Continuous Rotatory Medical internship

PPT on New gadget notification for Medical internship 2021. Also having SMBT, IMSRC Policies & SOPs of Internship monitoring committee

1. Continuous Rotatory Medical Internship Dr. Amit Gujarathi Central Internship Monitoring committee SMBT,IMSRC Nashik

2. National Medical Commission (Compulsory Rotating Medical Internship) Regulations, 2021. Internship to be an integral part of undergraduate medical education. No medical graduate shall be eligible to permanent registration to practice medicine in India unless he undergoes the compulsory rotating medical internship in India as provided in Schedule II. Duration and Period of Internship – Not less than 12 Months completed within a period of two years from the date of qualifying credentials to pursue compulsory rotating medical internship .

3. National Medical Commission (Compulsory Rotating Medical Internship) Regulations, 2021. Quality of internship – Mentors in each department who will conduct active supervision of internee on said essential (Practical) skills and also certify at the end of posting. ( Qualified Mentor ONLY ) The Dean/ Principal/ Director or any other equivalent authority shall be responsible for implementation of these Regulations. Defined terminologies- Logbook, Mentor, University, Scheduled, Intern, Permanent registration etc

4. Definitions “Permanent Registration” - registration of eligible persons with a duly recognized primary medical qualification as regulated under the provisions of Chapter VI of the Act, that provides license to an individual to independently practice modern scientific system of medicine or allopathy in India; “Primary Medical Qualification” - means a medical graduation degree, such as, Bachelor of Medicine and Bachelor of Surgery (MBBS) conferred in India or an equivalent qualification of any country other than India or an erstwhile licentiate qualification of India granted under the Indian Medical Council Act, 1956 (102 of 1956), which are in force as on the date of commencement of the Act that continues to be in force till the date of their expiry for all purposes, as if they had been issued or granted under the provisions of the Act or the rules or regulations made there under;

5. Duration of CRMI Minimum period of 12 Months, to the satisfaction of college and University concerned after passing final MBBS Exam/ National Exit Test ( NExt ) To be completed within two years of passing the final MBBS or Foreign Medical Graduate Examination (FMGE) or NExT Step-1 examination, whenever in force

6. Duration can be extended .. Not sufficient attendance Any unforeseen exigency situation in country notified by GoI or competent authority Temporary curtailment / Cancellation/ suspended candidates by college of University Not willing to pursue CRMI Indiscipline Non eligible students for CRMI Professional misdemeanour or misconduct Acts or action which violets law of land

7. Leaves during CRMI Total 15 casual leaves Medical leaves can be included under these casual leaves Any extra medical leaves need certification from College Medical Board The entire period of fifteen days cannot be availed during any of the one week or two weeks posting s applicable to a single department or specialty Maternity leaves – as per Norms of GoI Paternity Leaves – 15 Days

8. Eligibility criteria for completion of CRMI 1- Indian Medical gradates 2. Foreign Medical Graduates

9. 1- Indian Medical Graduates S uccessfully completed the MBBS course of any University from a college or institution approved and recognized by the Commission and listed by the Undergraduate Medical Education Board Passed Final MBBS examination NExT Step- 1 whenever they come in force

10. 1- Indian Medical Graduates Any other requirement which can be notified by NMC or GoI in future CRMI to be done in college in which they completed their MBBS – NO EXTERNSHIP Students completed MBBS from Armed force Medical college - One year of approved service will be considered as as pre- registration training ( NExT Step 1) provided… These 1 year service to be done in base hospital/ General hospital Community medicine should be as per NMC rules only However NExT Step 2 is compulsory for ALL

11. 2. Foreign Medical graduates R equired to undergo internship at par with Indian Medical Graduates if they desire to seek Permanent Registration to practice Medicine in India. R equired to undergo CRMI at par with Indian Medical Graduates after the National Exit Test Step-1 after NExT becomes operational R equire to complete a period of Internship shall do so only in medical colleges or institutions approved for providing CRMI to Indian Medical Graduates;

12. 2. Foreign Medical graduates May be posted first in colleges which have been newly opened and have yet to be recognized; May be posted to different medical colleges or institutions through a counseling or seat allocation process based on the merit ; Medical colleges or institutions may allow up to 7.5 per cent of their permitted quota of interns to accommodate internship by Foreign Medical Graduates.

13. Mandatory Exclusive Posting ( 48 weeks) Sr. No Posting Duration 1 Community medicine 12 weeks ( 3 Weeks each in General medicine, Surgery, OBGY in district Hospital/Taluka Hospital/ RH/ CHC/ PHC/ RHTC/UHTC ) & 1 week in Community Medicine 2. General Medicine 6 Weeks 3. Psychiatry 2 weeks 4. General surgery 6 weeks 5. Anaesthesiology & Critical care 2 weeks 6. Pediatrics 3 weeks 7. OBGY 7 weeks 8. Orthopedics with PMR 2 weeks 9. ENT 2 weeks 10. Opthalmology 2 weeks 11. Eemergency / Trauma/ Casualty 2 weeks 12. Forensice Medicine 1 week 13. Dermatology 1 week

14. Electives exclusive ( 4 weeks) 1 Broad Specialties Group 4 weeks total; 2 weeks minimum Respiratory Medicine and Directly Observed Treatment Short Course in Tuberculosis (DOTS-TB) Center • Radio diagnosis • Lab Medicine • Geriatric Medicine 2 Indian Systems of Medicine 1 week May choose any: • Ayurveda • Yoga • Unani • Siddha • Homeopathy • Sowa Rigpa Distribution for electives: A - Major broad specialty: One minimum for 1 week - Remaining 3 weeks- Any broad specialty or 2 weeks for broad specialty and 1 week for AYUSH B

15. CURRICULUM AND SPECIALITIES OF CRMI Every department Intern has to observe, learn & do the ceratin skills HoU /HOD/ mentor should see to it they achieve and acquire this minimum skills MBBS graduates should do Department wise List of goals and competencies have been describe in documents

16. Exposure of interns is mandatory in the following relevant areas during post Laboratory Medicine and Clinical Biochemistry; Histopathology and Cytopathology; Hematology, and Transfusion Medicine / Blood Bank; Microbiology (including Virology); Hospital Infection Control, Biomedical Waste Management, Central Sterile Supply Units; Medical Record Keeping; Hospital Information Services.

17. CERTIFIABLE PROCEDURAL SKILLS Comprehensive list of skills recommended as desirable for Bachelor of Medicine and Bachelor of Surgery (MBBS) – Indian Medical Graduate that should be included in log books

18. CERTIFIABLE PROCEDURAL SKILLS

19. CERTIFIABLE PROCEDURAL SKILLS

20. CERTIFIABLE PROCEDURAL SKILLS

21. MENTOR A mentor for intern shall possess postgraduate qualification in the subject concerned Shall be duly certified as a mentor for interns by Professor and Head of the Department concerned.

22. ASSESMENT M aintain a record of work in a log book , which is to be verified and certified A ssessment and evaluation of training shall be undertaken by an objective approach at the end of posting A ssessments shall predominantly test clinical/ practical skills Feed-back mechanisms – Early and during posting Based on the record of work and objective assessment at the end of each posting, the respective Head of the Unit and Head of the Department shall certify satisfactory completion of the posting. The Dean/Principal shall issue cumulative certificate of satisfactory completion of training at the end of internship. Interns shall have to undergo an eligibility licentiate test/ NExT step-2 whenever duly notified as a requisite to granting of Permanent Registration/ license to practice.

23. STIPEND A s fixed by the appropriate authority applicable to the institution/ University or State Stipend may not be paid during any period of extension except in the case of maternity or paternity leave or medical leave, as may be recommended and approved by the Medical Board Total stipend paid for the entire internship may be for fifty-two weeks (Twelve months) only

24. Training Internship training shall be supervised Interns shall be given adequate opportunities to acquire competencies to become confident primary care physicians Interns shall be mentored to acquire effective communication and other skills that are necessary for empathetic and compassionate clinical care. Each medical college must ensure that the intern gets learning experience in the community

25. Sample logbook

26. Sample assessment and feedback form

27. Sample assessment and feedback form

28. Policies & SOPs of Internship Monitoring committee SMBT, IMSRC Nashik

29. SOP 1 - To carry out smooth induction training of MBBS graduates Preparations of Rotatory Master time table (365 days) for Interns Conduction of Five-day internship Orientation Program as per rules & Regulations of MUHS, Nashik Guiding interns for getting Provisional MMC registration in time

30. SOP 2- Framing General rules and regulations Framing general rules & Regulations for internship within guidelines of MUHS, Nashik Framing rules & regulations for Transfer out of internship

31. SOP 3 – Smooth co-ordination between department Appointment of one designated faculty in each department Creation of Evaluation team in each department for evaluating whether interns has performed the duties and has learned basic/ essentials skills in respective subjects during their internship Conducting Regular meeting with all departmental coordinators to address the problems in implementation of master time table Submission of absentee report & interns’ evaluation report to Internship Monitoring committee Framing rules of extension posting due to physical absentee and poor performance

32. SOP 4 Addressing the grievances of Interns To encourage interns to report grievances as when they arise through established channel Transfer the grievances to Grievance redressal cell for their further processing and redressals Implementing the verdicts of Grievance redressal cell through chair person

33. SOP 5 - escalation policy for the purpose of early detection of absence & poor performance . To carry out early detection & remedial measures for absence To carry out early detection & remedial measures for poor performance

34. SOP 6 – Framing and adopting flow chart for getting ICC from College/MUHS, Nashik To provide guidance to interns for submission all relevant documents to MUHS, Nashik To provide guidance to interns who willing to obtain completion certificates on an urgent basis/By hand

35. 8. Getting outward Number, Signature of Dean on Logbook for Getting final College Internship Completion certificate 1. Issuing No dues certificates from all heads of SMBT,IMSRC 2. Verification of Dates of Posting and verification of Intern’s Log book 3 . Filling details on Annexures I,II,III 4. Filling College feedback & Alumni association form 5 . Getting Outward number and signatures of HOD Community Medicine in Logbook and Annexures I, & III 9. Submitting all required documents to MUHS Nashik for getting University Internship Completion certificate 7. Verification of documents by student section 6. Submitting whole documents with logbook to student section Flow chart of issuing/acquiring ICC

36. Thank you