Clinical Specialists In-Sourcing Policy by providing the Clinical Specialists in the Government hospitals
GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Health, Medical & Family Welfare –
Clinical Specialists In-Sourcing Policy
by providing the Clinical Specialists
in the Government hospitals – Orders
issued.
HEALTH MEDICAL AND FAMILY WELFARE (A1) DEPARTMENT
G.O.Rt.No.353 Dated:04-08-2016
* * *
ORDER:
Though material gains are few, the
greatest reward is the
satisfaction that comes to those who
give of themselves to the betterment
of others. Providing specialist health
service is a great way to serve the
community and also learn new skills.
Government of Andhra Pradesh
offers the unique opportunity to
medical specialists to serve the
community by sharing their valuable
skills in public health facilities on a
part-time/short-term basis.
2. Government after careful
examination hereby accord permission to
the “Clinical Specialists In-Sourcing
Policy” enabling the willing Clinical
Specialists to volunteer their
valuable skills in public health facilities on a
part-time/short-time basis.
3. The in-sourcing of specialists
shall be under two categories as
follows:-
a. Rendering free service:
This constitutes pool of specialists
that seek to serve on
part-time/sort-term basis without any
expectations of remuneration
on any travel allowance to work in
Andhra Pradesh. While, this is
highly desirable, it shall be within
the ambit of guidelines/issued by
Government. of India and Department of
Health, Government of
Andhra Pradesh as well as statutory
requirements on medical
practice by Medical Council of India.
b. Rendering paid service:
Interested applicants fulfilling the
eligibility criteria of insourcing
program could opt for a paid service
opportunity on parttime/
short-term basis. The extent of
availability of such opportunity
shall depend on facility case load,
availability of supporting staff,
infrastructure and other factors.
While payment would be in form of
honorarium, the extent of payment
shall remain capped to the
specialist fee as in case of
NTR-Vaidhya Seva Program for the
given procedure. The package amount of
procedure received by
the hospitals shall be bifurcated into
HR costs and other costs. The
HR costs shall further be bifurcated
into specialists fee and other
staff fee as per NTR-Vaidya Seva
norms. The specialist fee in such
cases shall not exceed 50% of total HR
costs and 25% of total
package cost.
:: 2 ::
The functions and modalities is as
follows:-
1. Resident specialists of Andhra
Pradesh seeking to serve in Andhra
Pradesh Government Facilities:
For specialists in this group,
Directorate of Medical Education shall
be the coordinator. In the month of
September and March every year, the
Director of Medical Education shall
collect specialists' requirements from
all departments/institutions and
declare a roaster of 'temporary specialists'
requirement'. Based on this roaster,
the specialists could opt for suitable
places and dates. While effort would
be made to make this as online
booking on first come and first serve
basis, Health Department shall not
be obligated to offer any specialist a
place of choice once the slots are full.
All specialists seeking to apply shall
need to meet eligibility as per MCI
norms.
2. Residents of India (other than
state of Andhra Pradesh) seeking to
serve in Andhra Pradesh:
The state of Andhra Pradesh having
deep cultural history, it is a
known fact that Telugu speaking
population are present in each and every
state of the country. Specialists of
Telugu/non-Telugu origin residing in
other states may choose to serve in
Andhra Pradesh on part-time/shortterm
basis. To facilitate this, Government
of Andhra Pradesh, shall sign an
MoU with Voluntary Health Association
of India (VHAI) who will coordinate
the duty roaster after taking the
'requirement calendar' from Directorate of
Medical Education.
3. Non-Resident Indians/Global
Citizens/Residents of non-Indian
origin/Citizens of any other country
which is a United Nation Member
State:
Several Indian, non-Indians and global
citizens (persons holding
dual citizenships) could opt for
serving in the state of Andhra Pradesh. To
facilitate this, and considering the
fact that such engagements would
require to comply with statutory
requirements of more than one country,
Government of Andhra Pradesh shall
engage with Indian Associations of
respective countries to enable smooth
implementation of specialist
in-sourcing policy. The associations
therefore could write to Directorate of
Medical Education for an MoU, support
government on formulation of duty
roaster and coordination of roaster
implementation. In such cases,
associations shall he required to
ensure MCI compatibility clearance for
medical practice in India for the
concerned specialists. Appropriate work
visa for visiting specialists and
travel insurance. While complete
documentation shall be the
responsibility of the associations, this would be
verified in advance (not later than
quarterly basis) for all prospective
visitors by the Directorate of Medical
Education.
Operational arrangements of the above
policy is as follows:
"Specialist Services Cell"
The Health Medical & Family
Welfare shall establish a Specialist
Services cell under the Directorate of
Medical Education to provide
administrative support for specialists
to serve in government teaching
hospitals, district hospitals and
public health facilities empanelled under
the NTR-Vaidya Seva. The objective of
in-sourcing of specialist human
resource is to supplement and
strengthen the hospital specialty services
but not to replace the personnel. The
Specialist service Cell shall work
:: 3 ::
under the administrative framework of
Directorate of Medical Education
under the Department of Health Medical
& Family Welfare.
Clinical requirement identification
(Clinical needs assessment by mapping
the institutions):
The requirement of various specialists
in Govt. medical colleges,
district hospitals, FR-Vaidya Seva
empanelled public health facilities shall
be collected and collated by
Directorate of Medical Education twice every
year (September and March) and placed
online on the website of DME.
For online booking by specialists,
they would require to be first
empanelled by one of the three
modalities detailed earlier (residents of
AP: residents of other states in
India: residents of other countries).
Relevant documents shall be furnished
in advance for due verification by
the "Specialist Services
Cell" which provides an applicant id. Only when
the applicant id is made available,
online booking could be done.
Eligibility Conditions:
Minimum Age:30 years; Maximum age
limit 70 yrs with fitness
certificate Minimum basic
qualification: A post graduate degree/ super
specialty degree (MD/MS/DM/MCh/DNB)
from a medical university
recognized by MCI (for application
educated in/or living in India) with
current validity of practicing
license; A post graduate degree/ Board
examination in the specialty at abroad
duly compatible with /recognized by
MCI. The equivalence certificate
issued by MCI should be valid for the
entire duration of short term
engagement in Andhra Pradesh.
Minimum basic experience:
The applicant specialist must have a
minimum of five years of postqualification
experience in the specialty applied
for and the relevant
certificate to that effect shall be
submitted.
Number of Hours Required:
Specialists must commit to a minimum
of 4 hours of service per
week is required. However, the amount
of hours may be subject to change
depending upon the needs of the
department and the Specialist
(depending on the 3 modalities
mentioned above) and with approval of the
facility in-charge.
Processing Required:
Prospective Specialists must complete
a Specialist application form
which contains the names and telephone
numbers of 2 professional
references (non-relatives).
Health Related Documentation:
Specialists considering serving
patient care areas and those
coming from other countries must
furnish fitness certificate.
Orientation and Training:
After completion of the interviews and
paperwork have been
completed, the prospective Specialist
must call the Specialist Services
Cell to reserve a seat for the
mandatory orientation. Orientation topics
include a general overview of the
program, infection control policies,
:: 4 ::
environmental safety, liability,
age-specific competencies, patient
confidentiality, professional ethics,
state /departmental/ hospital policies
and respect for local culture and
traditional practices. Specialists must
complete a re-orientation programme
and be evaluated annually to
maintain an active status. The re-
orientation is sent by mail.
Absences from planned duty roaster:
Specialists are expected to meet their
commitments to their
scheduled service hours. Facility
in-charge must be notified of any
absence in advance or as soon as
possible. The Specialist Services Cell
should be notified of any prolonged
absence. After 3 consecutive spells of
unexcused absence without
notification, the Specialist Services Cell
reserves the right to terminate the
affiliation of a Specialist, in the interest
of smooth operations. All Specialists
must sign —in and —out when
reporting for service.
4. The performance and outcome of this
policy be evaluated and
analyzed quantitatively and
qualitatively facility-wise and uploaded in the
Director of Medical Education website.
5. The Director of Medical Education,
A.P., Hyderabad shall take
necessary action accordingly.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)
POONAM MALAKONDAIAH
PRINCIPAL SECRETARY TO GOVERNMENT
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