Medical Elective Program
Medical Elective Program

Introduction:     
           
Kathmandu Model Hospital (KMH), run by a Non-Governmental Organization- the Public Health Concern Trust (phet-NEPAL), has been providing elective opportunities for foreign medical students specially from western Europe and North-America on various clinical sciences disciplines since past several years and dozens of foreign medical students have been undertaking their elective at KMH each year. Elective rotations at KMH are largely OBSERVATIONAL (SHADOWING) with limited simple works/procedures (if) allowed to perform under the strict discretion of department chief/supervisor. During the period, one will have opportunity to rotate through the departments of one's choice for the intended period where he/she will have options to visit Out Patient (OPD), In-Patient Ward and Operation Theater (if relevant) for exposure and opportunity to observe and learn about the diagnosis and management of a variety of conditions/cases.

Application process & regulations:       
Elective student (if accepted into the program via distance correspondence), has to complete the official registration process for starting the program. This will be done upon his/her arrival to Nepal/Hospital. In addition, a student has to sign the 'Professional and Ethical Practice Declaration Form' developed by this organization. Upon official registration, the Organization/Hospital will issue an ID card to the student for agreed period of rotation, which one must always have for entering/visiting the hospital wards & clinics during elective. Besides, medical students should adhere to the code of conduct set by phect-NEPAL and demonstrate responsible behaviors internationally expected in medical settings. Wearing a white coat is also mandatory while visiting hospital wards and clinics. On completion of elective posting, student will receive a certificate from the concerned department/supervisor or Hospital/Institution.

What to bring along for Registration at KMH:                
One has to bring along a copy of recommendation letter from the medical school/institute/department, a copy of brief CV, a copy of valid passport and 2 copies of passport size photographs for submission to the hospital/institution at the time of registration.

Location of hospital:     
phect-NEPAL/Kathmandu Model Hospital is located in the center of the town. Office/Hospital building is next to the Blood Bank of Nepalese Red Cross Society at Exhibition Road (the street name in Nepali is 'Pradarshani Marg') in Kathmandu. Another easy reference is the city bus-park (also called 'old bus-park') to which the office/hospital is close by. Contact numbers of hospital reception desk are 4222450, 4240805 & 4240806 and can be dialed from any local telephone set once he/she is in Kathmnadu. 

Information on logistics/accommodation:           
Elective student has to make logistics/accommodation arrangement for elective period in Nepal on his/her own and hospital does not have hostel facility as yet. However, all types of hotels/lodges of one's choice/pocket are easily available at the place called Thamel in downtown Kathmandu at around 10 minutes' walking distance from the hospital. Thamel is also the center-place for tourists in the town. One may also find more information regarding this through internet search or contact nearby travel agents to take help on it. 

On subsequent communication, one has to provide specific information on intended period of elective, departments/areas of interest for elective rotation (if not indicated before). 

About Medical Elective Program for foreign medical students at KMH/phect-Nepal

Medical curriculum is a very intensive training process and medical students get very little time for self. Elective program (slot) in the medical curriculum provides students with a pressure-free time for self exploration and testing of the areas of their interest for the future career development. 

KMH/phect-NEPAL has been receiving foreign medical students especially from European countries for elective on various disciplines of clinical and community medicine since past several years.

Objectives:

Elective rotation provides foreign students with the unique opportunity and learning exposure to the-
Health care system of the third world country
Health problems and their distribution in third world country
Determinants of health and diseases in third world country
Endemic & Tropical diseases
Health care practices in a different socio-cultural settings and appreciation of its importance in a rapidly globalizing world

Research opportunities (for specific cases)
Opportunities to build/expand professional network and linkages for mutual sharing/learning and for pursuing common health and related actions in the future

 

Description of General (Free Choice) Elective

Tailored to the choice and need of the medical students of any year. Departments, units and community programs one may opt for elective postings are as follows:

Department of Anesthesia   2 students at a time
Department of Internal Medicin   2 students at a time
Department of General Surgery   2 students at a time
Department of Obstetrics & Gynaecology   2 students at a time
Department of Plastic & Reconstructive Surgery   2 students at a time
Department of Pediatrics   1 student at a time
Department of Orthopedics   2 students at a time
Department of Neurosurgery   1 student at a time
Department of Emergency/General Practice   2 students at a time
In &/or outside Kathmandu    
Community Health Programs   2 students at a time

Scope of learning in clinical rotation at KMH- During rotation in clinical departments, students will have options to rotate through Out Patient (OPD), In-Patient Ward and Operation Theater. They will make observations, learn about diagnosis and treatment of common diseases, observe emergency and surgical management and at time depending upon their level may get involved into simple works like taking vital signs of the patients at the discretion of rotating department chief/supervisor.

Scope of learning in community posting at periphery- In community postings, besides what a student will learn during clinical rotation at KMH, he/she will have better opportunities to appreciate the health problems and practices at rural as well as urban settings, health care system at different tiers, difference in patterns of health related problems and diseases in these different settings and health seeking behaviors.

Community outreach will also provide with the opportunities to be acquainted with and involved into promotive and preventive health programs and activities like Vaccination, Family Planning counseling, general consultation and counseling on various health problems, health education programs, ORT, etc (depending upon the level of the medical students) together with the local health staffs.

Community posting will also give one with the opportunity for exposure to the rural culture, life and better integration with the Nepali society.

 Duration:

A 4-6 weeks program is regarded as optimum for general elective rotation (but it may be as flexible depending upon the choice and need of individual student). 

However, a combination of a four-week clinical rotation in the department of one's choice at the central referral hospital (KMH) in Kathmandu and a two-week clinical cum community outreach posting at the community based hospitals and health centers in the periphery (district outside Kathmandu) is suggested, which will give a better appreciation of health problems and practices.

Eligibility:

Medical students of any year from abroad can opt for the general elective program at phect-NEPAL.

Slots:

Subject to the availability of slots in a particular department or unit for elective rotation.

In general two students will be accepted at one time in a unit or department for rotation.

In case of community outreach rotation/posting, it is advised that two students go together for one rotation so that there will be mutual help and sharing during the period to the extent possible.

Registration fees & other charges as contribution to the hospital:

There is a registration fee of US $ 200.00 per student for an elective period of 4 weeks (US $ 50.00 for each additional two weeks after completion of 1st four weeks). The minimum of two weeks enrolment is mandatory, and registration fee for two weeks placement is US $ 100.00. The fee does not include any other facilities besides registration at hospital. 

Periods available

Whole year around for general elective. However, seasonal variation in the endemicity of certain disease and climatic factors that might have an impact upon field work for the research project might have to be considered in specific situation.

Evaluation & certification

On completion of elective posting, student will receive a certificate from the concerned department/supervisor or Hospital/Institution.

Rules and regulation

Medical students should adhere to the code of conduct set by phect-NEPAL and demonstrate responsible behaviors internationally expected in medical settings.

Must always have an ID card for entering/visiting the hospital wards & clinics (it will be issued to the students after completing the official application process upon arrival).

Wearing a white coat is mandatory while visiting hospital wards and clinics.

Medical and health precautions

Nepal being one of the least developed countries, communicable disease mainly transmitted from feco-oral transmission such as Typhoid, Hepatitis A & E are still in high prevalence. Tuberculosis is another common infectious disease. Malaria and Kalazar are common in southern Terai and lower hill regions. HIV/AIDS is among the emerging diseases. Hence routine travel vaccination and precaution on life habits while here is highly advised.

Make sure your insurance covers the services for medical emergencies in case of need while you are in Nepal.

Passport/visa

Having a valid passport & visa as per the law related to the tourist or immigration is student's responsibility.

Address for correspondence

Dr. Manoj Krishna Shrestha  
Coordinator, Medical Internship/Elective Program
phect-NEPAL/Kathmandu Model Hospital
GPO Box: 6064, Exhibition Road
Kathmandu, Nepal
Phone #: 977-1-4222450/4232328/4240805/4240806  
Fax # 977-1-4256917

Email: elective@phectnepal.org; admin@phectnepal.org