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Internship 

Internship is the phase of compulsory training, a medical graduate has to undergo at the completion of his Final MBBS Degree Course, so that he / she becomes eligible for the award of MBBS Degree by the Kathmandu University and registration from the respective Medical Councils.

Duration of Internship: Duration of internship is one year and no exemption will be allowed even if the duration of MBBS Degree course is prolonged beyond 4 1/2 years due to unforeseen reasons. Interns should try and complete their internship by August 31. Kathmandu University Convocation is held every year on that date. Anyone who has not submitted his / her internship completion certificate by that date will not be eligible for Degree. He / she may however apply for and receive a Provisional Degree till the date of the next convocation.

Aim: To improve professional knowledge and acquire adequate hands on experience and skills by participating in health care delivery under the supervision and guidance of qualified medical doctors. Generally internship must be carried out in medical institutions having enough man power, skills in management and plenty of training opportunities, so that the fresh graduates can enhance their medical knowledge. Hospitals in India, Sri Lanka and other SAARC countries may be recognised for internship on the basis of the recognition accorded to them by the respective Medical Council of those countries. Internship should preferably be completed from the same country and same hospital.

At the end of the training the medical graduate should be able to:

  • Identify healthy from sick and develop adequate skill to diagnose clinically and manage common diseases encountered in practice.
  • Take timely decisions for referral to higher centres if need arises.
  • Interpret laboratory data scientifically on the basis of clinical findings and take suitable decisions on management.
  • Develop skills in basic medical and surgical procedures.
  • Learn to use judiciously the laboratory services, infusion fluids, blood and its substitutes, drugs and other materials.
  • Practice rational use of drugs using essential drugs.
  • Learn the first level care of all types of emergencies – Medical, Surgical, Obstetric, Neonatal, Paediatric, Geriatric and Psychiatric.
  • Learn to take precautions to protect oneself during patient care.
  • Imbibe the spirit of National programmes and participate actively in promotional and preventive health care activities.
  • Comprehend administrative management skills and develop leadership qualities and learn to work as a team.
  • Learn to communicate effectively with the patients, their relatives and the community at large.
  • Inculcate due professionalism by developing self discipline, determination and dedication coupled with a sympathetic approach towards patients and their relatives.

Hospitals for Internship: Medical College Hospitals; Central, Zonal, Regional, District Hospitals; Corporate Hospitals; Specialized hospitals: Eye hospital, Mental health hospital, Child health hospital, Infectious diseases hospital, Maternity hospital, Orthopaedic hospital etc. Community/ Mission Hospitals; Service Hospitals - Police / Army; and Primary Health Centres and Health Posts.

Internship Schemes: The Kathmandu University Internship norms are based on the guidelines of the Nepal Medical Council. The schemes have been evolved keeping in mind the needs of Nepalese, Indian and Foreign students. This enables them to meet the requirements / stipulations of medical councils of their respective countries. For students from Nepal any one of the four schemes 01 to 04 listed below is recommended. Since health services under Government of Nepal continue to be the major employer for doctors in Nepal, scheme No. 04 is recommended. The Interns may have to function as Junior doctors in Health Services of the Country. Hence adequate exposure in tackling common health problems in the community and participation in National Community Programmes is desirable. General Medicine and Surgery postings should include 15 days in casualty and 15 days in emergency services.

Role of Supervisor and Intern:

An intern shall be allowed to treat patients only under supervision and he/ she shall not be allowed to work independently. Supervisor would mean a full time specialist or registrar of the corresponding department who has full responsibility of the intern.

At the end of the training in a department the intern should procure a completion certificate from the Head of department. The Head of department should clearly state whether the training undertaken was satisfactory or not. If his/her work is not satisfactory then he/she is bound to repeat his/her internship in these departments. If dereliction of duty is observed he/she may be given a warning. If the same is repeated disciplinary action including dismissal can be enforced.

Restrictions: According to Section 29 of Nepal Medical Council Act, Interns are not allowed to certify birth or death or to sign and give certificates related to medical, physical or mental fitness. Interns shall not give narcotic formulations, in any form, to patients. Interns are not allowed to handle medico - legal cases or do post-mortems independently.

Leave: Twenty days leave may be availed during the entire tenure of internship. This may be combined with compensatory leave, if any. Maximum leave that may be availed at a time shall be 10 days.

Assessment of Internship: An intern shall maintain a log book of work done. This has to be verified and signed by the supervising doctor. At the end of the internship this record shall be counter signed by the head of the institution. The following aspects will be assessed - proficiency of knowledge, mode of documentation in case records, skill and confidence acquired during internship, attitude towards patients, colleagues and superiors, enthusiasm to observe, to assist, to participate and to perform independently, involvement in National Programmes, communication skills and team spirit, leadership qualities.

Certification: At the end of the training the candidate, who is undergoing training outside the parent institution should procure a certificate from the Head of the Institution regarding satisfactory completion of internship and submit the same to the principal of the parent institution. Based on this the Principal shall issue the certificate of satisfactory completion of internship and in turn the Kathmandu University shall award the MBBS Degree. The internship which has been completed outside the stipulated terms and conditions will have no validity.

  
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