New NMC rules require PG students to work as full-time resident doctors

The National Medical Commission (NMC) has come out with new regulations which stipulate all post-graduate students to work as full-time resident doctors and for "reasonable working hours".

According to the recently-notified "Post-Graduate Medical Education Regulations, 2023", the students will be provided "reasonable time for rest" in a day.

They will be permitted a minimum 20 days of casual leaves per year and five days of academic per year.

"Subject to exigencies of work, post-graduate students will be allowed one weekly holiday," the new regulations which have replaced the Postgraduate Medical Education (Amendment) Regulations, 2018, stated.

"All these will reduce stress on students. Earlier there was no written provision of leaves," Dr Vijay Oza, president of Post-Graduate Medical Education Board of NMC, explained.

If a candidate avails leave in excess of the permitted number of days, his or her term of course shall be extended by the same number of days to complete the training period, the regulations stated.

However, one shall be able to appear in the examination if one has 80 per cent of the attendance.

Besides, the regulations stipulate that it will be mandatory for the college to provide appropriate residential accommodation to post-graduate students. However, it will not be mandatory for the post-graduate students to stay in the hostel.

According to the new regulations, once a medical college is granted permission to start PG courses or seats, the course will be treated as recognised for the purpose of registration of qualification for students.

This will solve many difficulties faced by students to register their degree after passing their postgraduate examinations, Oza said.

"The new regulations will also clear the uncertainty that the students faced on whether these courses will be recognised by the NMC or not," an official source said.

According to the new regulations, the existing NEET-PG examination will continue till the proposed National Exit Test (NExT) becomes operational for the purpose of PG admission.

"The NMC after consideration the comments and suggestions of various stakeholders and detailed in-house discussion unveiled groundbreaking reforms in post-graduate medical education, aimed at fostering quality, ethical practice, and inclusivity within the medical fraternity," said Oza.

"These reforms encompass various critical aspects of post-graduate medical training and aim to enhance the standards of education and practice nationwide," he said.

Under the new regulations, the undergraduate medical college can start postgraduate courses from the third year now. Previously it was from the fourth year in clinical specialties, Oza said.

Existing or proposed non teaching hospitals owned and managed by government can start post graduate courses without having undergraduate college. This will facilitate governments to start postgraduate medical colleges in smaller government hospitals/district hospitals, he said.

There will be a minimum standard requirement document which will prescribe requirement of infrastructure, faculty clinical material etc for postgraduate institute.

"All students will have to undergo courses in research methodology, ethics and cardiac life support skills," Oza said.

"For better implementation of these regulations, there is provision of penalty clause which includes monetary penalty, reduction in number of seats( admission capacity) or complete stoppage of admissions," he stated.

The regulations continue to prohibit the migration of students from one medical institution to another. Additionally, seat reservations in medical colleges for various categories will align with the prevailing laws in states and Union territories.

Reservation of seats shall be as per applicable laws prevailing in states and Union territories. Five per cent reservation will be for candidates with benchmark disabilities.