Nepal Medical Council

By: Prof. Dr. Dharma Kanta Baskota

Chairman, Nepal Medical Council

7 Ashoj 2017, Wednesday

National Annual Health Review 2073/74

Key Functions:

1. Quality control of Medical Education (allocation of seats as per resource available)

2. Quality control of Health Services (Licensing, specialty Exam)

3. Ethical Health Care Practice (ethical guidelines)

4. Standardization of Health Care Practice (as per protocol)

5. Disciplinary Action (suspense Practicing license)

National Annual Health Review 2073/74

• Province 1: BPKIHS (UG-PG-SS- Med-Dental), Nobel (UG-PG-Med-Dent), Birat (UG-Med)

• Province 2: Janaki (UG-Med), National (UG-PG-Med), MD Kedia (UG-Dental)

• Province 3: MMC (UG-PG-SS- Med-Dent), KUMS (UG-PG-Med-Dent),PAHS(UG-PG-Med) ,

NAMS (PG-SS- Med-Dent), NMC (UG-PG- Med-Dent),KMC (UG-PG- Med-Dent), NAIHS (UG-

MED), Kist (UG-PG- Med-Dent), Kantipur (UG-PG-Den), Peoples (UG-PG-Den), CMC (UG-

Med-Den), COMS (UG-PG- SS- Med-Dent)

• Province 4: PAHS (Not started), MCOMS (UG-PG-SS- Med), Gandaki (UG-Med-Den)

• Province 5: UCMS (UG-PG-Med-Dent),Nepalgunj(UG-PG- Med), Lumbini (UG-PG- Med),

Debdaha (UG-Med)

• Province 6: KAHS (No UG/PG Program)

• Province 7: Nil

Distribution of Medical colleges: Province:

National Annual Health Review 2073/74

ProvinceNumber of Institutions Functioning

Available Seats in Year 2073/74 (2016)

Bachelor Level Masters & Above Remarks (Public/private)

No. % Filled

No. % Filled

1 1+2=3 295+65=360 100% 107 ~96% BPKIHS (M+D)/ 2 private

2 3 195+30=225 88% 30 ~90% All private(1 Dental)

3 4+8=12 901+320=1221 100% 328 99% MMC,NAMS,KUMS(M+D),PAHS(M) 8 private=2 Dental

4 2+1(=3) 205+20=225 99% 40 1005 PAHS (not started)

5 4 354+50=404 100% 64 ~96% All private (M=3, D=1)

6 1 Nil Nil KAHS: No UG, PG

7 Nil Nil Nil

Total 26 (2: not started)

1950+405=2435 97.4%

569 96.2%

Academic Programmes

National Annual Health Review 2073/74

ProgramsType of Institutions

Public Private Foreign

Bachelor Level 98% 82% 49%

Masters & Above 92% 76% 42%

Total NA NA NA

Success Rates of Council Examinations in First Attempt [% of students who passed the council examinations in their first attempt]

National Annual Health Review 2073/74

Professionals by Level No. of professionals

Bachelor Level 20,732 (Dec.2016)/1960 (Dental)

Masters & Above 5159(Dec.2016)

Total health professionals NA ( till date: 21,225/5624)

Note: Please write ‘NA’ if not applicable

Density of Health Professionals (FY 2073/74): 2016

National Annual Health Review 2073/74

Levels

No. of Professionals

Target in Number

2070/71(2014)

2071/72(2015)

2073/74(2016)

Total(Dec 31,2016)

2075/76 2076/77 2077/78

Bachelor Level 1672 2680 2453 =20,732

Masters & Above 650 837 672 =5,159

Total Health Professionals

NA NA NA

Registered Health Professional Status and Targets[Number of registered health professionals in the last 3 years and the targets for 4 years)

National Annual Health Review 2073/74

Major Achievements in FY 2073/74

• Revision of Ethical Giudelines-2017 for practicing Medical Doctors

• Revision of Accreditation Standards of MBBS-2017 program

• Revision of Regulations of Post Graduate Med Education: MD/MS

• Revision of Regulations of Post Graduate SS Med Education: DM/MCh

• Revision of Accreditation Standards of BDS program

• Formulations of Regulations of Post Graduate Med Education: MDS

• Revision of Act of NMC (Submitted to MOH)

• Online submission of exam form (licensing/ specialty exam)

• IT friendly organization (under process)

• Renovation and restructuring of NMC Building

National Annual Health Review 2073/74

• Introduction of CPD program (Final phase)

• Updated Faculty list of all medical colleges

• Regular Interaction program with stakeholders

• Organization of Workshops for Common faculty position, critera and promotion, entrance exam, academic calendar, curiculum, community postings

• Reinforce: Univ+ Med Col for Admission of candidates on Merit Basis

• Distribution of eligibility certificate only after qualifying exams

• Elimination of “Khade baba” from Medical colleges

• Strictly monitoring for collection of Council Fee from medical colleges

• Action taken to doctors: violence of medical ethics

Major Achievements in FY 2073/74 Cont.

National Annual Health Review 2073/74

For MBBS and BDS:

• 2014=1379

• 2015= 1461

• 2016=478

For PG:

• Up to 2014 total = 1828

• 2015 = 441

• 2016 = 390 (China-200, Philippines-38, Bangladesh- 29)

Distribution of Eligibility certificate from NMC

National Annual Health Review 2073/74

Key Opportunities in Federal Context

• Equal distribution of Medical colleges throughout the country

• Creation of Opportunity to enroll local people in these colleges

• Availability of local medical manpower in local health centers

• Dissemination of health services throughout the country

• Start of general, specialty and subspecialty services throughout the country

• Quality health services- healthy population- country economy

• Quality health services Reduction of population going abroad economy

• Reduction of no of students going abroad country economy

National Annual Health Review 2073/74

Key Challenges in Federal Context

• Separate Province may Develop separate Rule/Regulations

• Contradict National Rule/Regulations

• Problem on Implementation of National agenda in the Province

• Geographical location of Provinces: Province-2, Province-6( Disease pattern, Nutrition)

• Established colleges: Not possible to relocate

• Difference in disease burden : different priority

• Duplication of work: Cost increment

National Annual Health Review 2073/74

Way Forward

• Urgent revision of Act of NMC (composition, regulations)

• Develop infrastructures of NMC: Building, skill lab, exam hall, training uni)

• Develop human resources: Province unit, full timer chairman, committee coordinators

• Update records of practicing doctors, faculties( website)

• Establish common: faculty positions, criteria and promotion; curriculum, entry criteria and entrance exam,

• Establish admission as per merit list

• Start of Fellowship program in different well established hospitals

• Allocation of seats in Medical colleges to be controlled by central council

• Registration of teaching hospitals by MOH to be concluded

Thank you

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