Abstract
Emergency medicine is one of the youngest recognized specialties in Nepal, and its growth in clinical practice and academic development has been challenging. In this paper, we reviewed the current state of emergency medicine in Nepal based on review of the literature, personal observations and experience, and interviews with many Nepali and foreign emergency physicians. Most hospitals in Nepal have adopted a multi-specialist approach, where emergency room physicians are primarily general practitioners/family physicians or house officers. As physicians are receiving their training via various pathways, national standards in training and certification have not been developed. As a result, the scope of practice for emergency physicians and the quality of care vary greatly among hospitals. Difficult working conditions, physician recruitment, compensation, and academic enrichment remain major challenges in the development of emergency medicine. For the sustainable development of this specialty, more international guidance and local leadership is needed to standardize the training curriculum, to provide adequate funding opportunities for academic development and to promote the overall development of the emergency care system.
Highlights
Nepal is a small land locked country located in South Asia between China and India
The process of post-graduate training in emergency medicine is highly complex in Nepal
The country has numerous hurdles to overcome on the path of improvement of emergency medicine (EM), including financial, political, cultural, and institutional obstacles
Summary
Nepal is a small land locked country (total area 147,181 sq. km) located in South Asia between China and India. Most centers in the country are run by health assistants with just 2 years of training without any formal training in emergency care. Emergency medical services There is very little pre-hospital care, Nepal did establish its first proper ambulance service a few years ago.
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