SERVICE STIPEND

Tamil Nadu Medical Service- grant of stipend equivalent to half pay plus Dearness Allowance to Service post Graduates. - Orders issued.

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HEALTH INDIAN MEDICINE AND HOMOEOPATHY AND FAMILY WELFARE DEPARTMENT

G.O.Ms. No. 485 Dated 2nd April 1991

19 th Panguni Pramodhutha Thiruvalluvar Aandu 2022

Read Again:

G.O. Ms. No. 774, Health dated 25-4-1990

Read also:

From the Director of Medical Education Roc No. 40761 / E3/1/89 dated 12-3-1990.

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Order:

In G.O.Ms. No. 774 Health, dated 25-4-1990 the Government ordered that the stipend paid to the following categories Hospitals be enhanced as under :-

(i) The stipend for the CRRIS in Government Hospital in this state be enhanced from Rs. 750/- p.m. to Rs. 1000/- p.m. inclusive of the mess compensatory allowance

(ii) The Stipend for non - Service candidates undergoing post graduate Degree and Diploma courses in this state be enhanced from Rs. 800/-P.m.toRs. 1050/-p.m.

(iii) The stipend for Service candidates undergoing postgraduate degree and diploma courses in the Government Medical College in this state, who have not completed 5 year of Service and whose Services are yetto beregularised be enhanced from Rs.800/-toRs. 1050 /-p.m.

(iv) The Stipend of regular Service candidates who have not completed 5 years of Service be enhanced from Rs. 950/- p.m. to Rs. 1200/- p.m.

(V) The stipend of regular Service candidates who have completed 5 years of Service be enhanced from Rs. 1050/- to Rs. 1300/- p.m.

2. The Director of Medical Education has how recommended to the Government that all Service post Graduates be sanctioned half pay + Dearness Allowances in lieu of stipend. The Government after careful examination accept the recommendation of the Director of Medical Education.

3. The Government direct that all Service post graduates shall be paid stipend equivalent to half pay + dearness allowance with effect from the date of this order.

4. This order issues with the concurrence of the Finance Department vide its U.O.No. 1445 /Fs(P)91 dated 25-3-1991.

(By Order of the Governor)

Conversion of Honorary posts into paid posts

Tamil Nadu Medical Service Government Medical Colleges -Conversion of Honorary posts into paid posts - Orders-issued.

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HEALTH AND FAMILY WELFARE (A1) DEPARTMENT

G.O.(D) Ho.379 Dated : 16-3-2001

Read:

1. G.O.(Ms) No. 1389 Health, dated 29-12-92,

2. G.O.(Ms) No. 1150 Health, dated 23-8-95.

3. G.O.(D)- No,255, Health, dated 12-3-98,

4. From the Director of Medical Education letter

N0.123122/H&DI/96, dated 6-9-2000.

*****

ORDER:

In the Government Order first read above, the Government ,have issued order amongst others to progressively replace the positions held by the Honorary Professors and Readers into paid post.

2. The Director of Medical Education has sent proposals accordingly for conversion of Honorary posts into paid posts.

3. The Government have examined the proposal of the Director of Medical Education and direct that 11 (eleven) Honorary posts as indicated in the annexure to this Government Order be converted into paid posts in the respective Institutions only, subject to the following conditions.

(i) No new posts will be sanctioned in lieu of the vacant posts and the posts will be managed within the already sanctioned strength, of Senior Civil Surgeons;

(ii) That the teaching / clinical work in the hospitals / Medical Colleges should not be affected by this conversion,

4. This order issues with the concurrence of Finance Department vide its U. O. No. 427/FS/P/2001 dated 6-2-2001.

(BY ORDER OP THE GOVERNOR)

L.K.TRIPATHY

SECRETARY TO Government

ANNEXURE

I. Madras Medical College and Research Institute and Government General Hospital, Chennai.		No. of Post	G.O. in which the post sanctioned
1. Institute of Internal Medicine	Honorary Clinical	1	G.O. Ms. No. 167, Health, Dated 22-1-77.
2. Institute of O.R.L.	Honorary Clinical	1	G.O. Ms. 661 Health Dated 12-3-71.
3. Institute of Neurology	Reader in Neurology	1	G.O. Ms. No. 2341, Health, Dated 25-9-75
4. Institute of Mental Health	Honorary Psychiatrists / Additional professor of psychiatric	1	G.O. Ms. No. 2447, Health, Dated 29-7-59.
5. Institute of Child Health	Honorary Phychiatrist	1	G.O. Ms. No. 67, Health Dated 9-1-75.
Kilpauk Medical College. Chennai
1) Honorary Professor of Meidcine	-	1	G.O. Ms. No. 19, Health Dated 4-1-71
2) Honorary Professor of Surgery	-	1	G.O. Ms. No. 157, Health Dated 22-1-76.
III Thaniavur Medical College. Thaniavur
Readerin Surgery	Honorary Reader in Clinical Surgery & Honorary Surgeon	2	G.O. Ms. No. 1374, Health Dated 15-6-82 & G.O. Ms. No. 477, Health Dated 9-2-50.
IV) Stanley Medical College . Chennai
1) Department of Medicine	Honorary professor of Clinical Medicines Honorary Physician	1	G.O. Ms. No. 699, Health Dated 17-3-71
2) Vascular Surgery	Honorary professor of Vascular Surgery	1	G.O. Ms. No. 699, Health Dated 10-7-91.

OP HOURS

GOVERNMENT HOSPITALS - Increasing of working hours of OP. in Government Teaching Hospitals and non-teaching Hospitals in District, Taluk and non-Taluk Hospitals including Government Dispensaries - Orders -Issued.

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HEALTH AND FAMILY WELFARE DEPARTMENT

G.O. Ms. No.463. Dated 12th September, 1996

ORDER:

The State Government are very keen on improving the Health care of the people coming to the Government hospitals and dispensaries. The Government have already taken a number of measures to ensure better Health care facilities in the State. One of the major problems in the General Out patient (OP.) departments in the hospitals is over crowding leading to inadequate attention to patients.

2. The present OP. hours are for a short duration only. The limited number of hours for outpatients results in over crowding in the hospitals. Consequently, the patients visiting the Hospitals for Health care as well as the Medical Officers engaged in attending to out patients find it extremely difficult to carry out detailed diagnosis on patients. The Government have also been receiving complaints from the Public about over crowding in OP. departments in all hospitals. The Government have been considering the possibility of increasing the OP. hours in hospitals to reduce the over crowding and to improve patient care in hospitals in consultation with Director of Medical Education and Director of Medical and Rural Health Services.

3. The Government, after due consultation with the Director of Medical Education and Director of Medical and Rural Health Services have decided to increase the morning OP hours upto 12.00 Noon in the teaching hospitals and other district, taluk and non-taluk hospitals including Government Dispensaries.

The Government hope that the increase in morning O.P. hours will achieve the twin-objectives viz. (i) to enable the people of all walks of life to avail the Medical facilities according to their convenience within the increased O.P. hours, avoiding the rush in the hospitals; and (ii)to allow the Medical Officers engaged in O.P. hours to devote more time on patient examination and diagnosis.

4. The Government, accordingly, direct that the morning O.P. hoursj in all teaching hospitals be from 7.00 A.M. to 12.00 noon and in all other district, taluk and non-taluk hospitals and Government Dispensaries be from) 7.30 A.M. to 12.00 noon. The Government further direct that so far aj Primary Health Centres are concerned, there is no change in the timing of the existing O.P. hours- There will be no change in Speciality O.P. hours and| evening O.P. hours.

5. The change in O.P. timing hours will come into force with immediate effect. The Director of Medical and Rural Health Services and the Director of Medical Education are requested to issue suitable instructions to all concerned for strict compliance of the orders of the Government in Para 4 above.

(By Order of the Governor)

R.POORNALINGAM,

Secretary to Government.

DNB

Medical Education - Starting of Diplomate in National Board Courses in Government Medical Colleges and Hospitals under the control of Director of Medical Education and Director of Medical and Rural Health Services - Orders Issued.

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HEALTH AND FAMILY WELFARE (MCA1) DEPARTMENT

GO (D) No: 660 Dated:-19.7.2006.

Read:

(i) From the Director, Government of India, Ministry of Health and Family Welfare, Department of Health, Letter No. V. 11025 712 / 2004 - ME (P.I), dated, 17.8.2004,19.9.2005.

(ii) From the Director of Medical Education, Letter,No. 101552 / ME I /1 /2002, dated, 22.12.2004 and 24.11,2005.

(iii) From Government of India, Ministry of Health and Family Welfare, Department of Health, Letter No. V. 11025 /12 72004 - MEE (P.I) (Pt), dated, 4.1.2006.

(iv) From the Executive Director, National Board of Examination 7 DNB 7 MC 7 2006, dated, 16.1.2006.

ORDER:

The Director, Government of India, Ministry of Health and Family Welfare, Department of Health has informed that it has been decided that Medical Institutions in the Country running Post Graduate / Super Speciality Courses recognized by the Medical Council of India may be permitted to run Diplomate in National Board Programmes, provided they have additional faculty to train Diplomate.in. National Board Candidates in various Post Graduate/Super Speciality Courses.

2. The norms of the above training is 1 : 1 ratio of students and faculty. The other infra structural facilities including Bed Strength, Para Medical Staff, in-patient and out-patient as prescribed are to be fulfilled and that the Diplomate in National .Board jpourses can be 'conducted in all the clinicaf and non-clinical Specialities, where no Post Graduate Courses are available:

3. Accordingly, the Director of Medical Education has sent proposals to start 151 Courses in District Headquarters Hospital under the control-of Director of Medical and Rural Health Services and 208 Courses in Teaching Institutions under the control of Director of Medical Education where additional infrastructure facilities, are available .She has requested to sanction a sum of Rs. 1,43,60,000/- (Rupees one crore forty three Lakhs and sixty thousand only) towards Affiliation and Inspection Fee of Rs, 40.000/-(Rupees forty thousand only) per Course per College payable to National Board of Examinations, New Delhi.

4. The Government after careful examination have decided to accept the proposal of the Director of Medical Education in para 3 above. Accordingly, the Government direct that;

(i) DNB Courses be started in 14 Government Medical Colleges as indicated below

	Number of Courses	Number of Seats
Non-Clinical Specialities	64	128
Clinical Specialities	103	202
Super-specialities (Medicine and Surgical)	41	81
	208	411

(ii) DNB Courses totaling 151 seats be started.in 29 District Headquarters Hospitals under the control of Director of Medical and Rural Health Services.

5. Orders for sanction of expenditure for starting the above Courses from the Personal Deposit Account of the Director of Medical Education will be issued separately,

6. Detailed guidelines for admission of candidates to.Diplomate in National Board Courses will be issued separately.

7. This order issues with the concurrence of Finance Department vide its U.O. No.4447FS(P)/ HH/ 06, dated, 6.2.2006.

(BY ORDER OF THE GOVERNOR)

K.SUBBURAJ

SECRETARY TO GOVERNMENT

Hospitals teaching Hospitals - Uniformity in working hours Maintenance of discipline - suggestion of Director of Medical Education - Orders issued.

Health AND FAMILY Welfare DEPARTMENT

G.O. Ms. No. 33 Dated: 20th January 1995

1. Secretary, Health & Family Welfare department D.O. Lr. No. 61/

secretary/94 dt. 7-11-94.

2. From the Director of Medical Education D.O. Lr-.N.o. 106768/G1

dated 2.1.94.

Order:

The Government have been considering the need for furnishing working hours uniformly for all the Hospital attached to Medical Colleges in this State so as to serve the Public better. The Director of Medical Education has sent his recommendation in the letter second read, after consulting all the Deans, select Professors and others, after careful consideration the Government accept the proposal of the Director of Medical Education in- his-letter read above and direct as follows: -

1. OutPatient Department :

1) The General Out Patient Departments will start functioning from 7.00 a.m. which includes Medical, surgical, obstetrics and gynecology, pediatrics, Orthopaedics, ENT, Opthalmology Dermatology, Venerology and Dental.

2) The Extension Out Patient Department will functioning from

9.00 A.M. in the Causuality or at a suitable place in the Out Patient

Department as prescribed in G.O.Ms.No. 883, Health, dated 16.4.74. The

extension Out Patient Medical officers will attend the extension Out Patient.

dept.

3) Evening Out Patient dept, will function from 3.00 P.m. to 5.00 P.M. with duty casualty Medical officer Duty Assistant physician on duty.

4) other patients who come to the out patient departments as emergencies shall be examined by the duty casualty Medical officer and duty CRRI.

5) Review Out Patient department to be suitably arranged by the Deans or head of Institutions.

6) The Out Patient department of other specialities and higher specialities will start functioning from 8.00 A.M. The Speciality departments functioning with single Unit shall conduct Out Patient at 8.00 A.M. daily. (The Out Patient departments of higher Specialities may be conducted in the O.P. Block or in the respective departments if no space is available in the O.P. Block)

CASUALTY DEPARTMENTS:

This Casualty will function with 3 shifts with casualty Medical Officer and duty CRRI.

Working hours: 7.00 A.M. to 1.00 P.M.

1.00P.M. to 7.00 P.M.

7.00P.M. to 7.00 A.M.

Medical Legal cases and non-Medico legal cases department will be dealt separately, when there are separate sanctioned posts available in the respective category. Otherwise the Casualty Medical Officer will look after the Medico -Legal and Non-Medico Legal cases.

On non-admission days the Medical Officers will report for duty at 9.00a.m.

Operation Theatres will start functioning from 9.00 a.m.

DURATION OF HOSPITAL WORKING HOURS :

1. Admitting units (who report for out patient Duty) :7 AM to l PM

2. Non admission Units (who have no out Patient Duty) 9 AM to 3PM

working hours of Medical Officer will be for 6 hours both on admission and non- admission days.

3. Specialty and higher Specialty and : 8 pm to 2 PM Single Unit Department

The duty Assistant Surgeon, Duty Assistant Physician and any other duty Medical officer (Orthopaedics, Obstetrics and Gynaecology, Paediatrics etc;,) in any Department will be on duty in the Hospital for 24 hours from 7 AM to 7 AM the next day with provision to avail post duty off on the following day. One Assistant Surgeon will be on duty in all other Specialties as decided by the Head of the Institutions to attend emergencies as and when called by the duty Medical Officers. The above Hospital working hours will be for both Civil Surgeons and Assistant Surgeons.

4. The following department shall work for 24 hours with one Technician, One radiographer and Pharmacist on duty after duty hours:

a) 24 hours Laboratory including Clinical Pathology, Microbiology and bio-Chemistry.

b) X-ray Department

c)E.C.G. Laboratory

d) Pharmacy

e) Emergency theatre

f) blood Bank

and any other department as decided by Head of Institution.

Every ward in the departments where teaching program is carried out should have a Laboratory annexed to it and function as per the Medical Council of India regulations, The above schedule is besides the teaching program as mentioned in the ref. No. 7344C/ME 11/1/76, dt 29.10.76. All Investigation facilities x - ray ECG etc. should be made available in the Out Patient Department.

The rotation of post-graduates should be as follows:-

1) First 6 months to work in the Unit in the 'respective specialty to which the candidate is first¹ allotted during which period the details of topic of Dissertation case histories shall be decided by the Unit Chief to each candidate.

2) Next one year to work in all the allied specialties to be decided by .the Head of the Department according to the regulations of Tamil Nadu Dr. MGR Medical university.

3) To work for 6 months in other Units of the specialties other than one to which the candidate originally allotted by rotation uniformly dividing the period among the number of units available.

4) Last one year to work in .the Unit to which the candidate originally allot ted for completion and submission of dissertation of case histories.

Higher Specialities (2 years course):

1) First 6 months to work in the Unit to which the post -graduate is allotted.

2)Next 6 months to work in the other units of the specialty other than to which the candidate is originally allotted, by rotation uniformly dividing one period among the number of units available.

4. The Medical Officers who are working in Primary Health Centres where quarters are available, will continue to draw a sum of Rs. 400/- p.m. as Rural allowance subject to the condition that the Medical Officer should reside in the place where the Primary Health Centre it situated.

5. This order takes, effect from the date of this order,

6. This order issues with the concurrence of Finance Department vide its G.O. No.1445/FS/P/91 date 25-3-1991.

(ORDER OF THE GOVERMENT)

JAG MOHAN SINGH KANG

Secretary to Government

GOVERNMENT OF TAMIL NADU

Sir,

Sub: Hospital - Teaching Hospitals - uniformity in working hours and maintenance

of discipline - suggestion of the Director of Medical Education-ordered-further amendments issued.

Ref: 1.G.O.Ms.No.33,Health dated20-1-95

2. Govt. letter No. 9982/E1 /95-1 dt 9-2-95.

3. From the Director of Medical education letter

No. 105633/61/94.14-2-95.

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The conation of the Government letter second cited, the is issued to G.O. (ms) No. 33, Health dated 20-1 -95

The hours noted as 9.00 a.m. to 3.00 p.m. against item admission units (who have no out - patient duty) under the duration of Hospital working hours" shall be corrected as 9.00 a.m. to 2.00 p.m. besides teaching duty in colleges and hospital:

Yours faithfully

(For Secretary to Government)