• "Bangladesh Academy of Family Physicians"
  • "Bangladesh Academy of Family Physicians"

Academy Constitution

the family physician is at the front line of health service.

The job definition of the Family Physician agreed by the Leeuwenhorst group in 1974 and accepted by many educational bodies as the best available definition to date:

“The Family Physician is a licensed medical graduate who gives personal, primary and continuing care to individuals, families and a practice population, irrespective of age, sex and illness. It is the synthesis of these functions which is unique. He will attend his patients in his consulting room and in their homes and something in a clinic or hospital. His aim is to make early diagnoses. He will include and integrate physical, psychological and social factors in his considerations about health and illness. This will be expressed in the care of his patients. He will make an initial decision about every problem which is presented to him as doctor. He will undertake the continuing management of his patients with chronic, recurrent or terminal illness. Prolonged contract means that he can use repeated opportunities to gather information at a pace appropriate to each patient and build up a relationship of trust which he can use professionally. He will practice in co-operation with other colleagues, medical and non-medical. He will know how and when to intervene through treatment, prevention and education to promote the health of his patients and their families. He will recognize that he also has a professional responsibility to the community.”

The recognition of Family Medicine as a specialty in its own right developed simultaneously in the United Kingdom, in some European countries and later on in the Whole World. Family Medicine is a specialized discipline of medical practice just as Cardiology, Nephrology, Gerontology, etc.

For decades, many fully qualified graduates started their own practice and they become known as Private Practitioners or General Practitioners. For all practical purpose, Family Physicians and Private Practitioners or General Practitioners are the same. The Family Physicians in Bangladesh could no longer further their studies in this particular field. There were no special journals or books relevant to Family Medicine. In the last decade, enormous progress has been made in the field of Family Medicine. But it did not reach in Bangladesh.

The bulk of these professional people have no access to any Continuing Medical Education. The Government has not taken the responsibility of making available educational opportunity. More over there is no appropriate organizations for the Family physicians already in practice which will care for their Continuing Medical Education.

Health for people is hampered by inequitable access to essential clinical and public health services, inefficient health systems and skyrocketing health care costs.

Doctor patient ratio is 1 : 5000 which is a frustrating figure in comparison to many other countries. It is more frustrating knowing that this figure is 1 : 10000 or more in rural areas. Paradoxically physician unemployment and underemployment due to lack of proper planning is a phenomenon of Bangladesh.

Family physicians in Bangladesh are defined by their lack of specially training, rather than formal preparation in comprehensive set of primary care skills. Percentage of specially trained Family Physicians should be increased.

In Bangladesh too great percentage of public fund goes to tertiary care hospitals, and costly specialized medical and surgical equipment and services of marginal benefit rather than delivering cost-effective public health and essential community based clinical services to the entire population.

The majority of public fund and efforts for medical education typically go toward specialized physicians based in training hospitals rather than community based primary care providers. Practically there is no facilities for training and educating family physicians already in practice.

Undergraduate medical education can be more responsive to national health goals related to universal access, and primary, preventive and cost-effective care. Unfortunately, medical students typically are trained in narrowly specialized hospital based settings with patient problems that are increasingly unrepresentative of the community at large.

In Bangladesh Medical Institutions lack the appropriate undergraduate curriculum and training technology to adequately prepare medical students to be well-trained Family Physicians. There are no post-graduate institutions or facilities for further training of existing Family Physicians.

Realizing the need of the time, a group of Physicians met on April 7, 1995. After a long discussion they decided to form an organization for the Family Physicians of Bangladesh.

In a bigger gathering of the physicians on April 28, 1995 the decisions were confirmed and a Constitution Committee was formed to formulate a draft to proposed Constitution.

According a draft of Proposed Constitution was placed and the Adhoc Committee approved it an May 2, 1995.

The Proposed Constitution was placed in this day on November 8, 1996 in the First Annual General Meeting of the organization and was passed with immediate effect.

So, this organization, under the name and style “The Bangladesh Academy of Family Physicians” was established for the Family Physicians of Bangladesh.

Whereas the Academy deemed it necessary to further amend the Constitution and the Board of Governors of the Academy after due deliberation has drafted certain necessary amendments and accepted by the General Body at Seventh Annual General Meeting held on 9 January 2004, 16 Annual General Meeting held on 3 February 2012, and 17 Annual General Meeting on 1 February 2013

. Now, therefore, the Bangladesh Academy of Family Physicians at the Seventeenth Annual General Meeting held on 1 February 2013 in Dhaka approves, enacts and gives ourselves this amended Constitution with immediate effect.

THE BANGLADESH ACADEMY OF FAMILY PHYSICIANS

CONSTITUTION

Memorandum, Articles & Bye-laws

Article 1

NAME

The name of the Organization shall be the Bangladesh Academy of Family Physicians (BAFP) (hereafter some times referred to as the “Academy”)

Article 2

Registered Office

A. The registered office of the Academy shall be situated in Dhaka, the capital city of Bangladesh.

B. Liaison office may be opened within Bangladesh whenever deemed necessary.

Article 3

EMBLEM

The official emblem of the Academy shall contains a family consisting of father, mother and their child. Behind the family there is a serpent surrounding a stick and around the family there are crops. The emblem is approved in the General Assembly of the Bangladesh Academy of Family Physicians as below:

Article 4

Objectives
A. To advance the art and science of family Medicine
B. The Make family medicine more relevant to people’s need in Bangladesh
C. To update and redesign the Family Physicians who are already in practice through continuing medical education, vocational training, courses journals, etc
D. To evaluate skill and capability of Family Physicians who are already in practice by awarding diplomas, fellowships, citation of distinctions, etc.
E. To encourage the best qualified doctors to undertake Family Medicine as their specialty.
F. To establish institution, hospitals, etc. for the advancement of Family Medicine.
G. To encourage research in the field of Family Medicine, to publish scientific and educational materials in the field of Family Medicine.
H. To make people conscious about better health and environment, to inform people about the role of Family Physicians in the delivery of health care.
I. To foster appropriate relations with the other national and international organizations including professional associations, commercial bodies and governmental bodies.
J. To act as a common forum of Family Physicians in Bangladesh.
Article 5
STANDING POLICY
A. The Academy shall be a non-profit organization. The income and property of the Academy whence over derived shall be applied solely toward the promotion of the objectives of the Academy as set forth.
B. The Academy shall be a non-political organization
C. No such addition, alternation or amendment shall be made to the Constitution of the Academy, that the broad principles, aims and objectives of the Academy as set forth are changed.
D. The liability of the Members is limited.
ARTICLE 6
MEMBERSHIP
Section 6.1
Classes of Membership
A. Membership in the Academy shall be of five classes: 1. Founder Members 2. Members 3. Fellows, 4. Associate Members 5. Affiliate Members.
B. Section 6.2, 6.3, 6.4, 6.5, 6.6, 6.7 are applicable to members, founder members and fellows section 6.8 is applicable to Founder Members, section 6.9 to Fellows, Section 6.10 to Associate Members and Section 6.11 to Affiliate Members only.
Section 6.2
Qualifications
A. Membership in the Academy is a privilege, not a right, and is contingent upon continuing compliance with these Articles.
B. Medical graduate like M.B.B.S or its equivalent, registered or registrable to the Bangladesh Medical and Dental Council.
Section 6.3
Bars
A. Graduate for at least 7(Seven) years.
B. Not in service of any type (government, non-government, semi-government, autonomous, hospitals, clinics, etc) and those personnel drawing any kind of remuneration from government exchequer.
Section 6.4
Criteria
A. Family physician with independent practice.
B. The Board of Governors may at its discretion waive part or full of the criteria (Section 6.4).
Section 6.5
Subscription
Every member shall pay to the Academy a subscription, decided by the Board as membership fee for life time.
Section 6.6
Admission of Members
A. Physicians should apply in a prescribed from supplied by the Academy.
B. One Member of the Academy should propose, while another Member should second.
C. Membership Committee of the Academy shall scrutinize, recommend and send it to the Board of Governors.
D. The Board of Governors in an unanimous decision shall grant the membership.
Section 6.7
Termination and suspension of Membership
A. Any Member of the Academy who shall desire to retire or resign shall signify such desire in writing to the Board of Governors and there after his name shall be removed from the list of members.
B. Upon forfeiture of any of the qualification bars or criteria’s by virtue of which he had become eligible for membership.
C. The Board of Governors may expel from the Academy any Member whose conduct is such as shall in the opinion of the Board of Governors be injurious to the character and interests of the Academy or render him unfit to be a Member of the Academy. Before a Member is expelled, his conduct shall be inquired into by the Board of Governors and he shall be given an opportunity to justify and explain his conduct. If two-thirds of the Members of the Board of Governors present are of the opinion that expulsion is warranted, they may expel him from membership.
D. Every person who ceases from any causes to be a Member shall remain liable for all sums owed by him to the Academy and no such person shall be entitled to recover any part of the subscription which he may have paid.
E. The Board of Governors may suspend membership of any member for any period if majority members of the Board deem it necessary.
F. Any persons who ceases from any cause to be a member of the Academy may apply for re-admission. His re-admission shall be at the absolute discretion of the Board of Governors.
Section 6.8
Founder Member
A. Founder Members are those who took initiatives to form the Bangladesh Academy of Family physicians and attended the first preparatory General Meeting on April 7, 1995 and or Second preparatory General meeting on April 28, 1995.
B. Enrolled their names as Founder Members fulfilling all formalities.
Section 6.9
Qualification and Election of Fellows
A. A Member or Founder Member in good standing of the Academy, Who has evidenced interest in the advancement of scientific Family Medicine may be elected a follow by the Board of Governors.
B. Such election shall be based on one or more of the following four criteria: (a) The accomplishment of significant scientific or clinical research in the field of Family Medicine, or significant contributions to its literature, b) The performance of outstanding service as a teacher or clinician of Family Medicine; c) Significant service to organize medicine on a local, national or international medical organization; (d) Active contribution to the activities of the Academy.
C. Members eligible for election shall be nominated by one Fellow or Member of the Board of Governors who shall supply supporting papers
D. Members shall not be eligible for nomination to fellowship until they have completed five years as a member of the Academy (effective from the year 2000).
E. Fellowship committee of the Academy shall scrutinize, recommend and refer the application to the Board of Governors for election. The Fellowship Committee shall lay down the principles of election of Fellows subject to the approval of the Board of Governors.
F. Every Fellow shall pay to the Academy a subscription as decided by the Academy as Fellowship fee.
Section 6.10
Associate Members
A. Any medical graduate who has started independent practice in Family Medicine but not otherwise eligible for becoming Member of the Academy may apply for Associate Membership. C. Every Associate Member shall pay to the Academy a subscription as decided by the Academy for one year.
D. Associate Member has no privileges of voting and holding any office of the Academy, but their continuing Associate Membership may be regarded as an extra qualification of becoming member of the Academy.
Section 6.11
Affiliate Members
A. Any Member graduate who is not otherwise eligible for becoming Associate Member of the Academy may apply for Affiliate Membership.
B. The application shall be processed according to the Section 6.5 Affiliate Membership may be granted for one year which may be renewed.
C. Every Affiliate Member shall pay to the Academy a subscription as decided by the Academy for one year.
D. Affiliate Member has no privileges of voting and holding any office of the Academy.
ARITCLE 7
BOARD OF GOVERNORS
Section 7.1
Composition
The Board of Governors [hereafter some times referred to as Board] consists of: A. 17 [seventeen] Elected Members and B. Ex-Officio Members.
A. Elected Members:
President 1 [one]
President Elect 1 [one]
Vice President 3 [three]
Secretary General 1 [one]
Deputy Secretary 1 [one]
Treasurer 1 [one]
Members 9 [nine]
B. Ex-officio Members:
All Past Presidents
Immediate Past Secretary General
Director of the Bangladesh Institute of Family Medicine & Research
If any Ex-officio Member is elected under the category ‘A’ his Ex-officio Member position will remain vacant and will not be fulfilled by extra member.
Section 7.2
Tenure
A. The tenure of the Board of Governors shall be two years and shall extend from and expire at the alternate Annual General Meeting of the Academy.
B. The President Elect shall be elected to serve a two-year term. At the end of this period the President Elect becomes the President and serves a further two year term as President.
C. The Vice President, Secretary General Deputy Secretary and Treasure shall be elected for a two-year term. They may be re-elected for one term only to their respective offices.
Section 7.3
Vacancies: How Filled
A. The President: If before the expiration of the term for which elected, the President dies, resigns or becomes disqualified, the Board of Governors will elect one of the Vice Presidents to succeed the office vacated, with all the prerogatives and duties pertaining to the office.
B. The Secretary General: of before expiration of the term for which elected, the Secretary General dies, resigns or becomes disqualified, the Deputy Secretary will succeed the office vacated, with all the prerogatives and duties pertaining to the office.
C. Other Office Bearers: A vacancy caused by death, resignation or disqualification of the other Office Bearers except Past President may be filled up by the Board of Governors amongst the Board Members and Office Bearers.
D. Board Members: If before the expiration of the term for which elected a member of Board of Governors dies, resigns or becomes disqualified or a vacancy occurs in a contingency not herein provided, the Board of Governors has the power to fill in the vacancy for the rest of the term.
Section 7.4 Qualification A. Only Founder Members, Members and Fellows are eligible for election or appointment as an Office Bearers or Member of the Board of Governors.
B. Members and Fellows shall not be eligible for election as an office Bearer until they have completed five years as a member of the Academy.
C. Founder Members are always eligible for election as an office bearer.
Section 7.5
Rights and Duties of the Office Bearers
A. President:
1. The President shall preside at all meetings and gatherings of the Academy and of the Board of Governors.
2. Shall guide the Academy
3. Shall regulate the proceeding of the meetings and decide doubtful points and issue
4. Shall be an ex-officio member of all committees except the Nominating Committee.
5. Shall, in addition to his ordinary vote has a casting vote in case of any ties.
B. President Elect: The President Elect shall assist the President in the discharge of his duties.
C. Past President: The Past President shall assist the President in the discharge of his duties.
D. Vice President: In the absence of the President, one of the Vice Presidents will act as the
President. E. Secretary General:
1. Shall be the executive head of the Academy
2. Shall conduct all correspondences and perform all other duties that usually pertain to the office of the Secretary General.
3. Shall maintain a correct and up-to-date register of all members of the Academy
4. Shall organize, arrange and convene meetings, conferences, etc. in consultation with the President
5. Shall be the custodian of the books, records, manuscripts, papers, correspondence and seal of the Academy.
6. Shall place annual report of the activities of the Board and the Academy in the AGM
7. Shall be the ex-officio members of all committees except the Nominating Committee.
F. Deputy Secretary: In absence of the secretary General, Deputy Secretary will act as the Secretary General.
G. Treasurer:
1. Shall be the custodian of all funds of the Academy.
2. Shall pay out money only for proper purpose and as approved by the Board of Governors
3. Shall operate bank accounts of the Academy along with either the Secretary General or the President
4. Shall be responsible for keeping up to date accounts of the Academy with all account books updated.
5. Shall place budget and audited report in the AGM.
Section 7.6
Election
A. Nomination for the Office Bearers and Members of the Board of Governors shall be selected from the Founder Members, Members and Fellows of the Academy by the Nominating Committee prior to the Annual General Meeting and presented to the Board of Governors for approval.
B. The Nominating Committee will announce the names of the Office Bearers and Members of the Board of Governors in the Annual General Meeting.
Article 8
General Powers
Section 8.1
Voting Membership
A. All legislative power of the Academy, including the power to alter, amend or repeal this constitution is vested in and resides in the Founder Members, Members and fellows voting at any AGM or EGM.
B. Subject to the provisions of the Constitution the voting membership at any AGM or EGM shall have the power to take any resolution as it may deem advisable.
Section 8.2
Board of Governors
A. The Board of Governors shall carry out mandates and policies of the Academy as determined by its voting membership.
B. Subject only to the provisions of the Constitution and to all resolutions and enactments of the Voting Members passed at AGM or EGM, the Board of Governors has full and complete power and authority to perform all acts and to transact all business for and on behalf of the Academy.
C. The Board shall have such other powers and duties as this constitution may elsewhere provide and as the Academy may, in addition, grant or dispose.
Article 9
Meetings
Section 9.1
General Meetings
A. The Academy shall in each year hold a General Meeting as its Annual General Meeting [AGM] in addition to any other meetings in that year.
B. Not more than fifteen months shall elapse between the date of one AGM of the Academy to the next.
C. The AGM shall be held at such time and place as the Board of Governors shall appoint.
D. All General Meetings other than AGM shall be called Extraordinary General Meeting (EGM).
E. The Board of Governors may, whenever it thinks fit, convene an EGM, for any purposes relating to the direction and management of the affairs of the Academy.
F. The Board of Governors may call such a meeting on a requisition, in writing, from not less than one fourth Members of the Academy, specifying the general nature of the business to be transacted.
Section 9.2
Notice of General Meetings
A. At least twenty-one days notice in writing to all members shall be given of all AGM & EGM.
B. The notice shall specify the place, the day and hour of meeting and, shall specify the agenda to be transacted at these meeting.
Section 9.3
Proceedings at General Meetings
A. The business of the AGM shall be to receive and consider the report of the Board of Governors, of the auditors and to consider the accounts, balance sheet and budget, to appoint the auditors.
B. The AGM shall transact any other business which the Board of Governors deemed necessary.
C. The quorum at any AGM or EGM shall be nor less than one eighth of total members of the Academy or 50 Members of the Academy which is lesser. If a quorum is not present within half an hour from the time appointed for holding the meeting the meeting shall stand adjourned to such other time and place, and if at the adjourned meeting a quorum is not present within half an hour from the time appointed for the meeting the members present shall be a quorum.
D. The president of an AGM or EGM may with the consent of any meeting at which a quorum is present adjourn the meeting but no business shall be transacted at such adjourned meeting other than business for which the adjournment took place.
Section 9.4
Meetings of the Board of Governors
A. The Board of Governors shall meet at least once in every two months
B. At least seven days notice in writing to all members of the Board of Governors shall be given.
C. In an emergency the President may call the meeting of the Board of Governors with a short notice of 24 hours time.
D. The presence of at least 6 [six] the Board of Governors will constitute a quorum.
Article 10
Committees
Section 10.1
Standing Committees of the Academy
A. Membership Committee
B. Constitution Committee
C. Finance Committee
D. Publication Committee
E. Continuing Medical Education Committee
F. Fellowship Committee
G. Conference Committee
H. Nominating Committee
Section 10.2
Composition and Appointment of Standing Committees
A. Each of the Membership Committee, Constitution Committee, Publication Committee, continuing Medical Education (CME) Committee and conference Committee shall consist of a chairman, the secretary and at least five members appointed by the Board of Governors.
B. Finance Committee shall consist of the Treasurer as Chairman, and at least five members appointed by the Board.
C. The Nominating Committee shall be appointed by the Board of Governors prior to alternate Annual General Meeting. It shall consist of a chairman and three Members together with the President Elect. Their term of office ends after the election is complete. All appointed Members of the Nominating Committee shall remain anonymous.
Section 10.3
Duties of Standing Committees
A. The Membership Committee shall seek applications to increase the membership of the Academy. The committee shall scrutinize, recommend and send the application to the Board of Governors for final acceptance. Successful applicants will be so informed shortly after acceptance, and their names shall be published for presentation to the General Membership.
B. The Constitution Committee bears continuing responsibility for resolving internal contradictions in the Constitution and updating the constitution to fit proposed purposes of the Academy.
C. The Finance Committee will take initiatives to raise the fund of the Academy. The Committee will prepare a budget each year.
D. The Publication Committee shall publish journals, bulletins, souvenirs, etc
E. The CME Committee shall carry out mechanisms for organizing and conducting effective educational and scientific meeting.
F. The Fellowship Committee shall develop a system of evaluating skills and capabilities of Family Physicians who are already in practice. The Committee shall scrutinize, recommend and refer the application to the Board of Governors for election of a Fellow. Elected applicants will be so informed shortly after acceptance, and their names shall be published for presentation to the General Membership.
G. The Conference Committee carries out mechanisms for organizing and conducting an yearly conference of the Academy. The Committee in cooperation with CME Committee and Publication Committee develops conference programmers that meet the scientific, educational, professional and cultural needs of the Academy.
H. The Nominating Committee shall present at the meeting of the Board of Governors the names for election to office or positions on the Board of Governors. After approval by the Board of Governors the names shall be declared at the AGM
ARTICLE 11
FINANCE
Section 11.1
Raising Funds
A. Funds may be raised by fees, membership dues and fellowship dues as imposed on the Members.
B. Raised by such special assets as the Academy of the Board of Governors may determine.
C. Voluntary contributions, dues, bequests and other gifts.
D. Any other manner approved by the Academy of the Board of Governors
E. The fiscal year shall be extended from one AGM to the next AGM.
Section 11.2
Reserve Funds
The Academy shall have a reserve fund. A part of the Membership and Fellowship fees and other contributions will be deposited in the reserve fund. Surplus amount of any fund will be added to the reserve fund.
ARTICLE 12
AMENDMENTS
A. Articles may be amended at any AGM or EGM by the vote of at least two-thirds of the voting membership present.
B. Such amendments must be passed by the Board of Governors.
C. Notice of the proposed amendments should be sent by mail to the membership-at-large at least twenty one days prior to the meeting at which the changes will be voted upon.
D. No such addition, alteration or amendment to the Constitution shall be made which would have the effect of altering the aims and objectives of the Academy originally as set forth.
ARTICLE 13
BANGLADESH INSTITUTE OF FAMILY MEDICINE & RESEARCH
A. The Academy may establish its educational enterprise – ‘The Bangladesh Institute of Family Medicine & Research [BIFMR]’ for the development of the Family Medicine in Bangladesh.
B. The Academy will give support to the BIFMR.
C. The BIFMR may introduce and run Diplomas, Masters, Doctoral courses and other programmes in Family Medicine under University and or under other National & International Organizations.
D. The BIFMR may be administered as per existing rules and regulations of the country.
E. Board of Governors of the Academy will nominate representative[s] in the Administrative Body of the BIFMR.
ARTICLE 14
ENDOWMENTS
Section 14.1
Purposes of founding Trust Funds
The academy has a system of receiving endowments from philanthropists and organizations for promoting research and development in the medical science in general and specifically in the family medicine. Patrons of learning are encouraged to set up learned trusts to promote the cause of knowledge on a permanent and institutional basis. The Trust Funds will give financial support for learned activities like research, lectures, prizes, medals, writing monographs, making collections, and so on.
Section 14.2
Trust Fund Management
Every individual Trust Fund is managed by an independent Trustee Board consisting of two nominees of the endowers and three nominees selected by the Board of Governors of the Academy. One of the Board nominees becomes chairperson of the Trustee Board. Trust Fund will be deposited in a Bank Account. The account will be operated by the existing bank operating rules of the Academy. The main fund can not be spent for any other purpose. The Academy will not charge any fee on administering Trust Funds. At least 25% of the total annual income of a Trust Fund is ploughed back to the main fund. The Trust founders also can contribute for its growth.

ARTICLE 15
WINDING UP
A. Four-fifth majority of the voting members of the Academy may dissolve the Academy. The proposal of dissolution will come in the form of an agenda after properly discussed and passed in the Board of Governors and circulated amongst the membership.
B. All of the assets remaining after payment of its obligations shall be donated to the organizations that are organised and operated exclusively for scientific and educational purposes.
.