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18th
Anniversary
Nepal Radiological Society
BP Koirala Memorial Cancer Hospital
Bharatpur,Chitwan
21st Bhadra,2065
Brief Introduction of Current Status of Radiology Profession and Its Challenges.
Workshop on “Presents Scenario of Radiology Profession: Challenges and its Possible
Situation Analysis
Ø Increasing number of Radiological Installations and Radiation Professionals.
Ø Till now anybody can handle ionizing Radiation.
Radiological Setups in NEPAL
Ø 29 CT Scanners
Ø 7 MRI Units
Ø 11 Mammography Units
Ø 10 CR System
Ø 800 R/F Installations (Approx.)
Ø 1 Gamma Camera (1-SPECT)
Ø 4 Tele Cobalt Machines
Ø 4 Linear Accelerators
Ø 3 RT Stimulators
Ø 3 HDR Brach therapy
Ø
Human Resources Present Situation
Ø Radiologist 100
Ø Radiographers/Technologist 225
Ø Radiation Oncologist 7
Ø RT Radiographer/Technologist 16
Ø Medical Physicist 10
Ø NM Physician 3(1)
What Has Been Done?
Professionals Memberships:
Ø Two national level workshops: to make Nepal a member of IAEA and to formulate legislation to bring the use of Ionizing Radiation under legal Framework.
(Nepal has just become a member of IAEA in 2007)
Radiography/Radiology Education
Ø PCL Radiography (IOM) 1973
Ø B.Sc. RT (IOM) 1999
Ø B.Sc. MIT- 2007
Ø BMIT (BPKISH) 2001
Ø DMRD Radio Diagnosis(IOM) 1988(Stopped)
Ø MD Radio Diagnosis(IOM) 1998
Ø MD Radio Diagnosis (BPKISH) 2000
Ø MD Radio Diagnosis (NAMS) 2003
Ø MD Radiotherapy (NAMS) 2003
PCL Radiography now started from Private Sector from 2008.
Professional Organizations
Ø Nepal Radiological Society
Ø Nepal Radiologist Association
Ø Nepal Radiological Technological Student’s Society
Ø Nuclear Society of Nepal
Existing Constrains
Ø Radiation law
Ø Regulatory Authority/Board
Ø Control over Import of X-ray Machines
Ø Record of Radiation Producing Equipment
Ø Quality Control of X-ray Machines
Ø Formal Awareness Programmes
Ø Inadequate job Description for Radiographers and Radiological Technologists
Ø Lacking Professional Development Opportunities
Ø No Access Policy Level
Ø Brain Drain
Ø Limit Research and Quality Assurance activities
Radiation Protection
Ø Not yet Mandatory by Law
Ø Not Standardized
Ø Based on Personal Knowledge
Ø Protection Activities mainly focused personnel protection
Ø Lack of public awareness
Ø Lack of knowledge even among medical practitioners.
Legal Status on Radiation Use
Ø Guidelines for installation on x-ray unts in private sector made by the Dept. of Health Serivces(DoHS) in 1992.
- No enforced strictly
- No monitored and updated after their formulation.
Possible Remedies???????
Ø ? Council
Short Term-Separate Committee for Radiology
Long Term- Radiological Council
Ø ? Manpower
Ø Access in Policy Level
Ø ?Involvement in evaluation Committees
Ø ?Equity In Facility
Ø ?Radiation Monitoring
Ø ?Professionals Development Opportunities
Ø ????????????????????????????????????
Thank You for Authors
Resources Person: Compiled By: Published By:
Mr. Shanta Lal Shrestha Mr. Amrit Pandit <a class="external" href="http://nepalhealth.wordpress.com/" rel="nofollow" target="_blank">http://nepalhealth.wordpress.Com</a>
Assoc. Prof. Mr. Hemchandra Jha Thakur Lamsal
Kathamdnu,Nepal
18th
Anniversary
Nepal Radiological Society
BP Koirala Memorial Cancer Hospital
Bharatpur,Chitwan
21st Bhadra,2065
Brief Introduction of Current Status of Radiology Profession and Its Challenges.
Workshop on “Presents Scenario of Radiology Profession: Challenges and its Possible
Situation Analysis
Radiology Profession…..
Ø Started in Nepal in 1993-Milatary Hospital Tri-Chandra Electro-Medical Institute in Kathmandu.Ø Increasing number of Radiological Installations and Radiation Professionals.
Ø Till now anybody can handle ionizing Radiation.
Radiological Setups in NEPAL
Ø 29 CT Scanners
Ø 7 MRI Units
Ø 11 Mammography Units
Ø 10 CR System
Ø 800 R/F Installations (Approx.)
Ø 1 Gamma Camera (1-SPECT)
Ø 4 Tele Cobalt Machines
Ø 4 Linear Accelerators
Ø 3 RT Stimulators
Ø 3 HDR Brach therapy
Ø
Human Resources Present Situation
Ø Radiologist 100
Ø Radiographers/Technologist 225
Ø Radiation Oncologist 7
Ø RT Radiographer/Technologist 16
Ø Medical Physicist 10
Ø NM Physician 3(1)
What Has Been Done?
Professionals Memberships:
Ø Two national level workshops: to make Nepal a member of IAEA and to formulate legislation to bring the use of Ionizing Radiation under legal Framework.
(Nepal has just become a member of IAEA in 2007)
Radiography/Radiology Education
Ø PCL Radiography (IOM) 1973
Ø B.Sc. RT (IOM) 1999
Ø B.Sc. MIT- 2007
Ø BMIT (BPKISH) 2001
Ø DMRD Radio Diagnosis(IOM) 1988(Stopped)
Ø MD Radio Diagnosis(IOM) 1998
Ø MD Radio Diagnosis (BPKISH) 2000
Ø MD Radio Diagnosis (NAMS) 2003
Ø MD Radiotherapy (NAMS) 2003
PCL Radiography now started from Private Sector from 2008.
Professional Organizations
Ø Nepal Radiological Society
Ø Nepal Radiologist Association
Ø Nepal Radiological Technological Student’s Society
Ø Nuclear Society of Nepal
Existing Constrains
Ø Radiation law
Ø Regulatory Authority/Board
Ø Control over Import of X-ray Machines
Ø Record of Radiation Producing Equipment
Ø Quality Control of X-ray Machines
Ø Formal Awareness Programmes
Ø Inadequate job Description for Radiographers and Radiological Technologists
Ø Lacking Professional Development Opportunities
Ø No Access Policy Level
Ø Brain Drain
Ø Limit Research and Quality Assurance activities
Radiation Protection
Ø Not yet Mandatory by Law
Ø Not Standardized
Ø Based on Personal Knowledge
Ø Protection Activities mainly focused personnel protection
Ø Lack of public awareness
Ø Lack of knowledge even among medical practitioners.
Legal Status on Radiation Use
Ø Guidelines for installation on x-ray unts in private sector made by the Dept. of Health Serivces(DoHS) in 1992.
- No enforced strictly
- No monitored and updated after their formulation.
Possible Remedies???????
Ø ? Council
Short Term-Separate Committee for Radiology
Long Term- Radiological Council
Ø ? Manpower
Ø Access in Policy Level
Ø ?Involvement in evaluation Committees
Ø ?Equity In Facility
Ø ?Radiation Monitoring
Ø ?Professionals Development Opportunities
Ø ????????????????????????????????????
Thank You for Authors
Resources Person: Compiled By: Published By:
Mr. Shanta Lal Shrestha Mr. Amrit Pandit <a class="external" href="http://nepalhealth.wordpress.com/" rel="nofollow" target="_blank">http://nepalhealth.wordpress.Com</a>
Assoc. Prof. Mr. Hemchandra Jha Thakur Lamsal
Department of Radiology Mr. Surya Psd. Bhusal Hospital
ManagementStudent
Trivhuvan University Teaching HospitalManagementStudent
Kathamdnu,Nepal