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									MEDICAL EDUCATION DEPARTMENT                          Medical Education Department (MED)
                  Proposed                       1.       Background:
  "National Centre for Health Professions
  Education and Development (NCHPED)"                     The Education Support Unit created at Tribhuvan
                                                          University Teaching Hospital under the Institute of
                                                          Medicine (IOM) in 1986 has been subsequently
                                                          developed         into      the         Medical             Education
                                                          Department (MED). Its mission is to provide
                                                          need-based quality education in the academic
                                                          programmes of the Institute of Medicine. MED
                                                          has been established to facilitate a rational
                                                          approach to education in health sciences based
                                                          on the principles of educational psychology and
                                                          research       outcomes         in      health         professions
                                                          education and to maintain the standard of
                                                          academic       programmes              at     par      with      other
                                                          universities             recognized                internationally.
                                                          Envisioning the goal of developing into a
                                                          "National       Centre      for        Health        Professions
                                                          Education and Development" (NCHPED) in
                                                          Nepal, MED has diversified its activities in
                  Mission:                                different     education         related        areas          and    is
          Quality Health Care                             increasingly playing an important role to help
                 through                                  raise the standards of health care services by
        Quality Medical Education                         improving and ensuring the quality of human
Step by step, Brick by brick, Vision by vision
                                                          resources for health (HRH) at the national level.

                                                 2.       Objectives:
                                                          MED has the following objectives:
                                                          -           train teachers of health professions in
                                                                      educational methods;
                                                          -           promote               and               institutionalize
                                                                      development           of        rational        academic
                                                                      programmes          in      undergraduate               and
                                                                      postgraduate levels of health sciences;
                                                          -           initiate      and          maintain             continuing
                                                                      education for health professions;
                                                          -           promote         innovations                in       health
                                                                      professions education;
                                                          -           promote the planning, implementation
       TU Institute of Medicine                                       and        evaluation             of        Information
     Medical Education Department                                     Communication Technology (ICT) in
             PO Box 1524
          Kathmandu, Nepal                                            health care and health professions
                                                                      education sectors.
     -        conduct research in health professions             Curriculum Development
              education and practice;
     -        coordinate       medical     education      with   The MED has assisted in the design and review
              national health care services;                     of Proficiency certificate, Undergraduate and
     -        provide forum for communication and                Postgraduate     level    curricula    of      various
              focus of ideas for all those concerned             programmes of the IOM. The concepts of primary
              with development of human resources                health care and community orientation have been
              for health (HRH);                                  emphasized in line with the recommendations on
     -        develop      regional      and    international    Reorientation of Medical Education (ROME)
              linkages with other institutions /centres/         launched by the WHO, South East Asia Region.
              universities      belonging       to     health
              professions education.
                                                                 Continuing Education

3.   Activities:                                                 Need    assessments      for    Continuing     Medical
     MED had been undertaking following activities:              Education (CME) for different categories of health
                                                                 professions have been undertaken and relevant
     Teacher Training                                            areas have been identified for the Health Post In-
                                                                 Charges and the District Medical Officers of the
     Workshops on "Teacher Training on Helping                   Ministry of Health.
     Students Learn" focusing on broad educational
     principles     and    methods        for   the    health    Research
     professionals have been regularly conducted.
     MED has been conducting a six weeks "Short-                 Educational research has been promoted among
     term Training Methodology Course" for Health                faculty members. The MED has also carried out
     Personnel      Trainers   from      Regional     Training   research on "Factors Causing High Failure in
     Centers of National Health Training Center                  Final MBBS Examination", "Baseline Research
     (NHTC) of Ministry of Health and the Council for            Study on ROME in Nepal", 'Elective Experiences
     Technical & Vocational Education (CTEVT). MED               of Foreign Medical Students at the Teaching
     has    been       organizing     Teacher         Training   Hospital of the Tribhuvan University, and 'Follow-
     Workshops for faculty teachers from Tribhuvan               up Study of the Impact of the Teacher Training
     University and different medical colleges.                  Workshops on the Teaching Performance of
                                                                 Faculty Teachers in Health Science Institutions of
     Facilitating Innovative Approaches                          Nepal'. Several other studies have been carried
                                                                 out some of which are published in national and

     The concepts of Problem-Based Learning (PBL),               international journals. As a proposed National

     Community Oriented/Based Learning, Integrated               Centre, MED will play increasingly important role

     Teaching/learning, Continuing Education and                 to promote research related to health professions

     Evidence-based        Medicine        (EBM),       Multi-   education, human resources development and

     professional      education         and     Information     the health system development in Nepal. The

     Technology in Health and Education have been                MED has organized a workshop on Evidence-

     promoted through workshops. Strategies have                 based medicine in the South East Asia region

     been worked out for the implementation of                   and would continue to work as a focal point to

     workshop recommendations.                                   promote    evidence-based       Medical      Education
                                                                 Policy and practice in Nepal.
Consultancy                                                       -        In   consultation   with   Nepal   Medical
                                                                           Council and WHO support MED was

Faculties of MED have been providing assistance                            involved    in   developing   Accreditation

as resource persons to various in-service training                         System of Medical/ dental education

programmes and curriculum development at                                   programmes in Nepal.

Ministry of Health, and the newly established
medical schools and the National Academy of                       Clinicall Elective Programme for Foreign
Medical Sciences (NAMS). MED is also planning                     Medical Students
to expand it's consultative services to the non-
governmental     organizations       involved     in   the        MED has been successfully coordinating the
planning, production and management of HRH in                     Clinical Elective Programme for Foreign Medical
Nepal.                                                            Students for the departments and units of
                                                                  Institute of Medicine (at Maharajgunj Campus,
The faculty of MED has contributed as Advisors                    Tribhuvan University Teaching Hospital and B. P.
and Short-term Consultants to WHO and other                       Koirala Lion's Center for Ophthalmic Studies)
international agencies.

                                                             4.   Organization:
Facilitating change

                                                                  The MED is guided by a "MED Advisory Board"
As per guidelines of the ROME strategy for the                    constituted by faculty from IOM and officials from
countries of South East Asia Region, WHO.                         MOH with the Dean IOM, as Chairperson and
-        MED        faculties       coordinated        and        Director of MED as Member-Secretary to the
         supported the "Regional Conference on                    Board. The Director is responsible for running the
         Medical Education for the Twenty-first                   day to day activities of the department and is
         Century" held at BP Koirala Institute of                 assisted by the permanent academic faculty of
         Health Sciences (BPKIHS), Dharan,                        MED. A group of faculty associates are also
         1994                                                     involved to assist in running various training
                                                                  activities at MED.
-        MED      has     been       promoting     active
         collaboration            with     educational
                                                             5.   Future Plan:
         institutions    within     and   outside      the
         country. MED hosted the "Regional
                                                                  The MED which functions currently as the main
         Teacher Training Programme for Health                    teacher training department for health professions
         Personnel Education" for South East                      is poised to be formally designated as the
                                                                  'National Centre for Health Professions
         Asia Regional Office (SEARO) of WHO                      Education and Development (NCHPED)' for
         in 1997.                                                 Nepal.

                                                                  It plans to run academic degree programme
-        MED was actively involved in developing                  leading to Masters in Health Professions
                                                                  Education (MHPEd). It aims to strengthen
         a      "National       Health     Professions            regional cooperation and develop inter-regional
         Education Policy for Nepal". In 1997                     linkages with institutions/ centres/ universities
                                                                  engaged in educational innovations and research
         MED in collaboration with MOH and                        for health system development with the ultimate
         WHO organized "National Consultative                     aim to develop into a School of Health
                                                                  Professions Education in South East Asia
         Meetings on Development of Medical                       Region.
         Education Policy for Nepal".
6.   Faculty:                                          -        Dr. Rajshree Jha, MBBS,MD,FICS
     -          Dr. T. P. Thapa, MBBS, MS                       Associate Professor
                Professor of Anatomy &                          Department of Ob/Gynaecology
                Director                                        email:
                Medical Education Department
                   -        Dr. Pradeep Vaidya, MBBS, Ph.D.
                                                                Associate Professor
     -          Mrs. Mandira Shahi, BN, MHPEd                   Department      of      General       Surgery
                Associate Professor                             email:
                Medical Education Department                    Cell: 9851041119
                                                       -        Dr. D. P. Shrestha, MBBS, MD
     Faculty Associates:                                        Associate Professor
     -          Dr. D.N. Shah, MBBS, MS,                        Department of Dermatology
                Professor of Ophthalmology &                    Email:
                Campus Chief                                    Cell: 9841218380
                Maharajgunj Campus
                email:             -        Ms. Mandira Onta, MN Paediatric
                                                                Associate Professor
     -          Dr. Kanak Bahadur Raut, MBBS,MD                 Nursing Campus, Maharajgunj
                Professor                                       Email:
                Department of Internal Medicine                 Cell: 9841225520
                                                       -        Dr. Sangh Ratna Bajracharya, MD
     -          Dr. B. M. Pokhrel, Ph.D.                        Lecturer
                Prof. of Microbiology &                         Department of Clinical Pharmacology
                Basic Science Coordinator                       email:
                MBBS Programme                                  Cell: 9851002101
                                                       -        Dr. Nirju Ranjit, MBBS, MD
     -          Dr. J. P. Agrawal, MBBS, MD, MHPEd              Lecturer
                Professor of Internal Medicine                  Department of Anatomy
                email:               Email:
     -          Prof. P. R. Sharma
                Director, HLMC                         -        Mr. Ganesh Bdr. Pokharel, MSc
                Institute of Medicine                           Associate Professor
                Maharajgunj, Kathmandu, Nepal                   Department of Radiology
     -          Mr. Ishwor B. Shrestha, MSc, MPHCM,             Cell: 9851005095
                MSc.(Stat.)MSc. (Med. Demog)
                Professor & HOD, Department of         For Correspondence:
                Community Medicine and Family Health   Medical Education Department
                                                       TU Institute of Medicine
                Institute of Medicine
                                                       P.O. Box 1524, Maharajgunj
                    Kathmandu, Nepal
                                                       Tel:       977-1-4416734 /4430376
     -          Dr. S. Onta, MD, MPH, Ph.D.
                                                       Home page:
                Assoc. Prof. of Community Medicine &
                Family Health
      INFORMATION BROCHURE                                                     Clinical/Community Elective Programme
                               On                                                         for Foreign Medical Students
Clinical/Community Elective Programme for
            Foreign Medical Students                                           It is, hereby notified that all foreign medical students
Organized by Medical Education Department                                      applying for enrollment into the Clinical/Community
                                                                               Elective Prgramme for Foreign Medical Students at
"National Centre for Health Professions Education and
                                                                               Tribhuvan University Teaching Hospital (TUTH),
                 Development (NCHPED)"
                                                                               Maharajgunj Campus shall be required to register at
                                                                               the Medical Education Department (MED) of Institute
     The Maharajgunj Campus was established in 1972 under the
                                                                               of Medicine which is situated at Maharajgunj about 7
     Tribhuvan University, Institute of Medicine (IOM). It currently runs 25
                                                                               KM north of city centre inKathmandu. Without formal
     programmes ranging from the Proficiency Certificate Level to the
                                                                               registration, no student shall be allowed to do
     Postgraduate MD Programme. It works in close collaboration with
                                                                               elective     at   any   department     of        the    TUTH/
     the Tribhuvan University Teaching Hospital established in 1983
                                                                               Maharajgunj Campus
     under same umbrella. The TUTH is the pioneer Teaching Hospital in

     Nepal. The mission of IOM is to provide quality health care through
                                                                               TUTH is a major Teaching Hospital with 420 beds
     quality educational services to the people of Nepal. Through co-
                                                                               attached to the Institute of Medicine for training
     ordinating the Clinical and Community Elective Programme and
                                                                               undergraduate and post-graduate students in Health
     extending educational services to the overseas students Medical
                                                                               Sciences. The Maharajgunj Campus runs the
     Education Department of the IOM has added new dimension through
                                                                               community-based field programmes.
     fostering international cooperation in medical education

                                                                               1.         General Requirements:
                                                                                          1.1    Forwarding of Application:
                                                                                                 While applying for Elective term at
                                                                                                 the   departments         of     Tribhuvan
                                                                                                 University      Teaching             Hospital
                                                                                                 (TUTH), Maharajgunj Campus, the
                                                                                                 application form should be properly
                                                                                                 filled up all forwarded to the Elective
                                                                                                 Programme      Coordinator,          Medical
                                                                                                 Education Department, TU Institute
                                                                                                 of Medicine at least one month prior
                                                                                                 to the start of the term.

                                                                                          1.2    Testimony of bonafide student:

        TU Institute of Medicine                                                                 It is compulsory for the applicant to
      Medical Education Department                                                               attach original copy of a testimony of
              PO Box 1524                                                                        a bonafide student signed either by
           Kathmandu, Nepal
                                                                                                 the   respective     Dean/Vice-Dean/
                                                                                                 Assistant Dean or by authority of
       equivalent    status   of    a   medical    Children's Hospital which is five minutes
       school looking after the academic           walking distance from this hospital
                                                   The choice of doing elective should be made
1.3    Departments at TUTH/                        only from the list of departments mentioned
       Maharajgunj      Campus :                   above. The MED will not be able to organize
       It is hereby notified that elective         electives in any other departments or at any
       rotation is available at Tribhuvan          other hospitals in Nepal.
       University   Teaching       Hospital   at
       Maharajgunj Campusin the following          1.4     Requisite for Elective:
       departments:                                        Medical       students     wishing      to
                                                           undertake elective attachment in
       TUTH:                                               clinical   discipline     areas     should
       *       Internal Medicine                           complete a minimum of one year of
       *       General Surgery                             clinical rotation in their own country.
       *       Orthopaedics
       *       Gynae/Obst.                         1.5     Duration of Elective:
       *       Ophthalmology                               Students are encouraged to do the
       *       ENT                                         elective only in one department
       *       Dermatology                                 where the minimum duration of
       *       Psychiatry & mental health                  attachment should not be less than
       *       Clinical Pharmacology                       four weeks. However, those wanting
       *       Dental Surgery                              to do electives in more than one
       *       Anaesthesiology                             department are advised to do the
       *       Radiology                                   elective for at least four weeks at
       *       Forensic Medicine                           each department. Those wanting to
       *       Pathology                                   do for more than four weeks at one
       *       Biochemistry                                department      are      reminded      that
       *       Microbiology                                reallotments for electives are made
       *       Emergency Medicine &                        only in succession of a fortnight
               General Practice                            basis. Specification of the date and
                                                           duration      for doing the elective
Maharajgunj Campus:                                        should be clearly mentioned in the
Community Medicine & Family Health                         application form.

Eventhough, a Neonatal ward is attached to         1.6     Course description:
the obstetrics department at TUTH, the                     While undergoing elective terms at
department of paediatrics functions its OPD                the   major     departments       of   the
and the indoor services through Kanti                      Teaching      Hospital,    the    medical
                                                           students will have opportunities to
get familiar with commonly prevalent                                 The community-based programmes
medical and surgical problems of                                     for elective are yet to be developed.
Nepal.      They     will      get     first-hand                    Such programmes could provide
experience          of      many           tropical                  first-hand     experiences        in    the
diseases      and         common            health                   practice of rural medicine as well as
problems of a developing country.                                    the insights in regards to the socio-
                                                                     cultural,         economic             and
During the four week elective period                                 environmental         determinates       of
students     will    attend         daily    ward                    health & disease. The IOM has been
rounds        conducted               by       the                   one of the pioneer schools in the
consultants of the respective clinical                               subcontinent to run a community-
departments. Students will also be                                   based medical education.
posted        to         the          out-patient
departments and the casualty rooms                    2.   Registration Fee:
where they could see a variety of                          The registration fee for doing the elective will
clinical cases. The students could                         be as mentioned below:
interview and examine the patients
and observe various diagnostic and                         *         Students      coming       from    SAARC
therapeutic procedures under the                                     (South       Asian     Association       for
direct supervision of the consultants.                               Regional Cooperation) countries will
                                                                     need to make payment of Nepalese
Similarly,    medical          students        are                   Rupees       1500/-    (Rupees     Fifteen
encouraged to participate in the                                     Hundred) for a period of four weeks.
clinical bedside teachings regularly                       *         Students coming from any country
conducted for the undergraduate                                      other than those of the SAARC
students of the Institute of Medicine.                               region will need to make payment of
In such sessions students could                                      US$ 150.00 (One Hundred and
discuss      the         clinical       findings,                    Fifty) or equivalent in Nepalese
investigation plans and therapeutic                                  currency for a period of four weeks.
management of the patients. The                            However,       students         wanting     to    get
regular      journal           clubs,        case          attachment for more than four weeks will
presentation and topic discussion                          have   to     make      additional    payment      of
sessions      provide          rich     learning           Nepalese rupees 500/- (for students coming
environment for students.                    Such          from SAARC countries), and US $50.00 (for
sessions are particularly useful to                        overseas students) on a fortnightly basis. All
develop critical reasoning skills and                      payment must be made in the name of
the skills of problem solving based                        Medical      Education          Department       after
on case histories and the real                             students arrive in Kathmandu.
3.   Lodging and Food:                                                 if students' beds are already occupied by
     Students will need to make their own                              somebody else and the supply of medicine
     arrangements for their lodging and food.                          needs outside purchase (at times even
     MED if requested, will try to help them find                      getting from outside the country) then
     some places to stay while in Kathmandu.                           students will be required to make payment
     Students are reminded to eat only at places                       for both the bed as well as the medicine
     where food is considered safe. Lodging at                         required for the treatment.
     cheaper hotels and guest house range from
     US $ 10-15 per day while cost of food                     7.      Information on Nepal:
     eventhough varies from person to person                           Students are advised to contact Royal
     may be managed with about US $10 per                              Nepalese Embassy or Consulates in their
     day.                                                              own country for getting brochures providing
                                                                       information about the climate and travel in
4.   Certificate of Attendance:                                        Nepal.
     Students wanting to possess a certificate of
     having done the elective attachment at a                  For correspondence:
     particular department need to record daily                TU Institute of Medicine
     attendance in a register book kept at                     MEDICAL EDUCATION DEPARTMENT
     Medical      Education       Department        on   the   P.O. Box 1524
     evidence of which a certificate shall be                  Maharajgunj, Kathmandu
     issued signed by the Director and the                     Nepal
     Elective Programme Coordinator of the MED                 Fax: 977-1-413795 or 977-1-418186
                                                               Phone no.: 977-1-416734, 430376
5.   Visa:                                                     Email:
     The MED under any circumstances will not
     write to the Immigration Office for extensions
     of visa beyond the period students are
     accepted      for    doing    elective    at    TUTH/
     Maharajgunj Campus.

6.   Health Care:
     Students having health-related problems
     while   in     Kathmandu          will   be    advised
     necessary treatment by the concerned
     departments of TUTH. In case students
     need hospitalization, they will be admitted in
     free beds for students if such free beds are
     available, and students occupying such beds
     in   general        ward   will   have    food      and
     medicines provided free of charge. However,

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