I think people do not understand some facts .First of all only and only if you have been good and sincere student in your MBBS days you can move further up.MD/MS seats are not bagged by simply studying for 1-2 yrs after internship .You need some solid basics behind you .Next in most of the government hospitals , private hospitals the patient is going to see the RMO (generally MBBS) for 80% of the time a doctor visits him .He is the first and generally the most competent of the medical team(nurses+paramedics+ward boys+ayahs) to assess the patient .The emergency and critical care management is primarily done by the MBBS .In good medical centres he is then backed up by consultants , specialists etc .The first brunt is on him .Actually junior doctors are paid less because the have not united themselves , more busy in studies
