The article reports on the vacancy or temporary management of key positions in government medical institutions across Tamil Nadu, including critical roles such as directors of specialized departments and the Directorate of Medical Education and Research (DME). Doctors and officials note that these vacancies or 'additional charge' arrangements hinder effective administration and timely decision-making for patient care. Specific examples include the Director of Cardiothoracic Surgery at Rajiv Gandhi Government General Hospital (RGGGH) and the Surgical Gastroenterology position at Government Stanley Medical College Hospital (SMCH). A senior doctor highlights that the DME, responsible for overseeing 38 medical colleges and affiliated institutions, remains unfilled despite increasing demands for educational and administrative capacity. He criticizes the routine use of Full Additional Charge (FAC) appointments, arguing they undermine institutional authority and efficiency.
Bias read (Progressive): The article frames the issue as a systemic failure in governance, emphasizing the negative impact of prolonged vacancies and the misuse of 'additional charge' appointments. It highlights concerns about institutional effectiveness and accountability, aligning more closely with progressive critiques.




