The Khyber-Pakhtunkhwa (K-P) government’s announcement to ban private practices of registrars and senior registrars of government-run hospitals has irked doctors, who claim the move will not have a positive impact on the ailing health system.
In order to treat the maximum numbers of patients for a minimal fee, the K-P Health Department plans to introduce double shifts at public hospitals. This will make it difficult for most of the doctors to run their private clinics.
“The Pakistan Medical and Dental Council (PMDC) has no restrictions on the private practice of any doctor. However, the Pakistan Tehreek-e-Insaf-led government has taken a one-sided decision,” said a senior doctor requesting anonymity.
He questioned why only registrars and senior registrars were being subjected to the ban. “The supreme authority responsible for issuing registrations to doctors across the country clearly gives permission to doctors to run a private practice in any medical field. If the government intends to end the culture of private practice, it should apply the decision to professors and associate professors too,” he said.
“Banning only two kinds of specialties is an injustice. There are many senior doctors who come to the hospital once a week and spend every other day in their clinics, but they are not under this ban,” he lamented.
Provincial Doctors Association Chairperson Dr Shah Sawar said since the fraternity of doctors was not taken on board while taking this decision, there is serious unrest. He added doctors will also inform the government about their reservations.
“We are going to hold a meeting of senior doctors on Monday to chalk out a strategy because many decisions are taken by the health department regarding our future, but we are not informed about them,” he said.
A senior registrar speculated the government’s move will not bring any change in the health system. “The government must first announce incentives for involved parties and then take the step they want to improve the system,” he said.
PMDC Spokesperson Jumma Mandokhel said the council’s rules do not ban private practice of any doctor after they have finished their duty in a hospital or college in the mornings. The council, in fact, instructs doctors their private practice must not interfere with their duty.
“If a doctor gets registered with us and keeps the registration documents in his clinic, we have no qualms with their practice,” said Mandokhel. He added there was already a lack of doctors, and if a ban is imposed on their private practice, a huge number of patients will be affected.
Published in The Express Tribune, June 30th, 2013.
COMMENTS (4)
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Good moves should not be discouraged. It is true that Registrars and every doctor is allowed to practice medicine ,it is not just private practice.It is actually the contract of the job in public sector hospitals that ban Registrars from private practice. It is because of the nature of their duties ,they are supposed to be available round the clock that cant be fulfilled with private practice. Moreover it is not new that PTI govt is taking this decision. It is already in their job contract since long, but this govt. may take the credit to implement this. It should not be taken against some specific personals,it is just a type of training in career. As fa as ban on all public sectors doctors including seniors are concerned , it is then unfair unless every govt official is banned from doing any other private business after duty hours like private Tuition by lecturers,etc etc which is not fair. Doctors must be compelled to do good duties in their working hours only. and that too after providing them comparable facilities. A doctor in grade 18 are even 20 has no house , no car, no servant at all except the salary. So be rational while commenting
To K-P government: Junior cadre doctors consummate a colossal mission of ardent care of ill, at low wage or no salary/stipend. Alas! and now no private practice permision to make both the ends to meet. Have mercy on young physcians!! Otherwise, pakistan might have to establish many more institutes (Psychiatric), purvey for tempestuous qualified individuals along with intemperate common men.
All medical personnel working in public health sector should be banned BY LAW from simultaneously working in private places (conflict of interest).
The should be provided adequate remuneration, facilities, and options for career advancement.
Half the job done...now make sure you go all the way!
PTI is fast reaching its level of incompetance. They are creating more problems to deviate attention from real problems.