Anomalies of revised pay revision order

Memorandum submitted by KGMCTA

Ref: G.O. (P) No. 425 /2009/H&FWD dt 14.12.2009

As per the above revised G.O.regarding pay revision, there are many anomalies even now and this
requires urgent rectification.
These can be broadly grouped as

1. Anomalies regarding pay and increments

2. Anomalies regarding allowances
3. Anomalies regarding career advancement
4. Criteria for promotion
5. Woking time
6. Miscellaneous

1. Anomalies regarding pay

a. The monetary benefits of pay revision should be from 1-1-06 and not from
1-1-07
b. The AGP of entry cadre – lecturer- in medial category is Rs. 5400 but the AGP is
Rs. 6000 for non medical category. There should be parity for AGP for entry cadre
for medical and non medical category. Otherwise the medical category will become
unattractive
c. Increments for higher qualifications:
For super specialty post graduate degree holders five advance increments (non
compounded) to be given as in case of PhD holders (This was agreed during talks at
Alappuzha) on acquiring while in service or on entry
d. For MS/MD post graduate degree holders ,three advance increments are to be
given (UGC recommendation) on acquiring while in service or on entry
e. For diploma holders two advance increments are to be given on acquiring while in
service or on entry
f. Five increments for those publishing five or more original research papers with first
authorship in indexed journals (UGC recommendations)
2. Anomalies regarding allowances and new allowances proposed
a. Administrative allowance:
The government had initially agreed to provide administrative allowance for those who are
doing extra responsibilities. Administrative allowance is now given to DME, Joint DME, Principal,
Vice principal, Superintendents, Addl /deputy superintendents, RMO and registrar.

Administrative allowance should also be given to Heads of departments, Warden and Assistant
wardens of hostels and nodal officers of various programmes including Telemedicine. There is
obvious discrimination in not giving administrative allowance for these later categories who are
doing additional responsibilities and the work done by these category is likely to suffer in future
and it may be difficult to get people to do the additional responsibility in future.
We propose the following rates as administrative allowance
Head of the Department: Rs. 3000 per month
Warden and Asst wardens Rs. 3000 per month
Nodal Officers- Rs. 3000 per month

Administrative allowance should be enhanced for DME to Rs. 15,000 and to Rs. 10,000 for
Joint DME and principals as patient care allowance is denied to them as the total emoluments
of these categories become less when they get promoted from the post of professor.

b). Medical Conference Allowances

The government had agreed to give allowances for attending Medical Conferences and it was
included in the draft given by the government during discussions. This was reiterated during
talks with the Hon’ble Minister twice. But no specific government order to this effect has been
issued till date. Hence we request the government to issue specific orders to this effect
incorporating the following suggestions.

Specific funds are to be allotted for this purpose under the head -Medical Conference
allowance
Rs. 50 lakh per year has to be demarcated for medical conference allowance/CME fund
per year

DME should have the power to sanction medical conference allowance for attending
national and international conference

Permission should be given for attending one state and national conference every year
and one international conference every two years provided the faculty is presenting a
paper or delivering a lecture or chairing a session.

In case of multiple applicants for same month, those who have oral papers or those giving
lectures or those who chair sessions are to be given priority over those who present only
posters.
The amount incurred for registration and 50% of the travel amount should be sanctioned
as advance once a paper has been accepted for conference. The remaining 50% of travel
charges and 100% of accommodation charges are to be reimbursed on production of the
air ticket bill and hotel bills along with the attendance certificate.

c). Rural Medical College faculty allowance

The doctors posted in rural areas under the Health services are given special rural area
allowances. It was agreed during discussions with the Hon’ble Minister at Alappuzha on 25th
October 09 that special rural area allowance will be give to doctors working in Medical
Colleges at Kottayam, Alappuzha and Trissur where medical colleges are situated in rural
areas. In view of the rural location, the doctors in these colleges get a low house rent
allowance. The special rural medical college faculty allowance will attract the faculty to
these medical colleges. Fund may be obtained from NRHM funds or RSBY reimbursement
fund.
We propose a flat rate of Rs. 5000 per month as rural medical college faculty
allowance

d). Risk Allowance

1. Bio hazard allowance
The medical college faculty is doing clinical and para clinical work which exposes them to
the risk of infections, noxious substances and radiations. Hence all the faculty doing clinical
and para clinical work are to be provided risk allowance and it should be termed biohazard
allowance.
We propose a flat rate of Rs. 5000 per month
2. Radiation hazard allowance
All faculty exposed to ionising radiations (those doing x-rays, CT, fluoroscopy, isotope
studies; in the departments like radio diagnosis, radiotherapy, cardiology for angiogram,
gastroenterology for ERCP, Urology for PCNL and stenting, Orthopaedics for various surgical
procedures and all labs where radio isotopes are used) are to be given the benefits of
radiation hazard including radiation leave, radiation badges and special risk allowance .These
faculty have the high risk of developing infertility and cancer. Hence they are to be suitably
compensated
We propose the flat rate of Rs. 10,000 per month as special risk allowance for
radiation hazard
e ). Book and journal allowance
As per recommendations of the UGC with reference to 6th pay commission, special
allowances are to be given to the faculty to purchase books. In central instititutes, book and
journal allowance is given. Medical text books and journals are very expensive and it will not
be possible to update knowledge by buying the books and journals from their salary
We propose a flat rate not exceeding Rs. 10,000 per year per faculty as book and
journal advance (the actual amount to be paid)
d). Medical College faculty accommodation allowance
As per the existing norms a medical college faculty has to reside within 9 km radius of the
institution. Accommodation of sufficient quality is not available in most of the medical
colleges. The clinical faculty has to be on call and they are compelled to reside within 9 km
as per government stipulations. The rate of HRA given to medical college faculty is at the
same rate provided to other government officials who do not have this stipulation
regarding distance. Because of this rule, medical college faculty have to stay closer to
medical colleges and care compelled to pay higher rent for accommodation. Hence a higher
rate for accommodation is to be provided by the government. This can be provided as
Medical College faculty accommodation allowance
We propose a flat rate of Rs. 8000/ per month as medical college faculty accommodation
allowance
e). Incentives for casualty duty
At present the pay and allowances are same for faculty who take casualty duty and those
who do not take night duty or on- call duty. The night duty and on- call duty seriously affects
the quality of life of these doctors which has to be compensated. All doctors who take
casualty duty and on- call duty should be paid special allowances. This will ensure
willingness of doctors to take up more casualty duty and on- call duty.

We propose Rs. 2500 for a session of casualty duty of 24 hours and Rs. 1000 for on call
duty for 24 hour period. The fund may be obtained from the reimbursements of RSBY
scheme/HDS funds

f). Incentives for KHRWS pay-wards admissions/consultations

The KHRWS pay wards are not truly part of medical colleges hospitals and do not come
under the beds approved by MCI for teaching purposes. To improve the admission rates in
KHRWS pay wards special incentives are to be given for routine visits as well as for cross
consultations.
This amount is to be collected from the patients and reimbursed to the doctors on a monthly
basis by KHRWS after TDS.
We propose the following rates
Routine visits: Consultant Rs. 100 per day
Cross departmental Consultation: Rs. 250 per consultation (No fees for follow- up within 7
days during the same admission)

g). Incentives for performing special procedures for

KHRWS/HDS
The doctors performing special procedures for KHRWS or HDS sponsored units (where
charges are collected from patients) are to be paid incentive allowances. This amount is to
be reimbursed to the doctors on a monthly basis after TDS
We propose a flat rate of 30% of the charges per procedure to be given as incentive
allowance to the faculty who performs the procedure.
 H). R.S.B.Y reimbursements
Even though the faculty is eligible for reimbursements, the amount eligible to the faculty
from RSBY programme is not given by the hospital superintendents citing various reasons.
We request the government to issue orders urgently to the Superintendents of hospitals to
disburse the amounts due to the faculty by way of RSBY programme.
i) Children education allowance
Under the UGC scheme , there is provision for allowance for education of children and
medical college faculty . Kerala State government also should e give this allowance as given
in central instititutes.

We propose children education allowance of Rs. 10,000 per year from first to 12th
standard and Rs. 50,000 per year per child for next five years for
degree/professional/diploma courses if they are staying in hostels or Rs. 25,000 per year is
they are day scholars
j) Academic allowance:
We propose academic allowance to all medical college faculties as proposed in the UGC
recommendations
Rs. 2000 pm for Associate professors, professors and above
Rs. 1500 pm Lecturers and Asst professors

3. Career advancement /time bound promotions

It may be noted that the UGC frame work for pay revision was agreed only for deciding the
grades of pay. UGC norms are not applicable in medical colleges which do not come under
the UGC act of 1956. Medical colleges are bound by acts and guidelines of MCI which are
to be followed for appointments and promotions.

1. Clause regarding residency programme

All medical college faculty who obtained post graduate qualification from medical colleges
in Kerala state prior to issuance of the G.O. on 14-12-09 are deemed to have undergone
residency programme and the need for a special certificate from principal should be deleted
from the G.O.

2. Time bound promotions

The guidelines for promotion of medical college faculty are issued by MCI and not by UGC.
MCI does not differentiate between cadre and time bound promotions regarding neither
the qualifications nor the teaching experience. Time bound career advancement
programme was evolved to avoid stagnation due to lack of promotion based on vacancy.
The criteria for promotion should be same for cadre and time bound career advancement.

Hence KGMCTA expresses strong reservations about the career advancement scheme for
Asst professor, Associate professor and additional professor category as per the revised
G.O. which is not as per norms of MCI.
We propose the following amendments in CAP:

a. All senior lecturers with PG should be re-designated as Asst professor with effect from
date of acquiring the PG degree irrespective of the date whether it is before or after 1-1-
06 without the need for any certificate regarding residency programme. Such re-
designations prior to 1-1-06 may be notional

b. Asst professor (cadre or TBCP) with 5 years experience ( 4 years after 21-07-09) should
be promoted as Associate professors as per CAP without taking into consideration of any
other factors.

c. Asst professors with 4 years of experience as on 21-07-09 in broad specialties and 2

years experience in super specialities should be promoted as Associate professors as per
CAP without taking into account of any other factors

d. Associate professors (cadre or TBCP) with three years experience should be promoted as
Additional professors wef 1-1-06. No other factors should be taken into account for
promotion under CAP. They should be placed in the pay scales of Professors with AGP
10,000

e. For career advancement, only physical teaching experience and performance as per
annual confidential reports alone need be considered.MCI does not stipulate any other
norms for promotion and career advancement is only a technical term for time bound
promotion

f. Criteria for promotion for medical faculty

The criteria for promotion for medical faculty are laid down by MCI and not by UGC.
Hence all the criteria for appointment and promotions in medical colleges should be as
per MCI norms and not as per UGC norms. It may be noted that medical colleges do not
come under the UGC Act

All promotions whether cadre or time bound should be strictly as per MCI norms and not
as per UGC norms. Hence we do not accept various stipulations in the revised G.O
regarding conditions for promotions which are not as per MCI norms. All career
advancement promotions for medical faculty should be only as per MCI norms for
promotions
Clause regarding publication changed by MCI
As per notification of no. MCI-12(2) /2009-Med. Misc./56925 dt 15-12-09 the clause
regarding publications for obtaining promotion has been modified by Medical Council of
India wef 15-12-09. As per the new regulations, there is a moratorium of 5 years for
publications for promotion as associate professors in general specialities, 2 years in
super specialties and 4 years for promotion as professors in general specialities and
super-specialties. Hence the regulations regarding publications need not be considered
until the period of moratorium is over.
5. Working time-violation of labour rules
The government order states that the working time in non clinical departments will be from
9 to 4 pm and clinical departments will be from 8 to 3 pm. The working hours of non clinical
departments are stipulated as 7 hours per day including lunch and tea breaks. The clinical
departments are expected to work routinely for 7 hours per day and also to take casualty
duty and on call duty after routine hours and have to work on holidays. This amounts to
extra arduous duty which is not compensated as the pay and allowances are exactly same
for clinical and non clinical work. The government has not stipulated the maximum hours of
work a clinical doctors has to put in per week in spite of repeated requests by KGMCTA

Hence we demand that the government should stipulate the maximum routine
working hours, hours of casualty duty, hours of on call duty etc at the earliest.
Compensation will have to be provided for doing any extra job exceeding 42 hours per week.
It may be pointed out that forcing anyone to work for more than 48 hours per week without
extra compensation will be considered as violation of labour rules and the authorities are
liable to be penalised. The DME/Principals should clearly define the working hours and work
pattern of faculty beyond routine hours immediately. If we do not get any solution to this
problem from the authorities within a period of one month from the date of this
memorandum, we will be constrained to approach labour court for remedial measures

6. Miscellaneous
a. Sabbatical leave
The Valliyathan committee for AIIMS recommended sabbatical leave and this pattern is
followed in central government instititutes. LWA is provided during sabbatical with
preservation of seniority
b. LWA
If sabbatical leave cannot be given, then LWA must be the right of any medical faculty at
least for a minimum period of 5 years during their service period.
c. Voluntary retirement
The rules for voluntary retirement from service should be uniformly applicable to medical
education department like in other departments and anyone who completes 20 years of
service should be sanctioned Voluntary retirement benefits unconditionally.
d.Retirement age
We request the government to increase the retirement age for medical college faculty to 65
years as per UGC recommendations with provisions for voluntary retirement after
completion of 20 years of service.

e. Consultancy
The UGC and Valliyathan committee has recommended that faculty should take up
consultancy. Hence we request the government to permit medical college faculty also to
take up part time consultancy as medical advisers to pharmaceutical firms, research firms,
R & D firms etc. The terms may be fixed as per UGC norms
f. Qualification and experience of teachers in self financing medical
colleges
The government should pass law stipulating rules of appointment, career advancement, pay
scale and allowances and other service conditions in self financing medical colleges to bring
it at par with government medical colleges so that there is no major discrepancy in service
conditions between government and private medical colleges . Otherwise, a situation will
occur wherein the faculty in private medical colleges becomes professor as per MCI
guidelines and the faculty in government medical colleges will lag behind. This will make
faculty positions in government medical colleges totally unattractive especially because of
extension of retirement age.