NATIONAL MEDICAL COMMISSION

1 1 NATIONAL MEDICAL COMMISSION POSTGRADUATE MEDICAL EDUCATION BOARD Pocket 14, Sector 8, Dwarka, NEW DELHI 110 077 Phone: +91-11-25367321, 25367035, 25367036 Fax: +91-11-25367024 E-mail: POSTGRADUATE MEDICAL EDUCATION REGULATIONS 2021 In Exercise of the powers conferred by Section 57 of the NATIONAL MEDICAL COMMISSION Act, 2019, the NATIONAL MEDICAL COMMISSION hereby makes the following regulations, namely:- 1. SHORT TITLE AND COMMENCEMENT: These regulations may be called "The Postgraduate MEDICAL Education Regulations, 2021. They shall come into force on the date of their publication in the official Gazette. These Regulations shall be applicable for all the Institutions coming under the purview of NATIONAL MEDICAL COMMISSION . 2. GENERAL CONDITIONS TO BE OBSERVED BY POSTGRADUATE TEACHING INSTITUTIONS: Postgraduate MEDICAL Education in broad specialties shall be of three years duration in the case of degree course and two years in the case of Diploma course after MBBS and in the case of Super specialties, the duration shall be of three years after MD/MS.

2 Postgraduate curriculum shall be competency based. Learning in postgraduate programme, though essentially autonomous and self- directed, shall also include assisted learning. A combination of both formative and summative assessment is vital for the successful completion of the PG programme. 2 A modular approach to the course curriculum is essential for achieving a systematic exposure to the various sub-specialties concerned with a discipline. 3. GOALS OF POSTGRADUATE MEDICAL EDUCATION PROGRAMME The goal of postgraduate MEDICAL education shall be to produce competent specialists and/or MEDICAL teachers: Who shall recognize the health needs of the community, and carry out professional obligations ethically and in keeping with the objectives of the NATIONAL health policy; Who shall have mastered the competencies, pertaining to the specialty, that are required to be practiced at the secondary and the tertiary levels of the health care delivery system; Who shall be aware of the contemporary advance and developments in the discipline concerned; Who shall have acquired a spirit of scientific enquiry and are oriented to the principles of research methodology and epidemiology; and Who shall have acquired the basic skills in the teaching of MEDICAL professionals.

3 4. GENERAL OBJECTIVES OF POST-GRADUATE TRAINING EXPECTED FROM STUDENTS AT THE END OF POST-GRADUATE TRAINING At the end of the postgraduate training in the discipline concerned the student shall be able to: Recognize the importance of the concerned specialty in the context of the health needs of the community and the NATIONAL priorities in the health sector. Practice the specialty concerned ethically and in t u n e with the principles of primary healthcare. Demonstrate sufficient understanding of the basic sciences relevant to the concerned specialty. Identify social, economic, environmental, biological and emotional determinants of health in a given case, and take them into account while planning therapeutic, rehabilitative, preventive and promotive measure/strategies. Diagnose and manage majority of the conditions in the specialty concerned on the basis of clinical assessment, and appropriately selected and conducted investigations. Plan and advice measures for the prevention and rehabilitation of patients suffering from disease and disability related to the specialty.

4 3 Demonstrate skills in documentation of individual case details as well as morbidity and mortality rate relevant to the assigned situation. Demonstrate empathy and humane approach towards patients and their families and exhibit interpersonal behavior in accordance with the societal norms and expectations. Play the assigned role in the implementation of N a t i o n a l Health Programme, effectively and responsibly. Organize and supervise the chosen/assigned health care services demonstrating adequate managerial skills in the clinic/hospital or the field situation. Develop skills as a self-directed learner, recognize continuing education needs; select and use appropriate learning resources. Demonstrate competence in basic concepts of research methodology and epidemiology, and be able to critically analyze relevant published research literature. Develop skills in using educational methods and techniques as applicable to the teaching of MEDICAL /nursing/paramedical students, general physicians and paramedical health workers.

5 Function as an effective leader of a health team engaged in health care, research and training. 5. STATEMENT OF THE COMPETENCIES: Keeping in view the general objectives of postgraduate training, each discipline shall aim at development of specific competencies which shall be defined and spelt out in clear terms. Each department shall produce a statement and bring it to the notice of the trainees in the beginning of the programme so that he or she can direct the efforts towards the attainment of these competencies. 6. COMPONENTS OF THE POSTGRADUATE CURRICULUM: The major components of the Postgraduate curriculum shall be: Theoretical knowledge Practical and clinical skills Publication/submission of a Research article in scientific journals or Presentation of the paper in NATIONAL Conference of the concerned Society. Soft skill attributes including communication skills. Training in research methodology, MEDICAL Ethics and Medico legal aspects. 4 7. STARTING OF POSTGRADUATE MEDICAL COURSES AND THEIR RECOGNITION: An institution intending to start a Post Graduate MEDICAL education course or to increase the annual intake capacity in an already ongoing course shall obtain prior permission of the MEDICAL Assessment and Rating Board of NATIONAL MEDICAL COMMISSION , in accordance with the provisions under section 28 of NMC Act, 2019.

6 The Institution who have started a new postgraduate or higher specialty course shall apply for recognition of the Post Graduate MEDICAL qualification to the Post Graduate MEDICAL Education Board (PGMEB) of the NATIONAL MEDICAL COMMISSION through the affiliating University, when the first admitted batch shall be due to appear for the examination to be conducted by the affiliating University. In the event of deficiencies being found in the assessment, the Institution shall be granted an opportunity to submit compliance within 30 days from the date of communication of deficiencies by the N M C. Such an opportunity to comply with the deficiencies shall be availed by the Institute only twice. After the correction of the deficiencies the course shall be recognized and included in the list of recognized qualifications maintained by NMC. In all other cases, the prior permission of the NATIONAL MEDICAL COMMISSION granted under section 28(1) of NMC Act, 2019, shall be deemed to have lapsed.

7 Further, in such cases; only the qualifications in respect of first four batches of Postgraduate degree courses admitted to that Institution to that specialty shall be included in the recognized qualifications maintained by PGMEB. For starting of fresh Postgraduate course in an existing MEDICAL College or starting of fresh courses in a new MEDICAL college, the applicant Institute shall mandatorily obtain consent of affiliation from the affiliating University. The recognition so granted to a Postgraduate Course shall be for a period of f i v e years, upon which it shall have to be renewed. The procedure for Renewal of recognition shall be same as applicable for the Grant of recognition. The Institute shall apply for renewal of recognition of Postgraduate course in the Institution at least six months prior to the expiry of the validity. Failure to seek timely recognition as required in sub- clause shall invariably result in stoppage of admission to the concerned Post Graduate Course.

8 In the event of failure of the institute to seek recognition at appropriate time for existing Post Graduate courses, the Post Graduate MEDICAL Education Board 5 may recommend exemplary penalty as prescribed in the Penalty clause of the NMC. The MEDICAL College /Institution may apply for increase in the intake of Post Graduate seats in the concerned specialty one year after the permission for the starting of the same was given, even before the recognition for concerned Post Graduate seats is conferred by Post Graduate MEDICAL Education Board. This provision is introduced to maintain dynamic state of Post Graduate seats available. Any Institute planning to start Postgraduate course in clinical specialties shall necessarily have permission from the PGMEB for starting Postgraduate courses in Pre and Para Clinical subjects. Pre-Clinical subjects consists of Anatomy, Physiology and Biochemistry. Para clinical subjects consists of courses in Pharmacology, pathology, Microbiology, community Medicine and Forensic Medicine.

9 This shall not be applicable to standalone Postgraduate Institutions. The existing/new MEDICAL colleges should mandatorily have the department of Blood Bank with components of blood separation unit. 8. NOMENCLATURE OF POSTGRADUATE COURSES. The nomenclature of postgraduate MEDICAL courses shall be as provided in the Schedule annexed to these Regulations. 9. GENERAL MEDICAL Colleges recognized for running Bachelor of Medicine and Bachelor of Surgery (MBBS) course and MEDICAL Institutions recognized for running post- graduate courses prior to the commencement of the NATIONAL MEDICAL COMMISSION Act 2019 shall be eligible for starting a post-graduate MEDICAL education course or to increase the intake capacity in any already ongoing postgraduate MEDICAL education course. MEDICAL Colleges not yet recognized for the award of MBBS degree under the NATIONAL MEDICAL COMMISSION Act, 2019, may apply for starting of a Post- graduate MEDICAL education course in pre-clinical and para clinical subjects, at the time of third renewal , along with the admission of fourth batch for the MBBS course; and in clinical subjects, at the time of fourth renewal, , along with the admission of fifth batch for the MBBS course.

10 The NATIONAL MEDICAL COMMISSION may exempt any such existing/proposed non- teaching institutions or specialist institutions or autonomous Institutions owned and managed by the Central Government/State Government/Institute of eminence or excellence conferred by the Government of India from fulfilling the 6 prescribed provision of having an undergraduate teaching facility, and allow starting of Postgraduate MEDICAL courses subject to they fulfilling all required criteria . The maximum number of students for a postgraduate MEDICAL course, who can be registered in any recognized department, for training for the award of postgraduate degree by the affiliating university, shall be determined by the facilities available in the department in terms of infrastructure, teaching staff and relevant clinical material. Every student selected for admission to a Post Graduate MEDICAL course in any of the MEDICAL institutions shall register in the State MEDICAL Council where he is pursuing his Post graduation course within a period of one month from the date of admission, failing which his admission to Postgraduate course shall stand cancelled.