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almost 7,000 post graduate medical<br />

seats, mainly in private hospitals.<br />

When contacted, Dr. Alexander<br />

Thomas, President, ANBAI, said, “The<br />

GOI 2012 gazette notification stated that<br />

both DNB and MD are equivalent. We<br />

are asking the government to follow the<br />

law.”<br />

However, the Parliamentary Standing<br />

Committee on Health and Family<br />

Welfare recommended that ‘the DNB<br />

qualification awarded by NBE shall be<br />

equal in all respects to the postgraduate<br />

degrees awarded by MCI, except in<br />

relation to teaching in medical colleges.’<br />

But ANBAI has been demanding<br />

equivalence as per 2012 notification.<br />

Dr. Sunil Sharma further said that by<br />

establishing DNB-MD equivalency and<br />

allowing DNB graduates to teach, more<br />

specialist doctors can be created and<br />

this in turn will contribute to the buildup<br />

of healthcare sector in the country.<br />

In a related development, another<br />

representative body of DNB doctors<br />

have filed an appeal to the Delhi High<br />

Court seeking equivalence. ”The Delhi<br />

High Court has already admitted our<br />

case and the next hearing is slated<br />

for October,” says Dr Jateen Ukrani,<br />

President, Association of DNB Doctors.<br />

The association is also lobbying with<br />

the government simultaneously,<br />

he added.<br />

Eligibility rules are<br />

binding: MCI<br />

Medical Council of India (MCI),<br />

on the other hand, makes it<br />

clear that the revised norms<br />

are not against DNBs teaching provided<br />

they have secured the qualification<br />

from a medical college where “teaching<br />

and learning taking place for the same.”<br />

Explaining the rationale for the<br />

additional stipulation, MCI points to<br />

the governing teachers’ eligibility<br />

qualification regulation that prescribes<br />

requirements for full-time teachers in<br />

medical colleges.<br />

“The stipulated conditions are<br />

prescribed to evoke parity from the<br />

point of view of the material fact<br />

that what is incorporated in regular<br />

MD/MS courses of three years duration<br />

Eligibility for teaching--<br />

The bone of contention<br />

including the pedagogical skills which<br />

are gained by the regular learners by<br />

teaching the undergraduate students<br />

in a medical college is missing with<br />

reference to the DNB learners in places<br />

other than medical colleges.,” according<br />

to a response issued by Dr Jayshree<br />

Mehta, President, MCI.<br />

Since the eligibility so prescribed in<br />

the regulation is binding in nature and<br />

mandatory in character, they “are not<br />

open for any waiver, condonation of<br />

concession of any type.”<br />

Setting and monitoring the<br />

standards of medical education through<br />

The ongoing controversy on DNB equivalence started<br />

when the Medical Council of India (MCI) revised its<br />

Minimum Qualifications for Teachers in Medical Institutions<br />

Regulations in June 2017. The requirement now is that<br />

doctors who have completed their DNB from institutions<br />

not recognised by MCI, such as private hospitals,<br />

need to complete three years of junior<br />

residency and two years of senior residency, if<br />

they wish to qualify for the post of an assistant<br />

professor in a teaching institute. It implies that DNB doctors<br />

need an additional five years of service experience if they<br />

want to have a career in a medical college.<br />

DNB doctors found the new norm a major impediment<br />

to find a teaching job soon after qualifying for the diploma.<br />

The new standards also cast doubts on the eligibility of<br />

those DNB members who are already working as faculty.<br />

DNB doctors maintain that teaching is an integral<br />

aspect of their curriculum and the MCI has acted unilaterally<br />

without consulting them or the health<br />

ministry. The Ministry of Health has made it<br />

clear that DNB is equivalent to MD/MS through<br />

notifications. However, the MCI is continuing with its<br />

policy, they allege.<br />

<strong>SEPTEMBER</strong> <strong>2018</strong> / FUTURE MEDICINE / 43

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