new delhi the government today said any doctor going to the us for higher medical studies would have to sign a bond with it before leaving and honour the document by returning to india after finishing the study period from this year onwards any student going for further medical education to the us will have to give us a bond that he will come back after finishing the studies in the last three years 3000 doctors went abroad for studies and did not return now if a student does not come back from the us he wont be allowed to practice there health minister ghulam nabi azad said he said the us from this year onwards is insisting on a government noc to every student enrolling with an american institute for studies no other country except the us is asking for this noc those who apply to go to the us for studies from 2012 will have to give us a bond saying they would come back after finishing the studies if they dont fulfill the bond obligation we can write to the us to deny the student permission to practice azad told reporters here the minister also expressed the hope that the mci will give its approval to the proposed threeyear bachelor of rural health care course which seeks to create a separate cadre of public health professionals in the country to serve in rural areas he said the doctors organisations were not interested in the course doctors organisations are opposing the course i have no hesitation in saying that they have a vested interest to increase their practice azad said azad said there was a paucity of doctors in primary health centres as doctors only wanted to stay in urban areas the rural health care course was ready two years ago the curriculum is also ready states are free to implement the course as assam is doing but we wanted the mcis recognition to ensure uniform standards for the course across india we hope the mci will move fast on it he said the course azad said would create professionals above the level of paramedics and below the level of mbbs doctors the move is aimed at not just taming the quacks who have a field day in rural areas in the absence of adequate medical facilities there but also provide good medical aid to the rural population at their doorstep it is being opposed by doctors lobby as patients from rural areas rush to private practitioners in urban areas even as doctors organisations feel the creation of a new set of professionals would confuse the population and lead to devaluing the doctors official sources said