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CHAPTER I
PRELIMINARY

  1. Short title, application and commencement.—(1) This Act shallbe called the Federal
    Medical Teaching Institutes Act, 2021.
    (2) It shall apply to all Federally owned or operated medical teachinginstitutes, its affiliates and
    subsidiaries thereof in Pakistan,
    (3) It shall come into force at once.
    CHAPTER II
    DEFINITIONS
  2. Definitions.—In this Act, unless the context otherwise requires,—
    (a) “basic science faculty” means a medical faculty not involved inpatient care;
    (b) “Board” means the Board of Governors constituted under section 4;
    (c) “Chairperson” means the Chairperson of the Board;
    (d) “clinical faculty” means a medical faculty involved in any mannerwith a clinical
    care of patients, whether diagnostic or therapeutic;
    (e) “college” means a medical college, dental or a nursing college inthe public sector;
    (f) “consultant” means and includes—
    (i) those medical faculties involved in patient care; or
    (ii) those staff who act as service provider to the patients in the hospital;
    (g) “dean” means the academic head of the medical teachinginstitution;
    (h) “employee” means a person who is—
    (i) an employee appointed by the Board of the medical teaching institution under
    this Act or rules and regulations made there- under; or
    (ii) a civil servant who has opted to become an employee of themedical teaching
    institution under section 17.
    (i) “medical faculty” means and includes the basic science faculty andclinical faculty
    which includes senior registrar and above as well asdean of the medical teaching
    institute, involved in teaching, training or patient care;
    (j) “Government” means the Federal Government;
    (k) “healthcare services” means preventive, curative, promotive, rehabilitative health
    services and include diagnostic, support services, laboratory, accident and
    emergency, pharmacy and paramedic support;
    (l) “member” means a member of the Board and includes Chairperson;
    (m) “medical teaching institution” means a public sector medical, dental or nursing
    college or any other medical teaching institution and their affiliated teaching
    hospitals located anywhere in Pakistan owned and controlled by the Federal
    Government and included or notified by the Federal Government in Schedule-I to
    this Act;
    (n) “prescribed” means prescribed by rules or regulations made under this Act;
    (o) “regulations” means regulations made under this Act;
    (p) “rules” means rules made under this Act;
    (q) “search and nomination council” means search and nominationcouncil notified by
    the Government under section 7, and
    (r) “Tribunal” means the Federal Medical Teaching Institutions Tribunal established
    under this Act
    CHAPTER III
    MEDICAL TEACHING INSTITUTE
  3. The medical teaching institution.—(1) The institutions included in Schedule-I shall be
    medical teaching institutions established under this Act as an autonomous body having perpetual
    succession and a common seal with power to acquire, hold and dispose off movable property and may
    in its namesue and be sued.
    (2) The objective of the medical teaching institution shall be to undertake all functions required
    for providing health facilities and healthcare services to the people and to provide medical education and
    training and research and to perform such other functions as are assigned to it by the Government from
    time to time.
  4. Board of Governors.—(1) There shall be a Board of Governors ofthe medical teaching
    institution to administer and manage its affairs and shall have overall superintendence and control over
    the functions and all their related matters.
    (2) The Board of Governors shall comprise such number of members as may be determined by
    the Government but shall neither be, less than three members and nor exceed seven members and all of
    whom shall be from the private sector.
    (3) The members shall be appointed by the Government on the recommendation of the search and
    nomination council constituted under section 7:
    Provided that the members shall, unless otherwise directed by the Government, hold office for a
    period of three years and be eligible for re- appointment.
    (4) The members may include eminent technical and professional persons in their respective
    fields having significant aptitude and time available for improving the hospital services, such as legal,
    finance, economics, management, medical profession, retired civil servants, educationists, social workers,
    representatives of civil society, businessmen and renowned philanthropists.
    (5) The Chairperson shall be elected by the members through voting from amongst the mselves
    and he shall preside over the Board meetings. In case of his absence, the Chairperson may nominate a
    Board member as acting Chairperson or if he has not done so, the members present shall elect an acting
    Chairperson for that meeting.
    (6) The membership of a member shall cease and fall vacant if the member resigns, or fails to
    attend three consecutive meetings of the Boardwithout sufficient cause or for any other reasons which
    incapacitate the member to remain as member. Any such vacancy shall be filled within one month.
    (7) The membership of a member may be terminated by notification inthe official Gazette on
    grounds of incompetence or for reasons noted in sub- section (8) or in view of actions of such member
    which bring the medical teaching institution or the Board into disrepute.
    (8) No person shall be appointed or remain as a member of the Board, if such person—
    (a) is by a competent court of law declared as of un-sound mind;
    (b) has before a court of law applied to be adjudicated as an insolvent and his
    application is pending;
    (c) is by a competent court of law declared an un-discharged insolvent;
    (d) has been by a court of law convicted for an offence involvingmoral turpitude;
    (e) has been debarred from holding any office under any law; or
    (f) has a conflict of interest with such a position.
  5. Conduct of business.—(1) All decisions of the Board shall be taken by consensus and in case
    of division of opinion, the decision shall be takenby majority of votes:
    Provided that in case of equality of votes, the Chairperson of the Boardshall have a second casting
    vote.
    (2) No act or proceedings of the Board shall be invalid, merely on the ground of existence of any
    vacancy in or defect in constitution of the Board, subject to the condition that any act or proceeding of the
    Board taken by lessthan three members on account of vacancies shall be ratified immediately by the
    Board upon the minimum membership of the Board prescribed under sub-section (2) of section 4.
    (3) The quorum for meeting of the Board shall be four members or two- thirds of the total number
    of Board Members, whichever is less.
    (4) The member count shall be determined by actual members present and proxy votes shall not
    count.
    (5) The Board may hold meetings as frequently as required, but shall hold at least one meeting on
    a quarterly basis.
    (6) Special meetings of the Board shall be convened on the special request of at least one third of
    the Board members for consideration of any important or urgent matter.
    (7) Subject to the provisions of this Act and the rules and regulations made there-under, the Board
    may appoint sub-committees of the Board, provided that a sub-committee shall be at all times headed by
    a member of the Board who is also a member of such committee and such sub-committees constituted
    shall perform such functions as may be prescribed by the Board orthe rules or regulations made pursuant
    to this Act.
    (8) The remuneration for attending the Board meeting shall be such as may be prescribed.
    (9) The Secretary to the Board when appointed shall be an employee of the Board, who shall
    perform all secretarial and office functions of the Board at the direction of the Chairman and shall be
    responsible for recording minutes of the Board meetings, convening Board meetings, carrying out
    communication with all Board members and all other functions as may be prescribed.
  6. Functions and powers of the Board.—(1) The Board shall be responsible for.—
    (a) ensuring that the objectives of the medical teaching institutionwithin the overall
    ambit of Government policy are achieved, overseeing effective management and
    providing strategic direction to the medical teaching institution;
    (b) policy making of the medical teaching institution and ensuring that its performance
    and its programmes are efficient and effective;
    (c) prescribe procedures for appointment, terms and conditions of service, disciplinary
    matters and other service mattersfor the employees;
    (d) creation, re-designation, up-gradation, down-gradation or abolition of posts pursuant
    to prior consultation with the Establishment Division where such posts may be
    occupied by persons in government service and provided that while creating posts
    having the financial implications in excess of the approved annual budget that shall
    require prior consultation with the Finance Division;
    (e) approval of vision and mission statement;
    (f) approval of annual business plan;
    (g) review and approval of major transactions;
    (h) approval of new programs and services and monitor organizationalperformance;
    (i) approval of financial plans and annual budget;
    (j) approval of regulations for medical staff and overseeing theprocessfor appointment
    of members of the medical staff;
    (k) approval of programs and services to ensure that all legal, regulatory and
    accreditation requirements are met;
    (l) constitution of a finance committee and such other committees orsub-committees,
    as it may deem appropriate; and
    (2) Medical teaching institution shall be accountable to Ministry of National Health Services,
    Regulations and Coordination for its performance and shall regularly provide performance based data at
    set intervals based on Ministryof National Health Services, Regulations and Coordination set performance
    monitoring format, with attendant reward and discipline measures and the Ministry of National Health
    Services, Regulations and Coordination shall also periodically evaluate the performance of the medical
    teaching institution against the set targets particularly related to efficiency, effectiveness and equity with
    attendant reward and discipline measures.
    (3) The Board shall in prescribed manner appoint the dean, hospital director, medical director,
    nursing director and finance director of the medical teaching institution.
    (4) The Chairperson, of the Board may, in case of exigency of service, appoint the dean, medical
    director, hospital director, nursing director and financedirector on officiating basis. All such appointments
    shall be placed before the Board for approval within three months.
  7. Search and nomination council.—(1) The Government shall constitute and notify a search
    and nomination council, to recommend persons from private sector suitable to be appointed as members
    of the Board and which shall consist of—
    (a) Minister Concerned or his representative or Federal
    Minister nominated Chairman by the Prime Minister; Chairman
    (b) Secretary of the Division concerned; Vice Chairman
    (c) Secretary Planning Division; Member
    (d) Vice Chancellor of the Quaid e Azam University; Member
    (e) a philanthropist with substantial contribution to
    public healthcare to be nominated by Government; Member
    (f) a retired senior person from medical profession to
    be nominated by Government; Member
    (g) a representative of civil society to be nominated
    by Government. Membe
    (2) The Chairman shall chair the meeting of the council search and nomination and in his
    absence, the Vice-Chairman shall chair the meeting.
    (3) A member from the private sector shall, unless otherwise directed byGovernment, hold office
    for a period of three years and shall be eligible for anotherterm of three years or part thereof as the
    Government may deem appropriate:
    Provided that the Government may remove a member appointed pursuant to clauses (e), (f) and
    (g) of sub-section (1) at any time after giving him an opportunity of being heard.
  8. Governance.—(1) Each college under the medical teachinginstitution shall be headed by a
    dean and the dean of the medical college shall act as the chief executive officer of the medical teaching
    institution and shall further consist of chairpersons and medical faculties of various departments of the
    college as may be prescribed.
    (2) In each college, there shall be an academic council headed by the dean of the college and
    consisting of members as prescribed entrusted with the function to prescribe and set principles and
    standards for teaching, research, training, student admissions, and curriculum development, to ensure and
    inculcate the highest ethical standards.
    (3) Administrative control of a college which is also a constituentcollege of a university shall
    vest in the medical teaching institution except the conduct of examinations which shall be determined by
    the university.
  9. Management committee.—(1) For a medical teaching institution there shall be a
    management committee consisting of—
    (a) dean of the medical teaching institution; Chairman
    (b) hospital director; Member
    (c) medical director; Member
    (d) nursing director; Member
    (e) finance director; Member
    (f) any other two persons appointed by the Board
    on the recommendation of the dean of the medical
    teaching institution. Member
    (2) The management committee shall recommend to the Board any addition of a department,
    facility or post at the medical teaching institution.
    (3) The management committee shall perform all such other functions as may be prescribed.
  10. Dean.—(1) The dean of the colleges shall be appointed by the Board for a period of five years
    and shall be eligible for re-appointment, through merit-based process on such terms and conditions and
    having such qualificationsand experience as maybe prescribed. The dean shall further act as per the
    directions of the Board in prescribed manner.
    (2) The dean, on appointment, shall simultaneously receive a faculty appointment at a level
    commensurate with his qualifications and the prescribed institutional requirements for the faculty post,
    which appointment shall not be limited to the term applicable to the office of the dean.
    (3) The chairperson of various departments shall be appointed by the dean through merit-based
    process, on such terms and conditions and in such a manner as may be prescribed. A chairperson may
    be removed by the Board onthe recommendation of the dean, after giving him the opportunity of being
    heard.
    (2) The dean may in the prescribed manner be removed from the officeby the Board through a
    process at any time on the grounds including failure to achieve targets set by the Board.
    (3) in the performance of his functions, the dean shall be responsible to the Board and the
    chairpersons of the departments shall be responsible to the dean and academic council.
    (4) The Board from amongst the chairpersons of the departments shall appoint a vice-dean to
    perform the functions of the dean in the absence of the dean.
  11. Hospital Director.—(1) The Board shall appoint a full time hospital director for a period of
    five years and shall be eligible forre-appointment, on such terms and conditions as may be prescribed
    and no Board member shall be appointed as hospital director.
    (2) No person shall be appointed as the hospital director unless he possesses a recognized
    master’s degree in hospital management or health services management or business management or
    public health or public administration or any other relevant management qualifications having
    experience of management in an organization or institution as may be prescribed:
    Provided that a person, who possesses a recognized medical degree may also apply for the post
    of hospital director with the condition that he shall havean additional management degree and
    experience provided in this sub-sectionand shall have no right to do private practice.
    (3) The hospital director may, after giving him an opportunity of beingheard, be removed from
    the office by the Board, before the expiration of the periodof five years, on such grounds and through a
    process as may be prescribed.
    (4) In performance of his functions, the hospital director shall be responsible to the Board.
    (5) The hospital director shall not have any conflict of interest with such a position.
  12. Functions of the Hospital Director.—The hospital director shall be responsible—
    (a) for all non-clinical functions of the hospital;
    (b) Preparation of the annual budget and business plan for presentation to the
    management committee and the board;
    (c) maintenance of building and engineering services;
    (d) maintenance and development of all ancillary services, including but not limited
    to pharmacy, nursing, materials management, human resources, clerical,
    communications and security services;
    (e) to act as the principal accounting officer responsible and accountable for
    maintaining financial discipline and transparency; and
    (f) for implementation and execution of Board and management committee policies
    and to achieve the targets set by the Board.
  13. Medical Director.—(1) The Board shall appoint a full time, medical director for the
    hospital for a period of five years and shall be eligiblefor re-appointment, on such terms and conditions
    as may be prescribed and no Board member shall be appointed as medical director.
    (2) The medical director, on appointment, shall simultaneously receivea faculty appointment at
    a level commensurate with his qualifications and the prescribed institutional requirements for the faculty
    post, which appointment shall not be limited to the term applicable to the office of the medical director.
    (3) No person shall be appointed as the medical director unless he possess a recognized medical
    degree with management or administrative experience of working in management positions in an
    institution or organization as may be prescribed.
    (4) The medical director may, after giving him an opportunity of beingheard, be removed from
    the office by the Board, before the expiration of the period of five years, on such grounds and through
    a process as may be prescribed.
    (5) All clinical department heads will report to the medical director.
    (6) In respect of performance and functions, the medical director shall be responsible to the
    Board.
    (7) The medical director shall not have any conflict of interest with such a position.
  14. Functions of the Medical Director.—The medical director shall be responsible for all
    clinical functions of the hospital, including but not limited to—
    (a) ensuring clinical excellence in all aspects of hospital functions;
    (b) ensuring timely, appropriate management of patients;
    (c) ensuring the best outcomes for all patients;
    (d) undertaking clinical governance for quality control;
    (e) assessing and auditing existing clinical programs and developing new clinical
    programs; and
    (f) developing an annual clinical budget, including capital medical equipment
    requests for presentation to the hospital director, the management committee and
    the Board.
  15. Nursing Director.—(1) The Board shall appoint a full time, non- practicing nursing director
    for the hospital for a period of five years and shall be eligible for re-appointment, on such terms and
    conditions as may be prescribed and determine; provided no Board member shall be appointed as such.
    (2) No person shall be appointed the nursing director unless he possesses such qualification and
    experience as may be prescribed.
    (3) The nursing director may, after giving him an opportunity of being heard, be removed from the
    office by the Board, before the expiration of the period of five years, on such grounds and through a
    process as may be prescribed.
    (4) In respect of performance and functions, the nursing director shall be responsible to the Board.
    (5) The nursing director shall not have any conflict of interest with such a position.
    (6) The nursing director shall be responsible for all nursing functions, including training of nurses,
    ensuring adequate nursing staffing for all clinical needs, maintaining the highest nursing standards and
    performing regular auditsof nursing functions.
    (7) The nursing director shall perform such other functions as may be prescribed by the Board.
  16. Finance Director.—The finance director shall be appointed by theBoard in the prescribed
    manner, for a period of three years and shall be eligible for re-appointment, with minimum qualifications
    and to perform such functions in relation to financial matters as may be prescribed.
  17. Service of medical teaching institution.—(1) The Board mayappoint such persons, experts or
    consultants, as deemed necessary and on such terms and conditions as may be prescribed.
    (2) All existing administrative and teaching staff recruited in the manner prescribed under the
    recruitment rules as applicable before commencement of this Act, subject to sub-section (3), shall be
    deemed to be employees of the medical teaching institution on such terms and conditions as may be
    prescribed:
    Provided that such terms and conditions shall not be less favorable in financial terms than the terms
    and conditions admissible to them immediately before the commencement of this Act.
    (3) On commencement of this Act, all the civil servants serving in the medical teaching institution,
    within a period to be notified by the Government, may exercise a one time irrevocable option to become
    employees of the medical teaching institution. The civil servants who opt for such employment, shall be
    subject to terms and conditions of employment as may be prescribed including but not limited to their
    service structure, promotion and disciplinary matters. Such opting employees shall be entitled to postretirement benefits and emoluments as per existing government laws and rules. The medical teaching
    institution shall deposit pension contribution on their behalf.
    (4) A civil servant who does not exercise the option pursuant to sub- section (3) of section 17 shall
    remain a civil servant and shall be deemed an employee of an attached department in terms of schedule
    III of Rules of Business, 1973 as amended from time to time and entitled to all the perks, pension, gratuity,
    housing (within the medical teaching institute if available and Ministry of Housing and Works),
    monetization, health facilities and other privileges declared by the Federal Government from time to time
    (5) The civil servants under sub-section (4) shall be entitled to be posted to any MTI post for
    which they are eligible under MTI rules and regulations and such eligibility will continue for a period
    of 10 years. They will remain eligible to hold the positions of chairman/ head of department in line
    with criteria for these positions in the MTI regulations.
    (6) The options under sub-section (3) once exercised shall be final. A civil servant, who opts to
    serve the medical teaching institution, shall cease to bea civil servant from the date of his absorption in
    the service of the medical teaching institution and his seniority, pension and other matters vis-a-vis
    employment with the medical teaching institution, shall be determined in the manner, as may be
    prescribed.
    (7) If at any time, the management of the medical teaching institution reverts to the Government
    for any reason, the employees appointed under sub-section (1) shall continue to serve the medical
    teaching institution, on the same terms and conditions as applicable to them immediately before such
    reversion.
    (8) Subject to the other provisions of this section, all employees, whether having opted or
    directly appointed prior to commencement of this Actor pursuant to this Act shall be at all times be
    governed exclusively by the terms and conditions of service as may be prescribed.
    (9) All employees, except the dean, hospital director, medical director, nursing director and
    finance director, shall have the right to appeal against any penalty to the Board unless such penalty is
    imposed by an order of the Board itself.
    (10) Any employee aggrieved by a decision of the Board including the dean, hospital
    director, medical director, nursing director and finance director, may seek resolution of the grievance
    by referral of the grievance or dispute tothe Tribunal.
    (11) Any and all employment disputes as may be pending before the courts of law shall
    be deemed transferred with immediate effect for adjudication to the Tribunal established under this Act.
  18. Tribunal.—(1) The Government shall establish by notification in the official Gazette a
    Tribunal which shall perform its functions in the prescribedmanner for the purpose of sub-sections (10)
    and (11) of section 17.
    The Tribunal shall consist of a minimum of six members appointedfor a term of five years by
    the Government in the prescribed manner and no person shall be appointed as member of the Tribunal
    unless he has been a Judge of the Supreme Court or a High Court or an advocate of the Supreme Court
    of Pakistan having at least twenty-five years experience of active practice as anadvocate
    (2) The Government shall in the prescribed manner appoint aSecretary of the Tribunal who shall
    be responsible for managing the affairs of the Tribunal and its operations.
    (3) The members of the Tribunal shall receive such remuneration as may be prescribed by rules.
    (4) Each dispute referred to the Tribunal shall be decided within a maximum period of ninety days
    from being filed.
    (5) The parties may be required to pay an institution and other fees as may be prescribed. Any
    shortfall in the cost of operation of the Tribunal shall be funded by the Government.
    (6) Any party may within thirty days file an appeal against a decision of the Tribunal before the
    High Court of the competent jurisdiction and which shall be heard by a Division Bench of the High Court
    and decided within six months of being instituted.
  19. Private practice.—(1) After the commencement of this Act, all consultants working in
    government hospitals, clinics, imaging facilities and laboratories belonging to the medical teaching
    institution shall be given an optioneither to do their private practice within the hospitals, clinics, imaging
    facilities and laboratories of the medical teaching institution or to do their private practice outside the
    hospitals, clinics, imaging facilities and laboratories of the Medical TeachingInstitution, as the case may
    be. The option shall in the prescribed manner be exercised within a period of sixty days as prescribed under
    regulations.
    (2) Employees who opt for private practice within the premises of the hospital, clinics, imaging
    facilities and laboratories of the medical teachinginstitution, may be entitled to such increase in salary,
    adjustment, bonuses or other ancillary benefits, as the Board may approve.
    (3) Employees who do not opt for private practice within the premises of hospitals, clinics,
    imaging facilities and laboratories of the medical teaching institution, shall he allowed to do their private
    practice outside the premises of the hospitals, clinics, imaging facilities and laboratories of the medical
    teaching institution and shall not be entitled to any increase in adjustment, incentives bonuses or other
    ancillary benefits, or to hold management or lead positions, except in case of extreme exigency as
    determined by the Board.
    (4) Ali employees hired after the commencement of this Act shall be expected to perform their
    private practice within the medical teaching institutions hospital, clinics, imaging facilities and
    laboratories and shall not be permitted private practice outside these facilities.
    (5) In the performance of functions in the hospital, the consultant shall be responsible to the hospital
    management, with respect to service provided to the patients in the hospital and shall follow all the rules
    and regulations relating to hospital management.
    (6) The medical teaching institution shall provide facilities for themost efficient services to allow
    the consultants to perform their services at the highest level of excellence, including space, equipment,
    nursing, ancillary or clerical staff, laboratory, imaging and inpatient and surgical services as needed. Such
    facilities shall remain open as long as necessary to provide these services. The individual consultant shall
    be held responsible for the most efficient use of the facilities and shall be expected to provide cost and
    income projections for each new facility, equipment or service request with the support of hospital director
    and staff.
    (7) Consultants professional fee shall not exceed the usual and customary fees charged for the same
    services in the community, assuring efficiency and value for money to the clients.
    (8) Private patient billing shall consist of the professional fee component and the institutional
    charges representing the charges of the clinic, imaging facility, laboratory services or other institutional
    charges:
    Provided that all patient billing shall be done only by the hospital, clinic, imaging facility or
    laboratory, and the professional fee component shall bereturned to the consultant.
    (9) No reduction of the professional component income to the Consultantfrom the patient shall be
    permissible by the medical teaching institution.
    (10) A percentage share from the institutional charges shall bedistributed between the employees,
    based on performance and productivity,according to a format to be prescribed by regulations.
  20. Retention of fee.—(1) Notwithstanding anything contained in any law or rules, the medical
    teaching institution shall retain receipts from various fees levied by Government or the Board to meet
    recurring and development expenditure of the medical teaching institution.
    (2) The amount realized from such receipts shall not be deducted from the annual grant provided
    by Government and such amount realized from the receipts shall be utilized as per specification by the
    Board.
  21. Fund.—(1) There shall be a Fund in the name of the Medical Teaching Institution Fund and
    the management thereof shall vest in the Board.
    (2) The Fund shall consist of—
    (a) grants from the Government as a single line budget;
    (b) receipts and user charges as specified by Board in consultation withMinistry of National
    Health S Services, Regulations and Coordinationfrom time to time in such manner as may
    be prescribed;
    (c) voluntary contributions or donations; and
    (d) grants from other sources.
    (3) The Fund shall be kept in such custody and shall be utilized and regulated in such manner as
    may be prescribed by regulations after consultation with the Ministry of National Health Services,
    Regulations and Coordination.
    (4) The Fund account shall be maintained at such bank or treasury as may be prescribed by
    regulations after consultation with the Ministry of National Health Services, Regulations and
    Coordination.
    (5) Subject to any other law for the time being in force in this behalf, the Board may, in so far as
    its money is not required for immediate expenses, invest the surplus money in such manner as may be
    prescribed.
    (6) The Board may invest surplus money as prescribed under the regulations.
  22. Budget, audit and accounts.—(1) The budget shall be approved by the Board and its
    accounts shall be maintained and audited in such manner as may be prescribed on the advice of the Auditor
    General of Pakistan.
    (2) Government shall carry out annual audit of the Board through a third party.
    (3) The medical teaching institutions accounts shall be audited by the Auditor General of
    Pakistan.
  23. Employees to be public servant.—The employees of the medical teaching institution shall
    be deemed to he public servants within the meaning of section 21 of the Pakistan Panel Code, 1860 (Act
    XLV of 1860) provided it shallnot ascribe to them any rights of employment or benefits as may be
    otherwise applicable to public servants.
  24. Removal of difficulties.—if a difficulty arises in giving effect to anyof the provisions of this
    Act, the Government may, by notification in the official Gazette, make such order as it deems necessary for
    removal of the difficulty:
    Provided that this power shall not be exercised after two years of thecommencement of this
    Act.
  25. Power to make rules.—(1) The Government may, by notification in the official Gazette,
    make rules for giving effect to the provisions of this Act.
    (2) The power to make rules conferred by this section shall be subject to the condition of previous
    publication and, before making any rules, the draft thereof shall be published on the website of the medical
    teaching institution and the Division concerned for eliciting public opinion thereon within a period of not
    less than fifteen days from the date of publication.
  26. Power to make regulations.—(1) The Board may make regulations, not inconsistent with
    the provisions of this Act and the rules, for carrying out the purposes of this Act subject to the financial
    regulations not being contrary to any general directions of the Finance Division pertaining to utilization
    of public funds.
    (2) The power to make regulations conferred by this section shall be subject to the condition of
    previous publication and, before making any regulations, the draft thereof shall be published on the
    website of the medical teaching institution, for eliciting public opinion thereon within a period of not less
    than fifteen days from the date of publication.
  27. Overriding effect.—(1) Notwithstanding anything to the contrary contained in any other law
    for the time being in force, the provisions of this Act shall have an overriding effect and the provisions
    of any such law to the extentof such inconsistency to this Act shall cease to have effect.
    (2) In the event of a conflict between this Act and a statute constitutinga university, the provisions
    of this Act shall prevail.
    SCHEDULE-I
    (see sections 3)
    List of institutions (colleges and hospitals) declared as medical teachinginstitution
  28. Pakistan Institute of Medical Sciences, Islamabad along with the Federal Medical and Dental
    College, Islamabad being a teaching hospital and constituent college respectively of the Shaheed Zulfigar
    Ali Bhutto Medical University, Islamabad.
  29. School of Dentistry, Islamabad and its Dental Hospital being a constituent college of the
    Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad.

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