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Wednesday, February 13, 2008

Hospitals teaching Hospitals - Uniformity in working hours Maintenance of discipline - suggestion of Director of Medical Education - Orders issued.


G.O. Ms. No. 33 Dated: 20th January 1995

1. Secretary, Health & Family Welfare department D.O. Lr. No. 61/

secretary/94 dt. 7-11-94.

2. From the Director of Medical Education D.O. Lr-.N.o. 106768/G1

dated 2.1.94.


The Government have been considering the need for furnishing working hours uniformly for all the Hospital attached to Medical Colleges in this State so as to serve the Public better. The Director of Medical Education has sent his recommendation in the letter second read, after consulting all the Deans, select Professors and others, after careful consideration the Government accept the proposal of the Director of Medical Education in- his-letter read above and direct as follows: -

1. OutPatient Department :

1) The General Out Patient Departments will start functioning from 7.00 a.m. which includes Medical, surgical, obstetrics and gynecology, pediatrics, Orthopaedics, ENT, Opthalmology Dermatology, Venerology and Dental.

2) The Extension Out Patient Department will functioning from

9.00 A.M. in the Causuality or at a suitable place in the Out Patient

Department as prescribed in G.O.Ms.No. 883, Health, dated 16.4.74. The

extension Out Patient Medical officers will attend the extension Out Patient.


3) Evening Out Patient dept, will function from 3.00 P.m. to 5.00 P.M. with duty casualty Medical officer Duty Assistant physician on duty.

4) other patients who come to the out patient departments as emergencies shall be examined by the duty casualty Medical officer and duty CRRI.

5) Review Out Patient department to be suitably arranged by the Deans or head of Institutions.

6) The Out Patient department of other specialities and higher specialities will start functioning from 8.00 A.M. The Speciality departments functioning with single Unit shall conduct Out Patient at 8.00 A.M. daily. (The Out Patient departments of higher Specialities may be conducted in the O.P. Block or in the respective departments if no space is available in the O.P. Block)


This Casualty will function with 3 shifts with casualty Medical Officer and duty CRRI.

Working hours: 7.00 A.M. to 1.00 P.M.

1.00P.M. to 7.00 P.M.

7.00P.M. to 7.00 A.M.

Medical Legal cases and non-Medico legal cases department will be dealt separately, when there are separate sanctioned posts available in the respective category. Otherwise the Casualty Medical Officer will look after the Medico -Legal and Non-Medico Legal cases.

On non-admission days the Medical Officers will report for duty at 9.00a.m.

Operation Theatres will start functioning from 9.00 a.m.


1. Admitting units (who report for out patient Duty) :7 AM to l PM

2. Non admission Units (who have no out Patient Duty) 9 AM to 3PM

working hours of Medical Officer will be for 6 hours both on admission and non- admission days.

3. Specialty and higher Specialty and : 8 pm to 2 PM Single Unit Department

The duty Assistant Surgeon, Duty Assistant Physician and any other duty Medical officer (Orthopaedics, Obstetrics and Gynaecology, Paediatrics etc;,) in any Department will be on duty in the Hospital for 24 hours from 7 AM to 7 AM the next day with provision to avail post duty off on the following day. One Assistant Surgeon will be on duty in all other Specialties as decided by the Head of the Institutions to attend emergencies as and when called by the duty Medical Officers. The above Hospital working hours will be for both Civil Surgeons and Assistant Surgeons.

4. The following department shall work for 24 hours with one Technician, One radiographer and Pharmacist on duty after duty hours:

a) 24 hours Laboratory including Clinical Pathology, Microbiology and bio-Chemistry.

b) X-ray Department

c)E.C.G. Laboratory

d) Pharmacy

e) Emergency theatre

f) blood Bank

and any other department as decided by Head of Institution.

Every ward in the departments where teaching program is carried out should have a Laboratory annexed to it and function as per the Medical Council of India regulations, The above schedule is besides the teaching program as mentioned in the ref. No. 7344C/ME 11/1/76, dt 29.10.76. All Investigation facilities x - ray ECG etc. should be made available in the Out Patient Department.

The rotation of post-graduates should be as follows:-

1) First 6 months to work in the Unit in the 'respective specialty to which the candidate is first1 allotted during which period the details of topic of Dissertation case histories shall be decided by the Unit Chief to each candidate.

2) Next one year to work in all the allied specialties to be decided by .the Head of the Department according to the regulations of Tamil Nadu Dr. MGR Medical university.

3) To work for 6 months in other Units of the specialties other than one to which the candidate originally allotted by rotation uniformly dividing the period among the number of units available.

4) Last one year to work in .the Unit to which the candidate originally allot ted for completion and submission of dissertation of case histories.

Higher Specialities (2 years course):

1) First 6 months to work in the Unit to which the post -graduate is allotted.

2)Next 6 months to work in the other units of the specialty other than to which the candidate is originally allotted, by rotation uniformly dividing one period among the number of units available.

4. The Medical Officers who are working in Primary Health Centres where quarters are available, will continue to draw a sum of Rs. 400/- p.m. as Rural allowance subject to the condition that the Medical Officer should reside in the place where the Primary Health Centre it situated.

5. This order takes, effect from the date of this order,

6. This order issues with the concurrence of Finance Department vide its G.O. No.1445/FS/P/91 date 25-3-1991.



Secretary to Government



Sub: Hospital - Teaching Hospitals - uniformity in working hours and maintenance

of discipline - suggestion of the Director of Medical Education-ordered-further amendments issued.

Ref: 1.G.O.Ms.No.33,Health dated20-1-95

2. Govt. letter No. 9982/E1 /95-1 dt 9-2-95.

3. From the Director of Medical education letter

No. 105633/61/94.14-2-95.


The conation of the Government letter second cited, the is issued to G.O. (ms) No. 33, Health dated 20-1 -95

The hours noted as 9.00 a.m. to 3.00 p.m. against item admission units (who have no out - patient duty) under the duration of Hospital working hours" shall be corrected as 9.00 a.m. to 2.00 p.m. besides teaching duty in colleges and hospital:

Yours faithfully

(For Secretary to Government)

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