Concerns regarding the nation’s future access to specialized healthcare have been raised by the steady decline in the number of general practitioners choosing to pursue postgraduate medical education. Because of their lengthy bond obligations, lack of financial incentives, and limited career opportunities, many doctors at JDWNRH are reluctant to pursue specialization. The bond system is a major issue. It requires doctors to serve for three times as long as they need to for postgraduate training and twice as long as they need to for undergraduate studies. Doctors are also discouraged from enrolling in postgraduate programs due to financial concerns.
Bhutanese doctors feel overworked and underappreciated due to the demanding medical training, long hours, and low pay, which calls into question the worth of postgraduate education. The fact that Bhutan’s postgraduate medical degrees are not internationally recognized is another important problem. Limited course diversity in postgraduate programs in the country prompts doctors to seek alternative options abroad, potentially impacting healthcare quality and accessibility. Doctors advocate for reforming the bond system, reducing the bond period, and enhancing financial incentives, working environment, and international recognition of Bhutanese medical degrees.
