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West Bengal University of Health Sciences, Kolkata

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West Bengal University of Health Sciences, Kolkata

    West Bengal University of Health Sciences, Kolkata

    Rules and Regulations for Post-graduate Degree/ Diploma and Post-Doctoral courses

    in Modern Medicine

1. GENERAL CONDITIONS TO BE OBSERVED BY POST-GRADUATE TEACHING

    INSTITUTIONS.

    i). Postgraduate curriculum shall be competency based; a modular approach to the course curriculum

    is essential for achieving a systematic exposure to the various sub-specialties concerned with a

    discipline.

    ii) The learning in postgraduate programme shall be essentially autonomous and self-directed. iii) A combination of both formative and summative assessment is vital for the successful completion

    of the PG programme

    iv) The training of PG students shall involve learning experience derived from the needs of the

    community. It shall, therefore, be necessary to expose the students to community-based activities.

     2. GOALS TO BE OBSERVED BY POST-GRADUATE TEACHING INSTITUTIONS.

     The goal of postgraduate medical education shall be to produce competent specialists and / or

     Medical teachers,

    i) who shall recognize the health needs of the community, and carry out professional obligations

     ethically and in keeping with the objectives of the national health policy: ii) who shall have mastered most of the competencies, pertaining to the specialty, that are required

    to be practiced at the secondary and the tertiary levels of the health care delivery system; iii) who shall be aware of the contemporary advances and developments in the discipline concerned; iv) who shall have acquired a spirit of scientific inquiry and is oriented to the principles of research

     methodology and epidemiology; and

    v) who shall have acquired the basic skills in teaching of the medical and paramedical professionals.

3. GENERAL OBJECTIVES OF POST-GRADUATE TRAINING PROGRAMMES

    At the end of the postgraduate training in the discipline concerned the student shall be able to: -

    o Recognize the importance of the concerned specialty in the context of the health needs of the community

     and the national priorities in the health sector.

    o Practice the speciality concerned ethically and in step with the principles of primary health care. o Demonstrate sufficient understanding of the basic sciences relevant to the concerned speciality. o Identify social, economic, environmental, biological, and emotional determinants of health in a given case,

     and take them into account while planning therapeutic, rehabilitative, preventive, and promotive measures /

     strategies.

    o Diagnose and manage majority of the conditions in the speciality concerned on the basis of clinical

     assessment and appropriately selected and conducted investigations.

    o Plan and advise measures for the preventions and rehabilitation of patients suffering from disease and

     disability related to the speciality.

    o Demonstrate skills in documentation of individual case details as well as morbidity and mortality data

    relevant to the assigned situation.

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    o Demonstrate empathy and humane approach towards patients and their families and exhibit interpersonal

     behaviour in accordance with the societal norms and expectation.

    o Play the assigned role in the implementation of national health programmes, effectively and responsibly.

    o Organize and supervise the chosen / assigned health care services demonstrating adequate managerial skills

     in the clinic/hospital or the field situation.

    o Develop skills as a self-directed learner; recognize continuing educational needs; select and use appropriate

     learning resources.

    o Demonstrate competence in basic concepts of research methodology and epidemiology, and be able to

     critically analyze relevant published research literature.

    o Develop skills in using educational methods and techniques as applicable to the teaching of medical / nursing

     students, general physicians and paramedical health workers.

    o Function as an effective leader of a health team engaged in health care, research or training.

4. STATEMENT OF THE COMPETENCIES:

    Each discipline shall develop a list of specific competencies, which shall be defined and spelt out in

    clear terms. The statement of such competencies is to be brought to the notice of the trainees in the

    beginning of the programme so that they can direct their efforts towards the attainment of these

    competencies.

5. COMPONENTS OF THE POST-GRADUATE CURRICULUM:

The major components of the postgraduate curriculum shall be:

    A. Theoretical knowledge. B. Practical and clinical skills.

    C. Attitudes including communication skills D. Thesis skills

    E. Training in research methodology.

6. NOMENCLATURE OF POSTGRADUATE / POST DOCTORAL COURSES.

The nomenclature of postgraduate / postdoctoral medical courses shall be as follows:-

     D.M. (DOCTOR OF MEDICINE) in: Cardiology, Endocrinology, Medical Gastroenterology,

     Nephrology, and Neurology

     M.Ch. (MASTER OF CHIRURGIE) in: Cardio vascular & Thoracic Surgery, Urology, Neurosurgery,

     Paediatric Surgery, Plastic Surgery

     M.D. (DOCTOR OF MEDICINE) in:

     Anesthesiology, Anatomy, Biochemistry, Community Medicine, Dermatology Venereology

    and Leprosy, General Medicine, Forensic Medicine, Microbiology, Pathology, Paediatrics,

    Pharmacology, Physical Medicine & Rehabilitation, Physiology, Psychiatry, Radio diagnosis,

    Radiotherapy, Tropical Medicine, and, Tuberculosis & Respiratory Medicine.

     M.S. (MASTER OF SURGERY) in: Otorhinolaringology, General Surgery, Ophthalmology,

    Orthopaedics, Obstetrics & Gynecology

     DIPLOMA in:

     Anesthesiology (D.A.), Clinical Pathology (D.C.P.), Dermatology Venereology and Leprosy

    (DDVL), Forensic Medicine (D.F.M.), Obstetrics & Gynaecology (D.G.O.), Ophthalmology

    (D.O.), Orthopedics (D.Ortho.), Otorhinolaryngology (D.L.O.), Paediatrics (D.C.H.)

    Psychiatry (D.P.M.), Public Health (D.P.H.), Radio-diagnosis (D.M.R.D.), Radiotherapy

    (D.M.R.T.)., Tropical Medicine & Health (D.T.M. & H.), Tuberculosis & Chest Diseases

    (D.T.C.D.), Industrial Health ( D.I.H.), Maternity & Child Welfare ( D. M. C. W.)

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7. PROFESSIONAL REGISTRATION

    Every student, selected for admission to a postgraduate / post-doctoral medical course shall possess recognized MBBS degree or equivalent qualification as specified by the Medical Council of India (MCI). He / She should have either already obtained permanent registration with MCI / West Bengal Medical Council (WBMC), or should obtain the same within one month from the date of his/her admission, failing which the admission of the candidate shall be cancelled.

     Provided that in the case of a foreign national, temporary registration for the duration of the postgraduate training, restricted to the medical college / institution to which he/she is admitted for the postgraduate studies, as granted by the MCI / WBMC, shall serve the purpose.

8. SELECTION OF POSTGRADUATE STUDENTS

    Students for postgraduate courses shall be selected strictly on the basis of their merit, as determined by a competitive test conducted by the WBUHS and / or on the basis of merit as determined by a centralized competitive test held at the national level.

     It is provided that a certain number of seats, in different courses in different disciplines, as specified from time to time by the Government, shall be kept reserved for candidates belonging to the Scheduled Caste/ Scheduled Tribe community, physically handicapped persons and also for persons sponsored by the Department of Health & Family Welfare, Government of West Bengal.

     It is further provided that a candidate already in possession of a Postgraduate Medical Degree from any Indian university or recognized institute shall not be permitted to undertake a Postgraduate Diploma course in the same discipline.

9. PERIOD OF TRAINING

    The academic year for the post-graduate degree / diploma courses shall commence on the first working day in the first week of May; and for the post-doctoral super-speciality courses on the first working day in the first week of August every year.

     The period of training for the award of various Post-doctoral, Post-graduate Degrees or Diplomas shall be as follows:

A). Doctor of Medicine (D.M.)

    The period of training for obtaining these degrees shall be three completed years (including the examination period) after obtaining M.D./ M.S. degree, or equivalent recognized qualification in the subject as specified against each below:-

    a. DM (Cardiology) - MD (Medicine) d. DM (Medical Gastroenterology) -MD (Medicine)

     - MD (Paediatrics) -MD (Paediatrics) b. DM (Nephrology) - MD (Medicine) e. DM (Endocrinology ) - MD (Medicine)

     - MD (Paediatrics) - MD (Biochemistry)

    c. DM (Neurology) - MD (Medicine) - MD (Paediatrics)

     - MD (Paediatrics)

B). Magister Chirurgiae (M.Ch.)

    a. M.Ch. (Plastic Surgery) - MS (Surgery) d. M.Ch. ( Neurosurgery ) - MS (Surgery) b. M.Ch. ( Paediatrics Surgery)- MS (Surgery) e. M.Ch ( Urology ) - MS (Surgery)

    c. M.Ch. (Cardiovascular & Thoracic Surgery) - MS (Surgery)

    Provided that where an institution, on the date of commencement of these regulations, is imparting Six-year training in Neurosurgery, such institution shall continue to have six year training course.

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     C). Doctors of Medicine (M.D.) / Master of Surgery (M.S.)

    The period of training for obtaining these degrees shall be three completed years including the

    period of examination.

    Provided that in the case of students having a recognized two years postgraduate diploma course in

    the same subject, the period of training, including the period of examination, shall be two years.

    D). Diploma

    The period of training for obtaining a postgraduate diploma shall be two completed years including

    the examination period.

    10. Migration / transfer of students from one medical college or institution to another.

     Migration / transfer of students undergoing any Postgraduate Degree / Diploma / DM / M.Ch. course

    shall not be permitted by any authority.

11. Training Facilities: -

11.1. Staff Faculty

    A clinical department or its unit training candidates for broad or super-specialties, shall have a minimum

    of three full time faculty members belonging to the concerned disciplines of whom one shall be a

    Professor, one Associate Professor, and one Assistant Professor, possessing the qualification and

    experience as prescribed by the MCI.

    .

     Provided that the second or subsequent additional unit may be headed by an Associate professor.

     Of these faculty members only those who possess a total of eight years teaching experience, out of which

    at least five years teaching experience as Assistant Professor / Lecturer gained after obtaining

    postgraduate degree shall be recognized as postgraduate teachers.

    In each department, training candidates for super-specialties, there shall be a minimum of three

    faculty members with requisite postgraduate qualification and experience - One Professor, One

    Associate Professor and one Assistant Professor, at least two of them holding the degree of

    D.M./ M.Ch. in the concerned discipline.

    Of these faculty members only those who possess eight years teaching experience out of which

    at least five years teaching experience as Assistant Professor / Lecturer gained after obtaining the

    higher speciality degree shall be recognized teachers for D.M./ M.Ch. courses.

     Provided that in the case of super speciality courses, which are being newly instituted, relaxation

    of qualification and experience of postgraduate teachers may be granted by MCI.

    a) An institution conducting both undergraduate and postgraduate teaching shall satisfy the

    minimum requirement for undergraduate training as prescribed by the Medical Council of India

    and shall also fulfill additional requirements for postgraduate training depending on the type of

    work being carried out in the department. The extra staff required for the purpose in various

    departments shall be as follows: -

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     Name of the Department Additional staff required for each department

     Department of Anatomy (i) Associate professor -1 (iii) Clinical Tutor / Demonstrator -1

     (ii) Assistant. Professor-1 (iv) Steno typist/ Computer Operator -1

     Department of physiology -do-

     Department of Biochemistry -do-

     Department of Pharmacology -do-

     Department of Pathology -do-

     Department of Microbiology -do-

     Department of Community Medicine -do-.

     Department of Radio-diagnosis -do-.

     Department of Radiotherapy -do-

     Department of Anesthesiology -do-

     Department of Forensic Medicine -do-

     b) A Department imparting only postgraduate training shall:-

     i) Provide facilities consistent with the all round training including training in basic medical

     science and other department related to the subject of training as recommended by the MCI.

     ii) Have as many autopsies, biopsies and cytopsies as possible for teaching purposes; and

    iii) Make available facilities of ancillary departments for co-ordination of Training.

11.2. Bed Strength in Clinical Departments-

     A department to be recognized for training of Post-graduate students, shall have not less than 60

    (Sixty) beds each of General Medicine, General Surgery, Obstetrics and Gynecology and 30

    (thirty) beds each for other disciplines for M.D / M.S. and Diploma courses and 20 (twenty) beds

    each in case of D.M./M.Ch. courses.

     Explanation: - A unit shall consist of 30 beds for MD/MS/ Diploma and 20 beds for DM / M.Ch..

11.3. Out patients’ departments-

    There shall be adequate space and sufficient number of examination cubicles available in the OPD. Besides the general outpatient services, speciality clinics shall also be available for the training of post-graduate students in the relevant broad and super specialities;

11.4. Laboratory Facilities and Equipments-

    The institution shall have adequate laboratory facilities for the training of the postgraduate students, and such laboratories shall provide reasonable investigative facilities required and shall be regularly updated keeping in view the advancement of knowledge and technology and research requirements. The concerned department shall have adequate number of all equipments including the latest ones necessary for training, and in conformity to the laid down prescriptions of the MCI for each speciality.

12. Number of Postgraduate Students to be admitted:

     i) The ratio of recognized postgraduate teacher to number of students to be admitted for the degree and diploma courses shall be 1:1 each for degree and diploma courses in each unit per year, to the extent that in no circumstances more than two students for degree, and one for Diploma, shall be registered in a unit in one academic year.

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     ii) In case the institution is having only postgraduate diploma courses in any subject then it shall have a unit of 30 beds with two full time teachers. The ratio of number of students and recognized postgraduate teachers shall be 1:1 and in no circumstances more than three students can be admitted in a unit per year.

     iii) The requirement of units and beds as prescribed by the MCI shall not apply in the case of

    Postgraduate degree or diploma courses in Basic and Para-clinical departments. The ratio of recognized postgraduate teacher to students shall, however be maintained at 1:1 both at degree as well as diploma level.

    iv) The number of students to be admitted in case of postgraduate Super-specialty degree courses shall be one student per year per recognized postgraduate teacher in a department having a minimum of three faculty members (one Professor, one Associate Professor & one Assistant Professor and twenty beds. If the number of Postgraduate teachers in the unit is more than one then the number of students may be increased proportionately but not more than two in a unit per year in any circumstances. For this purpose one student should associate with one postgraduate teacher.

    v) There is no scope for admitting students midstream, even if seats are left unfilled in an academic year. No telescoping of unfilled seats of one academic year with permitted seats of the subsequent year is permitted. No variation of the schedule of the duration of the course, date of commencement of the course, and last date of admission to the course is permitted.

13. TRAINING PROGRAMME

    13.1. In the courses where there are clear-cut allied disciplines, the candidates will be required to spend

    specified period in each such disciplines as stipulated by the University.

    13.2. All candidates joining the postgraduate training programme shall work as full time residents during

    the period of training, attending not less than 80% (Eighty percent) of the training during each

     calendar year, and given full time responsibility, assignments and participation in all facets of the

     educational process. Each PGT should regularly sign the Attendance Registrar kept in the respective

     department.

    13.3. No private practice of any kind by the PGTs or any other attachment to any other organization by

     them is allowed, even if it is honorary.

    13.4. Each PG Trainee will be allowed leave for 15 days in each academic term.

     The academic term shall mean six months’ training period. But such leave cannot be enjoyed for

    more than ten days in a single spell and such leave cannot be carried forward to the next

    academic term. However, trainees may be allowed a continuous leave up to a maximum of 3

    months on maternity ground subject to the condition that she has an equal amount of

    accumulated leave not enjoyed earlier at her credit. Unauthorized absence from duties will be

    considered as an act of gross indiscipline and will be seriously dealt with since leave cannot be

    considered as a matter of right.

    13.5. Every institution undertaking postgraduate training programme shall set up an Academic

    Committee, under the chairmanship of a senior faculty member, which shall work out the details

    of the training programme in each specialty in consultation with other teachers of the department

    and also coordinate and monitor the implementation of these training Programmes.

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    13.6. All the training institutions shall prepare a planned and written up programme for each course and

     shall make the document available for inspection and scrutiny during visit of the University officials

    and also to the external examiners to enable them to determine the training undergone by the

    students. The training programmes shall be updated as and when required. The structured training

    programme shall be strictly followed.

    13.7. Postgraduate students shall maintain a authorized record (log) book of the work carried out by

    them, and the training programme undergone during the period of training; details of surgical

    operations, therapeutic / investigative procedures assisted or done independently by the candidate are

    to be recorded regularly. The record books shall be checked and assessed by the faculty members

    imparting the training.

    13.8. The colleges will arrange for proper training in basic medical sciences related to the Post-

    graduate and Post-doctoral courses in clinical disciplines. Thus, service of the PGT may be utilized

    in all the units/branches of the concerned department or in any other allied department, as will be

    determined by the Head of the Department/Institution.

    The colleges will arrange for proper training in applied clinical disciplines related to the Post-

    graduate and Post-doctoral courses in basic medical sciences. Thus, service of the PGT may be

    utilized in all the units/branches of the concerned department or in any other allied department, as

    will be determined by the Head of the Department/Institution.

     In all postgraduate training programmes, both clinical and basic medical sciences,

    emphasis is to be laid on preventive and social aspects and emergency care services, autopsies,

    biopsies, cytopsies, endoscopy and imaging etc. shall have to be made available for training

    purposes by the colleges.

    13.9 Besides attending the Seminars / Journal Club / Clinico-Pathological meetings / Group Discussions

    or any other teaching programme arranged by the Department, all Clinical PGTs should undertake

    the morning and evening rounds in the indoor regularly and they must also accompany the teacher-

    in-charge of the unit and the RMO. They should meticulously record case history, regular progress

    report with clinical assessment, operative notes etc. and present the report during the unit-round.

    13.10 Each clinical PGT will have to work in the Emergency Department as per roster provided to

    them by the appropriate authority.

     13.11. The postgraduate students shall be required to regularly participate in the teaching and training

     programme of undergraduate students and interns of his / her own and allied disciplines.

    13.12. Training in Medical Audit, Management, Health Economics, Health Information System, Basic

    Medical Statistics, evaluation of published research papers, human behavior studies, basic

    pharmaco- economics and non- linear mathematics may be imparted to the postgraduate students.

    13.13. Thesis / Dissertation shall be a part of the examination in the Degree courses and in the 6 year

     M .Ch. course, as a part of training in research methodology.

     13.14. Implementation of the training programmes for the award of various postgraduate courses shall

    include the followings: -

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     a) For Doctor of Medicine (M.D.) / Master of surgery (M.S.) courses

In Basic Medical Sciences:

     Lectures, Seminars, Journal Clubs, Group Discussions, Participation in laboratory and

    experimental work, Involvement in research studies in the concerned speciality and exposure to the

    applied aspects of the subject in clinical specialities shall constitute the training programme.

    In Clinical disciplines the students will be given graded responsibility in the management and

    treatment of patients; Clinical Meetings, Grand rounds, research activities, teaching of under-

    graduate students, Clinico-Pathological Conferences; practical training in Diagnostic procedures

    etc. shall constitute the training programme.

     b) For post-doctoral courses (D.M. / M.Ch.)-

     Practical training including advanced Diagnostic, Therapeutic and Laboratory techniques, relevant

    to the subject of specialization. M.Ch. Candidates, shall participate in surgical operations

    independently or as an assistant.

c) For the Diploma courses-

    The students will be given graded clinical responsibility; Lectures, Seminars, Journal Clubs, Group

    Discussions, participation in clinical and Clinico-Pathological Conferences, practical training to

    manage independently common problems in the speciality; training in the Basic Medical Sciences

    etc. shall constitute the training programme.

14. EXAMINATIONS

     The examinations shall be organized on the basis of marking system to evaluate and certify candidates’

    level of knowledge, skill and competence at the end of the training. A candidate shall have to secure a

    minimum of 50% marks in each head of passing i.e.,

    i) Theory

    ii) Viva voce examination; and

    iii) Practical / clinical examination separately shall be mandatory for passing the whole examination.

    The examination for M.S., M.D, DM, M.Ch shall be held at the end of 3 academic years (six academic

    terms), and for diploma courses at the end of 2 academic years (four academic terms), unless otherwise

    specified in the rules. For being eligible to appear in the final examination of all Post-graduate/ Post-

    doctoral courses a candidate has to attend 80% classes and, wherever applicable, his Thesis must be

    accepted. The students who are not allowed to sit for the examination may be permitted to make good the

    shortage of attendance and/ or to get his Thesis accepted by making necessary modifications/ additions.

SCHEME OF EXAMINATION

Post-graduate degree:

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Theoretical examination

     Full Marks Pass Marks Paper I Applied aspects of Basic Medical Sciences 100 50 Paper II Multiple choice question in the concerned 100 40

    subject

    Paper III Question in the concerned subject 100 40 Paper VI Questions on recent advances with special 100 40

    emphasis on concerned subject

     Sub-total for Theory 400 200

    200 100 Viva - voce

    400 200 Practical and/ or Clinical examination

    1000 500 Total

    Post-graduate diploma:

Theoretical examination

     Full Marks Pass Marks Paper I 100 50 Paper II 100 40 Paper III 100 40

     Sub-total for Theory 300 150

    100 50 Viva - voce

    300 150 Practical and/ or Clinical examination

    700 Total

    Post-doctoral degree of 3 years duration:

Theoretical examination

     Full Marks Pass Marks Paper I Applied aspects of Basic Medical Sciences 100 50 Paper II Question in the concerned subject 100 40 Paper III Question in the concerned subject 100 40 Paper VI Questions on recent advances with special 100 40

    emphasis on concerned subject

     Sub-total for Theory 400 200

    100 50 Viva - voce

    300 150 Practical and/ or Clinical examination

    800 400 Total

    Six Years’ M.Ch (Neuro-surgery)

    The examination will be in two parts-

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     Part I- after 36 months

     Part II- after 72 months

Part I examination:

    Theoretical examination

     Full Marks Pass Marks

    Paper I Applied aspects of Basic Medical Sciences 100 50

    Paper II Multiple choice question in the concerned 100 40

    subject

    Paper III Question in the concerned subject 100 40

    Paper VI Questions on recent advances with special 100 40

    emphasis on concerned subject and allied

    subjects

     Sub-total for Theory 400 200

    200 100 Viva voce

    400 200 Practical and/ or Clinical examination

    1000 500 Total

Part II examination:

    Theoretical examination

     Full Marks Pass Marks

    Paper I Applied aspects of Basic Medical Sciences 100 50

    Paper II Question in the concerned subject 100 40

    Paper III Question in the concerned subject 100 40

    Paper VI Questions on recent advances with special 100 40

    emphasis on concerned subject

     Sub-total for Theory 400 200

    100 50 Viva voce

    300 150 Practical and/ or Clinical examination

    800 400 Total

Number of candidates

     The maximum number of candidates to be examined in Clinical / practical and Oral on any day

    shall not exceed eight for M.D./M.S degree, eight for diploma and three for D.M./M.Ch

    examinations.

Number of examinations

     The university shall conduct not more than two examinations in a year, for any course/ subject,

    with an interval of not less than 6 weeks, but not more than 6 months.

EXAMINERS:

(a) All the postgraduate Examiners shall be recognized Postgraduate Teachers

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