Delhi Administration Doctor's Welfare Association

uttrakhand has no provision for providing 3 years study leave for doctors neither they have been able to provide fair chance of pg to even docs who have worked for 10 years or more.lot of docs have left service as their right to pay protection and protection of seniority was not ensured by the state govt. Your information and suggestions will go a long way in formulation of our state policy for in service pg for allopathic govt doctors of uttrakhand. Kindly let me know the following and if possible kindly attach the relevant documents 1. Is there any provision to give post graduate degree in your state for a MBBS govt. Doctor? 2. If yes then after how many years of service he can apply for P.G.? 3. Is there a fair selection criteria for getting govt. Sponsored pg? i.e. How are candidates selected? 4. Do the govt. Sponsored medical officers get full pay and allowances along with protection of promotion and seniority during study period ? 5. Do medical officer get M.D. as well as diploma courses? 6. What about medical officers who clear an entrance exam on their own and get admitted to 3 years M.D. courses after 5 years of service. Does the state government give them leave for 3 years and protection of pay and seniority like central government? 7. Are there any cases pending in the court that you know of .....where doctors were denied pay protection and seniority while on study leave? 8. Have any efforts been made by doctor unions in case the state government rules don’t allow for 3 years leave to pursue a MD course by inservice candidate and for protection of pay and seniority ? 9. Is there any way by which a govt doctor is benefitted by doing pg while in service in form of increments or special allowances? 10. Do you think government should sponsor candidate for in service 3 years M.D. degrees ?how? Kindly attach the relevant documents ,your name, designation ,phone number and email to badola.mayank@gmail.com

Dear Dr. Patil,

Service of five years is the eligibility to get study leave for pursuing PG. The candidate has to take competitive examination for his/her Selection. There is no prescribed quota or number for such cases. I agree this is a weak area and a lot of push and pull go on in this arena.

-Secretary DADWA

Dear Dr.Arun, your views have been edited as they were too long. Most of the suggestions made by you are contained in the news room section of this website in news ID 20 of 2007 .

Please note that unfairness that you mention has injected into the system to divide CHS docotrs after 1991 strike. It has been used to please one section at the cost of others and giving nothing in the end to anyone.

Please recall that CHS Association of DDUH wanted DADWA to demand something for PG Medical  Officers in 2007-08 and DADWA wanted to focus on forcing govt. to make proper rules of service for DHS. In the committee of GNCTD under Mr. Balachandran, then Spl. Secretary (H&FW) DADWA and non-teaching sepcialist officers association were present. Mr. Anil Kumar Dy.Secretary CHS and the non-teaching specialist members from DDUH wanted the differences to continue on CHS pattern and Mr. Balachandran agreed due to division. 

We know that ultimately GNCTD did nothing for anyone and tried to cap the promotions of both specialists and GDMO's to NFSG level only. Luckily people did not opt for DHS without proper service rules or else even SAG would have been missed. 

We have to think broad with a problem solving attitude for a proper reformbefore we approach the bureacracy. I am grateful to you for raising right concern.

-Dr. Vijay Rai, Secretary 

Sir, KINDLY READ THIS CIRCULAR dated the 11 June, 2010 of MOHFW, GOI Reg. : Guidelines for referrals to CGHS empanelled hospitals in CGHS cities outside Delhi, where there are no Central Government hospitals.

The important part is

"... that it has come to notice that CGHS beneficiaries residing in cities covered by CGHS (outside of Delhi) are facing difficulties in getting services of specialists .....

After careful consideration it has been decided to issue the following guidelines :

(1) CGHS beneficiaries must compulsorily be referred to polyclinics wherever set up by the CGHS; (2) It posts of specialists are lying vacant in polyclinics, GDMOs, who are post graduates may be posted in polyclinics for consultation, and on the basis of the advice / opinion to be tendered by them, CMO i/c, AD / JDs may refer patients to private empanelled hospitals and diagnostic centres, according to the choice of the beneficiary; (3) In those cities which do not have polyclinics and if GDMOs who are post graduates are available, their services as specialist may be utilised and patients may be referred to the dispensary in which such PG GDMOs are posted or if space is available in a centrally located dispensary, the PG GDMOs may be posted there; ..."

IF MOHFW RECOGNIZES THAT A PG GDO AND A SPECIALIST, BOTH OF CHS ARE COMPLEMENTAY AND SIMIILAR IN TERMS OF QUALIFICATION AND SERVICES PROVIDED THEN WHY SEPARATE SUB-CADRES (labels or casts) AND THEIR TREATMENT AS IF THEY WERE SEPARATE CADRES?

1.Under the NRHM of GOI, contractual appointments of doctors, finance manager, statistical officers etc, only are being encouraged, simultaneously  according them with financial & even administrative powers. So the old belief that it is the regular/UPSC officer only who can be empowered, is no longer tenable, GFR not withstanding.

2. Views & concerns of some of the Contractual colleagues on the delays in salary release, getting the periodic extensions etc, seem all genuine & need systemic remedy. As a start the regular empowered colleagues should ensure sending the Job satisfactory certificate to the Sectretariat well before the term expires rather than waiting each time for a reminder from the secretariat. This little sensitivity on our part will ward off a  big load of humiliations & injury to self esteem & dignity suffered by some very senior, capable, efficient & dedicated contract doctors working selflessly for years. 

3. If the administration of the site examines the various comments in various sub-subjects it becomes clear that bringing too many issues at different times is only hampering the process of DHS cadre formation primarily to the detriment of the Contract MOs & Specialists.Let the govt. act on its own rather than any group interfering at each & every step. Regular doctors  always have the option of staying  in CHS instead of opting for the DHS if it is less than attractive. Surely no group should have the right to have the cake & eat it too! . Contract doctors have only one option (of DHS). Delhi govt's priority is to provide adqeuate manpower to the new health facilities created in the recent years. Surely a contract doctor who has put in 10 years of service can not be made to accept the job afresh losing all seniority!. Bringing Court orders to the fore now knowing fully well that Cabinet Bill had already been passed for regularisation of these doctors, is not desirable at this stage. This way no movement is possible.

4. Please we all need to examine the issues holistically & in larger professional perspective. Is it not incomprehensible that 6th pay benefits have not been received by many of the Contractual colleagues ( including their extension after September 2008!) & yet they are working relentlessly?

5. There is a lot to be sacrificed in life by all but never ethics. All types of persons exist (both in regular & contract) who may not be fully justifying their work & yet the sufferers only happen to be from the latter group!

   please take these thoughts as reflections built over time without any personal animosity to any one & therefore no one should feel hurt.

Dr. Arun, Thanks for your suggestion  We will try and trim this column appropriately.

Still most doctors are not providing their correct email ID's or give fictitious names. I fail to see what they fear. Lets hope this will change.

Secretary DADWA

Note: This news article was published on 19-11-07 in HT Reg. Unified Civil Services

"There is no unanimity between different Group-A central services and associations representing the All India Service officers (IAS/IPS) on whether a Unified Civil Service will suit India better.

The Sixth Central Pay Commission had sought response from different services on the case for a unified civil service by merging all Central (both technical and non-technical) and All India Services and whether there should be two distinct streams, one embracing all technical services and another for non-technical services.

The Indian Revenue Service (Customs and Central Excise) and the Indian Information Service associations supported the idea of unified civil services.

The IRS (C&CE) in its memorandum submitted to the Sixth Pay Commission has said "The recommendations of the IRS (C&CE) is to request the Pay Commission to recommend to constitute a Unified Civil Services pool or an Integrated Management Pool, by empanelling officers from various participating Group 'A' services to fill up posts of Joint Secretaries and higher level posts in ministries/departments of the center. The Government could lay guidelines, uniform for all services and conduct a screening by the UPSC."

The Indian Information Service Group 'A' Officers' Association has responded saying "There is a case for unified civil service. All those who come through the common civil service examination conducted by UPSC, be merged to a single service. This is the first step to end disparity among services and render equal treatment to all the services."

The Indian Revenue Service (Income Tax) differs from the IRS (C&CE) on the issue.

The IRS (IT) Association has said "In the age of specialization or super-specialization, the case for a unified civil service would be difficult to support. In fact, it is more important to end the glaring inter-service disparity and monopoly of one service over senior positions irrespective of the suitability of officers of that service for the post."

The Indian Administrative and Civil Service (central) association has recommended saying "There cannot be a complete unified civil service system. in fact, such an attempt will blur the focus from the IAS."

(Published in Hindustant Times on 19/11/2007)

Dear Dr. Navin,

Please let us know the details of the news item. Write to 'secretarydadwa@rediffmail.com' We are under the impression that the commission is not taking any more inputs at this stage.

Secretary DADWA

Dear Doctor,

Why only the aspirations of PG doctors.
We should talk about all doctors who have one thing in common, that they want un-obstructed career progression; and respect & regard at their work places.

Let's all of speak about all of us!

-Secretary DADWA

Sir

   Now seem to be the right time to bring to the forefront, aspirations and frustrations of the post-graduate medical officers in the new, proposed and Model Health service pattern for Delhi

I fully agree with the views expressed in the above comment by rrrr as they convey the apprehensions in the minds of GDMOs with PG qualification.  

As has been repeatedly expressed, PG GDOs are not treated at par with specialists (irrespective of whether adhoc or regular)despite their seniority and experience and in many hospitals are posted out of the department of their speciality only due to their designation. In the long run this will interfere with their prospects of getting selected for a specialist job because they would not have the necessary certificate of post PG experience in their speciality.

I wonder why then does the CHS have a provision for study leave for post graduation for GDOs??

I would request the administration to consider proposing some system of lateral entry into the specialist sub-cadre for eligible GDOs with PG qualification so that it prevents anomalies and unfairness. THis is important especially if the government considers regularization of the adhoc specialists in situ.

However the best would be to do away with sub-cadres and propose a common entry point and common promotional avenues as is being followed in the Railways and Armed Forces.

Dear rrrrrr

We have already declared that the member sending his/her views should disclsoe his/her identity. There was however substance in your views so we have published them with some editing.

-editor

Regarding specialists and PG GDMOs--

In past some of the GDMO'S have joined service with PG qualification in the same scale as non-PG ones. No benefit has been given for the extra 2-3 yrs of service and training in attaining the PG qualification to these doctors even when their counterpart in specialist sub-cadre of CHS got all the benefits.

Consequently, academically senior people have become junior in job. Similarly some of the hospitals headed by specialist sub-cadre officers have put ad-hoc jr specialists above them due to vested interests. All these anamolies must go in the new Delhi Health Service or else the beneifts of DHS cadre would be lost for ever.

I propose that a PG GDO with sufficient experience (say 3-5 years) should be considered to work as a speciaist in DHS without change iof his/her seniority.

This would satisfy him professionally and would not disturb the others as the seniority queue is unaffected. It is unforutnate that several specialist officers with more than  a decade of servce as a GDO had to become junior most in the specialist sub-cadre sometimes in a lower scale; Even though the pay is protected in the lower scale they become junior to some of those who they have taught. There should be a mechanism to fix this problem in DHS.

Had there been a common entry with initial incremental/promotional benifit depending upon the qualification prehaps all these anomalies could have been removed.

Remember a doctor is a doctor, a surgeon is a  surgeon, a paediatrician is a paediatrician even if they bear different artificial labels.

EVen an MBBS doctor in the evey of civil service is a specialist as compared to other services like IAS and IPS which are generlist servives. Since he is not getting his due, he/she is not getting the status that is due to them. I appeal that we should raise ourselves above all petty differences and plan the DHS as as a whole. Remember, what we do today would be faced by our next generation as well.

rrrrrr

Dear Dr. Arun,

I appreciate the actions taken by you all in the past. But uou need not sit back passively; rather remind the Govt./office of HM of your representations in the past.  Endorse a copy to DADWA as well so that we can also follow.

DADWA's committee on DHS has met few times in recent past and shorly we would be having a meeting of our steering committee on the subjec. One of our primary focus is to make DHS fair to all. Then only the doctors would be able to sit and think together. In fact DADWA is seriously considering that services rendered by a specialist officer of CHS as a GDMO in the same service is presently being ignored and consequenly a large number of them have lost seniority. These are matters that affect our day to day functioning and vitiate the atmosphere.

Similarly DHS as a cadre should utilize the services of both MBBS and PG docotrs in the best possible way without prejudice. That would go a long way in all of us behaving and thinking like one cadre. We have to fight thepolicy of "divide and rule"

Dr. Navin may please note that DGHS post is being proposed by DADWA for Delhi under DHS.

-Seceretay DADWA

On the issue of  appointment of the junior speciatlists on contract our association was also activated.  All the PG GDMO applied for the posts but our applications were rejected as  we were asked to resign from our present posts for applying for the contract job. Even we were prepared to go to court on that issue but the results were not our favour as the issue got divereted as we perhaps challenged the policy of contract appointment it self.

The appointment of any employee is the subject matter of the employer. We should have stressed on our own interest only which was sabotaged due to appointment of contract specialists as if those posts were advertised through UPSC we all would have got the chance of getting that.

We met the then health minister Dr A. K. Walia and apprised him of our agony. He also agreed and even surprised when he come to know that a PG GDMO remain GDMO and may never become specialist. Our request was that instead of appointing them as "specialist" they may be appointed as "medical officers" as it would have not affected our 'seniority'.

In one of the meeting with the then secretary medical Mr Chandermohan we proposed our plan of the unified cadre as there were talks of formation of Delhi Health Cadre. He listened it carefully. We proposed that there should be a common entry for all the doctors. Those who are PG degree holders may be given 3 increments simultaneously or may be directly promoted to SMO, those with diploma may be given 2 promotions so that there would be no anomalies.   He asked if supposed he needed radiologists and no radiologist qualified the common entrance then what to be done. We replied that in that case a separate adv. can be put in the news paper  for the radiologists only and he may be directly taken in the SMO scale without affecting the seniority. He was some what convienced and asked us to present that in draft form.

This is an irony of our system that the PG GDMO who are working in the hospitals or polyclincs and rendering specialised services of their fields and benifitting the patients but are not recognised as specialists just due to different labellings. 

I am tempted to suggest:

1 Ask for a high Health Coverage/Risk coverage as a professional compensation

2 High LIFE

We will take this up in our meetings with the govt. about DHS

-DADWA

This is just to reiterate the views expressed by some of my colleagues in this forum regarding the plight of Medical Officers with PG degree of which I too am one.

We are not treated well by our own colleagues.  We perform  specialist duty, administrative duties and other general duties including Casualty etc. Our merit/ abilities/ efficiency/ seniority/ experience etc. are taken for granted and not rewarded in general. 

And the worst part is that this unfair treatment is meted out to us by members of our own CHS cadre.

I would be keen to know if the DHS service conditions would be fair to all members? Is DADWA or other associations going to consider these while proposing a model for  DHS to the Govt. Who will advise our own administrators to take be fair in administrative matters and issues of seniority etc.

a. Dear 'not known': It is true that ad-hoc doctors are not responsible for their ad-hocism; but they can not decide to give duties to themselves. The responsibility to give them right or wrong duty rests squarely on the authority concerned. The guiding principle is "ad-hoc appointee is appointed for a purpose; duties have to be in line with that purpose"

b. Dear Dr. Kapoor: Please refer to our message board. The delay in notification seems to be due to two reasons. First that the HM has asked H&FW Dept. to extend last date 'till the service conditions of DHS are notified'. Second reason is the efficiency and alertness of H&FW Dept. in implementing its own decisions (about which DADWA does not wish to comment)

The hospital administration should not delegate its administrative powers/authority to someone who is not a regular officer or in other words who is not a 'line functionary' of that institution. An ad-hoc employee can not be held responsible for an advice or any act of omission and commission about administrative functions unless it is a part of his/her terms of appointment. Nevertheless, MS is free to designate any administrative function to any one knowing that he is solely responsible. Have you ever heard of an ad-hoc IAS officer or ad-hoc DANICS Officer?

REF.DR.NEERJA VARSHNAY MAY REFER TO NEWS IN 'THE HINDU' DATED25/2/07, TITLED "TEMPORARY APPOINTMENTS:RULING STAYS"  THE SUPREME COURT HAS DECLINED TO REVIEW ITS RULING THAT A GOVT.EMPLOYEE APPOINTED TEMPORARILY TO DISCHARGE FUNCTIONS IN A PARTICULAR POST CANNOT BE SAID TO BE IN SERVICE TILL SUCH TIME AS HIS APPOINTMENT IS REGULARISED.THUS IT IS OPEN TO THE WISDOM OF THE HEAD OF INSTITUTION WHETHER TO ACCEPT THE ADMINISTRATIVE & FINANCIAL DECISIONS OF AD-HOC SUBORDINATES?

Dear Avinash,

We have already written to the Govt. to have a timely extension for submission of options and link it to the outcome of report of the committee of GNCTD and notification of terms and conditions of DHS. Govt. is not averse to our suggestion but decision making there takes time.

The option business is between the GNCTD and the member concerned. Legality comes if one impinges on the right of others. For example, it is our right to know the conditons of service before opting for it. Since there is merit in our request and correctness in our methods that the Govt. is talking and listening to us. Our members have to just stand by what they believe. We will discuss this in GBM on 12-5-07 at 2 PM at IMA.

--DADWA

We are contstrained to delete the views of Dr. Ashok Gupta for expressing views that are derogatory to another member. There is not need for him to be the judge on another colleague. This forum is not to settle scores and cause aspersion on others. The move to restrict the promotion of all doctors (MO, specialist and teachers) to NFSG level in the cabinet note is the result of one group of doctors making unqualified observations representation against others in private before the bureaucrats. Time has come to think differently and not like a frog in the well. All great doctors should compare their career earnings and promotions vis-a-vis other group 'A' services.

Dear Dr.Rai,

Regards.

15th May is fast approaching: the official deadline for exercising the option.

It was conveyed to everybody after the last GBM of DADWA, that we should refrain from giving the option till RR's of the proposed DHS cadre are formed.

As per the info on your website, the committees have also been constituted  & steady progress has been made in this direction since then. But, as the things stand today, the RR's may not be ready till probabby 4-5 months form now ( I may be wrong in my assessment of time frame). Now, kindly clarify the following:

1. "LEGALLY SPEAKING", is it not mandatory to exercise the option before the stipulated date of 15th May? Because, there has been no  Notice from the Govt so far intimating people about the extension of the last date. In the absence of such notice, the last date of 15th May holds legally.

2. As per the conditions clearly laid out in the advertisement, if we don't exercise the option by the stipulated date, will it not mean that we have AUTOMATICALLY opted out of DHS / decided to "revert back" to CHS , which exactly the case may not be with many of us?

3. I strongly feel that DADWA should request & urge the Govt.of NCTD to issue an Notice /  Circular/Advt. before 13th May(Saturday) in the leading Newspares mentioning that the "LAST DATE HAS BEEN EXTENDED TILL FURTHER NOTICE", so that the confusion still prevaing is sorted out.

4. What is the "sactity" / "validity" of RR's till they are notified ? The procedure of "NOTIFICATION" itself ,as we've gathered, normally takes almost a year. Kindly clarify.

5. Many of us would like to opt for DHS only, but exercising the option without RR's?????

Sir, please ensure that a copy of "Notified" RR's is available to one & all ,at least 2 weeks prior to the last date.

A lot more to write. Shall do it subsequently.

Note is taken of the suggestions of Dr. Mahajan and forwarded to the committee of DADWA on the subject. Besides adding in the views section of our webiste, members are requested to send such suggestions by email as well to secretarydadwa@rediffmail.com.

-Secretary DADWA

1.Benefit of post graduation to the Medical Officers: At present doctors with PG qualification selected as Medical Officers do not get any benefit except Rs 500 as PG allowance. Even though the CHS rules state that doctors with PG qualification will be given 3-4 years of benefit in experience while being selected for SMO & CMO, no such provision exists during promotion. Therefore, MO, SMO & CMO with PG qualification should be given promotion 3 years earlier.In many state cadres, this provision exists.

2.Medical Officers as Specialists: When Delhi govt advertised for contract specialists, many MO with PG qualification applied for it.But they were prevented from appearing on the pretext that those were only contract posts.Principle of natural justice demands that if these contract posts are now regularised then all MO with PG should also be given specialist status simultaneously.

3.End of phoney divisions: There should be a unified cadre of specialists & MO. While there is shortage of specialists in Delhi govt, many MO with specialist qualification are working outside their area of expertise.Even RAILWAYS  has a unified cadre and all MO with specialist qualifications work as specialists.

4.Teaching Experience: The present rules specifically state that teaching experience in the post of Medical Officer will not be considered while applying for teaching posts. It should be considered if such an experience is obtained in a teaching hospital.

5.Study Leave: Study Leave should be of three years.