NATIONAL MEDICAL COMMISSION POST-GRADUATE MEDICAL EDUCATION BOARD Pocket 14, Sector 8, Dwarka,

New Delhi–110 077

New Delhi, dated the 6th September, 2023 Minimum Standard of Requirements for Post-Graduate Courses-2023 (MSR-23)

No.N-P016(11)/1/2023-PGMEB-NMC. In exercise of the powers conferred vide sub-section (1) (a), (c), (d) and (e) of Section 25 of the National Medical Commission Act, 2019, the Post-Graduate Medical Education Board (PGMEB) issues the following guidelines under Regulation 10 of the Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses and Assessment and Rating Regulations, 2023 and Section 3.5 of the Post-Graduate Medical Education Regulation-2023. These Guidelines may be called the “Minimum Standard of Requirements for Post-graduate Courses-2023 (MSR-2023)”. These guidelines will come into force with immediate effect.

1. General Guidelines

i. Medical institutions will fulfill the specific and unique requirements for individual specialities as per Post-Graduate Medical Education Regulation (PGMER) in vogue, TEQ-2022 in vogue, curriculum requirements of respective speciality as notified on website or informed through any other method by National Medial Commission (NMC) time to time, other relevant regulations, explanatory notes, circulars and advisories etc., issued from time to time will be followed.

ii. There shall be proportionate increase in the faculty, infrastructure and other staff in a subject of Radio-diagnosis, Anaesthesia, Pathology, Microbiology, and Biochemistry with the increase in the number of beds in the hospital. Also, there shall be proportionate increase in the faculty and infrastructure, if workload in the Department is more. The departments shall have adequate number of latest in-house equipments, as per curriculum requirement, operated and managed by the respective department for the training of post-graduate students. The departments shall have digital library and seminar hall with well- equipped high speed internet, Wi-Fi connected media room to have direct relay from in-house operation theaters and also to conduct or attend global scientific live programmes. All institutions imparting post-graduate education shall necessarily have a simulation laboratory for the training of post-graduate students.

iii. All post-graduate medical college/institution will have facilities for teaching the basic science subjects as per guidelines.

2. i.

ii.

iv. v.

vi. vii. viii.

ix. x.

3. 4.

Infrastructure requirements

Hospital will have minimum 200 beds and will compulsorily have the following functional Departments:

a) Biochemistry

b) Pathology

c) Microbiology

d) Radio-Diagnosis

75 per cent of the hospital beds should be occupied throughout the year by patients requiring inpatient care.

There shall be adequate space and sufficient number of examination cubicles available in the Out-Patient Department.

There shall be one teaching room for each teaching department with a capacity to accommodate adequate number of students for clinical case discussions/demonstrations. Each such room shall have audio-visual facilities.

The institution shall have adequate in-house laboratory and imaging facilities for the training of post-graduate students, which should be fully run and governed by the respective department.

Laboratories shall provide all the investigative facilities required and shall be regularly updated keeping in view the advancement of knowledge, science and technology and for research requirements.

Imaging facilities shall be contemporary and in keeping with the latest technologyavailablefordiagnosisandinterventions. Theinstitutionshallhave in-house CT scan facilities and MRI facilities before starting any post-graduate course. These facilities shall be run and managed by the Radio-diagnosis department.

There should be digital data of records of investigations done in various Departments/Laboratories.

There should be a Departmental Library with essential books and journals as per curriculum requirements.

Clinical material/investigation workload required for post-graduate courses in broad specialities will be as per Annexure-I and as per the curriculum requirement.

Ratio of recognized post-graduate teacher to the number of students will be as per

iii. Minimum 15 per cent of the total beds in the Department imparting post-graduate training should be Intensive Care Unit (ICU) beds/High Dependency Unit (HDU) beds exclusively of that Department.

Annexure-II.

5. Number of minimum and maximum beds in a Unit, faculty and senior resident requirements for number of post-graduate seats in different specialties will be as per Annexure-III.

ANNEXURE-I

QUANTIFICATION OF THE CLINICAL MATERIAL/INVESTIGATION WORKLOAD REQUIRED FOR POST-GRADUATE COURSES IN SPECIALITIES

Clinical material/ investigation workload required for post-graduate courses will be as per curriculum requirement in curriculum documents of each speciality as notified by NMC time to time on website, etc. Following are additional general /specific guidelines.

Sl. No.

Parameter

Starting of Post-graduate Course [for annual intake of maximum 02 (two) post- graduate students]

Increase of each additional Post- graduate seat

Out-Patients Attendance

(General Guidelines for All Departments where there is Out- Patient clinics)

Average daily Out-Patients attendance should not be less than 50 in General Medicine; General Surgery; Paediatrics; Orthopaedics; Obstetrics and Gynaecology; Respiratory Medicine; Otorhinolaryngology; Ophthalmology; Dermatology, Venereology & Leprosy; Psychiatry; Emergency Medicine; and Family Medicine.

Average daily Out-Patients attendance in other clinical broad specialities and Super Specialities should be at least 25.

20% increase.

Bed Occupancy

(General Guidelines for All Departments where there is In- Patients)

The average bed occupancy for the Department should be at least 75%.

Same as for starting of PG course.

Operative Workload

(Guidelines for All Surgical

Departments)

The Surgical post-graduate student should get Operation Theatre Training for at least two full days in a week. Second Year onwards, trainees will get training as First Assistant/Supervised performance two full days in a week.

Accordingly, every faculty will preferably get two full days of Operation Table independently with or without supervision. Decision of Unit Chief will be followed.

Every Unit will perform minimum three major and six minor surgeries on operation day of the Unit.

At least 20% increase.

Anaesthesia Workload Guidelines

PG seat will be based on the workload, Same as for starting

(General

for institution daily and number of operation

number of operations being performed in the of PG course.

Sl. No.

Parameter

Increase of each additional Post- graduate seat

Anaesthesia Department)

Starting of Post-graduate Course [for annual intake of maximum 02 (two) post- graduate students]

theatres fully working (2 seats per operation table working for full day for all the working days), if other criteria are fulfilled.

The number of General Anaesthesia and Spine Anaesthesia taken together should co- relate with the number of major surgeries.

Delivery including LSCS workload (Guidelines for all Departments)

20 deliveries per week (for two seats).

At least 20% increase.

Radiological workload*

(General Guidelines for all Departments)

i. Plain X-Rays – at least 50 per day

ii. Ultrasound – at least 30 per day

iii. In-house CT Scan – at least 10 per day

iv. Special investigations – at least 3 per

day

v. In-house MRI – at least 3 per day

At least 20% increase.

Histopathology Workload*

(General Guidelines for Surgical and Pathological Departments)

Haematology workload*

(General Guidelines for all Departments)

Biochemistry Workload*

(General Guidelines for all Departments)

Total number of Histopathology investigations should be at least 20% of major surgeries performed in all disciplines in the institute.

Proportionate increase with surgical load.

Cytopathology Workload*

(General Guidelines for all Departments)

Total number of Cytopathology investigations should be at least 1% of the total daily OPD load of the hospital.

Total Haematological investigations should be at least 15% of the total daily OPD load of the hospital.

Proportionate increase with OPD load.

10.

Total Biochemical investigations should be at least 15% of the total daily OPD load of the hospital.

Proportionate increase with OPD load.

Microbiology Workload*

(General Guidelines for All Departments)

Total Microbiological investigations should be at least 5% of the total daily OPD load of the hospital.

Proportionate increase with OPD load.

11.

Note:

* – For the purpose of counting the laboratory and diagnostic investigations, fractions of routine and standard laboratory tests should not be counted as a separate investigations.

RATIO OF RECOGNIZED POST-GRADUATE TEACHER TO THE NUMBER OF STUDENTS

(1) The ratio of recognized Post-Graduate teacher to the number of students to be admitted for the post-graduate courses shall be as under:

ANNEXURE-II

Government College + Non- Govt. Colleges ***

Other Non- GovernmentColleges

Professor/ Associate Prof as Unit Head/ Associate Prof.* Associate Professor

Asst. Professor**

Bed Requirement in a Unit (Minimum/Maximum) and Seats

1:3

1:2

–

As per Annexure-II

1:2

1:1 –

As per Annexure-II

*** Non-governmental medical college/Medical Institution with 15 years of standing,shouldhave beenrunningthepost-graduatecoursesince10years and should have completed at least one renewal of recognition assessment in the concerned subject satisfactorily, and has applied for increase in seats.

* For Associate Professor – If an Associate Professor fulfils all the eligibility criteria for the post of Professor as laid down in the “Teachers Eligibility Qualifications in Medical Institutions, Regulations, 2022”, and fulfils all the requirement of post-graduate teacher as per Post-Graduate Medical Education Regulations, in vogue but has not been promoted to the higher post due to administrative non-availability of post or delay in filling up ofpost in the Govt. organization if he/she continue to work at the same government organization then such post-graduate teacher shall be allotted 3 (three) post- graduate students”.

** For Assistant Professor – If an Assistant Professor fulfils all the requirements of post-graduate Teacher as per Post-Graduate Medical Education Regulations, in vogue, he shall be considered a post-graduate teacher and shall be allotted 1 (one) post-graduate student.

Counting of Beds:

ICU beds exclusively of the respective Department under its administrative control shall be included in bed strength of the Department.

(2) The number of students to be admitted in case of Post-Graduate

degree (Super Speciality) courses

(i) The ratio of Post-graduate teacher to the number of students to be admitted for super specialities course shall be as under:

Post-Graduate Teachers: Students – Ratio for Super Specialist

Subjects* Govt. Colleges

1:2 1:2 1:1

As per Annexure-II

4 (20 beds) 5 (30 or more

beds)

Non-Govt. Colleges 1:2

1:2 1:1

As per Annexure-II

4 (20 beds)

5 (30 or more beds)

Professor Associate Prof. Assistant Prof.

Bed Requirement in a Unit (Minimum/Maximum) and Seats

Max. Seats per Unit

* In Departments where units are not prescribed, the number of post-graduate students that can be admitted in a Department shall depend upon the number of Faculty available in the said Department. There is no upper limit prescribed, however numberof seats shall be determined on the basis of available clinical material/ workload/facilities.

The ratio of post-graduate teacher to the number of students to be admitted for super specialities course shall be1:2 for Professor/Associate Professor and 1:1 for remaining cadre in each unit per year subject to a maximum of 4 post-graduate seats for the course per unit of 20 beds per academic year and to a maximum of 5 post-graduate seats for the course per unit per academic year provided the complement of 10 teaching beds per seat is added to the prescribed bed strength of 20 for the unit.

ANNEXURE-III TABLE SHOWING BEDS, FACULTY AND POST-GRADUATE SEATS IN DIFFERENT SPECIALITIES

Other Criteria

See A and B at Footnote

No of Post-graduate Seats

1 PG seat / 8 beds if other criteria are fulfilled.

1 PG seat / 8 beds if other criteria are fulfilled

1 PG seat / 8 beds if other criteria are fulfilled.

1 PG seat / 3 beds, if other criteria are fulfilled.

Senior Resident (SR) Requirement

One SR will be required in each unit, if the department is having above 16 beds

One SR will be required in each unit, if the department is having above 6 beds

Faculty

Requirement

See Foot Note 1 and 2

See Foot Note 1

and 2

See Foot Note 3

and 4

Maximum Number of Beds

Minimum No of Beds in a Unit

Name of the Department

General Medicine

General Surgery

Orthopaedics

Paediatrics

Obstetrics &

Gynaecology

Psychiatry

Other Criteria

See A and B at Footnote

No of Post-graduate Seats

1 PG seat / 6 beds, if other criteria are fulfilled.

1 PG seat / 3 beds, if other criteria are fulfilled.

PG seat will be based on the

number of seats per tables fully 2 operation table) if other workload, operation working(

criteria are fulfilled.

PG seat will be based on the

investigative workload and

number of clinical beds if

other criteria are fulfilled.

PG seat will be based on the

investigative workload, if

other criteria are fulfilled.

PG seat will be based on the

investigative workload, if

other criteria are fulfilled.

Senior Resident (SR) Requirement

One SR will be required in each unit, if the department is having above 12 beds

One SR will be required in each unit, if the department is having above12 beds

One SR will be required in each unit, if the department is having above 6 beds

As per the workload and no. of PG seats

Faculty

Requirement

See Foot Note 5 and 6

See Foot Note 3 and 4

As per the

workload and no. of PG seats

As per the

workload and no. of PG seats

As per the

workload and

no. of PG seats

As per the

workload and

no. of PG seats

Maximum Number of Beds

Not Required

Minimum No of Beds in a Unit

Not Required

Name of the Department

Otorhinolaryngology

Ophthalmology

Dermatology

Venerology and Leprosy

Anaesthesia

Radiology

Pathology

Microbiology

Other Criteria

See A and B at Footnote

No of Post-graduate Seats

PG seat will be based on the

investigative workload, if

other criteria are fulfilled.

workload, if other criteria are PG seat will be based on the fulfilled.

1 PG seat / 8 beds if other criteria are fulfilled.

Senior Resident (SR) Requirement

As per the workload and no. of PG seats

One SR will be required in each unit, if the department is having above 16 beds

SR will be required as per curriculum requirements

Faculty

Requirement

As per the

workload and no. of PG seats

As per the

workload and no. of PG seats

As per the

workload and no. of PG seats

As per the

workload and no. of PG seats

As per the

workload and no. of PG seats

See Foot Note 1 and 2

See Foot Note 1

and 2

Maximum Number of Beds

Not Required

Minimum No of Beds in a Unit

Not Required

Name of the Department

Biochemistry

Forensic Medicine

Pharmacology

Anatomy

Physiology

Respiratory Medicine

Emergency Medicine

Other Criteria

See A and B at Footnote

No of Post-graduate Seats

1 PG seat / 3 beds, if other criteria are fulfilled.

as per workload and curriculum requirement.

1 PG seat / 8 beds if other criteria are fulfilled.

1 PG seat / 3 beds, if other criteria are fulfilled.

Senior Resident (SR) Requirement

One SR will be required in each unit, if the department is having above 6 beds

as per workload and curriculum requirement

One SR will be required in each unit, if the department is having above 16 beds

One SR will be required in each unit, if the department is having above 6 beds

Faculty

Requirement

See Foot Note 3 and 4

See Foot Note 1 and 2

See Foot Note 3

and 4

Maximum Number of Beds

as per curriculum requirement

Minimum No of Beds in a Unit

as per curriculum requirement

Name of the Department

Radiation Oncology

Sports Medicine

Tropical Medicine

Geriatrics

Palliative Medicine

Family Medicine

Physical Medicine and

Rehabilitation

Other Criteria

See A and B at Footnote

No of Post-graduate Seats

PG seat will be based on the

workload and other

requirements and factors.

1 PG seat / 5 beds if other

Maximum seats permitted criteria are fulfilled. per unit will be 5.

PG seat will be based on the

workload and other

requirements and factors.

Senior Resident (SR) Requirement

As per the workload and no. of PG seats

Faculty

Requirement

As per the

workload and no. of PG seats

See Foot Note 1 and 2

As per the

workload and no. of PG seats

Maximum Number of Beds

Not Required

Minimum No of Beds in a Unit

Not Required

16/as per curriculum requirement

Not Required

Name of the Department

Other Broad Specialty where inpatient beds are not required

Super Specialty subjects

where inpatient beds are

required

Super Specialty subjects

where inpatient beds are

not required

If the beds are 30 or above, then minimum faculty will be 3 per Unit. The Unit will be headed by a Professor or 2. If the beds are less than 30, then minimum faculty requirement will be 2 faculty per Unit. The Unit will be Associate Professor and remaining faculty can be Associate Professor/Assistant Professor. Footnote: 1.

headed by a Professor or Associate Professor and remaining faculty can be Associate Professor/Assistant

Professor.

3. If the number of beds are more than 12, then the minimum faculty will be 3 per Unit. The Unit will be headed by a Professor or Associate Professor and remaining faculty can be Associate Professor/Assistant Professor.

4. If the beds are less than 12, then minimum faculty requirement will be 2 faculty per Unit. The Unit will be

headed by a Professor or Associate Professor and remaining faculty can be Associate Professor/Assistant

5. If the number of beds are more than 24, then the minimum faculty will be 3 per Unit. The Unit will be headed by a Professor or Associate Professor and remaining faculty can be Associate Professor/Assistant Professor.

Professor.

6. If the number of beds are less than 24, then the minimum faculty will be 2 faculty per Unit. The Unit will be

Professor.

headed by a Professor or Associate Professor and remaining faculty can be Associate Professor/Assistant

A: Curriculum Requirement

B: Faculty as per MCI Gazette Notification No.MCI-18(1)/2019-Med./100889 dated 04.04.2019.