lrlsT;f lzIff;DaGwL /fli6«o gLlt th'{df

pRr:t/Lo sfo{bnsf] k|ltj]bg

@)&@

pRr:t/Lo sfo{bn
cWoIfM >L s]bf/eQm dfy]df
;b:oM k|f= 8f= ;'/]z/fh zdf{
;b:oM k|f= 8f= ch'{g sfsL{
;b:oM k|f= 8f= dbg pkfWofo
;b:oM k|f= 8f= /d]zsfGt clwsf/L
;b:oM k|f= 8f= eujfg sf]O/fnf
;b:oM 8f= u'0f/fh nf]xgL
;b:o ;lrjM 8f= xl/k|;fb nD;fn

@)&@, c;f/
sf7df08f}+
1
 k|fSsyg
xfdLnfO{ lbOPsf] lrlsT;f lzIff ;DaGwL gofF /fli6«o gLlt l;kmfl/z ub}{ g]kfndf lrlsT;f
lzIffsf] lgb]{zs l;4fGtnfO{ kl/eflift ug{] sfo{sf] lhDd]jf/L lgZro g} dxTjsf+IfL lyof] .

xfdLn] o; k|ltj]bgdf lrlsT;f lzIff ;DaGwL P]ltxfl;s ljsf;sf] ljj]rgf, o; If]qdf xfn
b]lvPsf lj;+ult, ;d:of / r'gf}tLx?sf] ljZn]if0f, ljleGg :jf:YosdL{x?sf] ;]jfx?sf] nflu
at{dfg / eljiosf cfjZostfx?sf] d"Nof+sg u/]sf 5f}+ . ;fy} :jf:Yo ;]jfsf] u'0f:t/,
;fGble{stf / ;dtfnfO{ ;Daf]wg x'g] u/L gLltut l;kmfl/zx? ul/Psf 5g\ .

sfo{bndf ;xh ?kdf sfof{Gjog ug{ ;lsg] l;kmfl/zx? Dffq k|bfg ug]{ ls tTsfn} ug{
g;lsg] t/ g]kfnsf] :jf:Yo ;]jf lzIffsf] u'0f:t/ tyf To;af6 hgtfn] k|fKt ug]{ ;]jfsf]
u'0f:t/df b"/ufdL k|efj kfg{ ;Sg] vfnsf dWosfnLg b]lv bL3{sfnLg gLltx? klg ;dfj]z
ug]{ ljiodf uxg 5nkmn rNof] . sfo{bnsf ;b:ox?sf] af}l4stf, ljlzi6 cg'ej /
pNn]vgLo k|lta4tfsf] sf/0fn] xfdLn] b'O{ ljsNkdWo] sl7g ljsNk /f]Hof}+ . kmn:j?k of]
k|ltj]bg at{dfg cfjZostfnfO{ dfq ;Daf]wg gu/L b]zdf lrlsT;f lzIffsf] ljsf;sf nflu
dfu{bz{s aGg] ljZjf; lnOPsf] 5 .

;+ljwfg k|bQ ;j}sf] nflu :jf:Yo eGg] efjgf k|lt k|lta4 /xg'sf ;fy} gLltut l;kmfl/zx?
ug]{ qmddf ;f]xL cfbz{af6 sfo{bn lgb]{lzt /Xof] . cGt/f{li6«o tyf cfkm\g} cg'ejaf6 s]
l;lsPsf] 5 eg] ahf/af6 pTkflbt hgzlQmn] dfq clwstd cfjZostf ePsf] 7fpFdf
:jf:Yo ;]jf k|jfxsf] ;'lglZrttf x'b}g . xfdL ;xdt 5f}+ ls /fHo cu|:yfgdf /x]/ dfq
lrlsT;f lzIffsf] ljsf; ug{' k5{ h;n] ubf{ /fHodf b]lvPsf :jf:Yo ;]jf ;DaGwL
c;dfgtfnfO{ ;Daf]wg ;lsof]; .

ljleGg :jf:YosdL{, :jf:Yoljb\, ljZjljBfnosf g]t[TjbfoL kbflwsf/L, k]zfut sfplG;nsf

kbflwsf/L, lrlsT;f lzIff lzIf0f ;+:yfsf k|d'vx?;+usf] 5nkmnsf] qmddf :jf:Yo ;DaGwL
cfjZostfg';f/ kf7\oqmd lgdf{0f tyf lrlsT;f lzIff k|bfg ug]{ ;+:yfx?n]] d'Vo ?kdf
;dfhdf ;]jf k|jfx ug{] ;'lglZrttf u/L] To:tf ;+:yfx?df ;]jf g} wd{ xf] eGg] efjgfsf]
ljsf; ug{ cfjZos /x]sf] lgisif{ lgsflnof] .

lrlsT;f lzIffcGtu{t ul/g] s'g} klg gLltut kl/jt{gsf] cfzo ;Ifd / st{Jolgi7 :jf:Yo

2
hgzlQm ljsf; u/L lrlsT;f lzIff k|bfg ug]{ lzIf0f ;+:yfx?sf] u'0f:t/ clej[l4 ug{ /
;dfhdf /fd|f] k|efj kfg{ s]lGb|t x'g' k5{ eGg] xfdLnfO{ ljZjf; 5 .

u'0f:t/Lo / ;dtfk"0f{ :jf:Yo ;]jf dfkm{t g]kfnL hgtfsf] :jf:Yol:yltdf clej[l4 /

;fdflhs hjfkmb]lxtf ;lxtsf] lrlsT;f lzIffsf] Joj:yf ;/sf/, ljwfos, ljZjljBfno,
k]zfut ;+:yfx? / gful/s ;dfhn] b]vfpg] k|lta4tfn] lgwf{/0f ug{] 5 eg] o;n] pxfFx?sf]
ljåtfsf] ;d]t k/LIf0f ug]{5 .

s]bf/eQm dfy]df

;+of]hs, pRr:t/Lo sfo{bn

c;f/, @)&@

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

Goethe

3
 Foreword
The task entrusted to us was certainly an ambitious one –the task to recommend to the
government a new national policy on Health Profession Education (HPE) and in doing so also
define the directives principles of the HPE in Nepal.

We have in this report reviewed historical developments in HPE, analyzed the causes and
consequences of existing anomalies, problems and challenges in this area, assessed the
current and future needs for different categories of Health professionals and projected their
number in terms of requirements and have made a number of policy recommendations
addressing basically quality, relevance and equity issues in this sector.

Intense discussions in the Committee centered around whether the recommendations that we
make should be easily implementable or should we also offer policy options which may not
be easily doable now but are desirable or even essential for the government to adopt in the
mid to long term future in order to bring about far-reaching impact on the quality of the
health profession education in Nepal and thereby in the quality of services it offers to the
people in general .Thanks to the wisdom, diverse experience ,and remarkable commitment
of the individual members of the Committee, we chose "the road less travelled by " and
decided to write this report as a document not just to serve the immediate need of the present
but also to guide the future trajectory of Health Profession education in the country.

The Commission remained committed to the spirit of Health for all as enshrined in the
Constitution and guided by its ideal while making our policy recommendations. Learning
from international and our own experiences we believe that market forces alone do not have a
positive record in delivering health services where most needed . The state, we are convinced
,and very deeply , needs to be in the driving seat in further development of HPE so it will
address the prevalent gross inequity that persists in health services in the country .

During the course of our discussions with a number of Health professionals and academics,
including University leaders and campus managers we concluded that we need to develop an
ethos of service within the existing HPE institutions by designing programs grounded in the
health needs of the people and ensuring that the primary focus of such institutions would be
on providing services to the society .

We believe that the thrust of any policy change in HPE should be focused on the
enhancement of quality of HPE institutions and their impact on the wellbeing of the society
through the development of competent and conscientious health workforce. The wisdom of
the government, legislators, universities, professional organizations and civil society will be
tested by the determination with which they commit themselves to build a socially
accountable HPE system to enhance quality, equity and health of all the people in Nepal.

Kedar Bhakta Mathema

Convener, High Level Committe
June 10, 2015

4
 wGojfb 1fkg

of] k|ltj]bg ;DdfggLo k|wfgdGqL ;'zLn sf]O/fnfHo"sf] lgb]{zg / :jf:Yo lzIffsf] If]qdf
;'wf/ ug]{ rfxgf Pjd\ k|ltj4tf cg';f/ tof/ ul/Psf] xf] / o:tf] dxTjk"0f{ sfo{sf] nflu
xfdL dfly b]vfpg' ePsf] ljZjf;sf] nflu xfdL pxfFnfO{ wGojfb lbg rfxG5f}+ .

ljleGg JolQmx¿;Fusf] cGt/lqmof / 5nkmn lagf of] k|ltj]bg tof/ ug{ ;Dej lyPg .
pxfFx¿n] g]kfndf :jf:Yo lzIff;DaGwL d'2fx¿df cfkm\gf ljrf/, l6Kk0fL / ljåtf lbP/
k'¥ofpg' ePsf] pNn]vgLo of]ubfgsf nflu wGojfb 1fkg ub{5f}+ .

To;}u/L, dfggLo :jf:Yo dGqL vu/fh clwsf/LHo", dfggLo lzIff dGqL lrqn]vf ofbjHo",
/fli6«o of]hgf cfof]usf pkfWoIf dfggLo 8f= uf]ljGb kf]v/]nHo", d'Vo;lrj >L nLnfd0fL
kf}8\ofnHo" / ;DdfggLo k|wfgdGqLsf ljsf; ;Nnfxsf/ 8f= ljhg kGtHo"k|lt ljz]if
wGojfb JoQm ub{5f}+ .

xfd|f] cg'/f]wdf kfNg' eO{ cfkm\gf] b]z tyf cGt/f{li6«o cg'ejx¿ cfbfgk|bfg ug{' x'g] ljZj
:jf:Yo ;+u7gsf k|ltlglw 8f= nLg cfªHo", la|l6z sf]nlDaof ljZjljBfnosf k|fWofks /f]a6{
j"nf8{Ho", xfj{8{ d]l8sn :s"nsf k|fWofks lNskm 6flagHo", ef/tsf d]l8sn kl/ifbsf k|yd
;~rfns ;ldlt -Board of Governer) sf ;b:o tyf sn]h ckm ;h{gsf cWoIf k|fWofks
uf}td ;]gHo" k|lt klg cfef/ JoQm ug{ rfxG5f}+ . To;}u/L, ;ldltsf ;b:ox¿;Fu 8f=
lgsf]nHo"n] ;Ifdtfdf cfwfl/t lzIf0f/l;sfO{;DaGwL cfkm\gf ljrf/x¿ cfbfg-k|bfg ug{'
ePsf]df xfdL s[t1tf 1fkg ug{ rfxG5f} .

cGtlqm{of sfo{qmddf ;xefuL x'g' x'g] ljZjljBfno cg'bfg cfof]usf cWoIfHo" tyf ;b:o-
;lrjHo", lqe'jg ljZjljBfno, sf7df08f} ljZjljBfno / kf6g :jf:Yo lj1fg k|lti7fgsf
pks'nkltx¿Ho" k|lt klg xfdL s[t1tf 1fkg ub{5f}+ . xfd|f k|Zg tyf lh1f;fx¿sf] hjfkm
/ cfkm\gf cg'ejx¿ cfbfg-k|bfg ul/lbg' ePsf]df g]kfn d]l8sn sfplG;nsf cWoIfHo" /
/lhi6f/Ho", gl;{ª, 8]G6n / cfo'j]{b sfplG;nsf cWoIfHo"x¿, :jf:Yo ;]jf ;+u7g / lghL
d]l8sn sn]h ;+u7gsf cWoIfHo"x¿ klg wGojfbsf kfqx¿ x'g'x'G5 .

;ldltsf] cGtlqm{of tyf 5nkmndf kfNg' eO{ cfkm\gf] cd"No of]ubfg k'¥ofpg' ePsf]df

5
ljZjljBfnosf k|fWofksx¿Ho"nfO{ xfdL wGojfb lbg rfxG5f}+ . lrlsT;f zf:q cWoog
;+:yfg, sf7df08f} ljZjljBfno / kf6g :jf:Yo lj1fg k|lti7fg / nlntk'/ gl;{ª
SofDk;sf ljBfyL{ k|ltlglwx¿n] dxTjk"0f{ l6Kk0fL / ;'emfjx¿ k|bfg ug{' ePsf]df o;
sfo{bn wGojfb k|bfg ug{ rfxG5 .

k|sfzg ul/Psf] ;"rgfk|lt cfkm\gf] k|ltlqmof hgfO{ lbOPsf] k|ZgfjnL e/L cfkm\gf lnlvt
l6Kk0fLx¿ k7fpg' x'g] gful/s ;dfhsf cu'jfx¿, k|fl1s tyf :jf:YosdL{x¿ k|lt
pxfFx¿sf] ;do / dxTjk"0f{ ;'emfjsf nflu ljz]if wGojfbsf ;fy cfef/ JoQm ub{5f}+ . ;fy}
bfloTj cleofg g]kfnsf lIflth a:ofnn] o; sfo{bnnfO{ k'/\ofPsf] ;xof]uk|lt klg cfef/L
5f}+ .

lzIff dGqfnosf] ;lrjfnoLo ;xof]u lagf of] k|ltj]bg k|sfzg ug{ ;Dej x'g] lyPg . o;}
;Gbe{df dGqfnosf zfvf clws[t >L bL3{/fh pkfWofon] k'¥ofpg' ePsf] ;lrjfnoLo tyf
cGo ;xof]usf] nflu pxfF ljz]if ;x¥ofgfsf] kfq x'g'x'G5 .

6
 ljifo ;"lr
kl/R5]b ! ................................................................................................ 1
kl/ro .................................................................................................... 1
!= k[i7e"ld ........................................................................................... 1
@= sfo{If]qut zt{x¿ .............................................................................. 2
#= cf}lrTo ........................................................................................... 3
$= cWoog k|lqmof÷sfo{bnsf] sfo{ljlw .......................................................... 5
%= cWoog ;Ldf .................................................................................... 6
^= k|ltj]bg tof/L .................................................................................. 7
kl/R5]b @ ............................................................................................... 8
k[i7e"ld .................................................................................................. 8
kl/R5]b # .............................................................................................. 12
g]kfndf lrlsT;f lzIffsf] ljsf;qmd .............................................................. 12
kl/R5]b $ .............................................................................................. 23
lrlsT;f lzIffsf] If]qdf cGt/{fli6«o cg'ej / :yflkt d"No, dfGotf .......................... 23
kl/R5]b % .............................................................................................. 26
ljBdfg :jf:Yo hgzlQm k|If]k0f ................................................................... 26
!= ljBdfg cj:yf ............................................................................... 26
@= gLltut Joj:yf ............................................................................... 29
#= :jf:Yo hgzlQmsf] k|If]k0f ................................................................... 32
kl/R5]b ^ .............................................................................................. 35
;d:of tyf r'gf}tLsf] ljZn]if0f ..................................................................... 35
!= dfu{ lgb]{zs l;4fGt ;lxtsf] /fli6«o gLltsf] ;jfn ..................................... 37
@= sf7df08f} s]lGb|t ljsf; / If]qLo c;dfgtfsf] ;jfn .................................. 38
#= ljleGg lgodgsf/L tyf k|fl1s lgsfoaLrsf] dfkb08sf] ljljwtf ;DaGwL ;jfn . 41

7
 $= lrlsT;f lzIffdf u'0f:t/sf] ;jfn ........................................................ 42
%= :jf:Yo hgzlQm of]hgf tyf k|fyldsLs/0fsf] ;jfn .................................... 43
^= ljZjljBfno tyf k|lti7fgx¿sf] :jfoQtfsf] ;jfn ................................... 45
&= If]qLo ljZjljBfnosf] ;jfn ................................................................46
*= cg';Gwfg ;DaGwL ;jfn ....................................................................46
(= ljBfyL{;Fu ;DalGwt ;jfn ................................................................. 47
!)= lrlsT;f lzIffsf] cfly{s kIfsf] ;jfn ................................................... 49
!!= cg'udg tyf lg/LIf0fsf] ;jfn ............................................................. 51
!@= kf7\oqmd / ljBfyL{ d"Nof+sgsf] ;jfn..................................................... 52
!#= ˆofsN6L ;DaGwL ;jfn ...................................................................... 53
!$= g]t[Tj rog ;DaGwL ;jfn ................................................................ 54
!%= k|fljlws lzIff tyf Jofj;flos kl/ifb -CTEVT_ ;DjGwL ;jfn .................... 55
!^= :jf:Yo lzIf0f ;+:yfx¿sf] Joj:yfkg ;DaGwL ;jfn ................................... 56
!&= ;L6 lgwf{/0fsf] ;jfn ....................................................................... 58
!*= lgofds lgsfox¿sf] ljBdfg cj:yf / k'g;{+/rgfsf] ;jfn .......................... 59
!(= :jfy{sf] åGå -Conflict of Interest_ sf] ;jfn ........................................... 60
@)= 6«]8 o'lgogx¿sf] e"ldsfsf] ;jfn ......................................................... 61
@!= :jf:Yo ;]jf k|0ffnL ;DjGwL ;jfn ......................................................... 61
@@= :jf:Yo lzIf0f ;+:yf / :jf:Yo ;]jf k|0ffnL aLrsf] ;dGjosf] ;jfn ................ 62
@#= :jf:YosdL{sf] larngsf] ;jfn ............................................................ 62
kl/R5]b & ..............................................................................................64
;'emfjx¿ ..............................................................................................64
!= lrlsT;f lzIffsf] lgb]{zs l;4fGt ..........................................................64
@= ;DaGwg ........................................................................................64
#= ljBfyL{ egf{ .................................................................................... 66
$= z'Ns ............................................................................................ 68
%= gofF sfo{qmdx¿ ;~rfng ...................................................................70

8
 ^= kf7\oqmd tyf d"Nof+sg ...................................................................... 71
&= lzIf0f ljlw .................................................................................... 72
*= ;+:yfut hjfkmb]lxtf ......................................................................... 73
(= km\ofsN6L -lzIfs_ lasf; .................................................................. 74
!)= g]t[Tj rog ................................................................................... 76
!!= 6«]8 o'lgog .................................................................................... 77
!@= k|:tfljt gofF ;+/rgf -Health Profession Education Commission)............... 77
!#= g]kfn d]l8sn sfplG;nsf] k'g;{+/rgf ................................................... 80
!$= cg'udg tyf d"NofÍg ...................................................................... 81
!%= ljifo If]qut yk Joj:yf................................................................... 81
!^= hf]lvd / cg'dfg ............................................................................ 83
;Gbe{ ;fdu|L ......................................................................................... 85
cg';"rLx¿ ............................................................................................ 87
cg';"rL– ! pRr:t/Lo sfo{bn u7g........................................................... 87
cg';"rL– @ pRr:t/Lo sfo{bnsf] ToR ....................................................... 88
cg';"rL– # ;'emfj ;+sngsf nflu tof/ kfl/Psf] k|ZgfjnL ............................... 89
cg';"rL– $ NMC Yardsticks for Monitoring of the Medical Schools ................ 95

9
 zAbfjnL

lrlsT;f lzIff M lrlsT;s, g;{ nufot cGo :jf:YosdL{x¿sf] lzIff / tflnd

l;PdP M ;fd'bflos :jf:Yo ;xfos (Community Medical Auxiliary)

cx]j M Auxiliary Health Worker

cgld M Auxiliary Nurse Midwife

PdlalaP; M lrlsT;f lzIffsf] :gfts tx

lrlsT;f lzIff cfof]uM Health Profession Education Commission (HPEC)

LoI M Letter of Intent -cfzo kq_

CTEVT : Council for Technical Education and Vocational Training

-k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb_

10
 lrlsT;f lzIff;DaGwL /fli6«o gLlt th'{df pRr:t/Lo
sfo{bnsf] k|ltj]bg, @)&@

kl/R5]b !

kl/ro

!= k[i7e"ld

g]kfnsf] cGtl/d ;+ljwfg, @)^# n] ;a} g]kfnL gful/sx¿sf] cfwf/e"t :jf:Yo ;]jf
k|fKt ug{ kfpg] clwsf/ k|Tofe"t u/]sf] 5 . ;a} g]kfnLnfO{ u'0f:t/Lo :jf:Yo ;]jf ;j{;'ne
u/fpg] p2]Zon] Universal Health Coverage sf] dd{ / l;4fGtnfO{ c+lusf/ u/L ;/sf/n]
/fli6«o :jf:Yo gLlt, @)&! ;d]t :jLs[lt ul/;s]sf] 5 . :jf:Yo hgzlQmsf] pTkfbg /
pkof]usf ;Gbe{df Pp6f :ki6 /fli6«o gLltsf] cefjn] ubf{ lrlsT;flzIff If]q cGof]n,
ljs[lt / lj;+ultx¿af6 u'lh|/x]sf] 5 . o;af6 d'n'ssf] cGo If]qx¿ ;d]t k|efljt ePsf
5g\ .

g]kfndf lrlsT;f lzIff;DaGwL /x]sf ;d:of / r'gf}ltx¿sf] klxrfg, ljZn]if0f /

k|efjx¿sf] tYok/s ljj]rgf u/L lrlsT;flzIffsf] /fli6«o gLlt (National Health Profession

Education Policy) th'd

{ f u/L l;kmfl/z ug{ ;DdfggLo k|wfgdGqL:t/Lo ldlt @)&!÷)(÷!*
ut]sf] lg0f{ofg';f/ lqe'jg ljZjljBfnosf k"j{pks'nklt tyf lzIffljb\ k|f= s]bf/eQm
dfy]dfHo"sf] ;+of]hsTjdf lrlsT;f lzIff;DaGwL /fli6«o gLlt th'{df u/L l;kmfl/z ug{
sfo{If]qut zt{x¿;d]t tf]sL pRr:t/Lo sfo{bn u7g ePsf] lyof] . o; sfo{bnnfO{ g]kfn
;/sf/ dlGqkl/ifb\sf] ldlt @)&!÷!@÷@) sf] lg0f{ofg';f/ lrlsT;fzf:q nufotsf ljifosf
;a} txdf a}1flgs z'Ns lgwf{/0f / ;DaGwg vf/]hL ;DaGwL gLltut Joj:yf l;kmfl/zsf
1
nflu ;d]t sfof{b]z yk ePsf] lyof] .

lrlsT;f lzIff;DaGwL /fli6«o gLlt th'{df pRr:t/Lo sfo{bnsf kbflwsf/Lx¿sf]

ljj/0f b]xfo adf]lhd /x]sf] 5 .

cWoIfM k|f= s]bf/eQm dfy]df

;b:oM k|f= 8f= ;'/]z/fh zdf{

;b:oM k|f= 8f= ch'{g sfsL{

;b:oM k|f= 8f= dbg pkfWofo

;b:oM k|f= 8f= /d]zsfGt clwsf/L

;b:oM k|f= 8f= eujfg sf]O/fnf

;b:oM 8f= u'0f/fh nf]xgL, ;x;lrj, :jf:Yo tyf hg;+Vof dGqfno

;b:o ;lrjM 8f= xl/k|;fb nD;fn, ;x;lrj, lzIff dGqfno

@= sfo{If]qut zt{x¿

k[i7e"lddf pNn]v eP adf]lhdsf] If]qdf cfjZos cWoog u/L l;kmfl/z ug{ ul7t
o; sfo{bnnfO{ b]xfo adf]lhdsf] sfo{If]qut zt{x¿ tf]lsPsf] lyof] M

@=!= :jf:Yo hgzlQm ;DaGwL lzIff (Health Profession Education) If]qdf xfn b]lvPsf
;d:of / r'gf}ltx¿sf] klxrfg, ljZn]if0f / k|efjsf] cf+sng ug]{ .

@=@= ;a} g]kfnLx¿nfO{ u'0f:t/Lo :jf:Yo ;]jf pknAw u/fpg] /fli6«o cf+sfIff /
k|ltj4tf k'/f ug{ lb3{sfnLg ¿kdf cfjZos kg]{ :jf:Yo lj1fg ;DaGwL ljleGg
tx / ljwfsf hgzlQmsf] /fli6«o k|If]k0f ;DaGwdf ;dLIff / ljZn]if0f ug]{ .

@=#= aF'bf g+= @ df pNn]v ul/Psf] k|If]k0f cg';f/ xfn d'n'sdf eO/x]sf] :jf:Yo
hgzlQm pTkfbg / lj:tf/sf] ;DaGwdf ;+Vof, u'0f:tl/otf, ef}uf]lns ;Gt'ng
h:tf dxTjk"0f{ kIfnfO{ pko'Qm 9+un] ;Daf]wg ug{ cfjZos kg]{ gLltut sbdx¿

2
 l;kmfl/z ug]{ .

@=$= /fli6«o tyf cGt/fli6«o dfGotf / cg'ejx¿sf] pko'Qm ;dLIff / ;+Zn]if0f ub}{
g]kfnsf] ;du| :jf:Yo hgzlQm ;DaGwL lzIff (Health Profession Education)sf]

cfwf/e"t p2]Zo, uGtJo / lgb]{zs l;4fGtx¿sf] lgSof}{n ug]{ .

@=%= d'n'ssf] :jf:Yo ;]jf tyf lrlsT;f lzIffsf If]qdf xfn sfo{/t tyf eljiodf
;+nUg x'g] hgzlQmnfO{ ;Ifd, u'0f:t/Lo tyf ljj]szLn agfpg ;/sf/, k|fl1s
;+:yf tyf lgodgsf/L lgsfox¿sf] e"ldsf / bfloTj :ki6 kfg]{ .

@=^= :jf:Yo hgzlQm pTkfbg ug]{ k|fl1s lgsfox¿ / ltgaf6 pTkflbt

hgzlQmx¿nfO{ pkof]u ug]{ lgsfoaLr k|efjsf/L ;dGjo sfod ug{ cfjZos
kg]{ pko'Qm Joj:yfaf/] gLltut ;'emfj lbg] .

@=&= dfkb08 k"/f gug]{ d]l8sn sn]h nfO{ k"gMd"Nofª\sg u/]/ ;DaGwg vf/]h
-Deaffiliate_ ug]{ ;DaGwL gLltut Joj:yf l;kmfl/z ug]{ .

@=*= :jf:Yo ;]jfsf nflu cfjZos lrlsT;fzf:q / cGo ;Dk"0f{ ljifosf ;a} sf];{sf
;a} txdf a}1flgs z'Ns lgwf{/0fsf nflu l;kmfl/z ug]{ .

@=(= o; sfo{bnn] plNnlvt p2]Zo k|flKtsf nflu cfjZos b]v]sf cGo sfo{x¿ ug]{ .

#= cf}lrTo

o; sfo{bn u7gsf cf}lrTox¿ b]xfo adf]lhd /x]sf 5g\M

#=!= g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|Tofe"t u/] adf]lhd ;a} g]kfnLx¿nfO{
u'0f:t/Lo :jf:Yo ;]jf pknAw u/fpg] /fli6«o cf+sfIff / k|ltj4tf k" /f ug]{
l;nl;nfdf d"n'ssf nflu cfjZos :jf:Yo hgzlQmsf] cf+sng, pTkfbg /
pkof]usf ;DaGwdf 7f]; gLlt tof/ u/L nfu" ug{ h?/L b]lvPsf],

#=@= ;du| lrlsT;f lzIff;DaGwL PsLs[t tyf :ki6 /fli6«o gLlt Pj+ lgb]{zs l;4fGtsf]]
cefjsf sf/0f o; If]qdf b]vf k/]sf ljs[lt / lj;+ultnfO{ ;Daf]wg ug{ g;ls/x]sf]
cj:yfdf cfufdL lbgdf pQm If]qdf cfjZos /fli6«o gLlt th'{df u/L ;f]xL gLlt

3
 adf]lhd g} lgodg sfo{nfO{ cl3 a9fpg' lgtfGt cfjZos b]lvPsf],

#=#= :jf:Yo ;]jfsf] nflu cfjZos kg]{ lrlsT;f lzIff / u'0f:t/Lo :jf:YoaLr
cGof]Gofl>t ;DaGw /xg] x'Fbf :jf:Yo lzIf0f ;+:yfx?sf] :yfkgf / ;~rfngsf
;DaGwdf ljBdfg gLltdf k"g /fjnf]sg u/L /fli6«o cfjZostf, ef}uf]lns cjl:ylt,
hg;ª\Vof tyf hg3gTj / ;Gt'lnt ljsf; ;d]tnfO{ b[li6ut u/L;do ;fk]If gLlt
th'{df ug'{ cfjZos b]lvPsf],

#=$= :jf:Yo lzIf0f ;+:yfsf] :yfkgf Pjd\ ;+rfng 7"nf zx/df dfq s]lGb|t ul/g] jt{dfg
cEof;sf sf/0f b]zsf u|fdL0f If]qsf] :jf:Yo ;]jf k|jfxdf k|lts"n k|efj kl//x]sf]
;Gbe{df b]zsf ;a} If]q / ju{sf hgtfn] u'0f:t/Lo :jf:Yo ;]jf ;/n / ;xh ¿kdf
k|fKt ug{ kfpg] cj:yfsf] ;'lglZrt ug{ cfjZos b]lvPsf],

#=%= dfgj :jf:Yo;Fu k|ToIf¿kn] ;DjGw /fVg] :jf:Yo lzIf0f ;+:yfx¿sf] u'0f:t/
;'lglZrttfsf nflu cfjZos kg]{ Go"gtd dfkb08sf] kfngf, lzIfssf] Ifdtf /
k|ltj4tf, u'0f:t/Lo lzIf0f l;sfO{ k|lqmof tyf lzIf0f c:ktfn ;~rfngsf] nflu
cfjZos kg]{ hgzlQmsf] kl/rfngsf ;DaGwdf xfn JofKt sdL sdhf]/Lsf sf/0fn]
tL ;+:yfaf6 pTkflbt hgzlQmsf] :t/ ;d]t 36\b} uPsf] kl/k|]Iodf ;f] cj:yfsf]
cGTosf nflu 7f]; gLltut Joj:yf ug'{ ckl/xfo{ b]lvPsf],

#=^= :jf:Yo lzIf0f ;+:yfx¿sf] lgodgsf nflu tf]lsPsf lgsfox¿ h:t}M

ljZjljBfnox¿, k|lti7fgx¿sf ;fy} ljifout sfplG;nx¿sf] e"ldsf, sfo{k|0ffnL
/ ltgsf] k|efjsfl/tfsf ;DaGwdf xfn /fli6«o:t/d} k|z:t k|Zgx¿ pl7/x]sf]
cj:yfdf plNnlvt lgodgsf/L lgsfox¿sf] ;+/rgf, sfo{k|lqmof, hjfkmb]lxtf,
k|efjsfl/tfsf ljifodf ;do;fk]If k'g/fjnf]sg u/L pko'Qm Joj:yf to ul/g'
cfjZos b]lvPsf],

#=&= :jf:Yo lzIf0f ;+:yfx¿sf] :yfkgf, ;DaGwg, ;~rfng, lrlsT;f lzIffsf] u'0f:t/ /
cg'udg tyf ;DaGwg vf/]hL h:tf kIfx¿df ljBdfg gLlt tyf Joj:yf
k'g/fjnf]sg u/L ;d;fdlos kl/dfh{g ug'{ h?/L b]lvPsf],

#=*= lrlsT;f lzIff / :jf:Yo ;]jfsf] If]qdf ;/sf/L / lghL If]qsf] ;xeflutf ;DjGwdf

4
 xfn ;Ddsf] cg'ej / k|rng ;d]tnfO{ j:t'lgi7 9+un] k'g/fjnf]sg u/L o; If]qdf
b'js
} f] e"ldsf / lhDd]jf/Lsf] :ki6 ls6fg ug'{ cfjZos b]lvPsf],

#=(= lrlsT;f lzIffsf nflu :jb]zL tyf ljb]zL ljBfyL{ 5g\f}6 ug]{ ;DjGwdf xfn k|rlnt
egf{sf cfwf/x¿ tyf tbg'¿k ul/g] k|j]z k/LIffsf ;DaGwdf ljBdfg sdL
sdhf]/LnfO{ ;Daf]wg u/L kf/bzL{¿kdf of]Uotd\ ljBfyL{ 5g\f}6 x'g] u/L gLlt tyf
Joj:yf k|:tfj ug'{ h?/L eO;s]sf],

#=!)= lrlsT;f lzIff xfl;n ug]{ ljBfyL{x¿n] ltg'kg]{ z'Ns Joj:yfdf b]lvPsf] ljBdfg
lj;+ultnfO{ Gofo;Ddt 9+un] ;Daf]wg ug{' h?/L ePsf]n] .

dfly plNnlvt kl/k|]Iodf ;du| lrlsT;f lzIffsf] cfwf/e"t p2]Zo, uGtJo / lgb]{zs
l;4fGtx¿ ;d]tsf] lgSof}{n u/L :jf:Yo hgzlQm ;DaGwL lzIffsf] /fli6«o gLlt
(National Health Profession Education Policy) l;kmfl/z ug{ pRr:t/Lo sfo{bn u7g
ul/Psf] cj:yfdf of] cWoog k|ltj]bg ;fGble{s b]lvG5 .

$= cWoog k|lqmof÷sfo{bnsf] sfo{ljlw

o; sfo{bnnfO{ tf]lsPsf] sfo{If]qdf cWoog u/L k|ltj]bg tof/ ug{ b]xfosf]

sfo{ljlw tyf k|lqmof cjnDag ul/Psf] lyof] M

$=!= sfof{no :yfkgfM pRr:t/Lo sfo{bnaf6 sfo{ k|f/De ug]{ qmddf s]z/dxndf
;lrjfno :yfkgf u/L ldlt @)&!÷)(÷!* df a;]sf] sfo{bnsf] a}7saf6 cfkm\gf]
sfo{ljlw to u/L ;f] d'tflas sfo{ ;~rfng ul/Psf] .

$=@= ;'emfj ;+sngM sfo{bnnfO{ tf]lsPsf] sfo{If]qut zt{;Fu ;DalGwt ljifoIf]qdf

;/f]sf/jfnfsf] /fo, ;'emfjsfnflu g]kfnsf k|d'v /fli6«o b}lgs ;dfrf/ kqx¿
uf]/vfkq, sflGtk'/ / gful/s nufot cfof]usf] j]j;fO6 -www.hlchepr.gov.np) df
;d]t ;fj{hlgs ;"rgf k|sflzt u/L ;'emfj ;+sng ul/Psf],

$=#= b:tfj]h cWoog / ljZn]if0fM sfo{bnsf] sfo{If]q;Fu ;DalGwt P]g, lgod, lgb]{lzsf,
sfo{ljlw, k|lqmof, dfkb08, k"j{ ul7t ;ldlt tyf sfo{bnsf k|ltj]bgx¿, /fli6«o tyf
cGt/{fli6«o hg{n, k|ltj]bg / b:tfj]h, k|fKt /fo tyf ;'emfjx¿sf] cWoog tyf

5
 ljZn]if0f ul/Psf],

$=$= ;d"xut 5nkmn tyf cGt/lqmofM sfo{bnsf] sfo{If]q;Fu ;DalGwt ljleGg If]qsf
lj1, k]zfsdL{, k]zfut lgsfo, kbflwsf/Lx¿;Fu 5nkmn tyf cGt/s[of ul/Psf], ;f]
qmddf dfggLo lzIff dGqL, dfggLo :jf:Yo tyf hg;+Vof dGqL, /fli6«o of]hgf
cfof]usf dfggLo pkfWoIf, g]kfn ;/sf/sf d'Vo ;lrj, g]kfn d]l8sn sfplG;n,
g]kfn gl;{ª sfplG;n, g]kfn cfo'j]{b sfplG;n, g]kfn :jf:Yo Joj;foL kl/ifb\, g]kfn
lrlsT;s ;+3, lqe'jg ljZjljBfno, sf7df8f}+ ljZjljBfno, lrlsT;f lj1fg /fli6«o
k|lti7fg, kf6g :jf:Yo lj1fg k|lti7fg, lrlsT;f zf:q cWoog ;+:yfg, k|fljlws lzIff
tyf Joj;flos tflnd kl/ifb\ ;d]tsf pRr kb:y kbflwsf/Lx¿, cGt/{fli6«o
ljZjljBfnosf k|f1 tyf g]kfnsf] :jf:Yo If]qdf sfo{/t cGt/{fli6«o ;+3÷;+:yfsf
k|ltlglwx¿, ljifo lj1x¿ / :jf:Yo lj1fgsf ljleGg ljwf / txdf cWoog/t
k|lzIffyL{ tyf ljBfyL{x¿;Fu ;d]t cGt/lqmof u/L lnlvt / df}lvs ;'emfj k|fKt
ul/Psf],

$=%= k|ZgfjnL lgdf{0f / /fo ;+sngM sfo{bnn] cfˆgf] sfo{If]q;Fu ;DalGwt dxTjk"0f{
d'2fx¿df ljifo If]q ;Dj4 lj1, of]hgfsf/, gful/s ;dfhsf cu'jf, lghL :jf:Yo
lzIf0f ;+:yfsf ;~rfnsx¿ nufot ljleGg If]qsf nAw–k|ltli7t JolQmx¿af6
k|ZgfjnL dfkm{t /fo cledt k|fKt ul/Psf] / k|ltj]bg tof/ ug]{ qmddf pQm /fo
cledtsf] ljZn]if0faf6 k|fKt tYonfO{ ;d]t dWogh/ ul/Psf],

$=^= lhDd]jf/L afF8kmfF8M sfo{bnnfO{ tf]lsPsf] ljleGg ljifoIf]qdf sfo{bnsf ;b:ox¿nfO{

5'6\6f 5'6\6} ljifo If]qdf sfo{kq tof/ ug]{ lhDd]jf/L lbOPsf] / pQm sfo{kqx¿nfO{
sfo{bnsf] a}7sdf Ph]08fsf ¿kdf k|:t't / 5nkmn ul/Psf],

$=&= k|ltj]bg tof/LM dfly plNNflvt ljlw / k|lqmofx¿af6 phfu/ ePsf ljifoj:t' tyf
;f] ;DjGwdf k|fKt /fo, ;'emfj, cledt / tYok/s k|df0fx¿ ;d]taf6 lgM;[t
ul/Psf] cjwf/0ffx¿nfO{ sfo{bnsf] a}7sdf 3lge"t 5nkmnsf] k|lqmofaf6 ;femf
lgisif{df k'Ug] cEof; ul/Psf] .

%= cWoog ;Ldf

;DdfggLo k|wfgdGqL :t/Lo ldlt @)&!÷)(÷!* ut]sf] lg0f{ofg';f/ ul7t o;

pRr:t/Lo sfo{bnnfO{ lrlsT;f lzIff (Health Profession Education) sf] cfwf/e"t p2]Zo,

6
uGtJo / lgb]{zs l;4fGtx¿ ;d]tsf] lgSof}{n u/L lrlsT;f lzIffsf] /fli6«o gLlt (National
Health Profession Education Policy) th'{df, lzIf0f ;+:yfsf] dfkb08, :yfkgf, ;DaGwg,
;~rfng, u'0f:t/, lgodgsf/L lgsfox¿sf] e"ldsf tyf k|efjsfl/tf, hgzlQmsf] k|If]k0f
tyf u'0f:t/, ljBfyL{ egf{ tyf z'Ns nufotsf j[xQ/ kIfx¿df lj:t[t cWoog u/L
l;kmfl/z ug'{kg]{ bfloTj lbOPsf] lyof] . o; sfo{bnnfO{ k|bQ ;Lldt ;dofjlwsf afah'b
clwsQd ;/f]sf/jfnfx¿af6 sfo{bnnfO{ k|fKt ;"rgf Pjd\ ;'emfj, b:tfj]h k'g/fjnf]sg,
;/f]sf/sf lgsfo, ;d"x, JolQmx¿;Fu ul/Psf] cGt/lqmof ;d]tsf cfwf/df cWoognfO{
;Lldt u/L ;'emfj k|:t't ul/Psf]5 . ;fy} z'Ns ;DaGwL ljifodf ;du| lrlsT;f lzIff
cGtu{t kg]{ ;a} ljwf / txsf z'Nsx¿sf] af/]df ;do cefjn] :ki6 /fo lbg g;s]klg
rsf]{ ljjfbsf] ljifo aGb} cfPsf] lrlsT;f lzIffsf] :gfts -PdlalaP;_ txsf] lzIf0f
z'Ns tyf lrlsT;s;Fu ;DalGwt :gftsf]Q/ txsf] z'Nssf] ljifodf dfq} cfjZos /fo
k]z ul/Psf] 5 .

^= k|ltj]bg tof/L

o; sfo{bnnfO{ tf]lsPsf] sfo{If]qut zt{x¿nfO{ cfwf/ lnO{ ;'emfj l;kmfl/z ug{kg]{

;Gbe{df b]xfosf & j6f kl/R5]bdf ljZn]if0f tyf ;'emfjx¿ o; k|ltj]bgdf ;d]6\g] k|oTg
ul/Psf]5 .

kl/R5]b ! M kl/ro

kl/R5]b @ M k[i7e"ld

kl/R5]b # M g]kfndf lrlsT;f lzIffsf] ljsf;qmd

kl/R5]b $ M lrlsT;f lzIffsf] If]qdf cGt/{fli6«o cg'ej / :yflkt d"No, dfGotf

kl/R5]b % M ljBdfg :jf:Yo hgzlQm k|If]k0f

kl/R5]b ^ M ;d:of tyf r'gf}tLsf] ljZn]if0f

kl/R5]b & M ;'emfjx¿

;fy} ljifo;Fu ;DalGwt cg';"rLx¿ ;d]t k|ltj]bgsf] cGtdf ;dfj]z ul/Psf] 5 .

7
 kl/R5]b @
k[i7e"ld

g]kfndf klxnf] cfw'lgs c:ktfnsf] ¿kdf jL/ c:ktfnsf] :yfkgf tTsflng /fhf
k[YjL jL/ ljqmd zfxb]jn] ;g\ !*() df sf7df08f}df u/]sf] b]lvG5 . o; kl5 ;g\ !*(! Dff
nlntk'/df k[YjL jL/ c:ktfn / ;g\ !*(# df eStk'/df csf]{ c:ktfnsf] :Yffkgf ul/Psf]
lyof] . kl5 cfP/ kxf8 / t/fO{sf zx/x¿df ;d]t c:ktfnx¿ qmd};Fu v'Nb} uPsf] b]lvG5 .

To; eGbf cl3 g]kfndf cfw'lgs lrlsT;f ljleGg O;fO{ wd{ k|rf/sx¿af6 z'?
ul/Psf] lyof] eg] a]nfotL cfjf;Lo sfof{no sf7df08f}df v'n]kl5 yk la:tf/ ePsf] lyof] .
;g\ !(## df g]kfn /fhsLo cfo'j]{b ljBfnosf] :yfkgf;Fu} :jf:Yo ;]jfsf nflu cfjZos
hgzlQmsf] pTkfbg z'? ePsf] xf] . To;sf] Ps jif{ kl5 g} ;g\ !(#$ df l;len d]l8sn
:s'n vf]lnof] h;n] 8«];/ / sDkfpG8/ h:tf :jf:YosdL{x¿sf]] pTkfbg z'? u¥of] . ;g\
!(%^ b]lv dfq gl;{ª lzIffsf] ;'?jft ePsf] b]lvG5 .

;g\ !(&@ df ;/sf/L nufgLdf lqe'jg ljZjljBfno cGtu{t lrlsT;f zf:q cWoog
;+:yfgsf] :yfkgf eP ;Fu} g]kfnn] lrlsT;f lzIffsf] If]qdf 7"nf] km8\sf] df/]sf] dfGg'k5{ .
o;sf] :yfkgf / ;~rfngaf6 g]kfndf ljleGg ljwf/ txsf :jf:Yo ;]jfsdL{ tyf lj1
pTkfbg x'g yfNof] . o;} ;+:yfaf6 :gfts txsf 8fS6/ -PdlalaP;_ pTkfbg ug]{ sfo{sf]
yfngL g]kfndf klxnf] k6s ;g\ !(&* df eof] . ;g\ !((@ df cfP/ sf7df08f}
ljZjljBfnon] dl0fkfn d]l8sn sn]h kf]v/fnfO{ ;DaGwg lbP kZrft u}/;/sf/L If]qnfO{
lghL nufgLdf d]l8sn sn]h :yfkgf / ;~rfng ug{ kfpg] 9f]sf v'Ng uof] . ljZj
e'd08nLs/0fsf] k|lqmof ;Fu} cfPsf] cfly{s pbf/Ls/0fsf] k|efjsf sf/0f g]kfnn] klg ;f]
gLlt cjnDag u/];Fu} lrlsT;f If]qdf ;/sf/sf] e"ldsf qmlds ¿kdf ;fF3'l/b} uPsf]
b]lvof] . dWod juL{o kl/jf/sf] lrlsT;f lzIff xfl;Fn ug]{ dxTjsf+Iff tyf lghL If]qsf]
d]l8sn sn]h :yfkgf / ;~rfngdf a9]sf] pT;fx / tTk/tfsf sf/0f g]kfndf d]l8sn,
8]G6n, gl;{ª sn]hx¿ tyf :jf:Yo k]zf;Fu ;DalGwt cGo tflnd k|bfos ;+:yfx¿sf] tLa|
ultdf lj:tf/ x'g yfNof] .

8
 o; If]qdf ePsf]] ljsf; / lj:tf/n] d'n'sdf lrlsT;f lzIffsf] If]qdf kx'Fr a9fpg'sf
;fy} d'n'ssf] ljsf;sf nflu cfjZos kg]{ :jf:Yo hgzlQm pTkfbgdf klg plQs} of]ubfg
k'¥ofPsf] 5 . ;fy} ljBfyL{x¿n] klg lrlsT;f lzIffsf ljleGg ljwfdf g]kfnd} cWoog ug]{
cj;/ kfPsf 5g\ . o;af6 /fi6«sf] cfly{s ultljlwdf klg ;sf/fTds k|efj g} k/]sf] 5 .
sn]hx¿ cjl:yt If]qsf ;d'bfox¿n] klg ljleGg lsl;dsf nfex¿ k|fKt u/]sf 5g\ .
ljb]zL d'b|f ;l~rltdf ;sf/fTds k|efj kfb}{ g]kfnsf] ;|f]t ljb]lzgaf6 s]xL xb;Dd
hf]ufPsf] klg 5 . o;/L x]bf{ g]kfnsf] lrlsT;f lzIff If]qdf lghL If]qn] k'¥ofPsf] of]ubfg
dxTjk"0f{ /x]sf] b]lvG5 .

lrlsT;f lzIffdf lghL nufgLsf] csf]{ kf6f] klg 5 . lrlsT;f lzIffsf] If]qdf lghL
nufgL a9\b} hfFbf ;/sf/L 9's'6Ldf sd bafa kg]{ t lglZrt 5 t/ d'n'ssf] nflu cfjZos
kg]{ :jf:Yo hgzlQmsf] cfFsng ljg}, ;+ljwfgdf plNnlvt ;a}nfO{ ;j{;'ne :jf:Yo ;]jf
k|fKt ug{ kfpg] clwsf/sf] ;'lglZrttfsf] gLltut of]hgf ljg} / lgofds lgsfox¿sf]
IfdtfnfO{ ;'b[9 ug]{ of]hgf / :ki6 gLltut b[li6sf]0f to gu/Lsg} lrlsT;f lzIff h:tf]
dxTjk"0f{ / ;Da]bgzLn If]qdf lghL If]qsf] nufgLnfO{ k|f]T;flxt ubf{ o;n] cGo hl6n
;d:ofx¿ klg lgDTofPsf] 5 .

d]l8sn, 8]G6n tyf gl;{ª sn]hx¿ nufot cGo :jf:Yo lzIf0f ;+:yfx¿sf] ;+Vofdf
ePsf] ck|Tofl;t a[l4sf sf/0f u'0f:t/ ;'lglZrt ug]{ lhDd]jf/L kfPsf ljZjljBfnox¿,
k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb Pjd\ cGo k]zfut sfplG;nx¿ nufotsf
lgodgsf/L lgsfox¿dfly cfˆgf] Ifdtfn] wfGg] ;Sg] eGbf a9L ef/ ylkg uof] . o;af6
;~rfng k|lqmof / u'0f:t/Lo ;]jf ;'lglZrttf eP gePsf] PsLg ug]{ sfo{df gsf/fTds
c;/ kg{ uof] .oL ;a} sf/0fx¿sf] kl/0ffd:j¿k u'0f:t/Lo lrlsT;f lzIffdf dfq geO{
b]zsf] ;du| :jf:Yo ;]jf k|jfxdf klg gsf/fTds k|efj kg{ yfNof] .

olb jt{dfg cj:yf g} sfod /lx/xg] xf] eg] sdhf]/ -sd ;Ifd_ :jf:Yo hgzlSt
pTkfbg x'g] qmdn] lg/Gt/tf kfO{/xg] 5 h;n] d'n'ssf] ;du| :jf:Yo If]qdf bL3{sfn;Dd
gsf/fTds c;/ kg]{ lglZrt k|foM 5 . sd;n tyf dfkb08 ljk/Lt sfo{ ug]{ sn]h tyf
:s"nx¿nfO{ gl;xt lbg], ;hfo ug]{ jf ;DaGwg g} vf/]h ug]{ k4lt of t a;]sf] 5}g of t
eP/ klg sfof{Gjogdf cfpg g;s]sf] Pp6f lttf] oyfy{tf xf] .

9
 g]kfnsf] lrlsT;f lzIffsf] ljsf; / lj:tf/ ;/sf/sf] PsLs[t gLlteGbf klg d"ntM
lghL nufgLstf{x¿sf] OR5f / dxTjfsf+Iffaf6 k|efljt eO{/x]sf] b]lvG5 . oL sn]h tyf
:s"nx¿sf] ljsf; / lj:tf/ If]qLo ;Gt'ng / d'n'ssf] :jf:Yo ;]jf k|0ffnLsf] cfjZostfsf]
cfwf/df ePsf] kfO{b}g . Psflt/ s'g} ljifodf cfjZostf eGbf j9L :jf:Yo hgzlSt
pTkflbt eO{ vkt x'g g;Sg] cj:yf 5 eg] csf]{lt/ 7"nf] nufgL pko'Qm 7fpFdf gx'Fbf
o;af6 ck]lIft kl/0ffd cfpg g;Sg] ;Defjgf klg plQs} b]lvG5 . d'n'ssf] ef}uf]lns
cj:yf, :jf:Yo ;]jf k|0ffnLsf] cfjZostf, hgzlQmsf] j}1flgs k|If]k0f h:tf d"ne"t
kIfx¿sf] cfwf/df :jf:Yo ;+:yfx¿ :yfkgf ul/Psf] eP b]zsf ljleGg If]q / ;d'bfo lar
:jf:Yo ;]jfsf] Gofok"0f{ kx'Frdf ;xof]u k'Ug ;SYof] . o;af6 ljBdfg c;dfgtfnfO{ w]/}
xb;Dd ;Daf]wg ug{ ;lsGYof] .

d]l8sn sn]h tyf cGo :jf:Yo lzIf0f ;+:yfx¿ hg:jf:Yok|lt k|ToIf lhDd]jf/
x'G5g\ eGg] ljZjJofkL dfGotf /lxcfPsf] 5 . of] ljifo cfd hgtfsf] ;/f]sf/sf] ljifo klg
xf] . o; b[li6sf]0faf6 x]bf{ lrlsT;f lzIff ;DjGwL ;du| ;+:yfx¿nfO{ ;fj{hlgs ;Dkltsf]
¿kdf / lrlsT;f ;]jfnfO{ ;fj{hlgs j:t'÷;]jfsf] ¿kdf lng'kg]{ x'G5 . t;y{ oL ;+:yfx¿n]
k|bfg ug]{ ;]jf / lgjf{x ug'{ kg]{ bfloTj ;fdflhs ;Demf}tf -Social Contract_ sf]
cjwf/0ffaf6 lgb]{lzt x'g'k5{ .

clxn]sf] ;fdflhs tyf cfly{s kl/j]zdf lrlsT;f lzIffnfO{ :jf:Yo ;]jfsf] cfbz{
eGbf cy{ pkfh{g ug]{ e/kbf]{ ;|f]tsf] ¿kdf x]g{ yflnPsf] b]lvG5 . h'g;'s} tx / ljwfsf]
lrlsT;f lzIffnfO{ klg a:t' h:t} qmo ljqmosf] ¿kdf x]g{ yflnPsf] 5 . cleefjsx¿n]
cfkm\gf] 5f]/f5f]/Lx¿nfO{ :jf:Yo lzIf0f ;+:yfx¿df k9\g k7fpg'sf] k|d'v sf/0f k]zfut ;Lk
/ 1fg xfl;n u/fO /f]huf/Lsf] nflu ahf/df cfkm\gf] :yfg ;'/lIft ug{ ;Sg] agfpg]
clenfiff lng' :jfefljs} xf] . t/ hgtfsf] :jf:Yo / ;fj{hlgs lxt -Well-being_ ;Fu
k|ToIf ;/f]sf/ /fVg] lrlsT;f lzIffsf] u'0f:t/nfO{ ljBfyL{ / cleefjssf] ;Gt'li6;Fu dfq
hf]8]/ dfkg ug{ ldNb}g . u'0f:t/Lo lzIff xfl;n ug'{sf] p2]Zo eg]sf] ;DjlGwt ljifo If]qdf
1fg / ;Lk xfl;n u/L ;Ifd aGg' / To;sf] dfWodaf6 cfly{s ¿kdf ;DkGg x'g' dfq geO{
cfkm"n] xfl;n u/]sf] 1fg tyf ;LknfO{ ;du| ;dfhsf] a[xQ/ lxtsf nflu k|of]u ug'{ /
u/fpg' klg xf] . s?0ffefj lagfsf] 1fg k"0f{ x'b}g eGg] a'4jf0fL lrlsT;f lzIffsf] If]qdf cem

10
;fGble{s b]lvG5 . t;y{ lrlsT;f lzIffsf] u'0f:t/nfO{ ;dfhsf] a[xQ/ lxt;Fu cfa4 ug'{
h?/L 5 .

xfd|f :jf:Yo lzIf0f ;+:yfdf xfn ljBdfg ljBfyL{ egf{ ug]{ k|0ffnL, kf7\oqmd
-ljifoj:t'_, lzIf0f ljlw tyf d"Nof+sg k4ltdf klg k'g/fjnf]sg ug'{ cfjZos b]lvPsf] 5 .
ax';+Vos g]kfnL a;f]af; ug]{ u|fdL0f kl/j]zsf] :jf:Yo cfjZostf ;Djf]wg ug{
ljBfyL{x¿nfO{ u|fld0f If]qsf] cg'ej, /f]u k/LIf0f / pkrf/ ;DaGwL Jofjxfl/s 1fg k|bfg
ug{' h?/L 5 . ljBfyL{x¿df dfgjLo Jojxf/sf cfwf/e"t ;Lk / ;Da]bgf h:tf u'0fx¿sf]
ljsf; ug'{ klg clt cfjZos eO{;s]sf] 5 . casf] xfd|f] :jf:Yo hgzlQm k|fljlws ¿kn]
;Ifd, dfgjLo ¿kdf ;+j]bgzLn tyf ;fdflhs ¿kdf pQ/bfoL x'g'kb{5 . cGoyf ;+lawfg
tyf :jf:Yo gLltdf AoQm ul/Psf] ;a} g]kfnL hgtfsf] nflu u'0f:t/Lo :jf:Yosf] p2]Zo
gf/fdf dfq ;Lldt x'g] vt/f 5 .

xfn;Ddsf] lrlsT;f lzIffsf] ljsf;qmd / cj:yfnfO{ x]bf{ :jf:Yo ;DaGwL

;+:yfx¿sf] :yfkgf, hgzlQm pTkfbg Pjd\ :jf:Yo ;]jf k|jfxsf] cj:yfdf pNn]vgLo
pknlAw ePsf] b]lvP tfklg ;Gt'lnt Pj+ ;dtfd"ns lrlsT;f lzIff / :jf:Yo ;]jfsf]
lj:tf/ tyf u'0f:t/df b]lvPsf sdL sdhf]/Lx¿ nufotsf ljifoj:t'x¿nfO{ a:t'k/s 9+un]
ljZn]if0f ub}{ ltgnfO{ ;Daf]wg ug{ rflng'kg]{ sbdx¿sf] af/]df ;d]t of] k|lta]bgdf pNn]v
ul/Psf] 5 .

11
 kl/R5]b #
g]kfndf lrlsT;f lzIffsf] ljsf;qmd

g]kfndf k|fljlws lzIffsf] of]hgfa4 ljsf;qmd /fli6«o lzIff k4ltsf] of]hgf @)@*
(National Education System Plan, 1971) nfu" ePkl5 dfq b]lvG5 .

:Jff:Yosf] If]qdf ;g\ !(## df g]kfn /fhsLo cfo'j]{b ljBfnosf] :yfkgf;Fu} :jf:Yo
;]jfsf nflu cfjZos hgzlQmsf] pTkfbg z'? ePsf] xf] . To;sf] Ps jif{ kl5 g} ;g\
!(#$ df l;len d]l8sn :s'n vf]lnof] h;n] 8«];/ / sDkfpG8/ h:tf :jf:Yo;]jLsf]
pTkfbg z'? u¥of] . ;g\ !(%^ df gl;{Ë / x]Ny cl;:6]G6 :s"nx¿, ;g\ !(^@ df c=x]=j=
:s'n / ;g\ !(^# df cgdL :s"nx¿ v'n] . oL ;a} z}lIfs ;+:yfx¿ To; ;dodf :jf:Yo
dGqfno dftxt ;~rfng eO{/x]sf lyP .

lrlsT;fzf:q cWoog ;+:yfgsf] :yfkgf

s_ ;g\ !(&@–!(&* ;Ddsf] cj:yf

gl;{ª, x]Ny cl;:6]G6, cgdL / cx]j sfo{qmdx¿ ;~rfng ug]{ ;a} :s"nx¿nfO{
ufe]/ ;g\ !(&@ df lrlsT;f zf:q cWoog ;+:yfgsf] :yfkgf ul/of] . ;g\ !(&@ b]lv !(&*
;Dd lrlsT;fzf:q cWoog ;+:yfgn] cfwf/e"t / dWod:t/sf :jf:Yo hgzlQm pTkfbg ug]{
sfo{ u¥of] . o; cGtu{t cgdL / cx]j h:tf cfwf/e"t txsf :jf:YosdL{ tflnd
sfo{qmdx¿ lyP . To:t} ;fdfGo lrlsT;f, kmfd]{;L, /]l8ofu|fkmL, x]NyNofa, gl;{ª / cfo'j]{b
ljifodf k|df0fkq txsf sfo{qmdx¿ ;~rflnt lyP . ;g\ !(&^ df z'? ul/Psf] la=Pg=
-Aofr/ Og gl;{ª_ o; ;+:yfgdf z'? ul/Psf] klxnf] :gfts:t/sf] sfo{qmd lyof] .

o;/L cfwf/e"t tyf dWod:t/Lo :jf:Yo hgzlQm pTkfbg ug]{ k|of]hg:j¿k ljleGg
z}lIfs sfo{qmdx¿ ;~rfng ug]{ qmd;Fu} lrlsT;f zf:q cWoog ;+:yfgn] :gfts :t/Lo
lrlsT;sx¿ pTkfbg ug]{ z}lIfs sfo{qmd -PdlalaP;_ yfngL ug{sf nflu cfjZos tof/L
klg ul//x]sf] lyof] . o;} ;Gbe{df g]kfnsf ^ lhNnfx¿df :yf:Yo ;j]{If0f u/L gful/ssf
:jf:Yo ;d:ofx¿ s] s] /x]5g\ / ltgLx¿sf] lg/fs/0f / ;fdgf ug{ lrlsT;sx¿n] s] s]
hfGg' / ug{ ;Sg' kbf]{/x]5 eGg] hfgsf/L Pslqt u/]sf] b]lvG5 . oL ;j]{If0fx¿af6 k|fKt

12
hfgsf/Lsf cfwf/df lrlsT;f lzIffsf nIo / p2]Zox¿ lgwf{/0f ug{ ;xof]u u/]sf] b]lvG5 .
oL ultljlwsf ;fy} lzIfsx¿nfO{ lrlsT;f lzIff k|ljlwdf tflnd lbg] sfd klg ePsf]
kfOG5 . o:tf ultljlwx¿df lrlsT;f zf:q cWoog ;+:yfgn] ljZj :jf:Yo ;+u7g,
Sofgf8fsf] Sofnu/L ljZjljBfno, o'gfO{6]8 ld;g 6' g]kfn nufot cGo ljleGg ;+:yfx¿sf]
;xof]u kfPsf] klg b]lvG5 . To:t} ef}lts k"jf{wf/ -SofDk; / 5fqfjf; lgdf{0f, k':tsfno /
k|of]uzfnf lgdf{0f / ;'b[9Ls/0f_ ljsf; sfo{df ;+o'Qm /fHo cd]l/sf, Sofgf8f h:tf ldq
/fi6«x¿sf] ;xof]u k|fKt ePsf] lyof] .

v_ ;g\ !(&*–!((# ;Ddsf] cj:yf

;g\ !(&* df lqe'jg ljZjljBfno lrlsT;f zf:q cWoog ;+:yfgn] :gfts

-PdlalaP;_ :t/sf] sfo{qmd z'? u¥of] . o; sfo{qmddf dWod txdf sfd ul//x]sf
k|df0fkq tx pQL0f{ :jf:Yo ;xfos, g;{, kmfd]{l;:6, Nofa ;xfos, /]l8of]u|fkm/x¿ nufotsf
:jf:YosdL{x¿ dWo]af6 @@ hgf nfO{ 5gf}6 ul/Psf] lyof] . o;/L klxnf] k6s g]kfndf g}
PdlalaP;sf] cWoog sfo{ z'? ul/of] . ljBfyL{ egf{ ;+Vofdf lj:tf/} a9f]Q/L ub}{ ;g\ !((#
df egf{ ;+VofnfO{ k|ltjif{ $) hgf;Dd k'¥ofOof] . o;} aLr ;g\ !(*& ;fnb]lv o;
sfo{qmddf egf{ x'g] ljBfyL{x¿ dWo] %) k|ltzt lj1fgdf k|df0f kq tx pQL0f{x¿ dWo]af6
egf{ lng] k|fjwfg z'? ul/of] . ;g\ @))) b]lv o;df kl/jt{g u/L k"/} ljBfyL{x¿ lj1fgdf
k|df0fkq tx pQL0f{ u/]sfx¿ dWo]af6 k|lt:kwf{ u/fO{ of]Uotfqmdsf cfwf/df egf{ lng] k4lt
nfu" ul/of] .

lj=lk= sf]O/fnf :jf:Yo lj1fg k|lti7fg

;g\ !((# df ljZj]Zj/ k|;fb sf]O/fnf :jf:Yo lj1fg k|lti7fgsf] :yfkgfnfO{ :jf:Yo
hgzlQm pTkfbg ug]{ qmdsf] csf]{ sf]z]9'+uf dfGg ;lsG5 . cfˆgf] :yfkgfsfnsf] s]xL ;do
kl5 g} o; k|lti7fgn] #) hgf ljBfyL{x¿sf] egf{ lnO{ PdlalaP; sfo{qmdsf] yfngL u¥of] .
b'ud
{ If]qsf 5fq5fqfx¿nfO{ k|fyldstfsf ;fy egf{ lbg] / k"jf{~rn ljsf; If]qsf
lhNnfx¿sf c:ktfnnfO{ lzIf0f c:ktfnsf ¿kdf ljsl;t u/L pkof]u ug]{ o; k|lti7fgsf
gLltx¿df ;dtfd"ns / ;d'bfodf cfwfl/t lzIffsf] k|jw{gdf gofF k|of]ux¿ lyP . o;sf
;fy} PdlalaP; kf7\oqmdsf] ljsf;sf qmddf ;d'bfosf] ;xeflutf u/fO{ pgLx¿sf] /fo /
rfxgf adf]lhd kf7\oqmdsf p2]Zo lgwf{/0f ug'{ k|lti7fgsf] b"/ufdL ;f]rsf k|df0f / ljz]iftf

13
x'g\ .

/fli6«o lrlsT;f lj1fg k|lti7fg

;/sf/L If]qdf bIf ljz]if1 lrlsT;sx¿sf] pTkfbg ug]{ lbzfdf csf]{ pNn]Vo sfo{
;g\ @))@ df /fli6«o lrlsT;f lj1fg k|lti7fgsf] :yfkgfaf6 eof] . o; k|lti7fgn] aL/
c:ktfn / pkTosfleqsf cGo c:ktfnx¿sf] ;+nUgtfdf :gftsf]Q/ sfo{qmdx¿ ;~rfng
u/L b]zdf ljz]if1 lrlsT;sx¿sf] pTkfbgdf pNn]Vo sfd u¥of] . of] k|lti7fg lqe'jg
ljZjljBfno lrlsT;f zf:q cWoog ;+:yfgdf ;g\ !(*@ b]lv g} z'? ug{ yflnPsf
:gftsf]Q/ sfo{qmdnfO{ b|"tultdf ljsf; ug{ :jf:Yo dGqfno;Fusf] ;xsfo{df :yflkt Post
Graduate Medical Education Coordination Committee sf] ljsl;t / kl/is[t ¿k
lyof] . o;sf] :yfkgfn] :gftsf]Q/ txsf] bIf ljz]if1x¿ pTkfbg ug]{ sfo{df lqe'jg
ljZjljBfno lrlsT;f zf:q cWoog ;+:yfg / ljlk sf]O/fnf :jf:Yo lj1fg k|lti7fgsf ;fy}
o; k|lti7fgsf] klg pkl:ylt x'g cfof] .

Kff6g :jf:Yo lj1fg k|lti7fg

;/sf/L ;+nUgtfdf z'? ul/Psf] csf]{ ;+:yfg kf6g :jf:Yo lj1fg k|lti7fg xf] . of]
;g\ @))* df :yflkt ul/of] . o;sf] :yfkgfdf jt{dfg lrlsT;f lzIffsf ;Lldttf / sdL
sdhf]/Lx¿sf] lg/fs/0fsf nflu gf}nf] pkfox¿ cjnDag ug]{ k|ltj4tf / kf6g c:ktfn
h:tf] u'0f:t/Lo c:ktfn o; sfo{df ;+nUg x'g ;Sg] ;Defjgfsf] 7"nf] e"ldsf /x]sf] 5 .
ljBfyL{ 5g\f}6 k|lqmof kf7\oqmddf ;d'bfodf cfwfl/t lzIffsf] nflu 5'6\ofOPsf] nfdf]
;dofjlw, l;sfO ljlwdf cfw'lgsLs/0f / ul/a ljBfyL{x¿nfO{ tflnd calw kZrft u|fdL0f
;d'bfodf uP/ ;]jf ug]{ zt{df 5fqj[lQ k|bfg ul/g' o; k|lti7fgdf ;~rflnt PdlalaP;
sfo{qmdsf ljz]iftfx¿ x'g . of] sfo{qmd k"0f{ ;/sf/L bfloTj leq gk/]sf]n] o;df egf{ lng]
cfwfh;f] ljBfyL{x¿n] eg] k"0f{ lzIf0f z'Ns ltg'{kg]{ k|fjwfg /x]sf] 5 . o; k|lti7fgn] ;g\
@)!) df klxnf] ;d"xdf ljBfyL{x¿ egf{ u¥of] .

;/sf/L If]qdf ePsf cGo k|of;df dWo klZrdf~rn ljsf; If]qsf] h'Dnfdf :yflkt
s0ff{nL :jf:Yo lj1fg k|lti7fg / ;'b"/ klZrdf~rn ljsf; If]qsf] s}nfnLsf] u]6fdf gofF
d]l8sn sn]h :yfkgfsf nflu k|oTg e}/x]sf] 5 . s0ff{nL :jf:Yo lj1fg k|lti7fgdf gl;{ª

14
ljifosf] sfo{qmd dfq ;~rfng eO{/x]sf] 5 .

lghL If]qsf] ljsf;

;g\ !(&@ b]lv z'? ePsf] :jf:Yo ;]jfsf nflu cfjZos hgzlQm pTkfbg ug]{
;/sf/L ;+:yfx¿sf] :yfkgf / ljsf;qmd cfkm}df ;sf/fTds b]lvPtf klg lghL If]qdf ePsf]
ljsf;sf] t'ngfdf ;/sf/L If]qsf] ljsf; eg] lgs} k5fl8 kg{ uPsf] h:tf] b]lvG5 .

;g !(($ df kf]v/fdf lghL If]qdf sf7df08f} ljZjljBfnoaf6 ;DaGwg k|fKt u/L

klxnf] d]l8sn sn]hsf] ¿kdf dl0fkfn sn]h ckm d]l8sn ;fOG;]hsf] :yfkgfaf6 z'?
ePsf] lghLs/0fsf] qmd cfh;Dd klg hf/L g} 5 . xfn;Dd g]kfndf lqe'jg ljZjljBfno
cGtu{t lrlsT;s pTkfbg ug{] s]jn Ps cf+lus SofDk; -;/sf/L If]qdf_ ;~rflnt 5 eg]
lghL If]qdf ^ d]l8sn -8]G6n ;d]t_ sn]hx¿ / @ 8]G6n sn]hx¿ ;~rflnt 5g\ . To:t}
sf7df08f} ljZjljBfno cGtu{t s]jn Ps cf+lus SofDk; / & d]l8sn -8]G6n ;d]t_ sn]h
/ Ps 8]G6n sn]h ;~rflnt 5g\ . o;sf ;fy} xfn g]kfndf $ j6f ;/sf/L If]qsf
k|lti7fgx¿ ;~rfngdf 5g\ .

g]kfndf xfn ;~rflnt lrlsT;f lzIff ;DjGwL sfo{qmd ;~rfng ug]{ lgsfox¿
b]xfo adf]lhd /x]sf 5g\M

15
 tflnsf M !
d]l8sn÷8]G6n sn]h / ljBfyL{ ;+Vof -z}=;= @)&!_

;DaGwg ldlt ljZj ljBfno cf+lus÷;DaGwg Pd=la=la=P;= :gftsf] Q/ PdljljP;

l;=g+= z}lIfs ;+:yfsf] gfd -O=;+_ k|fKt -Post / ljl8P; 8]G6n a]8 ;+Vof
Graduate_ lk|m l;6

1 lq=lj=lj= dxf/fhu~h d]l8sn !(&@ lq=lj=lj= cf+lus 76 125 45 0 900

SofDk;, sf7df08f}

2 lsi6 d]l8sn sn]h, sf7df08f} @))* lq=lj=lj ;DaGwg 135 0 17 40 450

3 g]kfn cfdL{ :jf:Yo lj1fg @)!! lq=lj=lj ;DaGwg 150 0 15 0 490

k|lti7fg,sf7df08f}
4 lkkN; 8]G6n sn]h, sf7df08f} !((* lq=lj=lj ;DaGwg 0 9 6 60 0

5 lrtjg d]l8sn sn]h, lrtjg @))* lq=lj=lj ;DaGwg 140 0 19 50 650

6 o'lge;{n d]l8sn sn]h e}/xjf !((& lq=lj=lj ;DaGwg 150 12 22 65 750

7 hfgsL d]l8sn sn]h, hgsk'/ @))# lq=lj=lj ;DaGwg 0 0 0 0 750

8 u08sL d]l8sn sn]h, kf]v/f @))* lq=lj=lj ;DaGwg 75 0 8 0 400

9 sf7df08f} :s"n ckm d]=;f=w'lnv]n @))! sf=lj=lj cf+lus 75 10 1 40 400

10 g]kfn d]l8sn sn]h, sf7df08f} !((& sf=lj=lj ;DaGwg 150 22 20 50 750

11 sf7df08f} d]l8sn sn]h, sf7df08f} !((& sf=lj=lj ;DaGwg 150 20 20 50 750

16
 12 sn]h ckm d]l8sn ;fOG;, e/tk'/ !((& sf=lj=lj ;DaGwg 150 48 20 50 750

13 dl0fkfn sn]h ckm d]l8sn ;fOG;, !(($ sf=lj=lj ;DaGwg 150 36 15 0 500
kf]v/f
14 g]kfnu~h d]l8sn sn]h, g]kfnu~h !((^ sf=lj=lj ;DaGwg 150 39 15 0 700

15 gf]a]n d]l8sn sn]h, la/f6gu/ @))% sf=lj=lj ;DaGwg 150 6 15 0 789

16 n'lDalg d]l8sn sn]h, kfNkf @))( sf=lj=lj= ;DaGwg 100 0 10 0 600

17 sflGtk'/ 8]G6n sn]h, sf7df08f} @))& sf=lj=lj ;DaGwg 0 3 5 50 0

18 lj=lk=sf]O/fnf :jf:Yo lj1fg !(($ k|lti7fg – 120 50 20 40 750

k|lti7fg, w/fg
19 /fli6«o lrlsT;f lj1fg k|lti7fg, @))! k|lti7fg – 0 60 0 0 600
sf7df08f}
20 kf6g :jf:Yo lj1fg k|lti7fg, nlntk'/ @))* k|lti7fg – 60 0 20 0 400

21 Pd=la=s]l8of 8]G6n sn]h, la/u+h @))& lq=lj=lj= ;DaGwg 0 0 4 35 0

22 s0ff{nL :jf:Yo lj1fg k|lti7fg, h'Dnf k|lti7fg – 0 0 0 0 0

23 g]zgn d]l8sn sn]h lj/u~h lqljlj ;DaGwg 0 0 0 0 0

hDdf 1981 440 297 530 11379

;|f]tM g]kfn d]l8sn sfplG;n

gf]6M sf7df08f} ljZjljBfnosf lj:tfl/t sfo{qmd -Extension Program_ sf ¿kdf ;~rflnt b]jbx d]l8sn sn]h ¿kGb]xL / lj/f6 d]l8sn sn]h
df]/ªnfO{ o; tflnsfdf ;dfj]z ul/Psf] 5}g . To:t} k|:tfljt u]6f d]l8sn sn]h k|j4{g ;ldlt u]6f, s}nfnL klg oxfF ;dfj]z ul/Psf] 5}g .

17
 ;g\ !(&* df @@ hgf dfq ljBfyL{ egf{ lnO{ z'? ul/Psf] PdlalaP; cWofkgsf]
ofqf xfn cfP/ sl/a @))) ljBfyL{ PdlalaP;df / %#) eGbf a9L lal8P; -bGt
lrlsT;f_ / ljleGg ljwfdf ljz]if1 lrlsT;sx¿ pTkfbg ug]{ x]t'n] :gftsf]Q/ txdf
$$) sf] xf/fxf/Ldf ljBfyL{x¿ k9fpg] :t/df k'u]sf] 5 . dxFuf] lzIf0f z'Ns lnP/} eP
klg lghL If]qaf6 o; qmdnfO{ cem cl3 a9fpg] k|of; plQs} tLa| ¿kdf hf/L 5 .

lrlsT;f lzIff;DaGwL ;+:yfx¿sf] ef}uf]lns / hg;f+lVosL ljt/0f csf]{ dxTjk"0f{

rf;f]sf] ¿kdf /x]sf] 5 . xfn ;~rfngdf /x]sf ;+:yfx¿sf] ef}uf]lns ljt/0f /
hg;f+lVosL ljt/0fsf] cj:yf b]xfo adf]lhd /x]sf] 5 .

Tfflnsf @
d]l8sn sn]hx¿sf] ef}uf]]lns cjl:ylt / hg;+Vof cg'kft
:jf:Yo lzIf0f
ef}uf]lns If]q d]l8sn sn]hx¿ ;+Vof ;+:yf / hg;+Vof
cg'kft
k'jf{~rn ljsf; ljlk sf]O/fnf :jf:Yo lj1fg k|lti7fg=, gf]a]n
If]q d]l8sn sn]h @ 1M2917091

dWodf~rn lq=lj=lj= dxf/fhu~h d]= SofDk;,lsi6

ljsf; If]q d]l8sn sn]h, g]kfn cfdL{ :jf=lj=k|=lrtjg
d]l8sn sn]h, hfgsL d]l8sn sn]h,
sf7df08f} :s"n ckm d]=;f=,g]kfn d]l8sn !# 1M883063
sn]h, sf7df08f} d]l8sn sn]h, sn]h ckm
d]=;fOG; e/tk'/, /fli6«o lrlsT;f lj= k|,
kf6g :jf:Yo lj1fg k|lti7fg, g]zgn
d]l8sn sn]h lj/u~h
klZrdf~rn dl0fkfn sn]h ckm d]=;f, o'lge;{n d]l8sn
ljsf; If]q sn]h, u08sL d]l8sn sn]h, n'lDalg $ 1M3584384
d]l8sn sn]h
dWoklZrdf~rn g]kfnu~h d]= sn]h, s0ff{nL :jf:Yo lj1fg @ 1M1800000
ljsf; If]q k|lti7fg -xfn gl;{ª sfo{qmddfq ;~rfng_
;'b"/ klZrdf~rn u]6f d]l8sn sn]h k"jf{wf/ ljsf; ;ldlt 0M2543349
ljsf; If]q

18
dWod / cfwf/e"t :jf:Yo hgzlQmsf] pTkfbg

dWod / cfwf/e"t :jf:Yo÷k|fljlws hgzlQmsf] pTkfbg P]ltxfl;s ?kdf :jf:Yo

dGqfno :jo+n] / cln kl5 cfP/ ljZjljBfno cfkm}n] ug]{ u/]sf] ePklg ;f] sfo{nfO{ yk
Jojl:yt ug{sf nflu ;g\ !(*( -lj=;+= @)$%_ df lzIff dGqfno cGtu{t k|fljlws
lzIff tyf Jofj;flos tflnd kl/ifbsf] :yfkgf ul/of] . o;n] s[lif, OlGhlgol/ª nufot
:jf:Yo If]qdf cfjZos kg]{ dWod / cfwf/e"t txsf hgzlQmsf] pTkfbg ug]{ / o;
sfdsf nflu z}lIfs ;+:yfx¿ :yfkgf ug{ k|f]T;fxg ug]{ sfd u¥of] . lj:tf/} o; kl/ifbn]
klg cfkm} z}lIfs ;+:yfx¿ ;~rfng ug'{eGbf lghL If]qsf ;+:yfgx¿nfO{ ;DaGwg lbg]
sfd a9L u/]sf] b]lvG5 .

dWod / cfwf/e"t :jf:Yo hgzlQmsf] pTkfbg ug]{ sfo{qmdx¿ ;~rfng ug]{

lzIf0f ;+:yfx¿nfO{ ;DaGwg lbg] sfo{df kl5Nnf] ;dodf :yfkgf ePsf ljZj
ljBfnox¿sf] a9L ;+nUgtf b]lvG5 . o;/L ;DaGwg lbFbf ef}uf]lns / hg3gTjnfO{ s'g}
Wofg lbOPsf] kfOb}g . vf;u/L gl;{ª / hg:jf:Yo ljifosf :gfts / :gftsf]Q/ txsf
sfo{qmdx¿nfO{ ;DaGwg lbg] sfo{df sf7df08f} aflx/ v'n]sf ljZjljBfnox¿n] a9L ?lr
lnPsf] b]lvG5 . sf7df08f} pkTosf leq sf7df08f} aflx/sf ljZjljBfnosf ;DaGwdf
;~rflnt w]/} lzIf0f ;+:yfx¿ x'g' o;sf] k|df0f xf] .

ljZjljBfno cfkm}n] s'g} sfo{qmd ;~rfng u/]sf] cg'ej geO{ pQm sfo{qmd
;~rfng ug{ c?nfO{ ;DaGwg lbg ldNb}g eGg] ;fDffGo dfGotf g]kfndf e+u ePsf]
b]lvG5 . sf7df08f} ljZjljBfnoaf6 z'? ul/Psf] o; sfo{df xfn cfP/ k|foMh;f] ;a}
ljZjljBfnox¿sf] ;+nUgtf b]lvG5 .

k|fljlws lzIff tyf Jofj;flos tflnd kl/ifbåf/f ;~rflnt sfo{qmdx¿ /

;+:yfx¿sf] ljj/0f b]xfo adf]lhd /x]sf] 5 M

19
 tflnsf #
k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb cfkmF}åf/f ;~rflnt / ;DaGwgdf
;~rflnt ;+:yfx¿sf] l:ylt
Tfx ljifo -course_ SofDk;sf] lsl;d / ;+Vof
cfwf/e"t l;=Pd=P cf+lus–@, ;DaGwgk|fKt –&@
cfwf/e"t c=g=ld= cf+lus–$, ;DaGwgk|fKt –$)
cfwf/e"t Nofa cl;:6]G6 cf+lus–), ;DaGwgk|fKt –#)
cfwf/e"t cfo'j]{b c=x]=j cf+lus–), ;DaGwgk|fKt –%
cfwf/e"t ;fd'bflos bGt ;xfos cflu+s–), ;DaGwgk|fKt–@
cfwf/e"t cfDrL -tLa]tg_ cf+lus–), ;DaGwgk|fKt –!
cfwf/e"t cSo'kGr/ ;xfos cf+lus–), ;DaGwgk|fKt –)
dWod lk=l;=Pn= gl;{ª cf+lus–@, ;DaGwgk|fKt –&&
dWod lk=l;=Pn= -hg/n d]=_ Pr=P= cf+lus–!, ;DaGwgk|fKt –$^
dWod lk=l;=Pn= x]Ny Nofa cf+lus–!, ;DaGwgk|fKt –@)
dWod l8Knf]df /]l8of]u|fkmL cf+lus–), ;DaGwgk|fKt –!%
dWod l8Knf]df kmfd]{;L cf+lus–!, ;DaGwgk|fKt –$#
dWod l8Knf]df 8]G6n ;fO{G; cf+lus–), ;DaGwgk|fKt –%
dWod l8Knf]df xf]ldof]kfyL cf+lus–), ;DaGwgk|fKt –!
dWod l8Knf]df cfo'j]{b cf+lus–), ;DaGwgk|fKt –@

gl;{ª lzIffsf] ljsf;qmd / jt{dfg cj:yf

;g\ !(%^ df klxnf] gl;{ª :s"nsf] :yfkgf ePsf] xf] . To;kl5 ;g\ !(^# df
c=g=ld= :s"nsf] :yfkgf ul/of] . oL b'j} :s"nx¿ ;g\ !(&@ df :yflkt lqe'jg
ljZjljBfno lrlsT;f zf:q cWoog ;+:yfg cGtu{t ufleP . lqe'jg ljZjljBfno
lrlsT;fzf:q cWoog ;+:yfg cGtu{t ljleGg If]qx¿df u/L xfn % gl;{ª sn]hx¿
;~rflnt 5g\ . dWo klZrdf~rnsf] g]kfnu~h, klZrdf~rnsf] kf]v/f, dWodf~rnsf]
sf7df08f}, nlntk'/ / aL/u~h Pjd\ k"jf{~rnsf] lj/f6gu/df oL sn]hx¿ cjl:yt 5g\ .

20
 k|fljlws lzIff tyf Jofj;flos tflnd kl/ifbsf] :yfkgf kl5 cfwf/e"t txsf
c=g=ld= :s"n, e/tk'/sf ;fy} ;'v]{t / wgs'6fsf c=x]=j= :s"nx¿ k|fljlws lzIff tyf
Jofj;flos tflnd kl/ifbnfO{ x:tfGt/0f ul/of] . To:t} cGo k|df0fkq txsf sfo{qmdx¿
klg la:tf/} aGb x'b} uP t/ gl;{ª lzIffsf] u'0f:t/k|lt ljz]if ;+j]bgzLntfsf sf/0f
o;sf] k|df0fkq txsf sfo{qmdx¿ xfn;Dd klg lqe'jg ljZjljBfno lrlsT;f zf:q
cWoog ;+:yfg cGtu{t g} ;~rflnt x'Fb}5g\ .

gl;{ª lzIffsf] If]qdf ljZj]Zj/ k|;fb sf]O/fnf :jf:Yo lj1fg k|lti7fg cGtu{t
:yflkt sn]h ckm gl;{ªn] klg ljleGg txsf sfo{qmdx¿ ;~rfng ub{5 . To:t} klxn]
lrlsT;f zf:q cWoog ;+:yfg cGtu{t /x]sf] aL/ c:ktfn;Fu cfj4 gl;{ª SofDk;,
/fli6«o lrlsT;f lj1fg k|lti7fgsf] :yfkgf kl5 pQm k|lti7fg;Fu} ;~rflnt 5 .

;/sf/L If]qdf ;~rflnt oL gl;{ª :s"n, sn]hx¿sf ;fy;fy} lghL If]qdf

;~rflnt gl;{ª sn]hx¿n] klg g;{ pTkfbgdf dxTjk"0f{ e"ldsf v]n]sf 5g\ . lrlsT;s
pTkfbg ug]{ If]qdf h:t} g;{ pTkfbg ug]{ If]qdf klg lghL If]qsf] ;xeflutf w]/} u'0ff a9L
5. CTEVT cGtu{t :6fkm g;{ k9fpg @ cfk\mgf SofDk; 5g\ eg] && SofDk; ;DaGwg
k|fKt 5g\ . To:t} c=g=ld= k9fpg] cf+lus $ 5g\ eg] ;DaGwg k|fKt $) 5g\ .

tflnsf $
kl/ifb\ / ljleGg ljZjljBfno cGtu{sf gl;{ª sfo{qmdx¿
lj=lj=÷kl/ifb\ c=g=ld= :6fkm lj=Pg= lj=Pg=P;= lj=P:;L Pd=Pg= Pd=P:;L
g;{
k|fljlws lzIff tyf Jofj;flos tflnd $! !)@ – – – – –
kl/ifb
lj=lk=sf]O/fnf :jf:Yo lj1fg k|lti7fg – ! ! – ! ! !
lq=lj=lrlsT;f zf:q cWoog ;+:yfg – % * – ! ! !
Sf7df08f} ljZjljBfno – ! – # ( – –
k'jf{~rn ljZjljBfno – – @! – !( – –
kf]v/f ljZjljBfno – – – – @ – –
/fli6«o lrlsT;f lj1fg k|lti7fg – ! ! – – – –
hDdf $! !!) #! # #& @ @

21
;f/f+zdf
lrlsT;s, g;{ Pj+ cGo :jf:Yo hgzlQm pTkfbg af/] jt{dfg l:yltsf] ljZn]if0fdf
lgDg tYox¿ :ki6 x'G5g\M–
!= ;+VofTds ¿kdf :jf:Yo;]jfsf nflu cfjZos bIf hgzlQmsf] pTkfbgsf If]qdf
b]zn] 7"nf] pknlAw xfl;n u/]sf] 5 . ;g\ !((# ;Dd k|tLaif{ $) hgf dfq
lrlsT;s pTkfbg ug{;Sg] Ifdtf ePsf] b]zn] ;g\ @)!% k'Ubf gk'Ub} of] ;+Vof
@))) sf] xf/fxf/Ldf k'u]sf] 5 . To:t} bGt lrlsT;s / ljz]if1 lrlsT;sx¿sf]
pTkfbgdf klg 7"nf] ;+VofTds a[l4 ePsf] 5 . g;{x¿ / cGo k|fljlws
:jf:YosdL{x¿sf] pTkfbgdf klg o;} cg'kftdf a[l4 ePsf] 5 .
@= o; k|sf/sf] ;+VofTds a[l4 / Ifdtf ljsf;df lghL If]qsf] dxTjk"0f{ e"ldsf /x]sf]
b]lvG5 . pbfx/0fsf nflu ;g\ !(&* b]lv @)!) sf] cjlwdf pTkflbt hDdf
%)#& lrlsT;sx¿ dWo] b'O{ ltxfO{ -^$=% k|ltzt_ sf7df08f} ljZjljBfno
cGtu{tsf d]l8sn sn]hx¿af6 pQL0f{ ePsf 5g\ .

#= la=;+= @)$^ sf] hgcfGbf]ngn] NofPsf] /fhgLlts kl/jt{g kl5 :yflkt ;/sf/sf]
gjpbf/afbL cfly{s gLlt / d]l8sn sn]h tyf To:t} cGo lzIf0f ;+:yfx¿df
lghL If]qsf] nufgL k|f]T;flxt ug]{ gLlt g} o; k|sf/sf] ;+VofTds a[l4sf] sf/s
dfGg ;lsG5 .

$= lghL If]qsf] ;lqmo Pj+ k|ltikwf{Tds pkl:ylt / ;/sf/L If]qsf] o;k|ltsf]

pbf;Lgtfn] u'0f:t/df x|f;, sf7df08f} s]lGb|t ljsf; tyf clgolGqt z'Ns h:tf
w]/} lj;+ultx¿ ;d]t hGdfPsf] 5 .

dfly k|:t't :jf:Yo lzIf0f;+:yfsf] ljsf;qmd tyf cfFs8f / ljleGg ljwfx¿df cWoog/t
ljBfyL{x¿sf] ;+VofnfO{ cfwf/ dfg]/ b]zdf lgs6 eljiodf pTkfbg x'g] :jf:Yo
hgzlQmsf] k|If]k0f ul/g]5 . o; ;DaGwL ljifodf kl/R5]b % df lj:t[t ljZn]if0f ul/Psf]
5.

22
 kl/R5]b $
lrlsT;f lzIffsf] If]qdf cGt/{fli6«o cg'ej / :yflkt d"No, dfGotf

lrlsT;f lzIffsf If]qdf :yflkt cGt/f{li6«o d"No, dfGotf / cg'ej tyf

cEof;x¿sf ;Gbe{df ljleGg Vofltk|fKt cGt/{fli6«o ;+3 ;+:yf, k]zfut ;+3 ;+:yf tyf
lgodgsf/L lgsfox¿åf/f JoQm ul/Psf ;fGble{s cleAolQm tyf lnvtx¿ o;
kl/R5]bdf ;fef/ ul/Psf] 5 . pQm cleJolQm tyf lnvtx¿nfO{ g]kfnL efiffdf ¿kfGt/0f
ubf{ d"n efiffdf cleJoQm dd{ / cf;odf km/s kg{ ;Sg] x'gfn] cu|]hL efiffdf h:tfsf]
To:t} k|:t't ul/Psf] 5 .

ælrlsT;f lzIffdf ;/sf/sf] cleefjsLo lhDd]jf/LÆM ljZj :jf:Yo ;+u7g

“As guardian of the public interest, the state has a responsibility for ensuring that
citizens are protected against poorly qualified or unqualified providers of health
services, and therefore should act as a facilitator of the quality of education of
health professionals, as well as insuring that sufficient health professionals are
being trained and that their training meets the needs of the community. In human
services, such as health, the need for protection is enhanced by the information
asymmetry between provider and patient, and regulation is needed to guarantee
that health professionals do not take advantage of the relative dependency of their
clients (WHO 2013)”

ælrlsT;f lzIff clgolGqt v'nf ahf/nfO{ 5f]8\g ldNb}gÆ M ljZj :jf:Yo ;+u7g

“Typically, the following aspects of health professions that are regulated rather
than left to the market are: (i) access to education institutions; (ii) curricula; (iii)
access to practice and the scope of tasks that can be performed; (iv) quality of
professional education and respect of ethical norms; and (v) continuing
maintenance of competencies. Regulatory mechanisms include accreditation,
licensure (and sometimes periodical re-licensure), professional inspection and
compulsory continuing education. (WHO 2013)”

23
ælrlsT;f lzIffsf] d"n p2]Zo– cfdhgtfsf] :jf:Yol:yltdf ;'wf/Æ M lrlsT;f lzIff ljZj
dxf;+3

The improved health of all people is the main goal of medical education.
(WFME, 2012)

æ:jf:Yo lzIf0f ;+:yfx¿;dfhk|lt pQ/bfoL x'g'kb{5Æ Sofgf8]nL ;/sf/

A. Medical schools exist within a larger health and social system, which involves
all determinants of health including wealth, education, the environment,
housing and a spectrum of services from health promotion to palliative care.
There are many health care providers, in addition to physicians, who have
obligations to meet societal needs. (Canadian govt, 2001)

B. “Universities must accept a certain degree of accountability for society’s

health and well-being if they wish to continue to be forces for social progress
and conse- quently to merit taxpayer support. To fully respond to societal
needs, universities must accept responsibility for their deeds.” (WHO 2001)

ælrlsT;f lzIffdf egf{ x'g cfwf/e"t lj1fgsf] 1fg dfq} kof{Kt x'b}gÆ M lnofhf]F sdL6L
cg d]l8sn Ph's]zg

Through its requirements for admission, a medical school encourages potential

applicants to the medical education program to acquire a broad undergraduate
education that includes the study of the humanities, natural sciences, and social
sciences, and confines its specific premedical course requirements to those deemed
essential preparation for successful completion of its medical curriculum.(LCME
2015)

A medical school selects applicants for admission who possess the intelligence,
integrity, and personal and emotional characteristics necessary for them to become
competent physicians.(LCME 2015)

æ:jf:YosdL{x¿sf] k]zfwld{tfM la/fdLsf] enfO g} ;jf]{kl/Æ M cd]l/sg sn]h ckm

lkmlhl;oG;

24
 “Society has conferred professional prerogatives on physicians with the
expectation that they will use their position for the benefit of patients. In turn,
physicians are responsible and accountable to society for their professional actions.
Society grants each physician the rights, privileges, and duties pertinent to the
patient–physician relationship and has the right to require that physicians be
competent and knowledgeable and that they practice with consideration for the
patient as a person.”(ACP Ethics Manual 2012)

æ:jf:Yo lzIf0f ;+:yfx¿nfO{7"Nff zx/ eGbfjflx/ n}hfg' kb{5Æ M ljZj :jf:Yo ;+u7g

Locate health professional schools, campuses and family medicine residency

programmes outside of capitals and other major cities as graduates of these schools
and programmes are more likely to work in rural areas. (WHO, 2010)

æ:jf:Yo lzIf0f ;+:yfsf] k|Tofogsf] p2]ZoM :jf:Yo ;]jf k|0ffnLsf] dfusf] ;Daf]wg ug'{Æ
ljZj :jf:Yo ;+u7g tyf lrlsT;f lzIff ljZj dxf;+3

The purpose of accreditation and quality improvement in medical education is to

adjust medical education to changing conditions in the health care delivery system
and to prepare doctors for the needs and expectations of society. WFME – WHO
(2005)

ælrlsT;f lzIffsf] d"n wd{Æ M Unf]an Og8]k]G8]G6 sdL;g÷b NofG;]6 sdL;g

Health is about people; thus, the core driving purpose of professional education
must be to enhance the performance of health systems for meeting the needs of
patients and populations in an equitable and efficient manner. (Global Independent
Commission/ The Lancet 2010)

Æ;fdflhs pQ/bfloTjsf] dfGotfM ljZjJofkLÆ M Unf]an sG;]G;;\ cg ;f]l;on

PsfpG6]ljln6L

Principles of Social Accountability are universal: they are to be adopted and

applied worldwide as they enhance a medical school capacity to better use its
potential to identify and meet health challenges and the needs of society in a spirit
of quality, equity, relevance, innovation and the appropriate use of resources.
(Global Consensus 2010)

25
 kl/R5]b %
ljBdfg :jf:Yo hgzlQm k|If]k0f

:jf:Yo ;]jfsf] k|efjsfl/tf d"ntM ;f] If]qdf sfo{/t hgzlQmsf] ;Ifdtf /

k|ltj4tfdf lge{/ /xG5 . hgzlQm of]hgfsf] d"n p2]Zo ljBdfg cj:yfsf] n]vfhf]vf u/L
d'n'ssf] hg;+Vofdf cfpg] kl/jt{g, hg:jf:Yosf r'gf}ltx¿, tbg'¿k ljsl;t x'g]
:jf:Yo ;]jfsf] cfjZostf, aflif{s hgzlQm pTkfbg tyf hgzlQm lj:yfkgsf cfwf/df
o;sf] efjL lbzf klxNofpg' xf] . To;}n], lqmofzLn :jf:Yo ;]jf k|jfxsf] rfFhf] kfFhf]
ldnfpg] lgsfosf] nflu hgzlQm of]hgf dxTjk'0f{ sfo{sf] ¿kdf /xG5 . o; kl/R5]bdf
jt{dfg / eljiodf g]kfnL ;dfhnfO{ cfjZos kg]{ :jf:Yo ;]jfsf] :j¿k, hgzlQmsf]
ljBdfg cfk'lt{ Pj+ oL b'O{ cjojaLrsf] cGt/nfO{ ;Daf]wg ug{sfnflu cfjZostfsf]
l;4fGtsf] cfwf/df :jf:Yo hgzlQmsf] cfFsng tyf k|If]k0f ug]{ sf]lzz ul/Psf] 5 .

!= ljBdfg cj:yf

lrlsT;s / hg;+Vofsf] cg'kftsf ;fy} :jf:YosdL{ / hg;+Vofsf] cg'kft b]z}

lkR5] km/s km/s /x]sf] kfOG5 . ;fdfGotof :jf:Yo If]qdf w]/} nufgL ug]{ b]zx¿df g}
:jf:Yo hgZflQmsf] alnof] pkl:ylt b]lvG5 . To;}n] o;sf] cg'kft ljsf;zLn
d'n'sx¿sf] bfFhf]df ljsl;t d'n'sdf /fd|f] /x]sf] kfOG5 . ljleGg b]zx¿df :jf:Yo
hgzlQmsf] pknAwtf lgDg tflnsfdf b]vfOPsf] 5M–
u|fkm !
lrlsT;sM hg;+Vof cg'kft-;g\ @))^_
-!M!))) ljZj :jf:Yo ;+u7g_

26
 xfn g]kfndf sl/a @$))) c:ktfn z}ofx¿ pknAw 5g\ h;df lrlsT;f lzIff
k|bfg ug]{ lghL / ;/sf/L c:ktfnx¿, hg/n / ljz]if1 ;]jf k|bfg ug]{ c:ktfnx¿ /
k'g:yf{kgf s]Gb|sf z}ofx¿ ;d]tkb{5g\ . ljZj :jf:Yo ;+u7gsf] l;kmfl/z cg';f/ k|lt
xhf/ hg;+VofnfO{ !=( z}o\of cfjZos kb{5 . xfnsf] hg;+Vof -@^$($%)$_ sf]
cg'kftnfO{ cfwf/ dfGg] xf] eg] g]kfndf %),#$) c:ktfn z}o\of x'g'kg]{ b]lvG5 . xfn
g]kfndf k|lt xhf/ hg;+Vofdf dfq )=( z}o\of pknAw /x]sf] b]lvG5 . cyf{t s"n
cfjZostfsf] cfwf dfq cfk"lt{ ePsf] cj:yf 5 .
u|fkm @
z}ofsf] cj:yf

tflnsf ^
c:ktfn ;+Vof -:jf=tyf h=d= @)!)_

qm=;+= ;+:yf u|fdL0f zx/L pknAw z}of

1 ;/sf/L c:ktfn 16 79 7637

2 ;/sf/L k|f=:jf=s]= 214 0 642

3 :jf=rf}=÷p=:jf=rf}= 3816 0 0

4 lghL c:ktfn 12 93 4621

5 lzIf0f c:ktfn 0 20 10576

6 ld;g c:ktfn 6 2 612

hDdf 4064 194 24088

27
 dfly k|:t't ul/Psf] cfFs8fx¿ /fli6«o cf};t dfq} x'g . ef}uf]lns / If]qLo
cfwf/df x]g]{ xf] eg] o;sf] ljt/0fdf klg 7"nf] c;dfgtf kfO{G5 .

ljleGg cWoog / ;j]{If0fx¿n] ;/sf/L :jf:Yo ;]jfsf sl/a @) k|ltzt kbx¿

l/Qm /x]sf] kfOPsf] 5 . ;/sf/L If]qsf :jf:Yo ;]jfdf sfo{/t s"n :jf:YosdL{x¿dWo]
lrlsT;sx¿sf k|ltzt Hofb} Go'g -sl/a $% dfq_ /x]sf] 5 . u'0f:t/Lo :jf:Yo ;]jf
k|jfxsf nflu of] cfkm}df Pp6f r'gf}ltsf] ¿kdf /x]sf] 5 .

xfd|f] b]zsf] df}h"bf :jf:Yo hgzlQmsf] ;du| cj:yf b]xfosf] tflnsfdf

k|:t"t ul/Psf] %
tflnsf 7
df}h"bf :jf:Yo hgzlQmsf] ;du| cj:yf
lghL ;/sf/L
sfplG;nbtf{ sfplG;n btf{
kb :jf:YohgzlQm :jf:YohgzlQm s'n
2011÷2012 2015
2012 2012
d]l*snclws[t 1231 1061 2292 10194 15666

ljz]if! 1409 995 2404 NA 4025

g;{ 3620 3256 6876 NA 28364

c=g=dL= 1489 4408 5898 19910 23159

*]l)^i^ 74 31 105 NA

*])^n xfOlhlgi^ NA NA 403 l^P;Pn;L, 263

kL;LPn
kmfdf{l;i^ 68 32 100 1066 kmfd]{l;:^,
2597 kmfd]{;L
cl;i^])^
lkmlhof]yk
] flki^ 69 15 84 9 ljz]if!,218
aLP:;L, 92
l^P;Pn;L, 88 kL;L
cK^f]d]l^|i^ 2518 5307 6540 106 ljz]if!,448
kL;LPn, 58 aLP:;L
c=x]=a=÷;LPdP 990 6671 7661 35503 :yfoLM 39436,
c:yfoLM 2000
Pr=P= :yfoLM 5769,
c:yfoLM 1000
d]l*sn ^]Sgf]nf]lhi^ 18 22 407 719

Nofacl;i^])^÷ 899 716 1615 7305

^]lSgl;og
cfo"jb]{ lrlsT;s NA 58 58 NA

cfo'jb
]{ k|df)fkqtx 1285

cf=15 dlxg] tflnd 885

kmdf{l;i^ ;xfos 97 34 131 2529

28
 lj=;+= @))& df d'n'sdf k|hftGqsf] :yfkgf kZrft :jf:Yo If]qdf xfl;n ul/Psf
pknlAwx¿nfO{ pNn]Vo dfGg ;lsG5 .
tflnsf g+= *
:Jff:Yo ;"rsx¿sf] cj:yf

lj=;+= lj=;+= @)$* lj=;+= @)^*

ljifo @))& -;g\ -;g\ !((!_ >f]tx¿
-;g\ @)!!_
!(%)_
lzz' d[To'b/ g]kfn :jf:Yo tyf
-k|ltxhf/hLljthGd_ 200 107 46 hg;fª\lVos
;j]{If0f, @)!!
dft[ d[To'b/ ;x>flAb ljsf;
-k|ltnfv hLljt hGd_ 1800 850 170 nIo k|ult
k|ltj]bg, @)!!
cf}iftcfo' -jif{_ g]kfn dfgj
32 53 68=8 ljsf; ;'rsf+s,
@)!$
% jif{ d'lgsf g]kfn :jf:Yo tyf
aRrfx¿sf] d[To'b/ - 280 197 54 hg;fª\lVos
k|ltxhf/_ ;j]{If0f, @)!!
s'nk|hgg b/ 7 5=8 2=6 ,,
k'0f{ vf]k kfpg] – 70 88÷87
,,
aRrfx¿ -k|ltzt_
@= gLltut Joj:yf

jt{dfg kl/k|]Iodf g]kfnsf] cGtl/d ;+ljwfg, @)^# / g]kfnsf] :jf:Yo gLlt,

@)&! n] AoQm u/]sf cjwf/0ffx¿nfO{ d'n'snfO{ cfjZs kg]{ :jf:Yo hgzlQmsf] k|If]k0f /
pTkfbgsf of]hgfsf cfwf/ dfGg ;lsG5 .

g]kfnsf] cGtl/d ;+ljwfg, @)^#M

g]kfnsf] cGtl/d ;+ljwfgdf k|To]s g]kfnL gful/snfO{ /fHoaf6 sfg"gdf Joj:yf

ePadf]lhd cfwf/e"t :jf:Yo ;]jf lgMz'Ns ¿kdf kfpg], cfwf/e"t lzIff k|fKt ug]{, :jR5
jftfj/0fdf afFRg kfpg] Pj+ ;Ddfgk"j{s v'nf ;fdflhs jftfj/0fdf ljgf e]befj afFRg
kfpg] xs ;'lglZrt ul/Psf] 5 .

29
/fli6«o :jf:Yo gLlt, @)&!M

g]kfnsf] cGtl/d ;+ljwfgn] :jf:YonfO{ k|To]s g]kfnL gful/sx¿sf] cfwf/e"t

df}lns clwsf/sf] ¿kdf u'0f:t/Lo :jf:Yo ;]]jf k|fKt ug{] Joj:yf ;'lglZrt ul/;s]sf]
5 . ;a} gful/snfO{ ;dtfd'ns u'0f:t/Lo :jf:Yo ;]jfk|jfxsf] ;'lglZrt dfkb08x¿sf]
sfof{Gjog / u'0f:t/ ;'lglZrt t'Nofpg] ;+oGqsf] ljsf;sf cfwf/df ;du| :jf:Yo
If]qnfO{ :jf:Yo ;]jfk|jfx ;+oGqsf] cljlR5Gg c+usf ¿kdf lng ;lsG5 .

cfhsf] o'udf :jf:YonfO{ ljsf;sf] Ph]08fsf ¿kdf lng yflnPsf] 5 .

:jf:YonfO{ w]/}h;f] lgsfo Pj+ ;/f]sf/jfnfx¿n] ;d]t cfkm\gf gLltx¿df ;femf Ph]08fsf]
¿kdf lng] u/]sf] kfOG5 . t/ u'0f:t/Lo :jf:Yo ;]jfcem} klg xfd|f] r'gf}ltsf] ¿kdf /x]sf]
5 . o; r'gf}ltnfO{ ;Daf]wg ug{sf lgldQ ;/sf/n] gofF :jf:Yo gLlt, @)&! nfu" u/]sf]
5 . o; :jf:Yo gLltsf lgb]{zs l;4fGtx¿ b]xfo cg'¿ksf 5g\M

;a} gful/sx¿sf] df}lns xssf ¿kdf :yflkt lgMz'Ns u'0f:t/Lo :jf:Yo ;]jfsf
nflu b]xfosf /0fgLltx¿ :jf:Yo gLltn] kl/sNkgf u/]sf] 5M

gLlt !M df}lns xssf ¿kdf /x]sf] u'0f:t/Lo :jf:Yo ;]jf ;a} gful/sx¿sf] ;xh
kx'Frdf k'Ug] u/L (Universal Health Coverage) k|efjsf/L ¿kdf pknJw u/fpg] Pj+
cfwf/e"t :jf:Yo ;]jf lgz'Ns ¿kdf pknAw u/fpg] .

!_ k|To]s uflj;df Ps lrlsT;s / g;{x¿ ;lxtsf] :jf:YosdL{x¿ /xg] 5g\ .

k|To]s uflj;df Ps g;{ ld8jfOkm /xg] 5g\ .

k|To]s lgjf{rg If]qdf Ps hg:jf:Yolg/LIfs /xg] 5g\ .

@_ uflj;:t/sf] :jf:Yo ;+:yfdf k|of]uzfnf / PS;–/] ;]jf j|mdzM lj:tf/ ul/g]5 .

#_ lhNnf c:ktfndf ;3g pkrf/ sIfsf] :yfkgf ul/g]5 .
$+_ c:ktfnx¿n] cfkm\g} :jfldTjsf] kmfd]{;L dfk{mt kmfd]{;L ;]jf x'g]5 .
%_ ef}uf]lns / hg;ª\Vofsf] cg'kftsf cfwf/df dfkb08 agfO{ a9Ldf #) ldg]6sf]
b"/Ldf sDtLdf Ps ufpF Ps :jf:Yo ;+:yf :yfkgf ul/g]5 . k|To]s @) xhf/
hg;ª\Vofdf Ps k|fylds :jf:Yos]Gb| / k|To]s Ps nfv hg;ª\Vofsf] nflu

30
 sDtLdf @% z}ofsf] Ps c:ktfnsf] :yfkgf ug{ cfjlws of]hgfx¿df j|mfo{j|mdsf]
¿kdf ;dfj]z ub}{ nlug]5 . To;}u/L k|To]s cf}Bf]lus If]qdf Ps k|fylds :jf:Yo
s]Gb|sf] :yfkgf x'g]5 .
gLlt @M :jf:Yo ;]jfx¿ ;j{;'ne Pj+ k||efjsf/L ¿kdf k||jfx ug{ cfjZos bIf
hgzlQmsf] of]hgf, pTkfbg, k||flKt, ljsf; tyf pkof]]u ug{ lgDg /0fgLltx¿ ckgfOg]
5.
!_ k|lt !) xhf/ hg;+Vofsf nflu Pp6f lrlsT;s ;lxt @# hgf :jf:YosdL{
pknJw x'g] Joj:yf qmdzM ;'lglZrt ul/g]5 . b"u{d / lxdfnL If]qsf] nflu ljz]if
Joj:yf ul/g]5 .
oLg} of]hgf / k|If]k0fsf cfwf/df xfd|f] :jf:Yo hgzlQmsf] cfFsng ug{ ;lsG5 .
;du|df hgzlQmsf] k|If]k0f d'ntM dfgj ;+;fwgsf] cfk'lt{, gjk|j]zL / ;]jfaf6 alxu{dg
x'gx] ¿sf] ;+Vofdf lge{/ x'G5 .
cfudg
 :gftsx¿
 a;fO{;/fO{
 cEof;df kms{g]
 sfo{;dodf a[l4
 l9nf] cjsf;
 afx\o ljBfyL{

ljBdfg hgzlQm efjL hgzlQm

alxu{dg
 cjsfz
 ladf/L÷d[To'
 k]zf kl/jt{g
 sfo{ ;dodf s6f}tL
 a;fO{;/fO{ -cfGtl/s_
 ljb]z knfog

ljBdfg hgzlQmsf] cfk"lt{ Pj+ eljiosf] cfjZostf aLrsf] leGgtfsf] ljZn]if0fsf

cfwf/df sdLsdhf]/Lx¿nfO{ ;Daf]wg u/L ;du| :jf:Yo If]qsf nflu hgzlQmsf] k|If]k0f
sf] pko'Qm ;dfwfg xfl;n ug{' cfhsf] cfjZostf xf] . hgzlQmsf] k|If]k0f Psftkm{
b]zsf] :jf:Yo ;]jfsf] efjL of]hgfdf e/ kb{5 eg] csf]{tkm{ oxL hgzlQmsf] a}1flgs
k|If]k0f kZrft dfq :jf:Yo ;]jfsf ljleGg cjojdf ljleGg lg0f{ox¿ lng ;lsG5, h:t}M

31
  ;]jfx¿sf] k'g;{+/rgf
 :jf:Yo ;]jfsf k'jf{wf/ / hgzlQmsf] ;dLIff
 :jf:Yo If]qsf] of]hgfdf hgzlQmsf] k|efj÷pkfb]otf k/LIf0f
 hgzlQmsf] lzIff / tflnddf ;]jf s/f/ / of]hgf

#= :jf:Yo hgzlQmsf] k|If]k0f

:jf:Yo hgzlQmsf] of]hgf, k|If]k)f ubf{ b]zsf] hg;+VofnfO{ d"Vo ¿kdf

Wofg lbg"kg]{ x"G% . ;fy} xfdLn] ;dtfd'ns / ;dfgtfk'j{s pknAw >f]tnfO{ klg
Wofg lbg"kb{% . b]zsf] s'n hg;+Vof 2,64,94,504 -hgu)fgf 2011_ /
hg;+Vof a[l$b/ 1=35 /x]sf] % . o;nfO{ cfwf/ dfgL x]g]{ xf] eg] ;g\ 2031 df
xfd|f] b]zsf] hg;+Vof sl/a 3 s/f]* 55 nfv x"g]% .

ljZj :jf:Yo ;+u&gsf cg";f/ x/]s 10000 hg;+Vofsf nflu lrlsT;s,

g;{ / ld*jfOkm ;d]t u/]/ 23 hgfsf] cg"kftdf pknAw x"g"kb{% . ljZj
:jf:Yo ;+u&gsf] -2013_ / :jf:Yo tyf hg;+Vof dGqfno -2013_ sf] tYof+s
cg";f/ xfd|f] b]zdf k|lt 10000 hg;+Vofsf nflu 6=8 :jf:YosdL{x¿ /x]sf]
b]lvG% . olb xfdLn] 186 d"n"ssf] ;Lkd'ns :jf:Yo hgzlQm -lrlsT;s, g;{ /
ld*jfOkm_ sf] hg#gTj x]¥of}+ eg] 83 j^f b]zdf 22=8 k|lt 10000 hg;+Vof
/ 68 b]zx¿df 34=5 k|lt 10000 eGbf dfly /x]sf] kfOG% .

u|fkm 3
hg;+Vof, :jf:YosdL{ / lrlsT;s k|If]k)f

32
 dflysf] u|fkm lrqnfO{ ljZn]if0f ubf{ xfnsf] hg;+Vof a[l4b/nfO{ cfwf/ dfGbf ;g\
@)#! df g]kfnsf] hg;+Vof #%%#*@%@ k'Ug]5 eg] k|lt bzxhf/ hg;+VofnfO{ @# hgfsf]
cfwf/df -@=#÷!)))_ *!&#& tyf #$ hgfsf] b/ -#=$÷!)))_ n] k|If]k0f ubf{ !@@@%!
hgf :jf:YosdL{ x'g'kg]{ b]lvG5 / k|lt Psxhf/ hg;+VofnfO{ Ps hgf lrlsT;ssf] lx;fa
ubf{ ;g\ @)#! cyjf casf] !^ jif{df lrlsT;ssf] ;+Vof #%%#* x'g'kg]{ b]lvG5 .
u|fkm $
;g\ @)@# ;Ddsf nflu gl;{ª hgzlQmsf] k|If]k0f -;|f]tM Current Analysis2014_

dflysf] u|fkmnfO{ ljZn]if0f ubf{ xfn eO/x]sf] :jf:Yo hgzlQm -gl;{ª / ld8jfOkm_
pTkfbgsf] b/nfO{ cfwf/ lnFbf ;g\ @)@# df gl;{ª hgzlQm *@@&$ k'Ug] b]lvG5 .
cGt/{fli6«o dfGotf c'g;f/ ;g\ @)#! df g]kfndf sl/a ^) b]lv &) xhf/ g;{x? h?/t
kb{5g\ .

g]kfnsf] ;du| :jf:Yo hgzlQmsf] ;g\ @)#! ;Ddsf nflu ul/Psf] k|If]k0f tnsf]
tflnsfdf k|:t't ul/Psf] 5 .

33
 tflnsf (
;g\ @)#! ;Ddsf nflu :jf:Yo hgzlQmsf] k|If]k0f
cGo :jf:YosdL{
hDdf :jf:YosdL{ lrlsT;s 8]G6n *gl;{ª -k|df0f kq / kmfd]{;L:6 Nofa÷ Pr P klAns
**cgld ÷;xfos x]Ny
dfly_ **cl;:6]G6 ÷ **cx]j
xfn b]zdf pknAw hgzlQm -sfplG;n !%^^^ @))) @*#^$ @#!%# !((*÷$$$@ NA÷&))) &))) @#))
btf{ @)!% cg';f/_
÷$@)))
rflxg] hgzlQm #%))) NA &)))) – NA÷#*))) – NA÷– NA

xfnsf] b/n] b]zdf pTkfbg x'g] #@))) !)))) !!@))) – ^)))÷!@))) – @$)))÷– NA

gofF lzIf0f ;+:yfaf6 pTkfbg x'g] *))) !))) !)))) – !)))÷@))) – !))))÷– NA
-cg'dflgt_
ljb]zaf6 cWoog u/]/ cfpg] -cg'dflgt_ !)))) !))) %))) – !))÷!) – – NA

;]jfaf6 lj:yfkg x'g] -cg'dflgt_ !))) !))) %))) – NA NA @))) NA

lab]z knfog x'g] -cg'dflgt_ !)))) NA @%))) – !)))÷%)) – @)))÷– NA

hDdf pknAw x'g] hgzlQm -cg'dflgt_ %$^^^ !#))) !@%#^$ *)(*÷!&(%@ – $!)))÷– NA

gf]6M * b]znfO{ cfjZos kg]{ c:ktfn z}of ;+Vofsf cfwf/df cg'dflgt .

**k|df0fkq tx d'lgsf sfo{qmdx¿ qmdzM aGb ub}{ nfg] / pTkflbt ;Ifd hgzlQmnfO{ a[lQ ljsf;sf] cj;/ lbO{ cku|]8 ug]{ .

34
 kl/R5]b ^
;d:of tyf r'gf}tLsf] ljZn]if0f

:jf:Yo lzIf0f ;+:yfx¿sf] k|d'v bfloTj eg]sf] pRr u'0f:t/sf] hgzlQm pTkfbg,
u'0f:t/Lo lrlsT;f ;]jf tyf j}1flgs cg';Gwfgåf/f ;a} g]kfnL hgtfsf] :jf:Yo l:yltdf
;sf/fTds ;'wf/ Nofpg of]ubfg k'¥ofpg' xf] . x/]s JolQmsf] hLjg;Fu k|ToIf ufFl;g]
ljifo ePsf]n] lrlsT;f lzIffsf] u'0f:t/sf] ljifo ;b}j o; If]qsf] dxTjk"0f{ d'2fsf ¿kdf
/xb} cfPsf] 5 .

lrlsT;f lzIff /fi6« lgdf{0fsf] k"jf{wf/sf] ¿kdf /x]sf] ljifo x'gfn] klg /fHon]
lhDd]jf/L lng'kg]{ x'G5 . To:tf] x'g g;s]sf] cj:yfdf cfhsf] ljZjJofkLs/0f / ahf/d'vL
cy{Joj:yfsf sf/0f ;fdflhs c;dfgtf cem} a9\g] lglZrt k|foM 5 .

g]kfnsf] cGtl/d ;+ljwfg, @)^# df klg :jf:Yo ;]jfnfO{ df}lns clwsf/sf]

¿kdf k|Tofe"t ul/Psf] 5 . To:t} g]kfnsf] /fli6«o :jf:Yo gLlt, @)&! nfO{ x]bf{ klg /fHo
;a} hgtfnfO{ ;'ne ¿kdf :jf:Yo ;]jf pknAw u/fpg k|tLa4 /x]sf] b]lvG5 . ;+ljwfg
k|bQ df}lns clwsf/sf] dd{nfO{ cfTd;ft ug]{ xf] eg] :jf:Yo ;]jf d"ntM /fHosf] bfloTj
cGtu{t g} kb{5 . :jf:Yo tyf lrlsT;f k]zfsf] ljsf;, lj:tf/ / lgodg sfo{sf] g]t[Tj
/fHo ;+oGqåf/f g} x'g' kg]{ b]lvG5 / ;f] sfo{sf nflu cfjZos kg]{ ;fwg ;|f]tsf] Joj:yf
/ nufgLsf] ;'lglZrttfsf] lhDd]jf/L klg /fHosf] g} x'g'kb{5 .

:jf:YosdL{ eGgfn] :jf:Yo ;]jf If]qdf k|ToIf¿kn] ;+nUg eO{ pkrf/ tyf
hg:jf:Yo ;DjGwL sfo{df ;+nUg @)) eGbf a9L k|sf/sf :jf:Yo hgzlQmnfO{ a'‰g'kg{]
x'G5 . ;j{;fwf/0fsf] :jf:Yo nfe oL ;a} :jf:YosdL{x¿sf ;femf p2]Zo eP tfklg
pgLx¿sf] k]zfut If]q, tx / lzIf0f ljlwx¿ leGg leGg x'g] x'gfn] :jf:YosdL{sf]
lzIff÷tflnd cToGt} hl6n x'g] u/]sf] 5 .

xfn d'n'sdf k|ltjif{ em08} @))) sf] xf/fxf/Ldf lrlsT;s / sl/a &))) sf]
;+Vofdf ljleGg txsf g;{x¿sf] pTkfbg x'g] ub{5 . csf]{lt/ jif]{lg sl/a %–& ;o
lrlsT;sx¿ ljb]zaf6 cWoog u/L kmls{G5g\ . lrlsT;s / g;{ nufot :jf:Yo lj1fg

35
;DjGwL ljleGg ljwfsf hgzlQm klg b]z leq} x'g] pTkfbgsf cltl/Qm ljb]zL lzIf0f
;+:yfaf6 ;d]t tflnd lnO{ d'n's leq kms{g] u/]sf 5g\ . lrlsT;fsdL{x¿sf] lzIff /
tflnd nfdf] cjlwsf] / vlr{nf] x'g] x'Fbf o:tf lzIff / tflndsf] u'0f:t/Lotf ;'lglZrt
ug{ cfjZos Wofg lbg' ckl/xfo{ x'g hfG5 . :jfYosdL{sf] lzIff ÷ tflndsf] ljifonfO{
gfkmf gf]S;fgsf] b[li6sf]0fn] ul/g] pBf]usf] ¿kdf dfq lnbf tfTsflns ¿kdf cfsif{s /
pko'Qm h:tf] b]lvP tfklg cGtTff]uTjf To;af6 lg:sg] kl/0ffd eg] /fi6«sf nflu 3fts
x'g ;S5 . To;}sf/0f xfn cfP/ g]kfndf of] uDeL/ lrGtfsf] ljifo x'g k'u]sf] 5 .

/fHon] pbf/ ahf/d'vL cy{tGq cjnDjg u/]b]lv :jf:Yo lzIf0f ;+:yfx¿sf]

;+Vofdf / pTkfbgdf pNn]vgLo a[l4 ePtf klg cfjZos lgoGq0fsf] cefjdf lrlsT;f
lzIffsf] u'0f:t/ x|f; cfpg] qmd hf/L 5 . jf:tjdf lrlsT;f lzIffdf u'0f:t/ sfod ug{
ljleGg ;/f]sf/jfnfx¿ -lzIff / :jf:Yo dGqfno, ljZjljBfno tyf k|lti7fgx¿,
k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb, sfplG;nx¿, ljBfyL{ tyf tL ;+u cfj4
;+u7g tyf o'lgogx¿, lzIfs÷sd{rf/L tyf ltgsf k]zfut ;+u7gx¿, cleefjs tyf
gful/s ;dfh, ;~rf/ hut, /fhgLlts bnx¿ cflb_ sf] ;fd'lxs k|of; x'g'k5{ .
l;4fGttM oL ;a} ;/f]sf/jfnfx¿sf] cf}krfl/s cleJolQmdf u'0f:t/sf] ljifonfO{ dxTj
lbg] ul/Ptf klg Jojxf/df eg] o; d'2fnfO{ plQs} uDeL/ ¿kdf lnPsf] b]lvb}g .

clwsf+z lghL d]l8sn sn]hx¿n] / sltko ;fj{hlgs If]qsf

ljZjljBfno÷k|lti7fg / :jf:Yo lzIf0f ;+:yfx¿n] ;dfhn] pgLx¿af6 ck]lIft ;fdflhs
pQ/bfloTjsf] dd{ / efjgfnfO{ dxz'; ug{ ;s]sf] b]lvb}g . ;/sf/n] cfjZos nufgL
gu/L lbPsf] sf/0fn] ;fj{hlgs If]qsf :jf:Yo lzIf0f ;+:yfx¿n] ;d]t s]xL ;L6 w]/} k};f
ltg{ ;Sg] ljBfyL{x¿sf nflu 5'6\ofpg] / To;jf6 cfPsf] /sd ;+:yf ;~rfngsf nflu
k|of]u ug]{ u/]sf 5g\ . ;/sf/n] pknAw u/fPsf] ;Lldt ;L6df afx]s dxFuf] z'Ns ltg{
c;dy{ /x]sf] sf/0fn] ax';+Vos of]Uo ljBfyL{ / vf;u/L u|fdL0f e]ssf ljkGg /
;LdfGts[t ;d'bfosf ljBfyL{sf] nflu lrlsT;f lzIff b"/ b/fhsf] ljifo aGb} uPsf] 5 .

o;sf] cltl/St d'n'sdf :jf:Yo lzIf0f ;+:yfx¿sf] ;FVof a9\bf] qmddf /x]tf klg
ljBfyL{ 5g\f}6 k|lqmofdf pRr dfWolds tx -bz hf]8 b'O{ sIff_ df k9fOPsf ljifoj:t'df
cfwfl/t sf]/f z}lIfs 1fgnfO{ dfq cfwf/ agfOFbf c;n lrlsT;s aGgsf] nflu cfjZos

36
7flgPsf cGo dfgjLo kIfx¿sf] d"Nof+sg j]jf:tf ul/Psf] 5 . To:t} xfnsf] 5g\f}6
k|lqmofaf6 u|fld0f e]ssf ljkGg / ;LdfGts[t ljBfyL{x¿ lrlsT;f lj1fg ;DjGwL z}lIfs
sfo{qmddf ck]lIft cg'kftdf k|j]z kfpgaf6 jlGrt /x]sf 5g\ . oBlk ljleGg /fli6«o
tyf cGt/{fli6«o cWoogx¿n]] u|fld0f If]qaf6 cfpg] ljBfyL{x¿ g} pQm If]qdf ;]jf
k'¥ofpg] ;Defljt e/kbf]{ hgzlQm xf] eGg] k'li6 u/]sf 5g\ .

oL ljleGg sf/0fx¿n] ubf{ g]kfnsf] b'u{d u|fdL0f If]qdf :jf:Yo ;]jf k|jfx ug{sf]
nflu cfjZos kg]{ :jf:Yo hgzlQmnfO{ l6sfpk"0f{ ¿kdf pknAw u/fpg] ljifo clxn] klg
7"nf] r'gf}ltsf] ¿kdf /x]sf] 5 .

oL ;j} ljifonfO{ ;d'lrt 9+un] ;Daf]wg ug{ ljifout ¿kdf lgDgfg';f/ ljj]rgf
ul/Psf] 5 / tL ;d:ofsf] lg/fs/0fsf ;DjGwdf k|:t't ul/Psf ;'emfjx¿sf nflu cfwf/
;d]t k|:t't ug]{ sf]lz; ul/Psf] 5 .

!= dfu{ lgb]{zs l;4fGt ;lxtsf] /fli6«o gLltsf] ;jfn

g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|Tofe"t u/]sf] tyf g]kfnsf] :jf:Yo gLlt
@)&! Dff pNn]v eP adf]lhd ;a} g]kfnLx¿nfO{ u'0f:t/Lo :jf:Yo ;]jf pknAw u/fpg]
/fli6«o cf+sfIff / k|ltj4tf /x]klg :jf:Yo ;]jf k|jfx ug{ clt cfjZos kg]{ :jf:Yo
hgzlQm tof/ ug]{ lrlsT;f lzIff ;DjGwdf Pp6f :ki6, PsLs[t /fli6«o lrlsT;f
lzIff gLltsf] cefjn] ubf{ ljleGg vfnsf r'gf}lt, ljs[lt / lj;+ultx¿ ljBdfg /x]sf]
s'/f ;j{ljlbt} 5 . To:tf ;d:ofx¿ dWo] :jf:Yo hgzlQmsf] cf+sng, pTkfbg /
pkof]usf ;DaGwdf dfq geO{ :jf:Yo hgzlQm ;DaGwL lzIff / u'0f:t/Lo :jf:Yo
;]jf klg kb{5g\ . o;sf] cltl/Qm :jf:Yo lzIf0f ;+:yfx¿sf] :yfkgf tyf ;DaGwg
k|bfg ubf{ /fli6«o cfjZostf, ef}uf]lns cjl:ylt, hg;ª\Vof tyf hg3gTj / ;Gt'lnt
ljsf; ;d]tnfO{ b[li6ut u/]sf] b]lvb}g . :jf:Yo lzIf0f ;+:yfsf] :yfkgf Pjd\ ;+rfng
7"nf zx/df dfq s]lGb|t ul/g] jt{dfg cEof;sf sf/0fb]zsf u|fdL0f If]qsf] :jf:Yo ;]jf
k|jfxdf k|lts"n k|efj kl//x]sf s'/f klg oyfy{ g} xf] . tL :jf:Yo lzIf0f ;+:yfx¿sf]
lgodgsf nflu tf]lsPsf lgsfox¿ h:t}M ljZjljBfno, ljifout sfplG;nsf] e"ldsf,
sfo{k|0ffnL / ltgsf] k|efjsfl/tfsf ;DaGwdf xfn /fli6«o:t/d} k|z:t k|Zgx¿
pl7/x]sf] cj:yf 5 . / tL lgodgsf/L lgsfox¿sf] ;+/rgf, sfo{k|lqmof, hjfkmb]lxtf,

37
k|efjsfl/tfsf ljifodf ;do;fk]If k'g/fjnf]sg tyf kl/dfh{g cfjZos 5 . :jf:Yo
lzIffdf ;/sf/sf] e"ldsf, lghL If]qsf] :yfg, Go"gtd dfkb08 kfngf tyf k|Tofog
ug]{ lgsfoaf/] wf/0ff h:tf ljifoj:t' ;d]l6Psf] Pp6f /fli6«o gLltsf] h?/t b]lvPsf]
5.

To:t} u/L] :jf:Yo lzIf0f ;+:yfx¿sf] u'0f:t/ ;'lglZrttfsf nflu cfjZos kg]{
Go"gtd dfkb08sf] kfngf, lzIfssf] Ifdtf / k|ltj4tf, u'0f:t/Lo lzIf0f l;sfO{ k|lqmof
tyf lzIf0f c:ktfn ;~rfngsf] nflu cfjZos kg]{ hgzlQmsf] kl/rfngsf ;DaGwdf
xfn JofKt sdL sdhf]/Lsf sf/0fn] ;d]t tL ;+:yfaf6 pTkflbt hgzlQmsf] u'0f:t/ 36\b}
uPsf] s'/fnfO{ klg gsfg{ ;lsGg . o; s'/fnfO{ /f]huf/bftf / oL hgzlQmnfO{ ;'kl/j]If0f
ug]{ ljz]if1x¿n] o; cfof]u ;dIf u'gf;f] u/]sf 5g\ . oBlk o; ljifodf :ki6 ls6fg
ug{sf] nflu cfjZos kg]{ a}1flgs cg';Gwfg x'g' afFsL g} 5 . lrlsT;f lzIff / :jf:Yo
;]jfsf] If]qdf ;/sf/L / lghL If]qsf] ;xeflutf ;DjGwdf ;d]t y'k|} c:ki6tf /
cGof}ntfx¿ ljBdfg 5g\ . ljBfyL{ 5gf}6 ug]{ ;DjGwdf klg xfn k|rlnt egf{sf
cfwf/x¿ tyf tbg'¿k ul/g] k|j]z k/LIffdf /x]sf ljBdfg sdLsdhf]/Lsf sf/0fn]
cfjZos kf/blz{tf / of]Uotd\ ljBfyL{n] dfq 5g\f}6÷egf{ x'g kfpFg] ;'lglZrttf 5}g . /
ljBfyL{x¿n] ltg'kg]{ z'Ns Joj:yf ;d]t Gofo;Ddt b]lvb}g . lrlsT;f lzIffdf /0fgLlts
dxTjsf] ¿kdf /x]sf] lzIfsx¿sf] 5gf}6, j[lQ ljsf; OToflb klg ;d:ofsf] ¿kdf
b]vfk/]sf 5g\ .

@= sf7df08f} s]lGb|t ljsf; / If]qLo c;dfgtfsf] ;jfn

em08} rf/ bzssf] cjlwdf d'n'sdf lrlsT;f lzIffsf] If]qdf pNn]vgLo ¿kdf
ljsf; ePsf] 5 . of] /fli6«o uf}/jsf] ljifo klg xf] . t/ bL3{sflng ;f]r / ;dtfd"ns
ljsf;sf] cjwf/0ffnfO{ ;d]t cfTd;ft u/]sf] PsLs[t /fli6«o lrlsT;f lzIff gLltsf]
cefjdf :jf:Yo lzIf0f ;+:yfx¿ h'g 9+un] :yfkgf x'g k'u] To;n] If]qLo ;Gt'ng sfod
ug{ g;s]sf] dfq xf]Og tL c;dfgtfnfO{ cem a9fO{ lbPsf] 5 . pbfx/0fsf nflu
dWodf~rndf !@ d]l8sn sn]hx¿sf] pkl:ylt 5 / o;n] ubf{ * nfv hg;+Vofsf nflu
! d]l8sn sn]h kg{ cfpF5 . t/ dWo klZrdf~rndf #^ nfvsf nflu ! d]l8sn sn]h
5 eg] @% nfv eGbf j9L hg;+Vof /x]sf] ;'b"/ klZrdf~rndf Pp6f klg d]l8sn sn]h

38
;~rfngdf 5}g . xfn d'n'sdf ljBdfg of] c;dfgtfsf] l:yltnfO{ tn k|:t't gSzfdf
plNnlvt ljj/0fx¿n] cem :ki6 kfb{5g\ .

g]kfnsf] gSzfdf :jf:Yo lzIf0f ;+:yfx¿sf] ljt/0fsf] cj:yf

s0ff{nL :jf:Yo lj1fg k|lti7fg

!= lq=lj=dxf/fhu~h d]l8sn SofDk;
h'Dnf d0fLkfnsn]h ckm d]l8sn ;fOG;, pQ/
kf]v/f @= g]kfn cfdL{ :jf=lj=k|lti7fg
#=g]kfn d]l8sn sn]h
;'b"/ klZrdf~rn $=sf7df08f} d]l8sn sn]h
u08sL d]l8sn sn]h,
kf]v/f %=/fli6«o lrlsT;f lj= k|lti7fg
^=kf6g :jf:Yo lj= k|lti7fg, nlntk'/
dWo klZrdf~rn &= ls:6 d]l8sn sn]h, nlntk'/
h'Dnf
sf7df08f} :s'n ckm d]l8sn ;fOG;, w'nLv]n
klZrdf~rn
g]kfnu~h d]l8sn sn]h
n'lDalg d]l8sna sn]h, kfNkf
o'lge;{n d]l8sn sn]h, e}/xjf dWodf~rn
lrtjg d]l8sn sn]h, lrtjg k"jf{~rn
sn]h ckm d]l8sn d]l8sn ;fOG;, e/tk'/
h'Dnf
g];gn d]l8sn d]l8sn sn]h, lj/u~h lj=lk=sf]=:jf:Yo lj1fg k|lti7fg
h'Dnf
gf]an d]l8sn sn]h, lj/f6gu/

h'Dnf

pko'{Qm gS;fn] lghL If]qsf lzIf0f ;+:yfx¿ ;'ljwf ;DkGg zx/L If]q / cem
ljz]if u/L sf7df08f} pkTosfdf a9L s]lGb|t ePsf] b]vfpFb5 . o;f] x'g'df ljBfyL{
cfslif{t ug{ ;lhnf] kg]{, bIf / cg'ejL lzIfsx¿ ;d]t ck]Iffs[t ¿kdf a9L ;xhtfsf
;fy pknAw x'g ;Sg] ;fy} cfjZos ef}lts tyf z}lIfs k"jf{wf/x¿sf] lgdf{0f tyf
Joj:yfkg sfo{a9L ;lhnf] x'g] h:tf sf/0fx¿n] d'Vo e"ldsf v]n]sf 5g\ . t/ o:tf]
k|a[lQn] u'0f:t/Lo :jf:Yo ;]jfdf;xh kx'Frsf] b[li6sf]0fn] b]zleq If]qLo c;dfgtf l;h{gf
u/]sf] dfq geO{ ljsf;sf] b[li6sf]0fn] ef}uf]lns c;Gt'ngnfO{ klg cem} j9fPsf] 5 .h;/L
ljh'nL / ;8s lgdf{0f h:tf k"jf{wf/ lgdf{0fsf sfo{n] cfly{s ljsf;sf] d]?b08sf] e"ldsf
v]Nb5, u'0f:t/o'Qm :jf:Yo ;+:yfx¿sf] :yfkgfn] o;sf] jl/kl/ j:tL ljsf; / cfly{s

39
lqmofsnfksf] j[l4df cem j9L ;xof]u k'¥ofpF5 . To;}n] ubf{ ljsf;sf] If]qLo / ef}uf]lns
c;dfgtfnfO{ 36fpb} n}hfG5 . o;sf b[i6fGtx¿ vf]Hg d'n's jflx/ hfg'kb}{g, b]zleq}
k|z:t} 5g\ . :jf:Yosf] If]qdf ePsf] nufgLn] cfly{s ljsf; dfkm{t d'n'snfO{ ;DkGg /
:jfjnDjL aGg d2t ug]{ ljifonfO{ gLlt lgdf{tfx¿n] cem} klg cfTd;ft\ u/]sf] kfO{b}g .
ljz]ifu/L g]kfn ;+3Lotfdf hfg] lglZrt k|foM eO{ ;s]sf] cj:yfdf :jf:Yo / lzIffsf
If]qdf ljz]if of]hgfx¿ ca pk|fGt sf7df08f} s]lGb|t geO{ lgs6 eljiod} :yflkt x'g]
k|To]s k|b]zdf n}hfg' kg]{ afWofTds kl/l:ylt ;d]t ;[hgf ePsf] 5 .

Pp6} zx/÷lhNNffdf w]/} ;+Vofdf lzIf0f c:ktfnx¿ :yfkgf ul/Psf sf/0f

hg3gTjsf] cg'kft d'tfljs /f]uLx¿sf] ;+Vof w]/} lt/ afFl8g ;S5 . o:tf c:ktfndf
/f]uLx¿sf] ;+Vofdf sdL x'g] x'Fbf /f]uLx¿sf] pkrf/sf] cjnf]sg / cWoog ug]{ cj;/
klg sd x'b} hfG5 . o:tf] kl/l:yltdf lrlsT;s aGg] ljBfyL{x¿sf] cWoog a9L lstfaL
1fgdf cfwfl/t x'g] / Jojxfl/s ;Lk / Ifdtfsf] ljsf; x'g] ;Defjgf 36\b} hfG5 .

sf7df08f} pkTosfd} s]lGb|t eO{ gofF gofF d]l8sn, gl;{ª / :jf:Yo k|fljlws
sn]hx¿ v'Ngfn] u|fdL0f / b'u{d e]udf sfd ug{ hfg] lrlsT;s / :jf:YosdL{ kfpg ufx|f]
kg]{ l:ylt ;d]t ;[hgf x'g k'u]sf] 5 .

u'0f:t/Lo :jf:Yo ;]jfdf ;a} hg;d'bfosf] ;xh kx'Fr ;'lglZrt ug]{ l;nl;nfdf
ljZj :jf:Yo ;+u7gn] ;d]t :jf:Yo lzIf0f ;+:yfx¿nfO{ /fhwfgL / 7"nf ;x/x¿ eGbf
jflx/ :yfkgf ug{ l;kmfl/z u/]sf] 5 . cGt/{fli6«o cg'ejn] ;d]t ;x/eGbf jflx/ :yflkt
o:tf ;+:yfx¿af6 pTkflbt lrlsT;s nufotsf :jf:YosdL{x¿n] u|fdL0f e]sdf ;]jf ug]{
j9L ;Defjgf /xG5 eGg] b]vfPsf] 5 .

/fhwfgL s]lGb|t :jf:Yo lzIf0f ;+:yfx¿ tyf ;'ljwf ;DkGg c:ktfnx¿sf]

pknAwtfn] o; jif{ sf7df08f} cf;kf;sf lhNnfx¿df a9L k|efj kfg]{ u/L cfPsf] @)&@
j}zfv !@ ut]sf] ljgf;sf/L e'sDk / To;kl5sf qmlds ¿kdf cfO{/x]sf k/sDkx¿n]
u/]sf] dfgjLo IfltnfO{ Go"gLs/0f ug{ ;xof]u k'/\ofPsf] 5 cGoyf, o:tf] eofjx
kl/l:yltnfO{ olt ;xh} Joj:yfkg ug{ ;lsg] lyPg . o;} ;Gbe{df ca s] klg ;f]Rg
h?/L 5 eg] of] ljgf;sf/L e'sDk olb ;'b"/ k"j{ jf ;'b"/ klZrdsf lhNnfx¿nfO{
s]Gb|ljGb' agfP/ cfPsf] eP xfd|f] /fhwfgL s]lGb|t :jf:Yo ;+:yfx¿n] dfq To;kl5sf]

40
p4f/ / pkrf/ s:tf] e"ldsf v]Ng ;Sy] xf]nfg\< pkrf/sf nflu sf7df08f} cfpg g;sL
slt lj/fdL, 3fOt]x¿ csfnd} dg'{ kYof]{ xf]nf . ctM o; lsl;dsf k|fs[lts k|sf]k b]zsf]
h'g;'s} e"efudf hlxn];'s} klg x'g ;Sg] ePsfn] o; ljifonfO{ Pp6f kf7sf] ¿kdf lnO{
:jf:Yo ;+:yfx¿sf] ;Gt'lnt ljt/0fsf nflu pko'Qm of]hgf agfpg cfjZos ePsf] 5 .

k"j{ d]rLsf] Onfd b]lv klZrd dxfsfnLsf] j}t8L ;Dd hf]8\g] dWo kxf8L nf]sdfu{
/fli6«o uf}/jsf] of]hgf cGtu{t lnOPsf] 5 h;df ;f] /fhdfu{sf ljleGg !) :yfgnfO{
Jojl:yt ;x/ agfpg] nIo lnOPsf] 5 . tL k|:tfljt zx/x¿df hg;+Vofsf] rfk
nufot cGo ;fdflhs, cfly{s lqmofsnfk klg qmdzM j9\b} hfg] ePsf]n] tL :yfgx¿df
:jf:Yo ;]jf÷ lzIf0f ;+:yf :yfkgf ug{ ljz]if kxn ug'{ cfjZos b]lvG5 .

#= ljleGg lgodgsf/L tyf k|fl1s lgsfoaLrsf] dfkb08sf] ljljwtf ;DaGwL ;jfn

#=! lrlsT;f lzIff k|0ffnLnfO{ Jojl:yt ug]{ r'gf}ltM b]zsf] lrlsT;f lzIffsf] If]qdf
cu|0fL e"ldsf lgjf{x ug]{ ljZjljBfnox¿, k|lti7fgx¿, k|fljlws lzIff tyf
Jofj;flos tflnd kl/ifb nufot ljleGg Jofj;flos sfplG;nx¿sf aLrdf
Plss[t dfkb08 lgdf{0f tyf sfof{Gjog eO/x]sf] 5}g . o;af6 u'0f:t/ sfod ug]{
sfo{df jfwf k'Ub} cfPsf] cj:yf 5 . o;df Ps¿ktf Nofpg' clt cfjZos
b]lvG5 .

#=@ ljleGg ljZjljBfno÷k|lti7fg÷lgsfoaLr 5'6\6f5'6\6} k|fl1s sfo{qmdx¿ ;~rfng

e}/x]sf] / lzIf0f ;+:yfsf] :yfkgf, lzIf0f c:ktfn, Plss[t k|j]z k/LIff (Common

Entrance), lzIf0f ;+:yf ;+rfng, cg'udg, u'0f:t/ ;'lglZrttf, k|Tofofg

(Accreditation), cfwf/e"t kf7\oqmd (Core Curriculum), :gftsf]Q/ txsf]
j}slNks Joj:yf, OG6g{l;k ;DaGwdf ljleGg ;+:yf tyf lgsfox¿aLr cfk;L
;dGjo / ;fdGh:otfsf] cefj k|v/¿kdf v6\lsPsf] 5.

#=# lrlsT;f lzIff ;DjGwL ljZjljBfnoM g]kfndf ljleGg ljZjljBfnox¿ cGtu{tsf

z}lIfs sfo{qmdx¿sf] aLr cfwf/e"t ¿kdf Ps¿ktf gePsf] tyf Aojl:yt /
a:t'lgi7¿kdf u'0f:t/ dfkg, k|df0fLs/0f tyf k|Tofog (Accreditation) gePsf]
l:yltsf] lg/fs/0fsf nflu lrlsT;f lzIff;DaGwL Pp6f 5'6\6} ljZjljBfno

41
 -Medical University_ sf] :yfkgf ug]{ ;DaGwdf w]/} cleAolQmx¿ cfPsf 5g\ .
o;f] x]bf{ of] cjwf/0ff cfsif{s nfu]klg cnu cnu P]gaf6 :yflkt :jfoQ
k|s[ltsf ljZjljBfno / k|lti7fgx¿nfO{ csf]{ ;dfg:t/sf] ljZjljBfnoaf6
lgodg tyf cg'udg ug]{÷u/fpg] sfo{ sfg'gL ¿kdf lgs} hl6n x'g] b]lvG5 .
To;}n] of] ljsNk Jojxfl/s b]lvb}g . o;sf] plrt / Jofjxfl/s ;+/rgfut
;dfwfg vf]Hg' h?/L 5 . o;sf] k|:tfljt ;+/rgf kl/R5]b & k|:t't ul/Psf] 5 .

$= lrlsT;f lzIffdf u'0f:t/sf] ;jfn

u'0f:t/Lo :jf:Yo ;]jfsf nflu u'0f:t/Lo hgzlQm h?/L 5 . tL u'0f:t/o'Qm

hgzlQm s;/L k|fKt ug]{, To:tf lsl;dsf ;Ifd hgzlQm d'n'snfO{ pknAw u/fpgsf
nflu tflnd nufotsf ljifodf s] s:tf] k|jGw ug]{ ;DaGwdf 7f]; kxnsbd ljgf
u'0f:t/sf] ck]Iff ug'{ c;Dej ePsf]n] æu'0f:t/Lo :jf:Yo ;]jfsf nflu u'0f:t/Lo
lrlsT;f lzIffÆ sf] bL3{sflng ;f]r lnP/ cl3 j9\g' cTofjZos eO;s]sf] 5 . u'0f:t/Lo
lrlsT;f lzIffsf nflu ckl/xfo{ cjojx¿ lgDg lnlvt 5g\ M bIf / k|ltj4 lzIfs,
nugzLn ljBfyL{, :t/Lo k"jf{wf/, l;sfO d}qL jftfj/0f, u'0f:t/Lo :jf:Yo ;]jf k|jfx,
j:t'lgi7 d"Nof+sg k|0ffnL cflb .

To;sf ;fy} cg';Gwfg sfo{ klg u'0f:t/Lo lrlsT;f lzIffsf] Ps cleGg c+u xf] .
lj1fg / k|ljlwsf] If]qdf xfn eO{/x]sf] tLj| / rfdTsfl/s ljsf;n] :jf:Yo If]qdf klg
uDeL/ k|efj kfl//x]sf] 5 . lrlsT;f k]zfdf xfn sfo{/t / kl5 ;+nUg x'g]
lrlsT;fsdL{x¿ PSsfO;f} ztfAbLsf] oL ljsf; k|lqmofk|lt hfgsf/ /xg' cTofjZos
x'G5 . To:t} g]kfnL ;dfhdf xfn ljBdfg / eljiodf b]vfkg]{ :jf:Yo r'gf}tLx¿ tyf
u'0f:t/Lo :jf:Yo ;]jf k|lt g]kfnL hgtfsf] a9\bf] cfsf+IffnfO{ ;d'lrt 9+un] ;Daf]wg
ug{'klg plQs} cfjZos 5 . oL r'gf}ltx¿sf] ;dfwfg ug{ cfjZos kg]{ ;fwg ;|f]tx¿
g]kfn h:tf] ul/a d'n's;Fu kof{Kt ¿kdf pknAw x'g g;Sg] ljifo klg oyfy{ xf] . t/
csf]{ oyfy{ s] klg xf] eg] xfd|f ;a} ;d:ofx¿sf] ;dfwfg ljb]zaf6 cfofltt 1fg /
;Lkn] dfq ;Dej geO{ xfdLn] cfkm\g} :yfgLo ;d:ofx¿sf] ;Djf]wg ug{ gjLg ;f]r
-Innovation_ cg';GwfgnfO{ j9fjf lbg' klg TolQs} cfjZos 5 .

t;y{ xfn ;Lldt ¿kdf pknAw ;|f]t / ;fwgdf cem yk ub}{ n}hfg'sf] ;fy}

42
ltgnfO{ kl/rfng ubf{ clwstd ;sf/fTds kl/0ffd lbg] vfnsf If]q / sfo{qmddf nufgL
ug'{ plrt x'G5 . o;tkm{ klg gLlt lgdf{tfx¿ pbf;Lg /x]sf] b]lvPsf] 5 . t/ ljZj;gLo
tYo / k|df0fsf] cefjdf o:tf] lg0f{o lng sl7g x'G5 . To:t} r'gf}ltx¿sf] k|efjsf/L
;dfwfg ug{sf] nflu ljljw ljsNk / gjLg ljrf/x¿sf] vf]hL / k|of]u x'g' h?/L x'G5 .
o:tf sfo{x¿ ;To kQf nufpg sf}t'xn / lh1f;' tyf ;f] k|flKtsf] nflu ljlw;Ddt
9+uaf6 ;dlk{t x'g] dfgl;stf ;lxtsf] k|ltj4tf cfjZostf kb{5 . cg';Gwfg ;DjGwL
tflnd / Jojxfl/s cEof;af6 dfq plNnlvt bIftf xfl;n ug{ ;Dej x'G5 . ;f] sf
nflu lrlsT;f lzIffsf :gfts tyf ;f] eGbf dflyNnf] txsf k|fl1s sfo{qmdx¿df
a}1flgs cg';Gwfgsf l;4fGt / ljlwx¿af/] cfwf/e"t 1fg / ;Lkx¿ ljsf; ug{sf nflu
;DjlGwt txsf] kf7\oqmddf oL ljifoj:t' ;dfj]z ul/Psf] ePtf klg pgLx¿af6
cg';Gwfgsf If]qdf ck]lIft of]ubfg ePsf] b]lvb}g . t;y{ o; ;d:ofsf] ;dfwfgsf nflu
lrlsT;f lzIffsf ljBfyL{x¿nfO{ cg';Gwfgsf] If]qdf z'?b]lv g} cle?lr hufpg] tyf
cg';Gwfg sfo{df ;+nUg x'g kfpg] pko'Qm jftfj/0f lgdf{0f ug]{ tkm{ ;dod} Wofg lbg'
h?/L 5 .

%= :jf:Yo hgzlQm of]hgf tyf k|fyldsLs/0fsf] ;jfn

%=!= lrlsT;f lzIffsf If]qdf j}1flgs tj/n] tx, ljwf, ;+Vof / cg'kftsf] cBfjlws
ljZn]if0f ul/Psf] 5}g / g]kfnL hgtfsf] :jf:Yo cfjZostfnfO{ ;Daf]wg ug]{
lx;fan] cfjZos kg]{ :jf:Yo hgzlQmsf] k|If]k0f ul/Psf] 5}g . kl/0ffd:j¿k s'g}
ljwfdf cfjZos eGbf a9L / s'g} ljwfdf hgzlQm g} pTkfbg geP/ :jf:Yo ;]jf
k|jfxdf gsf/fTds c;/ kg]{ kl/l:ylt ;[hgf ePsf] 5 . oxL c;Gt'ngsf]
cj:yfsf] lhDd]jf/L s]xL xb;Dd lghL If]qnfO{ klg lbg ;lsPnf t/
;fj{hlgs÷;fd'bflos ;+:yfx¿n] ;d]t ;Gt'lnt hgzlQm pTkfbg ug]{ kof{Kt
e"ldsf lgjf{x ug{ ;s]sf 5}gg . o;nfO{ xfd|f] lrlsT;f lzIff k|0ffnLsf] Ps k|d'v
;d:ofsf] ¿kdf lng ;lsG5 .

:jf:Yo hgzlQm pTkfbg ug]{ ;+:yfx¿ / pTkflbt hgzlQmsf] vkt /

kl/rfng ug]{ lgsfox¿ aLr lgoldt ;dGjo / ;fy{s ;Dafbsf] cefj /xg' klg
csf]{ Ps ;d:of xf] .

43
%=@ :jf:Yo ;]jf k|0ffnLsf] jblnbf] :j¿k, hg;+Vofsf] agfj6 / /f]usf] k|s[ltdf
cfO/xg]] kl/jt{g, :jf:Yo ;]jfk|lt pn{bf] hgcfsf+Iff, :jf:Yo ;]jfn] clwsf/sf]
:j¿k u|x0f u/]sf] kl/j]z cflb s'/fx¿nfO{ dWogh/ ubf{ :Jff:Yo hgzlQmsf]
k|If]k0f sfo{ cfkm}df cToGt hl6n / r'gf}ltk"0f{ x'G5 . o;} k|ltj]bgdf cfof]un] ;g\
@)#! ;Ddsf nflu d'n'sdf cfjZos kg]{ :jf:Yo hgzlQmsf] j:t'lgi7 cfwf/df
k|If]k0f ug]{ sf]l;; ul/Psf] 5 . o;nfO{ lgoldt ¿kdf -slDtdf x/]s %÷% jif{df_
cBfjlws ug'{ cfjZos x'G5 .

%=# hgzlQm pTkfbgM xfn lrlsT;fzf:q tkm{ :gfts txdf pTkfbg eO{/x]sf] sl/a
@))) hgf :jb]z, ^)) hlt ljb]zaf6 cWoog u/L cfpg]sf] ;+VofnfO{ pNn]Vo
dfGg ;lsG5 . o;} cg'kftdf pTkfbg ePdf cfufdL sl/a ^–* jif{df ;f] txdf
b]znfO{ cfjZos hgzlQm cGt/{fli6«o dfkb08 cg'¿k k'¥ofpg ;lsg] b]lvG5 . t/
:gftsf]Q/ txdf d'n'sel/df sl/a %)) dfq ;L6 pknAw /x]sf] cj:yfdf 5 .
o;/L x]bf{ xfn :gftsf]Q/ txdf pknAw l;6 ;+Vof k|ltjif{ pTkfbg x'g] :gfts
lrlsT;ssf] cg'kftdf cToGt Go"g /x]sf] sf/0f 7"nf] ljifdtf /x]sf] b]lvG5 .

o;} sf/0fnfO{ b]vfP/ ;d]t w]/} g]kfnL lrlsT;sx¿ ljb]z knfog x'g] u/]sf 5g\ .
o; ;Fu} cd's ljb]zL lzIf0f ;+:yfx¿af6 :gftsf]Q/ txsf] cd's ljifo jf ljwfdf
cWoog u/L kms]{sf lrlsT;sx¿ d]l8sn sfplG;nn] lng] u/]sf] ljz]if1 k/LIffdf
cg'QL0f{ x'g] dfq xf]Og pQL0f{ eO{;s] kZrft klg Jojxf/df tbg'¿ksf] bIftf k|bz{g ug{
c;Ifd ePsf cj:yfsf sf/0f u'0f:t/Lo :jf:Yo ;]jfdf r'gf}tL ylkPsf] cj:yf 5 . o;
;Gbe{df sltko ljb]zL pkflw k|fKt lrlsT;sx¿n] lglZrt txsf] pkflw xfl;n
u/L;s]sf] hgfO{ ;f]xL pkfwLsf cfwf/df g} lrlsT;sLo cEof; ug{ kfpg'kg]{ cledt
/fv]sf] t/ g]kfn d]l8sn sfplG;nn] ;~rfng ug]{ k/LIffdf tL lrlsT;sx¿ af/Daf/
cg'QL0f{ x'g] u/]sf] cj:yfdf ;f] af6 lj/fdLx¿n] Hofg} hfg] ;Ddsf] hf]lvd df]Ng'kg]{
cj:yf ;d]t /x]sf] 5 . gg\lSnlgsn ljifodf pkNnf] txsf] l8u|L xfl;n u/L ljb]zaf6
cfpg] lrlsT;sx¿n] oy]i6 Jofjxfl/s 1fg gkfPsf] tYo g]kfn d]l8sn sfplG;ns}
ljz]if1 k/LIffaf6 :ki6 x'G5 . :jf:Yo gLlt, @)&! n] k|Tofe"t u/]sf] u'0f:t/Lo :jf:Yo
;]jf pknAw u/fpg ;d]t g]kfnnfO{ yk ljz]if1 hgzlQmsf] cfjZostf k/]sf] 5 . t;y{,

44
:gftsf]Q/ -ljz]if1_ txdf xfn ;~rfngdf /x]sf sfo{qmdsf cnfjf cGo j}slNks
Joj:yf clVtof/ u/L ;f] txsf] tflndsf] ;L6 ;+Vof a[l4 ug'{ u/fpg' cfjZos b]lvG5 .

^= ljZjljBfno tyf k|lti7fgx¿sf] :jfoQtfsf] ;jfn

^=! g]kfn ;/sf/n] ljleGg ;dodf lnPsf :jf:Yo tyf lrlsT;f lzIff;DaGwL
gLltx¿ ljleGg lgsfox¿df nfu" x'g g;sL sfof{Gjogdf uDeL/ ;d:of ;[hgf ePsf]
oyfy{ xf] . ljZjljBfno / cGo k|fl1s lgsfosf] :jfoQtfsf] kl/;Ldf s] xf] < o;df
g]kfn ;/sf/n] to ug]{ gLlt÷P]g sfof{Gjog ug'{kg]{ bfloTj tL ;+:yfsf] xf] of
xf]Og < ;+:yfut :jfoQtf / :j]R5frfl/tf aLrsf] pko'Qm tfbTDotf s] s:tf] x'g' kg]{
xf] < cflb ;DaGwdf :ki6 lbzf lgb]{z x'g' ckl/xfo{ b]lvG5 . Psftkm{ cfhsf] kl/k|]Iodf
k|fl1s lgsfox¿sf] k|fl1s :jfoQtf sfod /fVg' clt h?/L 5 eg] csf]{ tkm{ lj1
ljwfosx¿;Fu a[xb cGt/lqmof / k/fdz{df /fHoåf/f to ul/Psf /fli6«o gLlt, sfg'gx¿
;a} lgsfo jf ;+:yfsf nflu dfu{ lgb]{zg x'g' clgjfo{ x'G5 . o; ;Gbe{df ljZjljBfno
tyf cGo z}lIfs ;+:yfx¿n] ;d]t /fli6«o gLltx¿sf] kfng ug'{kg]{ lhDd]jf/L kl/kfngf
ug{ u/fpg :ki6, kf/bzL{ / hjfkmb]xL k|lqmof lgwf{/0f ul/g' cfjZos 5 .

o;} ;Gbe{df b]zsf h'g;'s} :yfgdf /x]sf / h'g;'s} ljwfsf lzIf0f ;+:yfx¿sf]
e"ldsf /fi6«sf] cfjZostf kl/k"lt{ ug]{ sfo{df x/;Dej tl/sfn] of]ubfg lbg x'g'kb{5 .
To;sf/0fn] ubf{ s'g} klg lzIf0f;+:yfx¿ lg/k]If ¿kdf :jfoQ x'g ;Sb}gg\ . o; ;Gbe{df
lgsfout ¿kdf /fHon] tf]lslbPsf] e"ldsfnfO{ ;xL ¿kdf sfof{Gjog ug{ g;Sg], gdfGg]
/ To;sf] ljkIfdf sfo{snfk ug{ vf]Hg]nfO{ /fHo ;+oGqn] oyf]lrt x:tIf]k ug'{kg]{ l:ylt
cfpg ;S5 ;fy} of] tYonfO{ :jfoQtfsf] ;Gbe{df dgg ug'{ cfjZos b]lvG5 .

^=@ /fli6«o dfkb08 / k|fl1s ;[hglzntf

s'g} klg k|fl1s sfo{qmdsf] u'0f:t/ ;'lglZrt ug{sf] nflu lglZrt /fli6«o dfkb08,
dfGotf tyf dfkg ljlwx¿sf] Joj:yf ul/Psf] x'G5 . o:tf] Joj:yfsf] cefjdf k|fl1s
tyf ;]jfsf] If]qdf x'g ;Sg] c/fhstf / :j]R5frfl/tfn] pTkfbgsf] u'0f:t/df x|f; cfpg]
vt/f /xG5 . tyflk ultzLn ;dfhsf] gofF cfjZostf / r'gf}ltx¿nfO{ ;Daf]wg ug{
tyf /fli6«o, cGt/{fli6«o cg'ejaf6 l;lh{t gofF 1fg, ljlw, k|ljlwnfO{ ckgfP/ nfeflGjt

45
x'gsf] nflu dfly plNnlvt dfkb08 / ljlwx¿sf] kfngfdf h8;"qtf xf]O{g nrstfsf]
cfjZostf kb{5 . Jojl:yt / l;h{gfTds 9+un] ul/g] gofF vf]h / k|of]u nfO{ k|f]T;flxt
klg ug{'kb{5 . o:tf gofF k|of]uaf6 cfpg ;Sg] pkof]uL kl/0ffdx¿n] u'0f:t/df ;'wf/
Nofpg / k|sf/fGt/df dfkb08nfO{ g} ;'wf/ / kl/:s[t ug{ d2t k'¥ofpF5g\ .

&= If]qLo ljZjljBfnosf] ;jfn

xfd|f] b]zdf Psn ljZj ljBfnosf] ¿kdf lqe'jg ljZjljBfnosf] :yfkgf ;Fu} xfn
cfP/ b]zdf ( j6f ljZjljBfnox¿ :yflkt eO{ ;s]sf] cj:yf 5 . plNnlvt kl/k|]Iodf
lqe'jg ljZjljBfno / sf7df08f} jfx]ssf ljZjljBfnox¿ :yflkt tyf ljsl;t ug]{
qmddf tL ljZjljBfnox¿ :yflkt x'g] ;DalGwt If]qsf] lzIf0f ;+:yfx¿sf] g]t[TjbfoL
e"ldsf lgjf{x ug'{kg]{ b"/ufdL b[li6sf]0f /flvPsf] lyof] . If]qLo / ef}uf]lns ;dljsf;sf
lx;fjn] ;d]t ljz]if u/L kf]v/f ljZjljBfno / k"jf{~rn ljZjljBfnonfO{ tL If]qdf
cjl:yt lrlsT;f lzIff nufotsf lzIf0f ;+:yfx¿sf] ;d]t g]t[Tj lgjf{xsf nflu
lhDd]jf/L lbg' cfjZos 5 . oBlk kl/sNkgfnfO{ sfof{Gjogdf Nofpg s]xL ;do
cfjZos x'g ;S5 t/casf] ;f]r oxL lbzfdf ljsl;t ug'{kb{5 .

oBlk l;4fGttM s'g} ljZjljBfno s'g} cd's ;Ldfgfdf /xg'k5{ eGg] dfGotfdf
ljjfb x'g ;S5 tyflk cl3 elgPemF} ljZjljBfno lg/k]If ¿kdf :jfoQ /xg ;Sg] lgsfo
xf]Og, ljZjljBfnon] ;d]t ;dfhsf r'gf}ltnfO{ ;fdgf ug]{ / cfjZostfx¿sf] kl/k"lt{
ug]{ bfloTj lgjf{xdf lqmoflzn x'g'kb{5 . cfkm\gf] ef}uf]lns If]qsf ;j} vfnsf ljBdfg
r'gf}lt tyf ;d:ofx¿sf] klxrfg ug]{ / lt r'gf}lt ;fdgfsf nflu s] s:tf] hgzlQm
cfjZos x'G5, s] s:tf cWoog cg';GwfgnfO{ cl3 a9fpg] xf], s] s:tf Innovation
x¿ k|:t't u/L g]kfnL hgtfsf] ;fdflhs, cfly{s ljsf;df of]ubfg k'¥ofpg] bfloTj
;d]t tL ljZjljBfnosf] xf] . o:tf] uxg / ul/dfdo lhDd]jf/LnfO{ ljl;{P/ ;DaGwgsf]
k|lqmofut sfo{snfkdf dfq s]lGb|t x'g' eg]sf] ljZjljBfnon] ;dfh / /fi6« k|ltsf]
lhDd]jf/L jxg ul/Psf] eGg ;Sg] cj:yf /xb}g .

*= cg';Gwfg ;DaGwL ;jfn

lrlsT;f lzIff;Fu ;DjlGwt lzIf0f ;+:yfsf] k|d'v bfloTj lzIf0f c:ktfn dfkm{t

46
u'0f:t/Lo :jf:Yo ;]jf tyf lrlsT;f lzIff k|bfg ug{' / cg';Gwfg ;DaGwL sfo{ ug'{ g}
xf] . ljZjljBfnosf] cleGg bfloTjsf ¿kdf /xg] cg';Gwfgsf] If]qnfO{ xfdL sxfF sd
dxTj lbOPsf] cj:yf 5 . kmn:j¿k o:tf ;+:yfx¿df k/Dk/fut cEof; / l;sfO{ dfq
;Dej x'G5 . gofF gofF If]qsf 1fgsf] cefjsf sf/0f ev{/} dfq b]lvPsf gofF If]qut
;d:of r'gf}tL / lgs6 eljiodf b]vf kg{ ;Sg] ;d:ofsf] nflu k/Dk/fut lzIf0f l;sfO{
k|efjsf/L gx'g] lglZrt 5 . ;d:ofsf] klxrfg, sf/s tTj, lg/fs/0fsf pkfo,
;dfwfgsf j}slNks pkfosf ;DjGwdf cg';Gwfgdf ;+nUg u/fO{ k|v/ k|fl1s JolQmTjx¿
ljsf; ug{ ;lsPg eg] xfd|f] kl/j]zdf b]lvPsf ;d:of / r'gf}ltx¿ ;dfwfgsf nflu
xfdL ;w}F ljb]zLdf k/lge{/ /xg'kg]{ cj:yf x'g]5 h'g /fi6«sfnflu jfG5gLo x'b}g . lzIff,
:jf:Yo ;]jf / cg';GwfgnfO{ xfd|f] b]zsf] af}l4s kF'hLsf ¿kdf o;nfO{ lnOg'kb{5 /
cg';Gwfgsf] If]qdf /fHon] k|fyldstf lbO{ o;nfO{ a9fjf k|bfg ug'{ h?/L b]lvG5 .

(= ljBfyL{;Fu ;DalGwt ;jfn

(=!= ljBfyL{sf] k"j{of]Uotf :

:gfts txsf] d]l8sn tyf 8]G6n ljifo cWoogsf nflu rflxg] cfwf/e"t z}lIfs
cfjZostf lrlsT;f lj1fgdf :gfts txdf egf{ x'gsf nflu Go'gtd z}lIfs of]Uotfsf]
¿kdf lj1fg ljifo lnO{ pRr dfWolds txdf /fd|f] c+s k|fKt u/L pQL0f{ x'g]
ljBfyL{x¿nfO{ pko'Qm 7flgg] k/Dk/f 5 . of] k/Dk/f a]nfotL lrlsT;f lzIff k|0ffnLsf]
9fFrfdf cfwfl/t 5 . of] dfGotf cg';f/ lrlsT;f zf:qsf] d"n cfwf/ lj1fg g} ePsf] x'Fbf
pRr dfWolds txdf k9fOg] lj1fg s]lGb|t kf7\oqmd k"/f u/]kl5 lrlsT;s aGg cfjZos
kg]{ z}lIfs of]Uotf kof{Kt ePsf] ljZjf; ul/G5 . Pp6f c;n lrlsT;s aGgsf] nflu
rflxg] Humanities and Behavioural Sciences sf] dxTj / e"ldsfnfO{ oyf]lrt :yfg
lbPsf] b]lvb}g .

kl5Nnf] ;dodf lrlsT;f lj1fgsf] :gfts txsf cWoog ug{ cfjZos 7flgg]
z}lIfs of]Uotf ;DjGwL dfGotfsf af/]df cfwf/e"t 9+un] qmlds ¿kdf kl/jt{g x'b}
cfPsf] 5 . of] kl/jt{g lrlsT;f lj1fgdf lg/Gt/ ¿kdf e}/x]sf] ljsf;, lrlsT;f ;]jfsf]
;+/rgf tyf lrlsT;ssf] e"ldsfaf/] ;dfhsf] ck]Iffåf/f lgb]{lzt 5 .

47
 ;+o'Qm /fHo cd]l/sf tyf Sofgf8fdf lrlsT;s aGgsf] nflu pRr dfWolds txsf]
cWoog kZrft rf/ jif{ nfdf] cG8/ u|fh'P6 txsf] cWoog ;s]sf] x'g' kb{5 . o;
dfGotfnfO{ ca|fxd ˆn]S;g/ k|ltj]bgn] cfheGbf !)) jif{ cl3 g} :yflkt u/]sf] lyof] .
ljut s]xL bzs b]lv o; dfGotfnfO{ a]nfot tyf ci6«]lnofsf s]xL ljZjljBfnox¿df
;d]t cjnDag ug]{ qmd a9\b} uPsf] b]lvG5 . Pl;of dxfb]zs} lkmlnlkG;df ;d]t ljut
w]/} ;do b]lv oxL k|0ffnL k|rngdf /x]sf] 5 .

lrlsT;f k]zf h:tf] ;Da]bgzLn k]zf cjnDjg ug{ rfxg] ljBfyL{sf] af}l4s,
efjgfTds tyf ;fdflhs kl/kSjtf, lhDd]jf/Laf]w, dfgjLo ;Dj]bgzLntf, hLjgsf]
d"Nosf] cg'e"lt h:tf u'0fx¿sf] cfjZostf kg]{ / o; lsl;dsf] of]Uotf !^ jif]{ lzIff /
ljleGg ljwfsf] yk cWoog kZrft dfq k|fKt ug{ ;lsg] ;Defjgf j9L x'g] x'Fbf of]
k|0ffnLn] ljZjJofkL ¿kdf dfGotf kfO{/x]sf] 5 / g]kfndf klg o; cjwf/0ffnfO{
cjnDjg ug'{ cfjZos b]lvG5 .

(=@ ljBfyL{ 5g\f}6 k|s[of

ljleGg ljZjljBfnox¿n] ljleGg ;dodf lng] u/]sf] k|j]z k/LIffn] ubf{

cleefjs dfly yk cfly{s ef/ kg]{ dfq geO{ cltl/Qm ;do ;d]t v]/ uO/x]sf] 5 .
PsLs[t k|j]z k/LIff nfu" u/]/ o; lsl;dsf] cK7\of/fnfO{ Go"g ug{ ;lsG5 .

ljBdfg ljBfyL{ 5gf}6 k|lqmofdf pRr dfWolds tx -bz hf]8 b'O{ sIff_ df
k9fOPsf ljifoj:t'df cfwfl/t sf]/f z}lIfs 1fgsf] kl/If0f ug]{df dfq l;ldt /x]sf] 5 .
of] k|0ffnL pko'Qm ljBfyL{sf] 5gf}6 eGbf klg lrlsT;f lj1fg cWoog ug{ rfxg]
cfs+fIfLx¿sf] ;+VofnfO{ s;/L æ56gLÆ ug{ ;lsG5 eGg] ljifodf s]lGb|t /x]sf] 5 . o;
lsl;dsf] Joj:yfn] dfq s:tf lsl;dsf ljBfyL{ 5gf}6 ubf{ pgLx¿ eljiodf uP/ c;n
:jf:YosdL{ x'G5g\ eGg] s'/f lgSof{}n ug{ g;lsg] ePsfn] o; k|0ffnLdf ;'wf/sf] h?/t
5 . cfufdL lbgdf ljBfyL{ 5gf}6 ubf{ kf7\oqmdsf ljifoj:t' eGbf klg ljBfyL{sf] jf}l4s
ltI0ftf -Cognitive Ability_, ;dfnf]rgfTds ljZn]if0f ug{ ;Sg] Ifdtf -Critical
Thinking_, g}lts d"No dfGotf, lg0f{o Ifdtf, ;~rf/ l;k, ;d:of ;dfwfg ug]{ Ifdtf
h:tf ljifonfO{ cfwf/ agfpg' pko'Qm b]lvG5 .

48
 To:t} u/L dWod:t/Lo :jf:Yo hgzlQmnfO{ tf]lsPsf] ;]jf cjlw k"/f u/]kl5
la|hsf];{ u/fO{ lrlsT;f zf:qsf] :gfts -PdljljP; nufot cGo_ sfo{qmddf cWoogsf
nflu ;xefuL x'g kfpg] cj;/ k|bfg ubf{ ;d]t w]/} lrlsT;sx¿ g]kfnsf] u|fdL0f e]sdf
sfo{/t /x]sf] xfd|f] /fli6«o cg'ej /x]sf] 5 . xfn kf6g :jf:Yo lj1fg k|lti7fgdf ljBdfg
k|0ffnLdf egf{ k"j{ lj|hsf];{ ug'{ cfjZos kb}{g .

!)= lrlsT;f lzIffsf] cfly{s kIfsf] ;jfn

!)=! lrlsT;f lzIff cfkm}df Ps vlr{nf] ljwf xf] . pbfx/0fsf] nflu Pp6f lrlsT;s
tof/ ubf{ k|lt ljBfyL{ ;/b/ #% nfv vr{ x'G5 eGg] cg'dfg 5 . lrlsT;fsdL{
pTkfbgsf] nflu nfUg] of] nfut s;n] Joxf]g'{ kg]{ xf] eGg] ;jfn lg/Gt/ ljjfb /
5nkmnsf] ljifo aGb} cfPsf] 5 . o;sf] ;xh hjfkm geP klg s]xL tYo oxfF /fVg
;lsG5 . ;/sf/n] ;fj{hlgs ;+:yfx¿df k|ToIf nufgL ug{ grfx]/ jf g;s]/ o:tf lzIf0f
;+:yfx¿df nufgLsf] nflu lghL If]qnfO{ k|f]T;flxt ubf{ To;sf] df/ ljBfyL{ / ul/a
la/fdLx¿nfO{ g} kg{ cfPsf] b]lvG5 .

nufgLstf{x¿n] ;fgf] /sdaf6 Joj;fo z'? u/L ljBfyL{s} k};faf6 l56f] / w]/}
gfkmf sdfpg] p2]Zo /fVof] eg] Tof] sn]hn] slxNo} u'0f:t/ k|bfg ug{ ;Sb}g .

:gfts txsf] lzIff eg]sf] lrlsT;f lzIffsf] klxnf] r/0f xf] . o; txdf
ljBfyL{x¿n] la/fdLsf] b'Mvdf s]xL b'Mv yk]/ g} lrlsT;f lzIff l;Sg] sfd x'G5 . pgLx¿n]
la/fdLnfO{ d2t ug]{ sd x'G5 . t;y{ ljBfyL{ / cleefjsx¿n] of] txsf] cWoogsf nflu
plrt z'Ns ltg'{ dgf;Lj g} x'G5 . o;f] eGbf ul/a tyf h]x]Gbf/ ljBfyL{n] plrt cj;/
kfpg' klg TolQs} h?/L x'G5 .

:gftsf]Q/ txdf k'Ubf eg] l:ylt cs}{ x'G5 . o; txsf ljBfyL{x¿n] la/fdLsf]
pkrf/ tyf :jf:Yo lzIf0f ;+:yfdf hgzlQmsf] e"ldsf ;d]t lgjf{x ub{5g\ . To;sf/0f
lrlsT;f lzIffsf :gftsf]Q/ txdf cWoog/t ljBfyL{x¿af6 z'Ns glng] a? lgjf{x eQf
;d]t lbg] k|rng ljleGg b]zdf z'? e};s]sf] 5 . t;y{ o; txsf] lzIffdf ;/sf/ /
lzIf0f;+:yf :jod\sf] nufgL a9L ckl/xfo{ ePsf]n] o; txsf] cfly{s kIfsf] Joj:yfkgsf
nflu pko'Qm gLltsf] h?/L b]lvG5 .

49
!)=@ :Jff:Yo lzIf0f ;+:yfdf z'Nssf] ;jfn

!)=@=! g]kfn ;/sf/n] lrlsT;f lzIffsf] If]qdf cfkm\gf] bfloTj :ki6 gu/]sf] cj:yfdf
ljutsf] s]xL bzs b]lv g} lrlsT;f lzIffsf] If]qdf ;/sf/L nufgL / kxn qmdzM 36fpb}
nu]sf] cj:yf oyfy{ xf] . h;sf sf/0f ;/sf/L tj/df ;~rflnt lzIf0f ;+:yfn] ;d]t
cfkm\gf] lgjf{x s} lgldQ eP klg rsf]{ z'Ns c;''Ng] k|j[lQ ljsl;t x'b} uPsf] cj:yf 5 .
;/sf/L If]qdf ;~rflnt z}lIfs ;+:yfx¿sf] z'Nsdf lg/Gt/ a[l4 / rsf]{ z'Ns lt/]/ k9\g
rfxg] ljBfyL{sf nflu ;L6 5'6\ofpg] k|j[lQdf cfPsf] a[l4 o;sf] k|df0f xf] . o;df
/fhgLlts, cy{ /fhgLlts cjwf/0ff x'g ;S5g\ t/ dfgj :jf:Yo;Fu cleGg ;DaGw /xg]
lrlsT;f lzIff / :jf:Yo ;]jfdf ;/sf/sf] cu|0fL / lhDd]jf/k"0f{ e"ldsf /xg' h?/L 5
eGg] s'/fdf b'O{ dt x'g ;Sb}g . ;/sf/L tj/df :yflkt lzIf0f ;+:yfx¿ klg
ljBfyL{x¿af6 lnOg] z'Nssf] cfwf/df dfq cfly{s ¿kdf cfTdlge{/ x'g'k5{ eGg]
cjwf/0ff k|sf/fGt/n] ;j{;'ne :jf:Yo ;]jf k|bfg ug]{ ;+j}wflgs Joj:yf ljk/Lt dfq
geO{ b'/ufdL b[li6sf]0fn] ;d]t 3fts 7xl/G5 .

!)=@=@ lghL If]qsf d]l8sn, gl;{ª tyf cGo :jf:Yo lzIf0f ;+:yfx¿df ljBfyL{x¿af6
lnOg] z'Nssf] ljifo cToGt tLtf] / ljjfbf:kb ljifo /lxcfPsf] 5 . lghL If]qsf d]l8sn
sn]hx¿df ;/sf/n] 5fqj[lQdf 5fg]sf ljBfyL{x¿n] lgMz'Ns k9\g kfpg] k|fjwfgn]
h]x]Gbf/ ljBfyL{x¿sf] Pp6f 7"n} ;d'xn] lrlsT;s aGg] df}sf kfof] . of] ;d"x ;/sf/L
d]l8sn sn]hx¿df sd z'Nsdf k9\g kfpg] 5fq 5fqfx¿sf] t'ngfdf kfFr 5 u'0ff x'g
cfpF5 . of] cfkm}df Pp6f ;sf/fTds kIf xf] eg] csf]{tkm{ 5fqj[ltdf k9\g] df}sf kfPsf
lrlsT;sx¿nfO{ b]zsf] ;]jf ug'{kg]{ k|fjwfgnfO{ w]/} ;do ;Dd klg nfu" ug{ g;s]sf
sf/0f a9L ;+Vofdf lrlsT;sx¿ pkl:yt eP klg ltgsf] k"0f{ ;b'kof]u b]zn] ug{
g;s]sf] b]lvG5 . ljZjljBfno tyf CTEVT nufotsf lgsfox¿n] xfn;Dd z'Nssf
ljifodf k|efjsf/L lgoGq0f / lgodg ug{ g;ls/x]sf] cj:yf ljBdfg 5 . o; ;DjGwdf
sf7df08f} ljZjljBfnon] ckgfPsf] s]xL sbd ;sf/fTds eP klg z'Ns lgodgsf]
ljifonfO{ b]zJofkL ¿kdf Ps¿ktfsf ;fy sfof{Gjog ug{ g;lsPsf] oyfy{ g} xf] .

u'0f:t/Lo / ;dtfd"ns lrlsT;f lzIffsf nflu cToGt dxTjk"0f{ dflgg] of]

ljifodf xfn;Dd cf}lrTok"0f{ Joj:yf ug{ g;Sg' cfkm}df b'ef{Uok"0f{ cj:yf xf] . w]/}h:tf]

50
lzIf0f ;+:yfn] clwsf+z g]kfnL hgtfn] jxg ug{ g;Sg] u/L rsf]{ ¿kdf dgf]dfgLk"j{s
z'Ns c;'nL /x]sf] tYo huhfx]/ 5 . of] eGbf klg 7"nf] lj8Dagf ljBfyL{ egf{df
of]Uotfqmdsf] cfwf/nfO{ j]jf:tf u/L z'Ns a'emfpg ;Sg]x¿sf nflu of]Uotfqmd lgwf{/0f
gx'Fb} ;L6 ;'/lIft u/L /fVg] k|j[ltsf sf/0f Ifdtfjfg / h]x]Gbf/ ljBfyL{x¿ egf{af6
alGrt x'g'kg]{ cj:yf u'0f:t/Lo lzIffsf] k|d'v afws xf] eGg' cltzof]lQm x'b}g .

!)=@=# o;} ;Gbe{df ljz]if1 txsf] k|lzIf0fdf s]lGb|t :gftsf]Q/ txsf lrlsT;sx¿n]
lzIf0f z'Ns ltg'{ kg]{ dfq geP/ Jojxfl/s sfo{df ;d]t ;+nUg /xg], c:ktfn
ljz]if1nfO{ ;]jf k'¥ofpg' kg]{ / cfkm\gf] cWoognfO{ ;d]t lg/Gt/tf lbO/xg'kg]{ cj:yfdf
/xg] of] txsf] hgzlQmnfO{ yk rsf]{ z'Ns yf]kg]{ cEof; xfdL sxfF ljBdfg 5 . Tof]
k]zfut, k|fl1s / dfgaLo lx;fjn] cToGt cJojxfl/s / cg'lrt b]lvG5 . ;+;f/sf w]/}
h;f] b]zx¿df of] txsf] cWoog ug]{ lrlsT;snfO{ z'Ns glng] dfq xf]Og a? tflnd
k|bfos ;+:yfn] pN6} pgLx¿nfO{ lgjf{x eQf lbg] k|rng 5 . u'0f:t/Lo lrlsT;f lzIffsf
nflu ;/sf/L nufgLsf] Go"gLs/0fsf sf/0f lrlsT;f lzIff dxFuf] x'g uO{ cGtTjuTjf ;f]
sf] ef/ cfdhgdfg;df kg{ hfg] lglZrt k|foM 5 . o:tf] kl/l:yltdf ;xL lsl;dsf
;Ifd pDd]b\jf/ kfOg ;Sg] ;Defjgf sd x'g hfG5 . Tolt dxFuf] lzIf0f z'Ns lt/]/
pTkflbt ljz]if1 lrlsT;sx¿df ;]jfd'vL eGbf nufgL p7fpg] k|a[lQ xfaL eof] eg]
zfob c:jefljs 7fGg gldNnf . o; ;DjGwdf k|efjsf/L ;dfwfgsf nflu uDeL/ ;dLIff
x'g' cTofjZos 5 .

!!= cg'udg tyf lg/LIf0fsf] ;jfn

/fHosf] ;a} lgsfodf h:t} ljZjljBfno leq cg'udg / lg/LIf0fsf] cj:yf sdhf]/ /x]sf]
b]lvG5 . sltko 7fFpdf k"0f{ cg'udg ljgf g} lzIf0f ;+:yf ;~rfngdf /x]sf] cj:yf
b]lvPsf] 5 h;sf sf/0f u'0f:t/Lo lrlsT;f lzIff / :jf:Yo ;]jf k|jfxdf r'gf}lt ;[hgf
ePsf] 5 . lghL lzIf0f ;+:yfx¿nfO{ ;DaGwg k|bfg ug]{ lqe'jg ljZjljBfno tyf
sf7df08f} ljZjljBfnox¿n] ;DaGwg lbPsf ;+:yfx¿sf] cg'udg ug{ sl7gfO{ ef]Ug'
k/]sf] cleAolQm ;DalGwt lgsfoaf6} cfPsf 5g\ . ;DaGwg k|fKt lzIf0f ;+:yfx¿sf]
k|efjsf/L cg'udg x'g g;s]sf sf/0f u'0f:t/Lo hgzlQm pTkfbgdf uDeL/ ;d:of /x]sf]
o:tf] cj:yfdf tL ljZjljBfnon] cfk\mgf] cg'udgsf] Ifdtfdf k'gMd'{Nof+sg ug]{ cj:yf

51
cfO;s]sf] b]lvG5 .

!@= kf7\oqmd / ljBfyL{ d"Nof+sgsf] ;jfn

/fd|f :jf:YosdL{ tof/ ug{ pko'Qm kf7\oqmd csf]{ dxTjk"0f{ cjoj xf] . lrlsT;f
lzIff;DaGwL kf7\oqmdn] ljBfyL{x¿df k]zfut k|fljlws 1fg, ;Lk / bIftfsf] ;d'lrt a[l4
ug'{ clt cfjZos 5 . AolQm tyf l;+uf] ;d'bfonfO{ cfqmfGt kfg]{ :jf:Yo ;DjGwL
r'gf}ltx¿ / ltgsf sf/0fsf] klxrfg tyf ;dfwfg ug{ To:tf 1fg, ;Lk / bIftf
ckl/xfo{ x'G5 . To:t} pgLx¿df ;d:of ;dfwfg ug]{ pT;'stf, k|ltj4tf tyf
l;h{gzLntf x'g'klg cfjZos 5 . o;sf cltl/Qm lrlsT;fsdL{x¿n] :jf:Yo ;DjGwL
;d:ofaf6 u|l;t JolQmx¿;Fu ul/g] Jojxf/, cGt/lqmof tyf k/fdz{sf] qmddf lzi6tf
tyf ljj]s;Ddt dfgjLo ;+j]bgzLntf klg k|bz{g ug{ ;Sg' kb{5 . To:t} ;dfhn]
pgLx¿af6 k]zfut cfrf/;+lxtf tyf k]zfwld{tf -Professionalism_ sf] kfngfsf] ck]Iff
klg u/]sf] x'G5 . t/ dn's leq ;~rfngdf /x]sf :jf:Yo lzIf0f ;+:yfx¿n] sfof{Gjog
ub}{ cfPsf clwsf+z kf7\oqmdx¿ d"ne"t ¿kdf k|fljlws 1fg / ;Lk xfl;n ug]{ p2]Zodf
dfq} ;Lldt /x]sf] 5 . of] s'/f ljZjJofkL¿kdf :yflkt lrlsT;f lzIffsf] cfwf/e"t
dfGotf;Fu d]n vfb}g .

x'gt g]kfndf ;g !(&* ;fnsf] k|f/De b]lvg} lrlsT;f lzIffsf] gf}nf] k|of;
(Innovative curriculum) sf] yfngL eO{ ;d'bfodf cfwfl/t l;sfOsf] k|lqmofaf6 ;d'bfosf
nflu sfd ug{] :jf:YosdL{ tof/ ug{] lzIff k|0ffnLaf6 ;'?jft ePsf] xf] . t/ xfn cfP/
ljBfyL{x¿sf] rfk cToflws a9]sf]n] o; lzIff k|0ffnLdf x|f; cfPsf] cg'ej ul/Psf] 5 .
kmn:j¿k ;d'bfod'vL eGbf JolQmd'vL, ;]jfd'vL eGbf cfod'vL :jf:YosdL{sf] pTkfbg
x'g yfn]sf] 5 . o; ;Gbe{df lrlsT;f lzIffnfO{ cem a9L ;fGble{s / pkof]uL agfpg
xfn ljBdfg kf7\oqmddf cfjZos ;'Wff/ ug'{ klg Pp6f dxTjk"0f{ Ph]08fsf] ¿kdf b]vf
k/]sf] 5 .

lrlsT;f lzIff cWoog/t ljBfyL{x¿sf] d"Nof+sgsf] k|d'v cfwf/ ;}4flGts 1fgnfO{

ckgfO{/x]sf] jt{dfg cj:yfsf sf/0f pTkflbt hgzlQmdf Jojxfl/s 1fgsf] sdLsf sf/0f
sfo{If]qdf uP/ :jtGq ¿kdf / ;Ifdtfk"j{s sfo{ ug{ g;s]sf] cj:yfaf/] ;j{ljlbt} 5 .
t;y{ ljBfyL{x¿sf] ;}4flGts 1fgsf cltl/Qm Jofjxfl/s ;Lk, k]zfut sfo{bIftf /

52
k]zfwld{tfk|ltsf] k|ltj4tf ;d]tsf] d"Nof+sg ul/g] kl/kf6Lsf] ljsf; u/L cljnDj
sfof{Gjogdf Nofpg' h?/L ePsf] 5 . cGoyf, u'0f:t/Lo lrlsT;f lzIffdf /x]sf] of]
r'gf}tLsf] ;Daf]wg x'g s7Lg 5 .

!#= ˆofsN6L ;DaGwL ;jfn

u'0f:t/Lo lzIffsf nflu cfjZos kg]{ ljleGg kIfx¿dWo] of]Uo lzIfssf] e"ldsf
cToGt dxTjk"0f{ x'G5 . lgodgsf/L lgsfosf ljBdfg dfkb08df lzIfssf] ;+VofnfO{ w]/}
dxTj lbOPsf] 5 t/ u'0f:t/Lo lzIffsf] nflu lzIfssf] ;+Vof dfq kof{Kt x'b}g .
lzIfsx¿df x'g] u'0f klg Tolts} cfjZos x'G5 . ljifout lj1tfsf] cltl/Qm lzIfssf]
;fdfGo Jojxf/, cfr/0f, lj/fdL;Fusf] Jojxf/, ;fd"lxs efjgf, dfgjLo u'0f / o;sf]
cEof; h:tf kIfsf] cjnf]sgaf6 ljBfyL{x¿ l;sfOk|lt pTk|]l/t x'g], pT;flxt x'g] tyf
lzIfsdf b]lvPsf] c;n Jojxf/sf] cg's/0f ug]{ k|of; ;d]t ub{5g\ / pgLx¿sf] l;sfO{
lzIfssf] log} u'0fx¿af6 lgb]{lzt x'g hfg] ePsf]n] lrlsT;f lzIffsf] If]qsf lzIfs
cg's/0fLo JolQmTjsf] ¿kdf x'g'k5{ eGg] ck]Iff ;a}n] u/]sf x'G5g\ . lrlsT;s lzIfsx¿
pkrf/sfo{df klg ;+nUg x'g] x'Fbf pgLx¿sf] d"Nofs+g d"ntM pgLx¿sf] pkrf/ ug{]
bIftfnfO{ cfwf/ agfO{ x]g{] ul/Psf] 5 . t/ lj;{g} gldNg] s'/f s] 5 eg] Pp6f /fd|f]
lrlsT;s /fd|f] lzIfs x'g klg ;S5, gx'g klg ;S5 . t;y{ pkrf/df ;+nUgtf /
;Ifdtf Pp6f dfkb08 xf] eg] cfkm\gf] k]zfut 1fg / l;knfO{ lzIffyL{x¿df x:tfGt/0f
-Transfer) ug{ ;Sg] Ifdtf p;sf] of]Uotfsf] csf{] / plQs} dxTjk"0f{ kf6f] xf] . :jf:Yo
lzIf0f ;+:yfsf] ;kmntf / u'0f:t/Lotfsf nflu ljifout 1fg / bIftf, k]zfk|ltsf] nufj
/ ;dk{0f tyf pT;fxL lzIfsx¿sf] ckl/xfo{tf x'G5 . oL u'0fx¿ ePsf lzIfsx¿sf]
cfk"lt{ of]hgf agfO{ To:tf hgzlQmnfO{ ;+:yfdf leq\ofpg' klxnf] cfjZostf xf] eg] ;]jf
k|j]z ul/;s]sf hgzlQmnfO{ gofF 1fg / k|ljlw;Fu cBfjlws agfO/fVg ljleGg tflnd /
k]zfut pGgogsf sfo{qmdx¿sf] Joj:yf u/L lzIf0f k|lzIf0fdf ;w} gjLgtf k|bfg ug{
;Sg] agfpg' csf]{ dxTjk"0f{ cfjZostf x'G5 . t;y{ :jf:Yo lzIf0f ;+:yfx¿ lzIffyL{nfO{
dfq tflnd ug{] geO{ lzIfs tflnd ug{] ;+:yfsf] ¿kdf sfo{ ug'{kg{] x'G5 .

g]kfnsf] ;Gbe{df lzIf0f hgzlQmsf] ;]jfdf k|j]z kZrft p;sf] Ifdtf ljsf;sf
cj;/x¿ kof{Kt /x]sf] b]lvb}g . ;fy} sfo{/t lzIfsx¿sf] pd]/, :jf:Yo cj:yf, gofF ;Lk

53
/ k|ljlwsf] vf]h ug]{, l;Sg] / l;sfpg] Ifdtf / pgLx¿sf] hfFu/sf] d"Nof+sg ug]{ s'g}
kl/kf6L a:g ;s]g . lzIfs cfkm}, ljefu / ;+:yfx¿sf kbflwsf/Lx¿df klg o;sf]
cfjZostf cg'e"t eP h:tf] nfUb}g . o;y{ JolQmsf] k]zfut pGgog / ;+:yfut ;Lk
ljsf;sf nflu ;d'lrt / ;dGoflos cj;/sf] pknAwtfdf ;f]Rg' h?/L ePsf] 5 . o;sf
;fy} k"0f{sflng lzIfs -km\ofsN6L_ n] cfkm" sfo{/t ;+:yfk|lt / ljBfyL{k|lt k"0f{ hjfkmb]xL
agfpg] cj:yfsf] klg cefj b]lvG5 . csf]{ ;d:of eg]sf] s'g} lzIfs cfkm\gf] sfo{k|lt
k"0f{ lqmofzLn, hfu?s, pT;fxL, cWoogzLn, gjLg 1fgsf] vf]hLk|lt pT;fxL eO/x]sf]
cj:yfdf pd]/sf] sf/0fn] clgjfo{ cjsf; x'g hfFbf ;+:yfaf6 bIf hgzlQm jflxl//x]sf]
cj:yf klg 5 .

o; If]qdf lqe'jg ljZjljBfno, sf7df08f} ljZjfljBfno / ljlksf]O/fnf :jf:Yo

lj1fg k|lti7fg nufotsf :jf:Yo lzIf0f ;+:yfx¿n] dxTjk"0f{ e"ldsf lgjf{x u/]sf 5g\ .
tyflk xfn g]kfndf k7g kf7g ug{] w]/} ;+:yfx¿ Vff]lnPsfn] ;Ifd, cg'ejL / lzIf0fk|lt
k|ltj4 lzIfsx¿ kfpg ufx|f] ePsf] 5 . ePsf lzIfsx¿klg sfuhdf k"0f{sflng
ePtfklg lghL ;]jf Pj+ cGo sf/0fn] Jojxf/df c+flzs lzIfs dfq aGg k'u]sf 5g\ .
t;y{ lzIfsx¿sf] ;+VofTds a[l4sf ;fy} lgDgfg';f/sf u'0ffTds kIfdf klg Wofg
k'¥ofpg' cfjZos e};s]sf] 5 .

o:tf] cj:yfdf lzIfsx¿n] plNnlvt ck]IffnfO{ cfTd;ft\ ug{ g;s]sf],

lgodgsf/L lgsfox¿n] ;d]t ;f] af/] :ki6 ug{ lbzf lgb]{z ug{g;s]sf] / lzIfsx¿df
;d]t o; k|lt ulDe/tf g/x]sf] jt{dfgsf] cj:yf csf]{ r'gf}ltsf] ¿kdf /x]sf] b]lvG5 .

xfn b]zdf 7"n} ;+Vofdf :jf:Yo lzIf0f ;+:yfx¿ :yfkgf ePtf klg tL ;+:yfx¿df
cfwf/e"t lrlsT;f lj1fg -a]l;s d]l8sn ;fOG;_ sf ;Ifd hgzlQmx¿sf] r/d cefj
b]lvG5 . of] ;d:ofsf] bL3{sflng ;dfwfgsf] nflu gLltut tyf sfo{ut k|fjwfgx¿
;dfof]hg ub}{ nfg' cTofjZos e};s]sf] 5 .

!$= g]t[Tj rog ;DaGwL ;jfn

!$=! s'g} klg ;+:yfsf] ;kmntf / pQ/f]Q/ k|ultsf] nflu ;Ifd g]t[Tjsf] e"ldsf cToGt
dxTjk"0f{ x'G5 . ;+:yfleqsf] jftfj/0f xflb{s / pTkfbgzLn agfpg, cfjZos kg]{ ;fwg

54
/ ;|f]t h'6fpg tyf ;+:yfsf] uGtAo lgSof]{n ub}{ 3f]lift nIo k|flKtsf] nflu g]t[Tjdf x'g]
b"/blz{tf, Joj:yfksLo s'zntf tyf k]zfwld{tf ckl/xfo{ x'G5 . of] s'/f lrlsT;f lzIff
tyf lrlsT;f ;]jfdf klg TolQs} nfu" x'G5 . g]t[TjbfoL kbdf a:g] AolQmx¿n] cfkm"
;DjlGwt ;+:yfdf x'g] lgoldt lqmofsnfksf lgu/fgL ug]{ dfq xf]Og gf}nf] tyf
l;h{gfTds kxnx¿nfO{ klg k|f]T;flxt ug'{kb{5 . / o:tf] ug{ ;+:yfleqsf sfo{/t
;xsdL{x¿sf] k]zfut bIftf tyf cGo cGt/lglxt k|ltefx¿sf] klxrfg, ljsf; tyf
pko'Qm kl/rfng ug{ g]t[Tj l;kfn' x'g'kb{5 . o;f] ug{ ;s]df dfq ;+:yfsf] nIo xfl;n
ug{ ;xh x'g] dfq xf]Og ;dfhnfO{ ljlzi6 of]ubfg lbg klg ;Dej x'G5 . t/ ljBdfg
lgoddf dfly pNn]v ul/Psf cfwf/x¿nfO{ w]/} xb;Dd :jLsf/ ul/Psf] ePtf klg
Jojxf/df eg] pko'{Qm u'0fx¿nfO{ cfwf/ lnP/ ug]{ eGbf klg s]an jl/i6tf, ;fldKotf,
;+:yfut eGbf JolQm jf ;d"x ljz]ifk|ltsf] jkmfbfl/tfnfO{ cfwf/ dfGg] ul/Psf] b]lvG5 .
;fy} lglZrt ;+:yf ljz]if leq}af6 dfq g]t[Tj rog x'g'k5{ eGg] JofKt ;f]rn] ubf{
Ifdtfjfg g]t[Tjsf] rogdf afwf k'usf] 5 . Tof] eGbf klg b'Mv nfUbf] s'/f] t k|fl1s
;+:yfx¿sf g]t[Tj rogsf] cfwf/ cfly{s rnv]n tyf /fhgLlts bn ljz]ifsf] s[kf /
ljZjf;nfO{ lnObf k|fl1s ;+:yfx¿sf] l:ylt, ltgsf] eljio tyf tL ;+:yfaf6 lgMz[t x'g]
lrlsT;f lzIff tyf :jf:Yo ;]jf tyf cGo j}1flgs cg';Gwfgsf] u'0f:t/ x|f;f]Gd'v
lbzftkm{ a9L/x]sf] cfefif x'G5 .

!%= k|fljlws lzIff tyf Jofj;flos kl/ifb -CTEVT_ ;DjGwL ;jfn

!%=! lrlsT;f lzIffsf ljleGg ljwf / txdf ;DaGwg k|bfg ug]{ lhDd]jf/L /x]sf] o;
lgsfon] cg'udgsf nflu cfk'mdf bIftf g/x]sf ljifo If]qdf ;d]t ;DaGwg k|bfg
ul/cfPsf] sf/0f tL ljifo If]qsf] u'0f:tl/otfdf uDeL/ c;/ k/]sf] b]lvG5 . cfkm\g}
hgzlQm gePsf] cj:yfdf dftxtsf lgsfosf] k|efjsf/L lgodg / cg'udg ug{ s7Lg
x'g] lglZrt 5 . o;sf ;fy} o; ;+:yfn] ;d]t cfjZostf tyf k|If]k0f h:tf kIfx¿df
cWoog u/L of]hgfj4 9+un] b]zsf] cfjZostf cg'¿k dfq hgzlQm pTkfbg x'g] u/L
;DaGwg k|bfg ug{' kb{Yof] . t/ a]nf avtdf lgodgsf/L lgsfox¿åf/f lgwf{l/t dfkb08
ljk/Lt ;d]t x'g] u/L lzIf0f ;+:yf ;~rfngsf nflu ;DaGwg k|bfg ul//x]sf] eGg] ;d]t
hgu'gf;f] /x]sf] 5 . o; cfof]unfO{ k|fKt b:tfa]h, tYox¿df ;d]t cfwfl/t eP/ x]bf{

55
CTEVT cGtu{tsf sltko lzIf0f ;+:yfx¿af6 pTkflbt hgzlQmsf] u'0f:t/, pgLx¿sf]
cEof;sf qmddf b]lvPsf] Go"g 1fg / ;Lksf sf/0f ;du| :jf:Yo k|0ffnLdf gsf/fTds
c;/ kg{;Sg] / k]zfut bIftfdf sdhf]/ /x]sf o:tf hgzlQmaf6 k|fKt x'g] :jf:Yo
;]jfaf6 cfd g]kfnL hg;d'bfosf] :jf:Yo ;d]t hf]lvddf kg]{ ePsf]n] o; ;DaGwdf
k|efjsf/L ;dfwfg vf]lhg' h?/L eO;s]sf] b]lvG5 .

!^= :jf:Yo lzIf0f ;+:yfx¿sf] Joj:yfkg ;DaGwL ;jfn

!^=! Pp6f /fd|f] lgvfl/Psf] :jf:YosdL{ tof/ ug{sf nflu /fd|f] lzIffyL{ cfjZos x'G5
eg] logLx¿nfO{ of]Uo agfpg /fd|f k"jf{wf/o'Qm tflnd s]Gb| x'g' k5{ . k"jf{wf/ eGgfn]
pko'Qm z}lIfs ;fdu|L, ljBfyL{ d}qL l;sfO jftfj/0f / ef}lts k"jf{wf/ nufot ToxFf
pknAw pks/0f, lzIfs, c:ktfn / ltgdf cfpg] lj/fdLx¿nfO{ klg hgfpF5 . :jf:Yo
If]qsf ljBfyL{n] l;Sg] dxTjk"0f{ >f]t la/fdLx¿g} x'g t;y{ ;a} :jf:YosdL{nfO{ tflnd
ug{] sn]hx¿sf nflu c:ktfn Pp6f Go"gtd k"jf{wf/ xf] . xfn g]kfndf cfˆg} c:ktfn
geO{sg klg tflnd sfo{qmd ;+rfng ug{] ul/Psf] b]lvPsf] 5 . cfˆg} c:ktfn dfq eP/
klg k'Ub}g, ToxfF w]/} lsl;dsf lj/fdLx¿ kof{Kt dfqfdf pknAw eP dfq ljBfyL{x¿n]
l;Sg] df}sf kfpF5g\ . t;y{ :jf:YosdL{ tflnd ug{] ;+:yfdf la/fdLx¿sf] ;'ne z'Nsdf
;xh kx'r x'g' cfjZos 5 . lj/fdL afx]s klg cGo z}lIfs ;|f]tx¿ cfjZos x'G5g\ h:t}
k':tsfno, ;"rgf k|ljlw, Od]n, OG6/g]6, k|of]uzfnf ;]jf cflb . otf s]xL ;dob]lv 7"nf]
;+Vofdf ljBfyL{ egf{ ug{ ;+:yfx¿n] Models / Simulation k|ljlw klg ;+rfng ug{
yfn]sf 5g\ . oL k|ljlwx¿ cGo z}lIfs ;|f]tsf] ljsNk geO{ k'/s dfq x'g . lsgeg]
lrlsT;f lj1fgsf] d'w{Go AolQmTj 8f= ljlnod j:n/n] eGg' eP em} lstfa gk9L
lrlsT;s aGg' eg]sf] gSzf ljgf ;d'b|df 8'+uf lnP/ hfg' h:t} xf] eg] la/fdL ljgf
lrlsT;f lzIff l;Sg' eg]sf] ;d'b|d} ghfg' h:t} xf] .

xfn ;~rfngdf /x]sf d]l8sn sn]h, gl;{ª sn]h nufotsf lzIf0f ;+:yfx¿
clt cfjZos ljifoj:t'nfO{ Wofg glbO{ k"0f{ tof/L lagf g} :yfkgf ul/Psf] b]lvG5 .
:yfkgfsf avt Go"g nufgLdf clt ;Lldt k"jf{wf/ tof/ u/L ;+:yf ;~rfng z'? ug]{ /
lj:tf/} ljBfyL{af6 lzIf0f z'Ns tyf egf{ z'Ns nufotaf6 hDdf x'g cfPsf] /sd k|of]u
u/L dfq yk k"jf{wf/ lgdf{0f ub}{ n}hfg] k|j[lt cfd¿kdf b]Vg ;lsG5 . o:tf] k"0f{ tof/L

56
ljgf :jf:Yo lzIf0f ;+:yf k|f/De / ;~rfng ul/g] cEof; lbuf] / u'0f:t/Lo lrlsT;f
lzIffsf nflu r'gf}ltsf] ljifo xf] . o;df lzIf0f ;+:yf ;~rfnsx¿ jf ;+:yfsf] nufgLsf]
j:t'lgi7 d"Nof+sg u/L ;Dk"0f{ k"jf{wf/x¿ k"0f{¿kdf tof/ eO;s]sf] cj:yfdf dfq lzIf0f
;+:yf ;~rfngsf] cg'dlt lbOg'kg]{ Joj:yf s8fOsf ;fy nfu" ug'{kg]{ b]lvG5 .

lgofds ;+oGqsf] k|efjsf/Ltf sdhf]/ /x]sf] sf/0faf6 sltko lghL sn]hx¿sf]

;]jf k|jfx vf;u/L u'0f:t/Lo lzIff / lSnlgsn tflnd sdhf]/ /x]sf] eGg] s'/f
lgodgsf/L lgsfosf kbflwsf/Lx¿n] o; cfof]u ;dIf AoQm u/]sf 5g\ . w]/} d]l8sn
sn]hx¿ vf;u/L sf7df08f} pkTosf aflx/sf sn]hx¿df u'0f:t/Lo lzIfssf] cefj,
clt cfjZosLo pks/0f / ;fdu|Lsf] cefj / cEof;sf nflu lzIf0f c:ktfndf lj/fdL
;+Vofsf] ckof{Kttfaf6 u'lh|/x]sf 5g\ . of]Uo / ;Ifd k|fWofkssf] cefj x'Fbf x'Fb} klg
sltko sn]hx¿n] :gftsf]Q/sf] cWoogsf nflu ljBfyL{ egf{ ul//x]sf] hgu'gf;f] klg
;'lgG5 . ;a} h;f] lrlsT;f lzIffsf ljifox¿sf] cWoog cWofkg lj/fdLsf] pkrf/s}
lznlznfdf x'g] x'gfn] c:ktfn jf :jf:Yo ;]jf lgsfo k"0f{ ¿kdf ;~rfng gx'b} sfo{qmd
z'? ug{ lbbf klg ;d:of b]lvPsf] 5 .

pBf]u dGqfno cGtu{t sDkgL /lhi6«f/sf] sfof{nodf btf{ sfod eO{ gfkmfd'vL
;+:yfsf ¿kdf /x]sf df}h'bf clwsf+z lzIf0f ;+:yfx¿sf] t'ngfdf ;/sf/L nufgLdf jf
;fd'bflos ¿kdf ;~rflnt lzIf0f ;+:yfx¿sf] pkl:ylt / k|efj ck]Iffs[t Go"g /x]sf]
5 . ;a}sf nflu ;j{;'ne :jf:Yo ;]jf k|bfg ul/g] ;+j}wflgs Joj:yf /x]sf ;Gbe{df
gfkmfd"lv k|j[ltsf o:tf lzIf0f ;+:yfx¿sf] :yfkgf / ;~rfng s'g xb;Dd ul/g' plrt
x'G5 eGg] s'/fdf ltj| ljjfb /x]sf] b]lvG5 . :jf:Yo h:tf] ;+j]bgzLn ljifodf gfkmfd"vL
clei6n] lgb]{lzt eO{ ;~rfng ul/g] o:tf lzIf0f ;+:yfx¿df gfkmf cfh{gs} nflu
u'0f:t/df ul/g] s6f}tL tyf ;Demf}tfsf] ;Defjgf /xg] x'G5 . o:tf] cj:yf xfn
;~rfngdf /x]sf sltko sn]hdf ljBdfg /x]sf] jf:tljstf ;d]t xfd|f] ;fd' 5 . o;}
;Gbe{df cfd hgdfg;sf] :jf:Yo;Fu ;/f]sf/ /fVg] ljifo ePsf]n] ljZjsf cToGt}
pbf/cy{tGq dflgg] cd]l/sf, o'/f]k nufotsf b]zdf ;d]t lrlsT;f lzIffsf] If]qdf
gfkmfd"ns (for profit) ;+:yfx¿ :yfkgf ug{ alh{t /x]sf] b]lvG5 eg] xfd|f] b]zdf eg]
o;sf] l7s ljk/Lt gfkmfd"vL lghL ;+:yfx¿n] g} o; If]qsf] sl/a b'O{ ltxfO{ l;6 ;+Vof

57
cf]u6\g' slt plrt / Gofok"0f{ x'G5 of] Ps uDeL/ r'gf}ltsf] ¿kdf /x]sf] 5 .

xfd|f] b]zsf ljleGg efudf ;~rfngdf /x]sf :jf:Yo ;DaGwL lzIf0f ;+:yfx¿
vf;u/L d]l8sn sn]hx¿n] cfkm" cjl:yt ef}uf]lns If]qdf a;f]af; ug]{ hgtfsf] :jf:Yo
l:yltsf] ;'wf/ ug]{ sfo{ ;+:yfut ;fdflhs pQ/bfloTj cGtu{ts} s'/f xf] eGg] oyfy{
a'em]sf] kfOb}g . of] e"ldsf af/] :ki6 gx'Fbf tL ;+:yfx¿n] cfkm\gf] ;]jfIf]qe/ ck]Iff u/]
cg'¿ksf] of]ubfg k'¥ofpg ;ls/x]sf] b]lvb}gg\ . :jf:Yo lzIf0f ;+:yfx¿df cGt/lgxLt
IfdtfnfO{ hgr]tgf, lrlsT;sLo ;]jf, ;/sf/L :jf:Yo k|bfos lgsfox¿sf] Ifdtf
clej[l4df ;xof]u, ljz]if1 ;]jf k|jfx h:tf If]qdf k|efjsf/L kl/rfng ug]{ tkm{ 7f];
gLlt tyf sfo{qmd tof/ u/L sfof{Gjog u/fpg] sfo{ Ps r'gf}lts} ¿kdf /x]sf] 5 .

!&= ;L6 lgwf{/0fsf] ;jfn

!&=! clwsf+z :jf:Yo lzIf0f ;+:yf, vf;u/L d]l8sn sn]hx¿sf] ;L6 lgwf{/0f ul/g]
Joj:yf Ps k]lrnf] ljifo /xL cfPsf] 5 . tL ;+:yfx¿df clwsflws ;L6 ;+Vof k|flKtsf
nflu nfnlot /xg] k|j[lt /x]sf] b]lvG5 . o; qmddf ;L6 lgwf{/0fsf r/0fdf x'g] u/]sf]
ultljlw, lgodgsf/L lgsfox¿n] ;f] ;DjGwdf clVtof/ u/]sf] cfwf/ tyf k|lqmof / ;f]
sf] kf/blz{tfsf af/]df uDeL/ ljjfb /xb}+ cfPsf] b]lvG5 . cfhsf] kl/k|]Iodf clwsf+z
d]l8sn, 8]G6n, gl;{ª sn]hx¿n] kfO/x]sf] ;L6 ;+Vof / ltgLx¿;Fu /x]sf] lzIfssf]
;+Vof / u'0f:t/, ef}lts k"jf{wf/, k|of]uzfnf, k':tsfno, lzIf0f c:ktfn, c:ktfndf
lj/fdLsf] rfk, ;Lk k/LIf0fsf] cj:yf, ljBfyL{x¿n] k|fKt ul//x]sf] cEof;sf] plrt
cj;/sf] kof{Kttf h:tf kIfsf cfwf/df d"Nof+sg ug]{ xf] eg] ax';+Vos lzIf0f ;+:yfn]
u'0f:t/sf ;j} dfkb08 k"/f u/]sf] kfOb}g . of] cj:yfn] u'0f:t/Lo lrlsT;f lzIffdf csf]{
7"nf] r'gf}lt ;[hgf u/]sf] b]lvG5 . g]kfn d]l8sn sfpG;Ln tyf ljZjljBfno nufotsf
lgsfon] u/]sf cfjlws lg/LIf0fsf k|ltj]bgx¿n] of] s'/f :ki6 kfb{5g\ . Go"gtd dfkb08
k'/f u/]sf] gb]lvPsf] cj:yf sfod /xbf /xb} Ifdtf eGbf a9L l;6df cWoog cWofkg
u/fpg] kl/kf6Ln] u'0f:t/df x|f; cfpg] s'/f ;'lglZrt 5 . t;y{ ;L6 lgwf{/0fsf] a:t'ut
cfwf/ / kf/bzL{ k|lqmof nfu" ug'{ ;d]t o; If]qsf] r'gf}ltsf] ljifo xf] .

;DaGwg lbg] ljZjljBfnosf] kf7\oqmd, km\ofsN6Lsf] of]Uotf h:tf lgwf{l/t

dfkb08sf] pNn+3g u/L lzIf0f ;+:yf cfkm" v'zL ;~rfng ug]{ cj:yf ;d]t b]lvg] u/]sf]

58
5 h;n] u'0f:t/Lo lzIffsf nflu r'gf}lt ;[hgf u/]sf] 5 .

o;} ;Gbe{df sltko gl;{ª sn]hsf cfkm\g} lzIf0f c:ktfn ;d]t g/x]sf] x'gfn]
jf c:ktfndf lj/fdLsf] rfk sd ePsf]n] Jojxfl/s 1fg tyf ;Lk k|lzIf0fsf nflu
Bedside teaching w]/} sdhf]/ l:yltdf /xg' o; If]qsf] r'gf}ltsf ¿kdf /x]sf 5g\ . o;}
qmddf Pp6} ;/sf/L c:ktfndf la;f}+ lzIf0f ;+:yfsf lzIffyL{x¿nfO{ cEof;sf] cj;/
k|bfg ug'k{ g]{ afWotf lj8Dagfk"0f{ dfq} xf]Og, u'0f:t/Lo lzIffsf] lak/Lt klg 5 .

!*= lgofds lgsfox¿sf] ljBdfg cj:yf / k'g;{+/rgfsf] ;jfn

!*=! g]kfn d]l8sn sfplG;nsf] xfnsf] ;+/rgf, u7g ljlw tyf sfo{k|0ffnL cfkm}df
;d:ofsf] ¿kdf /lx cfPsf] b]lvG5 . k|rlnt g]kfn d]l8sn sfplG;n P]gdf ePsf
q'6Lk"0f{ ;f+u7lgs ;+/rgf / sfo{Ifdtfsf] cefjsf sf/0f sfg'gn] lbPsf If]qdf ;d]t
lgodgsf/L e"ldsf lgjf{xdf g]kfn d]l8sn sfpG;Ln r's]sf] b]lvG5 . b]z ljb]zsf]
d]l8sn ljwfdf lg/Gt/ ¿kdf ;[lht eO/xg] d'2fx¿nfO{ plrt ¿kn] Aoj:yfkg u/L
;f]xL cg'¿k ;Dk"0f{ lrlsT;f lzIff / :jf:Yo ;DaGwL hgzlQmsf] lgodg ug{ df}h'bf
g]kfn d]l8sn sfplG;n PSn}n] g;Sg] b]lvG5 . df}h'bf sfplG;nsf kbflwsf/Lsf] rog
k|lqmof / ltgn] lgjf{x u/]sf] e"ldsfsf ;DaGwdf gsf/fTds l6sfl6Kk0fL ePsf] ;j{ljlbt
g} 5 . h;df kbflwsf/Lx¿sf] rogdf lgodgsf/L lgsfodf 1fg, cg'ej, Ifdtf / o;
If]qdf ljutdf k'/\ofO cfPsf] of]ubfgx¿sf cfwf/df of]Uotd\ / lgi7fjfg JolQmx¿sf]
rog u/L ;j{:jLsfo{ ¿kdf lgodgsf] If]qdf of]ubfg x'g] ck]Iff ljk/Lt oL kbflwsf/Lx¿
pNn]vgLo ;+Vofdf r'gfj dfkm{t rog x'g] cj:yf ;[hgf ePsf] 5 . o;/L rog ePsf
ck]Iffs[t slgi6 / lrlsT;f lzIffsf] If]qdfsd cg'ej ePsf ;b:ox¿ ;d]t ;+nUg x'g]
;+/rgfaf6 o; If]qsf b"/ufdL c;/ kg]{ ;d]tsf ljifodf ck]Iff cg'¿ksf] ;'ema'em /
lg0f{o k|bz{g ug{ g;s]sf] cfhsf] oyfy{tf xf] . o; kl/k|]Iodf g]kfn d]l8sn
sfplG;nnfO{ lbOPsf] g]kfnL hgtfsf] :jf:Yosf] /Iffsf] lhDd]jf/L k|efjsf/L 9+uaf6 k"/f
ug{ :jf:Yo hgzlQmsf] tf]lsPsf] k]zfut If]qflwsf/x¿ dfq x]g]{ u/L k'gM;{+/rgf ul/g'
cfjZos b]lvG5 . o:tf] k|sf/sf] k'g;{+/rgf cGo Jofj;flos sfplG;nx¿sf] xsdf klg
nfu' x'G5 . ca b]lv g]kfn d]l8sn sfplG;nnfO{ hgtfsf] :jf:Yosf] ;'/Iff ug]{ h:tf]
dxTjk"0f{ s'/fdf Wofg s]lGb|t u/fpg ljBdfg sfo{ut If]qdf cfjZos ;dfof]hg ug'{

59
h?/L 5 .

lgodgsf/L lgsfon] cfkm}n] dfkb08 lgwf{/0f ug]{, cfkm} sfof{Gjo ug]{, cfkm}
cg'udg ug]{, pTkflbt hgzlQmsf] u'0f:t/ ;d]t cfkm} gfkhfFr ;d]t ug]{ sfo{ slt
hfoh 5 < o; ;DjGwdf ljZjJofkL dfGotf s] xf] eg] dfkb08 lgwf{/0f ug]{ / ;f] nfu"
ug]{ lgsfo / cg'udg ug]{ lgsfo leGg} x'g'k5{ . xfnsf] sfpG;Lnsf] ;+/rgf, sfo{k|0ffnL
/ dfly plNnlvt Psn lgsfout wf/0ff / cEof;s} aLrdf u'0f:t/Lo lzIff Pjd\
u'0f:t/Lo :jf:Yo ;]jf sfod ug'{ r'gf}ltk"0f{ /x]sf] 5 .

!*=@ g]kfn d]l8sn sfplG;nn] lng] u/]sf] nfO;]lG;ª k/LIff kf; ug'{nfO{ g} d]l8sn
sn]hx¿n] cfkm"n] k|bfg u/]sf] lzIffsf] u'0f:t/ gfKg] k|d'v dfkssf ¿kdf lng] u/]sf]
kfO{G5 . ;}4flGts 1fg dfq dfkg ug{ ;Sg] s]xL ax'a}slNks -dlN6kn RjfO;_ k|Zgx¿df
cfwfl/t nfO{;]lG;ª k/LIffn] ck]Iff u/] cg'¿k k]zfut ;Lk / bIftfx¿ dfkg ug{ g;Sg]
s'/f k|i6 g} 5 . t/ xfn;Dd klg To;tkm{ vf; Wofg k'u]sf] b]lvb}g .

!*=# cfkm"n] k"/f ug'{kg]{ Go"gtd ef}lts k"jf{wf/ / lzIfsx¿sf] Go"gtd ;+VofnfO{ :yfoL
9+uaf6 ;dfwfg ug'{sf] ;6\6f c:j:y ljlw ckgfP/} ePklg d]l8sn sfplG;naf6 ljBfyL{
egf{sf] cg'dlt k|fKt ug]{ h:tf sfddf d]l8sn, 8]G6n tyf gl;ª sn]hsf kbflwsf/L
tyf ;~rfnsx¿sf] k|fyldstf /x]sf] b]lvG5 .

!(= :jfy{sf] åGå -Conflict of Interest_ sf] ;jfn

!(=! ;fj{hlgs k|s[ltsf] gLlt lgdf{0f tyf lg0f{o k|lqmofx¿df ;+nUg JolQmx¿n] l;+uf]
/fi6« tyf cfd hg;d'bfosf] j[xQ/ / bL3{sflng lxtdf sfo{ ug]{5g\ eGg] ck]Iff ;dfhn]
/fv]sf] x'G5 . tL JolQmx¿ k|fljlws b[li6sf]0fn] ;f] sfo{ ug]{ Ifdtf /fVg] ePsf] x'gfn] g}
To:tf gLlt lgdf{0f tyf lg0f{o k|lqmofx¿sf] lhDd]jf/L lbO{Psf] x'G5 . t/ tL ;+:yf tyf
kbflwsf/Lx¿n] cfk'mnfO{ tf]lsPsf] lhDd]jf/L ;Dkfbg ug]{ qmddf sfg'gdf Joj:yf u/]
adf]lhd, k]zfut g}ltstf / ljj]sdf cfwfl/t x'Fb} ;dfh tyf /fi6«sf] a[xQ/ lxt eGbf
klg cfk\mgf] lghL, kfl/jfl/s jf ;d"xut :jfy{ / lxtsf nflu ;fj{hlgs ;Dklt, gLlt
tyf lg0f{osf] b'¿kof]u ug]{ k|j[lQ a9\bf] 5 . h;df lgodgsf/L lgsfosf g]t[TjbfoL
kbflwsf/L nufot sn]h txsf ;~rfns, :jf:Yo ;DjlGw k]zfut ;+u7gsf lhDd]jf/

60
kbflwsf/Lx¿ tyf /fhgLlts bn tyf ltgsf eft[ ;+u7gx¿ klg kb{5g\ . o;sf] k|ToIf
df/ ;]jfu|fxL, ljBfyL{, cfd hg;d'bfo / l;+uf] /fi6«nfO{ kl//x]sf] 5 .

@)= 6«]8 o'lgogx¿sf] e"ldsfsf] ;jfn

@)=! ljBfyL{, lzIfs tyf sd{rf/Lsf 6«]8 o'lgogx¿sf] e"ldsfsf] ;DjGwdf ;d]t uDeL/
;dLIff h?/L b]lvG5 . vf;u/L lrlsT;f lzIff k|bfos ;+:yf / :jf:Yo ;]jf k|bfos
c:ktfnx¿df 6]«8 o'lgogx¿sf] cf}lrTosf jf/]df 5nkmn rnfOg' h?/L 5 . :jf:Yo
;DaGwL o:tf ;+:yfx¿df /fhgLlts bnsf eft[ ;+u7gx¿af6 cS;/ b]lvg] u}/
Jofj;flos cfr/0f / ultljlwsf sf/0f u'0f:t/Lo lrlsT;f lzIff / :jf:Yo ;]jf k|jfxdf
;d]t afwf kl//x]sf]n] o:tf] k|j[lt dfly k|efjsf/L lgoGq0f ul/g' h?/L 5 .

@!= :jf:Yo ;]jf k|0ffnL ;DjGwL ;jfn

@!=! ljleGg :jf:Yo lzIf0f ;+:yfaf6 pTkflbt :jf:YosdL{x¿ cGttM :jf:Yo ;]jf
k|0ffnLdf ;dfj]z eO{ :Jff:Yo ;]jf k|jfx ug]{ sfo{df lqmofzLn /xG5g\ . t/ obL :jf:Yo
;]jf k|0ffnL leq} k]zfut sfo{ ug{ pko'Qm dfxf]nsf] cefj /xg uof] eg] k|fljlws
;Ifdtf / ;fdflhs bfloTjaf]wsf] b[li6sf]0fn] pTs[i6 txsf :jf:YosdL{n] ;d]t ck]lIft
of]ubfg lbg ;Sb}gg . To;}n] To:tf] dfxf]nsf] ;[hgf ug]{ qmddf oyf]lrt kfl/>ldssf]
Joj:yfsf] ;fy} sfo{/t ;+:yfsf] ef}lts k"jf{wf/, k|fljlws pks/0f, ;~rf/ ;'ljwf, cf}iflw
/ pkrf/ ;fdu|Lsf] lgoldt cfk"lt{, ljleGg ljwf / ;Lksf :jf:YosdL{sf] ;ld>0fsf ;fy}
cfjf;sf] pko'Qm Joj:yf ug'{ h?/L 5 . ;xof]ufTds ;'kl/j]If0f -Supportive
Supervision_, tyf cfjZostf cg';f/ lj/fdLsf] pkrf/df yk k|fljlws ;xof]usf]
Joj:yf -Technical Backstopping_ sf ;fy} lgoldt ¿kdf sfo{/t :jf:YosdL{x¿sf]
j[lQ ljsf;sf] ;'lglZrttf ug'{ TolQs} h?/L 5 . xfn ljBdfg /x]sf] j[lQ ljsf; ;DaGwL
Aoj:yfk|lt cfd :jf:YosdL{x¿ c;Gt'i6 /x]sf] s'/f klg o; cfof]u ;dIf JoQm ul/Psf]
5 . o:tf] uDeL/ ljifo dfly b]zsf] ;du| :jf:Yo ;]jf k|0ffnLnfO{ g]t[Tj k|bfg ug]{ :jf:Yo
tyf hg;+Vof dGqfnosf] ljz]if Wofg hfg' dfq xf]Og ljBdfg cj:yfdf cfjZos ;'wf/
Nofpg' cTofjZos 5 .

61
@@= :jf:Yo lzIf0f ;+:yf / :jf:Yo ;]jf k|0ffnL aLrsf] ;dGjosf] ;jfn

@@=! :jf:Yo lzIf0f ;+:yfx¿n] :jf:Yo ;]jf k|bfos ;+:yfx¿nfO{ :jf:YosdL{ pknAw
u/fp5g\ eg] g]kfnsf] lj:tfl/t :jf:Yo ;]jfsf] ;+hfnn] tL ljBfyL{sf] tflndsf nflu
ljljw lsl;dsf cj;/ k|bfg ub{5g\ . :jf:YosdL{sf] lzIff k|bfos lgsfo / :jf:Yo ;]jf
k|bfg ug{] lgsfo aLrsf] lg/Gt/ ;Dafb (Communication), ;xof]u (Co-operation) /
;xsfo{ (Collaboration) n] dfq d'n'ssf] hg:jf:Yosf] l:yltdf pNn]vgLo ;'wf/ x'g
;S5 . o:tf ;'wf/ pknAw :jf:YosdL{sf] clwstd pkof]u (Optimal Utilization) sf
nflu ckl/xfo{ 5 . o:tf] cGof]Gofl>t ;DaGw ePsf oL b'O{ lgsfoaLr :j:Yf / ;fy{s
;Dafbsf] dfWodn] ;sf/fTds dfxf]nsf] ;[hgf x'g ;SYof] t/ xfn;Dd klg ;f] sfo{sf]
nflu s'g} cf}krfl/s ;+oGq lgdf{0f ePsf] b]lvb}g .

@#= :jf:YosdL{sf] larngsf] ;jfn

d]l8sn lzIffdf b]lvPsf] csf]{ r'gf}lt eg]sf] :jf:Yo ;]jfsdL{x¿df a9\b} uPsf] :jfy{k"0f{
larng xf] . o;sf] ljz]iftf eg]sf] egf{ x'g] a]nfdf AoQm ul/g] dfgjLo ;]jfefj tyf
;dfhk|ltsf] cfkm\gf] k]zfut st{JonfO{ r6Ss} lj;]{/ cfly{s nfe / ef}lts ;'ljwf k|fKt
x'g] :yfgtkm{ cfkm\gf] uGtJo df]8\g] xf] . o;df tLg lsl;dsf] k|j[lQ b]lvG5 . Pp6f eg]sf]
cfkm\gf] sfo{ynf] ;s];Dd zx/L If]qd} agfpg] jf ufpFdf uOxfn] klg oyf;Dej l56f]
zx/lt/ ;g]{ k|j[lQ xf] . bf];|f] eg]sf] ;/sf/L jf ;fj{hlgs If]qaf6 lghL If]qtkm{ hfg]
k|j[lQ xf] / t];|f] eg]sf] d'n's g} 5f]8]/ ljb]ztkm{ knfog x'g] k|j[lQ xf] . ;g\ @)!@ df
lqlj lrlsT;fzf:q cWoog ;+:yfgsf &!) hgf :gfts af/] ul/Psf] cWoogn ;g\ !(*#
b]lv ;g\ @))$ ;Ddsf] klxnf] @@ ;d'xsf :gftsx¿ dWo] #^=! k|ltzt ljsl;t
d'n'sdf sfo{/t 5g\ eGg] s'/f b]vfPsf] 5 . o;n] xfdLnfO{ To:tf ljBfyL{x¿nfO{
lrlsT;s agfpg] qmddf /fi6« / ;dfhn] pgLx¿ dfly u/]sf] nufgLsf] k|ltkmn v]/ uof]
sL uPg eg]/ ;f]Rg AffWo agfpF5 . hg:jf:Yo / ;fj{hlgs lxt;Fu k|ToIf ;DalGwt /xg]
lrlsT;f lzIff k|0ffnLsf] u'0f:t/ pkef]Qmfsf ¿kdf /xg] ljBfyL{ Pjd\ cleefjsx¿sf]
;Gt'li6;Fu dfq hf]8]/ x]l/g' plrt x'g;Sb}g . o; ;Gbe{df, lrlsT;f lzIffsf
ljBfyL{x¿sf] ;fdflhs pQ/bfloTj lgjf{x;Fu ;d]t o; ljifonfO{ hf]8]/ x]l/g' plrt
x'G5 .

62
lgisif{

lrlsT;f lzIff k|ToIftM gful/ssf] hLjg / :jf:Yo;Fu ufFl;Psf] ljifo xf] .

jt{dfg cj:yf x]bf{ clgoldttf, u}/cg'zf;g, pTkflbt hgzlQmsf] u'0f:t/df j]jf:tf /
g}lts l;4fGtx¿df ;Demf}tf ug]{ lsl;dsf] k|j[lQn] lrlsT;f lzIffsf] eljio /fi6«lxt
cg's"n / Gofok"0f{ xf]nf eGg ;lsg] cj:yf 5}g . t;y{, /fHon] o;} cj:yfdf gLltut,
sfg'gut / sfof{Gjogut x:tIf]k u/L o;nfO{ ;xL lbzftkm{ 8f]/\ofpg ca l9nf ug{
x'b}g .

63
 kl/R5]b &
;'emfjx¿

dfly plNnlvt ;d:of / r'gf}ltx¿ tyf ltgLx¿ dflysf] ljj]rgfdf cfwfl/t eO{ lgDg
lnlvt ;'emfjx¿ k|:t't ul/Psf] 5 M–
!= lrlsT;f lzIffsf] lgb]{zs l;4fGt
!=! lrlsT;f lzIffsf] d"ne"t p2]Zo g]kfnL hgtfsf] :jf:Yo:t/ a[l4 u/L :j:y /
pTkfbgzLn g]kfnLx¿af6} ;d[4 g]kfnsf] l;h{gf ug{ ;Ifd agfpg' xf] . ;d[l4sf]
o; cleofgdf g]kfnsf :jf:YosdL{x¿n] v]Nb} cfPsf] dxTjk"0f{ e"ldsfnfO{ cem}
a9L ;an, bIf, g]t[TjbfoL / kl/jt{gsf] ;+jfxs agfpg] k|of]hgsfnflu lrlsT;f
lzIff k|0ffnLnfO{ :ki6 dfu{ lgb]{zgk|bfg ug'{ g} efjL /fli6«o lrlsT;f lzIff
gLltsf] d"ne"t l;4fGt x'g'kb{5 . lrlsT;f lzIffsf] If]qdf b]zsf] d"n sfg'g,
:jf:Yo ;DjGwL gLltsf ;fy} ljZjJofkL ¿kdf :yflkt dfGotfx¿sf] cfnf]sdf
g]kfnsf] lrlsT;f lzIffsf] lgb]{zs l;4fGtx¿ lgDglnlvt x'g' cfjZos b]lvG5 M
!=!=! lrlsT;f lzIffsf] bfloTj :jf:Yosf] If]qdf /fli6«o cfTdlge{/tf k|fKt ug]{ / Pp6f
;'ne, ;an / Gofok"0f{ :jf:Yo ;]jf k|0ffnLsf] :yfkgf ug]{ x'gk' b{5 .
!=!=@= hgtfsf] hLjg d/0f;Fu k|ToIf ;/f]sf/ /fVg] lrlsT;f lzIff h:tf] uDeL/ ljifo
clgolGqt v'nf ahf/nfO{ a]nufd 5f]8\g ldNb}g . o;sf] lj:tf/sf] of]hgf tyf
lgodgsf] clGtd lhDd]jf/L ;/sf/sf] g} x'g'kb{5 .
!=!=# lrlsT;f lzIff cfly{s cfocfh{gsf] ;|f]t dfq geO{ g]kfnL ;dfhsf] ;]jfdf
lgM:Jffy{ 9+un] ;dlk{t /xg' xf] . of] ;dk{0f bIf / dfgjLo ljj]so'Qm
lrlsT;fsdL{x¿sf] pTkfbg, ;dtfd"ns tyf u'0f:t/Lo :jf:Yo ;]jfsf] k|jfx tyf
:jf:Yo If]q;Fu ;DjlGwt ljifoj:t'df pTs[i6 :t/sf] cg';Gwfg sfo{åf/f cleAoQm
x'g'kb{5 .
@= ;DaGwg
g]kfnsf] ef}uf]lns ;Gt'ng tyf If]qut ljsf;sf] cjwf/0ffnfO{ cfTd;ft\ ug{ tyf

64
hgzlQm k|If]k0fsf cfwf/df ljleGg ljwfsf hgzlQmsf] pko'Qm ;Gt'ng /fVg lgDg
lnlvt ;'emfj k|:t't ul/Psf] 5 M
@=! sf7df08f}+, nlntk'/ / eQmk'/ lhNnfdf d]l8sn, 8]G6n / gl;{Ë ljifodf :gfts
sfo{qmd ;~rfng ug{ casf] bz jif{;Dd s'g} klg ;+:yfnfO{ Letter of Intent

(LOI) k|bfg gug]{ .

@=@ d]l8sn, 8]G6n tyf gl;{Ë ljifosf] :gfts sfo{qmd ;~rfng ug{sf nflu qmdzM
tLg ;o / Ps ;o a]8sf] c:ktfn k"0f{ ¿kdf ;~rfng ul/g;s]sf s'g} klg
;+:yfnfO{ pQm sfo{qmd ;~rfng ug{ cf;o kq (LoI) k|bfg gug]{ / klxn] g}
cf;o kq kfO{;s]sf] cj:yf eP To:tf ;+:yfx¿sf] cf;o kq gjLs/0f gug]{ .
@=# LoI k|fKt u/L k"jf{wf/ k"/f u/]sfsf] xsdf lgDgfg';f/ ug]{M
@=#=! ;DjlGwt lzIf0f ;+:yfn] ;/sf/nfO{ ;Dklt x:tfGt/0f ug{ rfx]df ;/sf/n]
lgofdfg';f/sf] plrt d'cfAhf lbO{ ;/sf/n] :jfldTj u|x0f ug{ ;Sg] . jf,
@=#=@ o:tf lzIf0f ;+:yfn] ;/sf/n] k|fyldstf tf]s]sf] If]qdf :yfgfGt/0f ug{
rfx]df ;/sf/n] k|f]T;fxg ;'ljwf -hUUff lnh, s/ 5'6, cflb_ pknJw
u/fpg] .
@=$ lg/LIf0fsf] ;dodf k"0f{ ¿kdf lzIf0f c:ktfn ;~rfngdf gcfO{;s]sf] xsdf
To:tf ;+:yfx¿nfO{ sf7df08f}+ aflx/ sfo{qmd ;~rfng ug]{ tyf cGo k|rlnt
lgodx¿ k"/f ug]{ zt{df dfq LoI gjLs/0f ug{ ;lsg] . sf7df08f}+ aflx/ hfg
rfxg] ;+:yfx¿sf] xsdf ;/sf/n] ;xlhs/0f ug]{ .
@=% ;/sf/n] k|fyldstf tf]s]sf If]q / :yfgdf ;~rfng x'g rfxg] :jf:Yo lzIf0f
;+:yfx¿nfO{ ;/sf/n] k|f]T;fxg ;'ljwf -hUUff lnh, s/ 5'6, cflb_ pknJw u/fpg
;Sg] .
@=^ k|To]s ljsf; If]q -jf ;Defljt k|b]z_ df slDtdf Ps Psj6f ;fj{hlgs :jf:Yo
lzIf0f ;+:yf -lrlsT;f zf:qdf :gfts txsf] sfo{qmd ;lxt_ ;~rfng ug]{ .
o;/L :yfkgf ubf{ xfn;Dd gePsf ljsf; If]qdf dfq ug]{ .
@=& ca cfOGbf d]l8sn jf 8]G6n b'j} u/L Pp6f ljZjljBfnon] kfFrj6f eGbf a9L
sn]hnfO{ ;DaGwg lbg gkfOg] t/ o; cl3 g} lbO{ ;s]sf] ;DaGwgsf] xsdf of]
k|fjwfg nfu" gx'g] .

65
@=* cfkm\gf] cf+lus sfo{qmd gePsf] ljifodf ljZjljBfno÷l;l6Olel6n] lrlsT;f lzIff
k|bfg ug]{ s'g} klg ;+:yfnfO{ ;DaGwg lbg gkfOg] .
@=( c:ktfn tLg jif{;Dd k"0f{ ¿kdf ;~rfngdf cfO;s]kl5 dfq d]l8sn, 8]G6n /
gl;{ª sfo{qmd ;~rfng ug{sf]nflu ;DaGwg k|lqmof z'? ug{ kfpg] . c:ktfn k"0f{
¿kdf ;~rfng ePsf] s'/f :jf:Yo tyf hg;+Vof dGqfnon] k|dfl0ft ug'{kg]{ tyf
lgofds ;+:yfx¿n] tf]s]sf cGo dfkb08 klg k"/f u/]sf] x'g'kg]{ .
@=!) Pp6f lhNnfdf Pp6f dfq d]l8sn, 8]G6n sn]h :yfkgf ug{ kfpg] . o; eGbf
klxnf :yfkgf eO;s]sf] xsdf of] k|fjwfg nfu" gx'g] .
@=!! :yfkgf eO{;s]sf sn]h tyf :s"nx¿ ;dfof]hg -dh{/_ ug{ :ki6 dfkb08 to
u/L sfof{Gjogdf Nofpg] .
@=!@ ljleGg lasf; If]qdf /x]sf ljZjljBfnox¿ -k"jf{~rn, kf]v/f, dWoklZrdf~rn,
;'b"/ klZrdf~rn / kl5 vf]lng]_ n] ;DaGwg lb+bf pQm If]qleq dfq sfo{qmd
;~rfng ug]{ u/L lbg] .
@=!# ho/fd lu/L k|ltj]bgn] l;kmfl/z u/] cg';f/sf] If]qdf - g]kfn ;/sf/n] to u/]sf
gofF zx/af/]sf] u'?of]hgfcg'?k_ gofF :jf:Yo lzIf0f ;+:yfx¿ vf]Ng k|f]T;fxg
;'ljwf -hUUff lnh, s/ 5'6, cflb_ pknAw u/fpg] .
@=!$ ;DaGwg vf/]hL -De-affiliation_ ;DaGwdf M g]kfn d]l8sn sfplG;nn] to
u/]sf] d"Nof+sg k|lta]bg -Yardsticks_ sf cfwf/df Go"gtd ;L6 ;+Vof %) sf
nflu nuftf/ @ jif{;Dd &% k|ltzt eGbf sd c+s k|fKt ug]{ sn]hx¿sf] ;DaGwg
vf/]hLsf] Joj:yf ug]{ . o;/L ;DaGwg vf/]h ubf{sf ;dodf egf{ eO{;s]sf
ljBfyL{sf] xsdf pgLx¿sf] cWoogsf] ;'lglZrttf ljZjljBfnosf] bfloTj x'g]5 .
o:tf ljBfyL{x¿nfO{ ;DjlGwt ljZjljBfno cGtu{tsf] cGo sn]hx¿df
tTkZrftsf] z}lIfs ;qsf] ;+Vofdf ;dfof]hg ug]{ u/L ldnfpg] .
#= ljBfyL{ egf{
lrlsT;f lzIffsf] u'0f:t/ sfod ug{ ljBfyL{ egf{ k|lqmof dxTjk"0f{ k"j{zt{ xf] . o;
;Gbe{df lgDgfg';f/sf] Joj:yf ug{ pko'Qm b]lvG5 M
#=! PdlalaP; / 8]G6n :gfts txsf] k|j]z k/LIffsf nflu ;femf /fli6«o k|j]z k/LIff
-Common National Entrance_ sf] Joj:yf ug]{ . o;sf] ;~rfng, Joj:yfkg

66
 k|:tfljt lrlsT;f lzIff cfof]u -HPEC_ n] ug]{5 .
#=@ k|j]z k/LIffsf] pQL0ff{+s ^) k|ltzt sfod ug]{ . k|j]z k/LIffsf k|Zgx¿df
cfwf/e"t lj1fgsf 1fgsf ;fy} ;~rf/ l;k, ;dfnf]rgfTds ;f]rfO, g}ltszf:q,
dfgljsL tyf dgf]lj1fg -Humanities and Behavioral Sciences_ h:tf ljifox¿
;d]t ;dfj]z ug]{ . ljBfyL{ d"Nof+sgsf] cfwf/ tYo / ;"rgfx¿sf] hfgsf/L dfq
geO{ ljZn]if0f / ljj]rgf ug]{ Ifdtfsf ;fy} ;f] 1fgsf] pko'Qm Jojxfl/s
k|of]uaf6 ;d:of ;dfwfg ug{ ;Sg] IfdtfnfO{ ;d]t cfwf/ agfOg' kg]{ . To:t}
ax'j}slNks k|Zg k4lt cjnDjg ubf{ k|Zg ;+Vof slDtdf #)) agfpg] . ;fy}
o;sf cltl/Qm a:t'k/s 9+un] dfkg ug{ ;lsg] u/L d"Nof+sgsf cGo gjLg ljlw
;d]t ckgfpg] . o;sf] lj:t[t sfo{ljlw HPEC n] agfO{ nfu' ug]{5 .
#=# ljb]zL ljBfyL{sf] xsdf /fli6«o k|j]z k/LIffdf ;xefuL eO{ pQL0f{ x'g'kg]{ t/
pgLx¿aLrsf] 5'6\6} of]Uotf ;"rL -Merit List_ tof/ x'g] .
#=$ k|To]s d]l8sn jf 8]G6n sn]hx¿n] gofF z}lIfs ;qdf jflif{s ¿kdf PdljljP;
sfo{qmddf a9Ldf !)) hgf tyf 8]G6n sfo{qmddf a9Ldf %) hgf dfq ljBfyL{
egf{ ug{ ;lsg] .
#=% ;fj{hlgs sn]hdf :gfts:t/sf] sfo{qmddf pknJw l;6 ;+Vofsf] %) k|ltzt
l;6 lgz'Ns x'g'kg]{ .
#=^ lzIff dGqfnoaf6 xfn sfof{Gjogdf /x]sf] of]Uotd ljBfyL{sf nflu 5fqj[lQ
sfo{qmdnfO{ lg/Gt/tf lbg'kg]{ . logLx¿sf] 5gf}6 dfly plNnlvt Commom

National Entrance sf] Merit List af6 ug]{ .

#=& Go"g cfo ePsf of]Uo ljBfyL{x¿nfO{ lrlsT;f lzIffdf cWoogsf] cj;/ k|bfg ug{
ljgf lwtf] j}+s dfkm{t C0f k|bfg ug{ z}lIfs sf]if :yfkgf u/L To; dfkm{t
;x'lnotk"0f{ C0f k|bfg ug]{ Joj:yf ug]{ .
#=* :jf:Yo ;DjGwL lzIff cfh{g ug{ ljb]z hfg] ljBfyL{x¿n] ;d]t /fli6«o k|j]z
k/LIff pQL0f{ u/]sf] x'g'kg]{ Joj:yf nfu" ug]{ . of] k/LIff pQL0f{ ePsf] k|df0fkqsf]
a}wtf pQL0f{ ePsf] ldltn] @ jif{ sfod /xg] .
#=( ;Dk"0f{ ljZjljBfno / sn]hx¿df PdljljP; tyf 8]G6n sfo{qmdsf nflu
PsLs[t jflif{s z}lIfs Sofn]G8/ nfu" ug]{ .

67
#=!) :gfts ;Ddsf sfo{qmd ;~rfng u/]sf sn]hx¿n] klxnf] Aofr pTkfbg ePsf]
tLg jif{ kZrft dfq :gftsf]Q/ sIff ;~rfngsf nflu cfj]bg lbg kfpg]
Joj:yf ug]{ t/ of] k|fjwfg a]l;s ;fOG;, Pdl8lhkL, j}slNks :j?ksf]
:gftsf]Q/ sfo{qmd tyf klAns x]Nysf] xsdf nfu" x'g]5}g .
#=!! PdljljP; k"/f u/]sf ljBfyL{x¿n] Ps jif{ clgjfo{ sfo{ cg'ej xfl;n u/]kl5
dfq :gftsf]Q/ sfo{qmddf hfg kfpg] Joj:yf ug]{ . t/ of] Joj:yf ljb]zL
ljBfyL{, cfwf/e"t lrlsT;f lj1fg, Pd8Llhlk sfo{qmd / klAns x]Nysf] xsdf
nfu" gx'g] .
#=!@ kfFr jif{eGbf a9L ;do;Dd u'0f:t/Lo :gftsf]Q/ txsf] sfo{qmd ;~rfng u/]sf
sn]hx¿nfO{ ljlzi6Ls[t :gftsf]Q/ sfo{qmd ;~rfng ug{ kfpg] .
#=!# k|To]s ljZjljBfnon] b'u{d If]qdf ;]jf u/]sf lrlsT;snfO{ :gftsf]Q/ txdf
k|j]z ;xh ug{ k|j]z k/LIff k"0ff{°sf] !) k|ltzt ;Dd c+s k|bfg ug]{ Joj:yf
ug]{ . o;sf] ef}uf]lns If]q ljefhg / ;f] jfktsf] c+s ef/ k|rlnt lgoddf
Joj:yf u/] adf]lhd x'g] .
#=!$ d]l8sn tyf 8]G6n ljifosf] :gfts txdf egf{ x'g rfxg] ljBfyL{x?df kl/kSjtf
tyf lrlsT;f k]zfsf nflu cfjZos kg]{ u'0fx? -Non-cognitive Attributes_
;d]t ;'lglZrt ug{sf] nflu HPEC n] pko'Qm kmfpG8]zg sf];{sf] Joj:yf ug{] .
;f] sf];{df Humanities and Behavioral Sciences ;DaGwL ljifoj:t'df ;}4flGts
k7gkf7gsf ;fy} Jofjxfl/s 1fg / cg'ej k|bfg ug]{ sfo{qmdx? klg ;dfj]z
ul/g'kg]{ . of] sf];{df ;kmntfk"j{s pQL0f{ x'g]x? dfq d]l8sn tyf 8]G6n ljifosf]
:gfts txdf egf{sf] nflu cfj]bg lbg of]Uo 7xl/g] 5g\ . of] sf];{ ;DaGwL
kf7\oqmd, lzIf0f ljlw, ;dofjwL tyf ;~rfng / Joj:yfkg ;DjGwL lj:t[t
Joj:yf HPEC n] tf]s] adf]lhd x'g]5 .
#=!% :gfts÷:gftsf]Q/ txsf] ;Gbe{df Doflrª k|0ffnLsf] nfu" ug{' pko'Qm x'g] .
$= z'Ns
lrlsT;f lzIffdf z'Ns lgwf{/0f Pp6f k]lrnf] ljifo ag]sf] 5 . lrlsT;f lzIffdf of]Uo
AolQmsf] kx'Fr ;'lglZrt ug{ lgDg Joj:Yff ug]{ ;'emfj lbO{G5 M

68
$=! :gfts sfo{qmd ;DjGwdf
$=!=! PdlalaP; txsf] sfo{qmdsf] z'Ns clwsQd ?= #% nfv tf]Sg] . o;nfO{
bfdf;fxLn] jflif{s ?kdf lng] Joj:yf ug]{ . / o; afx]s cGo z'Ns -h:t}M
k/LIff, sfplG;n, egf{, k':tsfno, k|of]uzfnf cflb lng] gkfOg] . -lzj
s'df/ /fO{ k|ltj]bgdf d"ntM cfwfl/t_
$=!=@ lal8P; sfo{qmdsf] :gfts txsf] z'Ns clwsQd ?= !* nfv eGbf j9L
lng gkfO{g] . o;df ;d]t dfly PdlalaP; h:t} cGo yk z'Ns lng
gkfOg] tyf bfdf;fxLn] jflif{s ?kdf lng] Joj:yf ug]{ .
$=!=# egf{ ;"rgfdf g} z'Nssf] ljj/0f / ljifout ¿kdf pknJw l;6 ;+Vof
clgjfo{ ¿kdf v'nfpg' kg]{ .
$=!=$ ;a} txsf ;Mz'Ns k9fOg] sfo{qmdx¿df lnOg] z'Nsx¿ jflif{s ¿kdf dfq
ljBfyL{x¿af6 lnO{g] Joj:yf ug]{ .
$=@ :gftsf]Q/ sfo{qmd ;DjGwdf
$=@=! ;a} ;fj{hlgs :jf:Yo lzIf0f ;+:yfx¿df :gftsf]Q/txsf] cfwf/e"t
lrlsT;f lj1fg, lSnlgsn ljwfx¿ -d]l8sn tyf 8]G6n_ cWoog ubf{
g]kfnL ljBfyL{x¿nfO{ k/LIff z'Ns afx]s cGo lzIf0f z'Ns glnOg] . oL
sfo{qmddf ;xefuL ljBfyL{x¿nfO{ ;d'lrt lgjf{x eQf lbg] .
sa'lnotgfdfsf zt{x¿ sfg'g÷sfo{ljlwdf tf]s] adf]lhd x'g] . g]kfn
;/sf/n] oL sfo{qmd ;~rfng ug]{ :jf:Yo lzIf0f ;+:yfx¿nfO{ k|lzIffyL{
;+Vofsf cfwf/df z}lIfs cg'bfg lbg] . t/ o:tf] cg'bfg :gftsf]Q/ txsf]
sfo{qmd cjlwsf nflu dfq lbOg] . sfo{qmd cjlweGbf j9L ;do nufpg]
ljBfyL{nfO{ cltl/Qm ;do jfktsf] cg'bfg glbg] .
$=@=@ lghL d]l8sn sn]hsf] xsdf lgDgfg';f/ x'g] M
$=@=@=! lghL:t/sf d]l8sn tyf 8]G6n sn]hx¿df ;d]t dfly plNnlvt
ljifox¿df k/LIff z'Ns jfx]s lzIf0f tyf cGo z'Ns lng gkfOg] .
;/sf/n] ;f] jfkt ;fj{hlgs lzIf0f ;+:yfx¿nfO{ nfu" u/]sf]
dfkb08 cg'¿ksf] cg'bfg k|bfg ug]{ . lgMz'Ns cWoog u/] jfkt
ljBfyL{x¿;Fu tflnd kZrft clgjfo{ ;]jf ug]{ jf/] sa'lnotgfdf

69
 -af]G8_ ul/g] .
$=@=@=@ s'g} ljBfyL{n] pko'{Qm adf]lhdsf] sa'lnotgfdf gug]{ a? k"/f
z'Ns lt/]/ k9\g] rfxgf /fvL g]kfn ;/sf/ :jf:Yo tyf hg;+Vof
dGqfnoaf6 lnlvt :jLs[lt lnO{ cfPdf ljZjljBfnon] tf]s]sf]
z'Ns lt/L lgodgsf/L lgsfoaf6 :jLs[t l;6 ;+Vofsf] kl/lw leq
/xL lghL sn]hdf k9\g kfpg] Joj:yf ug]{ . ;a} ljZjljBfnox¿df
;z'Ns k9fpg] d]l8sn tyf 8]G6ntkm{sf] :gftsf]Q/ txsf] z'Ns
clwsQd $) nfv x'g]5 . of] z'Ns ls:tfaGbLdf aflif{s ¿kdf
a'emfpg] Joj:yf ug'{kg]{5 . To:tf] d]l8sn sn]hn] k|To]s ;Mz'Ns
k9\g] ljBfyL{ egf{ lnP jfkt Pshgf ljBfyL{ ;/sf/;Fu
sa'lnotgfdf ug]{ zt{df lgMz'Ns k9fpg'kg]{5 . cGo ljifosf]
xsdf g]kfn ;/sf/÷lrlsT;f lzIff cfof]un] a}1flgs ljlwsf] k|of]u
u/L kl5 tf]Sg]5 .
$=@=# ljb]zL ljBfyL{sf] xsdf ljZjljBfno÷k|lti7fgn] tf]s]sf] z'Ns lng ;lsg]
t/ tL ljBfyL{sf] ;+Vof s"n l;6sf] %) k|ltzt eGbf a9L x'g] 5}g .
$=@=$ k|lzIffyL{x¿n] k|fKt ug]{ tflndsf] u'0f:tl/otf ;'lglZrt ug{ nuftf/ b'O{
z}lIfs jif{ ;Dd &% k|ltzt eGbf sd pQL0f{ ePdf To:tf :gftsf]Q/
sfo{qmd ;~rfng ug]{ :jf:Yo lzIf0f ;+:yfnfO{ ;/sf/n] k|bfg ug]{ cg'bfg
s6f}lt ug{ ;lsg]5 .
%= gofF sfo{qmdx¿ ;~rfng
%=! b]xfosf ljifox¿df gofF tfnLd÷sfo{qmdx¿;~rfng ug{ ljZjljBfno, k|lti7fg
tyf cGo :jf:Yo lzIf0f ;+:yfx¿nfO{ k|f]T;flxt ug]{ .

70
 tflnsf g+= !)
k|:tfljt gofF sfo{qmdx¿

l;= g+= sfo{qmd÷ljwfsf] gfd k|If]lkt cfjZostf tx

!= g]q ;xfos &))) l8Knf]df÷k|df0fkq
@= ck/];g lyo6/ 6]lSgl;og @))) ,,
#= Ol;lh÷Osf] k|fljlws #))) ,,
$= cyf]{k]l8s ;xfos #))) ,,
%= 8]G6n d]sflgS;÷6]lSgl;og #))) ,,
^= Health promotion and counselor – ,,
&= Respiarotary Therapy – ,,
*= ENT assistant – ,,
(= Speech therapy – ,,
!)= Occupational therapy – ,,
!!= Perfusion Assistant – ,,
!@= Hospital Management – :gfts
!#= Perfusionist – ,,
!$= Specialized Nursing – ,,
!%= Aofrn/ O{g ld8jfOk|mL – ,,
!^= Aofrn/ O{g lkmlhof]y]/fkL – ,,
!&= Public Health Sub-Specialities – ,,
gf]6M l;=g++= ! b]lv % ;Ddsf sfo{qmdx¿sf] k|If]k0f k|fljlws lzIff tyf Jofj;flos
tflnd kl/ifbaf6 ;fj{hlgs ul/Psf] tYof+saf6 ;fef/ ul/Psf] xf] eg] l;=g++= * b]lv
kl5sf gofF sfo{qmdx¿sf] xsdf o;} k|ltj]bgdf k|:tfljt HPEC n] kf7\oqmd k|f¿k
agfpg], cfjZostfsf] cfFsng / k|If]k0f ug]{ sfo{ ug]{ u/fpg] .

%=@ dfly plNnlvt sfo{qmdx¿sf cltl/Qm Physician Assistant tyf Nurse

Practitioner h:tf ljifosf] ;'?jftsf nflu ;DefJotf cWoog z'? ug{ pko'Qm
x'g] .
%=# k|df0f kq txeGbf d'lgsf :jf:Yo ;DjGwL s'g} klg k|fljlws sfo{qmdx¿ cj
pk|fGt ;~rfng gug]{ . xfn rfn' /x]sf sfo{qmdx¿ klg qmdzM casf] % jif{ leq
km]h cfp6 ub}{ hfg] .
^= kf7\oqmd tyf d"Nof+sg
^=! lrlsT;f lzIff ljifosf kf7\oqmdx¿ ;Ifdtfdf cfwfl/t -Competency Based

Education and Training_ 9fFrfdf agfOg'kg]{ . h;df ;}4flGts 1fgsf cltl/Qm

Jojxfl/s ;Lksf] ljsf;, dfgjLo ;+j]bgzLntf, ;~rf/ ;Lk, k]zfwld{tf,

71
 ;fdflhs hjfkmb]lxtf, ;bfrfl/tf / g]t[TjbfoL Ifdtf ljsf; x'g] u/L kf7\oqmddf
;dfj]z u/L oLg} If]qut ljifodf / lg/Gt/ d"Nof+sgsf] k|0ffnL nfu" ug]{ . of]
k|0ffnL ;g\ @)@) b]lv ;a} ljZjljBfnodf clgjfo{ nfu" ug]{ .
^=@ ;Ifdtfdf cfwfl/t lzIff tyf tflnd k|0ffnL tyf cGo lzIf0f ljwf ;DjGwL
ko{fKt hfgsf/L gePsf lzIfs -k\mofsN6L_ x¿nfO{ tflnd tyf cled'vLs/0fsf]
;d'lrt Joj:yf ug]{ .
^=# cg';GwfgM lrlsT;f lzIffsf :gfts tyf ;f] eGbf dflyNnf] txsfk|fl1s
sfo{qmdx¿df a}1flgs cg';Gwfgsf l;4fGt / ljlwx¿af/] cfwf/e"t 1fg /
;Lkx¿ ljsf;sf nflu ;DjlGwt txsf] kf7\oqmddf ;d;fdlos kl/dfh{g u/L
clgjfo{¿kdf k7gkf7g ug]{ u/fpg] .
&= lzIf0f ljlw
&=! ;a} ljZjljBfnon] d'Votof la/fdLsf] ;'/IffnfO{ ;'lglZrt ub}{ lj/fdLx¿d}
cfwfl/t lzIf0f k|lzIf0f ug'{kb{5 tyflklzIf0f k|lzIf0fdf yk ;Lkd"ns cEof;sf]
nflu l;d'n]zg ljlwsf] ;d]t k|of]u ug{ k|f]T;flxt ug]{ .
&=@ u'0f:t/Lo :jf:Yo ;]jf k|jfxsf] ;'lglZrttf lrlsT;f lj1fg cGtu{tsf ljljw
ljwfsf lrlsT;fsdL{x¿ aLrsf] ;xsfo{ tyf ;fd'lxs of]ubfgdf lge{/ x'g] x'gfn]
To:tf] kf/:kfl/s ;xsfo{sf] ;+:sf/ ljsf; ug{sf nflu cGt/ljwfut lzIff
-Interprofessional Education_ nfO{ k|f]T;flxt ug]{ .
&=# lzIf0f ljlwdf :jfWofog, ;d:of ;dfwfg, / ;d'bfodf cfwfl/t tflnd dfkm{t
l;h{gfTdstf k|jw{gdf hf]8 lbg] .
&=$ ljBfyL{x¿sf] ;[hgzLntf tyf ;d:ofsf] tYo;Ddt ljZn]if0f / ;dfwfg ug]{
Ifdtf clej[l4 ug]{ k|of]hgsf nflu d"Nof+sg k|0ffnLdfTo:tf kIfx¿nfO{ ;d]t
Jojl:yt 9+un] dfkg ug]{ .
&=% ;d'bfo / lrlsT;f lzIff aLr cGof]Gofl>t ;DjGw /x]sf] x'G5 / /xg' kb{5 .
ljBdfg cj:yfdf ;fd'bflos :jf:Yo ;DaGwL cg'ej k|bfg ug]{ qmddf lkmN8
cEof; ug{ ljBfyL{x¿ k7fpg] :jf:Yo lzIf0f ;+:yfx¿n] ;d'bfoaf6 Psf]xf]/f]
kmfObf lnO/x]sf] k|j[lQ b]lvG5 . t/ o;f] x'g' plrt xf]Og . jf:tjdf tL ;d'bfon]
ljBfyL{x¿nfO{ kf7\oqmdsf] p2]Zo kl/k"lt{ ug{ h'g cj;/ / ;xof]u k|bfg u/]sf]

72
 x'G5, To; jfkt :jf:Yo lzIf0f ;+:yfx¿sf] klg tL ;d'bfok|lt s]xL pQ/bfloTj
x'G5 . Tof] pQ/bfloTj To; ;d'bfodf j;f]jf; ug]{ dflg;x¿sf] :jf:Yo l:yltdf
;'wf/ ug]{ tyf pgLx¿sf] hLjgnfO{ cem} u'0f:t/Lo agfpg] sfo{df ;l/s eP/
k|ltljlDjt x'g' kb{5 . of] tYonfO{ uDeL/¿kn] lnO{ ljBfyL{, lzIfs tyf :jf:Yo
lzIf0f ;+:yf cfkm} ;d]t ;DjlGwt ;d'bfo;Fusf] 5nkmn / cGt/lqmofsf]
dfWodaf6 dfly plNnlvt p2]Zo xfl;n ug]{ k|of]hgfy{ pko'Qm sfo{qmdx¿
;~rfng ug'{ kb{5 . o;f] ugf{n] æ;]jfsf] nflu l;Sg] / l;Sg] qmddf klg ;]jf
ug]{Æ -Learn to serve and Serve to learn_ sf] l;4fGtsf] dd{nfO{ Jofjxfl/s ¿kdf
g} cfTd;ft u/]sf] 7xl/G5 .
&=^ l;sfO d}qL jftfj/0fM
&=^=! pko'Qm z}lIfs ;fdu|L /x]sf] k':tsfno, pko'Qm sIffsf]7f, pRr ultsf]
OG6/g]6 ;'ljwf ;lxtsf] ljB'tLo lzIf0f ;fdu|L s]Gb| -e-Learning Centre_,

l;d'n];g ;'ljwf ;lxtsf] ;Lk ljsf; k|of]uzfnf -Skills Lab with Simulation
Facilities_ nufotsf ;'ljwfnfO{ k|fyldstfsf ;fy Joj:yf / pkof]u ug]{ .
&=^=@ lrlsT;f sfo{ ;DjGwL k]zfut bIftf xfl;n ug{ sIffsf]7f / k':tsfnodf
a;]/ cfh{g ul/g] ;}4flGts 1fg dfq kof{Kt x'b}g . o;sf nflu /f]usf]
klxrfg / pkrf/ k|lqmof ;DjGwL Jofjxfl/s ;Lk / cg'ej xfl;n ug{
lj/fdLx¿df cfwfl/t l;sfO k|lqmofdf ;+nUg x'g cToGt dxTjk"0f{ x'g]
ePsf]n] lrlsT;f lzIff;DjGwL sfo{qmd ;~rfng ug{ rfxg] ;+:yfx¿sf]
cfkm\g} c:ktfn x'g'kg]{ . ToxfF kof{Kt la/fdL k'/\ofpg bIf lrlsT;s, :t/Lo /
;:tf] pkrf/ / ;d'bfodf kx'Fr x'g] vfnsf ;]jfx¿ x'gk' g]{ .
*= ;+:yfut hjfkmb]lxtf
*=! k|To]s k|fl1s ;+:yfn] cfkm" /x]sf] ;d'bfo tyf If]qdf:jf:Yo ;]jf ;DjGwL
sfo{qmdx¿ ;~rfng ug]{ . k|To]s d]l8sn sn]hnfO{ ;f] ;+:yf /x]sf] If]qsf] Ps
jf a9L lhNnfx¿ ;]jf If]qsf] ¿kdf tf]Sg] .
*=@ u/LjnfO{ ;]jf lbg] Joj:yf s8fO{sf ;fy nfu" ug]{ . ;f] sf nflu sfg'gdf Joj:yf
eP adf]lhdsf] lgMz'Ns ;]jf k|bfg u/]sf] km]xl/:t :jf:Yo dGqfno tyf
lgodgsf/L lgsfonfO{ jflif{s ¿kdf k]z ug'{kg]{ . o;nfO{ klg d"Nof+sgsf]

73
 Yardstick df ;dfj]z ug'{kg]{ .
*=# :jf:Yo lzIf0f ;+:yfx¿n] k]zfut sfo{ ;Dkfbg / sfo{ Ifdtf a9fpg ljBfyL{,
km\ofsN6L / cGo :6fkmsf nflu ;xof]uL / pTk|]l/t jftfj/0f l;h{gf ug]{ .
*=$ ejg, d}bfg, kmf]xf]/ Joj:yfkg, jftfj/0fLo c;/, lj/fdLsf] ;'/Iff h:tf ljifo
;d]t Yardstick df ;dfj]z ug]{ .
*=% k|To]s :jf:Yo lzIf0f ;+:yfn] kf/bzL{9+un] n]vfk/LIf0f tyf ;fdflhs k/LIf0f
-Social Audit_ k|ltj]bg lgodgsf/L lgsfodf k]z ug'{sf] ;fy} ;DjlGwt ;+:yfsf]
j]j;fO6df klg lgoldt ¿kdf cBfjlws ug]{ .
*=^ ljZjljBfno tyf lgodgsf/L lgsfox¿n] lrlsT;f lzIff;DaGwL ljleGg ljwf /
txsf sfo{qmdx¿sf ;DjGwdf kf7\oqmd ;DaGwL hfgsf/L dfq geO{ ;f] ljwfdf
xfn pknAw hgzlQmsf] l:ylt tyf ;f] sfo{qmdx¿ k"/f ul/;s]kl5 d'n's leq
pknAw x'g;Sg] /f]huf/Lsf] ;Defjgfsf af/]df cfjlws ¿kdf :ki6 hfgsf/L
;fj{hlgs ug]{ .
*=& s'g} klg lgodgsf/L lgsfo jf ;fj{hlgs lgsfosf axfnjfnf kbflwsf/Lx¿n]
;f]xL ljifo;Fu ;DjlGwt lghL If]qsf ;+:yfx¿df sfd ug{ gkfpg] . To:t} s'g}
klg axfnafnf kbflwsf/Lx¿n] sfg'g;Ddt tl/sfn]] Joj;fo ;~rfng jf nufgL
u/]sf] ePdf ;f] sf] hfgsf/L ;fj{hlgs ug'{kg]{ . o;sf ;fy} oL kbflwsf/Lx¿n]
;DalGwt ljifosf] gLltut 5nkmn tyf lg0f{o k|lqmofdf ;xefuL x'g gkfOg] . o;
a'Fbfdf plNnlvt ;a} ljifonfO{ ;Daf]wg x'g] u/L pko'Qm sfg'gL Joj:yf ug]{ .
:jf:Yo ;]jf / lrlsT;f lzIffdf sfg'gL ljifo eGbf klg of] g}lts ljifo klg
ePsf]n] ;DalGwt JolQmn] cfkm" ;+nUg x'g] lqmofsnfkdf :jfy{sf] åGå /xsf] jf
g/x]sf] eGg] s'/f :j}lR5s 9+un] g} k|i6\ofpg' clgjfo{ x'G5 .
(= km\ofsN6L -lzIfs_ lasf;
(=! lzIfsx¿ 5g\f}6 ug]{ qmddf tL AolQmx¿df ljifout 1fg, l;k / bIftfdf pTs[i6
x'g'sf ;fy} pQm 1fg, l;k / bIftfnfO{ lzIffyL{df k|jfx ug{ rflxg] Ifdtf tyf
af}l4s ;[hgzLntfsf] klg cfjZos d"Nof+sg ug'{ h?/L 5 . To:t} u/L k]zfut
1fg, ;Lk / bIftf xfl;n ug]{ pTs6 OR5f, clenfiff af]s]/ cfPsf lzIffyL{nfO{
tt\;DaGwL 1fg, ;Lk / bIftf ljsf; u/fpg] qmddf lzi6tfk"j{s tyf

74
 pT;fxhgs / ;[hgfTds 9+un] k|:t't ug]{ k|ltj4tf lzIfs x'g rfxg] JolQmdf x'g}
kb{5 . ;fy;fy} pQm JolQm lzIffyL{sf] cfFvfdf cg's/0fLo AolQmTj -Role Model_
x'g;Sg] ;Defjgfsf af/]df klg n]vfhf]vf x'g' h?/L 5 . lzIfs x'g] cfsf+IfL
pDd]b\jf/x¿dWo] pNn]lvt u'0fx¿ ePsfnfO{ dfq lzIfssf] ¿kdf lgo'lQm lbg'
pko'Qm x'G5 . olb o;f] ug{ ;lsPg eg] lrlsT;f lzIffsf] u'0f:t/df ;'wf/ cfpg
g;Sg] lglZrt k|foM 5 . eljiosf lzIfsx¿ 5g\f}6 ubf{ ckgfOg' kg]{ d"Nof+sg
k|lqmofnfO{ j:t'lgi7 / kf/bzL{ agfpgsf nflu Pp6f pko'Qm k|0ffnL :yfkgf ug'{
h?/L 5 .
(=@ xfn sfo{/t lzIfsx¿dWo] klg olb s;}df dfly plNnlvt u'0fx¿ kof{Kt dfqfdf
ljBdfg 5}gg eg] xfn sfod /x]sf] lzIfs tflnd ;DaGwL kf7\oqmddf
;d;fdlos kl/dfh{g u/L k|efjsf/L tflndsf] dfWodåf/f tL lzIfsx¿nfO{
pTs[i6 lzIfs agfpg] tkm{ cfjZos sbd cljnDa rflng'kb{5 .
(=# lzIf0f If]qdf ev{/} k|j]z u/]sf lzIfsx¿ Pp6f nfdf] k|lqmofsf] bf}/fgdf a9L
cg'ejL, kl/kSj, bIf, cfTdljZjf;L / VoftLk|fKt lzIfssf] ¿kdf :yflkt
x'g;S5g\ . o; k|lqmofnfO{ a9L pTkfbgzLn / kl/0ffdd'vL agfpg al/i7
lzIfsx¿sf] cxd\ e"ldsf x'G5 . cfˆgf] k]zfut If]qdf pNn]vgLo cg'ej /
VoftLk|fKt ul/;s]sf jl/i6 lzIfs -k|fWofks_ x¿n] ;f]xL ljefudf sfo{/t slgi6
lzIfsx¿sf] AolQmut / k]zfut ljsf; u/fpg] sfo{ -Mentoring_ nfO{ g}lts /
k]zfut lhDd]jf/Lsf] ¿kdf lng' cfjZos x'G5 . To;n] dfq Pp6f c;n k|fl1s
;+:s[ltsf] lgdf{0f / k|fl1s pTs[i6tfsf] ljsf;sf] nflu ;'b[9 cfwf/ k|bfg ub{5 .
(=$ ;a} k]zfut sfplG;nx¿n] cfkm\gf ;Dk"0f{ lqmofzLn ;b:ox¿nfO{ ;DjlGwt
ljwfdf u'0f:t/Lo k]zfut ljsf; sfo{qmd -Continious Professional Development_
nfO{ k|efjsf/L / lgoldt 9+un] clgjfo{ ¿kdf nfu" ug]{ / ;f] k|lqmofsf] lgoldt
cg'udg / d"Nof+sg ub}{ cem a9L ;fGble{s / pkof]uL agfpb} n}hfg] .
(=% ;+:yfsf] cfjZostf / ;DjlGwt JolQmsf] k|fl1s ;Ifdtfsf] cfwf/df k|fWofks
txdf aflx/af6 l;w} cfpg kfpg] 58\s] k|0ffnL -Lateral Entry_ sf] cjnDjg ug]{ .
(=^ b]zdf bIf / cg'ejL lzIfsx¿sf] sdL ePsf] x'gfn] ;f] ;d:ofnfO{ ;Daf]wg ug{
lgDgfg';f/sf] Joj:Yff ug]{ .

75
 (=^=! pNn]vgLo cg';GwfgfTds÷df}lns s[ltx¿ k|sfzgsf] lg/Gt/tfsf] afah'b
pd]/sf] xbaGbLsf sf/0f clgjfo{ cjsfz lng'kg]{ jfWofTds cj:yf g]kfn h:tf]
;Ifd hgzlQmsf] ;fk]lIfs cefj ePsf] b]zdf pko'Qm gePsf] dfq xf]Og
k|To'Tkfbs ;d]t ePsf]n] To:tf ;Ifd hgzlQmsf] pRrQd ;b'kof]u ug{sf] nflu
JolQmsf] lqmoflzntf / pTkfbsTjsf] cfwf/df clgjfo{ cjsfz kl5 pgLx¿nfO{
s/f/ ;]jfdf k|fyldstfsf ;fy pkof]u ug]{ gLlt cjnDjg ug]{ .
(=^=@ Endowed Professorship, Professor Emeritus sf] cjwf/0ffnfO{ sfo{ljlw to u/L
nfu" ug]{ .
(=& b]zdf pknJw lj1 ;]jfsf] clwsQd ;b'kof]u ug{ tyf ljljw gofF ljrf/ /
b[li6sf]0fx¿aLr k|efjsf/L z]rg -Cross Fertilization_ nfO{ j9fjf lbg
ljZjljBfnox¿aLr cfk;L ;xdltdf cfjZostf cg';f/ ljz]if1 lzIfsx¿sf]
cfbfgk|bfg -Faculty Exchange_ sfo{qmd nfu" ug]{ .
(=* lzIfssf] tx j9'jfsf] nflu d"ntM ljåtf -Scholarship_sf] ;fj{hlgs cleJolQmnfO{
cfwf/ agfO{g'kb{5 . oxfF ljrf/0fLo s'/f s] 5 eg] ljåtf eGgfn] cg';Gwfgaf6,
;+Zn]if0faf6, Jojxfl/s k|of]uaf6 / lzIf0f sfo{af6 k|fKt 1fg eGg] a'em\g'kb{5 .
h;nfO{ cu|]hLdf qmdzM Scholarship of Discovery, Scholarship of Integration,

Scholarship of Application and Scholarship of Teaching elgG5 .

(=( d]l8sn sn]hx¿df a]l;s ;fOG;sf] ˆofsN6L x'gsf nflu d"ntM lrlsT;f lj1fgdf
:gfts tx -lrlsT;s_ k"/f u/L cfwf/e"t lj1fg -Basic Medical Sciences_ sf s'g}
Ps ljwfdf :gftsf]Q/ txsf] k9fO{ k"/f u/]sf] x'g'kg]{ ljBdfg Joj:yf lj1fg;Ddt
/ Jojxfl/s gePsf] sf/0fn] ubf{ ca pk|fGt Biological Sciences sf ljwfdf :gfts
tx k"/f u/L Kofyf]nf]hL ljifo afx]s cfwf/e"t lj1fg -Basic Medical Sciences_
sf cGo s'g} Ps ljwfdf :gftsf]Q/ txsf] k9fO{ k"/f u/]sf JolQmx¿ klg
;dfg¿kn] of]Uo dfGg' pko'Qm x'g]5 . lgodgsf/L lgsfo -k|:tfljt HPEC nufot_
n] of] cjwf/0ffnfO{ cfwf/e"t l;4fGtsf] ¿kdf lnO{ cGo cfjZos Joj:yfsf] to
u/L nfu" ug{ pko'Qm x'g]5 .
!)= g]t[Tj rog
g]t[Tj rog ;DaGwL jt{dfg cEof;df cfd"n kl/jt{gsf] cfjZostf 5 . o;sf

76
nflu ca pk|fGt :jf:Yo lzIf0f ;+:yfx¿sf] g]t[Tj rog ubf{ lgDg u'0fx¿sf] cfwf/df
kf/bzL{ tl/sfn] ug]{ M
!)=! k]zfut bIftf
!)=@ k|dfl0ft Joj:yfksLo bIftf
!)=# ;+:yfut k|ltj4tfM :jfy{sf] åGåaf/] :j3f]if0ff
!)=$ ;bfrfl/tf k|dfl0ft ug]{ lsl;dsf cfwf/x¿
!)=% ;fj{hlgs¿kdf :jR5 5lj ePsf]
!)=^ jl/i6tf
!!= 6«]8 o'lgog
!)=! :jf:Yo ;]jfsf] Jofj;flostfdf cfFr gcfpg] u/L k]zfut xslxt ;+/If0fsf nflu
Psn 6]«8 o'lgogsf] Joj:yfnfO{ s8fOsf ;fy nfu" u/L] lrlsT;f lzIff tyf
:jf:Yo ;]jfnfO{ cgfjZos /fhgLlts lsrnf]af6 d'St /fVg] .
!@= k|:tfljt gofF ;+/rgf -Health Profession Education Commission)
:jf:Yo hgzlQm ;DaGwL lzIff (Health Profession Education) sf] ;jf{ª\uL0f
ljsf; Pjd\ k|j4{gsf nflu xfd|f] df}h'bf ;+/rgfut Joj:yf, sfg'gL Joj:yfx¿ /
cEof;x¿ ck|efjsf/L /x]sf sf/0f ;du| lrlsT;f lzIff (Health Profession Education)
If]q cGof}nk"0f{ /x]sf] s'/f ;j{ljlbt g} 5 .
o:tf] cj:yfdf lrlsT;f lzIff (Health Profession Education) sf If]qdf ljZj kl/j]zdf
cfpg] kl/jt{g / ;d:of tyf r'gf}ltx¿nfO{ ;dfof]hg Pjd\ ;fdgf ug{ ;Sg] ;+/rgfut
/ sfg'gL Joj:yf ug'{ cfjZos b]lvG5 . o;} ;Gbe{df lzIf0f ;+:yfsf] :yfkgf, lzIf0f
c:ktfn, Plss[t k|j]z k/LIff (Common Entrance), lzIf0f ;+:yf ;+rfng, cg'udg,
u'0f:t/ ;'lglZrttf, k|Tofofg (Accreditation), cfwf/e"t kf7\oqmd k|f¿k (Core
Curriculum Framework), :gftsf]Q/ txsf] j}slNks tflnd Joj:yf, OG6g{l;k, ;+:yfut
tyf lgsfout ;dGjo nufotsf If]qsf] sfo{If]qut lhDd]jf/L tf]ls lgDg adf]lhdsf] Ps
clwsf/;DkGg :jfoQ lrlsT;f lzIff cfof]u (Health Profession Education
Commission) u7g ul/g' h?/L b]lvG5 .

77
!@=! lrlsT;f lzIff cfof]u -HPEC_ sf] u7g
-!_ k|wfgdGqL –cWoIf
-@_ cfkm\gf] sfo{sfndf u/]sf pTs[i6 sfo{ dfkm{t ;dfhdf ljlzi6 klxrfg
agfPsf ljZjljBfno÷k|lti7fgsf k"j{ pks'nkltx¿ jf /fli6«o:t/sf
:jf:Yo ;+:yfsf k"j{ k|d'vx¿ dWo]af6g]kfn ;/sf/ dlGqkl/ifb\af6
dgf]lgt Ps hgf k"0f{sflng sfo{sf/L pkfWoIf – Pshgf
-#_ b'O{ jf ;f]eGbf a9L :jf:Yo lzIffsf ljwfdf sfo{qmd rnfPsf
ljZjljBfnox¿ / k|lti7fgsf pks'nkltx¿ dWo]af6 ;b:ox¿ – b; hgf
-$_ /fli6«o of]hgf cfof]usf ;b:o -lzIff tyf :jf:Yo x]g]{_ ;b:ox¿ – b'O{ hgf
-%_ lrlsT;f lzIffsf lj1x¿dWo]af6 sDtLdf ! hgf dlxnf kg]{ u/L
cWoIfsf] l;kmfl/zdf dgf]gog x'g] u/L ;b:ox¿ – $ hgf
-^_ ljifout sfplG;nx¿sf cWoIfx¿ dWo]af6 cfof]uaf6 dgf]lgt – % hgf ;b:o
-&_ gful/s ;dfhsf nAwk|ltli7t JolQmTjx¿dWo] Ps dlxnf ;lxt –@ hgf ;b:o
k|:tfljt ælrlsT;f lzIff cfof]u (Health Profession Education Commission)Æ sf]
b}glGbt sfo{ ;~rfngsf nflu sfo{sf/L pkfWoIfsf] cWoIftfdf dxfzfvfsf lgb]{zsx¿
;d]t /xg] u/L tyf cWoIfaf6 dgf]lgt cfof]usf ;b:o dWo] ! hgf ;lxt & ;b:oLo
Ps sfo{sfl/0fL ;ldlt -Executive Committee) /xg] u/L k|:tfj ul/Psf] 5 . o;
;ldltsf] sfd, st{Jo / clwsf/ tf]lsP adf]lhd x'g]5 .
!@=@ cfof]usf] sfo{If]q
-!_ :jf:Yo hgzlQm ;DaGwL lzIffIf]qsf ;a} tx tyf ljifosf] dfkb08 / :t/
;DjGwL gLlt lgwf{/0f ug]{],
-@_ PsLs[t k|j]z k/LIff (Common Entrance) ;~rfngsf nflu gLlt lgwf{/0f ug]{,
-#_ k|Tofofg (Accreditation) ;DaGwL gLlt lgod, cfwf/x¿ tyf dfkb08 to ug]{],
-$_ k|fl1s pGgog tyf cg';Gwfg ;DaGwL gLlt to ug],{
-%_ lrlsT;f lzIff ;DjGwL ljleGg tx / ljwfsf gjLg z}lIfs sfo{qmdx¿af/] gLlt
lgwf{/0f ug]{,
-^_ ;+:yfut tyf lgsfout ;dGjo ug]{ u/fpg],
-&_ :jf:Yo hgzlQm ;DaGwL lzIffIf]qdf g]kfn ;/sf/ tyf ljZjljBfnox¿nfO{

78
 ;Nnfx ;'emfj k|bfg ug]{ .
-*_ lrlsT;f lzIffsf] If]qdf tf]lsP adf]lhdsf cGo sfo{x? ug]{ .
!@=# lgb]{zgfnox¿
!@=#=! dfkb08 / :t/ lgwf{/0f (Standards and Criteria)
egf{, kf7\oqmd, d"Nof+sg, lzIfs, ef}lts Pj+ k|fl1s k"jf{wf/, lzIf0f ljlw, ;"rgf
tyf ;~rf/ k|ljlw ;DjGwL .
!@=#=@ k|Tofog (Accreditation)
egf{, kf7\oqmd, d"Nof+sg, lzIfs, ef}lts Pj+ k|fl1s k"jf{wf/, lzIf0f ljlw, ;"rgf
tyf ;~rf/ k|ljlw, ;fdflhs of]ubfg÷pQ/bfloTj ;DjGwL .
!@=#=# of]hgf tyf ;dGjo lgb]{zgfno
:jf:Yo dGqfno / lzIff dGqfno aLrsf] ;dGjo ug]{ tyf :jf:Yo hgzlQmsf]
cfjlws cfFsng, k|If]k0f / cfk"lt{sf] of]hgf to ug]{ .
!@=#=$ k|fl1s pGgog tyf cg';Gwfg (Academic Innovation and Research)
egf{, kf7\oqmd, d"Nof+sg, lzIfs, ef}lts Pj+ k|fl1s k"jf{wf/, lzIf0f ljlw, ;"rgf
tyf ;~rf/ k|ljlw, ;fdflhs of]ubfgsf If]qdf sfo{ ug]{ .
!@=#=% k/LIff (Examination)
Plss[t k|j]z k/LIff ;~rfng, Joj:yfkg, k/LIff ;DaGwL k|ljlw ljsf; ug]{ .
!@=#=^ a}slNks :gftsf]Q/ z}lIfs sfo{qmd (Alternative Graduate Medical Education)
;Ifdtfdf cfwfl/t lzIff tyf tflndsf] l;4fGtdf cfwfl/t lrlsT;f lzIffsf]
:gftsf]Q/ txsf gofF sfo{qmdx¿ ;DaGwL kf7\oqmdsf] tof/L, tflnd ;~rfng,
cg'udg tyf d"Nof+sg k4lt lgdf{0f ug]{ . o:tf] tflndsf] ;~rfng clVtof/k|fKt
lgsfon] k|Tofog u/]sf c:ktfnx¿df dfq ug]{ .
!@=$ sfg'gL Joj:yf
k|:tfljt cfof]usf sltko sfo{If]q ljZjljBfnox¿, k|lti7fgx¿, kl/ifbx¿ tyf
ljifout sfplG;nx¿sf] If]qflwsf/ leq kg]{ ePsf] x'Fbf tt\ aflemPsf Joj:yfx¿nfO{ o;
cfof]usf] sfo{If]q leq /xg] u/L Joj:yflksf ;+;baf6 P]g hf/L u/L o; cfof]u nfO{
:yfkgf ul/g' h?/L 5 .

79
 !@=% cfof]usf] k|:tfljt ;f+u7lgs ;+/rgf
:jf:Yo hgzlQm ;DaGwL lzIff cfof]u

cWoIf – k|wfgdGqL

sfo{sf/L pkfWoIf
sfo{sf/L ;ldlt ;lrjfno
Standing committee
cfof]usf ;b:ox¿

lgb]{zs lgb]{zs lgb]{zs lgb]{zs lgb]{zs lgb]{zs

dfkb08 / :t/ k|Tofog of]hgf tyf k|fl1s pGgog k/LIff a}slNks
lgwf{/0f lgb]{zgfno ;dGjo tyf cg';Gwfg lgb]{zgfno PGsfo{qmd
lgb]{zgfno (Accreditation lgb]{zgfno lgb]{zgfno (Examination (Alternative
(Academic Directoriate) GME Program
(Standards and Directorate) (Planning and Directorate)
Criteria Coordination Innovation and
Directorate) Directorate) Research
Directorate)

!#= g]kfn d]l8sn sfplG;nsf] k'g;{+/rgf

g]kfn d]l8sn sfplG;nsf] ;+/rgf tyf o;sf] sfd, st{Jo / clwsf/ k'gk{l/eflift ug]{ .

!#=! lrlsT;sx? tyf bGt lrlsT;sx?sf k]zfut ;+u7gx?sf lgjf{lrt cWoIfx?

g]kfn d]l8sn sfplG;nsf] kb]g ;b:o x'g] ePsfn] To; If]qaf6 yk k|ltlglwTj
cfjZos gkg]{ x'Fbf sfplG;nsf cGo ;b:ox? lgjf{rgsf] dfWodaf6 rog ug]{
Aoj:yf vf/]h ug]{ . d]l8sn sfplG;ndf 8]G6n ljwfaf6 Pshgf pkfWoIf yk ug]{
/ 8]G6n ljwfnfO{ yk lhDd]jf/ tyf ;'b[9 agfpg] .

!#=@ g]kfn d]l8sn sfplG;nsf] k|d'v bfloTj eg]sf] cfd g]kfnL hgtfsf] :jf:Yo
;'/Iffdf s'g} cfFr cfpg glbO{ u'0f:t/Lo :jf:Yo ;]jf ;'lglZrt ug'{ xf] . o;sf
nflu g]kfn d]l8sn sfplG;nnfO{ lgDg cg';f/sf] dxTjk"0f{ lhDd]jf/L tf]Sg]
Joj:yf ldnfpg] M

13.2.1 Licencing Exam for MBBS and PG levels

13.2.2 Ethical Conduct of medical professionals
13.2.3 Continuous Professional Dvelopment

80
!$= cg'udg tyf d"NofÍg
;a} ljZjljBfno, k|lti7fg, k|fljlws lzIff tyf Jofj;flos tflnd kl/ifb,
sn]hx¿sf] cg'udg tyf d"Nof+sgsf cfwf/ tyf k|lqmof lrlsT;f lzIff cfof]un] to u/L
sfof{Gjog ug]{5 .
!%= ljifo If]qut yk Joj:yf
dfly plNnlvt ;fd'lxs ;'emfjx¿sf cltl/Qm lrlsT;f If]qsf ljleGg ljwfx¿df
s]xL ljz]if sbdx¿ lng'kg]{ b]lvG5 . ltgLx¿nfO{ ljwfut¿kdf tn pNn]v ul/Psf] 5M
!%=! gl;{Ë
!%=!=! kfFr jif{;Dd b]ze/L gofF gl;{ª sn]hsf] nflu LoI glbg] . t/ d]l8sn
sn]h ;~rfng eO;s]sf] cj:yfdf ;f]xL sn]hnfO{ gl;{ª sfo{qmd
;~rfng ug{ lbg ;lsg] .
!%=!=@ LoI lnO;s]sf tyf tLg jif{;Dd slDtdf !)) z}o\ofsf] cfkm\g} c:ktfn
;~rfng ul/;s]sf pkTosf aflx/sf ;+:yfx?n] eg] ;DaGwg k|lqmofdf
hfg ;Sg] .
!%=!=# ca pk|fGt gofF cgdLsf] tfnLd sfo{qmdsf] nflu ;DaGwg glbg] .
;~rfng eO{/x]sf sn]hx¿n] klg % jif{ leq cfkm\gf] sfo{qmd km]h cfp6
ug]{ . :jf:Yo ;]jf k|0ffnLdf cfO{Gbf :6fkm g;{nfO{ klxnf] k|j]z -Entry_
laGb'sf] ¿kdf lng] .
!%=!=$ gl;{Ëdf ljlzi6Ls[t ;]jfsf nflu rflxg] lzIf0f k|lzIf0f sfo{qmdx¿
;~rfng ug]{ h:t} M sfl8{ofs gl;{ª, l/x\ofa gl;{ª, Go"/f] gl;{ª, k]l8ofl6«s
gl;{ª cflbdf tflnd sfo{qmd ;~rfng ug]{ .
!%=!=% gl;{ª ljwfsf] :gftsf]Q/ sfo{qmdnfO{ yk ljlzi6Ls[t ug]{ .
!%=@ kmfd]{;L
!%=@=! xfn ;~rfngdf /x]sf kmfd]{;L sn]hx¿sf] u'0f:t/df hf]8 lbg] .
!%=@=@ d]l8sn÷gl;{ª sfo{qmd ePsf sn]hx¿df kmfd]{;LnfO{ ;d]t ;~rfng ug{
k|f]T;flxt ug]{ .
!%=@=# k|To]s lzIf0f c:ktfndf pko'Qm hgzlQm ;lxtsf] c:ktfn kmfd]{;L ;]jf

81
 ;~rfng ug{ clgjfo{ ug]{ .
!%=# hg:jf:Yo -Public Health_
!%=#=! PdlkPrsf u'0f:t/Lo sfo{qmdx¿ ;~rfng ug{ k|f]T;flxt ug]{ .
!%=#=@ hg:jf:Yo ljwf leqsf ljlzi6Ls[t k|fl1s sfo{qmdx¿ /fli6«o cfjZostf
d'tfljs ;~rfng ug{ k|f]T;flxt ug]{ . ;f] sfo{ ug{sf] nflu cfjZos
:jfoQtf ;lxtsf] 5'6\6} ;+/rgfsf] lgdf{0f ug'{ pko'Qm x'g] .
!%=#=# hg:jf:Yo If]qsf k|fl1s lgsfox¿n] b]zsf] :jf:Yo ;]jf k|0ffnLnfO{ yk
pkof]uL / k|efjsf/L agfpgsf] nflu cg';GwfgfTds sfo{x¿df cu|0fL
e"ldsf lgefpg] .
!%=#=$ ;a} :jf:Yo lzIf0f ;+:yfx¿, ;/sf/L, u}/ ;/sf/L lgsfox¿, :yfgLo
lgsfox¿ tyf lzIf0f ;+:yfx¿n] hg:jf:Yosf ljz]if1x¿nfO{ pkof]u ug{
k|f]T;flxt ug]{ .
!%=$ cfo'j]{b
!%=$=! cfo'j]{b sfplG;nnfO{ k'g;{+/rgf ug]{ . xfn x]Ny k|f]km];gn sfplG;n
cGtu{t /x]sf of]uf, o'gfgL, cs'k+r/, k|fs[lts lrlsT;f / xf]ldof]KofyL
h:tf sfo{qmdx¿nfO{ klg cfo'j]{b sfplG;nn] g} x]g{ pko'Qm x'g] .
!%=$=@ cfo'j]{b If]qdf yk cg';Gwfgsf] ljlzi6 sfo{qmd z'? ug]{ .
!%=$=# of] ljwfsf] lzIf0f k|lzIf0f tyf pkrf/ ljlwsf] ;Gbe{df o;sf] cfkm\g}
df}lnstfsf] ;+/If0f / k|j4{gdf ljz]if Wofg lbg'kg]{ .
!%=$=$ cfw'lgs lrlsT;f k4ltn] k"0f{ ¿kn] lgsf] t'Nofpg g;Sg] s]xL
bL3{/f]ux¿sf] pkrf/df cfo'j]{b, of]uf h:tf pkrf/ k4lt ;d]t PsLs[t
u/L gd'gf cWoog -Pilot Study_ ug]{ .
!%=% x]Ny k|f]km];gn sfplG;n
!%=%=! Nofa cl;:6]G6, cx]j nufotsf l6P;Pn;L txsf ;a} sfo{qmdx¿nfO{
gofF ;DaGwg glbg] / xfn ;~rfngdf /x]sf tL sfo{qmdx¿ cfufdL %
jif{leq km]h cfp6 ug]{ .
!%=%=@ x]Ny k|f]km];gn sfplG;n cGtu{tsf lgDg ljwfx¿df k|df0f kq tyf
:gfts txsf sfo{qmdx¿ ;~rfng ug{ k|f]T;flxt ug]{ M lkmlhof]y]/fkL,

82
 kkm{\o'hlg:6, /]l:kof]/]6/L y]/fkL, l:kr y]/fkL, ;fOsf] y]/fkL, 8]G6n
6]lSgl;og, g]q ;xfos, cf]6L 6]lSgl;og h:tf sfo{qmdx¿
;~rfngsfnflu k|f]T;flxt ug]{ .
!%=%=# o; sfplG;n cGtu{t /x]sf cfo'j]{btkm{sf sfo{qmdx¿ h:t} o'gfgL,
cs'k+r/ cflbnfO{ cfo'j]{b sfplG;n cGtu{t ;fg]{ .
!%=%=$ x]Ny cl;:6]G6 jf :6fkm g;{nfO{ ;DjlGwt ljifoj:t'df slDtdf Psjif]{
cjlwsf] Academic Course u/fO{ Anesthesia Assistant / Perfusion

Assistant sf nflu btf{of]Uo agfpg] k|0ffnL z'? ug]{ .

!^= hf]lvd / cg'dfg
of] gLltsf] k|efjsf/L sfof{Gjogdf lgDg ljifon] k|efj kfg]{5 / ;a}
;/f]sf/jfnfx¿sf] k|ltj4tf ljgf plNnlvt sfo{qmdx¿ ;DkGg ug{ ;lsg] 5}g . o;
k|ltj]bgdf k|:t't ul/Psf sltko ;'emfjx¿ gofF sfg'gsf] lgdf{0f kZrft dfq} nfu" ug{
;Dej x'g]5 .
!^=! o; gLlt k|lt /fhg}lts bnx?, ;/sf/ / cfd lrlsT;f lzIff ;d'bfoaf6 ckgTj
/ sfof{Gjogsf] k|ltj4tf ck]Iff ul/Psf] 5 . To:t} o; gLltdf k|:tfj ul/Psf
u'0f:t/ tyf dfkb08 ;DaGwL Joj:yfx? ;fj{hlgs tyf lghL If]qsf :jf:Yo
lzIf0f ;:yfx?df ;dfg?kn] nfu" x'g]5g\ .
!^=@ /fli6«o :jf:Yo ljdfsf] :yfkgf / k|of]u x'g] . To;af6 hgtfsf] :jf:Yo ;]jfdf
kx'Fr a9\g] / :jf:Yo lzIffsf] u'0f:t/df j[l4 x'g] ck]Iff ul/Psf] 5 .
!^=# g]kfn ;/sf/af6 c:ktfnx¿sf] k|Tofog ;DaGwL ;+/rgfsf] :yfkgf / sfof{Gjog
x'g] ck]Iff ul/Psf] 5 .
!^=$ pTkflbt :jf:YosdL{x¿nfO{ sfd ug]{ pko'Qm jftfj/0f ;[hgf ug{ :jf:Yo
dGqfnosf] k|ltj4tf tyf kxnsbdLsf] ck]Iff ul/Psf] 5 .

83
pk;+xf/

d]l8sn sn]h hg:jf:Yo;Fu k|ToIf lhDd]jf/ x'G5 eGg] ljZjJofkL dfGotf

/lxcfPsf] 5 . of] cfd hgtfsf] ;/f]sf/sf] ljifo xf] . o; b[li6sf]0faf6 x]bf{ :jf:Yo
lzIf0f ;+:yfx¿nfO{ ;fj{hlgs ;Dkltsf] ¿kdf / lrlsT;f ;]jfnfO{ ;fj{hlgs j:t'sf]
¿kdf lng'kg]{ x'G5 . t;y{ d]l8sn sn]h nufotsf :jf:Yo lzIf0f ;+:yfx¿n] k|bfg ug]{
lrlsT;f lzIff / :jf:Yo ;]jf ;fdflhs ;Demf}tf -Social Contract_ sf] cjwf/0ff d'tflas
;~rfng x'g'k5{ .

lrlsT;f lzIff k|0ffnL hxfF lzIffsf] k|ToIf ;DaGw hgtfsf] :jf:Yo / ;fj{hlgs
lxt -Well-being_ ;Fu x'G5 o; cj:yfdf lzIffsf] u'0f:t/nfO{ pkef]ustf{ -ljBfyL{
tyf cleefjs_ sf] ;Gt'li7;Fu dfq hf]8]/ dfkg ug{ ldNb}g . o;nfO{ ;du| ;dfhdf kg{
hfg] ;sf/fTds of]ubfgnfO{ g} dfkgsf] cfwf/ agfO{g'kb{5 .

xfnsf] lrlsT;f lzIff / :jf:Yo ;]jfsf] If]qdf ;/sf/L nufgLsf] cg'kft sd x'b}
uO{/x]sf] b]lvPsf]n] g]kfnn] cjnDjg u/]sf] gLltdf k'g/fjnf]sg ug]{ ;do cfPsf] 5 .
cGoyf o;n] lrlsT;f lzIff / :jf:Yo ;]jfsf] If]qdf xfn k|rngdf /x]sf] d"ntM
gfkmfd"ns Joj:yfnfO{ g} k|f]T;flxt ug]{ sfo{ ug]{5 . lrlsT;f lzIff / :jf:Yo ;]jf h:tf
If]qdf /fHosf] k|ltj4tf / cfjZos cfly{s nufgL k'gM a9fpg' kg]{ ePsf] 5 . of]
lrlsT;f lzIff / :Jff:Yo ;]jfsf] u'0f:t/Lotf ;'lglZrt ug{ s7f]/ lg0f{o lng'kg]{ 3l8 klg
xf] . ljutsf] d'n's leqsf] cg'ej / ;+;f/af6 xfl;n ul/Psf kf7x¿ -l;sfO_ sf
cfwf/df cfd g]kfnL hgtfsf] a[xQ/ lxtsf] nflu lng'kg]{ pko'Qm af6f] xfdL cfkm}n] to
ug'{kg]{ a]nf cfPsf] 5 . oxfF k|:t't ul/Psf ljifo tyf d'2fx¿ tyf ltgsf ;dfwfgsf
pkfox¿ Jojxf/df nfu" ug{ ;s] casf lbgdf lrlsT;f lzIffsf] u'0f:t/df a[l4 x'g] tyf
cfd hgtfsf] :jf:Yodf ;sf/fTds kl/jt{g cfpg]5 eGg] ljZjf; ug{ ;lsG5 .

84
;Gbe{ ;fdu|L

lzIff dGqfno -@)&!_ . lrlsT;f lj1fg ;DaGwL ljZjljBfnosf] ;DefJotf cWoog

sfo{bnsf] k|ltj]bg, @)&! -clwsf/L k|ltj]bg_ MlzIff dGqfno, sf7df08f} .

lzIff dGqfno -@)&!_ .d]l8sn sn]h pRr:t/Lo /fli6«o dfkb08 l;kmfl/z ;ldltsf]
k|ltj]bg, @)&! -lu/L k|ltj]bg_ M lzIff dGqfno, sf7df08f} .

:jf:Yo tyf hg;+Vof dGqfno -@)&!_ . g]kfn ;/sf/sf] /fli6«o :jf:Yo gLlt, @)&! M
:jf:Yo dGqfno, sf7df08f} .
k|fljlws tyf Jofj;flos lzIff / tflndM Ps emns -@)&)_ Mk|fljlws lzIff tyf
Jofj;flos tfnLd kl/ifb, ;fgf]l7dL, eQmk'/ .
http://www.ctevt.org.np/files/CTEVT%20JHALAK%20JULY%202013%20_%202070-04-
01%20Final.pdf

CTEVT (2014).A Study Report on National Skilled Human Resource Projection in Health
and Engineering Profession : CTEVT, Sanothimi, Bhaktapur.
http://www.ctevt.org.np/files/Research%20Journal%202010.pdf

GIC, (2010).Education of Health Professionals for the 21st Century. A Global

Independent Commission 2010

http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(10)60450-3.pdf

Global Consensus, (2010).Global Consensus on Social Accountability of Medical Schools

2010. SouthAfrica

http://www.ub.edu/medicina_unitateducaciomedica/documentos/Global%20Consensus.pdf

Government of Canada (2001).Social Accountability: A Vision for Canadian Medical

SchoolsCanada :2001
https://www.afmc.ca/pdf/pdf_sa_vision_canadian_medical_schools_en.pdf

85
LCME, (2015). LCME Function & Structure of Medical School.
http://www.lcme.org/publications.htm#standards-section

WFME (2012). Basic Medical Education. WFME Global Standards for Quality
Improvement. Denmark.
http://wfme.org/standards/bme/78-new-version-2012-quality-improvement-in-basic-
medical-education-english/file

WHO, (2010). Increasing Access to Health Workers in Remote and Rural Areas Through
Improved Retention. Global Policy Recommendation. Geneva.
http://whqlibdoc.who.int/publications/2010/9789241564014_eng.pdf?ua=1

WHO, (2005). WFME – WHO on Accreditation of Medical Schools.

http://wfme.org/accreditation/whowfme-policy/28-2-who-wfme-guidelines-for-
accreditation-of-basic-medical-education-english/file

WHO, (2013). Transforming and scaling up health professionals' education and training.
Geneva.
http://whoeducationguidelines.org/sites/default/files/uploads/whoeduguidelines_PolicyBrief_Re
gulation.pdf

WHO, (2001).Universities and the health of the disadvantaged. Geneva.

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.112.8929&rep=rep1&type=pdf

86
 cg';"rLx¿

cg';"rL–! pRr:t/Lo sfo{bn u7g

87
cg';"rL– @ pRr:t/Lo sfo{bnsf] ToR

88
cg';"rL– # ;'emfj ;+sngsf nflu tof/ kfl/Psf] k|ZgfjnL

Questionnaire for feedback on Health Professional Education Policy

Please answer the following questions by clicking in the appropriate box.

Please feel free to choose questions that you would like to answer.

1. Do you think we should produce Health Professionals (Doctors, Dentists,

Nurses,Pharmacists,Allied Health Personnel etc.) primarily for meeting the
needs of the people of Nepal?

Yes No

2. Do you think Health Profession Education Institutions should be socially

accountable?

Yes No

3. What do you think should be the optimal doctor–population ratio for Nepal
for the foreseeable future?

1:250

1:500

1:1000

1:2000

4. Do you think the state needs to regulate Health Profession Education? In

other words,
Should the Health Profession Education be guided by the projected health
system requirement?

Yes No

89
 Or, should we let the market forces drive the Health Profession Education?

Yes No

5. What do you think should be the fate of the Health Profession Education
institutions (e.g. colleges) once the nation meets the required numbers of
health human resources?

Continue to produce for global market

Close them

Let the market decide

6. Do you think medical colleges should be established on the basis of

demography and regional balance?

Yes No

7. Do you think the same principle should be followed in establishing other

Health Profession Education Institutions?

Yes No

8. How do you think the private medical colleges should operate?

As 'for profit'

As 'not for profit'

9. Do you think the MBBS graduates should be mandated to serve the country
for a specified period of time before they are eligible for admissions to
postgraduate trainings within and outside Nepal?

Yes No

10. Do you agree with the principle of "legitimate expectation"? In other words,
should the government honor the Letter of Intents (LOIs) it has already
granted?

90
 Yes No

11. Do you think the Government should continue granting LOIs for new
medical colleges?

Yes No Only under special circumstances as per Q. 6

12. Do you think the Government should follow the same principle in granting
LOIs for new Nursing and other Health EducationalInstitutions?

Yes No

13. Do you think we should make it mandatory for all new medical colleges to
have a fully functioning hospital for 3 years before applying for affiliation
and/or accreditation?

Yes No

14. Do you think we should apply the same principle for Nursing and Allied
Health Profession Education Institutions?

Yes No

15. Do you think the presently available number of seats for postgraduate
trainings is adequate?

Yes No

16. If No, what do you think are the options for increasing the postgraduate
seats?

Increase the seats in the university programs

Create national boards for specialist certification

Both

17. What do you think the admission process for theHealth Profession
Education Programsshould be like?

Solely based on academic merit

91
 Also assess non-cognitive aspects (personal qualities such as mental agility, problem
solving skills, interpersonal skills, moral orientation etc.)

18. Do you think the candidates' geographic origin, ethnicity and gender should
also be consideredin the selection process?

Yes No

19. Do you think the applicants who have rendered service

in public institutions in remote areas should get preference in enrollment in
postgraduate training programs?

Yes No

20. Do you think there should be a ceiling in the tuition fee for Health
Profession Education Programs?

Yes No

21. Do you think the postgraduate (MD / MS etc.) residents should be paying
for their training?

Yes No

A) If yes, should it be controlled?

Yes No

B) If no, should the government fully waive the fee and have the trainee
sign a contract with the Health Ministry to serve in the designated
areas upon completion of their training?

Yes No

22. Do you think the academic faculty should possess demonstrated

competence and productivity in the domain of research, creativity and
innovation?

Yes No

92
23. Do you think the government should provide adequate funding to the
academic institutions for ensuring production and availability of competent
health human resources?

Yes No

24. Do you think every practicing doctor should undergo specified credit hours
of continuous medical education programs every year?

Yes No

25. Do you think recertification of specialists and relicensing of MBBS doctors

should be introduced?

Yes No

26. Do you think a specified teachers training program for each faculty should
be made mandatory in all the institutions before/soon after being
inducted?

Yes No

27. Do you think medical teachers should be full time employees, not involved
in private practice?

Yes No

28. Do you think the Health Professional Education should be competence

(professional knowledge, evidence based decision making, practical skills)
based?

Yes No

29. Do you think that we need a separate medical university to ensure uniform
standard of education?

Yes No

93
30. Do you think addition of humanities/liberal arts subjects to current science
drivenHealth Profession Education will make better health professionals?

Yes No

31. Please write any other suggestion you may have (Please attach a separate
copy if required)

Please fill your name (optional)………………………………..

94
 cg';"rL– $

NMC Yardsticks for Monitoring of the Medical Schools for Accreditation

Table:1 Infrastructure 25

A = 100 B = 99-75 C = < 75

A B C

Land 5 5 3 1

Educational infrastructure (class rooms 50 50 30 10

, labs, equipment & instrument , etc.)

Support system 5 5 3 1

Library 20 20 12 4

Skills Lab 10 10 6 2

IT facilities 10 10 6 2

Table: 2 Teaching Hospital 25

A = 100 B = 99-75 C =< 75

A B C

Bed occupancy 40 40 24 8

Daily OPD pt. number 15 15 9 3

Ambulatory T/l facilities 15 15 9 3

and activities

OT facilities 10 10 6 2

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Community field posting 10 10 6 2

Equipments 10 10 6 2

Table: 3 Faculties 25

A = 100 B = 99-75 C = < 75

A B C

Basic Sciences 30 30 18 6

Clinical Sciences 30 30 18 6

Medical education 10 10 6 2

Local:foreign faculties ratio 10 10 6 2

HRH dev. Initiatives 20 20 12 4

Table: 4 Student welfare 10

A = 100 B = 99-75 C = < 75

Hostel 50 A B C

Canteen 20 20 12 4

Sports facilities 15 15 9 3

Student counseling 15 15 9 3

Table no 5 : Educational Monitoring system & Outcome 15

A = 100 B = 99-75 C = < 75

A B C

Calendar of Operation 20 20 12 4

Educational Record Keeping (e.g. 20 20 12 4

96
Log Book)

Student feedback 10 10 6 2

% Pass UE 25 25 15 5

% Pass LME 25 25 15 5

Guideline for skills laboratory skills

Students should be able to acquire following clinical skills and procedural skills:

Clinical skills:

 Rectal and vaginal examination

 Ear drum examination

 Breast examination

 Various heart sounds, breath sounds

 Palpation of abdomen and uterus

 Fundus examination

 Splint and bandage

Procedure skills:

 Cardio-pulmonary resuscitation (CPR)

o Neonate

o Child

o Adult

 CPR with Advanced cardiac life support (ACLS)

 Intubation on

o Paediatric

97
 o Adult

 Obtain venous access

 Umbilical catheterization

 Urethral catheterization

 Insertion of N/G tube

 Radial artery puncture

 Lumber punture

 Pleural aspiration

 Chest tube insertion

 Central line

 Wound closure

 Scrubbing

 Putting gown and gloves

Skills may be added on further according to the availability and requirement

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99
100