No. MCI-5(3)/2017-Med.Misc./ MEDICAL COUNCIL OF INDIA NEW DELHI EXECUTIVE COMMITTEE

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1 1 No. MCI-5(3)/2017-Med.Misc./ MEDICAL COUNCIL OF INDIA NEW DELHI EXECUTIVE COMMITTEE Minutes of the meeting of the Executive Committee held on 26 th September, 2017 at 11:00 a.m. in the Council Office at Sector 8, Pocket 14, Dwarka, New Delhi. :Present: *********** Dr. Jayshree Mehta Dr. C.V. Bhirmanandham Dr. Alok Ahuja Dr. Anil Chauhan Prof.(Dr.) Ashwani Kumar Dr. G.B. Gupta Dr. Kampa Shankar Dr. Narain Venktesh Bhandare Dr. Sinam Rajendra Singh Dr. Vijay Prakash Singh President Medical Council of India, Former Professor of Surgery, Govt. Medical College, Vadodara (Gujarat) Vice-President, Medical Council of India, Former Vice-Chancellor of Dr. M.G.R. Health University, Chennai (Tamil Nadu) Lab Director, Dr. Ahujas Pathology & Imaging Centre, 7-B, Astley Hall, Dehradun (Uttrakhand) Principal, Dr. R.P. Govt. Medical College, Tanda (Himachal Pradesh) Professor, Department of Microbiology, University College of Medical Sciences, Shahdara(Delhi ) Vice-Chancellor, Ayush & Health Sciences University, G.E. Road, Raipur (Chhatisgarh) Professor, General Medicine & Superintendent, Sir Ronald Ross Institute of Tropical & Communicable Diseases, Nallkunta, Hyderabad Consulting Surgeon, Bhandare Hospital, Fontainhas, Panaji (Goa ) Professor of Urology, Rajendra Instt. of Medical Sciences, Imphal (Manipur) & Director, Manipur Medical Council Imphal, Manipur Professor & Head, Department of Gastroenterology, Patna Medical College, Patna (Bihar) Dr. Reena Nayyar, Secretary I/c. Apology for absence was received from Dr. Chandrakant Bhaskar Mhaske.

2 2 1. Minutes of the Executive Committee Meeting held on 30 th August, 2017 Confirmation of. The Executive Committee of the Council confirmed the minutes of the Executive Committee meeting held on 30 th August, :ADDENDUM: The Executive Committee of the Council noted that in the matter of Rohilkhand Medical College, Bareilly and Ulhas Patil Medical College, Jalgaon, a decision has been taken by circulation for processing the applications for postgraduate courses. The Executive Committee further noted that the application of clause 8(3)(1)(c) of Establishment of Medical College Regulation (Amendment),2010(Part II), dated 16 th April, 2010 and amended on 18 th March, 2016 in respect of the said two institutes stands revoked. The minutes of the above item were read out, approved and confirmed in the meeting itself. 2. Minutes of the last meeting of the Executive Committee Action taken thereon. The Executive Committee of the Councilnoted the action taken on the minutes of the Executive Committee meetings held on 8 th August,2017&30 th August, 2017 (on the items that were read and confirmed ). The Executive Committee further noted that rest of the minutes were pending approval of the Oversight Committee. 3. Pending Items arising out of the decisions taken by the Executive Committee. The Executive Committee of the Councilnoted the pending items arising out of the decisions taken by the Executive Committee. 4. Minutes of the Academic Committee meeting held on 17 th August, Read: the matter with regard to minutes of the Academic Committee meeting held on 17 th August, The Executive Committee of the Council perused the minutes of the Academic Committee meeting held on 17 th August, 2017and noted &approved the following items as under:- Item No.4. Item No.5. Item No.6. Item No.8. Item No.11 Item No.16 Minutes of the meetings of the Reconciliation Board to finalize UG curricula held on 3 rd July, Minutes of the meeting of the Standing Group on Advance Course in Medical Education held on 18 th July, 2017 Note from UG Section regarding suggestion for running additional courses in evening shifts Letter received from Sh. Arun Singhal regarding a workshop on Human Values & Health Organized by MOH&FW. from Dr. Rahul Rao, Dy. M.S, I. G Hospital to President, MCI requesting incorporation of MD in Hospital Management in relevant schedule of MCI. Letter received from Sh. S. Bhattacharyya, Chief Manager M & E/BD, Gramin Vikas Trust regarding request for Live Demonstration

3 3 Proposal to deploy Cloud Based Skill Upgradation / Training and Capacity Building Platform for Health Care Professionals. Item No.17 Letter from Sh.Amit Biswas regarding notification of Undergraduate Competency Based Curricula. The Executive Committee of the Council further perused the minutes of the Academic Committee and observed the following:- Item No.7. Note from UG Section regarding internship allowances for the MBBS students are not paid by private medical colleges in Karnataka. The Executive Committee did not approve the recommendations of the Academic Committee asgme Regulations do not provide for payment of stipend to Interns. As such the issue is beyond the purview of MCI. Item No.9 Guidelines and MSR for DM in Neuroradiology Comments of PG Committee and Action Taken. The Executive Committee decided that the matter be placed before the PG Committee. With regard to the comments of the Expert Group on the issues raised earlier by PG Committee, the observations of Executive Committee are as under: (1) No Journal can be prescribed by name. There cannot be more than 2 International & 1 National Journal as requirement. (2) Marking at final examination will be as per Regulations in vogue. (3) 20 beds are for the department as indoor beds. Beds in ICU, recovery, etc. cannot be considered towards indoor beds. (4) Requirement of Senior Resident shall be 1/Unit. Qualification & Experience shall be as per TEQ Regulations. Item No.10 Guidelines, MSR and TEQ for DM in Organ Transplant Anesthesia & Critical Care. The Executive Committee decided that the matter be placed before the PG Committee / TEQ Sub-committee. Item No.12 Draft Guidelines, MSR & TEQ for (a) DM in Aviation Human Engineering (b) DM in Environmental & Space Physiology. The Executive Committee decided that the matter be placed before the PG Committee. Item No.13 Report of Expert Group on Forensic Medicine & Toxicology on RTI application dated from Dr. Indrajit Khandekar on (a) Forensic Medicine (FMT) teaching to be taken to later part of clinical years, (b) posting in FMT to be a part of Internship Programme, (c) steps to increase PG admission in FMT. The Executive Committee approved as under: (1) Teaching in Forensic Medicine can be a component of overall Integrated Teaching Programme during III M.B;B.S. Phase I & Phase II. (2) Electives on Forensic Medicine as recommended in Choice Based Elective System in the undergraduate medical education programme are approved.

4 4 Item No.14 Revised Graduate Medical Regulations, 2017 and Competency based UG curricula. The Executive Committee observed that there is no comparative chart of original Regulation, proposed change & reasons for the change in the proposed draft Regulations. The Executive Committee decided that the draft Regulations be resubmitted with a comparative chart showing original Regulation, proposed change and reasons/justification for the change to be placed before the Executive Committee at its next meeting. Item No.15 Guidelines, MSR and TEQ for DM in Clinical Immunology & Rheumatology The Executive Committee decided that the matter be placed before the PG Committee / TEQ Sub-committee. Item No.18. With the permission of the Chair following items were discussed: 1. Whether people with non-medical qualification in the subjects where teachers with non-medical qualification up to the prescribed percentage are permitted, would be appointed as Tutors in the said subjects. The Executive Committee approved the recommendations of the Academic Committee with the modification that they can be appointed as Tutors subject to overall ceiling for non-medical teachers as prescribed in TEQ Regulations; their qualifications should have been obtained from Faculty of Medicine / Medical College. If the teacher meets eligibility criteria for appointment as Assistant Professor upwards in the terms of qualification, experience, publications, then he can be promoted as permissible. 2. Whether teachers with non-medical qualifications in the subjects where they are permitted up to a permissible extent statutorily provided for would be appointed as Internal Examiners at the University examination. The Executive Committee approved the recommendations of the Academic Committee with the modification that such a teacher can be appointed as examiner for M.B;B.S. examinations only. They cannot be appointed as examiners for PG examinations. Office Note: Office is directed to place the items related with PG courses straightaway to PG Committee for its consideration without waiting for approval of Minutes of meeting of Academic Committee by Executive Committee. Further, in case Academic Committee has recommended that an item be placed before a Sub-Committee (E.g. TEQ Sub-committee), the same should be placed before respective Sub-committee without waiting for approval of Minutes of meeting of Academic Committee by Executive Committee and the item should be placed before Executive Committee for its consideration along with the recommendation of the respective Sub-committee. 5. Annual Report of Medical Council of India for the academic year The Executive Committee of the Council approved the annual report of Medical Council of India for the academic year

5 5 6. Approval of the proceedings of the Ethics Committee meeting held on 10 th & 11 Th August, 2017 reg. Read: the matter with regard to approval of the proceedings of the Ethics Committee meeting held on 10 th & 11 Th August, The Executive Committee of the Council perused the proceedings of the Ethics Committee meeting held on10 th & 11 Th August, 2017 and approved the following proceedings as under:- 2 Complaint dated filed by Mrs. Jharna Ghosh against Dr. Harsh V. Agarwal of All Asia Medical Institute, Kolkata, West Bengal 10 th & 11 Th August, Appeal dated filed by Sh. Pramod Sahu against the order dated passed by Odisha Council of Medical Registration 10 th & 11 Th August, Appeal dated filed by Sh. Puneet Ladanwa against Dr. Mohan Lal Sharma and Dr. Anirudh Sharma of Rajat Hospital, Nagaur, Rajasthan 10 th & 11 Th August, Appeal dated filed by Dr. Kunal Saha against Dr. Nirmal Maji, Dr. Pradit Kumar Mitra and Dr. Rajendra Pandey, West Bengal 10 th & 11 Th August, 2017 The Executive Committee further perused the proceedings of the Ethics Committee meeting held on10 th & 11 Th August, 2017 and observed as under:- 1 The matter with regard to faculty members of Pacific Institute of Medical Sciences, Udaipur, Rajasthan 10 th & 11 Th August, 2017 The Executive Committee decided to refer back the matter to the Ethics Committee since there is discrepancy in the punishment awarded to Dr. Anant Marathe, Asso. Prof. of Microbiology and Dr. Kanu Verma, Asst. Prof. of Skin & VD and that which has been approved by Executive Committee at its meeting held on in similar matters. Further, no punishment has been recommended for the Dean of the Institute. 3 Various s received from Dr. H. Bharath, regarding MCI recognition for PGDCC Diploma 10 th & 11 Th August, 2017 The Executive Committee while approving the above with regard to Section 8(5) directed that with regard to treat the file as closed, the file cannot be closed till the complaint filed by MCI is brought to its logical conclusion. The Committee directed the Office to act accordingly. 4 Appeal dated filed by Sh. D. Subbaranga Reddy against Order dated passed by Andhra Pradesh Medical Council reg 10 th & 11 Th August, 2017

6 6 The Executive Committee approved the proceedings of the Ethics Committee with the modification that the A.P. Medical Council be directed to conclude the proceedings within 03 months. 7 Appeal dated filed by Sh. Radhey Shyam against Order dated passed by Delhi Medical Council reg. 10 th & 11 Th August, 2017 The Executive Committee approved the proceedings of the Ethics Committee and directed the office to request Delhi Medical Council to file a complaint before police authorities in this regard. 7. Prathima Institute of Medical Sciences, Karimnagar Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard toprathima Institute of Medical Sciences, Karimnagar Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session (10/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 4 th batch of MBBS students against the increased intake i.e. from in respect ofprathima Institute of Medical Sciences, Karimnagar under Dr. NTR University of Health Sciences, Vijayawada, u/s 10 A of the IMC Act, 1956 for the academic session Narayana Medical College, Nellore Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Narayana Medical College, Nellore Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (10/ ) and noted the following:- 1. In Medicine ward many of the patients appeared quite comfortable and admitted for trivial diseases like anemia, acid peptic disease, hypothyroidism without any complications, Neck pain & myalgia. (Evidence sheet given). None of the patients were receiving IV fluids suggesting unnecessary hospitalization. No separate register for treatment/dose schedule book is maintained by nursing staff. No daily ward census was available. 2. On enquiry with one of the patient named Sandip Kumar admitted under Medicine Unit-V, OP/ID No , it was learnt that he was actually admitted on 09/08/2017. However, the case sheet records show the admission date as 4 th August, Similar cases were noted in other wards also where discrepancy between available record & patients own version. 3. In TB & Chest ward all patients were looking healthy & comfortable without any patient receiving oxygen therapy. 4. In Dermatology ward patients were admitted for simple conditions like Eczema, deformities with Leprosy without need for active hospitalization. 5. In Orthopedics ward many patients admitted with minor ailments without any indication for hospitalization.

7 7 6. In Pediatrics ward Diet register is not updated after Duty staff report register was not also updated. 7. There were only 2 Normal Deliveries & 1 Caesarean Section on day of assessment. 8. OPD: Plaster room & Plaster cutting room are common. In O.G. OPD, separate rooms for Antenatal clinic & Sterility clinic are not available which are required as routine OPD timings are upto 5 p.m. (P. 28) 9. Interns Hostel: Available accommodation is for 154 against 250 required. 10. Students Hostels: In Boys Hostel, Visitors room, A.C. Study room are not available. In Study room of Girls Hostel, there is no Study room or computer. 11. Other deficiencies as pointed out in the assessment report. In view of above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect ofnarayana Medical College, Nellore under Dr. NTR University of Health Sciences, Vijayawada, u/s 10 A of the IMC Act, 1956 for the academic session Smt. NHL Municipal Medical College, Ahmedabad Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard tosmt. NHL Municipal Medical College, Ahmedabad Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (10/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 3 rd batch of MBBS students against the increased intake i.e. from in respect ofsmt. NHL Municipal Medical College, Ahmedabad under Gujarat University, Ahmedabad, u/s 10 A of the IMC Act, 1956 for the academic session Kamineni Institute of Medical Sciences, Narketpally, Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Kamineni Institute of Medical Sciences, Narketpally Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session (10/ ) alongwith a representation/letter dated Nil received from the Principal of the college and decided to recommend to the Central Govt. to renew the permission for admission of 4 th batch of MBBS students against the increased intake i.e. from in respect ofkamineni Institute of Medical Sciences,Narketpally under Kaloji Narayana Rao University of Health Sciences, Warangal u/s 10 A of the IMC Act, 1956 for the academic session Sree Balaji Medical College and Hospital, Chennai Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard tosree Balaji Medical College and Hospital, Chennai Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session

8 8 (10/ ) and noted the following:- 1. OPD attendance at 2 p.m. on day of assessment was 2,022 against requirement of 3, Bed Occupancy at 10 a.m. on day of assessment was 52 %. 3. Exact OPD attendance (New+Old cases) collected personally by inspecting all OPD attendance registers at 2 p.m. is (i) General Medicine 333( ) (ii) Pediatrics 223( ) (iii) Dermatology -195(123+72) (iv) Psychiatry-64(29+35) (v) Pulmonary Medicine-88(46+42) (vi) General Surgery 302( ) (vii) Orthopedics 278( ) (viii) ENT 184 (97+87) (ix) Eye 185 (89+96) (x) Obst/Gynae-170(83+87) There were NIL patients in OPD complex at that time with OPD chambers being occupied by hospital staff. 4. Healthy individuals and patients with simple OPD like problems viz.cough,cold, mild anaemia, short duration viral fever (but no documentation), malaise, knee pain (osteo arthritis many cases) back pain, ankle sprain, cervical spondylosis, boils, rhinitis, urticaria, normal pregnant females, gastritis, pain abdomen with no findings, pulmonary cases with no chest findings or x-rays done, urinary tract infections etc. and patients who were fit for discharge but being unnecessarily hospitalized have not been considered. Huge amount of fabrications, manipulations and falsification wrt patients, case files and data was observed. 5. Many case files appeared prepared totally unrelated to patient s complaints. Then with some another handwriting in between the original comments Injections, and/or I/V fluids are written which the patient never gets or/is required. Certain printed investigation reports were attached with case files but name/age/sex were handwritten. Such patients denied having any investigations being done. Patients admitted with fever had no recording of elevated temperature in their TPR charts. In some of the TPR charts verified the pattern was unnatural and overwritten on a normal graph. 6. Many health looking patients especially in Paediatrics and General Medicine wards had prescription of Intravenous Antibiotics/fluids but the I/V cannula was just placed on the dorsum of hand covered with white leucoplast. On getting suspicious, we the assessors opened the plaster and found no piercing of vein. Videography of this exposure in randomly picked up couple of cases (Krishna,8 years old, IP No and Vignesh, 13 years old, ) was made and is enclosed for the perusal of Council. 7. In Respiratory medicine ward 46 patients were shown to be suffering from COPD/Bronchial Asthma. However more than 90% of them did not have an X-Ray done or any bronchodilator being prescribed in case records. On Auscultation of the patient s chest by Clinical Assessor, Chest was totally clear with no abnormal finding in those patients. 8. Asymptomatic patients with Allergic Rhinitis were admitted in Respiratory medicine ward. 9. Psychiatry ward had majority of mild depression cases admitted. 10. On verification of Ward Side Lab of Department of General Medicine meant for 120 beds the number of investigations done were 2 on 10 th August and 3 on 9 th August.

9 9 11. In Orthopedics Departments, on verification of patients only 10 to 15% of the admitted patients had Fractures, of which less than 5 patients were fresh cases. On physical verification or Orthopedics IPD Register for month of June and July 2017, peculiar monotonous uniform pattern was observed with respect to daily IPD figure or all days the number of transferred in TRIN and transferred out TROT were exactly same on all the days signifying manipulation of data. 12. Obstetric workload is less for training of 250 students. 13. OPD: Immunization workload is very low. It reflects poorer Paediatric OPD attendance. 14. Students Hostels: In H Block, no student is staying. Some construction labourers are staying. Corridors and Stairs are full of garbage and filthy. 15. Other deficiencies as pointed out in the assessment report. In view of above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 4 th batch of MBBS students against the increased intake i.e. from in respect of Sree Balaji Medical College and Hospital, Chennai, under Bharath University, Chennai, u/s 10 A of the IMC Act, 1956 for the academic session The Executive Committee of the Council further decided to apply clause 8(3)(1)(c) of Establishment of Medical College Regulation (Amendment),2010(Part II), dated 16 th April, 2010 and amended on 18th March, 2016, which reads as under:- 8(3)(1).. (c) Colleges which are already recognized for award of MBBS degree and/or running postgraduate courses If it is observed during any inspection/assessment of the institute that the deficiency of teaching faculty and/or Residents is more than 10% and/or bed occupancy is <70%, compliance of rectification of deficiency from such an institute will not be considered for issue of renewal of permission in that Academic year and further such an institute will not be considered for processing applications for postgraduate courses in that Academic year and will be issued show cause notices as to why the recommendation for withdrawal of recognition of the courses run by that institute should not be made for undergraduate and postgraduate courses which are recognized u/s 11(2) of the IMC Act,1956 along with direction of stoppage of admissions in permitted postgraduate courses. In view of above, it was decided not to consider the Institute for processing applications for postgraduate courses in the current Academic year ( ) and to issue show cause notice as to why the recommendation for withdrawal of recognition of the courses run by that institute should not be made for undergraduate and postgraduate courses which are recognized u/s 11(2) of the IMC Act,1956 alongwith direction of stoppage of admissions in permitted postgraduate courses. The Executive Committee of the Council further decided to intimate the Postgraduate Section of application of clause 8(3)(1)(c) for this Institute for information and further necessary action.

10 Mahatma Gandhi Medical College & Research Institute, Pondicherry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard tomahatma Gandhi Medical College & Research Institute, Pondicherry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (10/ ) and noted the following:- 1. In respect of Dr. Prasanna Venkatesh, Senior Resident in Ophthalmology, his D.F. is modified with a white marker & his Designation/Experience in the inside page is shown as Junior Resident only. 2. OPD: In General Surgery OPD, there is no signage board of Major Specialty or Super Specialty. 3. In General Surgery & Orthopaedics OPD, number of patients registered at 12 noon on day of assessment does not tally with number of patients seen in individual consultation chambers. 4. Wards: Female General Surgery ward does not have Demonstration room. Female Orthopaedics & ENT patients are admitted in a single ward with only one Nursing station. 5. MRD: It is partially computerized. Records are not kept properly. 50 % of the records are dumped. 6. Blood Bank: Stocks are not maintaining refreshments to be served to Blood Donors. 7. Lecture Theaters: Capacity of Hospital Lecture theater is 200 against requirement of Interns Hostel: There is no separate hostel for Interns. It is combined with PG Hostel; however total accommodation available in PG Hostel is 239 against requirement of 378 (i.e. 250 Interns Residents). 9. RHTC: Infrastructural facilities are inadequate as detailed in the report. 10. Other deficiencies as pointed out in the assessment report. In view of above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect ofmahatma Gandhi Medical College & Research Institute, Pondicherry, under Sri Balaji Vidyappeth (Deemed University), Puducherry, u/s 10 A of the IMC Act, 1956for the academic session Rural Medical College, Loni Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Rural Medical College, Loni Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 3 rd batch of MBBS students against the increased intake i.e. from in respect ofrural Medical College, Loni, under Pravara Institute of Medical Sciences (Deemed University), Loni, u/s 10 A of the IMC Act, 1956 for the academic session

11 Calcutta National Medical College, Kolkata Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Calcutta National Medical College, Kolkata Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and noted the following:- 1. Deficiency of faculty is % as detailed in the report. 2. Raiodiagnosis department: AERB approval is not available for 3 Static X- ray machines. 3. ETO Sterilizer is not available. 4. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from atcalcutta National Medical College, Kolkata under West Bengal University of Health Sciences, Kolkata, u/s 10 A of the IMC Act, 1956 for the academic session GSL Medical College, Rajamundry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to GSL Medical College, Rajamundry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (03/ ) and noted the following:- 1. OPD attendance at 2 p.m. on day of assessment was 1,834 against requirement of 2, Some of the patients admitted in the wards of paediatrics, psychiatry, OBGY, Orthopaedics, Surgery and ENT were of minor complaints which do not merit admission. For example Keloids, APD and Sebacious cyst cases in Surgery, Osteoarthritis and lowback pain in Orthopedics, Nasal discharge, Vertigo and Hearing impairment cases in ENT. In OBGY, mild PID, normal pregnancy not requiring any intervention and vaginal discharge. In psychiatry patients with complaints of breathlessness, chest pain and knee pain. In paediatrics adults studying in 9 th, 10 th and 11 th classes were admitted. Patients with complaints not related to the particular speciality were admitted in the wards like wrist pain in OBGY. On enquiring patients their complaints do not match with what is noted down on the case sheet. 3. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect ofgsl Medical College, Rajamundry under Dr. NTR University of Health Sciences, Vijayawada, u/s 10 A of the IMC Act, 1956 for the academic session

12 Govt. Medical College, Patiala Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Govt. Medical College, Patiala Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and noted the following:- 1. Deficiency of faculty is % as detailed in the report. 2. Medical Superintendent is not available. 3. No C.M.O. is available in Casualty. 4. Bed Occupancy is % at 10 a.m. on day of assessment Nursing staff are available against requirement of OPD: Registration counters are manual. Sterilization clinic is not available in OG OPD. No record of cancer Detection clinic is available. Minor O.T. is not available in General Surgery OPD. 7. Wards: Distance between 2 beds is < 1.5 m in some wards. 8. O.T.: There are 2 tables in each O.T. which is not as per Norms. 9. AERB approval is not available for any static X-ray machine. 10. MRD is partly computerized. 11. Examination Halls: Area od available 2 Examination halls is 186 sq.m. each against requirement of 2 of 250 sq.m. each. 12. Lecture theaters: Capacity available 4 Lecture Theaters is 160 each against requirement of 4 Lecture theaters of capacity 240 each. Capacity of both Hospital Lecture Theaters is 160 each; resultantly no Hospital lcture Theater of capacity 300 is available. 13. Central Library: Available area is 2,700 sq.m. against requirement of 3,200 sq.m. 85 Journals are available against requirement of 100. Only 07 Internet Nodes are available against requirement of Students Hostels: Available accommodation is 598 against requirement of RHTC: Residential accommodation is not available. 16. Website: Information uploaded is sketchy. 17. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from atgovt. Medical College, Patiala under Baba Farid University of Health Sciences, Faridkot, u/s 10 A of the IMC Act, 1956 for the academic session Govt. Medical College, Amritsar Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Govt. Medical College, Amritsar Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and noted the following:- 1. Deficiency of faculty is % as detailed in the report. 2. Dr. R.S. Sharma, Medical Superintendent has only 7 y experience against 10 y required; hence not qualified to hold the post.

13 13 3. OPD: Registration counters are not computerized. Child Rehabilitation clinic is not available in Paediatrics OPD. Cancer Detection clinic is not available in O.G. OPD. 4. Wards: Some wards do not have Demonstration rooms. Many Patients had their own bed sheets. Hygiene & Sanitation are poor. 5. Workload of Radiological & Laboratory investigations is low. 6. MRF: It is manual. 7. Casualty: Separate Casualty for O.G. is not available. Disaster Trolley, Mobile X-ray are not available. 8. O.T.s: Some O.T.s are not air-conditioned. All Pre-operative & Postoperative beds were vacant on day of assessment. 9. ICUs: SICU is not available. There is no Ventilator in ICCU. 10. Radiodiagnosis department: 3 Mobile X-ray machines are available against requirement of 6. 3 Static X-ray machines are available against requirement of Intercom is not available. 12. Examination Halls: Available Examination Halls are 2 of capacity 200 each against requirement of 3 of 250 each. Even the available capacity of 200 is too much congested. 13. Lecture Theaters: Available Lecture Theaters in the college are 3 of capacity 150 each against requirement of 4 of capacity 240 each. 14. Central Library: It is not air-conditioned. Students reading room (Outside) is not available. Capacity of Students Reading room (Inside) is 150 against requirement of 200. NIL Internet Nodes are available. 15. Central Photography Section: No equipment is available. 16. Students Hostels: A.C. Study room with computer is not available in Boys & Girls Hostels. 17. Interns Hostel: Available accommodation is 101 against requirement of 200. A.C. Study room with computer is not available in Boys & Girls Hostels. 18. Residents Hostels: A.C. Study room with computer is not available in Boys & Girls Hostels. 19. Website: Toll-free number to report ragging is not available. Uploaded information is not complete. 20. Anatomy department: Cold Storage is not available. Band Saw is not available. Dissection Microscopes are not available. 21. Physiology department: Haematology laboratory is not functional. 22. Biochemistry department: Practical laboratory is not functional. Audiovisual aids are not available in Demonstration rooms. 23. Pathology department: There is no seating arrangement in the Museum. 24. Microbiology department: There is no seating arrangement in the Museum. Facilities are inadequate. 25. Pharmacology department: Museum facilities are inadequate. 26. Forensic Medicine department: Details of Museum are not provided. 27. Community Medicine department: Practical laboratory is not functional. Practical laboratory is not available. 28. RHTC: Students are not posted. Residential facility is non-functional. Specialists visits are not organized. 29. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from atgovt. Medical College, Amritsar under Baba Farid University of Health Sciences, Faridkot, u/s 10 A of the IMC Act, 1956 for the academic session

14 Rajarajeswari Medical College & Hospital, Bangalore Renewal of Permission for admission of 2 nd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Rajarajeswari Medical College & Hospital, Bangalore Renewal of Permission for admission of 2 nd Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 2 nd batch of MBBS students against the increased intake i.e. from in respect ofrajarajeswari Medical College & Hospital, Bangalore under Rajiv Gandhi University of Health Sciences, Bangalore u/s 10 A of the IMC Act, 1956 for the academic session Kalinga Institute of Medical Sciences, Bhubaneswar Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Kalinga Institute of Medical Sciences, Bhubaneswar Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (18/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect ofkalinga Institute of Medical Sciences, Bhubaneswar under KIIT University, Bhubaneswar u/s 10 A of the IMC Act, 1956 for the academic session TeerthankerMahaveer Medical College & Research Centre, Moradabad Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard toteerthankermahaveer Medical College & Research Centre, Moradabad Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (18/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect of Teerthanker Mahaveer Medical College & Research Centre, Moradabad under TeerthankerMahaveer University, Moradabadu/s 10 A of the IMC Act, 1956 for the academic session Institute of Medical Sciences & SUM Hospital, Bhubaneswar Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard toinstitute of Medical Sciences & SUM Hospital, Bhubaneswar Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session

15 15 (18/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 5 th batch of MBBS students against the increased intake i.e. from in respect ofinstitute of Medical Sciences & SUM Hospital, Bhubaneswar under Siksha O Anusandhan University, Bhubaneswaru/s 10 A of the IMC Act, 1956 for the academic session School of Medical Sciences & Research, Greater Noida Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard toschool of Medical Sciences & Research, Greater Noida Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session (18/ ) and decided to recommend to the Central Govt. to renew the permission for admission of 4 th batch of MBBS students against the increased intake i.e. from in respect of School of Medical Sciences & Research, Greater Noida under Sharda University, Greater Noida u/s 10 A of the IMC Act, 1956 for the academic session Lokmanya Tilak Municipal Medical College and General Hospital,Sion, Mumbai Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard tolokmanya Tilak Municipal Medical College and General Hospital,Sion, Mumbai Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (21 st & 22 nd August, 2017) and decided to recommend to the Central Govt. to renew the permission for admission of 3 rd batch of MBBS students against the increased intake i.e. from in respect oflokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai undermaharashtra University of Health Sciences, Nashik u/s 10 A of the IMC Act, 1956 for the academic session Pondicherry Institute of Medical Sciences, Puducherry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Pondicherry Institute of Medical Sciences, Puducherry Renewal of Permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from for the academic session (21/ ) and noted the following:- 1. Deficiency of faculty is 6.2 % as detailed in the report. 2. Workload of Contrast Radiology is NIL on day of assessment. 3. RHTC: Residential accommodation available is 1 six-seater room for males & 1 five seater room which is not permissible. 4. Other deficiencies as pointed out in the assessment report.

16 16 In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th Batch of MBBS students against the increased intake i.e. from atpondicherry Institute of Medical Sciences, Puducherry under Pondicherry University, Puducherry u/s 10 A of the IMC Act, 1956 for the academic session Shri Guru Ram Rai Institute of Medical Sciences, Dehradun Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Shri Guru Ram Rai Institute of Medical Sciences, Dehradun Renewal of Permission for admission of 4 th Batch of MBBS students against the increased intake i.e. from for the academic session (22 nd & 23 rd August, 2017) and decided to recommend to the Central Govt. to renew the permission for admission of 4 th batch of MBBS students against the increased intake i.e. from in respect ofshri Guru Ram Rai Institute of Medical Sciences, Dehradun under Hemwati Nandan Bahuguna Garhwal University, Srinagar u/s 10 A of the IMC Act, 1956 for the academic session Jhalawar Medical College, Jhalawar Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Jhalawar Medical College, Jhalawar Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (21 st & 22 nd August, 2017) and decided to recommend to the Central Govt. to renew the permission for admission of 3 rd batch of MBBS students against the increased intake i.e. from in respect of Jhalawar Medical College, Jhalawar under Rajasthan University of Health Sciences, Jaipur u/s 10A of the IMC Act, 1956 for the academic session Midnapore Medical College, Midnapore Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard to Midnapore Medical College, Midnapore Renewal of Permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from for the academic session (21/ ) and noted the following:- 1. Deficiency of faculty is % as detailed in the report. 2. Shortage of Residents is % as detailed in the report. 3. OPD attendance at 2 p.m. on day of assessment is 1,059 against requirement of 1, MRD: It is not computerized. ICD X classification for indexing of diseases is not followed. 5. Casualty: Pulse Oximeter, Crash cart, Defibrillator are not available. 6. O.T.: There is no Pre-operative area. Hygiene is poor. Many staff enter O.T. without O.T. dress. 7. CT Scan is under PPP mode.

17 17 8. CSSD: ETO Sterilizer is not available. No staff was available at time of taking round. 9. OPD: Separate Registration counters for males/females are not available. Staff at Registration counters is not adequate. Waiting area for patients is inadequate. Patient Examination rooms & Teaching areas are inadequate. Enquiry desk is not available. 10. Wards: Distance between 2 beds is < 1.5 m in several wards. No mattresses are available for floor beds. Patinents are kept directly on mats. Ancillary facilities are not available in some wards. IV stands are not available. Hygiene is very poor. 11. Audiometry (A.C. & Soundproof) and Speech therapy are not available. 12. Lecture Theater: Hospital Lecture Theater is not of Gallery type. 13. Examination Hall: Capacity of both Examination Halls is 150 each against requirement of 250 each. 14. Central Photography Section is not available. 15. Nurses Hostel: Available accommodation is for 20 against requirement of Outdoor Recreational facilities & Playground are not available. 17. Central Research Laboratory: Facilities are inadequate. 18. Website: Toll-free number to report ragging is not available. 19. Community Medicine department: Different Paramedical sections are not available as detailed in the report. 20. RHTC: In the present condition, it is not suitable for teaching, training, patient care and implementation of National Health programmes. No staff, either Teaching or Paramedical, was available. Cold Chain equipment is not available. Daily OPD is NIL. Survey/Immunization/MCH/Family Welfare activities are not carried out. 21. UHC: It is in the hired office of Dy CMOH 3. Building is in dilapidated condition and does not have sufficient space for teaching, training and patient care. Survey/Immunization/MCH/Family Welfare activities are not carried out. Specialists visits are not organized. 22. Medical Education Unit is non-functional. 23. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 3 rd Batch of MBBS students against the increased intake i.e. from atmidnapore Medical College, Midnapore under The West Bengal University of Health Sciences, Kolkata u/s 10 A of the IMC Act, 1956 for the academic session Karnataka Institute of Medical Sciences, Hubli Renewal of Permission for admission of 2 nd Batch of MBBS students against the increased intake i.e. from for the academic session Read: the matter with regard tokarnataka Institute of Medical Sciences, Hubli Renewal of Permission for admission of 2 nd Batch of MBBS students against the increased intake i.e. from for the academic session (04/ ) and noted the following:- 1. Deficiency of faculty is % as detailed in the report. 2. Dr. Shivappa Anurshetru, Medical Superintendent has administrative experience of only 7 y against requirement of 10 y; hence not qualified to hold the post. 3. Nursing staff: Only 290 Nursing staff are available against 464 required. 4. Paramedical & Non-teaching staff: Only 116 Paramedical & Non-teaching staff are available against requirement of 185.

18 18 5. OPD: Teaching area is inadequate. Injection rooms for males/females are not available. 6. Wards: Demonstration rooms are inadequate or not available in some wards. Pantry is not available in any ward. 7. Casualty: Separate Casualty for O.G. is not available. Disaster Trolley, Ventilator are not available. Minor O.T. is not equipped. 8. O.T.s: Infusion Pumps are not available. 9. ICUs: ABG Analyzer is not available Static X-ray machines are available against requirement of ETO Sterilizer is not available. 12. Examination Hall: Both Examination Halls are not furnished. 13. Lecture Theaters: Capacity of 4 Lecture theaters available is 200 each against requirement of 240 each. Hospital Lecture Theater is not available. 14. Central Library: Only Computer section is air-conditioned. Rest of area is not air-conditioned. Available area is 3,055 sq.m. against requirement of 3,200 sq.m. Capacity of Students reading room (Outside) is 120 against requirement of 200. Only 15 Nodes are available against requirement of Interns hostel: Available accommodation is 96 against requirement of Anatomy department: NIL Half sized Dissection Table is available. Available Lockers are 64 against requirement of 200. Available cadavers are only 09. Embalming machine is inadequate. 17. Parthology department: NIL Demonstration room is available. 18. RHTC: Hostel is closed. Mess is not available. Specialists visits are not organized. 19. Other deficiencies as pointed out in the assessment report. In view of the above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 2 nd Batch of MBBS students against the increased intake i.e. from atkarnataka Institute of Medical Sciences, Hubli under Rajiv Gandhi University of Health Sciences, Bangalore u/s 10 A of the IMC Act, 1956 for the academic session Transfer of Indian students pursuing Doctor of Medicine course at Cagayan State University, Philippines. Read: the matter with regard totransfer of Indian students pursuing Doctor of Medicine course at Cagayan State University, Philippines. The Executive Committee of the Council after detailed deliberations on the matter decided to obtain legal opinion and further details from the Indian Ambassador at Phillippines regarding extent of damage to the college/number of students requesting transfer and date when typhoon occurred for further consideration. The minutes of the above item were read out, approved and confirmed in the meeting itself. 30. Grant of Eligibility Certificate in respect of Indian Citizens who are desirous to take admission in MBBS course at various medical universities in China imparting undergraduate medical education in English/Bilingual/Chinese language. Read: the matter with regard to grant of Eligibility Certificate in respect of Indian Citizens who are desirous to take admission in MBBS course at various medical universities in China imparting undergraduate medical education in English/Bilingual/Chinese language. The Executive Committee of the Council on perusal of the agenda item directed the office to resubmit the matter along with opinion of the learned Additional Solicitor General of India.

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