In exercise of the powers conferred vide subsection a, d and e of Section 24 read with Sections

EXTRAORDINARY PART III—Section 4 PUBLISHED BY AUTHORITY No. 578] NEW DELHI , WEDNES DAY , AUGUST 16, 2023/ SHRAVANA 25, 1945 CG-DL-E-17082023-248154 छात्र 50 100 150 200 250 बाल रोग 25 50 75 100 125 क ु ल 220 420 605 770 900 ओपीिी /ददन 400 800 1200 1600 2000 50 सीटें 14 20 25 59 15 23 100 सीटें 17 27 41 85 25 40 150 सीटें 19 40 55 114 32 58 200 सीटें 20 51 70 142 40 73 250 सीटें 20 62 86 168 43 80 NATIONAL MEDICAL COMMISS ION (UNDERGRADUATE MEDICAL EDUCATION BOARD) NOTIFICATION New Delhi, the 16th August, 2023 No. U. 11022/3/2023 -UGMEB .—In exercise of the powers conferred vide sub -section (a), (d) and (e) of Section 24 read with Sections 26, 28 and 29 of the National Medica l Commission Act, 2019 (Act 30 of 2019), the Under Graduate Medical Education Board hereby issues the following detailed “Guidelines under R egulation 10 of the Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats f or Existing Courses & Assessment and Rating Regulations, 2023 in short (UG -MSR 2023)” and Regulation 19 of the Graduate Medical Education Regulations 2023. 1. (i) These Guidelines may be called the ― "Guidelines for Under Graduate Courses under Establish ment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses & Assessment and Rating Regulations, 2023”. (ii) These Guidelines shall come into force from the date of their publication in the Official Gazette. CHAPTER -I Objectives : The objective of these regulations is to prescribe for a medical college and Medical Institution approved for admissions of MBBS students annually, the minimum requirements of accommodation in the college and its associated teachin g hospitals, staff (teaching and technical) and equipment in the college departments and hospitals. These regulations shall be applicable for Medical Colleges being established from the academic session 2024 -25 onwards. Applications for establishing new undergraduate medical education colleges shall be allowed only for 50/100/150 seats.  Only such colleges meeting these requirements shall be eligible for continuing their admission of permitted/recognised number of MBBS students from the academic year 2024 -2025.  Colleges seeking increased number of seats cannot exceed a total of 150 MBBS students from the year 2024 -25;  Colleges seeking increase in seats for admission, shall have admitted batch fulfilling all the criteria for number of seats admitted for th e preceding academic year and also shall be fulfilling all the requirements for increase in seat capacity;  Any additional permitted seat quota for admissions shall be within the number of seats granted for admission to that college;  With the exception that colleges who have applied for academic year 2023 -24 for increased seats but failed to get the same, can ask for the same number (totaling 200 or 250) that was in their previous application for one time in the year 2024 -25 only.  After A.Y. 2023 -24, Letter of permission (LOP) for starting of new medical colleges shall be issued only for annual intake capacity of 50/100/150 seats; Provided that medical college shall follow the ratio of 100 MBBS seats for 10 lakh population in that state/ U.T. Departments : Every medical college / institution approved for under graduate admissions annually shall have the following departments, namely; i. Anatomy ii. Physiology iii. Biochemistry iv. Pathology v. Microbiology vi. Pharmacology vii. Forensic Medicine And Toxicology viii. Community Medicine ix. General Medicine x. Pediatrics xi. Psychiatry xii. Dermatology xiii. General Surgery xiv. Orthopaedics xv. Radio -Diagnosis xvi. Oto-Rhinolaryngology xvii. Ophthalmology xviii. Obstetrics & Gynaecology xix. Anesthesiology xx. Dentistry xxi. Integrative Medical Research SCHEDULE -I ACCOMMODATION IN THE MEDICAL COLLEGE AND ITS ASSOCIATED TEACHING HOSPITALS A-COLLEGE A. 1. GENERAL 1.1 Campus Every hospital seeking permission to start medical college after the publication of this amended regulation shall comprise of the Medical College, the attached Teaching hospital/(s), and the hostels for the students and interns, with or without the residential area for faculty and other staff of college /hospital. The medical college, hostels for students/interns and the teaching hospital/institution shall be either in a unitary campus or maximum of two campuses. Each unitary campus shall have adequate constructed area on the land, as per the prevalent building norms, belonging to the college management or if on lease, at least for a period of 30 years on lease. If there are 2 plots/ campuses, then college shall be in single plot. The distance between the plots of college and hospital shall have a travel time of maximum of 30 minutes. The hospital shall have at least two hundred and twenty (220) beds. The medical college shall provi de adequate built-up space to accommodate various teaching areas (both in the college and the teaching hospital), Library, administrative areas, rooms for teaching and non-teaching staff, student amenities, etc. as specified in various sections of this schedule. The buildings of the medical college and hospital shall conform to the prevailing building codes and local building byelaws/ norms. The hospitals should have fire-safety measures, including patient evacuation plans as per local byelaws and regulati ons. They must also comply with the requirements for providing access and facilities to those who are disabled. The buildings of the college and hospital shall meet the requirements for the numbers of students to be admitted as prescribed . 1.2 Administrat ive Area There should be adequate accommodation for the Principal/Dean, College Council, Academic and examination sections, Accounts, and other administrative offices (as per the need), the medical education unit and the server room for the computer netwo rk. 1.3 College Council Every Medical College / Medical Institution shall have a College Council comprising of the Head of departments as members and Principal/ Dean as Chairperson. The Council shall meet at least four times in a year to draw up the detai ls of curriculum and training programme, enforcement of discipline and other academic matters. The Council shall also organise regular interdepartmental meetings like grand rounds, statistical meetings, and clinic -pathological meetings including periodical review of research in the institution. 1.4. Central Library 1. There shall be a central library (preferably air-conditioned) with good lighting and adequate space for stocking the books and journals. There shall be provision for: ( a ) Rooms for the Libraria n and other staff. ( b ) Reading rooms with adequate seating for twice the number of annual intake of UG students distributed over 2 areas. ( c ) Reading room for faculty. ( d ) Room for stocking old books, journals, etc. ( e ) A computer room with computer nodes with internet facilities for at least 10% of the annual intake of students. 2. Books: There shall be at least thirty ( 30) books per annual intake of students comprising all subjects with at least two (2) copies of each of the textbooks for every 50 students, for the vario us subjects in MBBS curriculum. 3. Journals : The minimum number of journals for various annual intake of MBBS students shall be at least one (1) percent of the minimum books prescribed. The journals shall be either in print or electronic form, provided that there shall be at least one (1) print journal of each major specialty departments for MBBS training – Anatomy, Physiology, Biochemistry, Pathology, Pharmacology, Microbiology, Forensic Medicine & Toxicology, Community Medicine, Medicine, Pediatrics, Derm atology, Psychiatry, Surgery, Orthopedics, Otorhinolaryngology, Ophthalmology, Obstetrics & Gynecology, Anesthesia, Radio -diagnosis a n dDentistry. Provided that only journals that are indexed in the following databases i.e. Pubmed Central (PMC), M e d l i n e , Science Citation index (SCI), Science Citation Index Expanded (SCIe), Embase, SCOPUS and INDMED/ MedInd will be considered . There shall be evidence for a full annual subscription for all these journals. For every 50 students, there shall be minimum 15 journa ls and 1500 books. A total of up to 60% of books can be made be available as hard copies and the remaining 40% be available in electronic format. Variety of journals shall be the same irrespective of annual student intake. 1.5. Lecture theatres 1. Ther e shall be minimum of four lecture theatres preferably air conditioned, of gallery type in the Institution, each of them with seating capacity for 20% more than the annual student intake (shall provide at least 1.40 sq.m. /student). 2. In case the hospit al is not in the same unitary campus there shall be one additional lecture theatre in the teaching hospital with a similar seating capacity as prescribed for the medical college. 3. The Lecture theatres shall have provision for audio -visual and internet facilities and shall be enabled for e-learning with adequate band width. The lecture theatres shall be linked digitally to all teaching areas designated for small group teaching. 4. The lecture theatres shall be shared by all the departments in a programm ed manner. 1.6 Small Group Teaching Facilities The size of each batch for small group teaching shall be about 15 students. The common resource pool of teaching rooms, student practical laboratories, museums and lecture theatres and any other available area that can be utilized for teaching purposes as prescribed in these regulations shall all be utilized for small group teaching and shared by the teaching departments. All the above -mentioned teaching areas shall have audio -visual and internet facilities and be linked digitally to one another. a. Teaching Rooms : The minimum number of teaching rooms in the medical college for various intake of MBBS students annually to be shared by all the departments (each teaching room shall provide at least 1.2 sq.m/stud ent). To provide adequate small group teaching, appropriate area in each of the teaching specialties and locations shall be made available. Each of such area shall also have a facility to connect to larger lecture halls and internet facilities. b. Studen t Practical Laboratories . There shall be practical laboratories, one each for Histology, Clinical Physiology, Biochemistry, Histopathology & cytopathology, Clinical Pathology & Hematology, Microbiology, Clinical Pharmacology, and Computer Assisted Learning (CAL) in Pharmacology. For optimal utilization of the space, labs may be shared by the departments with mutual consent. Adequate work stations shall be provided to ensure the training of students (either for the entire batch or in parts thereof). All the above -mentioned laboratories shall have audio -visual and internet facilities and be linked digitally to all other teaching areas and museums. Facilities for technical staff shall be ensured. Laboratories may be designed and provided with required facilit ies appropriately for each department. The service laboratories for the hospital in the departments of Pathology including Hematology, Biochemistry, and Microbiology can be co-located in the medical college with appropriate additional spacing. Computer Assisted Learning (CAL) lab in Pharmacology shall have computers with broadband internet and AV aids for computer assisted teaching -learning and assessment activities. c. Museum : There shall be museum/s in the college for teaching Anatomy, Pathology, Fore nsic Medicine, Pharmacology, Microbiology, and Community Medicine. The specimens/ charts/ skeleton, etc in the museum shall be adequate to train each of the above subjects. In addition to the display area, the museum shall also have sufficient space to seat at least 50 students (at least 1.2 sq. m. per student) and shall have audio -visual and internet facilities and be linked digitally to the Lecture theatres, teaching rooms and practical laboratories. The museum shall have adequate racks and shelves for storing and proper display of wet and dry specimens (where applicable) and models. There shall also be adequate facilities for displaying and viewing radiological and digitalized images. Sharing of the teaching time in museum shall be programmed by the coll ege authorities optimally. 1.7. Skills Laboratory Every medical institution shall have a Skills Laboratory where students can practice and improve skills pre- specified in the curriculum. The purpose of the skills laboratory is to provide a safe and non-threatening environment for students to learn, practice and be observed performing skills in a simulated environment thus mitigating the risks involved in direct patient exposure without adequate preparation and supervision. The skills laboratory attempts to recreate the clinical environment and tasks which future health care workers have to perform with various levels of complexity and fidelity. Skills lab is only to prepare the student for clinical exposure. It shall not replace or be used for compensatin g any hands -on clinical training or conducting examination. Six (6) weeks of skills lab training including evaluation before the students are posted to the wards for clinical training shall be mandatory. The skills laboratory shall have a total area of at least 600 Sq.m for intake upto 150 MBBS students annually and 800 Sq.m for intakes of 200 and 250 MBBS students annually, and shall have - (a) a minimum of 04 rooms for examination of patients or standardized/ simulated patients, (b) a room for demonstration of skills to small groups, (c) area for review or debriefing area, (d) rooms for faculty coordinator and support staff, (e) adequate space for storage of mannequins and/or other equipment, (f) facility for video recording and review of the interaction for teaching communic ation skills, (g) stations for practicing skills individually or in groups, (h) trainers or mannequins required to achieve skills outlined in the Competency Based Medical Education curriculum for Undergraduates, (i) a dedicated technical officer and adequate support staff, (j) the teaching areas of the skills lab shall have provision for audio -visual and internet facilities and shall b e enabled for e-learning. 1.8. Department Offices, Rooms For Staff And Other Requirements Every Teaching Department shall have: (k) room for Head of Department with Space for Department Office, for office staff and storage of records (l) rooms with adequate space for teaching faculty, and Tutors/Demonstrators/ Residents (both Junior & Senior) (m) rooms for faculty, provided with communication, computer and internet facilities. (n) rooms for non -teaching staff. 1.9. Medical Education Unit There shall be a Medical Education Unit for faculty development and providing teaching or learning resource material. The Unit shall have provision for audio -visual and internet facilities. The requirements of this unit shall be as prescribed by the Undergraduate Medical Education Board of National Medical Commission from time to time (it shall have an area of at least 150-160 sq.m). 2. Research Facility A well - equipped research facility shall be available to be used by all departments. The details are covered under Annexure 1. 2.1. Communication Facilities Adequate communication network (land line or hardware network or wi fi) between various sections of the college and hospitals shall be provided for better services, coordination and patient care. 2.2. Student Amenities Student amenities including facilities for common rooms for boys and girls (separate), cafeteria, cultural activities, Yoga training, gymnasium, outdo or and indoor games, shall be provided. 2.3 Child Care Centre A Child Care Centre shall be established in the medical college with adequate facilities for taking care of the infants and the children of staff of the medical college and/or teaching hospital . 3. Aadhar Enabled Biometric Attendance System (AEBAS) & Close Circuit TV Monitoring of Medical Colleges / Institutions And Hospitals: The medical college/ institution shall be responsible for the installation and maintenance of AEBAS, close circuit came ra and HMIS and other Information Technology as prescribed from time to time. 3.1 AEBAS: i) All Medical Colleges/Institutions shall install AEBAS to be linked to Command -and-Control center of NMC. ii) The daily AEBAS of the required staff (faculty, re sidents and supporting staff), preferably along with face linked recognition, shall be made available to NMC as well as on the Medical College Website in the form of daily attendance dashboard. 3.2 Minimum requirement of attendance: It shall be mandato ry to have at least 75% attendance of the total working days (excluding vacations) for all faculty and resident doctors. During vacation period, other than sick leave or leaves availed due to emergency situations, the faculty on duty shall not be availing any leave. Emergency leaves shall be certified by Head of the department or Head of the institution. AEBAS, preferably with face recognition of all students attending every lecture/ teaching class/ seminar shall be recorded and linked to NMC. 3.3 Close Ci rcuit Camera: Every medical college shall have prescribed number and locatio n o f cameras with Close - Circuit Television (CCTV) system in the m edical college and shall provide live streaming of classroom teaching, patient care in the teaching hospital and any other area as specified from to time (Annexure II) , to enable the Commission to maintain a constant vigil on the standard of medical education/ training being imparted. The live streaming of both classroom teaching and hospital, shall be integrated w ith the appropriate virtual monitoring/ teaching system of the National Medical Commission. 3.3 (a): C ollege Website: 1) Every college /institute shall have its own website which shall contain the details mentioned in (Annexure III) , to be updated in the first week of every month or earlier if any changes are made. 2) There shall be a separate dynamic dashboard for the hospital including details of clinical material in the hospital (OPD and IPD) (Annexure III). 3) Adequate Qualified Information Technology (IT) manpo wer, preferably two (02) persons with minimum BE/ B. Tech qualification to maintain these data shall be employed by the college. 4. Biomedical Waste Management The Medical Institution must ensure compliance with the Bio-medical Waste (Management & Handing ) Rules, 2019 and as notified from time to time. They shall have a robust institutional policy on biomedical waste management of human origin, with a well-defined arrangement for segregation and discarding of biomedical waste. Facilities for biomedical waste management shall be commensurate with the Central/State legislations. Registration at state level shall be made with registration certificate & receipt of fee paid should be available. Provision for Fire -safety & PWD -friendly arrangements must be estab lished. Power management with evidence of use of amount must be available as and when required for assessment of facilities. This shall be under the direct supervision of Superintendent/ Head of the Institute in close coordination with Department of Microb iology. 5. Hostels For Students, Interns And Resident Doctors. The College/Institution shall provide furnished accommodation for atleast 75% students, interns, and R e s i d e n t D o c t o r s . It is desirable that hostel rooms are double accommodation facilities. Adequate recreational, dining and 24x7 security facilities shall be provided at the hostels. However, those who do not wish to avail of the hostel facilities shall be allowed to choose their own residential facilities without the college collecting ‘hostel f ees’. 6. Department Specific Requirements The equipment for each department may be as per existing norms to train students adequately. Other facilities for training: 6.1. Department of Anatomy Dissection Hall – There shall be a dissection hall to accomm odate 50% of annual student intake (area of at least 4.20 Sq.m/student shall be provided which shall be sufficient for ante-room for students with lockers, wash basins. embalming room, space for storage tanks and cold storage room or cooling cabinets with sufficient space. Every academic year, at least one cadaver shall be provided for every 10 students. Dissection hall shall be well lit, well- ventilated with exhaust fans. There shall be adequate teaching aids in the hall. Annual declaration about the detai ls of every cadaver shall be provided by the college. 6.2 Department of Forensic Medicine and Toxicology: Autopsy Block - There shall be an Autopsy room (approx. 400 sq.mt. area) with facilities for cold storage, for cadavers, ante -rooms, washing facilities , with an accommodation capacity of 10 -15 students, waiting hall and office. The location of mortuary and autopsy block should be either in the hospital or adjacent to the hospital in a separate structure and may be shared by the departments of Pathology a nd Forensic Medicine. Every college shall obtain appropriate permission from the state/ UT government for the conduct of autopsy/ post mortem or an appropriate MOU to facilitate the training of undergraduate students. 6.3. Microbiology department shall hav e separate service laboratory each for (a) Bacteriology including anaerobic bacteria; (b) Serology; (c) Virology; (d) Parasitology; (e) Mycology; (f) Tuberculosis; and (g) Immunology. The Virology Service Laboratory shall be a BSL-2 level laboratory (as per e-gazette No. MCI -34(41)/2020 - Med./103234 notified on 3.6.2020) 6.4. Department of Pharmacology Animal holding area. For teaching Pharmacology in undergraduate curriculum, the required knowledge and skills should be imparted by using computer assisted module. However, if research and postgraduate training is envisaged, only an animal hold area, as per CPCSEA Guidelines is required. 6.5. Department Of Community Medicine: Staff requirements for RHTC & UHTC keeping in mind NHM population (RHTC – 30000 po pulation & UHTC 50000 population). Medical Officer with MD qualification i.e. Assistant Professor may be made able to provide more quality education to UG CBME, CRMI and PGs in addition to quality care for the rural and urban populations. If a trained PHN is not available, trained staff nurse with community field experience for UHTC and RHTC shall be made available. (a) Rural/ Urban Health Training Centre : For every hospital seeking permission to start medical college, the medical college shall have Rural Health Training Centers /Community Health Centers/Urban Health Centers affiliated to it; as per the geographical location of the college, which shall be used for internship training. The number of these centers adopted by the college should fulfil the ne ed of posting 15 interns per center as required in CRMI regulations 2021. These centers shall be owned by the college or it should be affiliated to Government owned Health Center. If it is the latter, the academic control shall be with the Dean/Principal of the college for training of interns in community oriented primary health care and rural based health education for the rural community attached to it. This Health Center shall be within a distance of 30 kms except in X category (Tier -1) cities as amende d where it shall be within 50 kms. Separate residential arrangements for boys and girls interns with mess facilities shall also be provided. Adequate transport (both for staff and students) shall be provided for carrying out field work and teaching and training activities by the department of Community Medicine.  There should be complete computerization of RHTC and UHTC patient record system.  The distance of RHTC from medical college may need to have some flexibility in case of megacity or Metro cities where immediate rural field practice area may not be feasible.  In case of megacity or Metro cities, there is need to have flexibility of adoption of families in various areas including urban slums.  In case of megacity or Metro cities, there is n eed to have flexibility of distribution of interns in various OPDs of the teaching hospital like TB clinic, immunization clinic, anti -rabies clinic, which are also important learning outcomes for interns in addition to current CRMI postings.  Since all inf rastructural requirements can be easily fulfilled at the start of the college and one time, Manpower RHTC for population of 30,000 and UHTC for population of 50,000 Students 50 100 150 200 250 Assistant Professor in -charge (in rotation) & MO (one male, one female) (at least one must be a Lady Medical Officer) 2 2 2 2 2 PHN/trained staff nurse with community field experience 1 2 2 2 2 ANM 2 2 4 5 5 Medical social worker 1 2 3 4 5 Technician/ Technical Assistant 1 1 1 1 1 Pharmacist 1 1 1 1 1 Sanitary inspector/Health inspector 1 1 2 2 2 Health educator 1 1 1 1 1 Store keeper/ record clerk 1 1 1 1 1 there is need for a separate museum for Community Medicine. In addition, it will also bring ownership of the dept to develop in own museum and may not be possible i n shared museum.  Every medical college shall have one Rural Health Training Center and Urban Health Training Centre running as like teaching hospital before the first inspection/assessment or first LOP. B. Teaching Hospital B.1. General remarks 1. The hos pital building shall conform to the existing national building norms and various local statutory regulations for hospitals taking into consideration the requirements of the hospital as a service provider including administration, registration, records stor age, out -patient and inpatient areas, operating theaters, CSSD, ICUs, Radiology and laboratory services, emergency areas, etc. The teaching hospital shall provide for the minimum requirements as prescribed in these regulations. 2. Space for Clinical Teachi ng Departments, Teaching faculty and Residents . (iv) When the teaching hospital and medical college are in a unitary campus, rooms for the clinical departments and its teaching faculty can be provided either in the medical college or in the teaching hospital. (v) When the teaching hospital and medical college are on separate plots, besides the statutory requirements for the hospital, the teaching hospital shall also have adequate space for the offices of the clinical departments and rooms for the teaching faculty. (vi) Teaching rooms . The teaching hospital shall have atleast 1 (one) teaching area for each of the department to accommodate atleast 30 students for clinical cases discussions/ demonstrations. Each such room shall have audio -visual facilities. Small group teach ing in clinical departments essentially entails out -patient clinic and bed side teaching. However, additional teaching rooms shall be provided as required for any of the Clinical teaching departments. Internet facilities and connectivity to all teaching areas of the hospital shall be desirable. B.1.1. B.1.1 Outpatient Area 1. There shall be a minimum daily OPD attendance of 8 patients (old & new) per student intake annually in the specialties/subjects of undergraduate curriculum. 2. The Out-patient areas should have adequate reception and patient waiting halls, consultation rooms, examination rooms and other ancillary facilities commensurate with the clinical specialty department. B.1.2. Indoor beds occupancy : Average occupancy of indoor beds shall be a minimum of 80 % per annum. Bed strength shall be as under: BEDS FOR MBBS SEAT CAPACITY 50 100 150 200 250 GENERAL MEDICINE 50 100 150 220 225 PEDIATRICS 25 50 75 100 125 DERMATOLOGY 5 10 10 10 10 PSYCHIATRY 5 10 15 20 25 GENERAL SURGERY * 50 100 150 150 200 ORTHOPEDICS 20 40 60 80 100 OTORHINOLARYNGOLOGY(ENT) 10 20 20 30 30 OPHTHALMOLOGY 10 20 20 30 30 OBSTETRICS & GYNAECOLOGY 25 50 75 100 125 ICUs 20 20 30 30 30 TOTAL 220 420 605 770 900 OPD/DAY 400 800 1200 1600 2000 Major OT 4 7 9 10 11 Minor OT - well equipped (with Anaesthesia facility) 1 for each surgical specialty * For hospitals with 100 or more beds dedicated for Gen. Surgery, at least 10% shall be dedicated to Pediatric Surgery. 1. The bed strength of the teaching hospital s shall be as mentioned in the table above. Supporting staff shall be in adequate number as required. 2. There shall be well equipped and updated intensive Care Unit (ICU), Intensive Coronary Care Unit (ICCU), Intensive Respiratory Care unit, Paediatric intensive care (PICU) and Neonatal Intensive care unit (NICU), Critical care Burns unit, Post-op surgical critical care unit, Obstetric HDU/ICU. 3. All beds which are available for teaching and training of undergraduate medical students shall be counted towards teaching beds as indicated above. 4. Wherever possible, the facilities available in other hospital services may be utilized for training in these specialties. B. 2. Hospital Infection Control Committee (HICC): There shall be a HICC as per the nat ional recommendations for health care facilities with Head of the institute / Medical Superintendent as the Chairperson and senior Microbiologist (Associate Professor/ Professor) as member - Secretary of the committee. Appropriate number of infection contro l nurses and senior technicians of the lab shall be appointed in this committee as per the bed strength of the hospital. This committee shall address and periodically review Infection control, anti -microbial resistance and antibiotic policy. B. 3. Indoor D epartment Requirements: The following shall be available with each ward, namely: 1. In a General ward, distance between the two beds shall not be less than 1.5 m with all facilities. 2. Ward should be constructed in such a way that the Nurse from her Nursing Station is able to have an overview of all the patients in the wards. 3. Examination and Treatment room. 4. Pantry. 5. Store room for linen and other equipment. 6. Resident Doctors and students Duty Room. 7. Clinical Demonstration area. 8. High Dependency Unit (HDU) B. 4. The Operation Theatre s shall confirm to existing norms. The minimum number of major and minor operating theaters for varying annual intake shall be as indicated in the table mentioning Bed strength for each department. B. 5. Casualty services/ Emergency medicine department shall be m a n a g e d b y relevant Departments 24 x 7 by rotation. Every hospital shall have their own triaging policy. Accommodation for Resuscitation Services including Oxygen supply, ventilators, defibrillator and fully equipped disaster trolleys (emergency trolleys), Emergency X -ray, investigative facilities shall be provided. Students shall be made aware about these services during their clinical postings. Adequate sanitary arrangements (toilet and bathroom s) & drinking water facilities for patients, their attendants and the staff of the department shall be provided in the respective blocks. The shifting of patients from casualty/ emergency medicine department to ICU / Surgery should be such that minimum ti me is lost in patient shifting. B. 6. Central Sterilisation Services, laundry: shall confirm to existing norms. B. 7. Department Of Radio -Diagnosis: Requirements shall be as per existing norms. The staff of Radio -Diagnosis department shall be covered by Personal Monitoring System of BARC. There shall be facilities for conventional, static and portable X -rays, fluoroscopy, contrast studies, ultrasonography and computerized tomography. It shall be having at least two X -ray machines of 500 mA capacity or higher with computerized/ digitized radiography, two USG machines with at least one of them having colour Doppler to support cardiovascular studies and linear probe. There shall be digital record room for all the investigations done in the department. A ll the machines shall be duly certified by appropriate authority. The room sizes for various Diagnostic Imaging Systems shall be as per the provision of the Atomic Energy Regulatory Board Safety Code. B. 8. Department Of Anaesthesiology : In addition to routine requirements to be planned by the department, there shall be facilities; To provide emergency services, minimum of 2 Emergency OTs working 24 X 7 for emergency including Trauma patients and one separate OT available 24 X 7 should be there for O bstetric emergencies. Facility for Labour analgesia should also be available. (a) Pre -Anesthesia Check -up (PAC) Room. Adequate room as per OPD Norms, Can be in main OPD complex or near OT complex. With facility for Patient examination tables, Height & We ighing machine, BP apparatus, SpO2, adequate staff for management. (b) Pain Clinic: It shall be desirable to have a pain clinic under department of Anesthesiology. It shall have adequate room as per OPD Norms, can be in main OPD complex or near OT complex. It shall have facilities including patient examination tables, BP apparatus, SpO2 along with adequate staff for management. If any patient requires admission for pain management, the parent unit shall provide the privileged bed in concerned unit. The requirements for Pain Clinic/ OT like RF ablation, Fluroscopy, USG in pain clinic, Syringe pumps, Catheters, OT tables may be made available as per clinical load and functioning of Pain services with shared facilities with other departments like Orthopedics, N eurosurgery, Oncology etc. The department shall have a good documentation policy. B. 9. Central Laboratory: There shall be well -equipped and updated central laboratory preferably along with common collection area for all routine investigations in haemato logy, clinical pathology, microbiology - serological tests based on ELISA, Chemiluminescence, rapid tests, Clinical biochemistry - Photometric tests, Chemiluminescence based tests, electrolytes, ABG etc. Separate lab may be set up in the departments for any other specialized work. As far as possible, there shall be a facility in the central lab for collection of all samples and dispatch of reports. Respective sections of central laboratory shall be managed by respective teaching departments of the medical col lege and overall coordination may be managed by one of the HODs of the related teaching departments of the medical college, which may be arranged in rotation for every 1 or 2 years. The number of samples in Histopathology lab shall be at least 20% of tota l major surgeries, number of samples in cytopathology lab shall be at least 1% of the total hospital OPD. The number of samples in Hematology lab, Clinical Pathology, and Clinical Biochemistry shall be at least 15% of OPD and 30% of indoor beds, and in Microbiology, these shall be at least 30% of indoor beds and 50 % of total surgery cases. B. 10. Blood Bank There shall be a well -equipped air -conditioned Blood Bank capable of providing component therapy. The Blood bank and Blood transfusion services shou ld conform to the guidelines of the National AIDS Control Organization and as prescribed in Schedule -F Part XII -B to the Drugs and Cosmetics Rules, 1945 amended time to time. The Blood Transfusion services should be under the administrative control of the teaching Department of Pathology of the medical college when there is no separate Department of Transfusion Medicine. B.11. Department of Yoga (Recommended) Every college may start a Yoga department with a minimum of one male and one female Yoga instruct or/ trainer to train the students and faculty in Yoga. The trainers shall be employed or engaged by the college. Consultation with AYUSH ministry or its guidelines as prescribed from time to time, or local AYUSH centers could be utilised. B.12. Department of Radiation -Oncology is recommended with at least one qualified Radiation Oncologist. The department of radiation -oncology shall be planned in accordance with the regulatory requirements and approval of AERB. It would be desirable to start an OPD to b egin with, in view of the rising incidence of malignancies in the country. T his department may be closely connected with the rest of the hospital to facilitate free interaction of the facilities of various disciplines for multidisciplinary management of the patients. Prior BARC approval of the radiation therapy rooms/plan along with complete layout of the entire department is mandatory. B. 13. Anti -Retroviral Therapy (ART) Centre Every Teaching Hospital should have Anti -Retroviral Therapy (ART) Centre an d facility for management of Multi -Drug Resistant (MDR) -TB. B. 14. Pharmacy services . There shall be 24-hr pharmacy services to cater to the out-patient, emergency and other patients attending the teaching hospital. It shall have qualified Pharmacist in-charge and other staff certified by statutory authorities to dispense the drugs. B. 15. Electricity, Water, Sanitation There shall be continuous electricity, water supply. Appropriate UPS/ Generator shall be available. Trained staff to support uninterrup ted electricity and water, 24 x 7 shall be available. Adequate sanitary facilities for patients and staff shall be made available. SCHEDULE II - STAFF REQUIREMENTS A. General Remarks: 1. Emphasis in medical education being on practical instruction and demonstration in small groups and encourage students for self -directed learning, the number of teachers must be as mentioned in requirement here so as to enable instructions to be imparted effectively. 2. The teaching staff of all departments of medical college, shall be full-time; faculty shall not indulge in private practice during college functioning hours. 3. These regulations cover the minimum requirements of under graduate medical education as per the annual MBBS student intake and the minimum patien t load indicated in these regulations. However, the medical colleges/institutions and teaching hospital(s) need to make provision for additional staff as indicated below. a) Additional staff shall be provided proportionate to the workload. b) Non-teachin g staff shall also be required in OPD, Indoors, Operation theatres and Intensive Care areas, emergency care area, labour room, clinical laboratories, or for outreach work where work load is heavy or is of a specialized nature. c) Additional teaching staff shall be required when starting postgraduate courses in accordance with “Postgraduate Medical Education Regulations” as prescribed from time to time. 4. In department of Anatomy, Physiology, Biochemistry, non -medical teachers may be appointed to the ex tent of 15% of the total number of posts in the department subject to non -availability of medical teachers. The above mentioned non -medical teachers and the Statistician in the department of Community Medicine should possess qualification in that particula r subject from a recognised University as per requirements in Teacher Eligibility Qualification Regulations. 5. Post of junior cadre faculties up to Assistant Professors can be filled by senior cadre faculties; for example Assistant Professor, by Associa te Professor or Professor. Similarly Associate Professor by Professor. Tutors/Demonstrators and S.Rs. together shall meet the total number of required persons. 6. Faculty position shall confirm to “Minimum Qualifications for Teachers in Medical Institu tions” regulations. 7. Senior Resident Doctors (SRs) shall be postgraduate candidates of the corresponding specialty or department. Tutors shall be MBBS candidates. Demonstrators shall be postgraduates with PhD in the subject to be appointed, and not hav ing qualifications of MBBS. 8. Teachers appointed as faculty in super -specialty departments shall not be counted against the complement of teachers required for under graduate medical education in broad speciality departments . However, teachers appointe d in a broad specialty department who may also have super - speciality qualifications shall be counted against the complement of teachers required for under graduate medical education in the concerned broad specialty department. 9. Visiting faculty. With a view to enhance the comprehensiveness and quality of teaching of undergraduate students, “Visiting Faculty” may be appointed as prescribed in “Minimum Qualifications for Teachers in Medical Institutions” regulations over and above the minimum faculty pres cribed herewith. The Visiting Faculty, however, shall not be considered as faculty as per minimum requirements prescribed herewith. Each department of the medical college s hall have a Head of the Department of the rank of Professor who shall have overall c ontrol of the Department. As an exception, the departments of Dermatology, Psychiatry, and Dentistry where Associate Professor or an Assistant Professor with more than 5 years of teaching experience may be the Head of the Department who shall have overall control of the Department till full -time Professor is appointed or the concerned faculty is promoted to the post of Professor. Such exemption shall be available for a maximum period of five (5) years. In addition to the staff indicated, additional Senior Residents and Junior Residents or Medical Officers shall be provided according to the clinical load in various areas of the hospital such as wards, Labour room, intensive care areas, emergency wards, and clinical laboratories and investigative departments of the hospital, for providing services round the clock. Also, unit of the teaching departments should have at least 02 (two) Junior Residents or postgraduates / M.O.s for patient care. Ancillary staff including Social workers, Clinical Psychologists, Audiometry technicians, Speech Therapists, Optometrists, Physicists, Technicians, Attendants, Library staff, and others shall be employed as per the requirements. FACULTY REQUIREMENT FOR MBBS ADMISSIONS S. No. Department Designation 50 seats 100 seats 150 seats 200 seats 250 seats 1 ANATOMY Professor 1 1 1 1 1 Associate Prof. 1 1 2 2 3 Asst. Prof. 2 2 3 4 5 Tutor/ Demonstrator 3 4 5 6 8 Senior Resident 1 2 3 4 4 2 PHYSIOLOGY Professor 1 1 1 1 1 Associate Prof. 1 1 2 2 3 Asst. Prof. 1 2 2 4 5 Tutor/ Demonstrator 2 3 4 5 5 Senior Resident 1 2 3 4 4 3 BIOCHEMISTRY Professor 1 1 1 1 1 Associate Prof. 1 1 2 2 3 Asst. Prof. 1 2 2 3 4 Tutor/ Demonstrator 2 3 4 4 4 Senior Resident 1 2 3 4 4 4 PHARMACOLOGY Professor 1 1 1 1 1 Associate Prof. 1 1 2 2 3 Asst. Prof. 1 2 3 4 4 Tutor/ Demonstrator 2 3 4 6 6 Senior Resident 1 2 3 4 4 5 PATHOLOGY Professor 1 1 1 1 1 Associate Prof. 1 2 3 3 4 Asst. Prof. 1 3 3 4 5 Tutor/Demonstrator 2 4 5 6 6 Senior Resident 1 2 3 4 4 6 MICROBIOLOGY Professor 1 1 1 1 1 Associate Prof. 1 1 2 2 3 Asst. Prof. 1 2 3 3 4 Tutor/ Demonstrator 2 4 4 5 5 Senior Resident 1 2 3 4 4 7 FORENSIC MED. TOXICO Professor 1 1 1 1 1 Associate Prof. 1 1 1 1 2 Asst. Prof. 1 1 1 2 4 Tutor/ Demonstrator 1 2 3 4 4 Senior Resident 1 2 3 4 4 8 COMMUNITY MEDICINE Professor 1 1 1 1 1 Associate Prof. 1 2 2 3 3 Asst. Prof. 2 3 4 5 6 Statistician (Minimum A.P. level) 1 1 1 1 1 Tutor/Demonstrator 1 2 3 4 5 Senior Re sident 1 2 3 4 4 9 GENERAL MEDICINE Professor 1 1 1 1 1 Associate Prof. 1 3 4 6 7 Asst. Prof. 2 4 5 7 8 Senior Resident 2 4 5 7 8 10 PEDIATRICS Professor 1 1 1 1 1 Associate Prof. 1 1 2 3 3 Asst. Prof. 1 2 3 4 5 Senior Resident 1 2 3 4 4 11 DERMATOLOGY Professor 0 0 1 1 1 Prof/ Assoc. Prof. upto 100 seats Associate Prof. 1 1 1 1 1 Asst. Prof. 1 1 1 1 1 Senior Resident 1 1 1 1 2 12 PSYCHIATRY Professor 0 0 1 1 1 Prof/ Assoc. Prof. Upto 100 Seats Associate Prof. 1 1 1 1 1 Asst. Prof. 1 1 1 1 1 Senior Resident 1 1 1 1 2 Clin. Psychologist 1 1 1 1 1 13 GENERAL SURGERY Professor 1 1 1 1 1 Associate Prof. 1 3 4 6 7 Asst. Prof. 2 4 5 7 8 Senior Resident 2 4 5 7 8 14 ORTHOPEDICS Professor 1 1 1 1 1 Associate Pro f. 1 1 2 3 3 Asst. Prof. 1 2 3 4 5 Senior Resident 1 2 3 4 4 15 OTORHINOLARYNGIOLOG Y (ENT) Professor 0 1 1 1 1 Prof/ Assoc. Prof. Up to 50 Seats Associate Prof. 1 1 1 2 2 Asst. Prof. 1 1 2 2 3 Senior Resident 1 1 2 2 3 16 OPHTHALMOLOGY Professor 0 1 1 1 1 Prof/ Assoc. Prof. Up to 50 Seats Associate Prof. 1 1 1 2 2 Asst. Prof. 1 1 2 2 3 Senior Resident 1 1 2 2 3 17 OBSTETRICS & GYNECOLOGY Professor 1 1 1 1 1 Associate Prof. 1 1 3 4 4 Asst. Prof. 1 2 4 4 5 Senior Resident 1 2 4 4 5 18 ANESTHESIOLOGY Professor 1 1 1 1 1 Associate Prof. 1 2 3 4 5 Asst. Prof. 2 4 5 5 6 Senior Resident 2 3 4 5 5 19 RADIODIAGNOSIS Professor 0 1 1 1 1 Prof/ Assoc. Prof. Up to 50 Seats Associate Prof. 1 1 1 1 2 Asst. Prof. 1 1 2 3 3 Senior Resident 1 2 3 3 3 20 DENTISTRY Professor 0 0 0 1 1 Prof/ Assoc. Prof. Up to 100 Seats Associate Prof. 1 1 1 1 1 Not required if Dental coll. Present in campus/ city/ town Asst. Prof. 1 1 1 1 1 Senior Resident 1 1 1 1 1 TOTAL STRENGTH PROF ASSOC. PROF ASST. PROF TOTAL TUT/DEMO SR 50 SEATS 14 20 25 59 15 23 100 SEATS 17 27 41 85 25 40 150 SEATS 19 40 55 114 32 58 200 SEATS 20 51 70 142 40 73 250 SEATS 20 62 86 168 43 80 SCHEDULE III LIST OF EQUIPMENTS (for various departments in the College and Hospitals). Note: These recommendations are minimum requirements and will serve as a guide to the institutions with regard to the equipment required for teaching of MBBS students. For providing service to the attached hospital, the requirem ents would have to be provided accordingly. They are not meant to be an exhaustive list and the staff of the various departments will use their experience for equipping the departments. Department of Anatomy: A) Name of items (Quantity may be procured at the discretion of the department as per requirement) 1. Table with marble or stainless -steel top with a minimum size of 6’ x 2’ x3’ 2. Tables with marble or stainless -steel tops - half standard size 3. Drill machine 4. Hand saw, preferably metal 5. Band saw fo r sectioning body and limbs 6. Stools, preferably metal 7. Brain knife 8. Mortuary cooler with arrangement to keep at least 8 bodies or suitable alternative arrangement 9. Storage tank to hold 10 cadavers, static/movable, durable tank with input and output fac ility with lid 10. Plastic tanks for storing soft and dissected parts 11. Trolley Table (Steel) 12. Multimedia Projector with screen 13. Movie camera with projection screen 14. Computer with internet connection, & video CD library 15. X-ray View box 16. X-Ray plates/MRI /CT scan/USG 17. Charts, Diagrams, Models, Slides etc. 18. Dissecting instruments 19. Meat cutting machine for thin body sections (trans and vertical) for gross anatomy sectional study 20. Steel trays (big & small) 21. Cadavers 22. Embalming machine (B) HISTOLOGY 23. Microscopes 24. Dissection microscope 25. Microtome, rotary 26. Microtome, Sledge, large cutting 27. Cabinet for slides (1000) 28. Incubators 29. Paraffin embedding bath 30. Hot plates for flattening sections 31. Hot air oven for drying slides (450o C) 32. Refrigerator (mi nimum 165 L) 33. Diamond pencils C) MUSEUM 34. Articulated Skeleton set 35. Disarticulated Bone set 36. Wet Specimen jars (Glass) 37. Steel Racks 38. Desktop Computer/Laptop with printer -scanner -copier facility 2. Department of Physiology S.No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the department as per requirement) 1. Microscopes, oil immersion 2. Demonstration eye piece 3. Double demonstration eye piece 4. Stage incubator 5. Westergren's pipette for E.S.R. on stand (with s pace pipette) 6. Wintrobe’s pipette for ESR and PCV withstand 7. Hemoglobin -meter Sahli's or Hellige (with spaces) 8. Hemocytometer 9. Thermometers, balances, microslides and glassware 10. Multi -channel Physiograph,3 channels, complete with accessorie s 11. Centrifuge, high speed with technometer 12. Colorimeter, photoelectric 13. pH meter electric 15. Digital Physiograph 16. Digital Perimeter 17. Sphygmomanometer(digital) (Mercury based instruments to be replaced with suitable alternatives) 18. Stethoscope 19. Stethoscopes, demonstration with multiple ear pieces 20. Polygraphs 21. Spirometer, ordinary 22. Digital Spirometer 23. Mosso's Ergograph 24. Clinical thermometer 25. Compass aesthesiometer 26. Thermo -aesthesiometer 27. Algomete r 28. Knee hammer 29. Stethograph 30. Bicycle Ergometer 31. Olfactometer 32. Ophthalmoscope 33. Schematic eye 34 Color perception lantern Edridge green 34. Dynamometer 35. Otoscope 36. Stop watch 37. Digital ECG Machine 38. Yoga Mat 40. Tuning fork to test hearing 32 -10000 cps (100, 256, 512Hz) 41. Van Slyke's apparatus manometric (Desirable) 42. Venous pressure apparatus (Desirable) 43. Douglas bag, complete (Desirable) 44. Basal metabolism apparatus (Desirable) 45. Apparatus for passive movement (Desirable) 46. Phakoscope (Desirable) 47. Perimeter with charts (Lister’s) (Desirable) 48. Maddox rod (Desirable) 55. Newton’s color wheel (Desirable) 56. Student physiograph (single channel) with accessories (Desirable) 57. Gas analyser a utomatic for CO2, O2, N2 (Desirable) 59. Sherrington Starling kymograph (electrically driven) Complete assembly 60. Electromagnetic time marker 61. Myograph stand 62. Electronic stimulator 63. Tuning fork time marker100/sec 64. Electrodes 65. Spirit lamps 66. Marey's tambour 67. Softwares to demonstrate Amphibian and mammalian experiments (Desirable) 68. Low voltage unit for tapping 2 and 4 volts for stimulation (Desirable) GENERAL 69. Centrifuge, high speed with technometer etc. 70. Refrigerator, 9 -10c ft. 71. Water distillation still, with spare heating elements 72. All glass distillation apparatus double stage 73. Voltage stabilizer 74. Stepdown transformers 3. Department of Biochemistry S. No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the department as per requirement) 1. Analytical Balance : up to 200 g/1gm increment 2. Urinometers calibrated (Mercury based instruments to be replaced with other alternatives) 3. Hot air oven (More than 200 litres) 4. Digital Colorimeters 5. Student Microscopes 6. Glucometer with strips ( For POCT ) 7. Thermometer 0 – 250 degree Celsius 8. Semi autoanalyzer 9. Boiling Water baths 10. Constant temperature water bath Tank Capacity: (Temperature range 5 to 80 degre e Celsius) 11. Centrifuge clinical for ≥ 8 tubes 12. pH meters of wide range digital 13. Fixed volume pipettes -- 1ml,0.5ml,0.2ml,0.1ml and 0.02ml 14. Bottle dispensers 15. Variable and fixed volume micro auto pipettes 16. Vacutainer Tube 17. PCR Machine (either in the institution or elsewhere on a visit) 18. ABG Machine 19. Autoanalyzer (either in the institution or elsewhere on a visit) 20. Complete Chromatographic Unit for paper & TLC (either in the institution or elsewhere on a visit) 21. Com plete Electrophoresis apparatus with power supply (Paper, PAGE, agarose) (either in the institution or elsewhere on a visit) 22. Densitometer with computer 23. Vortex mixers 24. Incubator 37 o C 25. Fume cupboard 26. Digital Analytical Balance 27. Balance Micro 28. Spectrophotometer 30. PCR machine (either in the institution or elsewhere on a visit) 31. ELISA Reader and washer 32. Urine strips for Glucose & Protein 33. ISE analyzer 34. Refrigerators ( Minimum - 400 Ltrs capacity) Note: Equ ipments for student demonstration may be shared by the departments to prevent duplication and make cost effective. (4) Department Of Pathology (for demonstration) 5. Cytopathology section  Cytospin  Auto stainer  Facilities for liquid -based cytology 6. Hematology section  Electrophoresis apparatus  HPLC  Flow cytometry –Desirable 7. IHC  Immuno fluorescence Microscope 8. Molecular Diagnostic  Conventional PCR  Real time PCR (a) Clinical Laboratory: S.No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the de partment as per requirement) (A) General I Histopathology / Cytopathology for Students 1. For Students – LED Binocular with Scanner, 10X, 40X, & Oil immersion lenses and inbuilt Battery backup power source II Hematology for Students 2. Stop watch reading at 1/5 second. 3. Haemo -cytometers with red and white pipettes 4. Staining jars for slides. III Clinical Pathology for Students 1. Urinometers(Mercury based instruments to be replaced with other alternatives) 2. Centrifuge tubes graduated. 3. Graduated cylinders for various capacities ranging from 100 cc to1000 cc. (For Students) 4. Pipettes of various sizes with disposal tips. (For Students) 5. Reagent bottles (For Students) 6. Dropping bottles (For Students) 7. Reagents (For Students) (B) M orbid Histology and Morbid Anatomy 1. Manual Rotary Microtome 2. Automated Rotary Microtome 3. Cryostat 4. Hot plate 5. Paraffin embedding bath 6. Heated Paraffin Embedding Module 7. Cold Plate for Modular Tissue Embedding System 8. Automated Tissue Processor –Histokinette 9. Autoclave 10. Ultrapure water solutions - Distilled water plant 11. Water bath 12. Centrifuge machine 13. Digital SLR at least 20 megapixel with micro, macro, wide angle zoom lenses, Flash and other accessories 14. Digital Automatic camera > 5 megapixel 15. Fully Automated high throughput Multi -Stainer Workstation 16. Fully Automated Embedding System (Heated embedding module & cold plate) (desirable) 17. Fully Automated Flexible Coverslipping Workstation (aspirationa l) 18. Standalone paraffin dispensing module cold plate holding more than 100 cassettes 19. Stand -alone cold plate 20. Single Pan Digital Balance, Chemical 21. Balance, chemical with weights 22. Microscopes 23. Grossing Station - Stainless steel, wit h Control panel, air filtration system, Track mounted adjustable computer arm with articulation, LED lights that are color and intensity, Dedicated USB ports for camera control and data transfer adjustable, Integrated pathology camera system, Instrument Se t (High quality) Height Adjustable Stainless Steel Chairs With Split AC of appropriate capacity. 24. Fully Automated Immuno -histo -chemistry Setup with Continuous supply of Important Antibodies, Lymphoma Panel etc. (for Post graduate training) (C) Hematol ogy Lab: For demonstration 25. Five part Fully Automated Cell Counter 26. Three Part Fully Automated Cell Counter 27. Coagulometer (Fully automated) (5) Department Of Microbiology S.No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the department as per requirement) (A) 1. Microscopes (Specified as in Pathology) 2. Culture Plates/ Petri Dishes 3. Glass wares including Pasteur Pipettes 4. Facility for heating slides (B) General 5. Anaerobic apparatus 6. Autoclave 7. Balance Electronic Digital 8. Biosafety Cabinet Type - 2A 9. BOD Incubator 10. Centrifuge 11. CO2 Incubator/Candle Jar 12. Computer Unit 13. Deep Freeze -20° C & Deep Freezer 14. Distilled water Plant 15. Elisa Reader with washer 16. Hot Air Oven 17. Incubator 18. Lab Refrigerator (minimum 400 litres) 19. Laminar flow 20. Micrometer eye pieces 21. Micrometer stage 22. Microscope Binocular 23. Microscope with universal condenser containing oil immersion, Bright field, Phase Contrast & Dark ground 24. pH determination apparatus 25. Serum inspissators 26. VDRL shaker 27. Vortex Mixer 28. Water bath with variable temperature 29. Oil-immersion lens for student microscope 30. Automated Blood Culture System 31. Colony Counter (C) Consumables for Culture and Serological Diagnosis 32. Antibiotic Discs for Antibiotic susceptibility testing 33. Antibiotic zone scale 34. Antisera -Salmonella 35. Antisera -Shigelladysenteriae 36. Antisera -Shigellaflexnari 37. Antisera -Shigellasonnie 38. Antisera -Vibrio cholerae 39. ATCC strain - Enterococcus fecalis 29213 40. ATCC strain - E.coli 25922 41. ATCC strain - E.coli 35218 42. ATCC strain - Pseudomonas aeruginosa 27853 43. ATCC strain - Staphylococcus aureus 25923 44. ATCC strain - Staphylococcus aureus 29213 45. Bottles for blood culture 46. Micropipettes – Multi channel & Singl e channel 47. Digital Thermometers of different temperatures (D) BSL 2 Lab 48. -80°C deep freezer with UPS 49. Real-time PCR machine calibrated for the fluorophore dyes with UPS (2 nos., 2KVA each, with 2 hours back -up) 50. Microcentrifuge / Refrigerated Centrifu ge 51. (a) Personal protective equipment (PPE) (b) Viral Transport Medium (VTM) (c) All other consumables and kits as required for Virology studies. 52. Magnifying glass with metal handle 53. Metal mincing machine 54. Postmortem instrument sets complete 55. Suction pumps 56. Filtering apparatus Seitz 57. Filter and Millipore filter - each 58. Desiccators 59. Vacuum Dessicators 60. Apron plastic for postmortem 61. Apron rubber for postmortem 62. Lyophilizer 63. Thermal Cycler 64. U.V. Transilluminator with photography 65. Colony counter 66. Cold room + 4 degree Celsius 67. BACTEC system 68. Phase contrast Microscope 69. Vortex mixer 70. Electronic Balance 71. Microfuge 72. Ultra centrifuge 73. Flourescent Microscope (6) Department Of Pharmacology S. No. NAME OF ITEMS (Quantity may be procured at the discretion of the department as per requirement) A Clinical Pharmacology Lab 1. Special Drug Delivery systems like Metered Dose Inhalers, Spacers, Nasal sprays, Transdermal patches, Insulin pen etc. 2. Samples of various important drug formulations including rationa l and irrational FDC, Essential medicines 3. Simulation models for demonstration of routes of administration i.e., various injections (iv, im, sc, intracardiac), enema, vaginal pessary insertion, and other routes of drug administration. Modules for commu nication competencies e.g., module with recorded videos of role play. B. Computer Assisted Learning Lab 4. Must have computers with standard configuration and connected to the internet, (Preferably broadband) along with AV aids including multimedia proj ector and screen/LED screen). The Computers to have computer assisted teaching -learning and assessment material e.g., National List of Essential Medicines, Standard Treatment Guidelines, Banned Drugs List of the CDSCO, Hospital formulary, Animations/videos of mechanism of action of clinically useful drugs in humans, Adverse Drug Reactions forms, photographs of ADRs, Drug Promotional Literature, OSCE/OSPE station material and Self -assessment modules. E -prescription, Digital cases, and case videos (optional ) (7) DEPARTMENT OF FORENSIC MEDICINE AND TOXICOL OGY 1. Autopsy table - 2 2. Portable X -ray machine must be present in every autopsy block with provision of Radio -technician (can be shared with Radiology) and reporting by Radiologist to avoid movement of dead bo dy from autopsy room to Radiology Department to meet the requirement of dignified management of dead. 3. Computers with printers. 4. Software for preparing and printing postmortem report etc. 5. Mortuary block shall have air condition facility. 6. Dead body freezer (as per requirement). 7. Adequate protective clothes, equipment’s for the staff of the department working in autopsy block. 8. Provision of Video -conferencing room in the department to give evidence in the court of law to meet requirement of Digital India wit h appropriate facility of Internet, Computer, Video camera, etc. Where FMT department has functional Poison Information Centre and Analytical Toxicology lab then it should have following equipments: 1. Digital Spectrophotometer 2. Chemical Balance 3. Distillation Plant 4. Spectroscopic Lens with Adjustable Slit. 5. TLC, HPLC, GC -MS S.No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the department as per requirement) 1 Anthropometric Set including A) Folding Metal Rod Upto 7 Ft B) Osteometric Board C) Craniometer D) Mandibulometer E) Goniometer F) Vernier Calipers G) Equipment for Reporting Height H) Weighing Machine Dial Type Human 2 Digital pH Meter 3 Digital Spectrophotometer 4 Chemical Balance 5 Distillation Plant 6 Refrigerat or 7 Centrifuge 8 Slide Warming Table 9 Hot Plate 10 Spectroscopic Lens With Adjustable Slit 11 Dissection Set Complete 12 Digital BP Instrument 13 Stethoscope Medico legal work 14 Cold Storage For Dead Bodies 15 Weighing Machine For Dead Bodies 16 Autopsy Tables 17 Stryker Type Autopsy Saw With Accessories 18 Weighing Machine For Organs 19 Weighing Machine For Fetus 20 Dissection Set Complete 21 Brain Knife 22 Hack Saw 23 Rib Shear Left & Right 24 Measuring Tape( Steel Tape Roll) 25 Magnifying Lens 26 X- Ray View Box (4 In 1) 27 Tooth Extractor Left & Right 28 Hand Set Heat Sealer 29 Instrument Trolley 30 Rectal Thermometer 31 Portable X -ray Machine (can be shared with Radiology Department) (8) Department Of Community Medicine S.No. NAME OF THE ITEMS (Quantity may be procured at the discretion of the department as per requirement) 1 Hydrometer, milk 2 Incubator, electric (can be procured from Microbiology) 3 Balance for weighing food stuff (Capacity 2 Kg). 4 Centrifuge clinica l 5 Weighing machine adult 6 Baby weighing machine 7 Salters Baby weighing machine 8 Harpenden Calipers (for skinfold thickness) 9 Height measuring stand 10 Refrigerator 9 cu.ft. 11 Ice Lined Refrigerator (I.L.R.) (at Health Centre) 12 Smart TV 13 Vehicles for transport of students/interns/faculty/ paramedical staff to the RHTC and UHTC 14 Multimedia Projector with Screen 15 Public Address system (2 portable for field based activities and one each for RHTC & UHTC) 16 Chloroscope 17 Horrock’s Apparatus 18 MUAC tapes 19 Haemoglobinometer 20 BP Apparatus (Digital) 21 Stethoscope 22 Sound level meter 23 Water sampling bottle from any depth 24 Needle Shredder 25 Vaccine carrier 26 Craft water testing kit 27 Treatment kits as per national health programs 28 Iodine testing kit 29 Glucometer 30 Mosquito catching kit 31 Clinical Thermometer 32 First Aid Kit 33 Otoscope The Rural and health centers for training of undergraduate students shall be suitably equipped along with adequate tran sport. FOR PHASE 3 DEPARTMENTS The list of equipment for clinical departments both indoor and outdoor, may be prepared by the Heads of departments, who would keep in view the needs for: - (1) Special examination with diagnostic aids and investigations such a s laboratory, X -ray, etc. (2) Routine treatment, medical and surgical etc. (3) Special therapy such as physical, occupational, dietetic etc. SKILLS LAB (I) Trainer simulators / models / mannequins for:  First aid, Bandaging, splinting  Basic Life Support (BLS), CPR (Cardio Pulmonary Resuscitation) mannequin  Various types of injections - Subcutaneous, Intra -muscular, Intra -venous  Urine Catheter insertion  Skin & Fascia suturing  Breast examination model /mannequin  Gynecological examination model/mannequin includin g IUCD (Intra Uterine Contraceptive Device) Training model  Obstetrics mannequins including Obstetric examination, conduct and management of vaginal delivery.  Neonatal & Pediatric resuscitation mannequins  Whole body mannequins  Trauma mannequin (II) Each model (Low or High Fidelity) should have a module for training including objectives, methods and assessment. Modules can also have hybrid models where real patients or standardized/simulated patients/ computer simulations can be used. (III) There shall also be space for computer assisted learning with adequate computers. Dr. ARUNA V. VANIKAR, President [ADVT. -III/4/Exty./360/2023 -24] Note I: These Guidelines are being published in English and Hindi; the English version shall prevail in case of any doubt about the interpretation of these Guidelines. Note II : Annexures to these guidelines shall be displayed on the NMC website. Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi -110064 and Publish ed by the Controller of Publications, Delhi -110054.