It is the obligation of Indian Government to serve the rural poor. Modification in the Indian Medical Education system is the need of the decade in order to fulfill this obligation and bridge the national urbanrural gap in health care. The recent introduction and subsequent withdrawl of rural posting after the basic medical education course (MBBS) in India introduced a new controversy to the medical education system. A 7-year integrated MBBS-MD course-MBBS (4 year) + MD (3 years) may bring much needed respite to the students aimimg for post-graduate medical education within India and a clinical posting of 3- onths duration (depending on the intern’s choice/availability) during internship may facilitate the interns/fresh medical graduates to get a better exposure to their chosen speciality, medical problems, management and technology. Introducing 3 or 6 month rural posting(s) during/at end of the integrated curriculum might be welcome as it would facilitate learning about community and social problems in India and to get good exposure of the countries’ medical problems. Adequate provision of newer technologies and diagnostics in rural setups through NRHM and state/central/NGO fund will benefit the rural population as well as the medical recruits in continuing medical education. The community work in our country may be further  addressed through increase in rural posts and better service regulations, which may be achieved by setting up of additional Rural Health Service (RHS) Cadre or the Rural Medical Service (RMS) Cadre with additional benefits for those opting for it. Provision of optional/voluntary rural posting clause in the existing services, with additional service benefits, may be another option to strengthen the rural healthcare sector.