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MEDICAL COUNCIL OF INDIA
SALIENT FEATURES OF REGULATIONS ON GRADUATE MEDICAL EDUCATION, 1997

Short title and commencement : (1) These regulations may be called the "Regulations on Graduate Medical Education, 1997"
They shall come into force on the date of their publication in the Official Gazette.
ADMISSION, SELECTION, MIGRATION AND TRAINING :-

Admission to the Medical Course - Eligibility Criteria : No Candidates shall be allowed to be admitted to the Medical Curriculum of first Bachelor of Medicine and Bachelor of Surgery (MBBS) Course until :
He/She shall complete the age of 17 years on or before 31st December, of the year admission to the MBBS course.
He/She has passed qualifying examination as under :-
The higher secondary examination or the Indian School Certificate Examination which is equivalent to 10+2 Higher Secondary Examination after a period of 12 years study, the last two years of study comprising of physics, Chemistry, Biology and Mathematics or any other elective subjects with English at a level not less than core course of English as prescribed by the National Council of Educational Research and Training after the introduction of the 10+2+3 years educational structure as recommended by the National Committee on education.

Note: Where the course content is not as prescribed for 10+2 education structure of the National Committee, the candidates will have to undergo a period of one year pre-professional training before admission to the Medical colleges;

Or
The intermediate examination in science of an Indian University/Board or other recognised examining body with Physics, Chemistry and Biology which shall include a practical test in these subjects and also English as a compulsory subject.

Or
The pre-professional/pre-medical examination with Physics, Chemistry and Biology, after passing either the higher secondary school examination, or the pre-university or an equivalent Examination. The pre0-professional/pre-medical examination shall include a practical test in Physics, Chemistry and Biology and also English as a compulsory subject.

Or
The first year of the three years degree course of a recognized university, with Physics, chemistry and Biology including a practical test in three subjects provided the examination is a "University Examination" and candidate has passed 10+2 with English at a level not less than a core course.

Or
B.Sc. examination of an Indian University, provided that he/she has passed the B.Sc. examination with not less than two of the following subjects Physics, Chemistry, Biology (Botany, Zoology) and further that he/she has passed the earlier qualifying examination with the following subjects - Physics, Chemistry, Biology and English.

Or
Any other examination which, in scope and standard is found to be equivalent to the intermediate science examination of an Indian University/Board, taking Physics, Chemistry and Biology including practical test in each of these subjects and English.
Note:
The pre-medical course may be conducted either at Medical College, or a science College.
Marks obtained in Mathematics are not to be considered for admission to MBBS Course.
After the 10+2 course is introduced, the integrated courses should be abolished.
Selection of Students:

The selection of students to medical college shall be based solely on merit of the candidate and for determination of the merit, the following criteria be adopted uniformly throughout the country:
In states, having only one Medical College and one university board/examining body conducting the qualifying examination, the marks obtained at such qualifying examination may be taken into consideration;
In states, having more than one university/board/examining body conducting the qualifying examination (or where there is more than one medical college under the administrative control of one authority) a competitive entrance examination should be held so as to achieve a uniform evaluation as there may be variation of standards at qualifying examinations conducted by different agencies;
Where there are more than one college in a state and only one university/board conducting the qualifying examination, then a joint selection board be constituted for all the colleges;
A competitive entrance examination is absolutely necessary in the cases of Institution of All India character.
Procedure for selection to MBBS course shall be as follows:-
In case of admission on the basis of qualifying examination under clause (1) based on merit, candidate for admission to MBBS course must have passed in the subjects of Physics, Chemistry, Biology & English individually and must have obtained a minimum of 50% marks taken together in Physics, Chemistry and Biology at the qualifying examination as mentioned in the clause (2) of regulation 4. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other Backward classes. The marks obtained in Physics, Chemistry and Biology taken together in qualifying examination be 40% instead of 50% as above.
In case of admission of the basis of Competitive entrance examination under clause (2) to (4) of this regulation, a candidate must have passed in the subjects of Physics,. Chemistry, Biology and English individually and must have obtained a minimum of 50% of marks taken together in Physics Chemistry and Biology at the qualifying examination as mentioned in clause (2) of regulation 4 and in addition must have come in the merit list prepared as a result of such competitive entrance examination by securing not less then 50% marks in Physics, Chemistry and Biology competitive examination. In respect of candidates belonging to Schedule Caste, Schedule Tribes or other Backward Class the marks obtained in Physics, Chemistry, and Biology taken together in qualifying examination and competitive entrance examination be 40% instead of 50% as stated above.
Provided that a candidate who has appeared in the qualifying examination the result of which has not been declared, he may be provisionally permitted to take up the competitive entrance examination and in case of selection for admission to the MBBS course, he shall not be admitted to that course until he fulfils the eligibility criteria under regulation 4.
Migration:
Migration from one medical college to other is not a right of a student. However, migration of students from one medical college to another medical college in India may be considered by the Medical Council of India only in exceptional cases on extreme compassionate grounds, provided following criteria are fulfilled. Routine migrations on other grounds shall not be allowed.
Both the colleges, i.e. one at which the students is studying at present and one to which migration is sought, are recognised by the Medical Council of India.
The applicant candidate should have passed first professional MBBS examination.
The applicant candidate submits his application for migration, complete in all respects, to all authorities concerned within a period of one month of passing (declaration of result) the first professional Bachelor of Medicine and Bachelor of Surgery (MBBS) examination.
The applicant candidate must submit an affidavit stating that he/she will pursue 18 months of prescribed study before appearing at IInd professional Bachelor of medicine and Bachelor of Surgery (MBBS) examination at the transferee medical college, which should be duly certified by the Registrar of the concerned University in which he/she is seeking transfer. The transfer will be applicable only after receipt of the affidavit.
Note:1:
Migration during clinical course of study shall not be allowed on any ground.
All applications for migration shall be referred of Medical Council of India by college authorities. No institution/University shall allow migrations directly without the approval of the council.
Council reserves the right, not to entertain any application which is not under the prescribed compassionate gourds and also to take independent decision where applicant has been allowed to migrate without referring the same to the Council.
Note 2: * Compassionate grounds criteria:
Death of a supporting guardian.
Illness of the candidate causing disability.
Disturbed conditions as declared by Government in the Medical College area.
Dear Web Surfer :- Please note

Complete application with all requisite documents to be made as per guidelines provided on the format which has been prepaid in view of regulations and policy decision in the matter
Migration of Mr./Miss ________________________________________ from __________________________________________Medical College, _______________________________to____________________________ Medical College ________________________________

1.
Date of admission in 1st MBBS course
2.
Date of Passing 1st MBBS University Exam
3.
Date of application
4.
NOC from relieving college (enclosed)
Yes/No
5.
NOC from relieving Uni. (enclosed)
Yes/No
6.
NOC from receiving college (enclosed)
Yes/No
7.
NOC from receiving Uni. (enclosed)
Yes/No
8.
Affidavit, duly Sworn before 1st Class Magistrate containing an undertaking that "I will study for full 18 months of IInd Phase of MBBS course in transfer medical college before appearing In the IInd Prof. University examination" (enclosed)
Yes/No
9.
Reasons for migration in brief (Please enclose copy as proof)
Yes/No
10.
Bank Draft of Rs.500/- (non-refundable migration fee) in in favour of Secretary, Medical Council of India, New Delhi payable at New Delhi
11.
Permanent Address
______________________________
______________________________
______________________________
______________________________
______________________________

Training Period and Time Distribution
Every student shall undergo a period of certified study extending over 4 ½ academic years divided into 9 semesters, (i.e. of 6 months each) from the date of commencement of his study for the subjects comprising the medical curriculum to the date of completion of examination and followed by one year compulsory rotating internship. Each semester will consist of approximately 120 teaching days of a hours each college working time, including one hour of lunch.
The period of 4 1//2 years is divided into three phases as follows:-
(a) Phase-1 (two semesters) - consisting of Pre-clinical subjects (Human Anatomy, Physiology including Bio-Physics, Biochemistry and introduction to Community Medicine including Humanities). Besides 60 hours for introduction to Community Medicine including Humanities, rest of the time shall be somewhat equally divided between Anatomy and Physiology plus Biochemistry combined (Physiology 2/3 and Biochemistry 1/3)
(b) Phase-II (3 semester) - consisting of para - clinical/clinical subjects.
During this phase teaching of para-clinical and clinical subjects shall be done concurrently.
The para-clinical subjects shall consist of Pathology, Pharmacology, Microbiology, Forensic Medicine including Toxicology and part of Community Medicine.
The clinical subjects shall consist of all these detailed below in Phase III.
Out of the time for Para-clinical teaching approximately equal time be allotted to Pathology, Pharmacology, Microbiology and Forensic Medicine and Community Medicine combined (1/3 Forensic Medicine and 2/3 Community Medicine).
(c) Phase-III (continuation of study of clinical subjects for seven semesters after passing Phase-1)
The clinical subjects to be taught during Phase II and III are Medicine and its allied specialties, Surgery and its allied specialties, Obstetrics and Gynaecology and Community Medicine.

Besides clinical posting as per schedule mentioned herewith, rest of the teaching hours be divided for didactic lectures, demonstrations, seminars, group discussions, etc. in various subjects.
The Medicine and its allied specialties training will include General Medicine, Pediatrics, Tuberculosis and Chest, Skin and Sexually Transmitted Diseases, Psychiatry, Radio-diagnosis, Infectious diseases etc. The Surgery and its allied specialties training will include General Surgery, Orthopedics Surgery including Physiotherapy and Rehabilitation, Ophthalmology, Otorhinolaryngology, Anesthesia, Dentistry, Radio-therapy etc. The Obstetrics & Gynecology training will include family medicine, family welfare planning etc.
The first 2 semester (approximately 240 teaching days) shall be occupied in the Phase 1 (pre-clinical) subjects and introduction to a broader understanding of the perspectives of medical education leading to delivery of health care. No student shall be permitted to join the Phase II (Pare-clinical/clinical) group of subjects until he has passed in all the Phase 1 (Pre-clinical) subjects for which he will be permitted not more than four chances (actual examination), provided four chances are completed in three years from the date of enrollment.
After passing pre-clinical subjects, 1 ½ year (3 semesters) shall be devoted to para-clinical subjects.

Phase II will be devoted to para-clinical and clinical subjects, along with clinical posting. During clinical phase (Phase III) pre-clinical and para clinical teaching will be integrated into the teaching of clinical subjects where relevant.
Didactic lectures should not exceed one third of the time schedule; two third schedule should include practical, clinical or/and group discussions. Learning process should include living experiences, problem oriented approach, case studies and community health care activities.
Universities shall organize admission timings and admission process in such a way that teaching in first semester starts by 1st of August each year.
Supplementary examination may be conducted within 6 months so that the students who pass can join the main batch and the failed students will have to appear in the subsequent year.
Phase Distribution and Timing of Examinations:-
6 MONTHS
6 MONTHS
6 MONTHS
1
2
1st professional Examination (during Second semester)
3
4
5
IInd Professional examination (during fifth semester)
6
7
IIIrd professional Part I (during 7th semester)
8
9
IIIrd professional Part II (Final professional during 9th semester)


Note :
Passing in 1st Professional is compulsory before proceeding to Phase II training.
A students who fails in the IInd professional examination, shall not be allowed to appear in IIIrd Professional Part I examination unless he passes all subjects of IInd Professional examination.
Passing in IIIrd Professional (Part I) examination is not compulsory before entering for 8th and 9th semester training, however passing of IIIrd Professional (Part I) is compulsory for being eligible for IIIrd Professional (Part II) examination.

During third to ninth semesters, clinical postings of three hours duration daily as specified in the Table is suggested for various departments, after Introductory Course in Clinical Methods in Medicine and Surgery of two weeks each for the whole class.
EXAMINATION REGULATIONS

Essentialities for qualifying to appear in professional examinations.
The performance in essential components of training are to be assessed, based on:
ATTENDANCE :

75% of attendance in a subject for appearing in the examination is compulsory provided he/she has 80% attendance in non lecture teaching. i.e. seminar, group discussion, tutorials, demonstrations. Practical, Hospital (Tertiary, Secondary, Primary) posting and bed side clinics, etc.
INTERNSHIP - GENERAL

Internship is a phase of training wherein a graduate is expected to conduct actual practice of medical and health care and acquire skills under supervision so that he/she may become capable of functioning independently.
INTERNSHIP - TIME DISTRIBUTION

Compulsory

Community Medicine
3 months
Medicine
2 months
Surgery including Orthopaedics
2 months
Obst./Gynae. Including Family
2 months
Welfare Planning
15 days
Paediatric
15 days
Ophthalmology
15 days
Otorhinolaryngology
15 days
Casualty
1 Month


Elective Postings

Elective Subject :-

Elective posting will include Two of the following for 15 days in each subject.
Dermatology and Sexually Transmitted Diseases.
Psychiatry
Tuberculosis and Respiratory Diseases
Anesthesia
Radio-diagnosis
Physical Medicine and Rehabilitation
Forensic Medicine and Toxicology
Blood Bank and Transfusion Department.
OTHER DETAILS :
All parts of the internship shall be done as far as possible in institution of India, In case of any difficulties, the matter may be referred to the Medical Council of India to be considered in individual merit.
Every candidate will be required after passing the final MBBS examination to undergo compulsory rotational internship to the satisfaction of the College authorities and University concerned for a period of 12 month so as to be eligible for the award of the degree of Bachelor of Medicine and Bachelor of surgery (MBBS) and full registration.
ASSESSMENT OF INTERNSHIP:
The intern shall maintain a record of work which is to be verified and certified by the medical officer under whom he works. Apart from scrutiny of the record of work, assessment and evaluation of training shall be undertaken by an objective approach using situation tests in knowledge, skill and attitude during and at the end of training. Based on the record of work and date of evaluation, the Dean/Principal shall issue certificate of satisfactory completion of training, following which the University shall award the MBBS degree or declare him eligible for it.
Satisfactory completion shall be determined on the basis of the following :-
Proficiency of knowledge required for each case.
-

The competency in skills expected to manage each case:
Competency for performance of self performance.
Of having assisted in procedures.
Of having observed.
Score 0-5

Responsibility, punctuality, work up of case, involvement in treatment, follow-up reports.
Score 0-5

Capacity to work in a team (Behavior with colleagues, nursing staff and relationship with paramedicals).
Score 0-5

Initiative, participation in discussions, research aptitude.
Score 0-5
Poor/
Fair/
Below Average/
Average/
Above Average/
Excellent
0
1
2
3
4
5


A Score of less than 3 in any of above items will represent unsatisfactory completion of internship

Full registration shall only be given by the State Medical Council / Medical Council of Indian the award of the MBBS degree by the university or its declaration that the candidate is eligible for it


 

 
 
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