partii - pakistan medical & dental...

REGISTERED No. M-302

EXTRAORDINARY

PUBLISHED BY AUTHORITY

KARACtH,THURSDAY, JANUARY 26, 2012

PART II

Statutory Notifications containing. Rules and Orders issued by allMinistries and Divisions of the Government of Pakistan and

their Attached and Subordinate Offices andthe Supreme Court of Pakistan

GOVERNMENT OF PAKISTAN

MINISTRY OF NATIONAL REGULATIONS AND SERVICES

NOTIFICATION

Islamabad, the 5thJanuary2012

S.R.O.26(KE)/2012:

in exercise of the powers conferred by sub-section (1) of section 33 of theMedical and Dental Council Ordinance, 1962. (XXXII of 1962), the Medical andDentc:1iCouncil, with the' previous sanction of the Federal Government,. is pleasedto make the following regulations, namely:-

PART-!INTRODUCTION

1. Short title and commencement. - (1) These regulations may becalled the Medical and Dental Institutions (recognition,. eligibility criteria forenhancement in annual admissions and accreditation standards) Regulations,

2012.

(41)Price Rs. 40.00

42 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012r.',' •..•

[PART II

(2) They shall come into force at once.

2. Definitions.- (1) Unless there is anything repugnant in the subject orcontext,-

(a) "Appendix" means an appendix to these regulations;

(b) . "BOS" means basic dental qualificatiOn; .'

(c) "dental student" astudent enrolled in the BOS and registered by theCouncil under the Pakistan Registratior) of Medical and DentalPractitioners Regulations2008; ..

. .

(d) "governing body" means theiQoverning body Of a public institutionconstituted uriderthe Medical Colleges. (Gover[ling Bpdies)'Ordinance, 1961 (XIII of 196t) .•

(e) "institution" means any college or institution within Pakistan recog-nized under the Ordinance which trains for,orgrants C?rboth trains. for and grants, degrees' or diplomas in dentistry' or medicine alongwith its affiliated teaching hQspital;and

(f) "M8SS" means basic medical qualification;

(g) "medical student".a studentenrolled in MBBS and registered by the'Council under the Pakistan Registration of Medical and DentalPractitioners Regulations 2008;

(h) "Ordinance" means the Medica! and Dental Council Ordinance,1962 (XXXII of 1962).

(2) . .The terms used but not defined herein shal.lhave the samemeanings as are assigned to thernunqertheOrdinance.

PART-IIPROCESS OF. RECOGNITION AND ENHANCEMENT OF SEATS

3. Recognition of a new institution.- (1) An institution, desirous of newrecognition under the Ordinance and regulations made thereunder, may apply forsuch purpose to the Federal Government on the prescribed application form asset out in Appendix-.!. The institution may apply initially for recognition with per-mission for admission of one hundred MBSS students annually or fifty BDS stu-dents annually only, as the case may be, irre~pective of the additiohal facilitiesavailable.

(2) On receipt of applicationJor recognition with permission for admission of stu-dents by a new college, the Federal Government shall refer the case to the Council;which shall proceed as per stages of processing of recognition set out in Appendix-II.

PART III THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 43

(3) The new institution shall forNard three proposed names in ord,er of itspreference to the Council which shall be considered by the Executive Committeeand one approved name and abbreviation shall be communicated to the institu-tion for adoption.

(4) No Student shall be admitted before recognition of the institution, and theInstitution shall, at the time of application for recognition, certify that it has notadmitted students in the proposed institution. .

(5) After due process of accreditation as set out in Appendix-II, theFederal Government shall grant recognition to the institution in terms of theOi'dinance and regulations m",de thereunder.

4. S<:oring parameters 10r recognition.- The institutions shall be inspect-ed on the standa.rdsapplicable at the time of inspection and not at the time of ren-dering application- and shall be scored -on the basis of the facilities available as.setout in Appendix-III. The inspection reports and the score shall be for the con-sumption of the Executive Committee. -

5. Renewal of recognition.- (1) The renewal and continued recognition ofan institution is subject to verification of the fulfillment of provisions of theOrdinance and regulations made thereunder. It shall.be the responsibility of theinstitute to apply to the Council six months prior to next scheduled visit (Appendix-VIII) for the purpose of maintaining continuation of recognition. This process maycontinue till completion of establishment of the institution, expansion of hospitalfacilities thereof and till first batch of students graduate. Thereafter a comprehen-sive inspection may be made after every five years. However the President of theCouncil may order a surprise comprehensive inspection of any institution at any

time.

(2) Any failure to comply with these regulations shall result in derecognition-ot the institution in the prescribed manner.

6. Enhancement of annual admissions.-After two years of recognition andonce the students are in third year, a recognized institution may apply to theCouncil for increase in its annual admissions and continuation of recognition in'fulfillment and in accordance with the provisions ofthe Ordinance and regulations

made thereunder.

7. Limitation on annual admissions.- (1) Number of annual admissionsshall be determined by the Council after inspecting the facilities available in accor-dance with these regulations.

(2) A medical institution in public sector shall not have more than three hun-dred and fifty students annually and a medical institution in private sector shall nothave more than one hundred and fifty students annually irrespective of the facili-

ties available.

(3) A dental institution in public sector shall not have more than hundred studentsannually and a dental institutior, in private sector shall not have more than eighty

44 THE GAZETTE OF PAKISTAN, EXTRA., JAN.UARY 26, 2012 [PART"

students annually if it is a stand alone college and seventy-five students annual-ly if it is with a medical college as well, irrespective of the facilities available.

PART-IVLEGAL REQUIREMENTS

8. University affiliation.- (1) On forwarding the application for recognition ofthe institution, the university hailing territorial jurisdiction shall provide a certificateof provisional affiliation addressed to Federal Government bearing the conditionthat it shall grant full affiliation upon approvalofthe institution by the Council.

(2) The application may then be forwarded by the Federal Government whichshall be analyzed by the Executive Committee for approval of university affiliation ..Further process of inspection shall only prbceed if the university is accepted bythe Executive Committee for affiliation of the institution. If the ExecutiveCommittee does not accept the university to affiliate an institution, it shall recordits reasons for such decision. The University shall be informed and shall be givenan opportunity for c1arificatibn or rectification of the reservations made by theExecutive Committee and, if still required, then institution shall have one monthtime to get .affiliation from another University. In case of refusal of affiliation by theExecutive Committee, the institution may refer the case for reConsideration with-in thirty days to the Council. .

(3) The annual seat allocation for admission made by the Council for the insti-tution shall be strictly adhered to by the University"

(4) After recognition if.any institution wants to change its university affiliationfor any reason, it shall apply to the Executive Committee for inspection under thenew university. If allowed by the Executive Committee inspection of the institutionunder the proposed university shall ensue and the result thereof shall be placedbefore the Executive Committee. '

9. Ownership of medical institution.~ (1) The title of the ownership olthemedical college arid the hospital shall vest in the name of any of the following per-

sons, namely:-.

(a) body corporate registered under the relevant laws of companies or soci-

etiesor trust;

(b) Federal Government or Provincial Government or Local Government;

(c) Pakistan University; and

(d) public religious or charitable trust registered under the relevant law.

(2) For training of one hundred medical students annually, the applicant shallown or shall possess byway of thirty three years lease, a suitable plot of land onwhich the college and hospital is built according to the covered area as set out inAppendix-IV with surrounding open area in each.

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PARTII) THE GAZETTE OF PAKISTAN, EXTRA:, JANUARY 26, 2012 45w (3) The medical institution is required to have five hundred bedded teachinghospital to tram one hundred MBBS students of which a minimum of one hundredand fifty bedded multidiscipline hospital with infrastructure and facilities as set out

• in Appendix V and VI is to be owned and managed bythe college at the time ofapplication for recognition. Rest of the requirement of hospital and teaching bedsmay be met by a public-public or private-private or public-private partnership.

10. Ownership of dental institution.- (1) The title of the ownership of thecollege and the hospital shall vest in the name of any of the following persons,

namely:- .

(c) Pakistan University; and

(d) public religious or charitable trust registered under the relevant law.

(a) body corporate. registered under the relevant laws of companies ordi-nance or societies or trust;

(b) ,Federal Government or Provincial Government Or Local Government;

(2) For training of fifty BDS students' annually, the applicant shall own or shallpossess by way of thirty three years lease, a suitable single plot of land on whichthe college is built according to the covered area as set out in Appendix"IV with

surrounding open area in each.

(3).A recognized dental institutiori shaHown and manage a hospital havingtwenty beds each in general surgery, general medicine and oral and maxillofacialsurgery and may have not less than seventy-five dental operatoriesor units withihfrastructural facilities and 'capable of being developed into.a one hundred andtwenty-five dental operatories or units teaching institution intwo years, in supportwhereof a development plan is required to be submitted.

11. Sub~campus or branch.- The recognitior'rgranted shall be restricted toa specified plaGeand campuS and for particular course of MBBS orBDS. No'sub-campus or branch shall be established,unless separately recognized under theOrdinance or the regulations made thereunder.

14. Partnership.- An institution may undergo partnership with other hospi-tals,in addition to their own hospital in pursuance of sub-regulation (3) of

13. Separate college and hospital buildings.- The medical or dental col-lege shall.be a separate purpose built facility.separate from.the hospital.

12. Existing institution.- Within three years of commencement of these'reg-ulations, all existing recognized institutions shall fully conform to these regula-tions. Existing recognized medical institutJonestablished in rented buildings andnot having own hospital shall build their own college building and a minimum of'one hundred and fifty bedded multidiscipline hospital out of the five hundred bedsrequirement within this time. Any institution failing to do Soshall be derecognized

in the prescribed manner.

.:1.6 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PARTIIregulation 9 or as the case may be sub-regulation (3) of regulation 10, andengage them as teaching hospitals with it by executing an agreement of a mini-mum of ten years duration with a notice period of three years, duly registeredunder the relevant law and this has to be submitted along with application. The

. affiliation agreement is required tobein the form of declaration before a first classmagistrate and shall have required formalities addressing all facets of workingbetween the college and the attached or affiliated hospital clearly spelling out thestudent training arrangement The Council shall be informed of anticipatedchanges in affiliation agreements, however, the agreement shall, which shallamong other conditions, contain,-

(a) defined responsibilities of each party related to the educational programfor MBBS and BDS students;

(b) clauses assuring student and faculty access to appropriate resources forMBBS and BDS student education;

(c) any incentive to employees and slaff of the affiliated hospital like subsidyin tuition fee and scholarships for their children, allocation of seats etc;

(d) any financial settlement between the two parties including remuneration,capitation fee, financial compensation to students in case of closure ofcollege, investment in infrastructure and equipments etc; and

(e) that the medical and dental college shall have absolute control over theacademic and administrative affairs of the hospital under this agreement.

15. Financially stability.- (1) It has tobe demonstrated that the institution isfinancially stable and has the ability to sustain a regular functioning and efficientworking. The applicant shall provide two bank guarantees in the favour of Councilvalid for a period of five years from scheduled Pakistan commercial banksapproved by the State Bank of Pakistan having AAA rating, one for the collegeamounting to rupees twenty million and one for the hospital amounting to rupeesthirty million:

Provided that the above conditions shall not apply to the person who is Federalor Provincial Government if they give an undertaking and proof to provide fundsin their annual budget plans regularly for smooth functioning of th'e institution.

(2) Fee from students prescribed by the Council shall be strictly adhered toand any overcharging or demand for donation from students shall be considereda violation and shall merit derecognition. Fee from the students shall not be theonly source for running the college and reliance onl3tudent tuition shall not be sogreat that the quality of the program is compromised due to lack of finances. Inthis regard,--

(a) the institution shall furnish such reports, returns and other information asthe Council may require, enabling it to judge the financial sustain ability;

(b) the Institution as well as the University, shall prior to enrolling students,

PARTII] THE GAZETTE OF PAKISTAN, EXTRA., JAI\iUARY 26,2012 47

establish an endowment fund 01 a! least rupees ten million for deve!O~-ment and enhancing the quality. of education. The endowment func] sf1a!1have an increase at a minimum rate of three per cent annua:iy: and

(c) at the commencement of operation of the institution, the working capitalof at least rupees twenty million needs to be with the institution for smoothfunctioning of ihe affairs of institution.

PART-VSITE AND INFRASTRUCTURE

16. College building.- (1)The college shall have the infrastructure as set outin Appendix-IV and shall, among other things, include offices for faculty, adminis-trators and supporting staff, laboratories and other space appropriate for the con-duct of research, students' classrooms and laboratories, lecture halls sufficientlylarge to accommodate a full year's class and an auditorium sufficiently large toaccommodate the entire student and faculty body.

(2) There shall be adequate space for student's use, including space for stl.!-dent's study, comfortable seating space in the campu~, space and equipment forlibrary and information access and space and equipment for the humane care ofanimals when they are used in teaching or research.

(3) The site selected for the institution has to be suitable and sustainablefrom an academic point of view and has to be easily accessible to students andgeneral public. Site characteristics and availability of external linkages, topogra-phy, plot size, permissible floor space index, ground coverage, building height,road access, availability of public transport, electric supply, water supply, sewageconnection and communication facilities shall be adequate and appropriate anddetails thereof shall be supplied to the CounciL at the time of submission of appli-cation for recognition.

(4) The institution shaH have a fully functional well stocked library, weilequipped laboratories, museums, dissection halls, lecture and tutorial halls, wellequipped teaching hospital with sufficient requirement and hostei facility forboarding students, if any.

(5) The institution shall take necessary and adequate measures and deploynecessary equipment to ensure security of site, faculty, staff and students.

17. Affiliated teaching hospital.-(1) To train hundred medical students, iheinstitution shall have a ratio of five beds to one student admission per year.

(2) Clinical resources in the attached teaching hospitals may be sufficient toensure breadth and quality bedside teaching. Th'ey include adequate numbersand types of patients (case mix, age, gender, etc) as well as physical resources.The hospital may have appropriate instructional facilities. and informationresources, including areas for individual student's study, for conferences and forlarge group presentations (lectures). .

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48 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PARTII(3) College and hospital shall be situated in the same city and district and the ~

attached teaching hospital may not be more than 1'9nty-five kilometers from thecollege.

(4) No two colleges shall share a teaching hospital irrespective of bedstrength of the hospital.

(5) Sufficient information resoiJrces, including library holdings and access toother library systems shall be provided in the Hospital

.,(6) In each teaching hospital fifty per cents of the beds shall operate free for

accommodation and consultation, while treatment expenses including laboratoryservices, medicines and supplies, if any; shall be charged from the patients anano-profit basis..

(7) Out of two hundred and fifty marks, sixty percents may be given to the'hospital facilities as set out in Appen9ix-V. Bed distribution and units are setoutin Appendix-VI.

18: Structural modifications and suggestions' by the ~CounciL- TheCouncil office,may suggest structural modifications or improvements which shall ~be binding on the institution. . .

PART-VIGOVERNANCE

19. Governing Body;- The governance of a public institution shall be undercontrol of the governing body and in conformity with the provisions of the MedicalColleges (Governing Bodies) Ordinance, 1961 (XIII of 1961) and the regulationsmade thereunder. The Private institutions may have their own composition of theGo~erning body but private institutions shall take guidance from the (GoverningBOdies)Ordinance, 1961 (XIII of 1961) in all other matters and adopt them selec-tively. The governing board shall be responsible for oversight of the medical anddental institution. Administrative officers and faculty are to be appointed by, or onthe authority of, the governing body ofthe institution or its parent university.TheGoverning body may give the Principal or Dean or Vice Chancellor appropriatefinancial autonomy, authority and control over the college and its attached teach-ing hospital, so that hecan function as the chief executive of the institution.

20. Principal or Dean or Vice chancellor.- The chief official of the institution ~shall usually holds the title "Dean," or "Principal" or " Vice chancellor" and shall beappointed as per Council's eligibility criteria. He shall have financial autonomy, asdecided by the governing body. He may have authority and control over theattached teaching hospital and may function as its chief executive also. He shallhave ready access to the university authorities and the governing body and otherofficials as are necessary to fulfill the responsibilities of the dean's or Principal'soffice. There shall be clear understanding of the authority and responsibility forinstitution's matters along its hierarchy. He shall be responsible for discipline inthe colleges and shall take steps to prevent harassment of faculty and studentsand ensure that there is no ragging. He shall ensure thatthe faculty and students

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PART II] THE GAZEtTE OF PAKISTAN, EXTRA., JANUARY 26. 2012 49

get opportunities and tima for research. H'e shall ensure development of facultyby making available appropriate opportunities. He shall be responsible for ensur-ing compliance of all Council's 'regula~ions and for the supply of correct informa-tion as and when required by Council. Any default fn his duties, once reported byCouncil to the governing'body,shallmake him un-suitable to hold office. The gov-erning body shall then appoint a new "Dean," or "Principal" or " Vice chancellor"as the case may be, after due process.

21. Acad,emic Council.- A commiUeeknown as Academic Council shall beformed in the institution. The Principal shall be the Chairman of the Academiccommittee or council and other members shallinc!ude all the Professors andhead of the Teaching units. keeping in view the approved curriculum of theCouncil, the Academic Council shall determine institutional academic policies,curricular delivery techniques and shall be responsible to determine a,nd prOVidescenaribs and appropriate patient access with clear learning objectives in each.discipliri~ and shallfunctionas asupervisory and .oversight body. The AcademicCouncil shall meet often enough for allmembers'ofthe Academic Council to have.the opportunity to participate in the discussion about academic policies and prac-

tices.

22. Study boardS and Curriculum Committee.- Study Boards and curricu-lum committee shall be formed by the institution to ensure that there are mecha-nisms for direct faculty involvement in decisions related to the educational pro-gram and lis delivery and evaluation.

23. Role of Faculty.- In the relationship between the institution and itsclini-cal attiliates. the educational program for MSBS and BDS students are to remainunder the cohi.rol of me iristitution's faculty and shall be responsible for work relat- 'ed jo student admiSSion , .curriculum development and evaluation and ,studentpromotions. Faculty members shall be involved in decisions about any other mis- 'sion-cri!icalareas specific to the institution

24. Hole of departments and their annual Report.- AIL departments sha!1contribute fully towards academics and all facets of l"T)edicaland dental educaiion.and the institution shall publish a list of its faculty on. its official website arid pub-lish an annual report of all its. activities, containiog separate chapters by eachdepartfTlent and provide a copy of the same to the CouncIl.

PART-VIIFACULTY

25. Faculty registration.- The faculty shall be as defined in the PakistanRegistration of Medical and Dental Practitioners Regulations, 2008 and appoint- -ed in accordance with the regulations of the Council. The faculty shall be regis-tered with Council and only that registered faculty shall be acceptable as faculty.The fi1culty shall display his valid faculty registration card on his person and copyof his Council registration certificate at his place of duty,

50 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PART II

26. Faculty Objectives.-(1) The Institution's faculty shall understand anddeliver the objectives 'of the educational program accor-ding to the curriculum laidGown by the Council. The object~ves are to serve as guide for delivery of the Cur-riculum content and provide the basis for evaluating the effectiveness of the edu-cational program in order to achieve the defined competencies of the graduatesas laid dov>In by the Council.

(2)' The objectives of the educational program are to be stated in outcome- .based terms that allow assessment of student progress in developing the compe-tencies that the Council and the public expects out of a' registered practitioner.The academic council shali exercise oversight to assure that the faculty definesthe types of patients and clinical conditions that students have to encounter, theappropriate clinical setting for the educational experiences and the expected levelof student responsibility. The faculty has to monitor student experience and mod-ify it as necessary to ensure that the objectives of the clinical education programare met. The objectives of the educational program have to be made known to.allMBBS and BOS students, the. faculty and others with direct responsibilities forMBBS and BOS student education. . .' .

27. Service policies and career planning and progresSion.- (1) In the pn-vate sector no faculty shall be over the age of seventy years unless granted sta-tus of Professor Emeritus by the affiliating University. There shall be clear policies'and terms and conditions of service for faculty appointment, renewal of appoint-ment, promotion and progress, granting of tenure, and dismissal. These policiesshall be clearly communicated to the faculty at the time ofappointment. On regu-lar intervals, faculty members are to receive written information about theirresponsibilities, lines of communication, privileges and benefits, if relevant, andthe policy on institutiomil practice earnings. An institution shall have policies thatdeal with circumstances in which the private interests of faculty members or staffmay be in conflict with their official responsibilities.

(2) The institution ShClIlprovide the faculty regular feedback on its academicperformance and their progress toward pr<~motion. Feedback shall be based oninformation provided by students, departmental leadership or, if relevant, otherinstitutional leadershiD. Opportunities for professional development are to be pro-vided by the institution to enhance faculty rnembers' capacity and skills and lead-ership abilities in education and research. The institution and University shallensure registration of its faculty with the Council and submit to the Council the. details of available teaching staff with documentary evidence a! their' appoint-ment, income tax deduction certificClte and place of previous appointment andresignation (in case he has been in any other institution previously). Female fac-ulty shaH have flexible timings, which shall be communicated to the administrationfrom time to time

(3) Health insurance is to be made avai!able to all faculty by the institution,and the faculty shall have access to disabi1ity and communicable disease insur-ance ber.iefits if the same is picked up during employment. Institution shall havepolicies addressing to prevent faculty exposure to infectious and environmentalhazards. Institutions shall follow accepted guidelines in determining appropriateimmunizati.ons for faculty.

PARTII] THE GAZETTE OF PAKISTAN, EXTRA .. JANUARY 26,2012 5128. Number, qualifications, and functions of the faculty.~ .The recruit-

ment and development of an institution's faculty shall take into account i.ts mis-sion, the diversity of its student body and the population that it serves. The num-ber of faculty members and ancillary staff in the subjects of basic sciences and inthe clinical disciplines, to meet the needs of the educational program and theother missions of the medical institution, shall be as set out Appendix-VII. Indetermining the number of faculty needed for the educational program, institu-tions shall consider that faculty may have service .responsibilities other than it,eacademic program as in the clinical sciences, the number and kind oi facultyappointed shall also relate to the amount of patient care activities required to con-duct meaningful clinical teaching across the continuum of medical and d~ntal'edu-catiori. Persons appointed 1::-}a faculty position have to demonstrate achieve-ments commensurate with ti,eir academic rank. A faculty member or consultantwho attends duty or call after midnight shall not be. required on duty next daybefore midday. '

,29. Effective teaching.- Effective teaching requires knowledge of the disci-pline and an understanding of curriculum design an'd development, evaluation,and methods of instructipn, Faculty member.s involved in teaching, course plan-.ning and curricular evaluation shall possess or acquire expertise in teachingmethods, curriculum de.velopment, program evaluation, and student evaluation.Such expertise may be supplied. by a department of medical and dental educationor by faculty or staff members with backgrounds in educational science. Facultyinvolved in the development and implementation of a course shall be able todesign the learning activities and corresponding evaluation methods (student andprogram) in a manner consistent with the institution's stated eoucationaiobjec-tives and sound educational principles. Community physicians aiding the facultyshall serve as role models for students, and provide insight into contemporarypractical methods of providing patient-care. Faculty members shall have a com-mitment to continuing scholarly productivity characteristic alan institution of learn-ing. To ensure adherence to the standards of the Council, the following amongstothers, shall be the parameters, namely:-

(a)' documented participation ot' the faculty in professional developmentactiv- 'ities related specifically to teaching and evaluation; and

(b) evidence that faculty members" knowledge of tt)eir ci13cipline is current.

PART-VI!ISTUDENT AF:=AIRS

30. Admissions and studentship.-Admissions shall be on open merit and asper Council's regulations on the subject. All prescribed quotas shall be adjustedstrictly within the seats allocated by Council for annual admission and shall meetCouncil's admission standards. Screening for infectious communicable diseasesshall be done before admission ar!d persons 'having such diseases shail not beeligible for admission. In the admissionsprocess and throughout study in the Insti-tution,there shall be no discrimination on the basis of gender, regional orienta!ion,age, race, creed, or national origin. Migration and student exchange policy shallbe 8.S laid down in the Pakistan Registration of Medical and. Dental Practitioner

52' THE GAZETTE OF PAKISTAN, EXTRA, JANUARY 26, 2012 [PARTIIRegulations, 2008. All stude'nts shall display their Council's student registrationcards while in the institution. . . .

31. Academic and careercounseling:- The system of academic advice to, . ,

students shall integrate with the efforts of faculty members, course directors, andstudent affairs officers and the institution's counseling and tutorial services, Thereshall be a system in place to assist students in career choice and entry to post-graduate programs.

32. Financial aid counseling and resources.- An institution has to providestudents with eftectivefinancial aid and debt managementcounseling, The insti"tution shall have mechanisms in place to minimize the impact of direct education-al expenses on student indebtedness. Institution shall follow Council's policy for'the refund of tuition fees, and other allowable payments if suchan eventualityarises. In case of any dispute regarding refund of fee, the case shall be present-ed to the Registrar for decision whose decision thereon shall befinal arid bindingon both parties. (2) To a minimum of five percentstiJdents in a Rrivatecollege, theInstitution shall provide scholarShip orreductioninfeeor free education to select-ed deserving student with good academic record as determined by scholarshipAwarding Committee of the Council which shall coopt a member from the con-cerned institution while'.decidingitscases; " .

33. Student complaints, health services andper!,onal cOIJnseling.-Eachi6stitution shall have an effective system of p9l"sonalcounseling for its studentsthat includes progjrams to promote the well-being of ~tudents, redress of theirgrievances and complaints and facilitatioA of their adjustmentto the physical andemotional demands of institution. All complaints by students shall be put upto thePrincipal or Dean for disposal. MBBSand BDS students shall have access to pre-. .

ventive and therapeutic health services. The health. professionals who provide _psychiatric or psychological counseling or other sensitive health services toMBBS and BDS students shall have no involvement in the academic evaluation..or promotion of the students receiving those services._Health insurance is to bemade available to all students by the institution , and all students shall haveaccess to disability and communicable disease insurance benefits if the same ispicked up during student ship. Institution shall have poliCiesaddressing to preventstudents exposure to infectious' and environmental hazards. Institutions shall fol-low accepted guidelines in determining appropriate immunizations forMBBS andBDS students.

PART IXACADEMICS

. 34. Educational program objectives.- Every institution shall have definededucational and public health objectives,

35. Curriculum managel11ent and delivery.- The curriculum shall be as laiddown by the Council. The institution shall be governed by the statutes, regula-tions, rules framed by the Council from time to time including general scheme ofstlJdies , duration of courses, the medium of instructions and' examinations,detailed syllabi for examinations and the condition under which students shall be

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PART11] THE GAZETTEOF PAKISTAN, EXTRA.,' JANUARY 26,2012 53

admitted to examinations.

36. Roles and responsibilities.- There is integrated institutional responsi~bility for the overall management, delivery and evaluation of the- curriculum andquality assurances. The Principal and the faculty shall ensure the effective deliv-ery and imple:-nentation of the components of the curriculum and quality assur-. ances. The Principal or Dean shall be provided sufficient resources and q.uthorityto fulfill this responsibility. .

37. Confidentiality of student record.-It is the responsibility of the institu.tion concerned to keep the student records confidential and available only tomembers of the faculty and administration on a need to know basis. Laws con-cerning confidel}ti.ality of record need to. be kept in view. Students are to beallowed to review and challenge their records if there is a valid reason for it.. . .

38."Academic atmosphere~- The program of MBBS and BOS educatio.n areto be conducted in an environment that fosters the intellectual Challenge and spir-it of inquiry appropriate to a community ofschoiars. Institutions shall make avail-able sufficient opportunities for MBBS al'ld BOS students andfa<;ulty to. participatein research and other scholarly activities including continuing medical and dental. education and professional development programs .The faculty shall encourageand support student participation in these activities:

39. Behavior and discipline.- (1) The institution shalLensure that the learn-Ing environment promotes the development of explicit and appropriate profes-.sional attributes (attitudes, behaviors, and identity) in the students.

(2) The .institution shall lay down and publicize to all faculty and students itsstandards and .procedures for the evaluation, advanc(;lment, and gradation of itsstudents and for disciplinary action. Ther.e has to be a fair and formal process tortaking any action that adversely affects the status of a student.

(3) No political activity, in any form is to be under.taken by a student or afac-ulty member. Council shall take serious actiqn against perpetrators including. debarring him from medical and dental education anywhere in Pakistan.

40. Co-curricular activities.- The institution shall promote the extra curricu-lar and recreational activities. of the students and shall provide and arrange indoor

and outdoor sports facilities.

41. Evaluation of examinations and quality assurances.- (1) all programsshall be evaluated by examinati0l'ls and the process shall be objective and with-out bias shall judge the knowledge of the student equitably. The institution shallprovide schedules of all examinations to Council three months in advance. Anyand all examinations shall be inspected by the Council and no formal invitation toinspect. ~xamination is required to be extended to Council. -

(2) The university shall not declare result of the examination unless clearedby Council and shall withhold result of an examination declared substandard bythe Council and arrange a re-examination it told to do so by the Council office.

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54 THE GAZETTE OF PA.KISTAN. EXTRA .. JANUARY 26. 2012 [PARTII(3) A system for the evaluation of student achievement shall be in place

throughout college )ife including assessment of theoretical knowledge problemsolving, clinical reasoning and communication skills.

(4) The faculty of each discipline shall set the standards of achievement inthese disciplines. The directors of all courses are to design and implement a sys- .tem of formative (forty per cent) and summative (sixty per cent) evaluation of stu-dent achievement in each course. Each student shall be evaluated eaily enoughduring a unit of study to allow time for remediation.

(5) In assessing program quality, institutions are, to consider evaluation bystudents of their courses and teachers, in addition to othermeasures.

(6) Narrative de~criptions of student performance and number of cognitive, achievement shall be included as part of evaluationsinall required courses.whe.re

. teacher-student interaction permits thi.Sform of assessment.

(7) After graduation, to judge student achievement, the institution shall collectand use a variety of outcome data, including national' norms of accomplishment,to demonstrate the extent to which its educational program objectives have beensuccessful and how many students succeeded in joining jobs, postgraduatecourses. and then achieving post graduation and how many student~ aiJpearedand cleared international examinations and programs.

42. Information resources and library services.-(1) The college and hos-pital shall have, a well-maintained library and information facilities, sufficient insize. breadth of holdings and information,technology with free Wi-Fi access to allfaculty and students .There shall be free physical and electronic access to lead-ing e-books, biomedical, clinical and other relevant periodicals and sufficient cur-rent numbers of which shall be readily available.

(2) The library and information services staffis to be responsive to theneedsof the faculty and students of the institution, A professional staff shall supervisethe library and informationservices'and provide instruction in acce'ssing resourceto the users. The library and information services staff shail be proficient inaccessing current international, regional and national inform~tion resources anddata systems, and know contemporary information technology techniques.

Further, the,-

(a) library shall be a hundred per cent lending library with adequate copies oftext books (twenty percent Ofadmission strength) and ten sets of at leastfive reference books in each subject; .

(b.) library shall have seating facility for twenty per cent of the totalnuml;>er ofstudents on roll and minimum one computer for every ten students on the

role of the college;

(c) library shall observe very extended timings; and

(d) list of mandatory books may be obtained from the Councifoffice.

P;A.RTII] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 55

PART XMONITORING AND EVALUATION

43. Visitation and inspections;- The monitoring and visitation inspectionschedules is asset out in Appendix-VIII.

44. Compensation to displaced students - Regulations regarding adjust-ment of students on closure of a college and initiation of cases against defaultingowners and compensation to displaced students shall be framed separately.

45. Facilitation by the Urliversity in the in inspection process,- The un i-versity shall do the following with regard to inspection of the affiliated institution.

namely-

(a) furnish such schedule of examination, reports, returns and other informa-tion as the Council may require enabling it to judge efficiency and effec-tiveness of the institution;

(b) instruct the col!ege to facilitate the inspectors during visitation and verifi-cation of facilities of the ins'titution; and

(c) abide by and ensure compliance of the relevant laws with regard torecognition of institution ..

PART XI.MISCELLANEOUS

46. Nursing College.~ Every recognized medical institution shall, within tenyears of its recognition, establish a nursing coiiegeand an. institute for alliedhealth professionals or paramedics.

47. Work shall not be charged.- Any cLin-ical work or procedure and cost ofany material used during training and studentship shall not be charged to the sfu-

dent.

48~ Representation in forums etc.- No institution, unless specifically author-ized by the Council, shall represent the medical and dental education systern ofPakistan at any national or international forum or become member of any interna-tional organization related to medical and dental education and its regulation. Anyvioli'ltion shall lead toderecognition of the institution in the prescribed manner.

49. Registration number.- All recognized institutions shall be allotted a reg-istration number by the Council on payment of an annual fee prescribe.di;Jy the

Council.

50. Information.- The Council may, at any time and in accordance with pro-visions of the Ordinance, obtain any information from an applicant or recognizedinstitution, as it deems necessary. The Council may at any stage convey the defi-ciencies to an institution and provide it with an opportunity and time to rectify the

deficiencies.

22JTHE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 - [PARTII51. Dropouts.- All droped oui students shall be reported to the Council."

Dropouts in tne first two years shail be adjusted in subsequent admissions so ast6 maintain total admission strength allowed to the institution in the first two yearsonly.

52. Repeai and savings.- All ea:r!ierstandards of accreditation issued by theCouncil and decisions ofth-e Council regarding matters contained in these regu-!e.tionsare hereby repealed. All orders and decisions made and proceedingstaken and acts done under the' repealed standard and decisions shall deemed to

_be and always to have been validly made or done. -

Appendix-I[see regulation 3(1)}

APPLICATioN FORM FOR R"ECOGNITION INCLUDING DATA SHEET

To,Federal Secretary -Regulations and Services DivisionIslamabad,

Subject:- . Application form for recognition of the institution under the PakistanMedical and Dentai Council Ordinance, 1962through __ .~ -------------- ----.-

(Nam~ ofUniversity(attach covering letter)

it is Jequested that the institution above may be granted recognition!enhancement of seats under the Medical and D~ntaICoun'cil Ordinance,1962.The following is the information about the institution. Itis requested that this appil- -cation may be sent to tile Council for necessary action under the law.

,1. NClme! Address of the institute:_~. ~ . _

2. Date of esiablishment and authority: ----~------

3.. Proposed date of visit _

4. Justification and benefits of the project (write in detail with supportiveevidence):

•---------~------------~--------

----------------------- ------------

PART"1. THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 57

5. Objectives of the project:

6. Students admitted or not admitted. (see regulation 3 ( 4 ): _

7. Ownership (Attach ownership or leased documents and partnershipMOU, if any, see regulation 9 or 10 and 14):

(a) college(please specify)

(i) Body corporate registered under the relevant laws of companies orsocieties or trust;

(ii) Federal Government or Provincial Government or. LocalGovernment;

(iii) Pakistan University; and

(iv) Public religious or charitable trust registered under the relevant law.

(b) Teaching hospital (s) own and others (if there is partnership in addition to.own hospital, see regulation 14)

(i)

(ii)

(iii) .__ .__

(iv) _

8. Provisional university or DAI affiliation (see regulation 8):

9. Financial status (attach evidence, see regulation 15):

(a) Two t.ank guarantees (give details bank name amount etc):

(i)

(ii) _

(b) Endowment fund (in millions) _

(c) Working capital (in millions) _

58 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012

10. Cost of the project

(i) Capital

(ii) Recurrent/operational cost

(iii) Projected Revenue

11. Funding authority (attach evidence): .

(a) Government

(b) Private

(c) Any other source of funding

12. Audit authority:

(a) Government

(a) College settings

(i) rural/urban

(ii) accessible/non-accessible

(iii) backup power source

(b) Area

[PART II

(i) total Area

(ii) covered area.

_____ sqft

_____ sqft

(iii) plan of academic blocks

(c) Library

(i) covered area

(ii) seating capacity

(iii) air conditioning

_____ sqft

Yes or No

(iv) internet accessibility(Attach details) Yes or No

PARTII] THE GAZETIE OF PAKISTAN, EXTRA., JANUARY 26,2012 59(v) library staff _

(vi) faculty library _

(vii) student library _

(viii) No. of books (attach list with the quantity of books. andedition/journals/ periodicals)

(a) Basic science (text)

(i) clinical (text)

(ii) reference

(b) Periodicals and journal

(i) National _

(ii) International _

(c) Medicals CDs _

(d) Access to information technology: _

(e) Photography / provision of audiovisual aids ( state details of the use inteaching context)

(d) Auditorium

(i) covered area

(ii) air conditioning Yes or No

(e) Lecture halls (covered area of each)

(i) total number and their size

(ii) seating capacity

(iii) air conditioning Yes or No

(f) Laboratories inclusive of skills laboratories (total number and coveredarea of each)

(i) . seating capacity _


(iii) laboratories for-

60 THEGAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PARTII

a.. Physiology area sq ft

b. Biochemistry area sq ft

c. Histology area sq ft

d. Pharmacology area sq ft

e. Pathology area sq ft

f. Any other (please specify)

(g) Tutorial rooms (mention number and covered area of each)

(i) number in the college

(ii) seating capacity Yes or No

(iii) air conditioning Yes or No

(h) Common room for girls and boys (covered area) sq ft

(i) seating capacity


(i) Cafeteria



(j) Mortuary and animal house Yes or No

(k) Administration offices

(i) separate offices Yes or No


( I) Faculty offices (separate office till assistant professor)

(i) No of rooms and their size

(ii) air conditioning

(m) Circulation spaces.

Yes or No

(i) lawns Yes or No

(ii) sports facilities Yes or No

PART II] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 61

(n) Museums(i) Anatomy area sq It

(ii) Pharmacology

(iii) Pathology

(iv) Forensic Medicine

(v) Community Medicine

area sq It

area .sq It

area sq ft

area sq ft

(0) Bone Bank Yes or NoTotal Number of skeletons and bones _

(p) Dissection Hall

(i) Total Number

(ii) size (covered Area) sq It

(iii) Equipment as per individual department information (attach d.etailsas per list available in the web site: www.pmdc.org.pk)

(q) Transport facilities:

(i) Students number of buses/ vans _

(ii) teachers number of buses/ vans _

(iii) other staff number of buses/ vans ~ __

(r) Hostels:

(i) General description

1. for boys ( capacity)

2. for girls ( capacity)

(ii) Messing

(iii) Recreational facilities

1. playground

2. indoor facilities

(s) Co-curriculum activities available in the college:

http://www.pmdc.org.pk


(i)

(ii)

[PART II

(iii)

14. Fee structure:(attach details of all type of payments received including tuition, examna-tion, donation, hostel, transportor any other)

15. Teaching hospitals(give details of each college separately if more thenone in number, see regulation19):

(a) Name of hospital

(b) Mandatory hospital facilities (Attach details as given in Appendix-V)

(~) Distribution of beds in hospitals(Attach details as given in Appendix -VI)

Total Beds Not for profit beds

(i)' Hospital 1(own)

(ii) Hospital 2

(iii) Hospital 3Daily

OPDProcedures/operations number

S. No. Departmentaveragebed Numbers .

occupancyMajor t-.:1inor

Medicine and allied1. departments

1-2-3-4-Salient procedures .Surgery and allied

2. departments1-"2-3-4-Salient procedures/operations

3. Obstetrics and gynecol-ogySalientprbcedures/operations

4. Ophthalmology

5. ENT

6. Pediatrics

PART"l THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 63Note.- The hospital should have at least 4 tutorial rooms, to be shared bydifferent departments for teaching of students. Each tutorial room shouldhave at least 25 seats.

(a) Hospital inpatient x 02



(b) Hospital outpatient x02



(c) Equipment as per individual department information (attach details as perlist available in the web site: www.pmdc.org.pk.)

(d) Library



(iii) books/journals/reference books

(iv) internet accessibility and free Wi-Fi

16. Governance structure:

(a) Role of governing body

a. as per Council's expectation

(b) Role of the academic council


(c) Study boards and/or curriculum committee


(d) Role of principal


(e) Role of faculty


Yes or No

Yes or No

Yes or No

Yes or No

Yes or No

http://www.pmdc.org.pk.

64 THE GAZETTE OF PAKISTAN, EXTRA., JANUA:RY 26,2012 [PART II

(f) Annual report


(g) Students facilities

(h) Standards of entry into course

(i) Students complaint and counseling cell

17. Admission standards:

(a) all merit

Yes or No

Yes or No

Yes or No

Yes or No

(b) merit plus quota

If merit plus quota, state no. of quota seats intended: -----

(c) weight-age assigned to:

matriculation or 0 levels

intermediate or A levels

admission (entry) test

interview

any other standards

(d) standards for foreigners

(e) examination system (regulations of the institution /university be supplied)

18. Academics (see regulations 30 t039):

(a) curriculum (Council's approved)

(b) teaching and learning

(c) assessment methods

(d) end of year examination

19. Faculty (see regulations 21to 25)

traditional/integrated- modular

traditionai/PBL/hybrid

internal assessment%

(a) Faculty registration (as per Part-XII of Pakistan Registration of iv1edicaland Dental Practitioners Regulations, 2008 (Council's Notification S.R.G.07(KE)/2009]

PARTII) THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 65(i) provisional/full

(ii) how many registered

(iii) how many unregistered

(b) Faculty and staff requirement for MBBS (Study Appendix-VII and attachdetails of each faculty of each department)

Department Designation Required up to 100 Availableadmissions.

. ..

(cl Faculty and staff requirement for BDS (Study Appendix-VIII and attachdetails of each faculty of each department)

Department . Designation Required up to 50 Availableadmissions .

. .

(d) Facilities for faculty (Rooms !common rooms! interneV library etc)

(e) Service structure

(f) All faculty names and qualification are attached as per individual depart-ment information.

20. Future Plans: Attach details of future expansion plans if any.

CERTIFICATE

The institution fulfills the standards and requirements as laid down by theCouncil for establishment and recognition of the institution. I have been empow-ered by the governing body of this institution to sign this application. I accept fullresponsibility for the above stated facts and I am fully aware of the Council'srequirements and all related rules and regulations and in case of any violation ofthem, the governing body members and I shall be responsible.

Date: SignaturePrincipal or Project Director of Name of the college

(on behalf of governing body)

66 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PARTIICountersigned by the Vice Chancellor or the Registrar of the University

Checklist of documents required with this application.

1. Evidence of title of ownership or 33-year lease for land on which collegeand hospital is built.

2. Consent letter from university having legal authority (Federal/Provincial)that it will grant affiliation if college gets recognition under the Medical andDental Council Ordinance, 1962.

; 3. Two Bank guarantees and evidence of establishment of endowment fundand working capital as required.

4. Letter from the applicant that students will not be admitted until applicantgets NOC from the Council.

5. Design for college and hospital building according to laid down specifica-tions of the Council from a certified architect. Maps of the site and build-ings certified by the architect and building control authority, that buildings'

are constructed according to specification certified earlier.

6. Copy of the registered deed along with memorandum of the associationof the corporate body (company / societies / trust).

7. Undertaking that transfer of ownership of private institution will not takeplace after recognition without prior approval of the Council

8. Library(please see website: www.pmdc.org.pk ): inventory list of bopksand journals; proof of internet connectivity and purchase of required num-. ber of computers.

9. Equipment (please see website: www.pmdc.org.pk ): verified inventory ofnecessary equipment, for college and hospital. .

10. That the institution / constituent or affiliated college of university shall sub-mit the detail of available teaching staff with documentary evidence oftheir appointment letter and agreement letter.

11. Faculty registration certificates issued by the Council.

12. individual department information.

13. MOU in case of partnership



PARTII] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 67Appendix-II

{see regulation 3(2)J

SrI. No. 1 2

1. Stage 1. Receipt of applications of the institution through theUniversity/OAI to concerned Ministry by 1st January to 31stMarch each year and then referred to the Council by theFederal Government by 30th June"of same year.

2. Stage 2. Presentation by the institution before the Executive Committeefor permission for inspection

3. Stage 3. Issue of Letter of inspection by Council as per direction ofExecutive Committee.

4. Stage 4. Inspection by Council inspectors appointed by the ExecutiveCommittee and commissioned by the President of the Council

5. Stage 5. Applicant institution to send its observations on the Councilinspection report.

6. Stage 6. Inspection report and the observation of the institution shall beconsidered by the Executive Committee and recommenda-tions made to the Council.

7. Stage 7. Formulation of recommendations by the Council" for theFederal Government for notification in the schedules or oth'er-wise and issuance of letter of no objection by the Council tothe University for affiliation

8. Stage 8. Inclusion in the relevant Schedule by the Federal Governmenton the recommendations received from the Council and theUniversity.

9. Stage 9. Advertisement for admission and admission of students bythe institution.

10. Stage 10. Registration of Students by PM&OG

.

Note: The Council shall not receive any direct or advance application norshall the Council shall not entertail1 any application if received from the FederalGovernment after 30th June same year. The Council shall inspect the institutionsby end of September same year and hold a session in the last week of Octqbersame year to decide the cases of recognition and shall forward these cases to theFederal Government for process of notification, as the case may be. These timeframes shall also be applicable to recognized institutions that are applying direct-ly to the Council for permission to increase the number of annual admissions to

the course.

68 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 [PART II

Appendix-III{see regulation 4J

SCORE CHART for 100 M88S and 50 80S ADMISSIONS

S. No. 1 2 3 4

1. Spot Scoring points Minimum Score byrequirement inspectors

2. Legal 75 75 .- --- - - --- _.- - -- - .----.

3. Financial 75 75 ----------------------4. Infrastructure of 200 120

college.---- -_.- ---- - --- - -- --

5. Hospital . 250 180 - --- ----- ------- .-- ---

6. Academics 100 80Faculty 300 220

------- ------- --------

7. Total 1000 750 ----- ---- - ----- ------

Sr. Rating or (%) Score Status

No. Category* . .

1 2 3.

1. Z less than Not approved for recommendation or contin-75 uationof recognition to train ..................

. students

2. y 75 to 85 Approved for recommendation or continua-tion of recognition to train ................... stu-

.. dents

3. X 85 to 95 Approved for recommendation or continua-. tion of recognition to train ................. stu-

.

.dents

4. W 95 to 100 Approved for recommendation or continua-tion of recognition to train ................. stu-

dents

Notes.-

1. Z category may be divided into two, namely:-

a. Z1 for less than shall mean not 60 approved for recommendation -orcontinuation of recognition.

b. Z2 for 60 to 75 shall mean not approved for the present number ofseats, however recommended for reduction in the number of seats by50, e.g if a college has applied for 150 seats, will be recogn'ized for.100 seats. Similarly if a college has applied for 100 seats, will be rec-ognized for 50 seats. However the college may re-apply for increasein the number of seats after a mandatory period of two years, after ful-filling the deficiencies pointed out in the inspection report.

2. There shall be a W plus category for colleges with facilities which arehigher than the minimum laid down standards for reco~nition, meaningcolleges scoring more than 1000 points.

3. All scores or marks or points in these regulations are for 100 MB6S or 5060S students, however the analogy may be applied on other categories.

PART IIJ THE GAZETTE OF PAKISTAN EXTRA .. JANUARY 26 2012 69Appendix-IV

(see regulation 16J

Table AInfrastructure

2000sqft

SOOOsqft

2000saft3000sqft .

15000sqft

2000soft1000sqft

I . IS090sqft

326,825 sq ft

15,000sqft

25000saft25000saft

. IS OOOsoft15 OOOsaftISO OOOsaft225saft

2500sqft

'.5000sqft

5000sqft

500sqft eachx4

11 I 12350

375sqfteach x 82500sqfteach x 6

15sqft X 7500sqft500

S250sqft 26250sqfteach X 5

.

Lumo sum .Lump sum

.

100100

4

10

6

2

I8

2

10,000sqft

15000snftISOaOsoft10000soft10000saft70000snft225snft2000sqft

3S00sqft

1500sqft

1500snft1000sqft

12000sqft

2S00sqft

1000snft22S0sqft

2500sqft

183,875 sq ft

..

500sqft eachxA

37Ssqfteach x 62000sqfteach.x 6

15sqft X . 7S00sqft500

Lumn sumLump sum

4

6

I6

10000saft 7510000saft 755000snft5 OOOsoft50000saft225snft2000sqft

10,000sqft

1500sqft

3500sqft 7

1000saft1000sqft

7S00sqft

1000soft1500sqft

2S00sqft I

2S00sqft 1

134,325 sq ft

500sqft eachx4

covered area as per MBBS students

5 I 6 7 B I 9 10100 No 150 No

375sqfteach x 412S0 sqft eachx6

15sqft X 7500sqft I500

1500sqft 7S00sqft 5 2250sqft 11250sqft 5each X 5 each X 5

I 5000sqft I SOOOsgft i

6

I4

4No

S

.

Lump sum

Lumo sumLump Slim

Lumo sum 1 25LumD sum I 25LurilD .sum'Lump sum

15sqft/person

Lumosum20sqft/ 4

I person

500sqft 7eachdeoartmentLump sum

15sqft/oerson50sqft/oersonAt leastSOx50snftAt leastSOx50saftLumDsum15sq ft/nerson50sqft/person

BovsGirls

05%

05%

15%

2.5%.

05%lSo/~

2.5%

15%

15%

10%

II\ 10%

Mortuary andAnatomyDissection hallHostel14

1516 Hostel (house17' officer)'18 Facultv residence19 Animal House20 r~iscellaneous space

(Administration 121 Circulation "and other

soace22 TOTAL

12 Offices (x7)

5. Common Roomfor nirls

6. Common Roomfor bovs

7. Cafeteria8. Tutonal (x4). .

9. i Labs (x6)

4. t- Library

~ 10 Skill LabI 11 Museum (x4)

I

r~3

r- CAl Colleae covered area '200 Marks)i Infrastructure credit unit

S.No 1 2 3

1.12. I Auditorium

! .3. Lecture Hall

Note.-

1. The total marks for infrastructure may be 200. Weight-age is given aspercentage in front of individual facilities.

2. Instead of six laboratories, the coJiege may have two multi-disciplinarylaboratories, with a capacity of fifty in each laboratories. List of equip-ments available in these multi-disciplinary laboratories shall be providedto the Council.

3. College and the hospital may have separate skill laboratories.

70 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PARTII-c-

(B) Hospital 250 Marks

Sr. No. 01 2 3 04

1 Hospital Facility 500 Beds250 sqft! 125,000 sqft

0 Bed.

2 Teaching Facilitates andStaff Offices

10,000 sqft

3 Faculty residence (clinicalsciences)

75,000 sqft

4 Total 210,000 sqft0 0

Covered area

SrI.0

No.1. 2. 3. 4.

0 100 MBBS0 150 MSBS '350 MBB$

1.,

students students 'students0

o •

2 ColI~ge 134,325 sqft 183,875 sqft 326,825 sqft ,

3 Hospital 210,000 sqft 210,000 sqft 210,000 sqft

4 Grand total 344,325 sqft 393,875 561,825 sqftI

Notes.-

1. Out of 250 marks, 60% (150 marks) may be given to the hospital facilitiesand 40% (100 marks) to the bed strength.

2. It is also recommended that the hospital may have at least four tutorialrooms, to be shared by different departments for teaching of students.Each tutorial room may have at least twenty-five seats.

SrI. No. Other Facilities

1 . IT laboratories with Wi-Fi connectivity

2. The library may be well-stocked with at least thirty copies of each andevery text books and ten sets of at least five reference books in eachsubject.

3 That institute must have availability of internet connectivity and atleast one computer per ten students on roll.

THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 71

Infrastructure(50 80S Students)

(A) College 200 marks

Sr. 1. 2 3 4 5No.

G 7-

1. Infra -structure credit No Capacity Size

2Auditorium 10% 1 300 15 sqft!person 4500 sqft

--

Lecture hall 15% 3 100 15 sqIVperson 150 sqft 4500 sqft

3each x 3

4Library 15% 1 100 50 sqIVperson 5000 sqft

Common 2.5% 1 At least 40x40 1600 sqft

5 room for girlsft.

-

Common room 2.5% 1 .At least 40x40 1600 sqft

6 for boys.- ft.

7 Cafeteria 05% Lump sum 1000 sqft

8Tutorial (x4) 15% 4 25 15 sqft!person 375sqft 1500 sqft

each x 4

9Laboratories. 15% 6 25 50 sqft!person 1250 sqft 7500 sqft

(x6)each x 6

10Museum (X4) 10% 4 25 500 sqft each 500 sqft 1000 sqft

x4 each.x 4

11Offices (x7) 05% 7 500 sqft each 500 sqft 3500 sqft

department each x 7

12Miscellaneous space Lump sum 2000 sqft

(Administration)Circulation and other space

-- 10,000 sqft

13 I.

14Total 43,700 sqft

.

Note.-

_ 1. The total marks for infrastructure may be 200. Weight-age is given aspercentage in front of individual facilities.

2. Instead of six laboratories, the college may have two multi-disciplinarylaboratories, with a capacity of 50 in each laboratory. List of equipmentsavailable in these multi-disciplinary laboratories shall be provided to the

Council.

3. College and the hospital may have separate skill laboratories.

[PART IITHE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012

(B) Hospital 250 marks0.

.

SrI. No. 1 2 3 4 5 6.

1. Number of Admissions 50 75 100

2 Hospital Facility. 75 100 125100 sqftJ 40,000 sqft

.Bed

Teaching Facilitates and Staff-

3 Offices.10,000 sqft

4. TOTAL 50,000 sqft

.

5GRAND TOTAL 84,000 sqft

72

Note ...Qut of 250 marks, 60%may be given to the hospital facilities and 40%

to the bed strength. .

Table CAdditional space required (dental college)

50 .. 75 100

Students Students Students-

SrI. 1 2 3 4

No.

..

.

1 Preclinical... Laboratory 500 sq ft 750 sq ft 1000 sq it

(Prosthetic and dental materials)

2 Prosthetic laboratory (Plaster 500 sq ft 750 sq ft. 1000 sq ft

room, curing room-

3 Ceramic laboratory . 200 sqft 250 sq ft 250 sq ft.

I

4 Oral biology laboratories 400 sq ft 650 sq ft 800 sq it

5 Oral pathology laboratory 400 sq ft 650 sq ft 800 sq ft.

6 . Dental museum 250 sq ft 250 sq ft 250 sq ft.

7 Community dental 500 sq ft 650 sq ft 800 sq ft

laboratory

8 Phantom head Laboratory 15 Stations 18 Stations 2::>Stations.

9 Dental chair unit 1.25x50 = 75 1.25x75 = 1.25 x 125

First visit 0.5x student units 93.5 (round- units

2nd visit 0.5x student Total space ed off to Total space

3rd visit 0.25x studentrequired 100) required

100Sqftx75 100 sq. ft. x 100 sq. ft. x. units

= 7500 sq. ft. 100 units = 12510,000 sq. = 12,500 sq.

It. . It.

PARTIU THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 73

10. Circulation Space 30% 2250 3000i 4500

~ Additional Space11. 10,000 Sq ft 14,000 Sq ft. 18,000 Sqft.

.

SrI. No . Other Facilities l.

1 The Library must be well-stocked with at least 30 copies of each andevery text books and 10 sets of at least 5 reference books in each

subject..

2 That Institute must have availability of in-ternet connectivity and atleasl 01 computer per 05 students on roll.

3 Free Wifi facility both in the College as well as the attached Hospital.

Appendix-V[see regulation 17(7)}

Hospital facilities includes: 60% (150 marks)

(a) Out-patient department: 10%(15 marks)

(i) resuscitation area with facilities;

(ii) separate cubicles for teaching medical students;

(iii) dressing area;

(iV) basic instruments according to different specialties;

(v) faculty room; and

(vi) provision of wheel chairs and stretchers;

(b) Hospitai pharmacy. 05%(7.5 marks)

(i) both for indoor and outdoor patients; and

(ii) trained pharmacists;

(c) Emergency room: 10%(15 marks)

•(i) ten beds with monitoring facilities;

(ii) minor operation theater;

(iii) facilities for resuscitation especially defibrillator;

(iv) cubicles for patients with central oxygen and suction ari(j rnonltcmng

facilities; and

74 THE GAZETTE OF PAKISTAN EXTRA. JANUARY 26 2012

(v) two Anesthesia machines with ventilator;

PART II

(d) Operating rooms: 10%(15 marks)

(i) pre-anesthesia area;

(ii) recovery area with central oxygen and suction and monitoring facili-ties; ,

(iii) five fully equipped operating rooms;

(iv) monitoring facilities in all theatres;

(v) one image intensifier;

(vi) facilities for resuscitation

(vii) five anesthesia machineS with ventilators;

(viii) capnograph (optional);

(ix) diathermy machines in each theatre, both mono polar and bipolar;

and(x) protocol for Hepatitis B/C;

(e) Critical care beds e.g intensive care, coronary care and neonatal care:

15% (22.5 marks)

(i) separate medical & surgical icu beds;

(ii) separate paediatric and neonatal intensive care beds;

(iii) coronary care beds;

(iv) 15% of the total bed strength may be intensive care beds;

(v) ventilatory facilities at least 15 ventilators; and

(vi) facilities fOr blood gas analysis;

(t) Central sterilization and store department (CSSD):

(i) washing area;

iii) one washer disinfector;

10% (15 marks)

(iii) two steam autoclaves with 134 c temperature 500 litres;

(iv) one ethylene di-oxide/formaldehyde gas sterilizer;

(v) sealing machines;

PARTII] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 75

(vi) chemical sterilization facilities; and

(vii) storage & distribution counter;

(g) Radiology services with all imaging modalities: 15% (22.5marks)

(I) X-ray Machines:

(i) 500 mA one fluoroscopy or image Intensifier;

(ii) 300 mA two stationary bucky table;

(iii) 300 mA two stationary bucky stand; and

(iv) 100 mA two portable;

(II) Ultrasound Machines:

(i) 3.5 mHz two probe gray scale;

(ii) 3.5 mHz two probe portable gray scale; .

(iii) two color doppler multi frequency probes;

(iv) two biopsy probes; and

(v) Computerized tomography scan( CT Scan) or Magnetic. resonanc~imaging scan (MRI) multislice (4/16/64);

(III)One mammography preferably with magnifier or spot film or compression;

(IV) Safety Equipment:

(i) three lead aprons;

(ii) one total lead deflector (TLD);

(iii) four lead shield/partitions; and

(iv) film badge or radiation detector and thyroid shields;

(V) Optional equipments:

(i) OPG;

(ii) angiography Suites (compulsory);

(iii) PACS; and

li~IHE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012

(iv) computed or digital radiography;

[PART II

(h) Laboratory services (haematology, histopathology, microbiology; chemi-cal pathology and blood bank): 15% (22.5marks)

(I) Histopathology:

(i) one microtome facilities;

(ii) one facilities for tissue processing;

(iii) one embedding stations;

(iv) one basic staining station;

(v) one microscope with multiple heads; and

(vi) frozen section facilities (optional);

(II) Haematology:

(i) one 3/5 part automated differential counter;

(ii) two microscopes 1 with teaching head;

(iii) five neubauer chambers;

(iv) basic staining facilities inc reticulocytes

(v) one Fridge to keep samples;

(III) Blood bank:

(i) one centrifuge;

(ii) one agglutination viewer;

(iii) one water bath/heat block;

(iv) one microscope;

(v) one platelet rotator with incubator;

(vi) one blood bank fridge;

(vii) one -30 c freezer for storage;•

PARTII) THE GAZETTE OFPAKISTAN, EXTRA., JANUARY 26, 2012 77

(IV) Chemical pathology:

(i) two centrifuges;

(ii) one semi automated chemistry analyzer;

(iii) one automated chemistry analyzer;

(iv) one immuno-assay analyzer;

(v) one refractometer;

(vi) one ion selective electrode;

(vii) one blood gas analyzer [either in department or intensive careunit (leU)]; .

(viii) one fridge; and

(ix) one Freezer -30 or 70 C

(V)Microbiology:

(i) one incubator 37C;

(ii) basic staining facilities;

(iii) one fridge

(iv) two microscope with teaching head

(v) safety hood

(i) Day-care facilities:

(j) Food service: and

05%(7.5marks)

•

(k) Proper waste disposal system (incinerators): 05%(7.5marks)

The total marks for hospital services are 150. The above mentioned percent-age is calculated on 150 marks.

The hospital shall have at least four tutorial rooms, to be shared by differentdepartments for teaching of students. Each tutorial shall have at least twenty-fiveseats.

Notes.-

1. The total number of beds required for 100 students is 500. The hospitalshall have 500 beds of which at least 150 beds may be from hospital

78 THE GAZETTE OF PAKISTAN EXTRA. PART11owned by institution and the rest 350 beds shall be contracted through

partnership.

2. The hospital shall have the liberty of either demarcate the number of bedsaccording to the specialties mentioned above or they may allocate bedsaccording to floors or demarcated areas. Under this scenario medicineand allied shall have 200 beds, surgery and allied shall. have 150 bedsand mother and child health shall have 150 beds making a total of 500

beds.

3. Out of 500 beds, 10% may be beds with monitoring facilities e.g ICU,CCU, NICU, HOU or in emergency room.

4. There may be minimum of two outreach clinics dedicated for community

health services.

5. Since most of the surgeries or procedures done in 'ophthalmology iscarried out as an outpatient or day care the number of beds in thisspeciality is reduced to 15. .

6. The scoring shall be done according to the numberof occupied beds andallocation of beds in different specialties or floors, as mentioned above,e.g if the total strength of beds is 400, then 20% marks will be deducted,or if the hospital does not have ,beds with monitoring facilities, althoughthe total number is 500, still 10% marks may be deducted. Bed occupan-cy annual average shall not be below 60%.

7. For dental college; the requirement of dental hospital for admissions inBOS, if it is a standalone dental hospital, shall be equal to their annualintake of students in the following proportion I.e. 20 for general surgeryand 20 for general medicine and 10 beds for oral and maxillofacial sur-gery. For the dental college with medical college no extra beds are

required.

8. Forty percent marks may be given to the occupied bed strength. The pre-scribed number of beds, in teaching hospital distributed among thespecialities is shown below, namely:-

•

PARTin THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012

Appendix-VI[See regulation 17(7)J

Number of beds (medical college)Total marks 100 marks (40%)

79

•

Department . Required Required up Required for Required for Required forup to 100 to 150 151 to 200 201 to 250 to 300admissions admissions admissions admissions admissibns

Sr. No. 1 2 3 4 5 6

1. Essential Specialties ..500 Beds 600 Beds 700 Beds 8(30Beds 900 Beds. ',-...;..

2. . Medicine 75 120 120 160 2003. Surgery .

75 120 120.

160 2004. Gynecology and 80 80 . 120 .. 120 1.130

Obstetrics .

5. Paediatric 40 40 80 80 806. Eye . 15 20 20 20 207. Ear, nose and throat 15 20 20 20 20

(ENT) .

8. Othopedicltrauma - I •. 40 40 40 40 50\.'--~

9. Optional Specialities.

10. Medicine and allied 80 80 80 80 80.

specialties .

11. . Surgery and allied 80 (1unit 80 (1unit 100 (1unit 120 Floating 120 Floatingspecialties (lOBed in .0nOMFS on OMFS on OMFS (depending (dependingmaxillofacial Survery upon need upon need

and faculty and fac4lty)

Note: Dissection of the bodies and the mortuary is desirable. FederalProvincial and Local Governments may facilitate private sector in obtaining thecadavers. Executive Committee may allow a simulator in place of the cadaversafter analyzing the case. .

Appendix-V"[See regulation 28J

Table 1FACULTY AND STAFF REQUIREMENT FOR MBBS (BASIC SCIENCES)

Required Marks upRequired Required Required Required Required

Sr. DepartmentDesignatio up to 100 10100

upt0101 up to 151 up to 101 up to 251 up to 301

No. n to 150 to 250 to 150 to 300 to 350admissions admissions

admission admission admission admission admission

1 2 3 4 5 6 7 8 9

For con.For first linued

1. inspection inspec-150 Marks lion150

Marks

2. Anatomy Perfessor 1 30 10 1 1 1 2

~ 500 leach-ing hours Associate 22 06 2 3 43. Professor

1 1

80 THE GAZETIEOF PAKISTAN, EXTRA., JANUARY 26, 2012

2

3

8

3

6

16

1

! 4

i 6I 16 I! 8 II ', __1 J

8 Ii II 3 ii----l

2 I

3

1

2

7

2

2

2

5

6

2

1

6

5

6

14

1

3

14

III!

4

2

2

i

! 3

\ 8 I; I

3 I 4 I

!~1 : 1 ;

-\! I! II 3 I\ I

\~I 4 J

!511 6 I. . i I

12 14 t' 16 I1 .-_1~t~-!:J

1

2

2

6

1

2

1

2

1

4

4

4

1

4

12

4

.2

12

. 1

:

II,

1

1

7

1

2

2

1

2

1

2

1

9

3

3

1

3

2

9

3

.5

.

. I.

02

02

02

2+2-4

.

01 02

.

02' 10

02 06.

01 04

..' . I

10

30 0822 . 06

.

18 04

10

. .

10

30 1022 I 06

.

9+9-18 . 2+2-4

9+9=18

!

-

6

4

1

1

1

2

1

2.

8

2

2

LaboratoryTechnician orAssistant

AssociateProfessorAssistantProfessor .

Demonstrator

I Pharmacist

[150 theory + .150 practical]

For initialinspection50% offaculty isrequired.for initial

Total marks'for anatomy. fQr...frujnspecti6n

~subsequentinsp.(22)

Physiology500 teaching

hours

[250 theorl +250 practical]Totalniarksfor ohvsiology

fQr...fruinsoectionLaQli

subsequentinsp (J2)

.

[250 theory +250 practical]

26.

22.

23.

16.

15.

13.14.

12.

10.11.

4.

rLI 27.~-~I 28.

r 29.

IL.

I Assistant .~fessor

Demonstrato~. 8Dissection hall 2attendant'Curator ofmuseum .LaboratoryTechnician orAssistantStenographeror computer .ooeratorProfessorAssociateProfessorAssistantProfessorDemonstrato.LaboratoryTechnician orAssistant

Store keeper

Stenographeror computerooerator

17. Biochemistry '1 Professor

i~8~. 300 teach'ng I AsSOCiate

~

hours I Professor19. ! Assistant

[150 theory + Professor20. 150 practical] Demonstrator

\21 hours21. increased Laboratory

from 200 to Technician or300 Assistant

Total marks I Store keeperfor r Stenographer

biochemistry i or computerfor first operator

inspection(80) and

subsequentinso.f20)

24. Pharmacology Professor. 300 teaching

25. hours

1 5.

~r_~T, 7.

f-I 8.IL _i 9.,

i

L

PART II] THE GAZETIT-Of PAKISTAN, EXTRA., JANUARY 26,2012 81

I = I

4 (1 ineach)

(of which Itwo shall

beProfessors)

1

1

:l2

5 ofwhichoneshallbe aProfessor)

8

I ofwhichfourshall

I ~~ofes I'

I sorsI

II

iii, ------,I I

I 3 I

II

2

3

6

3, '

1

4 ofwhich oneshall be a IProfessor)

I

2

8 (at7 (at least I least 11 in each) I in

I each)

'14 i 16

10 I 12

I!I 4 J

,

6 (1 ineach, ofwhichthreeshall beProfessors)

,

I1 ! 21

,[-~

6

2

3

3 ofwhich

one shallbe a

Professor)

8

12

6 (atleast 1in each)

2

1

2

1

1

6 (1 ineach, ofwhichtwo shallbeProfessors)

,

5 (atleast 1 ineach)

10

6

4

I 1

1

1

3(ofwhich

one shallbe a

Professoror

AssociateI prof~ssor

5 (1 ineach) (ofwhichtwo shall

IbeProfessors)

04

7+7~14

10

06

2+2+2+208

P~03+03~6Assoc

Prof~2+2~4

I

,

02

01

04

01

04

2

4

1

1

4

1

1

8

4 (at least1 in each)

AssistantProfessors

Professor orAssociate

Professor or I',

AssistantProfessor

Store keeper

LaboratoryTechnician orAssistant

, Stenographeror computeronerator

33.

i-~'30. inspeCtion I I'i-- marks 06. I Store keeperi 31. for! 1i subsequent I Ii I inspection Stenographer, Total marks I or computer: for operator IL------ Pharm:2colo

9y i32. Pathology , Professor or I

- ASSOCIateHistopatholog Professor Iy (one each In-Microbiology histo-Chemical pathology,Pathology microbioiogy-heamatology ChemicalFor initial pathology orinspection haematalonvl50% offaculty is

required. Forinitial

inspection Demonstratormarks 06.

for Laboratorysubsequent Assistant orinspeCtion. Laboratory

J Total marks is Technician36. I 22 I Stenographer

or computerooerator

Store keeper'Curator ofmuseum

iir-~i 38.,,ri 39. 'Forensic! medicine! I' 100 teaching

i I hours I! [50 Theory + II 50, PraCtical] II For initiali InspectionI 40. 50% of I

i faculty IS I Demonstrator" required. ForI 41. Initial, inspection

~

2. ma~~~06

, subsequentInspeCtion

i 43.' I Total marks

Ifor forenSIc

imediCine

20 .

IL_I 34.II 35.

iI

•

•

82 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26,2012 [PART II

1 i 1

2 I 2I

31 •

i 4

8I 8!

4 6.

I2 32

4

1

2

3

8

2

2

1

602

10

060401

01

0202

2

1

4

1

1

1

Medical social. worke~, .I1M+IF\

Stenographeror computeroperator

48.

: 44. j commun.ity I Professormedicine I •! 45. 300 teaching I Associate

~ . hours Professor. 46. I I Assistant~, [150 theory + i Professor

I, 47. 150 practical] I Demonstrator

For initialinspection50% offaculty is

49. required. Forinitial

. inspection 06.For

subsequentinspectionTotal marks

forcommunitymedicine

22

t-!I

iI

I1

Note.-

(1) Keeping in view the dearth of qualified medical teachers in basic sciences, MPhii holder is

eligible for Professor till 2020, however, nobQdy will be promoted upwards without PhD

after this window period. Position shall be reviewed in 2020.

(2) Full complement of the department of anatomy, Physiology and biochemistry, as per these. '

regulations, shall be demonstrated in the first visit for recognition. Fifty percent of.the rest

of the faculty in each department shall be acceptable for recognition. Full complement of

all faculties shall be demonstrated once the students reach third year and this shall be

verified by inspection. The 80% of the marks of the faculty in the first inspection for

recognition of a medical college shall be dedicated to the basic sciences departments of

anatomy, physiology and biochemistry.

(3) For forensic medicine additional Staff will be adjusted for the department required to do

Medico legal services and postgraduate. programs.

Table 2. FACULTY AND STAFF REOUIREMENT FOR MBBS (CLINICAL SCIENCESl .Sr. No. 1 2 3 4 S 6 7

1. Require Require Require Required for d for d for d for

Required upto 100 admissions101 to 151 to 251 to 301 to150 250 300 350

admissio admissio admissi admissiDepartment Designation' . ns ns ons ons

2. For first Forinspection continued150 marks Inspl!ction

150marks

3. 'Medicine and Professor 2 1+1 5+5=10 2 3 3 4

37

PART II] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 83

•

•

•

,---I

allied, 4. , ASsociate 02 3+3-6 I !-J

,I 2

i 800 teaching Professor 2 3 4 5,--- hours ! ASsistanti 5. I 01 2+2-4~ __ I [300 theory + . Professor 2 4 6 6, 8 I

I 6. 500 clinical) Senior2 01 1+1-2

I For initial Reoistrar 4 6 7 81--7. inspection 50% Resident or,of faculty is MedicalI required. For Officer

I initial inspection.

i marks 06. 4 6 8 10 12! II For subsequent

I insp.

: I 22 marks.

B",

"Surgery andProfessorallied 2 02 5+5=10 2 3 3 4

I 9. 800 teachingASsociate 2 3+3=6

--~

hoursProfessor 2 2 3 4 5

[300 theory +ASsistant 01 2+2-4500 clinical)Professor 2 4 4 5 6

For initialr::l inspection 50% Senior2

01 1+1-2 4 5 6Reaistrar7

of faculty isrequired. For Resident or

initial inspection ! . Medical

I marks 06. I Officer

For subsequent . 4 6 8 10 12insp. .

,I 22 marks

13. . "Obst. and Professor 2 02 5+5-10 2 3 3 414. Gynae06 faculty ASsociate

202 3+3=6

2.'

members with at Professor3 4 5

15. least 01 ASsistant 01 2+2=4Professor [300 Professor

2 3 4 5 6

16. teaching hours} Senior 01 1+1-2For initial Reaistrar

2 3 5 6 7

17. inspection 50% Resident orof faculty is . Medicalrequired. For Officer

initial inspectionmarks 06. 4 6 8 10 12

For subsequentinsp.

22 marks ..

18. "EyeProfessor 1 02 10

. 1 2 2 2, .

19.[100 teaching ASsociate or i

hours] ,For initial ASsistant 1 02 06 2 2 2 2

inspection' 50%Professor

20. of faculty is Seniorreouired. For Registrar 1 01 02 1 2 2 2

84 THE GAZETTE OF PAKISTAN. EXTRA.. JANUARY 26.2012 [PART /I

.1 22.

~, I

h1Mi I

I I'-I 26. I~f--2rlhrlI Ii--;;;----lI 30.!, I: I

L---lLJI 32. I

~I 34. I

initial Inspection I Resident ormarks 06. /. Medical

For subsequent OfficerInsp.

•

12

2 l 2

2 2

3 3

4 5

4 5

2 3

2 2

2 2

2 2

8 10

1 1

10

>of,lI I4~~

2 2.

8 ~O

--

1 1

10 12

8 10

2

2

2

8

8

2

3

3

8

2

2.

2

2

6 .

6

6

1

2

1

2

2

4

6

4

1

2

4

2

1. 1

06

10

02

05

02

08

03

01

06

03.

.

I

03

01

02

02

01

01

02

3

3

1

1

1

4

1

1

1

2

1

2

Associate orAssi~tantProfessorseniorRegistrarResident orMedicalOfficer

Professor

Professor

. AssociateProfessorAssistant

I ProfessorSeniorRegistrar

Resident orMedicalOfficer

ProfessOrAssociate

I ProfessorAssistantProfessorSeniorReoistrarResident/Registrar .Professor orAssociateProfessorAssistantProfessorSeniorReoistrarResident orMedicalOfficerProfessor orAssociateProfessor orAssistantProfessorSeniorReQistrar

18 marks*E.N.T

[100 teachinghours]

. For initialinspection 50%

of facuity isrequired. For

initial inspectionmarks 06.

For subsequentinsp.

18 marks*Paediatric

[300 teachinghours]

For initialinspection 50%

of faculty isrequired. For

initial inspectionmarks 06.

For subsequentinsp.

18 marksOrthopaedics

Calculated withSurgery

.Demnatologycalculated with

medicine

.Psychiatry [100teaching hours]

BehavorialSciences[50'

teaching hours]calculated with

medicine10 marks

35.

36.

40.

39.

21. I

•

PART II] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 85•

!41. iiI !

! 4~ Anesthesiology143. or Critical care: calculate withI 44. i surgery! /10 marks

:~45~l! I

~lI jI :

i ' 01

!

i

53.

Professor 2

01

iI

-J__2 -.j1 I

, ~

-1I

2

2 I shift

12

!

2

2

01

2

8

2 I shift

I

2

0101

1 2

I

0101

02 01

2

2 2

2 1

Adjustable according to workload

1

4per 8shift

1

11shift 2 I shift

! 4 I I1---1- I

1 j' 2 II

0101

Adjustable according to workload

0603

01

02

02

01

02

11

2

1

1

1

02

3 pershift

.

Ilshift

05AssistantDirector(MBBS withMasters orpg diploma ineducationplanning andmanagement)

I

IReSident orMedicalOfficerProfessorAssociateProfessor

I AssistantProfessor or

HseniorRegistrarMedical

'Officer orReoistrar

. .AssociateProfessorAssistantProfessor orSeniorReoistrarMedicalOfficer orReoistrar

, Professor orAssociate orAssistantProfesserCMO(write fulldesionation)

Radiographer

Radiology(Diagnostic)05 marks

Accident &Emergency

Department (3-5years window

period)

52.

48. I-49.1

M~ i~ 51. I!

II

['--~54.

..

•

•

Note.-Marks in different specialties are calculated according to the number of teaching hours.Percentage of marks to be given to different level of faculty is mentioned is also mentioned.Subjects like psychiatry and denmatology should be calculated with medicine and subjects likeorthopedics and anaesthesia should be calculated with Surgery. Additional marks shaJI be given tomedical education and radiology.Doctors perfonming any duty after time of 2400hours shall not be required to come to duty beforetime of 1200hours next day.

I Optional specialties: units of optional sub-specialties like cardiology, neurology, nephrology neuro-surgery, pediatrici surgery, cardiac surgery, urology, oncology, pulmonology and plastic surgery etc. may be created in addition to the aboveI specialties in all teaching hospitals, provided properly qualified persons and facilities are available in accordance with theI Regulation of the Council. such specialty unit shall be under the respective head of the department of medicine, surgeryI etc. for teaChing purposes. .

86 THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 [PART II

1 2Recommendations for ancillary staff for 100 MBBS admissions from surgery ~nd medicineavailable as er need of workload. However followin staff is still retained:1. Medical Record Officer 01 5. Deputy Librarian 3 / 100 intake

2. Statistician 1/ 100 intake 6. Photographer 1/ 100 intake

3. Animal attendant for animal house 7. Audiovisual Technician 1/ ledune hall

I Sri. No.1.

2.3.

4.

5.

6.

4.Chief Libranan 01 8. Nutritionist 01

shall be

7. Note: (1) There shall be minor Operation Theater availabie in casualty department.(2) There shall be also a blood bank with 24 hour service

Table 3FACULTY AND STAFF REQUIREMENT FOR BDS (BASIC SOENCES)

Total marks for basic sdences: 150 marks

•Note. - There should be designated faculty for BDS students.

Required up toRequired for Required up to

Department Designation 50 admissions75-80 100 admissions

-admissions

Sri. No. 1 2 3 4 5

1. Professor orAnatomy, Associate 1 1 1

Professor

2. 108 theory + 300 Assistant 0 0 1practical] professor

3. Demonstrator 3 4 4

4. Professor or

Physiology Associate 1 1 '1

Professor,

5. 108 theory + 300 Assistant 0 0,,' ' 1

practical] Professor

6. Demonstrator 3 4 , 4

7. Biochemistry Professor or 1 1 1

72 theory + 150 Associatepractical] Professor

8. Assistant 0 0 1Professor ,


10. Professor orPharmacology Associate 1 1 1

Professor,

11. 72 theory + 250 Assistant 0 0 1practical hours Professor

,


13. Pathology Professor 0 0 1

72 theory + 250 '14. practical hours Associate or

Assistant 1 1 2

Professor


•

•

PART II] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012

Table 4FACULTYAND STAFF REQUIREMENT FOR BDS (CUNICAL SCIENCES)

Total marks for basic sciences: 150 Marks

87

..,

Required up Required for Required upDepartment Designation to 50 75 -80 to 100

admissions adrnissions admissions.

Sri. 1 2 3 4 5No.

l. Professor or.

General medicine Associate 1 1 1Professor

2. [72 theory +400 Assistant Professor 0 1 .1

3. clinical)senior Registrar 1 1 1

4. . Professor orGeneral surgery Associate 1 1 1

Professor5. [72 theory +400 Assistant Professor 0 1 16. clinical) Senior Registrar 1 1 . 1

Note. - above is designated or dedicated faculty required for BDS students.

TableSSCiences of dental materials and dental technology (laboratory techniques), oralbiology, oral pathology,. community OR preventive dentistry.

Sri. No. 1 2 . 3 I 4 -cr 5 6

l. DesignationStaff renuired

2. Subject 50 75 100.

3. Dental Professor or Associate 00 01 01 10biomaterials Professor

4. and dental Assistant Professor or 01 01. 02 0.5 .

technology senior Lecturer5. (laboratory Lecturer or 02 03 04 2.5

techniques) Demonstrator6. Professor or Associate . 00 01 01 10

Professor7. Dral biology

Assistant Professor or 01 01 02 05Senior Lecturer

8. Lecturer or 02 03 04 2.5Demonstrator .

9. .Professor or Associate 00 01 01 10Professor

10. Oral pathologyAsSistant Professor 01 01 02 5senior Lecturer

1l. Lecturer or 02 03 04 2.5Demonstrator

12. Professor or Associate 00 01 01 10Community or

Professor13. Assistant Professor or

Preventive senior.Lecturer01 01 02 5

dentistry14. Lecturer or 02 03 04 2.5Demonstrator


Table 6(Clinical subjects)

Oral and Maxillofacial Surgery, Operative, Restorative, Conservative Dentistry,Prosthodontics, Orthodontics, Periodontology and Oral Medicine

[PART II

!Sri. No.

!1 ! 2 3 4 I 5 =J1. Subject Designation Staff reouired - -

2. 50 75 1003. Oral and Professor or Associate Professor or 01 02 014. maxillofacial surgery Assistant Professor 015. 016. senior RPOistrar 01 01 027. Lecturer or Demonstrator or Registrar 03 04 058. Operative or Professor 01 02

~.

9. restorative or Associate Professorconservative

1~~ dentistry Assistant Professor

I l1'--J Senior Registrar 01 01 02

I 12. I Lecturer or Demonstrator or Registrar 03 I 04 05r-----.--

Prosthodontics Professor 01 02, 13. I14. Associate Professor

15. Assistant Professor -

16. I Senior Registrar 01 I 01 0217. I Lecturer or Demonstrator or Registrar 03 04 05

18. Periodontology Professor 01 0219. Associate Professor20. Assistant Professor21. Senior Registrar 01 I 01 ~~--i22. Lecturer or Demonstrator or Reoistrar 03 I 04

23. Orai medicine Professor 01 02 I24. Associate Professor i

I 25. I Assistant Professor 126. ! Senior Registrar 01 01 , 0227. I Lecturer or Demonstrator or Registrar 03 04 05

I

28. Orthodontics Professor 01 02 0129. Associate Professor 01

K- Assistant Professor 0131. --j Senior Registrar 01 01 02

L32. Lecturer or Demonstrator or Registrar 03 04 05

•

• PART II] THE GAZETTE OF PAKISTAN, EXTRA., JANUARY 26, 2012 89

Table 7Para-medical staff

1

06

2002

I '.02! 01

020204010203

I!

04

3 4

15020101020102010102

Staff reaurred75 10035 5002 0301 0201 02

'2

50250101

01 .'

04

10010101020102010101

.

.

. DesignationIIDental Surqery AssistantsProsthetic TechnicianCeramic TechnicianOrthodontics TechnicianLaboratory Technicians (Oral biology, oralpathology, community de.fitistry, phantom headlabor~ •..

Laboratory AssistantsDental RadioqrapherDental Radiology AssistantStore KeeperStore Assistant .'CSSD TechnicianCSSD AssistantPhotoaraoher :-Audiovisual Projectionists" .Biomedical enqineer or technician

r Sr.I No.ri l.i 2.!_ 3. 1~_~4.:..I- __Li 5. 3! 6. I 4

! 7'I . i 5

i---~I 8. I 6

9. 710 811 912 10

f 13 11i 14 12! 15 13I 16 14

17 15

Appendix-VIII[see regulation 43]

(a) Zero visit.- This initial visit may be carried out an request of an institution' by a teamnominated by the President of the Council. This team shall guide and explain the minimumrequirements as are laid down in these regulations.

•

(b) Visit one.- First comprehensive inspection is for recognition of anew college, prior to anyadmission of students. The inspectors shall carry out the inspection and submit theirreport to the Executive Committee for recognition or othe"rwise under the Ordinance. Inthis visit for recognition, the institution may be expected to have the relevant facilitiesunder the Ordinance and these regulations. The 80% of the marks of the faculty in thefirst inspection for recognition of a medical college shall be dedicated to the basic sciencesdepartments of Anatomy, Physiology and Biochemistry. In addition to ascertaining thefulfillment of this criterion, the inspectors are required to comment on-(i) suitability of the venue for educational purposes;(ii) availability of all necessary infrastructure and physical facilities needed during the

first professional studies;(iii) presence of needed educational resources;(iv) recruitment of appropriate and adequate registered teaching faculty;(v) availability of written curriculum;(vi) adequacy and source of funds;(vii) procedure for financial accountability;(viii) attached teaching functional hospital and its bed strength; and(ix) physical structure of the departments of 2"', 3" and final professional subject;

(c) Visit two.- Second comprehensive inspection is for third year facilities. The inspectionteam may look into-(i) availability of all necessary infrastructure and physical facilities needed ,during the

second professional in the medical and dental college as well as affiliated teachinghospital;

90 THE GAZETTEOF PAKISTAN.EXTRA.,JANUARY26j2012 [PARTII

(ii) adequacy of clinical training opportunities including workload, casemix on the hospitals; ,

(iii) availability of required full clinical faculty and beds; ,

(iv) presence of needed educational resources;" ,

(v) recruitment of appropriate and adequate teaching faculty; and

(vi) ,availability of written training>programwith objectives, syllabus,teaching methods and asseSSment program; ,

(d) Visit three." Third cbmprehensiveinspectiori is before final professionalMBBS exarnination; The inspection team may look illtoc

(i) availability of all necessary'infrastructure and physical facilities in themedical and dental college as well as affiliated teaching hospital;

(ii) adequacy of clinical training opportunities including workload, casemix;

(iii) availability of required clinical faculty;. ., ..

(iv) presence of needed educational resources;

(v) recruitment of appropriate and adElquate teaching/acuity: 31H1

(vi) availability of written training program ' with "objecfivps . '::'Y IIaUu,," ,teaching methods and assessment program; and

(e) SubsequentVisits.- SubsequenLcomprehensiveinspectionc ,- J _.

after every fiveyearsandanyor'alJ examinations maybe.' msnprt""Visits to verify' rectification of defidiElPciesHlay be held, butnol before II""weeks of the last Inspection and preferably by the sametearn WIlILI, VIS-

ited earlier. Reason forchari'ge 'in 'team including non-aval,C1U,"ty ~.inspector shall be recorded in wming and endorsed by the President v.

the Council. " ,

•

No. F,24(1)/2012/NRSD,

IRSHAD HUSSAIN,Deputy Secretary.

PRINTED BY THE MANAGER. PRINTING' CORPORATION OF PAKiSTAN PRESS.' KARACHI.PUBLISHED BY THE DEPUTY CONTROLLER. STATIONERY AND FORMS. KARACHI

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