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Pakistan’s Senate Health Subcommittee held an important meeting to discuss concerns surrounding the Medical and Dental College Admission Test (MDCAT), the country’s medical education policies, and the increasing number of students pursuing medical education abroad. The session was chaired by Senator Samina Zehri, the convener of the subcommittee, and attended by Federal Health Minister Mustafa Kamal, Senator Anusha Rahman, Senator Shahzaib, and officials from the Pakistan Medical and Dental Council (PMDC). During the meeting, Senator Samina Zehri highlighted the significant differences between Pakistan’s FSc (Faculty of Science) education system and the internationally recognized A-Level qualification. She remarked that Pakistan’s education system is well known for its challenges and that the disparity between the two academic streams should not be overlooked when formulating admission policies for medical colleges. Responding to these concerns, Federal Health Minister Mustafa Kamal stated that the MDCAT examination is designed in a way that does not favor either A-Level or FSc students. He explained that the test includes questions that can be answered by candidates from both educational backgrounds, ensuring fairness in the admission process. According to the minister, the examination aims to assess students’ knowledge and aptitude rather than the curriculum they have studied. Mustafa Kamal further suggested that a detailed analysis should be conducted to determine how students from different educational backgrounds perform in the MDCAT. He pointed out that approximately 95,000 students had passed the examination and proposed collecting data from the past five years to determine how many successful candidates came from A-Level and FSc backgrounds. Such data, he said, would provide evidence-based insights for future policy decisions. The minister also assured members of the committee that the details of the assessment committee responsible for the MDCAT would be submitted within 24 hours. In response, Senator Anusha Rahman stated that the Senate committee was currently assisting the ministry in reviewing the admission process and therefore required complete information about the committee members involved in preparing and evaluating the examination. Following the discussion, Federal Health Minister Mustafa Kamal formally assured the committee that all requested information regarding the assessment committee would be provided within the promised timeframe. During the meeting, Senator Anusha Rahman also called for a review of the Pakistan Medical and Dental Council’s (PMDC) current policies. She emphasized the need to reassess regulations to ensure they effectively address the concerns of students and maintain the credibility of Pakistan’s medical education system. Senator Shahzaib raised another important issue regarding Pakistani students who intend to pursue higher medical education abroad. He questioned why graduates of Pakistani universities who plan to enroll in medical institutions overseas are still required to take the MDCAT. Referring to a recently issued advertisement, he noted that the existing policy appears to require these students to pass the admission test even if they have no intention of studying medicine within Pakistan. In response, Health Minister Mustafa Kamal acknowledged the concern and assured the committee that the policy would be reviewed. Senator Anusha Rahman added that while reviewing the policy, authorities should also ensure that students planning to study abroad avoid enrolling in institutions that have been identified as “red-flag” universities or those lacking proper accreditation. The Chairman of the PMDC Reforms Committee informed the meeting that students intending to study medicine overseas are required to register with the PMDC before leaving the country. This registration process, he explained, helps the regulatory body monitor students and maintain standards for foreign medical qualifications. Highlighting another major concern, Health Minister Mustafa Kamal stated that around 40,000 Pakistani students travel abroad each year for medical education, taking an estimated US$800 million out of the country. He stressed that this represents a significant financial outflow and underlined the importance of strengthening Pakistan’s own medical education system. However, Senator Anusha Rahman offered a different perspective, arguing that many of these students eventually return to Pakistan after completing their education and contribute to the country’s economy through their professional earnings. She suggested that while the government should improve local opportunities, it should also recognize the long-term benefits that internationally educated professionals can bring back to Pakistan.