Question NW2809 to the Minister of Health
22 September 2023 - NW2809
Shaik Emam, Mr AM to ask the Minister of Health
Whether, noting that a large number of medical students who have studied in the People’s Republic of China at great expense are now having great difficulty in writing their board examinations in the Republic, his department has intervened to ensure that medical students who have studied abroad, particularly in the People’s Republic of China, are given the opportunity to write their board examinations so that they could seek employment in the public and/or private sector; if not, why not; if so, what interventions?
Reply:
The Department regularly engages with the Health Professions Council of South Africa (HPCSA) on matters pertaining to functions and functioning of the HPCSA, including challenges experienced relating to finalisation of the service level agreement with the service provider to conduct the board examination.
According to the response received from the HPCSA, registration with the HPCSA for foreign qualified applicants is only approved after assessment of the training. The relevant board must satisfy itself that, the curriculum and/or training received is equivalent to that offered in South African institutions, or at least, satisfactory. For the relevant board to make the necessary determination, it relies on the submission of documentary evidence by the applicants for review.
Such documents must respond to requirements as set by the relevant board, including hours of training received, domains and evidence of satisfactory clinical exposure during training. The documents, usually written in foreign languages, may also need to be translated into English and notarised. A Task Team of the relevant board will review the submissions and may decide to either reject the application or subject the applicant to a board examination. Once the board has approved the application for a board exam, the applicant may need to wait until a board examination is available according to set schedules (exams are available frequently set, and sometimes, may happen only twice in a year). These processes are lengthy, and may sometimes take several months, especially as applicants sometimes do not provide all the documentary evidence as required timeously (a non-compliant application will not be processed).
Medical Board examinations are managed on behalf of the Medical and Dental Board (MDB) by an appointed service provider. Previously, this was the Sefako Makgatho University (SMU) whose contract expired, following extensions, in March 2023. The HPCSA had already started a supply chain management process to seek a replacement service provider, with initial bids advertised in March 2022. There was only one bidder that responded, which sadly did not meet the requirements. A closed bid was subsequently advertised in July 2022 to all universities with medical schools.
The same institution again was the sole respondent, still not meeting requirements. Management resultantly sought deviation from Council to enable negotiations with the same institution to provide guidance to ensure that requirements are met. The process took a long time, and it is only being concluded now, with a draft contract negotiated, and will soon be ready for signing.
The HPCSA is still planning to have a round of theory and practical examinations before the end of this year, followed by another round as early as possible next year to address the current backlog of applications received.
END.