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23/06/2024
30/03/2024

Advocating for Fair Stipends: Supporting Our Young Doctors

Introduction

The journey of a medical graduate from the classroom to the hospital corridors is a critical phase. House jobs and training serve as the crucible where theoretical knowledge meets the practical reality of patient care. However, the current system often exploits these young doctors, leaving them overworked and underpaid. In this op-ed, we advocate for fair stipends during house jobs and training, recognizing the essential role these doctors play in our healthcare system.

The Honorary House Job Conundrum

Honorary house jobs—a term that sounds noble—often masks the harsh reality. These positions are filled by recent graduates who work tirelessly, providing essential services to patients. Yet, they receive little or no compensation. The rationale? To fill vacancies without straining hospital budgets by employing private medical graduates and foreign medical graduates. But at what cost?

The Toll on Young Doctors

1. Physical and Mental Exhaustion: Long hours, sleepless nights, and relentless patient care take a toll on young doctors. Their dedication should not be exploited.
2. Financial Strain: Many house officers struggle to make ends meet. They deserve fair compensation for their hard work.
3. Learning vs. Survival: When doctors worry about rent and groceries, their focus shifts from learning to survival.

Why Fair Stipends Matter

1. Retention and Quality: Adequate stipends attract and retain talent. Well-supported doctors provide better patient care.
2. Dignity and Respect: Fair pay acknowledges their contributions and boosts morale.
3. Social Justice: Uncompensated work disproportionately affects those from disadvantaged backgrounds.

The Way Forward

1. Transparent Policies: Pakistan Medical and Dental Council(PMDC) and the hospitals must establish clear stipend structures. No more ambiguity.
2. Advocacy: Medical associations and student bodies should champion this cause.
3. Government Intervention: Legislation ensuring fair stipends is essential.

Conclusion

Our young doctors are the backbone of our healthcare system. Let us advocate for their fair treatment, ensuring that their dedication is met with respect, dignity, and just compensation. It's time to heal the healers.

Call For A Tuberculosis Free PakistanThis is a FREE training course on TB Management.This course is affiliated with SHAH...
23/03/2024

Call For A Tuberculosis Free Pakistan
This is a FREE training course on TB Management.

This course is affiliated with SHAHEED ZULFIQAR ALI BHUTTO MEDICAL UNIVERSITY (PIMS Islamabad).

Certificate and 6 CME credit hourswill be awarded on successful completion of the course.
(Only for doctors having valid PMDC Reg. No)

Certificate and 6 CME Credit hours* will be awarded on successful completion of the course.(Only for doctors having valid PMCD Reg. No)

Topic: The Culture of Not Attending Calls in Pakistan: A Symptom of Poor Governance and CommunicationCommunication is th...
08/03/2024

Topic: The Culture of Not Attending Calls in Pakistan: A Symptom of Poor Governance and Communication

Communication is the lifeblood of any organization, especially in the public sector, where it is essential to provide accurate and timely information, as well as avenues for dialogue and feedback, to the citizens. However, in Pakistan, there is a widespread culture of not attending calls and putting them perpetually on hold, especially in the majority of government institutions. This practice reflects a lack of transparency, accountability, and responsiveness in the public administration, and erodes the trust and confidence of the people in the government.

According to a report by the OECD, public communication plays a critical role in supporting more open and inclusive governance mechanisms, and can help strengthen democracy in a context where digital transformation and novel and emerging challenges to information ecosystems are creating new imperatives for better dialogue with citizens. Still, in Pakistan, the public communication function is often neglected, under-resourced, or misused for propaganda purposes, rather than as an instrument of policy making and good governance.

This culture has several adverse effects on the country, both at the individual and the institutional level. For the citizens, it means frustration, inconvenience, and dissatisfaction with the public services and policies. It also creates a sense of alienation and disempowerment, as they feel that their voices and concerns are not heard or valued by the government. For the government, it means a loss of credibility, legitimacy, and reputation, as well as a waste of resources and opportunities.

A recent incident illustrates the extent of this problem and its impact on the citizens. I tried to call the Pakistan Medical and Dental Council (PMDC) to inquire about the granting of provisional licenses to freshly graduated doctors.

I was first in line, but after hearing chimes for five minutes, the call was disconnected. I felt frustrated and disappointed, as this was not the first time that the PMDC failed to answer the calls. I wondered why the PMDC, which is supposed to regulate the medical profession and ensure its quality and standards, was so unresponsive and unaccountable to the public. I also questioned the role and responsibility of the government in overseeing and improving the performance of the PMDC and other public institutions.

Such culture needs to be changed urgently, as it is a symptom of poor governance and communication. The government should recognize the importance and potential of public communication as a pillar of a more open government that safeguards democracy and places citizens at the heart of policies and services. It should also invest in improving the capacity, skills, and infrastructure of the public communication function, and ensure that it is aligned with the principles of transparency, integrity, accountability, and stakeholder participation. The government should also adopt a more strategic and two-way approach to communication, that enables a genuine engagement and dialogue with the citizens, and responds to their needs and expectations.

This culture in Pakistan is not only a matter of etiquette, but also a matter of governance and communication. It is time for the government to break this culture, and to embrace a more open and responsive way of communicating with the citizens. This will not only improve the quality and impact of the public policies and services, but also restore the trust and confidence of the people in the government.

Pakistan Medical & Dental Council DawnNews Doctors Wake-Up Movement YDA Islamabad Ministry of National Health Services, ...
04/03/2024

Pakistan Medical & Dental Council
DawnNews
Doctors Wake-Up Movement
YDA Islamabad
Ministry of National Health Services, Regulations & Coordination Islamabad

Editorial: Unpaid HOsIn the landscape of medical education and practice, the No Objection Certificate (NOC) holds signif...
04/03/2024

Editorial: Unpaid HOs

In the landscape of medical education and practice, the No Objection Certificate (NOC) holds significant value for freshly graduated doctors in Pakistan. It serves as a passport to further training and professional opportunities at better hospitals/institutes during their foundation year. However, a concerning trend has emerged amongst private medical colleges where NOCs are being granted on the condition that graduates sign a stamp paper declaring they will not demand pay from their parent institute for their house job year, if they complete it at a hospital other than their parent institute. This practice raises serious questions about the legal and ethical standards being upheld within the medical community.

The Legal Conundrum

The Pakistan Medical and Dental Council (PMDC) law stipulates that the parent institute is responsible for paying the doctor for the house job year, regardless of where it is completed. This law ensures that medical graduates are compensated for their work and that their rights are protected. However, the condition imposed for the NOC appears to circumvent this law, creating a loophole that absolves parent institutes from their financial obligations to their graduates.

Ethical Implications

From an ethical standpoint, this requirement is deeply troubling. It places undue pressure on young doctors, who are at the beginning of their careers and may feel compelled to agree to unfair terms in order to progress. The expectation to work without pay is not only exploitative but also devalues the labour and contribution of medical professionals.

The Impact on Medical Practice

The repercussions of such a policy extend beyond individual graduates. It sets a precedent that erodes the quality of medical training and practice. When financial support is withheld, it can lead to a demoralised workforce, potentially impacting the level of care provided to patients.

A Call for Action

It is imperative for the authorities to address this issue and ensure that the granting of NOCs aligns with the PMDC law and ethical standards. The medical community must advocate for the rights of graduates, ensuring they are treated fairly and justly. The integrity of medical education and the welfare of doctors in Pakistan depend on it.

In conclusion, the practice of requiring graduates to sign away their right to fair compensation is a disservice to the medical profession and to the principles of justice and equity. It is a deviation from the law that must be corrected to maintain the trust and respect that the medical community deserves. The future of healthcare in Pakistan rests on the foundation of how its newest members are treated and valued. It is time to reaffirm the commitment to fair treatment and support for all medical professionals.

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