National Medical Commission

Why in News?
The National Medical Commission (NMC) is in the news for introducing a sweeping policy change that makes registration in the National Medical Register (NMR) mandatory for all doctors and introduces a (“One Nation, One Licence”) single national licence system.
 

About
  • Status: It is the apex statutory regulatory body governing medical education, professionals, institutions, and research in India.
  • Parent Ministry: It operates under the Ministry of Health and Family Welfare, Government of India.
  • Establishment: Set up under the NMC Act, 2019, it became fully operational on September 25, 2020.
  • Predecessor: It completely replaced the Medical Council of India (MCI), which was dissolved due to long-standing corruption allegations and systemic inefficiencies.
Structural Framework
The commission features a highly stratified structure designed to manage diverse medical streams efficiently:
  • Composition: Consists of 25 members, including a chairperson, ex-officio members, and part-time representatives nominated by the Central Government.
  • Four Autonomous Boards: The core operations of the NMC are distributed across four independent boards:
    1. Undergraduate Medical Education Board (UGMEB): Formulates standards and regulates UG courses like MBBS.
    2. Postgraduate Medical Education Board (PGMEB): Governs super-speciality and postgraduate medical curricula.
    3. Medical Assessment and Rating Board (MARB): Inspects, permissions, and rates medical colleges, ensuring quality control.
    4. Ethics and Medical Registration Board (EMRB): Handles the national register, issues UIDs, and enforces ethical standards.
  • Medical Advisory Council: A critical federal platform that allows States and Union Territories to voice local concerns and sync policies with the central commission.
Key Functions and Powers
  • Education Standardization: Approves and regulates entries into medical streams through standard examinations like the National Eligibility-cum-Entrance Test (NEET).
  • National Exit Test (NExT): A scheduled, uniform final-year MBBS exam meant to double as a licensing exam to practice medicine and a gateway for PG admissions.
  • Fee Regulation: Frames uniform guidelines to cap fees and structural expenses for 50% of the seats in private medical colleges and deemed universities.
  • Infrastructure Assessment: Holds the power to issue warnings, fines, or completely bar institutions from admissions if they fail to meet mandatory doctor-to-patient ratios or display fraudulent "ghost patients" during surprise inspections.
  • Global Recognition: Achieved the World Federation for Medical Education (WFME) recognition status for 10 years, meaning Indian medical graduates can freely pursue postgraduate training and practice in countries like the USA, Canada, and Australia.

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