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Kathmandu, Tuesday April 30, 2002  Baishakh 17,  2059.

Foreign doctors rue NMC formalities

By Seema A Adhikari

KATHMANDU, April 29:Dr. Joram Ronel, a physician from Germany who recently came to Nepal to conduct a free health camp for the rural folks of this least developed country, did not feel anything bad during his week-long stay with the rural poor. But he was very much annoyed when he had to pay Rs 5,500 while undergoing the "so-called" oral exams conducted by the Nepal Medical Council (NMC).

The annoyed doctor, who came all the way from Central Europe said, "They bothered us although we volunteers came to help the poor rural folks in our own expense. It is not fair to pay such a hefty amount for the hardly two-minute- long test."

Dr Ronel is not the only doctor. All foreign doctors, who come to Nepal to serve the rural poor have to cough up the sum and go through the ordeal. He is of the opinion that the NMC formality was just a harassment. "Had they conducted longer exams, we would have something to convince ourselves."

However, NMC – the authorised government body to conduct the exams for the foreign doctors willing to voluntarily provide medical assistance – said the exam was a global tradition of which Nepal could not be an exception.

Dr Shankar Pratap Singh, Registrar of the NMC said the foreign doctors who come here for different purposes should be working under already registered International Non-Governmental Organisation (INGO), Non-Governmental Organisation (NGO) or a government body. "But before going to the field, they should undergo an interview taken by the examination committee of the NMC," he said.

But, if the foreign doctors have come to teach in medical colleges here, we have given full authority to the college administration. "Such colleges have the sole authority to choose," Dr Singh told The Kathmandu Post. "However, in case of those coming for medical camps, regardless of its status, and other consultants, they have to undergo an oral exam from the NMC before participating in the camp."

The doctors have to wait for at least one week to get an NMC licence, according to him.

The fee is as per the policy of the umbrella body of the country’s medics (Medical Council Act). The fee is Rs 3,000 for the registration of one year and Rs 2,500 for the examinations. "Once paid, the same doctor does not have to pay both the fees if he or she again comes to Nepal within one year," Dr Singh said.

According to NMC records, around 1,686 doctors have already come to Nepal from abroad. The purpose of the doctors differs – consultant, volunteer, professors and interns. Every year an average of 400 to 500 foreign doctors visit Nepal.

Most doctors coming to Nepal are from Germany, United States of America and Japan. "But there are other several doctors from different countries who come here to conduct free medical treatments to the poorest of the poor rural folks," said another staff of the Council.

United Mission to Nepal, Nepal Oral Health Society and Plan Nepal are the main organisations that bring the maximum number of foreign doctors to Nepal. These organisations conduct several free medical camps every year.

However, Dr. Basanta Pant, neurosurgeon at the Model Hospital said that the NMC should provide them with necessary opportunity rather than just creating the formality to procure money.

"However, the fee for the licence is not that costly as compared to foreign hospitals," Pant further said.

Dr Sussie Shrestha, another general surgeon at the Bir Hospital, said, "Unlike in foreign, even learning young doctors coming from abroad are allowed to treat patients here." However, in foreign countries," says Dr Shrestha, "we are not allowed unless we undergo tough examinations in foreign hospitals.


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