MBBS internship only at Medical College where medico is studying: NMC releases fresh guidelines for Compulsory Rotating Internship

 

New Delhi: "Indian Medical Graduates shall complete their entire period of Compulsory Rotating Internship in the institution where they have pursued and completed their MBBS," a fresh document by the National Medical Commission (NMC) has stated 

Releasing one of the most comprehensive documents on the elements of MBBS internship, the National Medical Commission has recently released the Draft Regulations For Rotational Compulsory Regulations, 2021.

Internship is a phase of training wherein a medical graduate will acquire the skills and competencies for practice of medical and health care under supervision in preparation for independent, unsupervised primary care.

The new guidelines clearly outline the various aspects of MBBS internship ranging its goals, objectives and duration to eligibility, stipend and what shall entail in the training of a medico during the internship adding that The goal of the internship programme is to train medical graduates to fulfill their roles as doctors of first contact in the community.

"Every candidate shall be required to undergo Compulsory Rotating internship to the satisfaction of the College authorities and University concerned after passing the final MBBS examination/ NExT whenever operational, for a period of 12 months so as to be eligible for the award of the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS) by the respective universities and Permanent Registration in accordance with the Permanent Registration Regulations 2021 of the NMC," the guidelines state

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" The Internship shall be completed within 2 years of passing the Final MBBS / FMGE/NExT Examination whenever in force," it says while also specifying situations where appropriate extension may be given

" Indian Medical Graduates shall complete their entire period of Compulsory Rotating Internship in the institution where they have pursued and completed their MBBS," the guidelines state adding that Foregin medical graduates who require to complete a period of internship shall do so only in Medical Colleges/ Institutions approved for providing Compulsory Rotating Internship to Indian Medical Graduates. The draft guidelines add that Foreign Medical Graduates may be posted to different Medical Colleges/Institutions through a counselling/ seat allocation process based on the merit or by any other scheme/method as may be notified by the National Medical Commission or any other authority as applicable

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The guidelines specify who is eligible for the MBBS internship and includes pointers for Indian medical graduates as well as foreign medical graduate (FMG). 

Speaking in detail about provisional registration for the internship, the NMC has stated that it will be valid only for the period of the CRRI as well as the college where the intern is working. "The intern shall not be permitted for independent practice during the period of Compulsory Rotating Internship," the apex medical regulator has noted.

Regarding stipend, the council has noted that All interns shall be paid stipend as fixed by the appropriate fee fixation authority applicable to the Institution/university/ state.

In a first, the guidelines also spell out directions to institutions and medical colleges who will be implementing the internship program putting an end to the accusations that not much training is imparted at the majority of medical colleges during their internship. Against each departmental training, it specifies the goals as well as activities that an MBBS intern should be able to perform at the end of their training with that department.  

Following are the timelines of posting during MBBS internship

Sr.No.	Nature of Posting	Department / Specialty	Duration	Remarks
1	MandatoryExclusive	Community Medicine	2 months	a. Postings should be in Community Health Centres (CHC)/ RuralHealth Centre (RHC) b. Not more than 15 interns at any given time in one centre c. In the event of more than one college utilizing the same facility, at a given time interns from only one college shall be posted in the given health Centre d. As provided in the Minimum Requirements for MBBS Admissions, 2020 Section A.1.14 related to Community Medicine must be followed.
2	MandatoryExclusive	General Medicine	1.5months	Includes postings in Out-patient, In-patient wards & Admission Day Emergency and exposure to High Dependency Units (HDU) and Intensive Care Units (ICU)
3.	MandatoryExclusive	Psychiatry	2 weeks	Predominantly Out-patient postings with exposure to handling emergencies
4.	MandatoryExclusive	Pediatrics	1 month	Includes postings in Out-patient, In-­patient wards & Admission Day Emergency postings and exposure to Neonatal/ Pediatric High Dependency and Intensive Care Units (HDU/NICU/PICU)
5	MandatoryExclusive	General Surgery	1.5months	Includes postings in Out-patient, In- patient wards, Admission Day Emergency and both Minor and Major Operation Theatres and exposure to High Dependency Units (HDUs) and Intensive Care Units (ICUs)
6	MandatoryExclusive	Anesthesiology & Critical Care	2 weeks	Includes postings in Operation Theatre, Intensive Care Units and additionally Pain Clinic and Palliative Care, if available
7.	MandatoryExclusive	Obstetrics & Gynaecology including Family Welfare & Planning	1.5months	Includes postings in Out-patient, In- patient wards, Admission Day Emergency, Labour Room and Operation Theatres and exposure to High Dependency Units (HDU) and Intensive Care Units (ICU)

8	MandatoryExclusive&ConcurrentP MR withOrthopedics	Orthopaedics including Physical Medicine and Rehabilitation (PM&R)	2 weeks	Includes postings in Out-patient, In­-patient, Admission Day Emergency, Plaster Room and Operation Theatres Postings in Physical Medicine and Rehabilitation (PM&R) may run concurrent in aftenoons/mornings equivalent to 4 half-days (14% of total postings)
9	MandatoryExclusive	Emergency/ Trauma/ Casualty	2 weeks	Includes postings related to Resuscitation areas, Triage, In-patient wards and Operation Theatre as well as exposure to medico-legal procedures
10	MandatoryExclusive	Forensic Medicine & Toxicology	1 week	Includes Autopsy postings
11	Mandatory Exclusive	Dermatology, Venereology & Leprology	1 week	Predominantly Out-patient postings with exposure to handling emergencies
12	MandatoryConcurrent	Otorhinolaryngology	2 weeks	Predominantly Out-patient postings with exposure to handling emergencies, Minor as well as Major Operation Theatres Postings in Forenoon with Postings in Laboratory Sciences and Hospital Support Services in Afternoon
13	MandatoryConcurrent	Ophthalmology	2 weeks	Predominantly Out-patient postings with exposure to handling emergencies, Minor as well as Major Operation Theatres Postings in Forenoon with Postings in Laboratory Sciences and Hospital Support Services in Afternoon
14	Mandatory Concurrent	Laboratory Sciences and Hospital Support Sciences	2 weeks	. Laboratory Medicine and Clinical Biochemistry . Histopathology & Cytopathology . Hematology, and Transfusion Medicine / Blood Bank Minimum 3 half-days in each of the three above groups of specialties Postings in Afternoon with Postings in Otorhinolaryngology/ Ophthalmology in Forenoon
			2 weeks	. Microbiology (including Virology), . Hospital Infection Control,

				Biomedical Waste Management, Central Sterile Supply Units . Medical Record Keeping . Hospital Information Services Minimum 2 half-days in each of the four above groups of specialties / services . Postings in Afternoon with Postings in Otorhinolaryngology/ Ophthalmology in Forenoon
15	ElectivesExclusive	Broad Specialties Group	2 weekseach	At least ONE with a maximum TWO: .Tuberculosis & Respiratory . Medicine . Radiodiagnosis . Nuclear Medicine . Radiotherapy . Geriatric Medicine . Physiotherapy . Other Broad Specialty recognized by NMC Each posting shall be of two weeks duration . 1 It is mandatory that the chosen specialty/ discipline is available in the same College/ Institution where Internship is being done
16		Superspecialty Group	1 week each	May chose any TWO provided the chosen specialty/ discipline is available in the same College/ Institution where Internship is being done Cardiology   Cardio- Thoracic Surgery Nephrology Urology Neurology.  Neurosurgery Gastroenterology.  GastrointestinalSurgery Pulmonary Medicine Pediatric Surgery Medical Oncology Surgical Oncology
17	Electives Exclusive	Indian Systems of Medicine	1 week each	May chose any elective, provided the discipline is available in the same College/ Institution where
				Internship is done . Ayurveda .Yoga .Unani .Siddha