Sounds like an appraisal system for doctors is of the utmost importance. Especially when they have been trained overseas and work in private practice. Ethically for a doctor to do these things could mean him eventually losing his license if he continues after warnings.

 The health care system is still in its infancy in the middle east they have yet to understand the intricacies of providing medical care and clinical governence.

Most people who hire doctors have no understanding that they do anything more than see patients throughout the day. And this is a big problem because middle eastern companies do not hire or pay for quality!

Maryum : Umm Hasan bint Abdullah Alshabrawishi