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National Medical Commission Releases PGMER 2023 Regulations or Post-Graduate Medical Education Regulations

NMC PGMER 2023 Regulations

About the NMC PGMER 2023 Regulations

  • Introduction of New Medical Courses: It introduced Six types of Postgraduate (PG) medical courses with varying durations, covering broad-specialty qualifications, super-specialty courses, diploma courses, and post-doctoral certificate courses. 
  • Online Counseling: Common counseling for admission to PG medical courses in India will be conducted online by state or central counseling authorities, ensuring a merit-based selection process. 
  • Compulsory Residential Rotation: The introduction of a compulsory residential rotation (District Residency Programme or DRP) of three months for MD or MS students in broad specialties in district hospitals, providing hands-on experience.
  • Reduce Approval Time: Medical colleges can now apply for permission to start PG medical courses one year after receiving approval for undergraduate courses.
  • Academic Cells: There is also the provision of the establishment of academic cells to monitor training programs and ensure their quality. 
  • Smooth Operation: The existing NEET-PG examination will continue till the proposed National Exit Test (NExT) becomes operational for the purpose of PG admission.
  • Recognition to Medical College: Once a medical college is granted permission to start PG courses or seats, the course will be treated as recognized.
  • Strict Implementation: For better implementation of regulations, there is a provision of penalty clauses which include monetary penalty, reduction in the number of seats (admission capacity), or complete stoppage of admissions.
    • Non-Compliance: It also outlines penalties for non-compliance, with medical institutions facing a fine of ₹1 crore per seat for breaching regulations. A two-year admission ban may be imposed for continued non-compliance.
  • Beneficial for Students: All post-graduate students will work as full-time resident doctors for “reasonable working hours” and will be provided “reasonable time for rest” in a day.
    • They will be permitted a minimum of 20 days of casual leave per year and five days of academic per year. 
      • However, earlier there was no written provision for leaves.
    • Tracking of Progress: dynamic e-log book will track postgraduate students’ progress, and will engage them in thesis-related research.

Need of the Post-Graduate Medical Education Regulations, 2023: 

  • To foster quality, ethical practice, and inclusivity within the medical fraternity and to enhance the standards of education and practice nationwide. 
  • To prohibit the migration of students from one medical institution to another.
  • To reserve seats in medical colleges for various categories will align with the prevailing laws in States/Union Territories.

  • Working Hours: The use of “reasonable time for rest” in a day is vague and limits the specific limits on working hours.
    • Many times junior doctors work 72 to 96 hours without break, so there must be clarity on the working hours of the resident doctors.
  • Mental Health: The reforms are silent over the measures for mental health and burnout prevention.
  • Irregularity of Stipends: The ongoing issue of irregular stipends has not been addressed.
    • PG students in private medical colleges contend that their stipends fall significantly short of those offered by government medical colleges (GMC).
  • Integration of Artificial Intelligence in the Curriculum: In new reforms, there is also a lack of guidelines for the integration of Artificial Intelligence in the curriculum.
  • Inclusivity Issues: The regulations offer a 5% reservation for doctors with disabilities but have been criticized for not incorporating the recommendations from “Doctors with Disabilities: Agents of Change.”
    • Also, terms like ‘moderate’ dyslexia and the exclusion of mental illness and autism contradict existing laws and ignore Supreme Court directives (Vibhushita Sharma petition), indicating a lack of thorough inclusivity.

NMC PGMER 2023 Regulations NMC PGMER 2023 Regulations NMC PGMER 2023 Regulations NMC PGMER 2023 Regulations NMC PGMER 2023 Regulations

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