National Medical Commission
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The National Medical Commission Bill envisaged the creation of a National Medical Commission (NMC) to replace the erstwhile Medical Council of India. In line with this objective, the National Medical Commission (NMC) has been constituted along with four Autonomous Boards.
- This new body would be responsible for the medical accreditation of all medical education institutions within the country as well as maintaining a national registrar of all certified allopathic medical practitioners within the country.
- Along with NMC, the four Autonomous Boards of UG and PG Medical Education Boards, Medical Assessment and Rating Board, and Ethics and Medical Registration Board have also been constituted to help the NMC in day to day functioning.
- With the coming into effect of the NMC Act, the Indian Medical Council Act, 1956 stands repealed and the Board of Governors appointed in supersession of Medical Council of India has also been dissolved.
Key functions of NMC
- The key functions of the NMC will be further streamlining regulations, rating of institutions, HR assessment, focus on research.
- Besides they will work on modalities of the common final year exam after MBBS (NEXT- National Exit Test) to serve for both registration and PG entrance; prepare guidelines for fee regulation by private medical colleges; and developing standards for Community Health Providers to serve in primary healthcare with limited practicing licence.
- It may be recalled that the National Medical Commission Act, 2019 was passed by the Parliament in August, 2019.
Background of MCI
- The Medical Council of India (MCI) was established in 1934 under the Indian Medical Council (IMC) Act of 1933.
- At the time, its primary function was to standardise both training in medicine and the accreditation of medical and surgical proficiency.
- In 1956, the original IMC Act was repealed and redesigned. It has subsequently received face-lifts with amendments enacted in 1964, 1993, and 2001.
- The Council was composed of one representative from each State (appointed by the Central Government), one medical faculty member from each University (appointed by the Senate of the public University), one representative of each State which maintains a Medical Register (elected by members on the register), seven members enrolled on any of the State Medical Registers (elected from amongst themselves) and eight Central Government representatives (appointed by the Central Government).
- The MCI elected its President and Vice-President.
- After looking at various other countries and their accreditation systems,, five changes can be recommended –
- Removing NMC members from the Medical Advisory Council,
- Creating regional medical councils in the place of third party organisations,
- Adopting WHO guidelines as the basis of all standards set by the Under-Graduate Medical Education Board and the Post-Graduate Medical Education Board,
- Ensuring that post-graduate schools receive accreditation only if they have a research based meritocracy for students and staff, and
- Mandating that all medical school graduates work in the country for a limited amount of time.