree that is M.B., B.S. The old University of Rangoon rules

stipulate that a candidate for B.L. must have learned English language at least

for four yearsu to the final year of his study in the university to pursue a law degree.


Dr Eric Phoo Nyo has B.L degree as he already was B.Sc. and so he is

B.Sc., B.L. M.B.,B.S. Other forensic doctors could get only the

Diploma of Higher Grade Pleader after passing M.B., B.S.


Conclusion


A medical doctor must have a medical degree earned by strict training.

He can state his degree with his name as befitting the profession such as

M.D., M.B. or M.B.,B.S. and M.B., Ch. B. ( Bachelor of Medicine and

Bachelor of Chirurgery). Other postgraduate degree and diplomas or

memberships and fellowships may be added as earned appropriately usually

mentioning the highest degree only.



(The Great Shwedagon Pagoda at Night Symbolizing Tranquility)


Stating the different grades in the same specialty is amusing like Dr Ma Ma X

D.Obst. R.C.O.G., M.R.C.O.G., F.R.C.O.G.

or Maung Maung B.Sc.,M.B.,B.S., M.Sc. Ph.D. (Biochemistry).

The Royalty or government conferred honours may be mentioned in front of

their names or before their degree as follows:


Sir John Bland-Sutton FRCS

Sithu Colonel Hla Han M.B., B. S., D.P.H., DTM & H

Sithu U Maung Gale M.B. (Calcutta), D.P.H. (Calcutta)


With malice towards none but charity for all!


Dr Maung Maung Nyo M.B., B.S.(Rangoon), Ph.D.(London)

08.05..2009


References


Calendar of the University of London, England 1980

Calendar of the University of Rangoon, Rangoon.1923-24

Handbook of the Institute of Medicine 1, Rangoon 1969-70

Hla Pe, Dr. Pyinya Parami.(In Burmese).Rangoon, Daung Sarpay, 113,

33rd St., Yangon.1995

Rules and Regulations for the Higher Degrees of the University of London 1966

Report of the Royal Free Hospital School of Medicine, University of London 1967

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