Minimum Requirements for Annual M.B.B.S. Admissions Regulations, 2020

The National Medical Commission, on 28th October 2020, vide Notification No. NMC/MCI 35(1)98-med.(ii)123627, in exercise of the powers conferred by section 57 of the National Medical Commission Act, 2019 notified the “Minimum Requirements for Annual M.B.B.S. Admissions Regulations, 2020”

These Regulations shall be applicable for Medical Colleges being established from the academic session 2021-22 onwards.

As per these regulations:

Mandatory Departments

Every medical college and Medical Institution approved for M.B.B.S admissions annually shall have the following departments, namely:-

  1. ANATOMY
  2. PHYSIOLOGY
  3. BIOCHEMISTRY
  4. PATHOLOGY
  5. MICROBIOLOGY
  6. PHARMACOLOGY
  7. FORENSIC MEDICINE&TOXICOLOGY
  8. COMMUNITYMEDICINE
  9. GENERAL MEDICINE
  10. PAEDIATRICS
  11. PSYCHIATRY
  12. DERMATOLOGY
  13. RESPIRATORYMEDICINE
  14. GENERAL SURGERY
  15. ORTHOPAEDICS
  16. RADIO-DIAGNOSIS
  17. OTO-RHINOLARYNGOLOGY
  18. OPHTHALMOLOGY
  19. OBSTETRICS &GYNAECOLOGY
  20. ANESTHESIOLOGY
  21. DENTISTRY
  22. PHYSICAL MEDICINE & REHABILITATION
  23. EMERGENCY MEDICINE
  24. RADIATION ONCOLOGY (Optional)

Beside the above-said departments the Medical colleges and Medical institution running Postgraduate degree/diploma courses in various specialties may have other departments to meet teaching needs of the college or Medical Institution and healthcare needs of the public.

Intake Capacity

Medical Colleges shall be established with an annual intake capacity of 100 /150 MBBS Admissions annually and thereafter can be increased to150/200/250 MBBS Admissions Annually. The phase- wise Requirements to be fulfilled by the applicant colleges for obtaining Letter of Intent and Letter of Permission for Establishment of New Medical College or Increase in Annual intake& Yearly Renewals for 100/150/200/250 M.B.B.S. admissions annually shall be in accordance with Annexure I, II, III, and IV of these Regulations.

Campus

  1. Every medical college shall comprise of the
  • Medical College
  • the attached Teaching hospital/(s), and
  • the hostels for the students& interns, with or without the residential area for faculty and other staff of college/hospital.

The medical college, hostels for students/interns and the teaching hospital/institution shall be in a unitary campus.

  1. If the campus is housed in more than 1 plot of land, the distance between each one of these plots should be less than 10 kms or less than of 30 mins travelling time, whichever is lesser.
  2. The medical college shall provide adequate built-up space to accommodate various teaching areas (both in the college and the teaching hospital), Library, administrative areas, rooms for teaching and non-teaching staff, student amenities, etc. as specified in various sections of this schedule.
  3. The building and other built up infrastructure must conform to building codes and local building bye-laws. They must also comply with the requirements for providing access and facilities to those who are disabled.
  4. The built up area of the teaching hospital must conform to national norms and local building bye-laws having considered the minimum beds, teaching facilities and other requirements prescribed for the various annual intakes of MBBS students in these regulations. The hospitals should have fire-safety measures, including patient evacuation plans as per local bye-laws and regulations.
  5. Further, the parcel of land being used for establishing the medical college is not to be used for any other college/institution (such as Nursing College, Dental College, Engineering College or any other College or Hostel or accommodation).

Administrative Area

There should be adequate accommodation for the Principal/Dean, College council, Academic and examination sections, Accounts, and other administrative offices (as per need), the Medical education unit and the server room for the computer network.

College Council

Every medical college or Medical Institution shall have a College Council comprising of the Head of departments as members and Principal/Dean as Chairperson. The Council shall meet at least four times in a year to draw up the details of curriculum and training programme, enforcement of discipline and other academic matters. The Council shall also organize regular interdepartmental meetings like grand rounds, statistical meetings and clinic-pathological meetings including periodical review of research in the Institution.

Central Library

  1. There shall be an air-conditioned central library with good lighting and adequate space for stocking the books and journals (1000 sq.M for annual intake upto 150 MBBS students and 1500 sq.M for annual intakes of 200 and 250 MBBS students). There shall be provision for:
    1. Rooms for the Librarian and other staff.
    2. Reading rooms with adequate seating for twice the number of annual intake of UG students distributed over 2 areas.
    3. Reading room for faculty
    4. Room for stocking old books, journals,etc.
    5. A computer room with computer nodes with internet facilities for atleast 25% of the annual intake of students.
  2. Books: There shall be atleast 30 (Thirty) books per annual intake of students comprising all subjects with atleast

5 copies of each of the text books for the various subjects in MBBS curriculum. Desirable: Postgraduate level books in the subjects of MBBS curriculum Aspirational: Reference and post-graduate level books in all specialties of medicine

  1. Journals: The minimum number of journals for various annual intake of MBBS students shall be atleast 1 percent of the minimum books prescribed.

The journals shall be either in print or electronic form, provided that there shall be atleast 1(one) print journal of each major specialty departments for MBBS training – Anatomy, Physiology, Biochemistry, Pathology, Pharmacology, Microbiology, Forensic Medicine &Toxicology, Community Medicine, Medicine, Pediatrics, Dermatology, Psychiatry, Respiratory Medicine, Surgery, Orthopedics, Otorhinolaryngology, Ophthalmology, Obstetrics & Gynecology, Anesthesia, Radio-diagnosis, Dentistry, Emergency Medicine, Physical Medicine & Rehabilitation. Provided that only journals that are indexed in the following databases i.e. Medline, Pubmed Central, Science Citation index, Science Citation Index Expanded, Embase, Scopus, Directory of Open access journals (DoAJ) will be considered. There shall be evidence for a full annual subscription for all these journals.

If the annual MBBS intake is 100, the minimum number of journals required is 30, and the minimum no. of books required is 3000.

If the annual MBBS intake is 150, the minimum number of journals required is 45, and the minimum no. of books required is 4500.

If the annual MBBS intake is 200, the minimum number of journals required is 60, and the minimum no. of books required is 6000.

If the annual MBBS intake is 250, the minimum number of journals required is 75, and the minimum no. of books required is 7500.

Lecture theatre

  1. There shall be minimum of four lecture theatres preferably air conditioned, of gallery type in the Institution, each of them with seating capacity for 20% more than the annual student intake (shall provide atleast 1.40sq.m/student).
  2. In case the hospital is not in the same unitary campus there shall be one additional lecture Theatre in the teaching hospital with a similar seating capacity as prescribed for the medical college.
  3. The Lecture Theatres shall have provision for audio-visual and internet facilities and shall be enabled for e-learning. The lecture Theatres shall be linked digitally to all teaching areas designated for Small group Teaching.
  4. The lecture theatres shall be shared by all the departments in a programmed manner.

Small Group Teaching Facilities

The size of each batch for small group teaching shall be about 15 students. The common resource pool of teaching rooms, student practical laboratories, museums and lecture Theatres and any other available area that can be utilized for teaching purposes as prescribed in these regulations shall all be utilized for small group teaching and shared by the teaching departments. All the above mentioned teaching areas shall have audio-visual and internet facilities and be linked digitally to one another.

Teaching Rooms: The minimum number of teaching rooms in the medical college for Pre- and Para-Clinical Departments for various intake of MBBS students annually to be shared by all departments, shall be as follows

  • If annual MBBS intake is 100, No. of 25 seating capacity teaching rooms shall be 2 and 50 seating capacity teaching rooms shall be 1.
  • If annual MBBS intake is 150, No. of 25 seating capacity teaching rooms shall be 4 and 50 seating capacity teaching rooms shall be 4.
  • If annual MBBS intake is 200, No. of 25 seating capacity teaching rooms shall be 7 and 50 seating capacity teaching rooms shall be 7.
  • If annual MBBS intake is 250, No. of 25 seating capacity teaching rooms shall be 9 and 50 seating capacity teaching rooms shall be 9.

(each teaching room shall provide atleast 1.2 sq.M/student)

Student Practical Laboratories. There shall be atleast8 student practical laboratories, one each for Histology, Clinical Physiology, Biochemistry, Histopathology & cytopathology, Clinical pathology & Hematology, Microbiology, Clinical Pharmacology, and Computer Assisted Learning (CAL) in Pharmacology. The Clinical pathology/Hematology laboratory maybe be shared between Physiology and Pathology, and Forensic Medicine may utilize the Histopathology& cytopathology laboratory for practical work.

Each laboratory shall have capacity to accommodate atleast 60 students. The laboratories of Histology, Biochemistry, Histopathology & cytopathology, Clinical pathology & hematology, and Microbiology shall have 60 work stations fitted with water taps, sinks, and electric points. The Biochemistry, Histopathology and Microbiology laboratories shall in addition have gas/electric burners at each student’s work station.

Each laboratory shall have additional rooms as required for technical staff, stores, equipment storage, etc. Each lab shall provide for atleast 3.5 sq.m/per student, which shall be sufficient for workbenches, a delineated teaching area for 20 students, stores and room for technical staff. All the above mentioned laboratories shall have audio-visual and internet facilities and be linked digitally to all other teaching areas i.e. Lecture Theatres, teaching rooms and museums.

Museum: There shall be atleast 3 museums in the college i.e. 1 (one) for Anatomy, 1 (one) to be shared by Pathology and Forensic Medicine, and 1 (one) to be shared by Pharmacology, Microbiology and Community Medicine. In addition to the display area, each of these museums shall also have sufficient space to seat atleast 50 students (atleast 1.2 sq.M/student) and shall have audio-visual and internet facilities and be linked digitally to the Lecture Theatres, teaching rooms and practical laboratories. The museums shall have adequate racks and shelves for storing and proper display of wet and dry specimens (where applicable) and models. There shall also be adequate facilities for displaying and viewing radiological and digitalized images.

Skills Laboratory

Every medical institution shall have a Skills Laboratory where students can practice and improve skills pre-specified in the curriculum. The purpose of the skills laboratory is to provide a safe and non-threatening environment for students to learn, practice and be observed performing skills in a simulated environment thus mitigating the risks involved in direct patient exposure without adequate preparation and supervision. The skills laboratory attempts to recreate the clinical environment and tasks which future health care workers have to perform with various levels of complexity and fidelity.

The skills laboratory shall have a total area of at least 600 sq.M for intake upto 150 MBBS students annually and 800 sq.M for intakes of 200 and 250 MBBS students annually, and shall have –

i) a minimum of 04 rooms (preferably 08) for examination of patients or standardized/ simulated patients

ii) a room for demonstration of skills to small groupsiii) area for review or debriefing area

iv) rooms for faculty coordinator and support staff

v) adequate space for storage of mannequins and/or other equipment

vi) facility for video recording and review of the interaction for teaching communication skills

vii) stations for practicing skills individually or in groups

viii) trainers or mannequins required to achieve skills outlined in the competency based undergraduate curriculum document

ix) a dedicated technical officer and adequate support staff .

x) the teaching areas of the skills lab shall have provision for audio-visual and internet facilities and shall be enabled for e-learning

Department Offices and Rooms for Staff

Every Teaching Department shall have:

i) room for Head of Department with Space for Department Office, for office staff and storage of records

ii) rooms with adequate space for teaching faculty, and Tutors/Demonstrators/Residents (both Junior & Senior)

iii) rooms for faculty, provided with communication, computer and internet facilities.

iv) rooms for non-teaching staff

Examination Hall

For the purposes of examination, the Lecture Theatres, Reading rooms in Library, etc. can be utilized with adequate distancing.

Medical Education Hall

There shall be a Medical Education Unit for faculty development and providing teaching or learning resource material. The Unit shall have provision for audio-visual and internet facilities. The requirements of this unit shall be as prescribed by the National Medical Commission from time to time (it shall have an area of atleast 150-160 sq.M).

Communication Facilities

Adequate communication network between various sections of the college and hospitals shall be provided for better services, coordination and patient care.

Student Amenities

Adequate student amenities shall be provided. These shall include facilities for common rooms for boys and girls (separate), cafeteria, cultural activities, indoor games and student counselling services. There shall be gymnasium, and playground for outdoor games and track events in the college.

Rural Health Training Centre

Every medical college shall have one Rural Health Training Center affiliated to it. This Rural Health Training Center shall be owned by the college or it should be affiliated to Government owned Health Center. If it is the latter, the academic control shall be with the Dean/Principal of the college for training of students and interns in community oriented primary health care and rural based health education for the rural community attached to it. This Health Center shall be within a distance of 30 kms except in X category (Tier-1) cities as amended where it should be within 50 kms. Separate residential arrangements for boys and girls interns with mess facilities shall also be provided. Adequate transport (both for staff and students) shall be provided for carrying out field work and teaching and training activities by the department of Community Medicine.

Biometric attendance& Close Circuit TV

a) Biometric attendance:

i)  All Medical Colleges/Institutions shall install biometric attendance machine for regularly capturing the attendance of human resources as specified in these regulations.

ii)  The biometric attendance shall be made available on the Medical College Website in the form of daily attendance dashboard. The Commission may seek from the Medical Colleges/Institutions, such record of attendances during or after assessment.

iii)  The installation and maintenance of the biometric attendance system shall be the responsibility of the Medical Colleges/ Institutions

b) Close circuit TV: Every medical college shall have Close-Circuit Television (CCTV) system in the medical college and shall provide live streaming of classroom teaching, patient care in the teaching hospital and any other area as specified from to time, to enable the Commission to maintain a constant vigil on the standard of medical education/ training being imparted.

The live streaming of both classroom teaching and teaching hospital, shall be integrated as a part of the “Digital Mission Mode Project” (DMMP) of the Commission.

College Website

Each and every college /institute shall have its own website which shall contain the following details, to be updated in the first week of every month: –

  • Details of Dean, Principal and Medical Superintendent including their name, qualification, complete address with telephone and STD code, fax and E-mail etc.
  • Details of teaching as well as non-teaching staff.
  • Details of the sanctioned intake capacity of various Undergraduate and Postgraduate courses.
  • List of students admitted merit-wise category-wise in MBBS and Postgraduate courses for the current and previous academic sessions.
  • Research work, research grants and research publications during the last one year.
  • Details of any Continuing Medical Education programmes, conferences and/or any academic activities conducted by the institution.
  • Details of any awards and achievement received by the students or faculty. Details of the affiliating University and its Vice-Chancellor and Registrar. Results of all the examinations of last one year.
    Detailed status of recognition of all the courses.
  • Details of fees for various courses and other costs Any other requirement as notified from time to time

Details of clinical material in the hospital (OPD and IPD) should be updated on a digital dashboard every day.

Each and every college/institute shall maintain Daily Biometric Attendance Dashboard of human resources as specified in these regulations.

Biomedical Waste Management

The Medical Institution must ensure compliance with the Bio-medical Waste (Management & Handing) Rules, 2019 and as notified from time to time. They shall have a robust institutional policy on biomedical waste management of human origin, with a well-defined arrangement for segregation and discarding of biomedical waste. Facilities for biomedical waste management shall be commensurate with the Central/State legislations.

Child Care Centre

A Child Care Center shall be established in the medical college with adequate facilities for taking care of the infants and the children of staff of the medical college and/or teaching hospital.

DEPARTMENT SPECIFIC REQUIREMENTS

The additional specific requirements of each department, if any, shall be provided as described in the following sections:

Department of Anatomy

i) Dissection Hall – There shall be a dissection hall to accommodate 50% of annual student intake (area of atleast 4.20 sq.M/student shall be provided which shall be sufficient for ante-room for students with lockers, wash basins. embalming room, space for storage tanks and cold storage room or cooling cabinets with space sufficient for atleast 1 body/10 student annual intake).It shall be well lit, well-ventilated with exhaust fans. There shall be adequate teaching aids in the hall.

Desirable: Downdraft Dissection tables, 3D Virtual Anatomy Dissection Table.

Department of Pathology

i) There shall be a separate service laboratory each for histopathology, cytopathology, Hematology and other specialized work of the hospital which shall be suitably equipped

ii) These service labs shall have adequate storage space for stores and equipment.

iii) There shall also be a washing room with continuous water supply.

iv) These service laboratories can be located in either the medical college, teaching hospital or both.

Department of Microbiology

i)  There shall be a separate service laboratory each for (a) Bacteriology including anaerobic bacteria; (b) Serology; (c) Virology; (d) Parasitology; (e) Mycology; (f) Tuberculosis; and (g)Immunology.

ii)  The service laboratories shall have adequate storage space for stores and equipment

iii)  There shall be separate accommodation for media preparation and storage, autoclaving, and washing with regular and continuous water supply.

iv)  These service laboratories can be located in either the medical college, teaching hospital or both.

v)  The Virology Service Laboratory shall be a BSL-2 level laboratory (as per e-gazette No. MCI-34(41)/2020- Med./103234 notified on 3.6.2020)

Department of Forensic Medicine & Toxicology

i) Postmortem/Autopsy Block – There shall be a mortuary cum postmortem/ Autopsy Block(approx.400 sq. M. area)with facilities for cold storage for cadavers, ante-rooms, washing facilities, with an accommodation capacity of 20-25 students, waiting hall, office etc. The location of mortuary/autopsy block should preferably be adjacent to the hospital building and may be shared with the department of Pathology. In case the college is not permitted to carry out medico-legal autopsies, the college shall have a MoU with a government/district hospital for post-mortems to teach and train students.

Department of Community Medicine

i)  Primary Health Center/Rural Health Training Center. Every medical college shall have atleast one primary health center/rural health training center affiliated to it for training of students as described at A.1.14.

ii)  Urban Health Training Center. The urban health center shall be owned by the college or should be affiliated to Government owned Health Center. If it is the latter, the academic control shall be with the Dean/Principal of the medical college for training of students and interns in community oriented primary health care. Adequate transport shall be provided for commuting the staff and students.

Department of Pharmacology

i) Animal holding area. For teaching Pharmacology in undergraduate curriculum, the required knowledge and skills should be imparted by using computer assisted module. However, if research and postgraduate training is envisaged, only an animal hold area, as per CPCSEA Guidelines is required.

HOSTELS FOR STUDENTS/INTERNS

The College/Institution shall make provision to provide accommodation for atleast 75% of all students enrolled and interns, and all girl students who request for it. Each student shall be provided with independent and separate furniture which shall include chair, table, bed and full size cupboard at the least (provide for atleast 9 sq.M area/student). It is desirable that hostel rooms are either single or double accommodation facilities. Adequate recreational, dining and24x7 security facilities shall be provided at the hostels.

Desirable: Accommodation for all students who request for/ require such facility Aspirational: Accommodation for 100% students and interns

Teaching Hospital

At the time of submission of application to the Medical Assessment and Rating Board of the National Medical Commission for intakes upto 150 MBBS students annually, there shall be available a fully functional hospital for atleast 2 years with 300 beds or in North-East or Hilly States 250 beds, with all necessary infrastructure like OPD, Indoor wards, OTs, ICUs, Casualty, Labour Room, Laboratories, Blood Bank, CSSD, etc having a minimum of 60% indoor bed occupancy. It should also have been providing services in the departments of Medicine, Pediatrics, Dermatology, Surgery, Orthopedics, Obstetrics & Gynecology, Ophthalmology, Oto- rhinolaryngology, Anesthesiology and Radiology.

At the time of submission of application to the Medical Assessment and Rating Board of the National Medical Commission for intakes upto 150 MBBS students annually, there shall be available a fully functional hospital for atleast 2 years with 300 beds or in North-East or Hilly States 250 beds, with all necessary infrastructure like OPD, Indoor wards, OTs, ICUs, Casualty, Labour Room, Laboratories, Blood Bank, CSSD, etc having a minimum of 60% indoor bed occupancy. It should also have been providing services in the departments of Medicine, Pediatrics, Dermatology, Surgery, Orthopedics, Obstetrics & Gynecology, Ophthalmology, Oto- rhinolaryngology, Anesthesiology and Radiology.

The hospital building shall conform to the existing national building norms and various local statutory regulations for hospitals taking into consideration the requirements of the hospital as a service provider including administration, registration, records storage, out-patient and inpatient areas, operating Theatres, CSSD, ICUs, Radiology and laboratory services, emergency areas, etc. The teaching hospital shall provide for the minimum requirements as prescribed in these regulations.

Space for Clinical Teaching Departments, Teaching faculty and Residents.

(i) When the teaching hospital and medical college are in a unitary campus, rooms for the clinical departments and its teaching faculty can be provided either in the medical college or in the teaching hospital.

(ii) When the teaching hospital and medical college are on separate plots, besides the statutory requirements for the hospital, the teaching hospital shall also have space for the offices of the clinical departments and rooms for the teaching faculty as prescribed at A.1.18

Teaching rooms. The teaching hospital shall have atleast 1 (one)teaching room for each of the Clinical teaching departments with a capacity to accommodate atleast 30 students (as prescribed for the medical college) for clinical cases discussions/demonstrations. Each such room shall have audio-visual facilities. Small group teaching in clinical departments essentially entails out-patient clinic and bed side teaching. However, additional teaching rooms shall be provided as required for any of the Clinical teaching departments.

Outpatient Area

There shall be a minimum daily OPD attendance of 8 patients (old & new) per student intake annually in the specialties/subjects of undergraduate curriculum. However, at the time of Letter of Permission the daily OPD attendance should be atleast 4 patients (old & new) per student intake annually.

Note: Relaxation up to an extent of 5% in OPD attendance may be allowed, subject to the condition that OPD attendance on three corresponding dates as per date of assessment of preceding three months is in accordance with the applicable norms.

The Out-patient areas should have adequate reception and patient waiting halls, consultation rooms,examination rooms and other ancillary facilities commensurate with the clinical specialty department.

Indoor Beds

Bed Strength

The bed strength of the teaching hospitals at time of recognition for various annual intakes of MBBS students shall be atleast 4 beds/MBBS student intake annually. The distribution of beds and number of units across different clinical teaching departments for MBBS training shall be as indicated below:

The details of the bed requirements for the different clinical teaching departments from LOP till recognition for annual intakes from 100-250 students is provided in Annexure I-IV appended to this regulation.

There shall be well equipped and updated intensive Care Unit (ICU), Intensive Coronary Care Unit (ICCU), Intensive Respiratory Care unit, Paediatric intensive care (PICU)and Neonatal Intensive care unit (NICU), Critical care Burns unit, Post-op surgical critical care unit, Obstetric HDU/ICU.

All beds which are available for teaching and training of undergraduate medical students shall be counted towards teaching beds as indicated above.

Wherever possible, the facilities available in larger tuberculosis and chest diseases hospitals, infectious diseases hospitals and mental hospitals may be utilized for training in these specialties. However, if these hospitals are not under the administrative control of the Medical College, the required beds in these specialties shall have to be provided in the attached teaching hospital itself.

The medical college and its affiliating teaching hospital should provide for proportionate additional beds, infrastructure, faculty and other human resource in any specialty depending upon the needs and patient load.

Indoor bed occupancy: Average occupancy of indoor beds shall be a minimum of 75% per annum. Provided that it shall be minimum of 60% at the time of inception (50% at the time of inception in North East States and Hill States and notified Tribal Areas).

Note: Relaxation up to an extent of 5% in bed occupancy (Indoor patients)may be allowed, subject to the condition that the bed occupancy on three corresponding dates as per date of assessment of preceding three months is in accordance with the applicable norms.

Operating Theatres: The Operating Theatres shall conform to existing norms. The minimum number of major and minor operating Theatres from LOP till recognition for varying annual intake shall be as indicated in Annexure I-1V appended to this regulation.

Department of Emergency Medicine

  1. The Department of Emergency Medicine shall be mandatory for all Medical Colleges with effect from the academic year 2022-2023 onwards:

(i) All Medical Colleges with recognized MBBS Qualification are required to have a department of Emergency Medicine at the level of recognition as per requirement stipulated above.

(ii) All Medical Colleges in any stage of renewal including against increase in intake are required to have department of Emergency Medicine as per the requirement stipulated above.

(iii) Any institution seeking to establish a new Medical College

  1. The Department shall have the following facilities:

(i) Casualty area to receive patients and facilities to triage and stabilize them. There shall be a minimum of 03 trolleys for triage.

(ii) There shall be at least 24 trolley-cum-beds of which at least 05 will be for “green category” (can wait- walk in patients who will need medical care at some point), 15 for “yellow category” (Observation – cannot survive without immediate treatment) and 04 for “red category” (immediate – cannot survive without immediate treatment).There shall also be a minimum 06 bedded intensive care unit in the Emergency department adjacent to the casualty area.

(iii) There should be minimum 01 Operation theater and 01 plaster room.

(iv) Rooms for the staff on duty

(v) Decontamination and isolation area should also be available.

Department of Radio-diagnosis

  1. There shall be facilities for conventional and static and portable X-rays, fluoroscopy, contrast studies, ultra sonography and computerized tomography. Magnetic resonance imaging shall be available in all teaching hospitals when annual MBBS intake is 200 or more.

Provided that the MRI facility shall be owned and managed by the medical college whenever the medical college/institution starts a postgraduate course in any speciality.

Desirable: Magnetic resonance imaging shall be desirable for annual intake of 150 or less.

  1. The rooms housing the various diagnostic imaging systems shall be as per the regulatory provisions of the Atomic Energy Regulatory Board (AERB), Government of India.
  2. The staff of Radio-Diagnosis department shall be covered by Personal Monitoring System as prescribed by AERB.

Department of Physical Medicine and Rehabilitation (PMR).

There shall be a well-equipped department of PMR providing services such as physiotherapy, occupational therapy, speech therapy, etc.

Department of Radiation-Oncology (Optional)

The department of radiation-oncology should be planned in accordance with the regulatory requirements and approval of AERB. It would be desirable that this department be closely connected with the rest of the hospital to facilitate free interaction of the facilities of various disciplines for multidisciplinary management of the patients. Prior BARC approval of the radiation therapy rooms/plan along with complete layout of the entire department is mandatory.

Department of Dentistry.

Where Dental College or Dental wings of medical Colleges exist, the services of teachers of these may be utilized in the instruction of medical students in Dentistry and no separate staff in the Medical College shall be necessary.

ART Centre

Every Teaching Hospital should have Anti-Retroviral Treatment (ART) Centre and facility for management of MDR-TB by the time of 3rdrenewal (admission of 4th Batch of MBBS students).

Central Laboratories

There shall be well-equipped and updated central laboratory preferably along with common collection area for all investigations in histopathology, cytopathology, haematology, immune pathology, microbiology, biochemistry and other specialized work if any. The central laboratory should be co-ordinated by one of the related teaching departments of the medical college.

Blood Bank

There shall be a well-equipped air-conditioned Blood Bank capable of providing component therapy. The Blood bank and Blood transfusion services should conform to the guidelines of the National AIDS Control Organization and as prescribed in Schedule-F Part XII-B to the Drugs and Cosmetics Rules, 1945 amended from time to time.

The Blood Transfusion services should be under the administrative control of the teaching Department of Pathology of the medical college when there is no separate Department of Transfusion Medicine.

Pharmacy services.

There shall be 24-hr pharmacy services to cater to the out-patient, emergency and other patients attending the teaching hospital.

Laundry and Dietetic services.

The teaching hospital shall have provision for Laundry and Dietetic services.

Hospital Waste Management

The Medical Institution must ensure compliance with the Bio-medical Waste (Management & Handing) Rules, 2019 and as notified from time to time. They shall have a robust institutional policy on biomedical waste management of human origin, with a well-defined arrangement for segregation and discarding of biomedical waste. Facilities for hospital waste management shall be commensurate with the Central/State legislations

Copy of notification: Notification No. NMC:MCI 35(1)98-med.(ii)123627

-Adv. Tushar Kaushik

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