The inception...

 Gone are the days when MD/MS degrees were easily available after completion of MBBS. In India, some 50 years ago, its government used to send letters requesting MBBS graduates to come and join the PG course. Guess what? Many of them didn't turn up for PG training. For then MBBS was itself considered a complete degree and specialization unnecessary for routine clinical practice. Now the scenario has completely changed with the increase in the number of medical colleges and yearly output of MBBS graduates increasing year by year, the competition for the MD/MS/DNB degree has significantly increased. Current graduates and even MBBS students need to be aware of the competition and difficulty in getting post graduate degrees