formation, functions of NMC, SMC for MBBS students

1. By dr m balaji singh
M C I / NATIONAL MEDICAL
COMMISSION

2. Definitions
„
Forensic medicine* (Legal medicine or State medicine): It is the
study and practice related to application of knowledge of medical
sciences to legal proceedings for the administration of justice.
„
. Medical jurisprudence (Latin juris: law, prudentia:knowledge or
skill): It is the application of knowledge of law in relation to practice of
medicine. It includes:
i. Doctor-patient relationship
ii. Doctor-doctor relationship
iii. Doctor-State relationship.
„
.
MEDICAL ETHICS AND
JURISPRUDENCE

3. Medical etiquette: These are the conventional laws and customs of
courtesy which are followed between members of same profession.
A doctor should behave with his colleagues, with at most courtesy
and respect, should not criticize them adversely in the presence of
patients or at Media.
„Medical ethics: It is concerned with moral principles for the
members of the medical profession in their dealings with each other,
their patients and the State.
It is a self-imposed code of conduct assumed voluntarily by
medical professionals.
DEFINITIONS

4. A- Autonomy of the patient
B- Beneficence of the patient
C- Confidentiality
D- Damage free medical practice
E - Equal justice
BASIC PRINCIPLES OF MEDICAL
ETHICS

5. By dr m balaji singh
M C I / NATIONAL MEDICAL
COMMISSION

6. It was earlier established for 6 months by an ordinance
in January 2019 and later became a permanent law
passed by Parliament of India and later approved
by President of India on 8 August 2019
NATIONAL MEDICAL
COMMISSION

7. The Indian Medical Council (IMC) Act, 1956:
• The Medical Council of India was established in 1934 under
the Indian Medical Council Act, 1933.
• In 1956, the old Act was repealed and a new one was
enacted.
• This was further modified in 1964, 1993 and 2001.
• With the government unable to get the Indian Medical Council
(Amendment) Bill passed in Parliament, the old IMC Act that
provided autonomy to the regulatory body was restored.
MCI

8. Introduction
The National Medical Commission (NMC) has been constituted by an act of
Parliament known as National Medical Commission Act, 2019 which came
into force on 25.9.2020 by gazette notification dated 24.9.2020. The Board of
Governors in supersession of Medical Council of India constituted under section
3A of the Indian Medical Council Act, 1956 stands dissolved thereafter.
Aims and Objectives of NMC
(i) To improve and access the quality and affordable medical education.
(ii) To ensure availability of adequate and high quality medical professionals in
all the areas of India.
(iii) To promote healthcare and makes services of medical professionals.
accessible to all the citizens.
(iv) To encourages research work in medical education and services.
(v) To assess medical institutions periodically in a transparent manner.
(vi) To maintain a medical register for India.
(vii) To enforce high ethical standards in all aspects of medical services.
(viii) To have an effective grievance redressal mechanism.
HTTPS://WWW.NMC.ORG.IN

9. i. One member from each state other than a Union Territory, nominated
by the Central Government in consultation with the State government
concerned.
ii. One member from each university, to be elected from amongst the
members of the medical faculty of the Govt. medical university.
iii. One member from each state in which a State Medical Register is
maintained, to be elected from persons enrolled on such a register.
iv. Seven members to be elected by persons enrolled in any of the State
Medical Registers.
v. Eight members are nominated by the Central Government.
The President and Vice-President are elected from amongst these
members.
CONSTITUTION OF IMC

10. NMC is an Indian regulatory body of 33 members which regulates
medical education and medical practices.
It has replaced the Medical Council of India on 25 September
2020.
The Commission grants
• recognition of medical qualifications,
• gives accreditation to medical colleges, and assesses the medical
infrastructure in India
• grants registration to medical practitioners,
• and monitors medical practice,
• and entertains appeals from medical practitioners.
.
NATIONAL MEDICAL
COMMISSION

11. The commission consists of four boards :
1. Under-Graduate Medical Education Board (UGMEB) develop competency
based dynamic curriculum for addressing the needs of primary health services,
community medicine and family medicine to ensure healthcare in such areas, in
accordance with the provisions of the regulations made under this Act.
2. Post-Graduate Medical Education Board (PGMEB) develop competency
based dynamic curriculum at postgraduate level and super-speciality level in
accordance with the regulations made under this Act, with a view to develop
appropriate skill, knowledge, attitude, values and ethics among postgraduates and
super-specialists to provide healthcare, impart medical education and conduct
medical research.
AUTONOMOUS BOARDS

12. 3. Medical Assessment and Rating Board. assessing and rating the
medical institutions for their compliance with the standards laid down by the Act .
It may issue warning notice , or may impose of monetary penalty, reducing intake
or stoppage of admissions and recommending to the Commission for withdrawal
of recognition, against a medical institution for failure to maintain the minimum
essential standards specified by the Under-Graduate Medical Education Board or the
Post-Graduate Medical Education Board, in accordance with the regulations made
under this Act.
4. Ethics and Medical Registration Board.
(a) maintain National Registers of all licensed medical practitioners in
accordance with the provisions of section 31;
(b) regulate professional conduct and promote medical ethics in accordance with the
regulations made under this Act.
BOARDS……

13. The NMC consists of 33 members, including:
a) a Chairperson (medical professionals only)
b) 10 ex officio Members:
c) 22 Part-time Members:
FORMATION

14. •b) 10 ex officio Members:
•The President of the Under-Graduate Medical Education Board.
•The President of the Post-Graduate Medical Education Board.
•The President of the Medical Assessment and Rating Board.
•The President of the Ethics and Medical Registration Board.
•The Director General of Health Services, Directorate General of Health Services, New Delhi.
•The Director General, Indian Council of Medical Research (ICMR).
•Director of any of the All India Institutes of Medical Sciences (AIIMS).
•Two persons from amongst the Directors of
•Postgraduate Institute of Medical Education and Research,
• Jawaharlal Institute of Postgraduate Medical Education and Research,
•Tata Memorial Hospital,
• North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, and
• All India Institute of Hygiene and Public Health.
•One person to represent the Ministry of Health and Family Welfare.
FORMATION…….

15. c) 22 Part-time Members:
•Three Members appointed from amongst persons who have special
knowledge and professional experience in such areas including
management, law, medical ethics, health research, consumer or
patient rights advocacy, science and technology and economics.
•Ten members appointed on rotational basis from amongst the
nominees of the states/union territories in the Medical Advisory
Council.
•Nine members appointed from amongst the nominees of the States
and Union territories in the Medical Advisory Council.
Of these at least 60% of the members must be medical practitioners.
FORMATION……

16. Formation
Medical Advisory Council formed by
83 Ex-Officio members, headed by Chairman, NMC and secretary, NMC
MEDICAL ADVISORY COUNCIL

17. i. Maintenance of Indian Medical Register
ii. Regulation of standard of undergraduate and postgraduate medical
education
iii. Permission for establishment of new medical college, new course of
study and increase in seats:
iv. Recognition of medical qualification granted by universities in India:
v. De-recognition of medical qualification:
SIMPLY……FUNCTIONS OF MCI

18. vi. Recognition of foreign medical qualifications under the scheme of
reciprocity
vii. Appellate powers: It advises the Central Health Ministry when an appeal
is made by a medical practitioner against the decision of the SMC on
disciplinary matters. Its decision is binding on the appealing party as well as
the SMC.
viii. Disciplinary control: over doctors and hospitals.
ix. Certificates: It is empowered to issue certificates of
good conduct
x. CME programmes; recognition and promotion
xi. Faculty development programme; promotion
FUNCTIONS……

19. Schedules
„
.First Schedule of the IMC Act contains recognized medical
qualifications granted by universities in India.
Any medical college which grants a qualification but not included in the First
Schedule may apply to the NMC/MCI, after consulting with the central
Government, Council may amend the First Schedule, and the same is entered
in the last column of the First Schedule.
„
. Second Schedule contains recognized medical qualifications
granted by universities outside India.
The Council has power to negotiate with the Authority in any country outside
India for the recognition of medical qualifications and the same is entered in
the last column of the Second Schedule.
„
THREE SCHEDULES

20. Part I of the 3rd Schedule contains qualifications granted by medical
institutions but not included in 1st Schedule.
„
Part II of the 3rd Schedule contains qualifications granted by medical
institutions outside India, but not included in 2nd schedule.
3RD SCHEDULE

21. • Uniform standards and Regulation of undergraduate and postgraduate
medical education.
• Recognition of medical qualifications granted by University or UGC
in medical institutions in India.
• Recognition of foreign medical qualifications in India.
• Registration of doctors with recognized medical qualifications.
The state medical councils maintains the register of doctors registered in
each state which is then forward to the Medical council each quarter for updation
in the national register.
•However, Foreign medical graduates have the option to directly register at the
MCI.
• directory of all registered doctors - Indian Medical Register.
THE FUNCTIONS …….at a glance

22. I
• Regulating standards of medical institutions ( hospitals, diagnostic labs, scanning centers ,
medical research institutions etc.
• Regulatory function on ethical and dignified practice by medical professionals (doctors).
• Assessing the availability of human resources, medicines, equipment and infrastructure in
healthcare institutions and Government and private medical colleges.
• Framing guidelines for determination of fee for the MBBS and PG seats in the
private medical colleges.
• NEET/ NEXT ; Common entrance examination for UG and PG admissions
• Ensuring compliance by the State Medical Councils with the regulations made under the Act.
• Appellate powers.
• issuing Eligibility Certificate for the students who are studying MBBS in abroad (FMG)
FUNCTIONS OF THE NMC…..

23. By dr m balaji singh
STATE MEDICAL COUNCIL (SMC)

24. Composition of the State Medical Council
„
. Medical teachers from different universities of the state, elected by the
teachers of different medical institutions.
„
. Members elected by registered medical practitioners of the state.
„
. Some members are nominated by the State Government.
President and a Vice-President were elected amongst themselves.
STATE MEDICAL COUNCIL (SMC)
FORMATION

25. i. Maintenance of Medical Register
ii. Renewal of medical registration
iii. iii. Disciplinary control over RMPs.
FUNCTIONS OF SMC

26. STATE MEDICAL COUNCIL (SMC)

27. 1.Which of the following is NOT a function of the Medical Council of India?
[A] Maintenance of uniform standards of medical education
[B] Sanctioning medical colleges in India
[C] Providing ethical oversight in medical education
[D] Maintaining register of Doctors as well as Pharmacists
The fourth statement is partially incorrect. The MCI was established under the
Indian Medical Council Act 1933 and given responsibility for maintaining
standards of medical education, providing ethical oversight, maintaining the
medical register, and, through amendments in 1993, sanctioning medical colleges.
It maintains uniform standards of medical education, both undergraduate and
postgraduate. Registration as a pharmacist comes under Pharmacy Act and that
job is done by Pharmacy Council of India.
MCQ

28. 2. Objectives of NMC , except
A) Recognition of medical qualifications outside the India.
B) Gives accreditation to medical colleges outside the India in negotiations.
C) Grants registration to medical practitioners.
D) Monitory penalty to medical colleges, not meeting the standards of NMC.
3. functions of SMC , except
A) Maintenance of Medical Register
B) Renewal of medical registration
C) Disciplinary control over RMPs.
D) Regulating the standards of medical education.
MCQ

29. 4. A RMP can appeal against to the state medical council
A) To the supreme court
B) to the state Government
C) to the NMC
D) to any of the above.
5. NMC is formed by members except
A). Nominated persons by state/ central Governments
B). Elected persons by medical universities in India
C). Ex officio members
D). Members elected amongst Indian medical association( IMA)
MCQ

30. 6. NMC is differ from MCI in this regard
A). Interference in fixing the tuition fee of medical education in India
B). Appellate action
C). Maintaining the standards of medical education
D). Indian medical register
7. Maximum Tenure of Chairperson of NMC
A). 5 years, B). 3 years , C). 4 years D). 2 years.
8. What is wrong statement regarding NMC
A). NMC is a autonomous body
B). All the NMC members should belongs to medical profession only
C). Chairperson should be a medical doctor
D). NMC can derecognize a foreign medical qualification
MCQ

31. 9. The following are autonomous boards under the NMC Act except –
A). the Under-Graduate Medical Education Board (UGMEB),
B). Post-Graduate Medical Education Board (PGMEB),
C). Medical accreditation and grading Board
D). Ethics and Medical Registration Board
10. Among the following which is the common function of SMC and NMC
A). Appellate action
B). Maintenance of medical register
C). Medical education
D). Warning notice to the RMPs.
MCQ

32. 11. Registered medical practitioner denotes
A). His name present in Indian Medical Register
B). His name registered in any of the medical university in India or outside the India.
C). His name registered in Indian Medical Association
D). Any doctor how is providing service under Government of any state in India
12. Following council/Association is conferred with Appellate powers
A). Indian Medical Association (IMA)
B). State Medical Association
C). State Medical Council
D). Indian Medical Council
MCQ

33. 13. NMC is differ from SMC in this regard
A). Regulating standards of medical practice in India
B). Issuing warning notice to their members
C). Maintenance of medical register
D). Non of the above.
14). Penal erasure denotes
A). Erasure of name of the RMP from Indian Medical Register
B). Erasure of name of the RMP from any State Medical Register
C). Professional death sentence
D). All of the above.
MCQ

34. 15. Medical Advisory Council is a part of
A). National Medical commission
B). State medical commission
C). any of the above
D). Medical Advisory Council is a autonomous body
16. Following is true about members of National Medical commission
A). All the members are medical doctors
B). All the members are full time officers
C). All the members holds the office for a period of 5 years
D). Ex officio members are having major part in Medical Advisory
Council
MCQ

35. 17. Eligibility Certificate is issued to the students of Foreign medical
graduation by
A). Ministry of external affairs
B). National medical commission
C). Foreign university in which the student wants to study MBBS in abroad
D). State Government after consulting with MCI.
18. Among following boards which is not related to NMC
A). Juvenile medical justice Board
B). Medical advisory Board
C). Medical Education Board
D). Ethics and medical registration Board.
MCQ

36. 19. Medical Assessment and Rating Board is a part of
A). State medical council
B). National medical council
C). National accreditation and Assessment committee (NAAC)
D). Any of the above.
20. The following persons shall be the ex officio Members of the
Commission, except
A). President of the Under-Graduate Medical Education Board;
B). President of the Post-Graduate Medical Education Board;
C)) Director General, Indian Council of Medical Research
D). President of any deemed medical university in India
MCQ

37. 1. D 2.B 3.D 4.C 5.D 6.A 7. B 8. B 9.C
10.B,D 11. A 12. D 13. D 14. D 15.A 16. D
17.B 18.A 19.B 20.D
ANSWERS FOR MAQS

38. ADDITIONAL INFORMATION
FROM INTERNET

39. MCI vs NMC
TIMES OF INDIA

41. NEXT EXAM

43. Thanking you………