Ways to re­tain doc­tors

Bhutan Times - - Editorial -

Some of the most qual­i­fied and se­nior most doc­tors are leav­ing the med­i­cal pro­fes­sion. Most of them are leav­ing to carry out the pro­fes­sion pri­vately and some want to look for green pas­tures aboard. The only on­col­o­gist in Bhutan has sub­mit­ted his res­ig­na­tion and it is said that one of the se­nior med­i­cal spe­cial­ist with the Min­istry of Health has sub­mit­ted the res­ig­na­tion.

There seems to be a wide spread dis­con­tent among the doc­tors mostly due to lack of in­cen­tive to work around the clock, too much in­ter­fer­ence on the sur­gi­cal and med­i­cal pro­fes­sion by the ad­min­is­tra­tive staff and aged old bu­reau­cratic set up pro­ce­dure . Most of the times, the heads of the or­ga­ni­za­tion are not from the med­i­cal back­ground making the mat­ter worst.

There is al­ways a tus­sle be­tween the ad­min­is­tra­tive staff and med­i­cal pro­fes­sions that leads to de­lay in pro­vid­ing im­me­di­ate med­i­cal care. At times the de­lay may be so dear that we will not be able to save the pa­tient. With no proper mon­i­tor­ing sys­tem, there is al­ways an ar­ray of blame game and at the last the gen­eral pub­lic gets the brunt.

Now, in or­der to re­tain doc­tors in the med­i­cal pro­fes­sion the Royal Civil Ser­vice Com­mis­sion had come out with the amend­ment of the BCSR 12 as per doc­tor’s ca­reer path re­form. The re­form has been made to at­tract, re­tain and mo­ti­vate doc­tors who pro­vide crit­i­cal ser­vices to our so­ci­ety. The changes as per the Royal Civil Ser­vice Com­mis­sion are to ad­dress the prob­lems of se­nior­ity lost due to long du­ra­tion in the field of study. The mer­i­to­ri­ous pro­mo­tion for the se­nior doc­tors and cer­tain en­try level for the doc­tors with mas­ters have been taken into con­sid­er­a­tion. The study pe­riod of two years is con­sid­ered as ac­tive ser­vice for pro­mo­tion and first pro­mo­tion af­ter three years ex­clud­ing pro­ba­tion.

Fur­ther the du­ra­tion for train­ing pe­riod up to 18 months for any sin­gle train­ing shall be counted as part of ac­tive ser­vice for the pur­pose of pro­mo­tion and doc­tors with mas­ter’s will be placed in P3 level are some of the amend­ment of the BCSR 2012 to at­tract doc­tors and mo­ti­vate to work harder.

How­ever, with the health min­istry hav­ing about 241 doc­tors and med­i­cal spe­cial­ist work­ing in the coun­try now the re­quire­ment as per hu­man re­source pro­jec­tion the min­istry of health needs about 379 gen­eral doc­tors and 147 spe­cial­ist and 18 su­per spe­cial­ists, now the fu­ture will only tell how this will help to re­tain them.

With the na­tion fac­ing acute short­age of doc­tors and spe­cial­ist th­ese mea­sures put in place will have a long term ef­fect in re­tain­ing them and pro­vid­ing free health ser­vices. The task looks daunt­ing but pos­i­tive steps are al­ways wel­come.

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