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Core Purpose

Regulations issued by the National Medical Commission under the National Medical Commission Act, 2019 establishing the Post-Graduate Medical Education Regulations, 2023 (PGMER-23), governing post-graduate medical qualifications, institutional recognition, and admission and counselling procedures.

Detailed Summary

The National Medical Commission issued a notification dated 29th December 2023 (F. No. CDN-19012/5/2023-Coord-NMC), promulgating the "Post-Graduate Medical Education Regulations, 2023," abbreviated as "PGMER-23," in exercise of powers under the National Medical Commission Act, 2019, specifically sub-section (1) of Section 25, sub-section (2) of Section 57, and Section 35 of that Act. The Regulations come into force from the date of publication in the Official Gazette, with different commencement dates permitted for different provisions. Chapter I sets out the goals of post-graduate medical education and defines terms including "PGMEB" (Post-Graduate Medical Education Board, constituted under Section 16), "UGMEB" (Under-Graduate Medical Education Board), "MSR" (Minimum Standards of Requirements), "NEET-PG," "NEET-SS" (referred to under Section 14), and "NEXT"/National Exit Test (referred to under Section 15). Chapter II lists qualification categories and course durations: post-graduate broad-speciality (3 years, or 2 years for holders of a recognised two-year diploma), super-speciality courses (3 years), post-graduate diploma courses (2 years), Post-Doctoral Certificate Courses (1 year), Post-Doctoral Fellowship courses (2 years), and D.M./M.Ch. courses (6 years). Chapter III governs establishment and recognition of post-graduate institutions and new courses, requiring National Medical Commission or Board permission, referencing the Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses and Assessment and Rating Regulations, 2023, and the Teachers Eligibility Qualifications in Medical Institutions Regulations, 2022; it also provides for monitoring of standards under the Maintenance of Standards of Medical Education Regulations, 2023, and a minimum standards document termed "PGMSR-2023" to be notified by the PGMEB. Chapter IV addresses admission and counselling, providing that eligibility for broad-speciality courses follows the NMC National Exit Test Regulations, 2023, with continuation of NEET-PG admissions under the Post-Graduate Medical Education Regulation, 2000 until the first NExT-based batch becomes eligible; eligibility for super-speciality courses is via NEET-SS using feeder broad-speciality qualifications listed in Annexure-7; admissions are based on all-India and state-wise merit lists, with common online counselling conducted by a Central Government-designated authority (for All-India quota and super-speciality seats) or the respective State Government/Union Territory administration (for State quota seats), per guidelines published by the PGMEB.

Full Text

REGD. No. D. L.-33004/99 The Gazette of India CG-DL-E-03012024-251108 EXTRAORDINARY PART III—Section 4 PUBLISHED BY AUTHORITY No. 4] NEW DELHI, MONDAY, JANUARY 1, 20234PAUSHA 11, 1945 NATIONAL MEDICAL COMMISSION NOTIFICATION New Delhi, the 29th December, 2023 F. No. CDN-19012/5/2023-Coord-NMC.-In exercise of overall powers conferred by the National Medical Commission Act, 2019 vis-à-vis medical education in general and specifically by sub-section (1) of Section 25, sub- section (2) of Section 57 and Section 35 of the said Act, National Medical Commission makes the following Regulations namely Short title These Regulations may be called the "Post-Graduate Medical Education Regulations, 2023" or "PGMER-23" in its abbreviated form. Commencement – These Regulations shall come into force from the date of their publication in the official gazette. Provided the National Medical Commission may publish different dates for different Regulations stated hereunder. CHAPTER I PRELIMINARY 1.1 Focus and Goal The focus and goal of post-graduate medical education shall be to produce competent specialist and medical teachers recognised by the fraternity as the graduating scholars, building upon their undergraduate education and skills who shall - i. Recognise the health needs of the community and carry out professional obligations ethically keeping in view the objectives of the national health policy; ii. Have mastered most of the competencies, pertaining to the respective speciality, that is required to be practised at the secondary and the tertiary levels of the health care delivery system; iii. Be aware of the contemporary advancements and developments in the respective discipline concerned and shall progress accordingly; iv. Have acquired a spirit of scientific inquiry and is oriented to the principles of research methodology and epidemiology; v. Have acquired the basic skills in the teaching of medical and paramedical professionals; vi. Acquire basic management skills in human resources, materials and resource management related to health care delivery, general hospital management, principal inventory skills and counselling; vii. Develop personal characteristics and attitudes required for professional life such as personal integrity, sense of responsibility and dependability and ability to relate to or show concern for other individuals; viii. Become an exemplary citizen by observing the highest standards of professional ethics and working towards fulfilling social and professional obligations to respond to national aspirations. The institutions imparting post-graduate medical education shall continually work to synchronize the institutional goals with the national goals to produce the kind of trained manpower with high knowledge, appropriate skills and impeccable ethical standards required. 1.2 Definitions – In these Regulations, unless the context otherwise requires the terms defined herein shall bear the meaning assigned to them below and their cognate expressions and variations shall be construed accordingly a. "Act" shall mean National Medical Commission Act, 2019 [Act No. 30 of 2019]. b. "Commission" shall mean the National Medical Commission duly established under Section 3 of the National Medical Commission Act, 2019. с. "Medical Institution” shall mean 'Medical Institution' as defined in Section 2(i) of the National Medical Commission Act, 2019; and shall include a common expression medical college as well. d. "PGMEB” shall mean Post-Graduate Medical Education Board duly constituted under Section-16 of National Medical Commission Act, 2019. e. "UGMEB” shall mean Under-Graduate Medical Education Board duly constituted under Section-16 of National Medical Commission Act, 2019. f. "MSR” shall mean the Minimum Standards of Requirements as notified either by UGMEB or PGMEB as the case may be from time to time which shall also include explanatory notes, circulars, advisories etc. issued by the corresponding boards or the commission. g. "NEET-PG" shall mean National Eligibility-cum-Entrance Test for admission in broad-speciality courses. h. "NEET-SS” shall mean “National Eligibility-cum-Entrance Test" for super- speciality courses as referred to under Section 14 of the National Medical Commission Act, 2019. i. "NEXT" shall mean the common final year examination or National Exit Test as referred to under Section 15 of the National Medical Commission Act, 2019. j. "University” shall mean the Health University as defined under Sub-Section (f) of Section 2 or a University as defined under sub-section (x) of Section 2; both under the National Medical Commission Act, 2019, as the case may be. k. "Feeder Speciality” shall mean broad-speciality qualification required to pursue course of qualification. CHAPTER II LIST OF QUALIFICATIONS AND DURATION OF THE COURSES 2.1 List of qualifications, duration of the course and components of Post-graduate Training shall be as indicated below: +-----+-------------------------------------------------------+----------------------------------+ |S.No.|Name of Qualification |Duration of Course | | | |(including period of examination) | +=====+=======================================================+==================================+ |i. |Post-graduate broad-speciality Qualifications (Annexure-1)|3 Years/ 2 years* | +-----+-------------------------------------------------------+----------------------------------+ |ii. |Post-graduate super-speciality Courses (Annexure-2) |3 Years | +-----+-------------------------------------------------------+----------------------------------+ |iii. |Post-graduate diploma Courses (Annexure-3) @ |2 Years | +-----+-------------------------------------------------------+----------------------------------+ |iv. |Post-Doctoral Certificate Courses (PDCC) (Annexure-4) |1 year | +-----+-------------------------------------------------------+----------------------------------+ |v. |Post-Doctoral Fellowship (PDF) Courses (Annexure-5) |2 years | +-----+-------------------------------------------------------+----------------------------------+ |vi. |D.M./M.Ch. (6 years Course) (Annexure-6) |6 years | +-----+-------------------------------------------------------+----------------------------------+ * The period of training, including the period of examination, shall be two years for the students, who possess a recognized two-year post-graduate diploma course in the same subject. @ Medical colleges/institutions may apply to Medical Assessment and Rating Board (MARB) for converting diploma seats to degree seats. No more new applications will be entertained for permission to start or increase in number of diploma seats. CHAPTER III ESTABLISHMENT OF POST-GRADUATE MEDICAL INSTITUTIONS, STARTING OF NEW POST- GRADUATE MEDICAL COURSES AND MAINTENANCE OF STANDARD OF MEDICAL EDUCATION 3.1 Permission and Recognition i. No Medical Institution shall start any post-graduate course unless granted permission from the National Medical Commission or such Board or Boards as indicated by the National Medical Commission. ii. Without prejudice to sub-section (i) above, permission to start the post-graduate course in a medical college/institution running the undergraduate course and determination of number of seats to be permitted shall be as per the Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses and Assessment and Rating Regulations,2023, Post-Graduate Medical Education Regulations, 2023, Teachers Eligibility Qualifications in Medical Institutions Regulations, 2022, MSR(s) notified by UGMEB and PGMEB, Curriculum requirements of respective Speciality as notified/informed from time to time on website or by other methods by Post-Graduate Medical Education Board (PGMEB), other relevant regulations, explanatory notes, circulars and advisories etc., issued from time to time. The medical college/institution will be permitted to start the post-graduate courses if it fulfils all the requirements for running the existing undergraduate course. The medical college/institution can apply for starting the post-graduate course(s) one year after the medical college/institution has been permitted to start an undergraduate course (i.e. during the second year of the undergraduate course). iii. Existing or proposed non-teaching hospitals owned and managed by government can start post-graduate courses without having undergraduate college, provided they fulfil the norms and procedures prescribed in the Establishment of New Medical Institution, Starting of New Medical Courses, Increase of Seats for Existing Courses and Assessment and Rating Regulations,2023, Post-Graduate Medical Education Regulations, 2023, Teachers Eligibility Qualifications in Medical Institutions Regulations, 2022, MSR notified by PGMEB (PGMSR-23), Curriculum requirements of respective Speciality as notified/informed from time to time on website or by other methods by Post-Graduate Medical Education Board (PGMEB), other relevant regulations, explanatory notes, circulars and advisories etc., issued from time to time. iv. Once permitted, the course for the qualification will be considered recognised and seats permitted will be considered as recognised seats for registration of the degree awarded. Medical colleges/Institutions running such courses will be considered as Accredited Medical colleges/Institutions for the said course of qualification. 3.2 Increase of Seats Procedures, methods and criteria for increase of seats will be the same as prescribed in sub-section 3.1 above. Provided an increase of seats so granted in already Recognised (Accredited) post-graduate courses shall be deemed to be recognized post-graduate seats for the purpose of registration of the students. 3.3 MONITORING OF STANDARDS OF MEDICAL EDUCATION The standards of the Medical Education shall be monitored as per the Maintenance of Standards of Medical Education Regulations, 2023. Medical college/institution shall pay Annual Fee, as may be prescribed by the National Medical Commission from time to time, for the purpose of annual evaluation and affiliation etc. PGMEB may also conduct assessments of medical colleges/institutions at regular intervals or randomly as it desires to increase the standard of their offerings. 3.4 MINIMUM STANDARDS OF REQUIREMENTS (MSR) Medical institution shall satisfy the conditions pertaining to but not limited to physical infrastructure, teaching staff, clinical material and hospital as detailed in the MSR document for post-graduate medical education. This document will be called as PGMSR-2023 and will be notified by the PGMEB. The PGMEB shall also notify the modifications or amendments in the MSR from time to time, which shall have to be mandatorily followed by the medical colleges/institutions CHAPTER IV ADMISSION, COUNSELLING, ETC. 4.1 Eligibility Criteria Eligibility to pursue a post-graduate broad-speciality course in Medicine shall be as per “NMC, National Exit Test Regulations, 2023”. Provided that until the first batch based on National Exit Test (NExT) becomes eligible for admission in broad-speciality courses, the existing system of admission through National Eligibility-cum-Entrance Test-Post- graduate (NEET-PG) as per Post-Graduate Medical Education Regulation, 2000 (PGMER-2000) shall continue. Without prejudice to anything stated above the Post-Graduate Medical Education Board may determine the manner, modalities etc., of conducting the NEET-PG for broad- speciality courses by way of Notification. Provided further that eligibility to pursue a super-speciality programme/course in Medicine shall be by securing the minimum eligible score at the National Eligibility-cum-Entrance Test-Super-Speciality (NEET-SS) conducted either by the National Medical Commission or caused to have been conducted by the National Medical Commission. The list of feeder broad Speciality qualifications required to pursue a super-speciality course of recognised super-speciality qualification is as per Annexure-7. An all-India merit list as well as a State-wise merit list of the eligible candidates shall be prepared based on the marks obtained in NEXT or NEET-PG and candidates shall be admitted to post-graduate courses from the said merit lists only. 4.2 Conduct of NEET-SS – Either the National Medical Commission may conduct the NEET-SS for all or any few super-speciality courses or may designate any such agency or authority to cause the NEET-SS to be conducted. Provided National Medical Commission may designate multiple agencies or authorities or a combination of agencies or authorities, to conduct NEET-SS if such designation suits the purpose. Without prejudice to anything stated above the Post-Graduate Medical Education Board shall determine the manner, modalities, etc., of conducting the NEET-SS for super- speciality courses by way of notification. 4.3 Common Counselling – Without prejudice to anything stated in the present Regulations or other NMC Regulations, there shall be common counselling for admission to post-graduate courses in medicine for all medical institutions in India solely based on the merit list of respective exams. Provided the common counselling may have multiple rounds as may be necessary. All rounds of counselling for all seats will be held on online mode by state or central counselling authority and no medical college/ institution will admit any candidate themselves. While entering details in seat matrix, medical colleges shall mention the amount of fees for each course, failing which seat will not be counted. PGMEB of NMC shall publish guidelines and time schedule for the conduct of examination, common counselling, admission, joining and commencement of academic session; and the designated authority under Section 4.4 shall conduct common counselling in conformity with such published guidelines and time schedule. 4.4 Government to Appoint a Designated Authority for Common Counselling – For admission to broad- speciality post-graduate courses in medicine in medical institutions, the Central Government or its designated authority shall be the counselling agency for the All-India quota seats and the concerned State Government/U.T. administration shall be the counselling agency for the respective State/Union Territory quota of seats. For all the seats in the super-speciality courses, the Central Government or its designated authority shall be the counselling agency. 4.5 Prohibition for any Student Seeking Admission in any other way than Counselling No medical institution shall admit any candidate to the Post-Graduate Medical Education courses (including super-speciality medical courses) in contravention of these regulations. Provided the medical institution granting admission to any student in contravention of these Regulations, shall be fined rupees one crore per seat for non-compliance. For any subsequent non-compliance or continued contravention, the medical institution shall be barred from granting admissions to any student in the subject for minimum two academic years from the next academic year. Provided further that such Student admitted in contravention of this mandate shall be discharged from the Medical College and double the number of seats shall be reduced for one or more years. 4.6 Submission of the Final List – The respective designated authorities (who have conducted the Common Counselling) shall submit the final list of students in the prescribed form to the Post-graduate Medical Education Board within one week of the completion of the common counselling, which in turn shall publish that list in the NMC website. Provided each institution shall also submit the final list of students admitted, in the prescribed form to the PGMEB within one week of the last date of the joining course, declared by the PGMEB. Provided only those medical institutions that were permitted to start the post-graduate medical course prior to the date of notification of Common Counselling are allowed to admit students; and those medical institutions, who get requisite permission after the date of notification of Common Counselling shall participate in the next academic year's common counselling to admit students. Explanation: Requisite permission shall also apply mutatis mutandis for increase of seat strength in medical institutions already established. 4.7 Student Migration – No student finally designated to a medical institution, notwithstanding anything stated in these Regulations, shall be permitted migration to any other medical institution. 4.8 Reservation of Seats - The reservation of seats in medical colleges/institutions for respective categories shall be as per applicable laws prevailing in States/Union Territories. Provided further that 5% seats of annual sanctioned intake capacity in Government or government-aided higher educational institutions shall be filled up by candidates with benchmark disabilities by the provisions of the Rights of Persons with Disabilities Act, 2016 based on the merit list of NExT or NEET-PG for admission to post- graduate medical courses. For this purpose, the “Specified Disability" contained in the Schedule to the Rights of Persons with Disabilities Act, 2016 is annexed at Annexure-8 and the eligibility of candidates to pursue a course in medicine with a specified disability shall be in accordance with Annexure-9. If the seats reserved for the persons with disabilities in a particular category remain unfilled on account of unavailability of candidates, the seats should be included in the annual sanctioned seats for the respective category. 4.9 Feeder Broad Speciality Qualifications for Super Speciality Courses – The prior requirement of broad-speciality degree qualification to pursue super-speciality course for qualification will be called the Feeder Course. CHAPTER V TRAINING, ETC. 5.1 Period of Training The period of training for the award of various post-graduate degrees and diplomas shall be as per Chapter-II. 5.2 Training Programme (i) Post-graduate training shall consist of training of the students through lectures, seminars, journal clubs, group discussions, participation in laboratory and experimental work, involvement in research, clinical meetings, grand rounds, clinicopathological conferences, practical training in the diagnosis and medical and surgical treatment, training in the basic medical sciences as well as in allied clinical specialties, etc. as per the requirement of Speciality training. Specialities where patient treatment is involved the teaching and training of the students, shall include graded responsibility in the management and treatment of patients entrusted to their care. (ii) All post-graduate students will work as full-time resident doctors. They will work for reasonable working hours and will be provided reasonable time for rest in a day. (iii) All broad-speciality and super-speciality students will do thesis related research and will write thesis. (iv) Every institution undertaking post-graduate training programme shall set up anAcademic Cell, under the Chairmanship of a senior faculty member, who shall monitor the implementation of training programmes in each speciality and ensure its quality as mandated by the PGMEB. (v) The training programmes shall be updated as and when required while keeping in mind the curriculum requirements and other relevant requirements prescribed by PGMEB from time to time. The structured training programme shall be written and strictly followed, to enable the examiners to determine the training undergone by the candidates. (vi) Post-graduate students of broad and super Speciality degree courses shall maintain a dynamic e-log book which needs to be updated on a weekly basis about the work being carried out by them and the training programme undergone during the period of training. Provided that M.S. /M.Ch students shall mandatorily enter details of surgical procedures assisted or done independently. (vii) It shall be the duty of the Post-graduate guide imparting the training to assess and authenticate monthly the record (e-Log) books. (viii) The post-graduate students shall essentially be required to participate in the teaching and training programme of undergraduate students and interns. (ix) During the training for award of Degree/Diploma, there shall be proper training in basic medical sciences related to the disciplines concerned. During the training programmes emphasis has to be laid on preventive and social aspects. All post-graduate medical college/institution shall have facilities for teaching the basic science subjects as per guidelines. (x) A post-graduate student of a degree course in broad specialty/super specialty will do at least one of the following to make him/her eligible to appear in his/her final examination: a. Poster presentation at a National/Zonal/State conference of his/her speciality; b. Podium presentation at a National/Zonal/State conference of his/her speciality; с. Have one research paper published/accepted for publication in journal of his/her speciality as first author (xi) Course in Research Methodology a. All post-graduate students shall complete an online course in Research Methodology. b. The students shall have to register on the portal of the designated training institutions. c. The students are expected to complete the course in the first year. d. The online certificate generated on successful completion of the course and examination thereafter, will be acceptable evidence of having completed this course. e. The above certification shall be a mandatory requirement to be eligible to appear for the final examination of the respective post-graduate course. f. This requirement shall be applicable for all post-graduate students. (xii) Course in Ethics a. All post-graduate students shall complete course in ethics including Good Clinical Practices and Good Laboratory Practices, whichever is relevant to them, to be conducted by institutions/Universities. b. The students are expected to complete the course in the first year. c. No post-graduate student shall be permitted to appear in the examination without the above certification. (xiii) Course in Cardiac Life Support Skills a. All post-graduate students shall complete a course in Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) skills to be conducted by the institution. b. The students are expected to complete the course in the first year. c. No post-graduate student shall be permitted to appear in the examination without the above certification. (xiv) Others - Institutions may arrange training in any other courses like awareness in medical audit, medical law, exposure to human behaviour studies, finance, accounts, etc, which are beneficial to the post- graduate students. (xv) DISTRICT RESIDENCY PROGRAMME (DRP) I. Preamble: Doctors have to be trained in diverse settings including those which are close to the community. Hence, they should be trained in the District Health System / the District Hospitals. Provided that in respect of M.D./M.S. students admitted with effect from academic session 2021, the training imparted as part of the District Residency Programme, shall be considered as training imparted in a medical institution. II. Objectives: The main objectives of the District Residency Programme (DRP) would be: a. To expose the post-graduate student to the District Health System/ District Hospital and involve them in health care services being provided by District Health System /District Hospital for learning while serving; b. To acquaint them with the planning, implementation, monitoring, and assessment of outcomes of the National Health programmes at the district level. c. To orient them to promotive, preventive, curative and rehabilitative services being provided by various categories of healthcare professionals under the umbrella of the National Health Mission. In doing so, the post-graduate medical students would also be contributing towards strengthening of services of the District Health System as Speciality resident doctors working as members of the districtteams. III. Definition of District Hospital: For the purpose of this programme, a District Hospital shall be a functional public sector/government-funded hospital of not less than 50 beds with facilities/staff for the designated specialties at that level/facility. Any post-graduate medical institution or a super-speciality hospital will not be considered as district hospital. IV. Definition of District Health System: For the purpose of this programme, the District Health System shall include all public sector/government-funded hospitals and facilities (including community health centres, primary health centres, sub-health centres, urban health centres, etc.), as well as community outreach system in a district. This would also include district system engaged in running respective public health services including the implementation of national and state public health programmes. V. District Residency Programme: All post-graduate students pursuing M.D./M.S. in broad specialties in all medicalcolleges/institutions under the purview of the National Medical Commission shall undergo a compulsory residential rotation of three months in District Hospitals/ District Health System as a part of the course curriculum. Such rotation shall take place in the 3rd or 4th or 5th semester of the post- graduate programme. In the case of those students who have taken admission after completion of the Diploma in the relevant Speciality, the District Residency Programme shall take place in the third semester only. Similarly, the post-graduate diploma students shall undergo the District Residency Programme in the third semester. This rotation shall be termed as 'District Residency Programme' (DRP) and the post-graduate medical student undergoing trainingshall be termed as a 'District Resident'. VI. Training and Responsibilities of District Residents: The District Resident will work under the overall directions and supervision of the District Residency Programme Coordinator (DRPC). During this rotation, the Resident doctor will be posted with the concerned/allied Speciality team/unit/ sections/services at the District Health System/ District Hospital.-The clinical responsibilities assigned to the Residents would include serving in outpatient, inpatient, casualty, and other areas pertaining to their Speciality and encompass night duties. Post-graduate students of specialities where direct patient care is not involved will be trained by District Health System/ District Hospital teams within the available avenues in coordination with the District Health Officer/Chief Medical Officer. They would be trained in and contribute to the diagnostic/laboratory services, pharmacy services, forensic services, general clinical duties, managerial roles, public health programmes etc., as applicable. They may also be posted in research units / facilities, laboratories and field sites of the Indian Council of Medical Research and other national research organizations. VII. Stipend and Leave for District Residents: The District Residents shall continue to draw full stipend from their respective medical colleges for the duration of the rotation subject to the attendance record submitted by the appropriate district authorities to the parent medical college/institution, based on methods and system as prescribed. Subject to exigencies of work, the District Resident will be allowed one weekly holiday by rotation. They shall also be entitled to leave benefits as per the rules/ guidelines of the parent college/university. VIII. Training during DRP and Certification thereof: a. Quality of training shall be monitored by log books, supportive supervision, and continuous assessment of performance. The attendance and performance of District Residents shall be tracked by the District Residency Programme Coordinator (DRPC) of the district concerned, as well as the parent Medical College through an appropriate electronic/digital or mobile enabled system. Such monitoring systems shall also be accessible to the State/Union Territory Steering Committee and the National Coordination Cell. b. The District Residents would remain in contact with their designated post-graduate teachers and departments at their parent Medical College / Institution by phone and e-communication for guidance, learning, and for being able to participate remotely in scheduled case discussions, seminars, journal clubs, thesis discussion, etc. and other academic activities. c. Satisfactory completion of the District Residency shall be an essential condition before the candidate is allowed to appear in the final examinationof the respective post-graduate course. d. The District Residency Programme Coordinator (DRPC) shall issue certificate of satisfactory completion of DRP and report on the performance ofthe District Resident on a prescribed format to be decided by the PGMEB to the concerned medical college and the Govt. of the State/UT. IX. Responsibility of Medical College/Medical Institution: It shall be incumbent upon all medical colleges/ institutions to place the post-graduate students at the disposal of the Government of concerned State/Union Territory for the District Residency Programme. The faculty of the concerned departments would provide guidance to the District Residents by phone/e-communication in accordance with Section 5.2.VI and VIII. X. Responsibility of State Government /Union Territory: The State Government /Union Territory shall implement the District Residency Programme within their jurisdiction as under: - a. The Programme shall be coordinated jointly by the Directorate of Medical Education and the Directorate of Health Services. An Officer of the State Government/Union Territory shall be designated as the State/UT District Residency Programme (DRP) Nodal Officer. The concerned Government shall be responsible for the facilitation, oversight and supervision of the District Residency Programme. b. The designated State/UT DRP Nodal officer shall identify and designate District Health System/ District Hospital that are suitable for such rotation in terms of availability of specific specialties, specialists, facilities and services available in consultation with the Directorate of Health Services of the State and the medical colleges, and develop a placement schedule of the Post-graduate residents of the medical colleges due for rotation at least six months in advance. This official will also be responsible for grievance redressal atState level. c. The State DRP Nodal officer shall undertake rule-based allotment of the training facilities to the Post-graduate Residents. d. The State Government shall provide appropriate amenities to the District Residents, including, amongst others, suitable accommodation, mess, transportation to work place (if living quarters is far away), security, especially for lady Residents. Accommodation could be by means of Government premises or that rented by concerned State Government and should conform to prescribed norms. e. The District Residents shall remain under the jurisdiction of respective State/ UT DRP Nodal officer where they are undergoing District Residency. f. In case all the Post-graduate Residents of a State/UT cannot be absorbed within their respective jurisdiction, possibility of posting them to other States/Union Territories may be explored by mutual understanding in consultation with the respective Governments facilitated by the National Coordination Cell. g. It shall be permissible for the post-graduate students from the North East Zone (NEZ) in various medical colleges/institutions in the country, to undergo District Residency Programme in their respective States. h. The State Government/UT may consider providing additional honorarium to the District Residents as a token of recognition of their contribution to the healthcare services of the States. In addition, the concerned Governments may make provisions to incentivize postings to remote and difficult areas, and encourage volunteering by post-graduate students to serve at these places. i. The concerned State Government shall also designate a senior official of the District Health System as the District Residency Programme Coordinator (DRPC) in each District for coordinating between the State DRP Nodal officer and the medical colleges. The District Residency Programme Coordinator shall also be responsible for orienting the Post-graduate Residents to the District health system, supervising the postings within the district, ensuring their accommodation, safety and transport needs, grievance redressal, etc. District Residency Programme Coordinator shall be the competent authority for sanctioning leave to District Residents. XI. Responsibility of National Medical Commission: All Medical institutions will submit the DRP posting details of the students to PGMEB of the National Medical Commission within one week of completion of the DRP. The PGMEB of the National Medical Commission will monitor the training programme and may direct necessary changes to the State Government and Medical institutions, if so desired. XII. Constitution of National/State Oversight Mechanisms: a. The National Medical Commission shall constitute a National Steering Committee in consultation with the Ministry of Health and Family Welfare, Government of India to oversee the implementation of the District Residency Programme. b. The National Steering Committee shall be chaired by the President, Post-Graduate Medical Education Board (PGMEB) or his nominee. The Committee shall comprise nominated members from the Ministry of Health and Family Welfare (not below the rank of Director/Deputy Secretary), Nominee of the Directorate General of Health Services (DGHS) and representatives of at least six State Governments/Union Territories. The Committee may submit quarterly reports to the Central Government. c. The National Steering Committee shall establish a National Coordination Cell (NCC) under the PGMEB of the National Medical Commission, which shall be responsible for the smooth and efficient implementation of the District Residency Programme and grievance redressal at the national level. d. The Governments of State/Union Territory shall constitute a State/UnionTerritory level Steering Committee chaired by the Principal Secretary/ Secretary (Health) and comprising the Principal Secretary/Secretary (Medical Education), Director of Health Services, Director of Medical Education, Registrar of the Health University and Deans of the medical colleges to facilitate the implementation of the District Residency Programme. XIII. Application for Proportionate Enhancement of Postgraduate Seats: The Medical College/Institution may apply for proportionate enhancement of MD/MS seats to compensate for the potential compromise of work at its teaching hospital/institution due to out-posting of the postgraduate medical students/residents for the District Residency Programme. Such applications can be made after one year of the implementation of the District Residency Programme. XIV. Launch of the District Residency Programme: The District Residency Programme shall be implemented with the post-graduate broad-speciality batch that has joined the post-graduate course in the Academic Session 2021. 5.3 Curriculum: The Post-graduate Medical Education Board shall publish the model curriculum and the outcome objectives of the same from time to time on the NMC website, which shall be implemented by the colleges/institutions. 5.4 Stipend to Post-graduate Students: The post-graduate students undergoing post-graduate Degree/Diploma/Super-speciality courses in all the institutions shall be paid a stipend at par with the stipend being paid to the post-graduate students of State Government medical institutions/Central Government medical institutions, in the State/Union Territory where the institution is located. 5.5 Leave Rules for Post-graduate Students - The following leave rules will be followed: a. Every post-graduate student will be given minimum 20 days of paid leave (casual leave) per year. b. Subject to exigencies of work, post-graduate students will be allowed one weekly holiday. с. Female post-graduate students shall be allowed maternity leave as per existing Government rules and regulations. d. Male post-graduate students shall be allowed paternity leave as per existing Government rules and regulations. e. In addition to 20 days' paid leave, the candidates will be allowed academic paid leave of 5 days per year. The training period shall be as per Chapter-II. If candidate avails leave in excess of the permitted number of days, his/her term of course shall be extended by the same number of days to complete the training period. However, one shall be able to appear in the examination if one has 80% (eighty per cent) of the attendance. 5.6 Accommodation for Post-graduate Students: It will be mandatory for the college to provide appropriate residential accommodation to post-graduate students. However, it will not be mandatory for the post-graduate students to stay in the hostel. CHAPTER VI ROLE OF UNIVERSITIES 6.1 It shall be the duty of all concerned Universities with the medical institutions under them, to partner with the National Medical Commission a. To implement an appropriate curriculum to provide high-quality and affordable post-graduate medical education to the student to make him a competent specialist and/or medical teacher. b. To provide training in clinical and practical skills along with theoretical knowledge, laying emphasis upon attitude, ethics and communication skills to ensure imparting competency-based medical education. с. Encourage scholars in both self-directed and assisted learning. d. Provide periodic and transparent assessment of medical education being imparted by Medical Institutions to meet with highest global standards. e. Provide a summative assessment for overall successful completion of the post-graduate programme. f. Inspire confidence in the students to handle emergencies and calamities at all levels. 6.2 Without prejudice to the above, the concerned University and medical institutions under them shall ensure that proper records of the work be maintained so that they form the basis of objective, efficient and transparent internal assessment of scholars. Provided further that, these maintained and well-classified documents shall be made available for consultation at all times, particularly for the purposes of assessment of the medical college either by the concerned University or NMC. 6.3 It shall be the constant endeavour of the concerned University to constantly develop strategies for optimal utilization of evolving technology by the faculty, medical education department and scholars during the period of training at the post-graduation level. 6.4 It shall be the constant endeavour of the concerned University to maximize the use of digital technology for conducting examinations and issuance of Degrees/Diploma and other certificates in digital mode which should be available on the Digi locker platform. All the Universities should make all-out efforts to start the issuance of Certificates in digital mode on the Digi locker platform as early as possible. CHAPTER VII DEPARTMENT, UNITS, FACULTY AND SENIOR RESIDENTS 7.1 Department: The name of the Department will be as per the name of the Speciality subject (qualification) (Annexure-1, Annexure-2). Each Department will be headed by a Professor. Unit: All Departments with inpatient beds will have unit structure (Units), if applicable. Faculty: Professor, Associate Professor and Assistant Professor will be considered as faculty and they will be full time. Appointment and promotion of faculty in various teaching Specialities imparting post-graduate medical education in medical institutions, falling within the purview of the National Medical Commission, has to be in accordance with the norms of Teachers Eligibility Qualifications in Medical Institutions Regulations, 2022. The number of faculty requirement and the number of post-graduate students registrable under each faculty will be as per Post-Graduate Medical Education Regulations, 2023 and PGMSR-23. In Government institutions, where faculty holding post of Additional Professor fulfilling all the requirements to become Professor will be considered as Professor for all purposes. Similarly, in Government institutions, where faculty holding post of Reader, fulfilling all the requirements to become Associate Professor will be considered as Associate Professor for all purposes. Senior Residents and Junior Residents: Senior Resident shall have post-graduate degree qualification in the respective broad- speciality. Post-graduate students pursuing super-speciality courses will also be called as senior residents. Students pursuing broad-speciality courses will be called as junior residents. Post-graduate courses under any other body like the National Board of Examinations in Medical Sciences (NBEMS), etc. are not permissible against the very same units, teaching personnel and infrastructure for courses under these regulations. 7.2 The faculty of a medical college/institution shall assist the National Medical Commission/ Boards whenever required for the purpose of assessment and as experts, etc. 7.3 The position of Dean/Director/Principal of Medical College/Institution should be held by a person possessing recognised post-graduate medical degree from a recognised/accredited institution with a minimum of ten years teaching experience as Professor/Associate Professor in a Medical College/ Institution, out of which at least five years should be as Professor in the Department. Appointment to these posts shall be made on seniority-cum-merit basis. The Dean/Director/Principal of Medical Institution shall not hold the post of Head of the Department. 7.4 The Medical Superintendent of the affiliated teaching hospital shall possess a recognised post-graduate medical degree from a recognised/accredited institution with a minimum of ten years teaching experience as Professor /Associate Professor in the relevant departments of the Hospital, of which at least five years should be as Professor. Appointment to these posts shall be made on seniority-cum-merit basis. Medical Superintendent shall not occupy the position of the Head of the Department. However, he can head the unit. CHAPTER VIII EXAMINATIONS 8.1 Examinations: The medical college/institution will conduct the Formative Assessment (examination) and the University will conduct the Summative Assessment (examination). Both Formative Assessment (examination) and Summative Assessment (examination). shall consist of Theory, Clinical/Practical and Viva Voce. The university shall conduct not more than two examinations in a year, for any subject, with an interval of not less than 4 and not more than 8 months betweenthe two examinations. 8.2 Examiners: a. The examiner (both internal and external) for the post-graduate examination in Broad and Super Specialties shall have three years' experience as recognised Post-graduate Guide in the concerned subject. b. The minimum number of examiners for post-graduate examination shall be four. Out of which, at least two shall be external examiners and least one of them shall be from different university outside the state. с. An examiner shall not be appointed for more than two consecutive regular examinations for the same institution. 8.3 Methodology A. Broad Specialties: Doctor of Medicine (M.D.)/Master of Surgery (M.S.): M.D./M.S. examinations, in any subject shall consist of theory papers, andclinical/practical and viva voce examinations. a. Theory: The theory examination (both formative and summative) may be of descriptive answer of a question type, Multiple Choice Question (MCQ) type or mix of both types. Theory examination for summative examination shall be of four theory papers. The first and the fourth paper shall be on basic medical science and recent advances, respectively. The theory examination shall be held well in advance before the clinical and practical examination. b. Clinical/Practical and viva voce i. Clinical examination for the subjects in clinical sciences shall be conducted to test the knowledge and competence of the candidates for undertaking independent work as a consultant/specialist/teacher, for which candidates shall be examined for one long case and two short cases. ii. Practical examination for other subjects shall be conducted to test the knowledge and competence of the candidates for making valid and relevant observations based on the experimental/ laboratory studies and his ability to perform such studies as are relevant to his subject. iii. The viva voce examination shall be thorough and shall aim at assessing the candidate's knowledge and competence about the subject, investigative procedures, therapeutic technique and other aspects of the Speciality. iv. Clinical/practical examination shall include Objective Structured Clinical Examination (OSCE). B. Super Specialties: Doctorate of Medicine (D.M.)/Master of Chirurgie (M.Ch.): The Examination consists of theory and clinical/practical and viva voce. a. Theory: The theory examination (both formative and summative) may be of descriptive answer of a question type, Multiple Choice Question (MCQ) type or mix of both types. Theory examination for summative examination shall be of four theory papers. The first and the fourth paper shall be on basic medical science and recent advances, respectively. The theory examination shall be held well in advance before the clinical and practical examination. b. Clinical/Practical and viva voce: i. Clinical examination for the subjects in clinical sciences shall be conducted to test the knowledge and competence of the candidates for undertaking independent work as a consultant/specialist/teacher, for which candidates shall be examined for one long case and two short cases. ii. Practical examination may consist of carrying out special investigative techniques for Diagnosis and Therapy. M.Ch. candidates shall also be examined in surgical procedures. Viva voce examination shall be comprehensive enough to test the candidate's overall knowledge and competence about the subject, investigative procedures, therapeutic technique and other aspects of the Speciality. iii. Clinical/practical examination shall include Objective Structured Clinical Examination (OSCE). C. Post-graduate Diploma: Diploma examination in any subject shall consist of theory and practical/clinical and viva voce. a. Theory: There shall be three Theory papers. The first paper shall be on basic medical sciences. The theory examination will be held well in advance before the clinical examination. b. Clinical/Practical and viva voce: Clinical examination for the subject in clinical Science shall be conducted to test/aimed at assessing the knowledge and competence of the candidate for undertaking independent work as a specialist for which a candidate shall examine a minimum of one long case and two short cases. The viva voce examination shall be thorough and shall aim at assessing the candidate's knowledge and competence about the subject, investigative procedures, therapeutic technique and other aspects of the Speciality. Clinical/practical examination shall include Objective Structured Clinical Examination (OSCE). 8.4 Valuation: a. All the teachers of the other colleges of the concerned University or other Universities, who are eligible to be post-graduate examiners, can perform the valuation of the answerscripts. b. All the answer scripts shall be subjected for two valuations by the concerned University. The average of the total marks awarded by the two valuators for the paper, which is rounded off to the nearest integer (whole number), shall be considered for computation of the results. All the answer scripts, where the difference between two valuations is 15% and more of the total marks prescribed for the paper, shall be subjected to third valuation. The average of the best two total marks, awarded by the three evaluators for the paper, rounded off to the nearest integer (whole number), shall be considered for final computation of the results. c. After the computation and declaration of the results, under no circumstances, revaluation is permitted. d. All the Health Universities/Institutions imparting post-graduate courses shall implement digital valuation. CRITERIA FOR EVALUATION OF M.S./M.D./M.Ch./DM COURSES +-----+----------------------------------------------------------+------------------------------+ |S.No.|Description |M.S./M.D./M.Ch./DM Courses | +=====+==========================================================+==============================+ |1 |THEORY | | | |No. of Theory Papers |4 | | |Marks for each Theory Paper |100 | | |Total marks for Theory Paper |400 | | |Passing Minimum for Theory |200/400 (40% minimum in each paper)| +-----+----------------------------------------------------------+------------------------------+ |2 |PRACTICAL/CLINICAL |300 | +-----+----------------------------------------------------------+------------------------------+ |3 |VIVA VOCE |100 | | |Passing minimum for Practical/Clinical including Viva voce|200/400 | +-----+----------------------------------------------------------+------------------------------+ The candidate shall secure not less than 50% marks in each head of passing which shall include (1) Theory - aggregate 50% (In addition, in each Theory paper a candidate has to secure minimum of 40%) (2) Practical/Clinical and Viva voce - aggregate 50% (3) If any candidate fails even under one head, he/she has to re-appear for both Theory and Practical/Clinical and Viva voce examination. (4) Five per cent of mark of total marks of Clinical/Practical and Viva Voce marks (20 marks) will be of dissertation/thesis and it will be part of clinical/practical examination marks. External examiner outside the state will evaluate dissertation/ thesis and take viva voce on it and marks will be given on quality of dissertation/thesis and performance on its viva voce. (5) No grace mark is permitted in post-graduate examination either for theory or for practical. CRITERIA FOR EVALUATION OF P.G. DIPLOMA COURSES +-----+----------------------------------------------------------+------------------------------+ |S. No.|Description |P.G. Diploma Courses | +=====+==========================================================+==============================+ |1 |THEORY | | | |No. of Theory Papers |3 | | |Marks for each Theory Paper |100 | | |Total marks for Theory Paper |300 | | |Passing Minimum for Theory |150/300 (40% minimum in each paper)| +-----+----------------------------------------------------------+------------------------------+ |2 |PRACTICAL/CLINICAL |200 | +-----+----------------------------------------------------------+------------------------------+ |3 |Viva voce |100 | +-----+----------------------------------------------------------+------------------------------+ The candidate shall secure not less than 50% marks in each head of passing which shall include (1) Theory - aggregate 50% (In addition, in each Theory paper a candidate has to secure minimum of 40%). (2) Practical/Clinical and Viva voce - aggregate 50%. (3) If any candidate fails even under one head, he/she has to re-appear for both Theory and Practical/Clinical and Viva voce examination. (4) No grace mark is permitted in post-graduate examination either for theory or for practical. CHAPTER IX SANCTION AND PENALTY 9.1 Penalty for Violation of Regulations: For non-compliance or omission, the PGMEB will penalize the medical college/institution. 9.2 Without prejudice to anything stated at Section 9.1 above, the imposition of the penalty which may include one/more/ all of the following a. Issuance of warning with direction to rectify/comply, as the case may be, by the medical institution. b. Monetary penalty not exceeding INR one Crore per every violation/act of omission committed by the medical institution;. c. Monetary penalty not exceeding Rupees five Lakhs for the faculty/ Head of the Department (HOD)/Dean/Director/Doctor submitting false declaration/ documents/ records (including patients' records). Further, they can also be charged or penalized for misconduct under the Professional Conduct Regulations in force. d. Recommending to MARB for withholding processing of application(s) for any new course including increase of seats in the existing course for that academic year or for such number of years. e. Reducing the number of students in the next or subsequent academic years to be admitted by the medical institution. f. Stoppage of admission to one or more of the courses in the next or subsequent academic years. g. Recommending to NMC for withdrawal of permission. h. Any attempt to pressurize PGMEB or NMC through individuals or agency will lead to immediate halt of the processing the application/request by the medical institution. Provided further that the medical institution, shall be granted a reasonable opportunity to rectify the deficiencies and any further action shall be taken if it fails to meet the requisite norms. Provided further that, the PGMEB or the NMC may also initiate criminal proceedings for furnishing false information, or fabrication of false documents as per the criminal law in force at that time. CHAPTER X MISCELLANEOUS 10.1 Faculty Development Programme: The Post-graduate Medical Education Board shall prescribe the Faculty Development Programme to enhance the skills of the faculty for post-graduate training, which will have to be mandatorily followed. 10.2 Animal Experimentation: Animal experimentation should continue to be included as an integral part of the competency-based curriculum of post-graduate courses in Physiology and Pharmacology in medical institutions. However, the use of non-animal, human relevant methods may be encouraged for teaching and training of post-graduate students in these subjects, wherever possible. If animals are used as a part of research studies or thesis work, biomedical ethics and relevant rules and guidelines framed under the Prevention of Cruelty to Animals Act, 1960, must be strictly adhered to. 10.3 Collaborative Research: Impetus may be provided to Research in medical field to produce Physician Scientists of highest calibre by collaborative arrangement with other scientific organizations of excellence as well as Institutions of Eminence/ Excellence conferred by the Government of India. Inter-disciplinary research with AYUSH may be encouraged. CHAPTER XI AMENDMENTS, SAVING CLAUSE AND REPEAL 11.1 Provision to Amend the Post-Graduate Medical Education Regulations-2023: National Medical Commission is empowered to make any addition, deletion, substitution or any other amendment to Post-graduate Medical Education Regulations -2023, as and when required. The Post-graduate Medical Education Board is empowered to issue advisories and clarifications as and when required. The National Steering Committee constituted under Section 5.2(xv)(XII) to oversee the District Residency Programme (DRP) and will suggest practical ways in implementing District Residency Programme to achieve the objectives. 11.2 Saving Clause: Notwithstanding anything contained in these Regulations, any actions made under the "Post- graduate Medical Education Regulations, 2000” or the “The Opening of a New or Higher Course of Study or Training (including Post-graduate Course of Study or Training) and Increase of Admission Capacity in any course of Study or Training (including a Post-Graduate course of Study or Training) Regulations, 2000" or the recommendation of the Councils prior to that, shall be protected. 11.3 Repeal: The "Post-graduate Medical Education Regulations, 2000” and “The Opening of a New or Higher Course of Study or Training (including Post-graduate Course of Study or Training) and Increase of Admission Capacity in any course of Study or Training (including a Post-Graduate course of Study or Training) Regulations, 2000" are hereby repealed. Dr. VIPUL AGGARWAL Secy. [ADVT.-III/4/Exty./655/2023-24] Note: These Regulations are being published in English and Hindi, the English version shall prevail in case of any doubt about the interpretation of these Regulations. Annexure-1 [See Chapter II] LIST OF RECOGNISED POST-GRADUATE BROAD SPECIALITY QUALIFICATIONS (M.D./M.S.) A. M.D. (Doctor of Medicine) 1. M.D. (Aerospace Medicine) 2. M.D. (Anatomy) 3. M.D. (Anaesthesiology) 4. M.D. (Biochemistry) 5. M.D. (Biophysics) 6. M.D. (Community Medicine) 7. M.D. (Dermatology, Venereology and Leprosy) 8. M.D. (Emergency Medicine) 9. M.D. (Family Medicine) 10. M.D. (Forensic Medicine and Toxicology) 11. M.D. (General Medicine) 12. M.D. (Geriatrics) 13. M.D. (Health Administration) 14. M.D. (Hospital Administration) 15. M.D. (Immuno Haematology and Blood Transfusion) 16. M.D. (Laboratory Medicine) 17. M.D. (Marine Medicine) 18. M.D. [Master of Public Health (Epidemiology)] 19. M.D. (Microbiology) 20. M.D. (Nuclear Medicine) 21. M.D. (Paediatrics) 22. M.D. (Palliative Medicine) 23. M.D. (Pathology) 24. M.D. (Pharmacology) 25. M.D. (Physical Medicine Rehabilitation) 26. M.D. (Physiology) 27. M.D. (Psychiatry) 28. M.D. (Radiation Oncology) 29. M.D. (Radio-diagnosis) 30. M.D. (Respiratory Medicine) 31. M.D. (Sports Medicine) 32. M.D. (Tropical Medicine) B. M.S. (Master of Surgery) 1. M.S. (General Surgery) 2. M.S. (Obstetrics and Gynaecology) 3. M.S. (Ophthalmology) 4. M.S. (Orthopaedics) 5. M.S. (Otorhinolaryngology) 6. M.S. (Traumatology and Surgery) Annexure-2 [See Chapter II] LIST OF RECOGNISED POST-GRADUATE SUPER SPECIALITY QUALIFICATIONS (D.M./M.Ch.) A. Doctorate of Medicine 1. D.M. (Cardiac Anaesthesia) 2. D.M. (Cardiology) 3. D.M. (Child and Adolescent Psychiatry) 4. D.M. (Clinical Haematology) 5. D.M. (Clinical Immunology and Rheumatology) 6. D.M. (Clinical Pharmacology) 7. D.M. (Critical Care Medicine) 8. D.M. (Endocrinology) 9. D.M. (Geriatric Mental Health) 10. D.M. (Hepatology) 11. D.M. (Infectious Disease) 12. D.M. (Interventional Radiology) 13. D.M. (Medical Gastroenterology) 14. D.M. (Medical Genetics) 15. D.M. (Medical Oncology) 16. D.M. (Neonatology) 17. D.M. (Nephrology) 18. D.M. (Neuro-Anaesthesia) 19. D.M. (Neurology) 20. D.M. (Neuro-radiology) 21. D.M. (Onco-Pathology) 22. D.M. (Organ Transplant Anaesthesia and Critical Care) 23. D.M. (Paediatric and Neonatal Anaesthesia) 24. D.M. (Paediatric Cardiology) 25. D.M. (Paediatric Critical Care) 26. D.M. (Paediatric Gastroenterology) 27. D.M. (Paediatric Hepatology) 28. D.M. (Paediatric Nephrology) 29. D.M. (Paediatric Neurology) 30. D.M. (Paediatric Oncology) 31. D.M. (Pulmonary Medicine) 32. D.M. (Virology) B. M.Ch. (Master of Chirurgie) 1. M.Ch. (Endocrine Surgery) 2. M.Ch. (Gynaecological Oncology) 3. M.Ch. (Hand Surgery) 4. M.Ch. (Head and Neck Surgery) 5. M.Ch. (Hepato-Pancreatto-Biliary-Surgery) 6. M.Ch. (Neurosurgery) 7. M.Ch. (Paediatric Cardio Thoracic Vascular Surgery) 8. M.Ch. (Paediatric Orthopaedics) 9. M.Ch. (Paediatric Surgery) 10. M.Ch. (Plastic and Reconstructive Surgery) 11. M.Ch. (Reproductive Medicine and Surgery) 12. M.Ch. (Surgical Gastroenterology) 13. M.Ch. (Surgical Oncology) 14. M.Ch. (Urology) 15. M.Ch. (Vascular Surgery) 16. M.Ch. (Cardio Vascular and Thoracic Surgery) Annexure-3 [See Chapter II] LIST OF RECOGNISED POST-GRADUATE DIPLOMA QUALIFICATIONS 1. Allergy and Clinical Immunology 2. Anaesthesiology (D.A.) 3. Clinical Pathology (D.C.P.) 4. Community Medicine (D.C.M.)/ Public Health (D.P.H.) 5. Dermatology, Venereology and Leprosy (D.D.V.L.) 6. Forensic Medicine (D.F.M.) 7. Health Education (D.H.E.) 8. Health Administration (D.H.A.) 9. Immuno-Haematology and Blood Transfusion (D.I.H.B.Τ.) 10. Marine Medicine (Dip. M.Μ.) 11. Microbiology (D.Micro) 12. Nutrition (D.N.) 13. Obstetrics and Gynaecology (D.G.O.) 14. Occupational Health (D.O.Η.) 15. Ophthalmology (D.O.) 16. Orthopaedics (D.Ortho.) 17. Otorhinolaryngology (D.L.O.) 18. Paediatrics (D.C.H.) 19. Physical Medicine and Rehabilitation (D.Phy. Med. and R.) 20. Psychiatry (D.P.M.) 21. Radiation Medicine (D.R.M.) 22. Radiodiagnosis (D.M.R.D.) 23. Radio-therapy (D.M.R.T.) 24. Radiological Physics (D.R.P.) 25. Sport Medicine (D.S.M.) 26. Tropical Medicine and Health (D.T.M. and H.) 27. Tuberculosis and Chest Diseases (D.T.C.D.) 28. Virology (D. Vir.) Annexure-4 [See Chapter II] LIST OF RECOGNISED POST-DOCTORAL CERTIFICATE COURSES (PDCC) QUALIFICATION 1. PDCC in Organ Transplant Anaesthesia 2. PDCC in Paediatric Endocrinology 3. PDCC in Laboratory Immunology 4. PDCC in Nuclear Nephrology 5. PDCC in Renal Pathology 6. PDCC in Gastro-Radiology 7. PDCC in Aphaeresis Technology and Blood Component Therapy 8. PDCC in Pain Management 9. PDCC in Haemato-Oncology 10. PDCC in Paediatric Endocrinology 11. PDCC in Paediatric ENT 12. PDCC in Spine Surgery Annexure-5 [See Chapter II] LIST OF RECOGNISED POST-DOCTORAL FELLOWSHIP (PDF) QUALIFICATION Annexure-6 [See Chapter II] LIST OF D.M./ M.CH. COURSES OF SIX YEARS DURATION 1. D.M. (Neurology) 2. M.Ch. (Neurosurgery) Annexure-7 [See Section 4.1] FEEDER BROAD SPECIALITY QUALIFICATIONS FOR SUPER SPECIALITY COURSES A. D.M. (Doctorate of Medicine) +-----+---------------------------------------------------+-------------------------------------+ |S.No.|Area of Specialization |Feeder Broad Speciality Qualification(s) | +=====+===================================================+=====================================+ |1. |D.M. (Cardiac Anaesthesia ) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |2. |D.M. (Cardiology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Respiratory Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |3. |D.M. (Child and Adolescent Psychiatry) |M.D./DNB (Psychiatry) | +-----+---------------------------------------------------+-------------------------------------+ |4. |D.M. (Clinical Haematology) |M.D./DNB (Biochemistry) | | | |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Pathology) | +-----+---------------------------------------------------+-------------------------------------+ |5. |D.M. (Clinical Immunology and Rheumatology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |6. |D.M. (Clinical Pharmacology) |M.D./DNB (Pharmacology) | +-----+---------------------------------------------------+-------------------------------------+ |7. |D.M. (Critical Care Medicine) |M.D./DNB (Anaesthesia) | | | |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Emergency Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |8. |D.M. (Endocrinology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |9. |D.M. (Geriatric Mental Health) |M.D./DNB (Psychiatry) | +-----+---------------------------------------------------+-------------------------------------+ |10. |D.M. (Hepatology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |11. |D.M. (Infectious Disease) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Microbiology) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Tropical Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |12. |D.M. (Interventional Radiology) |M.D./DNB (Radio-diagnosis) | +-----+---------------------------------------------------+-------------------------------------+ |13. |D.M. (Medical Gastroenterology) |M.D./DNB (General Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |14. |D.M. (Medical Genetics) |M.D./M.S./DNB in any subject | +-----+---------------------------------------------------+-------------------------------------+ |15. |D.M. (Medical Oncology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Radiation Oncology) | +-----+---------------------------------------------------+-------------------------------------+ |16. |D.M. (Neonatology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |17. |D.M. (Nephrology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |18. |D.M. (Neuro- Anaesthesia) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |19. |D.M. (Neurology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |20. |D.M. (Neuro-radiology) |M.D./DNB (Radio-diagnosis) | +-----+---------------------------------------------------+-------------------------------------+ |21. |D.M. (Onco-Pathology) |M.D./DNB (Pathology) | +-----+---------------------------------------------------+-------------------------------------+ |22. |D.M. (Organ Transplant Anaesthesia and Critical |M.D./DNB (Anaesthesia) | | |Care) | | +-----+---------------------------------------------------+-------------------------------------+ |23. |D.M. (Paediatric and Neonatal Anaesthesia) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |24. |D.M. (Paediatric Cardiology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |25. |D.M. (Paediatric Critical Care) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |26. |D.M. (Paediatric Gastroenterology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |27. |D.M. (Paediatric Hepatology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |28. |D.M. (Paediatric Nephrology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |29. |D.M. (Paediatric Neurology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |30. |D.M. (Paediatric Oncology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |31. |D.M. (Pulmonary Medicine) |M.D./DNB (General Medicine) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |32. |D.M. (Virology) |M.D./DNB (Microbiology) | +-----+---------------------------------------------------+-------------------------------------+ B. M.Ch. (Master of Chirurgie) +-----+---------------------------------------------------+-------------------------------------+ |Sl.No.|Area of Specialization |Feeder Broad Speciality Qualification(s) | +=====+===================================================+=====================================+ |1. |M.Ch. (Endocrine Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |2. |M.Ch. (Gynaecological Oncology) |M.D./M.S./DNB (Obstetrics and Gynaecology) | +-----+---------------------------------------------------+-------------------------------------+ |3. |M.Ch. (Hand Surgery) |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |4. |M.Ch. (Head and Neck Surgery) |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |5. |M.Ch. (Hepato-Pancreatto-Billiary-Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |6. |M.Ch. (Neurosurgery) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | +-----+---------------------------------------------------+-------------------------------------+ |7. |M.Ch. (Paediatric Cardio Thoracic Vascular Surgery)|M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |8. |M.Ch. (Paediatric Orthopaedics) |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |9. |M.Ch. (Paediatric Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |10. |M.Ch. (Plastic and Reconstructive Surgery) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |11. |M.Ch. (Reproductive Medicine and Surgery) |M.D./M.S./DNB (Obstetrics and Gynaecology) | +-----+---------------------------------------------------+-------------------------------------+ |12. |M.Ch. (Surgical Gastroenterology) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |13. |M.Ch. (Surgical Oncology) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |14. |M.Ch. (Urology) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |15. |M.Ch. (Vascular Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |16. |M.Ch. (Cardio Vascular and Thoracic Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ Annexure-8 [See Section 4.8] Schedule to the Rights of Persons with Disabilities (RPWD) Act, 2016 "SPECIFIED DISABILITY" 1. Physical disability A. Locomotor disability (a person's inability to execute distinctive activities associated with movement of self and objects resulting from affliction of musculoskeletal or nervous system or both), including – (a) "leprosy cured person" means a person who has been cured of leprosy but is suffering from – (i) Loss of sensation in hands or feet as well as loss of sensation and paresis in the eye and eye-lid but with no manifest deformity; (ii) Manifest deformity and paresis but having sufficient mobility in their hands and feet to enable them to engage in normal economic activity; (iii) extreme physical deformity as well as advanced age which prevents him/her from undertaking any gainful occupation, and the expression "leprosy cured" shall be construed accordingly; (b) "cerebral palsy" means a group of non-progressive neurological condition affecting body movements and muscle coordination, caused by damage to one or more specific areas of the brain, usually occurring before, during or shortly after birth; (c) "Dwarfism" means a medical or genetic condition resulting in an adult height of 4 feet 10 inches (147 centimetres) or less; (d) "Muscular dystrophy" means a group of hereditary genetic muscle disease that weakens the muscles that move the human body and persons with multiple dystrophy have incorrect and missing information in their genes, which prevents them from making the proteins they need for healthy muscles. It is characterised by progressive skeletal muscle weakness, defects in muscle proteins, and the death of muscle cells and tissue; (e) "acid attack victims" means a person disfigured due to violent assaults by throwing of acid or similar corrosive substance. B. Visual impairment- (a) "blindness" means a condition where a person has any of the following conditions, after best correction— (i) total absence of sight; or (ii) visual acuity less than 3/60 or less than 10/200 (Snellen) in the better eye with best possible correction; or (iii) limitation of the field of vision subtending an angle of less than 10 degree. (b) "low-vision” means a condition where a person has any of the following conditions, namely: (i) visual acuity not exceeding 6/18 or less than 20/60 up to 3/60 or up to 10/200 (Snellen) in the better eye with best possible corrections; or (ii) limitation of the field of vision subtending an angle of less than 40 degree up to 10 degree. C. Hearing impairment- (a) "deaf" means persons having 70 DB hearing loss in speech frequencies in both ears; (b) "hard of hearing" means person having 60 DB to 70 DB hearing loss in speech frequencies in both ears; D. "speech and language disability” mean a permanent disability arising out of conditions such as laryngectomy or aphasia affecting one or more components of speech and language due to organic or neurological causes. 2. Intellectual disability, a condition characterised by significant limitation both in intellectual functioning (reasoning, learning, problem solving) and in adaptive behaviour which covers a range of every day, social and practical skills, including - (a) "specific learning disabilities" means a heterogeneous group of conditions wherein there is a deficit in processing language, spoken or written, that may manifest itself in a difficulty to comprehend, speak, read, write, spell, or to do mathematical calculations and includes such conditions as perceptual disabilities, dyslexia, dysgraphia, dyscalculia, dyspraxia and developmental aphasia; (b) "autism spectrum disorder” means a neuro-developmental condition typically appearing in the first three years of life that significantly affects a person's ability to communicate, understand relationships and relate to others, and is primarily associated with unusual or stereotypical rituals or behaviours. 3. Mental behaviour "mental illness" means a substantial disorder of thinking, mood, perception, orientation or memory that grossly impairs judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, but does not include retardation which is a condition of arrested or incomplete development of mind of a person, specially characterised by sub normality of intelligence. 4. Disability caused due to- (a) chronic neurological conditions, such as— (i) "Multiple sclerosis" means an inflammatory, nervous system disease in which the myelin sheaths around the axons of nerve cells of the brain and spinal cord are damaged, leading to demyelination and affecting the ability of nerve cells in the brain and spinal cord to communicate with each other; (ii) "Parkinson's disease" means a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise movement, chiefly affecting middle-aged and elderly people associated with degeneration of the basal ganglia of the brain and a deficiency of the neurotransmitter dopamine. (b) Blood disorder- (i) "Haemophilia" means an inheritable disease, usually affecting only male but transmitted by women to their male children, characterised by loss or impairment of the normal clotting ability of blood so that a minor wound may result in fatal bleeding; (ii) "Thalassemia" means a group of inherited disorders characterised by reduced or absent amounts of haemoglobin. (iii) "Sickle cell disease" means a haemolytic disorder characterised by chronic anaemia, painful events, and various complications due to associated tissue and organ damage; "haemolytic" refers to the destruction of the cell membrane of red blood cells resulting in the release of haemoglobin. 5. Multiple Disabilities (more than one of the above specified disabilities) including deaf blindness which means a condition in which a person may have combination of hearing and visual impairments causing severe communication, developmental, and educational problems. 6. Any other category as may be notified by the Central Government. Note: Any amendment to the Schedule to the RPWD Act, 2016, shall consequently stand amended in the above Annexure. Annexure-9 [See Section 4.8] Guidelines regarding admission of students with “Specified Disabilities” under the Rights of Persons with Disabilities Act, 2016 with respect to admission in Post-graduate Courses in Modern Medicine Note: 1. The "Certificate of Disability" shall be issued in accordance with the Rights of Persons with Disabilities Rules, 2017 notified in the Gazette of India by the Ministry of Social Justice and Empowerment [Department of Empowerment of Persons with Disabilities (Divyangjan)] on 15th June 2017. 2. The extent of "specified disability” in a person shall be assessed in accordance with the "Guidelines for the purpose of assessing the extent of specified disability in a person included under the Rights of Persons with Disabilities Act, 2016 (49 of 2016)" notified in the Gazette of India by the Ministry of Social Justice and Empowerment [Department ofEmpowerment of Persons with Disabilities (Divyangjan)] on 4th January 2018. 3. The minimum degree of disability should be 40% (Benchmark Disability) in order to be eligible for availing reservation for persons with specified disability. 4. The term 'Persons with Disabilities' (PwD) is to be used instead of the term 'Physically Handicapped' (PH). 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``` B. D.M. (Doctorate of Medicine) 1. D.M. (Cardiac Anaesthesia) 2. D.M. (Cardiology) 3. D.M. (Child and Adolescent Psychiatry) 4. D.M. (Clinical Haematology) 5. D.M. (Clinical Immunology and Rheumatology) 6. D.M. (Clinical Pharmacology) 7. D.M. (Critical Care Medicine) 8. D.M. (Endocrinology) 9. D.M. (Geriatric Mental Health) 10. D.M. (Hepatology) 11. D.M. (Infectious Disease) 12. D.M. (Interventional Radiology) 13. D.M. (Medical Gastroenterology) 14. D.M. (Medical Genetics) 15. D.M. (Medical Oncology) 16. D.M. (Neonatology) 17. D.M. (Nephrology) 18. D.M. (Neuro-Anaesthesia) 19. D.M. (Neurology) 20. D.M. (Neuro-radiology) 21. D.M. (Onco-Pathology) 22. D.M. (Organ Transplant Anaesthesia and Critical Care) 23. D.M. (Paediatric and Neonatal Anaesthesia) 24. D.M. (Paediatric Cardiology) 25. D.M. (Paediatric Critical Care) 26. D.M. (Paediatric Gastroenterology) 27. D.M. (Paediatric Hepatology) 28. D.M. (Paediatric Nephrology) 29. D.M. (Paediatric Neurology) 30. D.M. (Paediatric Oncology) 31. D.M. (Pulmonary Medicine) 32. D.M. (Virology) B. M.Ch. (Master of Chirurgie) 1. M.Ch. (Endocrine Surgery) 2. M.Ch. (Gynaecological Oncology) 3. M.Ch. (Hand Surgery) 4. M.Ch. (Head and Neck Surgery) 5. M.Ch. (Hepato-Pancreatto-Biliary-Surgery) 6. M.Ch. (Neurosurgery) 7. M.Ch. (Paediatric Cardio Thoracic Vascular Surgery) 8. M.Ch. (Paediatric Orthopaedics) 9. M.Ch. (Paediatric Surgery) 10. M.Ch. (Plastic and Reconstructive Surgery) 11. M.Ch. (Reproductive Medicine and Surgery) 12. M.Ch. (Surgical Gastroenterology) 13. M.Ch. (Surgical Oncology) 14. M.Ch. (Urology) 15. M.Ch. (Vascular Surgery) 16. M.Ch. (Cardio Vascular and Thoracic Surgery) Annexure-3 [See Chapter II] LIST OF RECOGNISED POST-GRADUATE DIPLOMA QUALIFICATIONS 1. Allergy and Clinical Immunology 2. Anaesthesiology (D.A.) 3. Clinical Pathology (D.C.P.) 4. Community Medicine (D.C.M.)/ Public Health (D.P.H.) 5. Dermatology, Venereology and Leprosy (D.D.V.L.) 6. Forensic Medicine (D.F.M.) 7. Health Education (D.H.E.) 8. Health Administration (D.H.A.) 9. Immuno-Haematology and Blood Transfusion (D.I.H.B.Τ.) 10. Marine Medicine (Dip. M.Μ.) 11. Microbiology (D.Micro) 12. Nutrition (D.N.) 13. Obstetrics and Gynaecology (D.G.O.) 14. Occupational Health (D.O.Η.) 15. Ophthalmology (D.O.) 16. Orthopaedics (D.Ortho.) 17. Otorhinolaryngology (D.L.O.) 18. Paediatrics (D.C.H.) 19. Physical Medicine and Rehabilitation (D.Phy. Med. and R.) 20. Psychiatry (D.P.M.) 21. Radiation Medicine (D.R.M.) 22. Radiodiagnosis (D.M.R.D.) 23. Radio-therapy (D.M.R.T.) 24. Radiological Physics (D.R.P.) 25. Sport Medicine (D.S.M.) 26. Tropical Medicine and Health (D.T.M. and H.) 27. Tuberculosis and Chest Diseases (D.T.C.D.) 28. Virology (D. Vir.) Annexure-4 [See Chapter II] LIST OF RECOGNISED POST-DOCTORAL CERTIFICATE COURSES (PDCC) QUALIFICATION 1. PDCC in Organ Transplant Anaesthesia 2. PDCC in Paediatric Endocrinology 3. PDCC in Laboratory Immunology 4. PDCC in Nuclear Nephrology 5. PDCC in Renal Pathology 6. PDCC in Gastro-Radiology 7. PDCC in Aphaeresis Technology and Blood Component Therapy 8. PDCC in Pain Management 9. PDCC in Haemato-Oncology 10. PDCC in Paediatric Endocrinology 11. PDCC in Paediatric ENT 12. PDCC in Spine Surgery Annexure-5 [See Chapter II] LIST OF RECOGNISED POST-DOCTORAL FELLOWSHIP (PDF) QUALIFICATION Annexure-6 [See Chapter II] LIST OF D.M./ M.CH. COURSES OF SIX YEARS DURATION 1. D.M. (Neurology) 2. M.Ch. (Neurosurgery) Annexure-7 [See Section 4.1] FEEDER BROAD SPECIALITY QUALIFICATIONS FOR SUPER SPECIALITY COURSES A. D.M. (Doctorate of Medicine) +-----+---------------------------------------------------+-------------------------------------+ |S.No.|Area of Specialization |Feeder Broad Speciality Qualification(s) | +=====+===================================================+=====================================+ |1. |D.M. (Cardiac Anaesthesia ) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |2. |D.M. (Cardiology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Respiratory Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |3. |D.M. (Child and Adolescent Psychiatry) |M.D./DNB (Psychiatry) | +-----+---------------------------------------------------+-------------------------------------+ |4. |D.M. (Clinical Haematology) |M.D./DNB (Biochemistry) | | | |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Pathology) | +-----+---------------------------------------------------+-------------------------------------+ |5. |D.M. (Clinical Immunology and Rheumatology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |6. |D.M. (Clinical Pharmacology) |M.D./DNB (Pharmacology) | +-----+---------------------------------------------------+-------------------------------------+ |7. |D.M. (Critical Care Medicine) |M.D./DNB (Anaesthesia) | | | |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Emergency Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |8. |D.M. (Endocrinology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |9. |D.M. (Geriatric Mental Health) |M.D./DNB (Psychiatry) | +-----+---------------------------------------------------+-------------------------------------+ |10. |D.M. (Hepatology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |11. |D.M. (Infectious Disease) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Microbiology) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Tropical Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |12. |D.M. (Interventional Radiology) |M.D./DNB (Radio-diagnosis) | +-----+---------------------------------------------------+-------------------------------------+ |13. |D.M. (Medical Gastroenterology) |M.D./DNB (General Medicine) | +-----+---------------------------------------------------+-------------------------------------+ |14. |D.M. (Medical Genetics) |M.D./M.S./DNB in any subject | +-----+---------------------------------------------------+-------------------------------------+ |15. |D.M. (Medical Oncology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | | | |M.D./DNB (Radiation Oncology) | +-----+---------------------------------------------------+-------------------------------------+ |16. |D.M. (Neonatology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |17. |D.M. (Nephrology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |18. |D.M. (Neuro- Anaesthesia) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |19. |D.M. (Neurology) |M.D./DNB (General Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |20. |D.M. (Neuro-radiology) |M.D./DNB (Radio-diagnosis) | +-----+---------------------------------------------------+-------------------------------------+ |21. |D.M. (Onco-Pathology) |M.D./DNB (Pathology) | +-----+---------------------------------------------------+-------------------------------------+ |22. |D.M. (Organ Transplant Anaesthesia and Critical |M.D./DNB (Anaesthesia) | | |Care) | | +-----+---------------------------------------------------+-------------------------------------+ |23. |D.M. (Paediatric and Neonatal Anaesthesia) |M.D./DNB (Anaesthesia) | +-----+---------------------------------------------------+-------------------------------------+ |24. |D.M. (Paediatric Cardiology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |25. |D.M. (Paediatric Critical Care) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |26. |D.M. (Paediatric Gastroenterology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |27. |D.M. (Paediatric Hepatology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |28. |D.M. (Paediatric Nephrology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |29. |D.M. (Paediatric Neurology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |30. |D.M. (Paediatric Oncology) |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |31. |D.M. (Pulmonary Medicine) |M.D./DNB (General Medicine) | | | |M.D./DNB (Respiratory Medicine) | | | |M.D./DNB (Paediatrics) | +-----+---------------------------------------------------+-------------------------------------+ |32. |D.M. (Virology) |M.D./DNB (Microbiology) | +-----+---------------------------------------------------+-------------------------------------+ B. M.Ch. (Master of Chirurgie) +-----+---------------------------------------------------+-------------------------------------+ |Sl.No.|Area of Specialization |Feeder Broad Speciality Qualification(s) | +=====+===================================================+=====================================+ |1. |M.Ch. (Endocrine Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |2. |M.Ch. (Gynaecological Oncology) |M.D./M.S./DNB (Obstetrics and Gynaecology) | +-----+---------------------------------------------------+-------------------------------------+ |3. |M.Ch. (Hand Surgery) |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |4. |M.Ch. (Head and Neck Surgery) |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |5. |M.Ch. (Hepato-Pancreatto-Billiary-Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |6. |M.Ch. (Neurosurgery) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | +-----+---------------------------------------------------+-------------------------------------+ |7. |M.Ch. (Paediatric Cardio Thoracic Vascular Surgery)|M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |8. |M.Ch. (Paediatric Orthopaedics) |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |9. |M.Ch. (Paediatric Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |10. |M.Ch. (Plastic and Reconstructive Surgery) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |11. |M.Ch. (Reproductive Medicine and Surgery) |M.D./M.S./DNB (Obstetrics and Gynaecology) | +-----+---------------------------------------------------+-------------------------------------+ |12. |M.Ch. (Surgical Gastroenterology) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |13. |M.Ch. (Surgical Oncology) |M.S./DNB (General Surgery) | | | |M.S./DNB (Otorhinolaryngology) | | | |M.S./DNB (Orthopaedics) | +-----+---------------------------------------------------+-------------------------------------+ |14. |M.Ch. (Urology) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |15. |M.Ch. (Vascular Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ |16. |M.Ch. (Cardio Vascular and Thoracic Surgery) |M.S./DNB (General Surgery) | +-----+---------------------------------------------------+-------------------------------------+ Annexure-8 [See Section 4.8] Schedule to the Rights of Persons with Disabilities (RPWD) Act, 2016 "SPECIFIED DISABILITY" 1. Physical disability A. Locomotor disability (a person's inability to execute distinctive activities associated with movement of self and objects resulting from affliction of musculoskeletal or nervous system or both), including – (a) "leprosy cured person" means a person who has been cured of leprosy but is suffering from – (i) Loss of sensation in hands or feet as well as loss of sensation and paresis in the eye and eye-lid but with no manifest deformity; (ii) Manifest deformity and paresis but having sufficient mobility in their hands and feet to enable them to engage in normal economic activity; (iii) extreme physical deformity as well as advanced age which prevents him/her from undertaking any gainful occupation, and the expression "leprosy cured" shall be construed accordingly; (b) "cerebral palsy" means a group of non-progressive neurological condition affecting body movements and muscle coordination, caused by damage to one or more specific areas of the brain, usually occurring before, during or shortly after birth; (c) "Dwarfism" means a medical or genetic condition resulting in an adult height of 4 feet 10 inches (147 centimetres) or less; (d) "Muscular dystrophy" means a group of hereditary genetic muscle disease that weakens the muscles that move the human body and persons with multiple dystrophy have incorrect and missing information in their genes, which prevents them from making the proteins they need for healthy muscles. It is characterised by progressive skeletal muscle weakness, defects in muscle proteins, and the death of muscle cells and tissue; (e) "acid attack victims" means a person disfigured due to violent assaults by throwing of acid or similar corrosive substance. B. Visual impairment- (a) "blindness" means a condition where a person has any of the following conditions, after best correction— (i) total absence of sight; or (ii) visual acuity less than 3/60 or less than 10/200 (Snellen) in the better eye with best possible correction; or (iii) limitation of the field of vision subtending an angle of less than 10 degree. (b) "low-vision” means a condition where a person has any of the following conditions, namely: (i) visual acuity not exceeding 6/18 or less than 20/60 up to 3/60 or up to 10/200 (Snellen) in the better eye with best possible corrections; or (ii) limitation of the field of vision subtending an angle of less than 40 degree up to 10 degree. C. Hearing impairment- (a) "deaf" means persons having 70 DB hearing loss in speech frequencies in both ears; (b) "hard of hearing" means person having 60 DB to 70 DB hearing loss in speech frequencies in both ears; D. "speech and language disability” mean a permanent disability arising out of conditions such as laryngectomy or aphasia affecting one or more components of speech and language due to organic or neurological causes. 2. Intellectual disability, a condition characterised by significant limitation both in intellectual functioning (reasoning, learning, problem solving) and in adaptive behaviour which covers a range of every day, social and practical skills, including - (a) "specific learning disabilities" means a heterogeneous group of conditions wherein there is a deficit in processing language, spoken or written, that may manifest itself in a difficulty to comprehend, speak, read, write, spell, or to do mathematical calculations and includes such conditions as perceptual disabilities, dyslexia, dysgraphia, dyscalculia, dyspraxia and developmental aphasia; (b) "autism spectrum disorder” means a neuro-developmental condition typically appearing in the first three years of life that significantly affects a person's ability to communicate, understand relationships and relate to others, and is primarily associated with unusual or stereotypical rituals or behaviours. 3. Mental behaviour "mental illness" means a substantial disorder of thinking, mood, perception, orientation or memory that grossly impairs judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, but does not include retardation which is a condition of arrested or incomplete development of mind of a person, specially characterised by sub normality of intelligence. 4. Disability caused due to- (a) chronic neurological conditions, such as— (i) "Multiple sclerosis" means an inflammatory, nervous system disease in which the myelin sheaths around the axons of nerve cells of the brain and spinal cord are damaged, leading to demyelination and affecting the ability of nerve cells in the brain and spinal cord to communicate with each other; (ii) "Parkinson's disease" means a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise movement, chiefly affecting middle-aged and elderly people associated with degeneration of the basal ganglia of the brain and a deficiency of the neurotransmitter dopamine. (b) Blood disorder- (i) "Haemophilia" means an inheritable disease, usually affecting only male but transmitted by women to their male children, characterised by loss or impairment of the normal clotting ability of blood so that a minor wound may result in fatal bleeding; (ii) "Thalassemia" means a group of inherited disorders characterised by reduced or absent amounts of haemoglobin. (iii) "Sickle cell disease" means a haemolytic disorder characterised by chronic anaemia, painful events, and various complications due to associated tissue and organ damage; "haemolytic" refers to the destruction of the cell membrane of red blood cells resulting in the release of haemoglobin. 5. Multiple Disabilities (more than one of the above specified disabilities) including deaf blindness which means a condition in which a person may have combination of hearing and visual impairments causing severe communication, developmental, and educational problems. 6. Any other category as may be notified by the Central Government. Note: Any amendment to the Schedule to the RPWD Act, 2016, shall consequently stand amended in the above Annexure. Annexure-9 [See Section 4.8] Guidelines regarding admission of students with “Specified Disabilities” under the Rights of Persons with Disabilities Act, 2016 with respect to admission in Post-graduate Courses in Modern Medicine Note: 1. The "Certificate of Disability" shall be issued in accordance with the Rights of Persons with Disabilities Rules, 2017 notified in the Gazette of India by the Ministry of Social Justice and Empowerment [Department of Empowerment of Persons with Disabilities (Divyangjan)] on 15th June 2017. 2. The extent of "specified disability” in a person shall be assessed in accordance with the "Guidelines for the purpose of assessing the extent of specified disability in a person included under the Rights of Persons with Disabilities Act, 2016 (49 of 2016)" notified in the Gazette of India by the Ministry of Social Justice and Empowerment [Department ofEmpowerment of Persons with Disabilities (Divyangjan)] on 4th January 2018. 3. The minimum degree of disability should be 40% (Benchmark Disability) in order to be eligible for availing reservation for persons with specified disability. 4. The term 'Persons with Disabilities' (PwD) is to be used instead of the term 'Physically Handicapped' (PH). 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-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- +---------------------------------+------------------------------------------+------------------------------+ |S.No.|Disability Type|Type of Disabilities |Specified Disability |Eligible for Medical Course, |Eligible for Medical Course, |Not Eligible for Medical Course | | | | | |Not Eligible for PwD Quota |Eligible for PwD Quota | | +=====+===============+=================================+===============================================+=====================================+======================================+================================+ |1. |Physical |A. Locomotor Disability, |a. Leprosy cured person* |Less than 40% disability |40-80% disability. |More than 80% | | |Disability |including Specified Disabilities |-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | |(a to f). |b. Cerebral Palsy** | |Persons with more than 80% disability | | | | | |c. Dwarfism | |may also be allowed on case to case | | | | | |d. Muscular Dystrophy | |basis and their functional competency | | | | | |e. Acid attack victims | |will be determined with the aid of | | | | | |f. Others*** such as Amputation, Poliomyelitis,| |assistive devices, if it is being used,| | | | | |etc. | |to see if it is brought below 80% and | | | | | | | |whether they possess sufficient motor | | | | | | | |ability as required to pursue and | | | | | | | |complete the course satisfactorily. | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ | | |B. Visual Impairment (*) |a. Blindness |Less than 40% disability |--- |Equal to or more than 40% Disability| | | |---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | | |b. Low vision | | | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ | | |C. Hearing Impairment (@) |a. Deaf |Less than 40% Disability |--- |Equal to or more than 40% Disability| | | |---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | | |b. Hard of hearing | | | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ | | |D. Speech and language disability$|Organic/ neurological causes |Less than 40% Disability |--- |Equal to or more than 40% Disability| +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ |2. |Intellectual |a. Specific learning disabilities|a. Specific learning disabilities (Perceptual |Less than 40% Disability |Equal to or more than 40% disability |More than 80% or severe nature | | |Disability |(Perceptual disabilities, |disabilities, Dyslexia, Dyscalculia, Dyspraxia | |and equal to or lessthan 80%. |or significant cognitive/ | | | |Dyslexia, Dyscalculia, Dyspraxia |and Developmental aphasia) # | |But selection will be based on the |intellectual disability | | | |and Developmental aphasia) # | | |learning competency evaluated with | | | | | | | |the help of the remediation/assisted | | | | | | | |technology/aids/infrastructural | | | | | | | |changes by the Expert Panel | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ | | |b. Autism spectrum disorder |Absence or Mild Disability, Aspergersyndrome |Absence or Mild Disability: less than|Currently not recommended due to lack |No mental disorder is barred | | | | |(disability of up to 60% as per ISAA) where |40% (under IDEAS) |of objective method to establish |from pursuing PG Medical | | | | |the individual is fit for post-graduate | |presence and extent of mental |education subject to being | | | | |course by an expert panel | |illness. However, the benefit of |eligible in NEXT/NEET-PG | | | | | | |reservation/quota may be considered | | | | | | | |in future after developing better | | | | | | | |methods of disability assessment. | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ |3. |Mental |Mental illness |Mental illness |Absence or mild Disability: less than|Currently not recommended due to lack |No mental disorder is barred | | |behaviour | | |40% (under IDEAS) |of objective method to establish |from pursuing PG Medical | | | | | | |presence and extent of mental |education subject to being | | | | | | |illness. However, the benefit of |eligible in NEXT/NEET-PG | | | | | | |reservation/quota may be considered | | | | | | | |in future after developing better | | | | | | | |methods of disability assessment. | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ |4. |Disability |a. Chronic Neurological Conditions|i. Multiple Sclerosis |Less than 40% Disability |40-80% disability |More than 80% | | |caused due to | |-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | | |ii. Parkinsonism | | | | | | |---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | |b. Blood Disorders |i. Haemophilia |Less than 40% Disability |40-80% disability |More than 80% | | | | |-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | | |ii. Thalassemia | | | | | | | |-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------| | | | |iii. Sickle cell disease | | | | +-----+---------------+---------------------------------+-----------------------------------------------+-------------------------------------+--------------------------------------+--------------------------------+ |5. |Multiple |Multiple Disabilities (more than |More than one of the above specified |Must consider all above while |Must consider all above while |Must consider all above while | | |disabilities |one of the above specified |disabilities |deciding in individual cases |deciding in individual cases |deciding in individual cases | | |including deaf |disabilities) including deaf | |recommendations with respect to |recommendations with respect to |recommendations with respect | | |blindness |blindness | |presence any of the above, namely, |presence any of the above, namely, |to presence any of the above, | | | | | |Visual, Hearing, Speech and Language |Visual, Hearing, Speech and Language |namely, Visual, Hearing, Speech | | | | | |disability, Intellectual Disability, |disability, Intellectual Disability, |and Language disability, | | | | | |and Mental Illness as a component of |and Mental Illness as a component of |Intellectual Disability, and | | | | | |Multiple Disability. |Multiple Disability. |Mental Illness as a component | | | | | | | |of Multiple Disability. | | | | | | | | | | | | |Combining Formula as notified by the related | | | | | | | |Gazette Notification issued by the Govt. of | | | | | | | |India | | | | | | | |a + [b (90-a)] / 90 | | | | | | | |(where a= higher value of disability % and | | | | | | | |b=lower value of disability % as calculated | | | | | | | |for different disabilities) | | | | | | | |is recommended for computing the disability | | | | | | | |arising when more than one disabling condition | | | | | | | |is present in a given individual. This formula | | | | | | | |may be used in cases with multiple | | | | | | | |disabilities, and recommendations regarding | | | | | | | |admission and/or reservation made as per the | | | | | | | |specific disabilities present in a given | | | | | | | |individual. | | | | 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( | | | Type of Disabilities | Specified Disability | Not Eligible for PwD Quota | PWD Quota | | +=======================================+===========+===================================+===============================================+=====================================+=======================================+================================+ |1. |Physical |A. Locomotor Disability, |a. Leprosy cured person* |Less than 40% disability |40-80% disability. |More than 80% | | |Disability |including Specified Disabilities |-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | |(page 50) |(a to f). |b. Cerebral Palsy** | |Persons with more than 80% disability| | | | | |c. Dwarfism | |may also be allowed on case to case | | | | | |d. Muscular Dystrophy | |basis and their functional competency| | | | | |e. Acid attack victims | |will be determined with the aid of | | | | | |f. Others*** such as Amputation, Poliomyelitis,| |assistive devices, if it is being used,| | | | | |etc. | |to see if it is brought below 80% and| | | | | | | |whether they possess sufficient motor| | | | | | | |ability as required to pursue and | | | | | | | |complete the course satisfactorily. | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ | | |B. Visual Impairment (*) |a. Blindness |Less than 40% disability |--- |Equal to or more than 40% Disability| | | |-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | | | |b. Low vision | | | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ | | |C. Hearing Impairment (@) |a. Deaf |Less than 40% Disability |--- |Equal to or more than 40% Disability| | | |-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | | | |b. Hard of hearing | | | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ | | |D. Speech and language disability$ |Organic/ neurological causes |Less than 40% Disability |--- |Equal to or more than 40% Disability| +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ |2. |Intellectual|a. Specific learning disabilities |a. Specific learning disabilities (Perceptual |Less than 40% Disability |Equal to or more than 40% disability |More than 80% or severe nature | | |Disability |(Perceptual disabilities, Dyslexia,|disabilities, Dyslexia, Dyscalculia, Dyspraxia | |and equal to or lessthan 80%. |or significant cognitive/ | | |(page 51) |Dyscalculia, Dyspraxia and |and Developmental aphasia) # | |But selection will be based on the |intellectual disability | | | |Developmental aphasia) # | | |learning competency evaluated with | | | | | | | |the help of the remediation/assisted | | | | | | | |technology/aids/infrastructural | | | | | | | |changes by the Expert Panel | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ | | |b. Autism spectrum disorder |Absence or Mild Disability, Aspergersyndrome |Absence or Mild Disability: less than|Currently not recommended due to lack|No mental disorder is barred | | | | |(disability of up to 60% as per ISAA) where |40% (under IDEAS) |of objective method to establish |from pursuing PG Medical | | | | |the individual is fit for post-graduate | |presence and extent of mental |education subject to being | | | | |course by an expert panel | |illness. However, the benefit of |eligible in NEXT/NEET-PG | | | | | | |reservation/quota may be considered | | | | | | | |in future after developing better | | | | | | | |methods of disability assessment. | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ |3. |Mental |Mental illness |Mental illness |Absence or mild Disability: less than|Currently not recommended due to lack|No mental disorder is barred | | |behaviour | | |40% (under IDEAS) |of objective method to establish |from pursuing PG Medical | | |(page 52) | | | |presence and extent of mental |education subject to being | | | | | | |illness. However, the benefit of |eligible in NEXT/NEET-PG | | | | | | |reservation/quota may be considered | | | | | | | |in future after developing better | | | | | | | |methods of disability assessment. | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ |4. |Disability |a. Chronic Neurological Conditions |i. Multiple Sclerosis |Less than 40% Disability |40-80% disability |More than 80% | | |caused due | |-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | |to | |ii. Parkinsonism | | | | | | |-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | | |b. Blood Disorders |i. Haemophilia |Less than 40% Disability |40-80% disability |More than 80% | | | | |-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | | | |ii. Thalassemia | | | | | | | |-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------| | | | |iii. Sickle cell disease | | | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+ |5. |Multiple |Multiple Disabilities (more than |More than one of the above specified |Must consider all above while |Must consider all above while |Must consider all above while | | |disabilities|one of the above specified |disabilities |deciding in individual cases |deciding in individual cases |deciding in individual cases | | |including |disabilities) including deaf | |recommendations with respect to |recommendations with respect to |recommendations with respect | | |deaf |blindness | |presence any of the above, namely, |presence any of the above, namely, |to presence any of the above, | | |blindness | | |Visual, Hearing, Speech and Language |Visual, Hearing, Speech and Language |namely, Visual, Hearing, Speech | | | | | |disability, Intellectual Disability, |disability, Intellectual Disability, |and Language disability, | | | | | |and Mental Illness as a component of |and Mental Illness as a component of |Intellectual Disability, and | | | | | |Multiple Disability. |Multiple Disability. |Mental Illness as a component | | | | | | | |of Multiple Disability. | | | | |Combining Formula as notified by the related | | | | | | | |Gazette Notification issued by the Govt. of | | | | | | | |India | | | | | | | |a + [b (90-a)] / 90 | | | | | | | |(where a= higher value of disability % and | | | | | | | |b=lower value of disability % as calculated | | | | | | | |for different disabilities) | | | | | | | |is recommended for computing the disability | | | | | | | |arising when more than one disabling condition | | | | | | | |is present in a given individual. This formula | | | | | | | |may be used in cases with multiple | | | | | | | |disabilities, and recommendations regarding | | | | | | | |admission and/or reservation made as per the | | | | | | | |specific disabilities present in a given | | | | | | | |individual. | | | | +---------------------------------------+-----------+-----------------------------------+-----------------------------------------------+-------------------------------------+---------------------------------------+--------------------------------+

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