Competency-Based Reforms in Ayurveda Education: Challenges and Policy Recommendations for the Implementation of the National Commission for Indian System of Medicine (NCISM).
Satyajit P Kulkarni, Malhari K Sirdeshpande, Anil A Bhawade, Pallavi S Kulkarni, Girishkumar M Damor
Abstract
Open AccessAyurveda, an ancient Indian medical system focused on holistic well-being, faces the challenge of integrating its foundational principles into contemporary healthcare, while adapting to modern scientific paradigms. This paper addresses the critical need for an updated educational framework to preserve traditional knowledge and enhance Ayurveda's integration into the broader healthcare landscape. This review synthesizes information on recent policy changes, curriculum updates, and pedagogical innovations in Ayurvedic education. It assesses their impact on standardizing and modernizing the training of Ayurvedic practitioners through a qualitative framework, informed by the direct observations and experiences of teaching faculties involved in the National Commission for Indian System of Medicine (NCISM) curriculum implementation. Significant reforms have established a competency-based curriculum, integrating modern medical sciences, clinical competencies, and research techniques with traditional Ayurvedic texts. Key initiatives encompass practical training modalities, student-centered pedagogical approaches, the provision of elective courses, specialized in-classroom and experiential out-of-classroom training, and the implementation of continuous internal assessment mechanisms. New regulations also mandate multidisciplinary faculty. However, persistent challenges include inadequate infrastructure, faculty shortages, limited research funding, and state-level variations in educational standards. Disparities in treatment and compensation between government-funded and self-financing institutions further complicate policy implementation. While Ayurveda education reforms are well-directed, effective implementation faces considerable hurdles. Overcoming these challenges requires collaborative efforts from policymakers, educational institutions, and healthcare stakeholders. The goal is to foster a scientifically rigorous, globally relevant Ayurvedic education system that produces competent professionals capable of contributing to national health objectives and promoting deeper integration of traditional and modern medical practices.