Advice Pool - Reference and Education

There is a profound Indian view about teaching which declares that the first principle of teaching is that nothing can be taught. This paradoxical statement may seem at first sight incomprehensible. But when we look closely into it, we find that it contains a significant guideline regarding the methodology of teaching. It does not prohibit teaching, since it is stated to be the first principle of teaching. It does, however, suggest that the methods of teaching should be such that the learner is enabled to discover by means by his own growth and development all that is intended to be learnt. It points out, in other words, that the role of t

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

he teacher should be more of a helper and a guide rather than that of an instructor. This would also mean that the teacher should not impose his views on the learner, but he should evoke within the learner the aspiration to learn and to find -out the truth by his own free exercise of faculties.

The truth behind this role of the teacher is brought out by the contention that nothing can be taught to the mind which is not already concealed as potential knowledge in the inmost being of the learner. One is reminded of the Socratic view that knowledge is innate in our being but it is hidden. Socrates demonstrates in the Platonic dialogue, 'Meno

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

', how a good teacher can, without teaching, but by asking suitable questions, bring out to the surface the true knowledge which is already unconsciously present in the learner. As we know, Socrates and Plato distinguished between opinions, on the one hand, and knowledge, on the other. They point out that whereas opinions can be formed on the basis of questionable sense-experiences, knowledge which consists of pure ideas is independent of sense-experience and can be gained by some kind of experience which is akin to remembrance. In other words, according to Socrates and Plato, knowledge is"remembered" by a process of uncovering.

Again, ac

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

cording to Socrates and Plato, virtue is knowledge. Therefore, what is true of knowledge is also true of virtue. just as knowledge cannot be taught but can only be uncovered even so virtue, too, cannot be taught but can be uncovered. But, here again it does not mean that there is no such thing as teaching or that the teacher has no role to play. It only means that the teacher has to be cognizant of the fact the learner has in him a potentiality and that his role consists of a delicate and skilful operation of uncovering what is hidden or latent in the learner. There is, indeed, an opposite view, which is advocated mainly by behaviourists,

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ho maintain that the learner has no hidden potentialities except some rudimentary capacities of reflex responses and that anything and everything can be taught to the learner by suit- able processes of conditioning which can be designed According to the goals in view. Thus Watson claimed that learners can be trained to become whatever you design them to become. According to this view, everything can be taught, all virtues and values can be taught and cultivated by suitable methods of conditioning.

It is not our purpose to enter into a debate with behaviourism. But it is a fact that even behaviourism acknowledges that conditioning presuppo

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

ses innate reflexes, and that the process of conditioning is dependent upon a reward-punishment system which, whether acknowledged or not, can be explained only if the learner has within him an innate drive towards some kind of goal seeking and fulfilment. In other words, even if we admit that external stimulation and conditioning are effective instruments of learning, it does not mean that stimulation and conditioning could work upon a subject that would be devoid of an innate capacity or drive to respond.

Moreover, the claims of behaviourism have been questioned by several rival theories of psychology. The school of mathematical logic,

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

for example, rejects behaviourism and prescribes that the aim in teaching should be more limited and that the claims as to what can be taught should be more modest. It maintains that the aim of teaching should be to teach procedures and not solutions and that the methods should be so employed that the mental processes are taken in the direction of mathematical logic. The Gestalt psychology maintains that there are in the learner basic perceptual structures and schemes of behaviour which constitute some kind of basic unity. It underlines, therefore, the presence of an innate intuition in the learner and it prescribes intuitive methods based

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

on perception, which are found largely in audio-visual pedagogy. Psychoanalysis has discovered an unimaginable large field of innate drives of which our active consciousness is normally unconscious. But Freudian form of psychoanalysis, which posited eros and than as the two ultimate but conflicting innate drives in man, has been largely over-passed by Adler, Jung and others. Modern psychic research is discovering in the sub-conscious a deeper layer which can properly be termed as subliminal, since it is found to be the seat of innate capacities of telepathy, clairvoyance, etc. As psychology is advancing, we seem to be discovering more and

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

more of what is innate in the learner. At the same time, we, are becoming more and more conscious of the necessity to be increasingly vigilant about the methods which we should employ in dealing with the learner. It is, however, sometimes argued that there is a valid distinction between knowledge and values and that while knowledge can be taught values cannot be taught. But when we examine this view more closely,we find that what is meant is that the methods which are valid and appropriate in the field of learning in regard to knowledge are not applicable to the field of learning in regard to values. We may readily accept this contention,

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

and we may insist on the necessity of recognising the fact that corresponding to each domain of learning there are valid and appropriate methods and that the effectivity of learning will depend upon an ever-vigilant discovery of more and more appropriate methods in each domain of learning. It is clear, for example, that while philosophy can be learnt by a process of discussion, swimming cannot be learnt by discussion. In order to learn to swim one has to plunge into water and swim. Similarly, the methods of learning music or painting have to be quite different from those by which we learn mathematics or physics. And indeed, when we come to

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

the realm of values, we must recognise the necessity of a greater scruple in prescribing the methods which can be considered to be distinctively appropriate to this field.

One speciality of the domain of values is that it is more centrally related to volition and affection, rather than to cognition. And yet, cognition too plays a great role in the training of volition and affection. This point needs to be underlined because of two reasons.

Firstly, it is sometimes assumed that value-oriented education should be exclusively or more or less exclusively limited to certain prescribed acts of volition and that the value-oriented learning shou

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

ld be judged by what a learner 'does' rather than what he knows. In our view, this is too simplistic and exclusive, and we should avoid, the rigidity that flows from this kind of gross exclusivism.

Secondly, and this is an opposite, view-it is sometimes argued that learning is primarily a cognitive process and, therefore, value-orientation learning should largely or preponderantly be limited to those methods which are appropriate to cognition. In our view this, too, is a gross exclusivism which should be avoided. We recommend, therefore, that while methods appropriate to, volition and affection should be more preponderant, methods appropr

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

iate to cognition also should have a legitimate and even an indispensable place. This is reinforced by the fact that the striving towards values stirs up the totality of the being and cognition no less than volition and affection is or can be stimulated to its highest maximum degree, provided that the value-oriented learning is allowed its natural fullness. Instruction, example and influence are the three instruments of teaching. However, in our present system of education, instruction plays an overwhelmingly important role, and often when we think of teaching we think only of instruction. It is this illegitimate identification that causes

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

much confusion and avoidable controversies. If we examine the matter carefully, we shall find that in an ideal system of teaching, instruction should play a much less important role than example and influence of the teacher. It is true that in the domain of learning where cognitive activities play a more dominant part, instruction through lectures and discussions may have, under certain circumstances, a larger role. But in those domains of learning where volitional and affective activities play a larger part, instruction through methods other than lectures and discussions should play a larger role.

In a system of education, where teachin

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

and instruction are almost identified, there is very little flexibility where example and influence can play their legitimate role. Moreover, our present system is a continuous series of instruction punctuated by home-work and tests which accentuate the rigidity of procedure and mechanical adherence to schedule of time-table syllabi and examinations. In this rigid and mechanical structure, the centre of attention is not the child but the book, the teacher and the syllabus. The methods which are most conducive to the development of the personality of the child such as the methods of self-learning, exercise of free will, individualised pace

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

of progress, etc., do not have even an elbow room. Indeed, if this is the system of education and if we are to remain content with this system of education, most important elements of learning will for ever remain outside this system, and we cannot confidently recommend any effective system of learning, much less any effective programme of value-education.

We envisage, however, that sooner rather than later, our system of education will change in the right direction. We believe that an increasing number of educationalists and teachers will come forward to break the rigidities of our educational system. We think that it is possible to mak

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

e our system more and more flexible. And we maintain that with the right type of training imparted to teachers, a more healthy system of education will eventually be introduced and will become effective. While on this subject, we would like to make comment on our present system of examinations. Apart from a number of undesirable aspects of our examination system, the one which is particularly conducive to what may be called "anti-value" is the tendency which promotes the idea that passing of an examination and earning of degree is the aim of education. We recommend that radical measures should be adopted to combat this idea and to introduc

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

such changes in our examination system whereby the educational process can remain unalterably fixed on the right aims of education.

We recommend a radical change in the examination system as a necessary condition of any meaningful value-oriented education.

It is sometimes argued that values can best be taught through the instrumentality of a number of subjects rather than through any specific or special subject, whether we may call it by the name of "moral education" or "ethics", or "value-education". We feel that there is a great force behind this contention and we readily recommend that a well-conceived programme of studies of various

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

subjects naturally provide, both in their content and thrust, the requisite materials for value-education.

The question, however, is whether our current programmes of studies have been so carefully devised as to emphasise those aspects which can readily provide to teachers and students the required opportunities, conditions and materials for value- education. We feel that much work remains to be done before we can give a confident answer in the affirmative. But even if our programmes of studies are revised, there will still remain the specific area of value education which, in our view, should receive a special, although not exclusive, a

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ttention and treatment. In other words, we feel that there should be in the totality of educational programmes a core programme of value-education. This core programme should be so carefully devised that various threads of this programme are woven into the complex totality of all the other programmes of studies. And yet, the central theme of value education would not form a mere appendage of all other subjects but would stand out as the over-arching and the supervening subject of basic importance.

We further recommend that a suitable study of this core programme should form an important part of teachers' training programmes in our country

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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