SOUTH CENTRAL RAILWAY
MEDICAL DEPARTMENT
Annexure-I
Sub: "Honorary Visiting Specialists" in all the Railway Hospitals all over Indian Railways
Ref: Railway Board's letter no 2001/H-1I12/40 dated 15.12.2005 & even no.' dated 27.06.2006 & 25.06.2008.
Note: In terms Of Railway board’s letter No: .2005/H-1/12/34 Pt. dated 29.06.2009 sanction of the Ministry of Railways is hereby accorded for further extension of the scheme from 01.07.2009 to 30.06.2011.
For South Central Railway maximum number of Honorary Visiting Specialists that can be engaged are
(i) Central hospital/ Lallaguda/ Secunderabad : 10
(ii) Divisional hospital/Vijayawada : 06
(iii) Divisional Hospital/Guntakal : 04
(iv) Sub-Divisional Hospital/Purna : 03
(v) Sub-Divisional Hospital/Rayanapadu : 03
1. Nomenclature
1.1 The revised name will be "Honorary Visiting Specialists".
1.2 The above scheme will be implemented in phased manner.
2. The procedure
2.1 The maximum number of "Honorary Visiting Specialists" which may be appointed in each Sub-Divisional Hospital should be limited to three (3).
3. Qualification and experience
3.1 Minimum Post-Graduate degree from a recognized University.
3.2 Minimum 5 years experience in the professional work related to concerned Specialty after obtaining P.G. degree.
3.3 The Specialist doctor must have earned reasonable amount of popularity, and Confidence 'in the City/Town.
4. Procedure of Selection
The MD/CMS/MS in-charge of the concerned Railway hospital will undertake proper market Survey and short list probable Specialist doctors having proven abilities as judged by local reputation, publications and attachments.
4.1 The MD/CMS/MS in-charge will hold negotiating meeting with those short listed Specialist doctor~ and will finalize the most suitable Specialist doctor. ~' "
4.2 The selected Specialist doctor will be asked to submit an' application which will be recommended by MD/CMS/MS in-charge of the Railway Hospitals to obtain approval of competent authority.
5. Competent Authority to approve engagement of Honorary Visiting" Specialist
5.1 For a person being engaged for the first time “Honorary Visiting Specialist" approval will be given by DG/RHS. , "
5.2 First extension at the end of 1st year will be given by DG/RHS based on performance.
5.3 Further extension based on performance will be given by General Managers but after completion of every 5 years, repeat approval of DG/RHS is essential.
6. Age Profile
6.1 During first time engagement, the preferred age is between 40 years to 50 years. '
6.2 Upper age limit of continued engagement is 60 years.
Note: ~ the exceptional cases need to be referred to Railway Board.
7. Tenure of working
7.1 Each time the offer is given, it is to be given for one year only.
7.2 After expiry of one year~ extension can be given as, per para 5 above.
8. Number of Visit/Number of Hours etc.
Honorary Visiting Specialist can be engaged as per any of the three patterns:-
8.1 Average of 2 hours every day/6 days/Week.
8.2 Average of 2 hours every day/4 days/Week.
8.3 Average of 2 hours every day/2 days/Week.
In addition they will have to come to hospital whenever called in for emergency on any day, including Sunday and Off day (for 4. days & 2days/Week) and at any time of the day.
9. How to decide about who should be engaged for 6 days/4 days/2 days per Week.
9.1 For Major clinical Specialists they must be engaged for 6 days/Week irrespective of workload.
9.2 For minor clinical Specialists they may be engaged for either 6 days/Week or 4 days / Week depending upon workload.
9.3 For Para clinical Subjects (Radiology, Pathology etc.) they may be engaged for 6 days/4 days/2 days per week depending upon the work load.
10. Honorarium to be paid
Monthly Honorarium to be paid as follows:-
10.1 For 6 days/Week - Rs. 20, 000/- P.M.
10.2 For 4 days/Week - Rs. 14, 000/- P.M.
10.3 For 2 days/Week - Rs. 07, 000/- P.M.
11. Free Railway Passes
11.1 One set of Complimentary Railway Pass valid all over Indian Railway & Konkan Railway in AC two tier including Rajdhani Express and in AC Chair Car of Shatabdi Express for self + Spouse and dependent Children (as per rules applicable for Railway employees) will be made available as per the entitlement; of Selection Grade officers in each calendar year.
11.2 The complementary pass can be availed after 3 months of engagement for the Calendar year.
12. Implementation of the above scheme
12..1 The three "Honorary Visiting Specialist are to be engaged in the Specialty of General Medicine, General Surgery and Gynecology & Obstetrics. They should be engaged for average 2 hours/day/ for 6 days/Week.
12.2 No change is allowed in Specialty or shifting of post to some other Railway Hospital etc.
12.3 Anesthetists are to be called in from market for Anesthesia work as per' , directives given in Railway Board's letter vide No. 2004/H/23/3 dated \04.08.04 with slight modification that they are to be called in 'these hospital without the post of Anesthetist being available in these Hospitals and even if all the posts of IRMS Cadre are fully occupied.
13 Daily Rate of deduction of remuneration
13.1 They are allowed to have 12 days leave every year. For any absence beyond 12 days~ deductions will be made at the following rates:-
2 Hrs. a day for 6 days/week = ;Rs.850/- per day
2 Hrs. a day for 4 days/week = Rs.875/- per day
2 Hrs. a day for 2 days/week = Rs.875/- per day
14 Termination of Contract
14.1 The contracts may be terminated at any time, on one month notice on either side. The Administration reserves the right not to assign any reason for such termination.
15. Financial Evaluation of the scheme
For the purpose of doing financial evaluation of the scheme, the following procedures are to be adopted. “The total number of Railway patients provided profession~ services
by Hony. Visiting Specialists is to be multiplied with rates of services as 'given below. The rates of the professional services are given below
16 .1 For Consultation Services
(a) For consultation in OPD - RS.50/- per case per consultation services provided,
(b) For consultation in I PO - Rs.75/-per case per consultation services provided
16.2 For Surgical operative Services
(a) For minor surgical operation - RS.8, 000/- per case.
(b) For major surgical operation - Rs.15, 0001-per case.
(c) For special surgical operation - Rs.30, 000/-per case.
(d) For tertiary level surgical operation - Rs.50, 000/-per case.
17: With the implementation of this scheme, the Honorary Visiting Specialists will be giving consultations & performing operations and other advice as required. They would-be performing operations also in the Railway Hospitals, and those cases which require referral and the condition of that patient is such that it is manageable during operation and post operative period in that Railway Hospital, will not be referred to Private/Govt. hospitals, for the specialty for which visiting specialists are available in that Railway Hospital. It is further clarified that few high risk patients will still be required to be referred to higher medical Centers. .