Job chart for PG/Diploma/Super Speciality Doctors
Medical Education –
Compulsory Government Service – Prescribing certain guidelines formulating job
chart for the PG Degree / Diploma / Super Speciality Doctors to undergo
Compulsory Government service – Orders – Issued.
=================================================
HEALTH, MEDICAL
& FAMILY WELFARE (E1) DEPARTMENT
G.O.Ms. No.107
Dated.
18-7-2013
Read the following:
5. From the Registrar, Dr. NTRUHS, Lr. No. 5126/A2/2012,
Dt. 2-11-2012.
6. From the
Vice-Chancellor, Dr. NTRUHS, Lr. No. VC-2/2012,
dt. 7-11-2012
7. From the
DME, Lr. Rc. No. Spl /DME_A/2012, dt. 17-11-2012.
***
O R D E R :
In the
letter 5th read above, the Registrar, Dr. NTR University of Health
Sciences, Vijayawada has reported that the University of Health Sciences,
Vijayawada constituted an ‘Expert Committee’ to formulate job chart and to
suggest the emoluments for the PG
Diploma Doctors posted in the Secondary/Tertiary Health care centers, as per
Govt. orders.
2. In the letter 6th read above,
the Vice-Chancellor, Dr. NTR University of Health Sciences, Vijayawada has forwarded the Expert Committee
report regarding the Guidelines to formulate job chart for the PG
Degree/Diploma/Super Speciality doctors to undergo Compulsory Govt Service for
taking necessary action. The above mentioned Expert Committee report was sent
to Director of Medical Education vide Memo. dated:16.11.12 for his specific
remarks on the recommendations of the committee.
3. In the letter 7th read above,
the Director of Medical Education has requested that the purpose of this
Compulsory Govt. Service for the trainee
doctors is to see that the deficiency of the Specialist Doctors is reduced at primary and secondary health care
level. Specialist Doctors are
supplementing resources in a unique manner. Presently, the IMR in India is 54 per 1000 live births
and MMR is 195 Per 1.00 lakhs live births . The XII Five Year Plan puts the
targets as the IMR as 18 per 1000
live births and MMR as 54 per 1.00 lakhs live
births. To achieve this target by
2017, this scheme of Rural Postings
should be implemented strictly.
4. The Director of Medical Education has
also stated that the trainees will certainly have more chances for handling the
cases independently and take decisions independently, thereby the training is essential
for their own professional precision to handle the patients in normal non
sophisticated atmosphere and is simultaneously very much useful to the patients
in the rural setting. Violation of their bond shall invite them to
stern disciplinary action as per regulation 8.2 under Chapter 8 of the Indian
Medical Council (Provisional conduct of Etiquette and Ethics) Regulations 2002
amended up to December, 2010.
5. It is further stated that the Specialists trainees should maintain
strict discipline and stick to most ethical and legal clinical practice. The trainees are instructed to strictly
follow the hospital working hours. Any behaviour
of indiscipline, absenteeism and absconding from responsibility / duties will
be viewed seriously. They should not get
involved in any anti social activities or any political activities. They are not entitled for any sort of private
practice during the period of training.
As far as the security and safety is concerned, the same security and
safety provided to the Senior Doctors already will be provided to these
trainees also. As the honorarium is
almost equal to the 1st salary of Civil Assistant Surgeon / Tutor /
Assistant Professor, the accommodation and housing shall be taken care by the
trainees only. In case if accommodation
is available in the hospital premises, they can be offered in the hospital
premises where they are working.
6. All the trainee doctors shall maintain a
log book and submit at the end of the training to the Director of Medical Education
(Academic) duly signed by the local in
charge of the concerned hospitals. The trainee doctors will show utmost care
and concern for those patients coming to the Government Hospitals and maintain
cordial relations with the patients and patient attendants. The trainees shall
bring to the notice of the higher authorities from time to time the deficiencies
found by them in the centre where they are working as a feed back for immediate
rectification, for improvement of overall working atmosphere in the hospital. Hence these trainees will be invited to
meetings of Hospital Development Society. The trainees also take it as an experience to work culture to serve the patients in
odd and emergency circumstances.
7. The Government after examination of the
recommendations of the Committee on the formulation of the guidelines for postings, job chart and
responsibilities for the Residents and
also the suggestion of Director of Medical Education in consultation with all
the authorities concerned, recognizing
that this valuable service of a specialist is of significant advantage to the Medical
Institution issue following guidelines:-
I. Suggested the guidelines for posting
a)
Nomenclature for Residents posted at various
levels of compulsory service:
1) Junior Resident
– To be filled by those who have passed MBBS degree.
2) Resident
Specialist (Degree)
Resident
Specialist (Diploma)
Resident
Specialist (Degree - *)
Resident
Specialist (Diploma - *)
* Who
could not complete the Degree.
3) Resident
Dentist (PG)
4) Resident
Super Specialist
b) The
Compulsory Government Service shall be
undergone after successful
completion of Medical Post Graduation/Diploma/DNB course / Super
Speciality Degree courses and Dental Courses(except service quota candidates)
including all Government & Private colleges and Minority colleges.
c) The
Doctor will be appointed in the institutions under Director of Medical
Education/APVVP/and Director of Health.
d) The above
conditions will be applicable for all Doctors who come through All India quota
as and when applicable.
e) The
Doctor should normally complete Compulsory Government Service posting within a
period of 12 months itself from the date fixed in the posting orders. They will
be eligible for weekly off, post duty off and twenty days of casual leave. They
will not be eligible for any other leave. i.e., the Doctors should complete 345
days of duty including weekly off/duty off. The Director of Medical Education
(Academic) will issue completion certificate for the “Compulsory Government
Service” based on the report received from District Medical and Health
Officer/Director of Health/Commissioner, APVVP/Director of Medical
Education/Principals of Medical Colleges.
f) Extension
or long leave beyond 20 days of casual leave will be given only on
pregnancy/maternity related grounds. Only the Director of Medical Education
have the power to sanction such extension for a particular period from the date
of posting on genuine and unavoidable grounds subject to the specific condition
that they will complete the Compulsory Government Service after the extension
period is over.
g) If they
violate the bond condition either by not joining or by not completing the
stipulated service period of one year within a maximum period of 18 months
after obtaining the PG Degree/Diploma/Super Speciality, Rs. 15,00,000/- for Diploma and
Rs. 20,00,000/- for PG Degree candidates shall be levied as penalty from those
who violate the bond conditions. In addition, violation of their bond shall
invite them to stern disciplinary action as per regulation 8.2 under Chapter 8
of the Indian Medical Council(Provisional conduct of Etiquette and
Ethics)Regulations 2002. Candidates failing to fulfill the government service
within the stipulated time or extended time will not be permitted to undergo
further studies in any government institutions or enroll in government jobs in
the State. The details of such candidates will be reported to the Medical
Council of India/Dental Council of India for appropriate action. In addition to
this, compensation and other expenses met through public money for their
studies shall be recovered through revenue recovery procedure from such
defaulters/sureties, as fixed by the Government.
h) Besides above
fines, Doctors who do not comply with the provisions of the Act will not be
given additional degree registration in the permanent registration of the AP
State Medical Council and AP Dental Council to carry on their profession in the
State. The Principals of the Colleges
shall not forward for registration unless the Compulsory Government Service is
completed. The Principals concerned
shall not release the original certificates deposited in the colleges at
the time of joining in PG/Super Speciality Courses, unless the Compulsory
Government Service is completed.
Such
candidates who appear for entrance
examinations for DNB / PG, will be issued their original certificates upon
their qualification for admission with a bond
worth of Rs.20.00 lakhs ( twenty lakhs ) stating that, they will complete
their remaining period of compulsory Govt. Service after completion of the further studies. If a
candidate gets into super specialty degree immediately after completion of PG
degree, he/she has to do the compulsory Govt. service after completion of Super
Specialty Degree.
i) The
candidates who have done one year of Compulsory Government Service under bonded
obligation with the government after MBBS will not have to do Compulsory
Government Service again after the completion of PG degree/diploma/Super Speciality
courses. However, those who could not complete or have not done Compulsory
Government Service posting for one year after MBBS/BDS for any reason will have
to do the Compulsory Government Service after PG/Super Speciality Course for
remaining part of one year obligatory service. Thus, the cumulative effect of
Compulsory Government Service under bonded obligation shall be one year only.
II. Regulations for posting
A
separate cell shall be established under the Director of Medical Education
(Academic). A committee with the following composition shall be
constituted :
i.
Commissioner, Family Welfare – Chairperson
ii.
Director of Medical Education (Academic) Vice-Chairperson
iii.
Mission Director, NRHM
iv.
Commissioner of APVVP or Representative
v. Director
of Health or Representative.
2. The Registrar, Dr.NTR University of
Health Sciences shall send an updated list of all eligible candidates with
merit scored in the PG theory examinations marks to the Principals of all
Medical colleges within one week after announcing the results. The Registrar
Dr. N.T.R University of Heath Sciences shall also send an updated list of
eligible candidates after successful completion of the PG Degree / Diploma / Super Specialty / DNB,
to the Director of Medical Education ( Academic ) for further processing. Then,
the Director of Medical Education(Academic) shall start the process of
counseling for posting of the Doctors for Compulsory Government Service. The
Doctors concerned shall apply to the Director of Medical Education in a
prescribed format (indicating contact mobile/phone/e-mail/residential
address/alternate telephone numbers) through office of the concerned Principals
speciality wise. The entire process of counseling and posting shall be
completed in a period of two to three weeks from the announcement of the
results. In circumstances of delay in posting for any reason, the period will
be deemed as on duty.
3. Allotment of postings for Compulsory
Government Service posting will be made by the above Committee. After counseling,
the Doctors will be allotted to Principals of Government Medical and Dental
colleges, District Medical & Health Officers, Regional Directors,
Superintendent of APVVP hospitals. Non clinical Postgraduates shall be given
posting in any of the Government colleges in the State including RIMS.
Super Speciality Postgraduates shall be
given posting in Government Medical Colleges ,
or Super Speciality Hospitals
subject to availability of the facilities and requirements of the concerned
departments. Dental Postgraduates shall be posted to Dental Medical Colleges, Government Medical Colleges
and District Headquarters hospitals.
4. Posting orders will be issued by Director
of Medical Education, Academic with a copy to CFW, in consultation with the committee. The final attendance register will be
maintained in the O/o the DME. The Honorarium
will be paid by the DME on line every month before 7th like a
central pool.
5. In case, any resident Doctor does not
report for posting within 15 days, the concerned District Medical
& Health Officer,/ District Co coordinator of Hospital Services / Principals/ Dean or Director of RIMS Hospitals shall report to DME Academic, with a copy to
DPH / Commission APVVP / Commissioner Family welfare, for further action.
6. Grievance Redressal: In matters of any
grievance, the first representation shall be made to the Director of Medical
Education: next authority shall be Commissioner, Family Welfare: Final
authority shall be the Secretary, Medical and Health, Andhra Pradesh. All the Grievances must be routed through the
Director of Medical Education( Academic) for redressal.
III.
Job chart
and responsibilities of the Doctors working in the Compulsory Government Service
a. They
shall attend to outpatient duties.
b. They
shall attend to inpatient duties.
c. They
shall do evening rounds.
d. They
shall do night duties as per the schedule fixed by the HOD of the department / Superintendent.
d (a) The Specialists trainees shall attend the
OPD work, inpatient rounds and also attend the surgical treatments and
must do evening rounds and also do the night duties as per the schedule
fixed
e.
They shall attend to pre operative and post
operative care of the patients in surgical specialities. They shall attend to
the responsibilities allotted in operation theaters.
f.
They shall attend to academic work like case
discussions, workshops, CMEs, seminars, journal clubs, publication and research
activities.
g.
They shall attend to Camps, Government
Programmes, National Health Schemes as scheduled by the Head of the
Institution.
g (a) While the
Specialists Trainees working in Area
Hospitals / Community
Health Centers
/ Dist. Head Quarters
Hospitals shall primarily
attend their Speciality work, they shall
fully share the common responsibilities and general duties of that
particular hospital under the supervision and guidance of the in-charge of the
hospital. A Specialist Trainees shall
not avoid general duties under any circumstances for smooth running of the
hospitals.
h.
They shall work under the Assistant
Professor/Civil Assistant Surgeon in assisting Medico Legal work.
i.
The Doctors in Forensic Medicine shall do
postmortem work.
i (a)Junior Resident and Resident will assist
in conducting the postmortem work
without fail.
j.
The Doctors in non clinical subjects shall
do the work in their departments as per the work allocation by the Head of the
Department/ Superintendent.
k.
In Medical colleges, they shall work under
the Senior faculty members in the unit like Assistant Professor/Associate Professor/Professor.
l.
In hospitals under Medical Colleges, they
shall be under the direct control of the Superintendent who will maintain their
attendance and forward the same to the
Principal.
m. In
smaller hospitals, they shall work under the Senior Medical
Officers/Superintendents/Regional Coordinators
n.
In APVVP hospitals they shall work under the
Superintendents/DCHs/Civil Surgeon specialists.
o.
The Residents (Degree / Diploma/Super
Speciality) who fail to complete the course shall also perform the compulsory
Govt. service and the period so rendered will be deducted from the one year mandatory service to
be rendered by them after completing the
course.
Emoluments :-
The
following consolidated monthly remuneration to “Resident Specialists’ who are
under compulsory Govt. service is proposed:-
1. Resident
Specialist
a) Resident
Specialist Degree (PG) Rs. 30,000/- P.M.
b) Resident
Specialist Diploma (PG) Rs. 28,000/- P.M.
c) Resident Specialist (Degree *)
Rs. 25,000/- P.M.
d)
Resident Specialist (Diploma *) Rs. 24,000/- P.M.
*
Who could not complete the Degree/Diploma , as the case may be.
2. Resident
Dentist (PG) Rs. 28,000/- P.M.
3. Resident
Super Specialist Rs. 35,000/- P.M.
8. The Director of Medical Education, A.P.
Hyderabad / Registrar, Dr. NTR University of Health Sciences, Vijayawada shall take necessary action in the
matter accordingly.
9. This order issues with the concurrence of
Finance Department vide their U.O. No.
6592/PFS/(R&E)/2013, dt. 12-7-2013.
(
BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
L.V. SUBRAHMANYAM
PRINCIPAL
SECRETARY TO GOVERNMENT
Post a Comment