1. Indian Medical Graduate Training Programme
The undergraduate medical education programme is designed with a goal to create an “Indian Medical Graduate”(IMG) possessing the requisite knowledge, skills, attitudes, values and responsiveness, so that she or he may function appropriately and effectively as a physician of first contact for the community while being globally relevant. To achieve this, the following national and institutional goals for the learner of the Indian Medical Graduate training programme are hereby prescribed:-
2.1. National Goals
At the end of the undergraduate program, the Indian Medical Graduate should be able to:
- Recognize “health for all” as a national goal and health right of all citizens and by undergoing training for medical profession be able to fulfil his/her social obligations towards realization of this goal.
- Learn every aspect of national policies on health and devote herself/himself to its practical implementation.
- Achieve competence in the practice of holistic medicine, encompassing promotive, preventive, curative and rehabilitative aspects of common diseases.
- Develop scientific temper, acquire educational experience for proficiency in profession, and promote healthy living.
- Become an exemplary citizen by observance of medical ethics and fulfilling social and professional obligations, to respond to national aspirations.
2.2. Institutional Goals
(1) In consonance with the national goals, each medical institution should evolve institutional goals to define the kind of trained manpower (or professionals) they intend to produce. The Indian medical graduates coming out of a medical institute should:
(a) be competent in diagnosis and management of common health problems of the individual and the community, commensurate with his/her position as a member of the health team at the primary, secondary or tertiary levels, using his/her clinical skills based on history, physical examination and relevant investigations.
(b) be competent to practice preventive, promotive, curative, palliative and rehabilitative medicine in respect of the commonly encountered health concerns.
(c) appreciate rationale for different therapeutic modalities; be familiar with the administration of
“Essential medicines” and their common adverse effects.
(d) be able to appreciate the socio-psychological, cultural, economic and environmental factors affecting health and develop a humane attitude towards the patients in discharging one’s professional responsibilities.
(e) possess the attitude for continued self-learning and seek further expertise or pursue research in any chosen area of medicine along with documentation skills.
(f) be familiar with the basic factors which are essential for the implementation of the National Health Programmes, including practical aspects of the following:
(i) Family welfare and maternal and child health (MCH)
(ii) Sanitation and water supply
(iii) Prevention and control of communicable and non-communicable diseases
(v) Health education
(vi) Indian Public Health Standards (IPHS), at various levels of service delivery
(vii) Bio-medical waste disposal
(viii) Organizational and/or institutional arrangements.
(g) acquire basic management skills in the area of human resources, materials and resource management related to health care delivery, hospital management, inventory skills and counselling.
(h) be able to identify community health problems and learn to work to resolve these by designing and instituting corrective steps and evaluating outcome of such measures.
(i) Be able to work as a leading partner in health care teams and acquire proficiency in communication skills.
(j) be competent to work in a variety of health care settings.
(k) have personal characteristics and attitudes required for professional life such as personal integrity, sense of responsibility and dependability, and ability to relate to or show concern for other individuals.
(2) All efforts must be made to equip the medical graduate to acquire the skills as detailed in
“Certifiable procedural skills” – A comprehensive list of skills recommended as desirable for Bachelor of Medicine and Bachelor of Surgery (MBBS) – Indian Medical Graduate.
2.3. Goals and Roles for the Learner
In order to fulfil the goal of the IMG training programme, the medical graduate must be able to function in the following roles appropriately and effectively:-
2.3.1. Clinician who understands and provides preventive, promotive, curative, palliative and holistic care with compassion.
2.3.2. Leader and member of the health care team and system with capabilities to collect, analyse, synthesize, and communicate health data appropriately.
2.3.3. Communicator with patients, families, colleagues and community.
2.3.4. Lifelong learner committed to continuous improvement of skills and knowledge.
2.3.5. A professional, who is committed to excellence, is ethical, responsive, and accountable to patients, community and profession.
3. Competency-Based Training Programme of the Indian Medical Graduate
Competency-based learning would include designing and implementing medical education curriculum that focuses on the desired and observable ability in real-life situations. In order to effectively fulfil the roles as listed in clause 2, the Indian Medical Graduate would have obtained the following set of competencies at the time of graduation:
3.1. Clinician, who understands and provides preventive, promotive, curative, palliative and holistic care with compassion
3.1.1 Demonstrate knowledge of normal human structure, function and development from a molecular, cellular, biologic, clinical, behavioural and social perspective.
3.1.2. Demonstrate knowledge of abnormal human structure, function and development from a molecular, cellular, biological, clinical, behavioural and social perspective.
3.1.3 Demonstrate knowledge of medico-legal, societal, ethical and humanitarian principles that influence health care.
3.1.4 Demonstrate knowledge of national and regional health care policies including the National Health Mission that incorporates National Rural Health Mission (NRHM) and National Urban Health Mission(NUHM), frameworks, economics and systems that influence health promotion, health care delivery, disease prevention, effectiveness, responsiveness, quality and patient safety.
3.1.5. Demonstrate ability to elicit and record from the patient, and other relevant sources including relatives and caregivers, a history that is complete and relevant to disease identification, disease prevention and health promotion.
3.1.6. Demonstrate ability to elicit and record from the patient, and other relevant sources including relatives and caregivers, a history that is contextual to gender, age, vulnerability, social and economic status, patient preferences, beliefs and values.
3.1.7 Demonstrate ability to perform a physical examination that is complete and relevant to disease identification, disease prevention and health promotion.
3.1.8 Demonstrate ability to perform a physical examination that is contextual to gender, social and economic status, patient preferences and values.
3.1.9 Demonstrate effective clinical problem-solving, judgement, and ability to interpret and integrate available data in order to address patient problems, generate differential diagnoses and develop individualized management plans that include preventive, promotive and therapeutic goals.
3.1.10 Maintain accurate, clear and appropriate record of the patient in conformation with legal and administrative frame works.
3.1.11 Demonstrate ability to choose the appropriate diagnostic tests and interpret these tests, based on scientific validity, cost-effectiveness and clinical context.
3.1.12 Demonstrate ability to prescribe and safely administer appropriate therapies, including nutritional interventions, pharmacotherapy, and interventions based on the principles of rational drug therapy, scientific validity, evidence and cost that conform to established national and regional health programmes and policies for the following:
(i) Disease prevention,
(ii) Health promotion and cure,
(iii) Pain and distress alleviation, and
3.1.13 Demonstrate ability to provide a continuum of care at the primary and/or secondary level that addresses chronicity, mental and physical disability.
3.1.14 Demonstrate ability to appropriately identify and refer patients who may require specialized or advanced tertiary care.
3.1.15 Demonstrate familiarity with basic, clinical and translational research as it applies to the care of the patient.
3.2. Leader and member of the health care team and system
3.2.1 Work effectively and appropriately with colleagues in an interprofessionals.
3.2.2 Recognize and function effectively, responsibly and appropriately as a health care team leader in primary and secondary health care settings.
3.2.3 Educate and motivate other members of the team and work in a collaborative and collegial fashion that will help maximize the health care delivery potential of the team.
3.2.4 Access and utilize components of the health care system and health delivery in a manner that is appropriate, cost-effective, fair and in compliance with the national health care priorities and policies, as well as be able to collect, analyse, and utilize health data.
3.2.5 Participate appropriately and effectively in measures that will advance quality of health care and patient safety within the health care system.
3.2.6 Recognize and advocate health promotion, disease prevention and health care quality improvement
Through prevention and early recognition: in a) lifestyle diseases and b) cancers, in collaboration with other members of the health care team.
3.3. Communicator with patients, families, colleagues and community
3.3.1 Demonstrate ability to communicate adequately, sensitively, effectively, and respectfully with patients in a language that the patient understands and in a manner that will improve patient satisfaction and health care outcomes.
3.3.2 Demonstrate ability to establish professional relationships with patients and families that are positive, understanding, humane, ethical, empathetic, and trustworthy.
3.3.3 Demonstrate ability to communicate with patients in a manner respectful of patient’s preferences, values, prior experience, beliefs, confidentiality and privacy.
3.3.4 Demonstrate ability to communicate with patients, colleagues and families in a manner that encourages participation and shared decision-making.
3.4. Lifelong learner committed to continuous improvement of skills and knowledge
3.4.1. Demonstrate ability to perform an objective self-assessment of knowledge and skills, continue learning, refine existing skills and acquire new skills.
3.4.2. Demonstrate ability to apply newly gained knowledge or skills to the care of the patient.
3.4.3. Demonstrate ability to introspect and utilize experiences, to enhance personal and professional growth and learning.
3.4.4. Demonstrate ability to search (including through electronic means), and critically evaluate the medical literature and apply the information in the care of the patient.
3.4.5. Be able to identify and select an appropriate career pathway that is professionally rewarding and personally fulfilling.
3.5. Professional who is committed to excellence, is ethical, responsive and accountable to patients, community and the profession
3.5.1. Practice selflessness, integrity, responsibility, accountability and respect.
3.5.2. Respect and maintain professional boundaries between patients, colleagues and society.
3.5.3. Demonstrate ability to recognize and manage ethical and professional conflicts.
3.5.4. Abide by prescribed ethical and legal codes of conduct and practice.
3.5.5. Demonstrate a commitment to the growth of the medical profession as a