Registration of Hospitals Cannot be Cancelled Under PC PNDT Act Unless Appropriate Authority Deems it Necessary in Public Interest: Supreme Court

New Delhi: Delivering an interpretation of the powers vested in the appropriate authorities under the Pre-conception and Pre-natal Diagnostic Techniques (Regulation & Prevention of Misuse) PC PNDT Act, 1994, the Supreme Court of India recently clarified that the authorities can only suspend/cancel the registration of hospital/clinic under Section 20(3) of the Act when such an action is believed to be necessary in the public interest.

“…in our view, the power of sub­section (3) of Section 20 of PC&PNDT Act is notwithstanding the power of sub­sections (1) & (2) of Section 20. The said power can only be exercised when the appropriate authority forms an opinion that it is necessary or expedient in public interest to do so. It is incumbent upon the appropriate authority to form its opinion based on reasons expedient or necessary to exercise the power of suspension,” opined the top court bench comprising Justices J.K. Maheshwari and K.V. Vishwanathan.

These observations were made by the bench while considering a plea involving the suspension of registration of a private hospital based in Ahmedabad. The hospital was registered under the PC&PNDT Act and the said registration was valid up to 23.05.2015. However, based on a complaint, an inspection was conducted on 21.10.2010 and during the inspection, the authorities found some lapses contravening the provisions of PC&PNDT Act. Consequently, the sonography machine operated in the hospital was seized.

A few days later, without giving any notice to the hospital, the authorities passed an order suspending its registration in exercise of the power under Section 20(1) & (2) of the PC&PNDT Act. Thereafter the appellate authority asked the appropriate authority to pass a suitable order within 15 days and to clarify whether the order dated 25.10.2010 was passed in exercise of power under Section 20(1) & (2) or under Section 20(3) of PC&PNDT Act. 

Accordingly, the appropriate authority passed a fresh order on 29.12.2010 saying that there is a breach of mandatory provisions and the authorities accordingly suspended the registration of the hospital under Section 20(3) of PC&PNDT Act in public interest till finalization of the criminal proceedings.

Challenging this, the hospital approached the Gujarat High Court and allowing the plea, the Single Judge bench observed that looking to the condition of foetus in the womb, once the patient has consented to abortion, she cannot make a complaint for alleged violation of provisions of PC&PNDT Act. Further, the High Court found that neither any notice was issued nor an opportunity of hearing was afforded before passing the order suspending the registration.

It was further held that while passing the first order of suspension on 25.10.2010, powers were exercised by appropriate authority under Sections 20(1) & (2) of PC&PNDT Act without affording an opportunity of hearing, which was contrary to the spirit of the said provisions and wholly unjustified. The single judge order was upheld by the Division Bench as well.

The Division Bench was of the opinion that all the cases of suspension would not automatically fall within the purview of Section 20(3) of the PC&PNDT Act. Further, the bench observed that the reasons assigned in subsequent order of suspension by the appropriate authority are not valid to exercise such power in public interest.

Ultimately, the matter reached the Supreme Court. The counsel for the appellant authority submitted that on the scope of Section 20(1), (2) & (3) of the PC&PNDT Act, there is no judgment of the Apex Court.

Relying on the judgment of Malpani Infertility Clinic Pvt. Ltd. vs. Appropriate Authority, the counsel for the authority urged that if power is exercised by appropriate authority to suspend the registration due to pendency of the prosecution, such power may be exercised in public interest under Section 20(3) of PC&PNDT Act.

It was contended that looking at the object of PC&PNDT Act, if the appropriate authority considers that the activity of the licensed entity is affecting the public at large, the power to suspend the registration or license is permissible.

On the other hand, the counsel for the hospital submitted that considering the tenor of the order passed by the appropriate authority and the reasons so stated, it cannot be said to be an order suspending the registration in the public interest.

Referring to Section Section 20(1), (2) & (3) of PC&PNDT Act, the Supreme Court noted, “Bare reading of the aforesaid provisions makes it clear that Section 20(1) & (2) deals with both suspension or cancellation as the case may be, while Section 20(3) only deals with suspension in public interest. The authority, … affording reasonable opportunity of hearing and having regard to the advice of the Advisory Committee and on being satisfied that there was a breach of the provisions of the PC&PNDT Act or the Rules, without prejudice to any criminal action, may suspend or cancel its registration as the case maybe. Meaning thereby that for breach of the provisions of the PC&PNDT Act and the Rules, power of suspension for such period as may deem fit or of cancellation may be exercised parallelly by the appropriate authority.”

Meanwhile, “Sub­Section (3) of Section 20 only deals with suspension and confers independent power to the appropriate authority irrespective and notwithstanding the power under sub­sections (1) or (2) of Section 20. The said power may only be exercised by the appropriate authority if the said authority is of the opinion that exercise of such power is necessary or expedient in public interest. Meaning thereby that the exercise of such power of suspension by appropriate authority is in a contingency where it is expedient or necessary to take immediate action in public interest. While exercising such power, it is incumbent on the authority to form an opinion for reasons to be recorded in writing to indicate the said public interest. The said power is not akin to the power as specified in sub­section 2 of Section 20 of PC&PNDT Act and the Rules thereto,”  noted the Apex Court.

The bench perused the order dated 25.10.2010 and noted that the said order cannot be said to be an order under subsection (3) of Section 20 of PC&PNDT Act.

“In fact, it is simplicitor an order passed under sub­section (2) of Section 20 alleging contraventions of the provisions of PC&PNDT Act and the Rules. Therefore, we have no hesitation to say that the appellate authority, while remanding the matter vide order dated 21.12.2010, was not required to ask the appropriate authority to clarify whether the order of suspension was under sub­section (3) or under sub­sections (1) & (2) of Section 20 of PC&PNDT Act,” the bench noted at this outset.

The Supreme Court bench also took note of the suspension order dated 29.12.2010 passed in the public interest and noted,

“Perusal of the above order reveals that the appropriate authority while passing the order sought to exercise power under sub­section (3) of Section 20 of PC&PNDT Act and directed suspension of the registration of the clinic till finalization of the criminal proceedings because of the contraventions of the provisions of the PC&PNDT Act and the Rules. Therefore, it is said to be contrary to the public interest and such activity is required to be curbed.”

While clarifying the legal provisions, the bench opined that the power of sub­section (3) of Section 20 of PC&PNDT Act is notwithstanding the power of sub­sections (1) & (2) of Section 20. The bench held that the said power can only be exercised when the appropriate authority forms an opinion that it is necessary or expedient in public interest to do so.

“It is incumbent upon the appropriate authority to form its opinion based on reasons expedient or necessary to exercise the power of suspension,” opined the bench.

Referring to the order dated 29.12.2010, the bench observed that the order does not contain reasons as required to form an opinion that it is necessitated or expedient in public interest to exercise the power of suspension. 

“Therefore, in our view, it does not fulfill the requirement of sub­section (3) of Section 20 of PC&PNDT Act. As per the above discussions, neither the first order of suspension dated 25.10.2010 nor the second order of suspension dated 29.12.2010 qualifies the requirement of sub­Section (3) of Section 20 of the PC&PNDT Act. The said view is fortified by the reasoning recorded by the learned Single Judge and Division Bench which we find just and concur by its reasoning. Therefore, we are not inclined to interfere in this appeal,” the Court observed.

At this outset, the bench also referred to the intendment of Section 20(2) and Section 20(3) of PC&PNDT Act and clarified that

“…if the appropriate authority finds breach of provisions of PC&PNDT Act or the Rules it may, after issuing notice and giving a reasonable opportunity of being heard, without prejudice to any criminal action against the licensed entity, suspend its registration for such period as it may think fit or cancel the same as the case maybe.”

The bench noted that the appropriate authority also has power under subsection (3) of Section 20 notwithstanding the power under sub­section (1) & (2) of Section 20. In the said situation in case, the authority forms an opinion that it is necessary or expedient in public interest, then after recording reasons in writing, it may suspend the registration of the licensed entity without notice as specified in sub­section (1) of Section 20.

“Thus, the power of sub­section (3) is intermittent and in addition to the power of sub­section (2) but it may be exercised sparingly, in exceptional circumstances in public interest. In our view, the power of suspension, if any exercised, by the appropriate authority deeming it necessary or expedient in public interest for the reasons so specified, it should be for interim period and not for an inordinate duration,” opined the bench.

Considering this legal position, the bench took note of the fact that the suspension order dated 25.10.2010 was passed without any notice or affording any opportunity for hearing as per subsection (2) of Section 20. Therefore, the bench opined that it was not justified and has rightly been set aside by the Single Judge bench and confirmed by the Division bench. With this observation, the bench dismissed the plea by the authorities and upheld the High Court orders.

“Since the order under challenge has been implemented and the hospital is operational, therefore no further consequential orders are required to be passed directing to revive the registration. In the facts and circumstances of the case, there shall be no order as to costs,” noted the bench.

To view the order, click on the link below: 

https://medicaldialogues.in/pdf_upload/supreme-court-order-pcpndt-233989.pdf

Also Read: Settlement between parties not accepted for offences under PCPNDT Act: Gujarat HC

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Eyesight problems rising among children, Delhi AIIMS Doctor advise precautions

New Delhi: The Delhi All India Institute Of Medical Sciences (AIIMS) has said that the problem of poor eyesight in children has increased in the last 10 years. 

While earlier this problem was present in 13 to 15 per cent of children, it has increased to 20 to 25 per cent in the last 10 years.

That means if there are 50 children in a classroom, then out of them there will be 15 to 20 children who require glasses.

Dr Rohit Saxena, professor of ophthalmology and pediatrics, RP Center at AIIMS, said that in earlier times, only 3 to 4 per cent of children required spectacles but now this number has increased.

Also Read:AYUSH-ICMR Advanced Centre for Integrated Health Research launched in AIIMS

“Earlier, the problem of vision defects was seen in children 10 to 12 years of age. But now, at the age of 6 to 7 years, the eyesight of children has started deteriorating and they need to wear glasses,” said the doctor.

Not only this, but the doctor also said that even children under 4 years of age are facing the problem of myopia, or vision defect and the reason for its increase is the continuous use of gadgets like mobile phones, tablets, etc. in children.

Children keep using mobile phones and other gadgets for many hours and parents do not interrupt them, Dr Rohit said, adding that before Corona, when parents used to come to us, they used to complain about television hours and ways to solve them.

“But now parents say that he uses the phone only for 2 hours, which means that there has been a change in the mentality of the parents, which is affecting the eyesight of children,” he added.

Dr Rohit Saxena said that if children are studying online, then parents should ask them to study on a computer or laptop only and use smart screens for entertainment.

“The distance should be equal to one hand and if the distance is greater than that, then it will also be fine,” he added.

Professor Dr Saxena of the RP Center said that in the last 30 years, the problem of poor eyesight in children has increased rapidly. In this regard, the countries of East Asia are at the forefront. This includes countries like China, Singapore, and Hong Kong.

“In the countries of East Asia, 80 to 90 per cent of children suffer from visual impairment. Not only this, if we talk about India, this problem is continuously increasing among children in India,” said the doctor.

“Especially earlier, we used to think that the problem of visual impairment was less common in children in rural areas, but now the figures coming out show that even in rural areas, the problem of visual impairment is seen in small children. This means that even in those areas, the use of mobile phones and other gadgets has increased among children,” he said.

Dr Rohit said that in the data collected from rural areas in the last 10 years, earlier, 3 to 4 per cent of children had the problem of visual impairment, which has now increased to 7 to 8 per cent.

The doctor said that it is very important to increase digitalization, which is a good thing. People are becoming aware of this, even in rural areas. Along with this, excessive use of mobile phones, tablets and other gadgets is harmful to children.

“Parents need to be made aware of this and will have to explain this to their children since young minds are not aware of the potential damage,” he stated.

In such a situation, there are some symptoms. If the symptoms are visible in your child, then pay attention to them. For example, if the child is not able to copy the homework from the board in the class, if the child is copying homework from the other child’s notebook, or if the child is watching the board with eyes slightly closed.

Additionally, if the child is watching TV very closely, reading books very closely or has watery eyes and is used to constant rubbing of their eyes, these are all symptoms of a vision defect or myopia.

Regarding this, parents should immediately take their children to the doctor and get their eyes checked.

Along with this, if children use the phone continuously or have to do homework online, then parents should keep in mind that they must take a 5-minute break every half hour and always keep their computer or laptop near the window so that their children keep looking outside while studying.

Along with this, if possible, study in the open on the balcony or terrace. Children need to go out 2 hours during the day in the morning or anytime before evening.

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VIMSAR Junior Doctors Threaten Strike over pending stipend

Sambalpur: Protesting against the non-payment of stipend for months, the junior doctors at Veer Surendra Sai Institute of Medical Science and Research (VIMSAR) have threatened to go on strike if their demands remain unfulfilled by March 13.

It has been alleged by the resident doctors at the institute that there are large-scale irregularities in the institute that are causing the non-payment of stipend.

Raising their demands, the doctors allegedly met the Dean of the Institute Prof Jayashree Dora on Thursday. Despite a long discussion, allegedly no solution emerged and therefore, the problem continues.

Also Read: Full Stipend Henceforth: MRMC Residents Call off Strike following Assurance of Investigation of Previously Retracted Amount

As per the latest media report by Odisha Bytes, the protesting doctors wore black badges on their hands as a symbol of protest and they have also submitted a memorandum to the VIMSAR Director. The memorandum includes seven-point charter of the demands of the resident doctors. Submitting the memorandum, the doctors have urged the Director of the Institute to take appropriate steps.

Commenting on the matter, a protesting doctor told Odisha TV, “Though VIMSAR has been granted autonomous status, it is yet to get complete autonomy. Our institute cannot conduct an examination forcing us to appear under Sambalpur University. It would be much easier and transparent if the exam is conducted by our institute.”

Meanwhile, responding to the situation, the Dean of the institute, Jayashree Dora told the Daily, “We are currently conducting the exam under Sambalpur University. But we are going to do the same in our institute very soon. VIMSAR needs to be de-affiliated from Sambalpur University. Subsequently, permission is needed from the NMC. Then only we can conduct the exam here.”

“It is taking time for all that process. But we will soon complete all the formalities and conduct the exams here,” she added.

Also Read: Stipend Retracted after being Credited to Resident Doctors: Mahadevappa Rampure Medical College Medicos on Strike

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Lupin Digital Health CEO Sidharth Srinivasan Explores the Transformative Impact of Digital Therapeutics

India Live 2024 , the paramount global cardiology event hosted by the Interventional Cardiology Foundation of India, focused on Interventional Cardiology: enabling quality outcomes for heart disease patients.

Amidst this backdrop, Lupin Digital Health and the American College of Cardiology (ACC) announced a pioneering collaboration to introduce Digital Therapeutics (DTx) in India, aimed at delivering in-home cardiovascular care.
Their flagship product, Lyfe, launched just a year ago, represents a groundbreaking digital therapeutic solution designed to monitor and manage acute coronary syndrome (ACS) patients using advanced technologies.
In our conversation, with Mr. Sidharth Srinivasan, CEO of Lupin Digital Health, share insights on the transformative power of digital therapeutics. He discussed how Lupin Digital Health revolutionized healthcare in India by leveraging DTx and Remote Patient Monitoring to improve outcomes and reduce rehospitalization rates and explored the potential and challenges of digital therapeutics in reshaping cardiac care in India.

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AstraZeneca gets CDSCO Panel Nod To Import, Market Sodium Zirconium Cyclosilicate Powder for Oral Suspension

New Delhi: Noting an unmet medical need, the Subject ExperCommittee (SEC) functional under the Central Drug Standard Control Organisation (CDSCO) has granted approval to the drug major AstraZeneca to import and market Sodium Zirconium Cyclosilicate powder for oral suspension (Lokelma 5g and 10g).

However, this approval is subject to a condition that the drug major AstraZeneca should conduct a Phase IV clinical trial for which the protocol should be submitted within 3 months of approval of the drug.

This nod came after AstraZeneca presented the proposal for a grant of permission to import and market Sodium Zirconium Cyclosilicate powder for oral suspension 5g & 10g along with justification for a clinical trial waiver before the committee.

Sodium zirconium cyclosilicate is in a class of medications called potassium-removing agents. Sodium zirconium cyclosilicate is used to treat hyperkalemia (high potassium in the blood). This medicine is a potassium binder. It should not be used as an emergency treatment for life-threatening hyperkalemia. This medicine is available only with your doctor’s prescription.

Sodium zirconium cyclosilicate captures potassium throughout the entire gastrointestinal (GI) tract and reduces the concentration of free potassium in the GI lumen, thereby lowering serum potassium levels and increasing fecal potassium excretion to resolve hyperkalemia.

At the recent SEC meeting for Cardiovascular held on 20th February 2024, the expert panel reviewed the proposal presented by the drug major AstraZeneca to import and market Sodium Zirconium Cyclosilicate powder for oral suspension 5g and 10g along with justification for clinical trial waiver.

After detailed deliberation, the committee noted that the drug is approved in around 60 countries and there is an unmet medical need.

In view of the above, the expert panel recommended a grant of permission to import and market Sodium Zirconium Cyclosilicate Powder for Oral Suspension (Lokelma 5g and 10g) with the condition that the firm should conduct a Phase IV clinical trial for which the protocol should be submitted within 3 months of approval of the drug for review by the committee.

Also Read:CDSCO Panel rejects Torrent proposal To Waive BE Study of FDC Gabapentin plus Duloxetine

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Frame policy for online sale of medicines: Delhi HC gives four-month deadline for Health Ministry

New Delhi: The Delhi High Court has directed the Union Ministry of Health and Family Welfare to establish a policy for online drug sales within four months, emphasizing that this is the final opportunity for the Ministry to do so.

The division bench, led by Acting Chief Justice Manmohan and Justice Manmeet Pritam Singh Arora, issued the order in response to the Ministry’s request for an extension due to the complexity of the matter. The draft notification for online drug sales was issued over five years ago, on August 28, 2018.

The Ministry argued that the subject of online drug sales is complex, involving modifications to various Acts and Rules/Regulations, including the Drugs and Cosmetics Act, 1940; Pharmacy Act, 1948; Pharmacy Practice Regulations, 2015; Indian Medical Act, 1956; Code of Ethics Regulations, 2002, and Drugs and Magic Remedies (Objectionable Advertisement) Act, 1954.

In its submission, the Ministry said;

“The subject of online sale of drugs is one of complex nature and any modification in the manner of sale of drugs will have far reaching consequences and will involve changes in many other Acts and Rules/Regulations apart from Drugs & Cosmetics Act, 1940; Pharmacy Act, 1948; Pharmacy Practice Regulations, 2015; Indian Medical Act, 1956; Code of Ethics Regulations, 2002, and Drugs and Magic Remedies (Objectionable Advertisement) Act, 1954. It is further submitted that the modifications will also involve changes and amendments in these Acts and Rules / Regulations and the manner in which these Acts and Rules /Regulations are operated and enforced by all their respective stakeholders.”

In view of the submissions, the division bench granted the Ministry a final opportunity to frame the policy within four months, warning that if the draft policy is not prepared by the next hearing on July 8, 2024, the court will proceed with the matter. The bench noted;

“…the last and final opportunity is given to the Ministry of Health and Family Welfare to frame a policy of online sale of drugs within four months. It is made clear that if the draft policy is not prepared before the next date of hearing, this Court will have no other option but to proceed ahead with the matter.”

The court’s decision follows a petition by Dr Zaheer Ahmed, the South Chemists and Distributors Association (SCDA), and others against the Central Government’s inaction on e-pharmacies. In the previous hearing, the court had given the Centre eight weeks to frame the policy, and in case of non-compliance, the Joint Secretary dealing with the policy was directed to appear in court, which occurred on March 4, 2024.

Also Read: Ban On Online Sale Of Medicines: Delhi HC Issues Notice To Centre, E-Pharmacies On Contempt Plea

The matter is listed for the next hearing on July 8, 2024.

To view the latest order, click on the link below:

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NMC to launch portal having biometric attendance system

Aiming to combat the issue of ghost faculty in medical colleges and to streamline the attendance of medical students and faculty, the National Medical Commission (NMC) is soon going to launch a portal. According to NMC officials, the new portal will have a biometric attendance system and the doctors will have to punch once in every 24 hours while entering or leaving the hospital.

The portal will be launched in a couple of days and the idea behind the portal is to know the presence of the doctors in colleges.

For more information, click on the link below:

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MSR 2020 versus MSR 2023: Faculty requirements for medical colleges have not doubled, NMC officials give clarification

New Delhi: The faculty requirement for opening up a new medical college has gone up, but it has not been doubled, the National Medical Commission (NMC) officials recently clarified, rebutting the claims of many in the medical profession that the Minimum Standard Requirements (MSR) 2023 regulations are much harsher for running medical colleges and adding to the current faculty crisis.

“The faculty requirement for running a medical college has increased by a little bit in the new MSR, but it has been done in the interest of better quality of medical education,” NMC officials told the Medical Dialogues team, adding that the majority of the increase can be seen in the requirement of tutor/demonstrators/ SRs to propagate small group teaching.

In the recently held press conference, the NMC officials informed the media persons about the various changes in the Minimum Standard Requirements from the erstwhile MSR 2020 to the newly released MSR 2023 for undergraduate medical courses.

The Commission explained that the new MSR 2023 further relaxes the requirements for setting up medical colleges in terms of requirement of beds, departments, and faculty positions.

Apart from this, under this new MSR, several departments such as Respiratory Medicine, Emergency Medicine and PMR, which were previously mandatory for the medical colleges, have been reduced.

Further, the 2 years waiting period for hospital has been waived off and now even the smaller hospitals having 220 bed capacity can start a medical college for 50 MBBS students, informed the Commission.

On the issue of faculty, while speaking to Medical Dialogues team the NMC officials explained that while in MSR 2020 there was no provision to start a medical college with 50 MBBS seats, it is allowed under MSR 2023 and for this, the medical college must have 59 faculties.

Sharing the numbers in detail, Dr Arun Vanikar, President, UGMEB, NMC elaborated that In case of 100 MBBS seats, MSR 2020 made it mandatory for the medical college to have 90 faculties, but under MSR 2023, only 85 faculties are required. Similarly, the number of required faculties have been reduced for 150 MBBS seats as well. Previously, under MSR 2020, 116 faculties were required for 150 MBBS seats. However, MSR 2023 specifies that 114 faculties are required for the same.

The requirement of faculties remain the same in case of 200 MBBS seats. Both MSR 2020 and MSR 2023 specifies that 142 faculties are required in a medical college with an intake capacity for 200 MBBS seats. Meanwhile, in case of 250 MBBS seats, the requirement of 159 faculties under MSR 2020 has been increased to 168 faculties under MSR 2023.

Comparison of Faculty Requirement for MSR 2020 and MSR 2023

MBBS SEATS

MSR 2020

MSR 2023

50

59

100

90

85

150

116

114

200

142

142

250

159

168

At the same time, the requirements of Tutor/Demonstrator/SR have increased under MSR 2023, when compared to MSR 2020. In case of 50 MBBS seats, 38 Tutor/Demonstrator/SRs are required under MSR 2023.

“This has been done to propagate small group teaching”, Dr Vanikar told Medical Dialogues Team 

Under MSR 2020, for 100 MBBS seats, the requirement of Tutor/Demonstrator/SR was 60, for 150 MBBS seats the requirement was 76, for 200 MBBS seats it was 90 and for 250 MBBS seats, 95 Tutor/Demonstrators/SRs was required. 

The requirement has increased under the new MSR 2023. NMC informed that for 100 MBBS seats now the requirement of Tutor/Demonstrator/SR is 65, for 150 MBBS seats 90 Tutor/Demonstrators/SRs are required, for 200 MBBS seats the requirement is 113 and for 250 MBBS seats, 123 Tutor/Demonstrator/SRs are required.

Comparison of Tutor/Demonstrator/SR Reqt for MSR 2020 VS MSR 2023

MBBS SEATS

MSR 2020

MSR 2023

50

38

100

60

65

150

76

90

200

90

119

250

95

123

Further explaining the differences between MSR 2020 and MSR 2023, the NMC officials highlighted that the land requirement for college, which was 20 acres gen/ 10 acres metropolis under MSR 2020, has been removed under the new MSR 2023, making it easy to start a college. As opposed to the previous requirement of 23 subjects under MSR 2020, now only 20 subjects are required under the new rules.

Previously, under MSR 2020, permission used to be given for 100/150/250 MBBS seats. However, now permission is granted even for 50 MBBS seats, the Commission highlighted. While phase-wise increase was allowed under the erstwhile MSR 2020 rules, it is now allowed under the new MSR 2023, where availability is from day 1.

The Commission further pointed out that the concept of permitted vs recognised has been removed under MSR 2023, as per which permitted means recognised. Previously, the student practical training lab was separate for each department. However, under the new MSR 2023, it may be shared. Further, the autopsy facility in Forensic M & T was not allowed in non-govt institutions under MSR 2020. However, permission has been granted to non-govt institutes in this regard under the new MSR 2023.

Although biometric attendance was mandatory under MSR 2020, it was not implemented before, the head counting method used to be opted during the assessment, and 90% attendance was required at assessment. However, under MSR 2023, AEBAS has been implemented. Therefore, the dignity of doctors is maintained and 75% attendance average is required.

Previously, AEBAS for the students was not required under MSR 2020. However, it has been made mandatory under MSR 2023. OPD, IP etc was physical under MSR 2020, but it is now AI based under MSR 2023. NMC further pointed out that the Family adoption program was absent under the previous regulations. However, it has not been mandated for ECE under MSR 2023 and it is helping provide healthcare awareness to the last man of society.

Faculty development was partly handled by private players under MSR 2020, but now under the new MSR 2023 rules, it has been propped up, made well structured and handled by NMC. 

There is a significant difference between the MSR 2020 and MSR 2023 in terms of exams passing criteria as well. Previously 50% marks in theory/practical, 50% aggregate was required and there was provisions of 5 grace marks. However, under the new rules, 40% minimum marks is required in theory & practical each and 50% aggregate. However, there is no provision of grace marks.

Previously, there were 4 examiners for 100 students and additional 1 examiner/ 25 additional students. External examiners were previously appointed from out of the University. However, under the MSR 2023, every student is examiner by 4 examiners. Now, there are 50% internal and 50% external examiners, and external examiners are appointed out of college.

Under MSR 2020, NMC-designated assessors were in charge of the assessment. However, under the new rules, NMC has allowed self assessment by video clippings and sworn-in affidavits.

Differences between MSR 2020 and MSR 2023

SR. NO.

PARAMETER

MSR 2020

MSR 2023

1.

Land requirement for college

20 acres gen/ 10 acres metropolis

Removed(easy to start)

2.

SUBJECTS

23

20 (Student friendly)

3.

Number of seats

100/150/250

50/100/150 (Student friendly)

4.

Phase wise increase

allowed

None (availability from day 1)

5.

Concept of permitted/recognized

Present- Step-wise increase in infrastructure, material, manpower required

Permitted is recognised (Student friendly)-

requirement constant

6.

Student- practical training

Separate for each dept.

May be shared

7.

Autopsy facility in Forensic M. & T.

Non-govt. institutions not allowed

Allowed

8.

Biometric attendance

Mandatory, but not implemented (head counting during physical assessment) 90% attendance at assessment

AEBAS implemented (dignity of doctors maintained) 75% attendance average

9.

AEBAS for students

not required

Mandated

10.

OPD, IP

Physical

AI Based

11.

Family adoption program

Absent

Mandated for ECE and providing health care awareness to the last man of society

12.

Faculty development

Partly handled by private players

Propped up, well structured and handled by NMC

13.

Exams- Passing criteria

50% in theory/practical, 50% aggregate, provision of 5 grace marks

40%minimum in theory & practical each, 50% aggregate, no grace marks

14.

Examiners- number and externals

4 examiners for 100 students and additional 1 examiner/ 25 addit. students, External examiners out of Univ.

Every student to be examined by 4 examiners, 50% internal and 50% external, External Examiner out of college

15.

Assessment

NMC Designated assessors

Self-assessment by video clippings and sworn in affidavit mainly A.I

Also Read: Will not allow any student to die or be depressed: NMC’s Dr Yogender Malik

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Delhi doctor becomes victim of sextortion scam, loses Rs 8.6 Lakh

A 71-year-old doctor from Delhi was reportedly blackmailed into paying Rs 8.60 lakh after being caught in a sextortion scam. The police arrested two accsued in connection with the case.

Two persons have been arrested for allegedly extorting from a doctor after threatening to post online his obscene video that they recorded after making a video call to him, police said on Thursday.
For more information click on the link below:

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Hospital owner booked for allegedly conducting 74 illegal abortions

Discovering an illegal abortion racket that has been operating in the city for the last three years, the owner of the private hospital in Nelamangala has been booked for allegedly conducting 74 illegal abortions without the necessary authorization.

As of now, the doctor is on the run. The charges have been labelled against the hospital following allegations of performing illegal abortions since 2021 till date without obtaining a license under the Medical Termination of Pregnancy (MTP) Act in violation of subsection (b) of section 4 of the Medical Abortion Act, 1971.

For more information click on the link below:

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