Madras High Court Examines Writ Petitions Challenging NMC Rejection of PG Medical Course Approvals. Court Considers Validity of Rejection on Grounds of Essentiality Certificate and AEBAS Attendance Under NMC Act, 2019 and PG Medical Education Regulations, 2000.

High Court: Madras High Court Bench: Madurai
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Case Note & Summary

The writ petitions before the Madurai Bench of the Madras High Court arose from the rejection of the petitioner college's applications for starting new postgraduate medical courses in 21 disciplines of broad and super speciality education for the academic year 2024-2025. The petitioner, M/s. Srinivasan Medical College and Hospital (Dhanalakshmi Srinivasan University), had been established in 2021-2022 with an intake of 150 MBBS seats. Pursuant to a public notice dated 16.08.2023, the college submitted applications for the postgraduate courses. The Medical Assessment and Rating Board (MARB) issued a letter of disapproval dated 13.06.2024 based on review of the application, citing non-compliance of attendance as per AEBAS attendance per unit and non-availability of Essentiality Certificate. A show cause notice dated 28.03.2024 had been issued earlier directing self-assessment and compliance report. The college preferred a first appeal before the second respondent on 04.07.2024, which was rejected by email dated 05.08.2024 on the ground of absence of Essentiality Certificate. The college then filed a second appeal before the first respondent on 12.09.2024. The first respondent passed impugned orders dated 24.12.2024 and 08.01.2025 rejecting the second appeal. The petitioner filed writ petitions under Article 226 of the Constitution to quash these orders and sought directions to issue letter of approval and include the college in state counselling for PG seats. The key legal issues were whether the first respondent was justified in rejecting the second appeal, whether the Essentiality Certificate requirement had been kept in abeyance by the NMC for 2024-2025, and whether the first respondent could rely on grounds not considered by the first appellate authority. The petitioner argued that Clause 11.1 and Clause 12 of the Post Graduate Medical Education Regulations, 2000 set teacher-student ratios, that for pre-clinical subjects units and beds are not required, and that NMC communication dated 21.11.2024 kept Essentiality Certificate requirement in abeyance. The respondents submitted that the college did not possess attendance compliance and Essentiality Certificate. The provided excerpt does not include the court's analysis and final decision.

Headnote

A) Medical Law - Approval of Postgraduate Medical Courses - Statutory Appeals under Section 28(6) NMC Act - National Medical Commission Act, 2019, Section 28(3), Section 28(6) - The petitioner college challenged the first respondent's rejection of its second appeal against refusal of approval for 21 PG medical disciplines. The court considered whether the first respondent was justified in rejecting the second appeal on grounds of non-compliance with AEBAS attendance and absence of Essentiality Certificate. (Paras 1-7, 14)

B) Medical Law - Essentiality Certificate Requirement - Waiver/Abeyance for Academic Year 2024-2025 - National Medical Commission Act, 2019 and Post Graduate Medical Education Regulations, 2000 - Petitioner argued that on 21.11.2024 the NMC decided to keep in abeyance the requirement of Essentiality Certificate for new PG courses for 2024-2025, hence the rejection on that ground was improper. The court was addressed on whether such communication barred reliance on absence of Essentiality Certificate. (Paras 12-14)

C) Medical Law - Faculty Attendance Compliance - AEBAS Attendance Per Unit - Post Graduate Medical Education Regulations, 2000 and Medical Assessment and Rating Board Regulations, 2023 - Disapproval was partly based on non-compliance of attendance as per AEBAS attendance per unit. Petitioner contended that the first appellate authority had not relied on this ground, so the second appellate authority could not reintroduce it. The court examined the scope of second appeal power. (Paras 2, 12-14)

D) Medical Law - Teacher-Student Ratio and Unit Requirements - Pre-clinical Subjects Exemption - Post Graduate Medical Education Regulations, 2000, Clause 11.1, Clause 12(1), Clause 12(3) - Petitioner submitted that for para and pre-clinical subjects like Anesthesiology, Forensic Medicine and Psychiatry, unit and bed requirements do not apply and teacher-student ratio is 1:3 for professors. The court was tasked to consider whether the applied seats complied with these norms. (Paras 8-11)

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Issue of Consideration

Whether the first respondent was justified in rejecting the second appeal dated 24.12.2024 and 08.01.2025, particularly with respect to applications for 21 disciplines of broad and super speciality Post Graduate medical education submitted by the petitioner College.

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Final Decision

Not mentioned in the provided excerpt.

Law Points

  • Approval for starting new PG medical courses requires compliance with Post Graduate Medical Education Regulations
  • 2000 and MARB Regulations
  • 2023
  • Section 28(6) National Medical Commission Act
  • 2019 provides a second appeal against MARB decisions
  • Essentiality Certificate requirement may be kept in abeyance by the National Medical Commission for an academic year
  • AEBAS attendance per unit is a relevant criterion for faculty compliance
  • Teacher-student ratio for a Professor is 1:2 for degree courses in broad specialities and 1:1 for other cadres
  • while for pre-clinical subjects the ratio is 1:3 for Professors
  • The requirement of units and beds does not apply to postgraduate degree or diploma courses in basic and para-clinical departments.
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Case Details

2025 LawText (MAD) (04) 14

W.P.(MD)Nos.126 to 135 and 447 to 456 of 2025

2025-04-28

L. Victoria Gowri

2025:MHC:1183

Manider Singh, B.Saravanan, AR.L.Sunderesan, K.Govindarajan, Subharanjini Anandh, T.Amjad Khan

M/s. Srinivasan Medical College and Hospital, Dhanalakshmi Srinivasan University

Union of India, National Medical Commission, Medical Assessment and Rating Board, State of Tamil Nadu, Secretary Selection Committee

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Nature of Litigation

Writ petitions under Article 226 of the Constitution challenging rejection of second appeal under Section 28(6) of the National Medical Commission Act, 2019 regarding approval for starting new postgraduate medical courses.

Remedy Sought

Petitioner sought quashing of impugned orders dated 24.12.2024 and 08.01.2025 and direction to respondents to issue letter of approval for 10 PG seats in MS-Orthopaedics and other disciplines, and to include petitioner college in state counselling for allotment of students.

Filing Reason

Rejection of second appeal by first respondent confirming first appeal committee's decision, which upheld MARB's disapproval due to non-compliance of AEBAS attendance and non-availability of Essentiality Certificate.

Previous Decisions

Third respondent MARB disapproved application on 13.06.2024; first appeal committee (second respondent) upheld MARB on 05.08.2024; second appeal rejected by first respondent on 24.12.2024 and 08.01.2025.

Issues

Whether the first respondent was justified in rejecting the second appeal on grounds of non-availability of Essentiality Certificate and AEBAS attendance. Whether non-availability of Essentiality Certificate is fatal when NMC had kept the requirement in abeyance for academic year 2024-2025. Whether the first respondent could consider grounds not addressed by the first appellate authority. Whether the petitioner college satisfied the teacher-student ratio and unit requirements under PG Medical Education Regulations, 2000 for the applied PG seats.

Submissions/Arguments

Petitioner argued that Clause 11.1 and Clause 12(1) of PG Medical Education Regulations, 2000 set teacher-student ratios of 1:2 for professors and 1:1 for other cadres, and for pre-clinical subjects 1:3 for professors, and that units and beds requirement does not apply to basic and para-clinical departments. Petitioner contended that the Essentiality Certificate requirement was kept in abeyance by NMC vide communication dated 21.11.2024 for 2024-2025, hence rejection on that ground was improper. Petitioner submitted that the second respondent had not relied on attendance grounds in first appeal, so the first respondent ought not to have considered it in second appeal. Respondents submitted that the applicant College did not possess attendance compliance as per AEBAS and Essentiality Certificate, and therefore the rejection was justified.

Ratio Decidendi

Not mentioned in the provided excerpt.

Judgment Excerpts

The ratio of recognised postgraduate teacher to the number of students to be admitted for the degree course where diploma is not prescribed shall be 1:2 for a Professor and 1:1 for other cadre covered by a general note following this rule in each unit per year subject to a maximum of 5 PG seats for the degree per unit per academic year provided a complement of 10 teaching beads is added to the prescribed bed strength of 30 for the unit for broad specialities..... The requirement of units and beds shall not apply in the case of Postgraduate degree or diploma courses in Basic and para-clinical departments... the first respondent has once again gone into the aspect of non-availability of attendance of faculty as per AEBAS attendance and the non-availability of Essentiality Certificate.

Procedural History

The petitioner college was established in academic year 2021-2022 with 150 MBBS seats. On 16.08.2023, the third respondent issued a public notice inviting applications for new PG courses for 2024-2025. The petitioner college submitted applications for 21 PG disciplines. The third respondent MARB issued letter of disapproval dated 13.06.2024 citing non-compliance of AEBAS attendance and non-availability of Essentiality Certificate. A show cause notice dated 28.03.2024 was issued. The petitioner preferred first appeal before second respondent on 04.07.2024; second respondent rejected appeal on 05.08.2024 citing absence of Essentiality Certificate. The petitioner preferred second appeal before first respondent on 12.09.2024. The first respondent rejected second appeal by orders dated 24.12.2024 and 08.01.2025. Thereafter writ petitions were filed.

Acts & Sections

  • National Medical Commission Act, 2019: Section 28(3), Section 28(6)
  • Post Graduate Medical Education Regulations, 2000: Clause 11.1, Clause 12(1), Clause 12(3)
  • Medical Assessment and Rating Board Regulations, 2023:
  • Constitution of India: Article 226
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