Case Note & Summary
The petitioner, Dr. K. Nithya, a qualified MBBS doctor, obtained a PG Diploma in Physical Medicine and Rehabilitation (DPMR) in 2005 and joined government service as an Assistant Professor in 2006. In 2017, she was promoted to Associate Professor. The MD (PMR) degree course was started only in 2014, and prior to that, only the PG Diploma was available. In 2011, the Medical Council of India (MCI) granted a one-time relaxation allowing PG Diploma holders with three years of diploma and one additional year in an MCI-recognized institute to be considered equivalent to MD for teaching purposes. Based on this relaxation, the petitioner was admitted to the MD (PMR) course at Tamil Nadu Dr. M.G.R. Medical University and completed it in 2019. However, the Tamil Nadu Medical Council (TNMC) issued an order on 25.02.2022 cancelling her MD registration, stating that the MCI relaxation was only for teaching purposes and not for conferring an MD degree. The petitioner challenged this order by way of a writ petition under Article 226 of the Constitution. The High Court examined the MCI relaxation letter and found that it clearly permitted diploma holders to be considered equivalent to MD for teaching purposes, and the university had admitted the petitioner based on that relaxation. The court held that the TNMC's cancellation was arbitrary, violated principles of natural justice as no notice was given, and the petitioner had a legitimate expectation that her degree would be recognized. The court quashed the impugned order and directed the TNMC to restore the petitioner's MD registration.
Headnote
A) Medical Law - Equivalence of Qualifications - One-Time Relaxation by MCI - The Medical Council of India granted a one-time relaxation in 2011 allowing PG Diploma holders in Physical Medicine and Rehabilitation with three years of diploma and one additional year in an MCI-recognized institute to be considered equivalent to MD for teaching purposes only. The petitioner, a PG Diploma holder, was admitted to MD (PMR) course based on this relaxation. The Tamil Nadu Medical Council later cancelled her MD registration, but the High Court held that the relaxation was valid and the cancellation was unsustainable. (Paras 2-10) B) Administrative Law - Legitimate Expectation - Estoppel - The petitioner had a legitimate expectation that her MD degree would be recognized based on the MCI relaxation and the university's admission. The Medical Council's cancellation without notice and contrary to the relaxation was arbitrary and violated principles of natural justice. (Paras 11-15) C) Medical Law - Cancellation of Registration - Natural Justice - The impugned order cancelling the petitioner's MD registration was passed without affording her an opportunity of hearing. The High Court quashed the order and directed the Medical Council to restore the registration. (Paras 16-20)
Issue of Consideration
Whether the Tamil Nadu Medical Council could cancel the petitioner's MD (PMR) registration when she had been granted admission based on MCI's one-time relaxation treating her PG Diploma as equivalent to MD for teaching purposes.
Final Decision
The High Court allowed the writ petition, quashed the impugned order dated 25.02.2022 passed by the Tamil Nadu Medical Council, and directed the 1st respondent to restore the petitioner's MD (PMR) registration.
Law Points
- Medical Council of India one-time relaxation
- equivalence of PG Diploma to MD for teaching purposes
- legitimate expectation
- estoppel
- cancellation of registration without notice




