FMGs awaiting up to 2 years for internship, some take delivery jobs to survive: Medicos urge NMC, Health Minister's intervention

Chennai: Foreign Medical Graduates (FMGs) in Tamil Nadu are allegedly waiting for up to two years to secure a Compulsory Rotating Medical Internship (CRMI) seat.

The situation is reportedly so difficult that some FMGs have taken up food delivery jobs while waiting for internship opportunities, according to a message shared by the All FMGs Association (AFA), which has urged authorities to take immediate action.

Under the National Medical Commission regulations, FMGs are required to complete their foreign medical degree, clear the Foreign Medical Graduate Examination, complete the mandatory internship/CRMI in India and obtain permanent registration to practice in India. 

Without completing the mandatory internship, FMGs cannot obtain permanent medical registration and are therefore unable to legally practice medicine in India. As a result, delays in internship allotment can leave qualified FMGs waiting for months or even years before they can start their careers.

Also read- NMC extends FMG internship in non-teaching hospitals till May 2028: All FMGs Association

Raising concerns over the issue, the All FMGs Association (AFA) has urged Union Health Minister J.P. Nadda and the National Medical Commission (NMC) to address long-pending issues related to internship allotment, registration and stipend payments.

In a post on X, the association shared a message allegedly received from an FMG in Tamil Nadu, who described the condition of the graduates there and requested action. 

On this, AFA said, "This is the message we received from FMGs in Tamil Nadu, and honestly, it shattered my heart. This is the reality of FMGs in India… even after clearing one of the toughest exams in the country, FMGE. On one side, NMC officials proudly meet foreign delegates, sign MoUs, and promote MBBS abroad to “strengthen bilateral relations.” But on the other side, the same NMC is unable to ensure that State Medical Councils follow its own rules."

Many FMGs facing similar issues across the country have alleged that, despite clear NMC instructions, several State Medical Councils are refusing to allot them internship seats on time.

Medical Dialogues, a week ago, reported that around 104 medical graduates, despite clearing the screening test, i.e., the Foreign Medical Graduates Examination (FMGE), have been waiting for an internship program for the past two years, which is mandatory for FMGs to obtain their medical registration to practice. Frustrated by the delay, they have appealed to the West Bengal Chief Minister, seeking urgent intervention to ensure allocation of internship seats and implementation of the full National Medical Commission (NMC)-approved internship seat matrix in the state.

Calling the situation unfair, AFA said that many FMGs continue to struggle even after clearing the Foreign Medical Graduate Examination (FMGE), one of the mandatory requirements for practising medicine in India.

Highlighting the challenges faced by FMGs, AFA claimed that several states are not allotting internship seats despite vacancies being available. It also alleged that in some states, graduates are forced to wait for nearly two years to begin their internships.

Further, the association stated that many FMGs who have already completed their internships are still awaiting permanent registration. It also alleged that certain states are requiring graduates to undergo additional years of internship, despite NMC advisories and public notices on the matter.

And in most states, the association said that FMGs are working without a stipend, surviving on hope alone.

Tagging the Ministry of Health and Family Welfare and the National Medical Commission in its post, AFA said that these issues have been going on since the COVID-19 pandemic and require urgent attention.

"How long will FMGs keep suffering like this? We are not asking for privilege. We are not asking for shortcuts. We are only asking for basic fairness. Don’t punish FMGs for choosing MBBS abroad. We only want to serve our country, support our parents, and build a dignified life," the association added. 

Commenting on this, Dr Samar Kumar, Vice President, AIMSA FMSW & AFA, told Medical Dialogues, "Every month, only two to three FMGs are being allotted internships, while many others have been waiting for 1.5 to 2 years. The major concern is that the Tamil Nadu Medical Council (TNMC) has sufficient internship seats available but is not utilizing non-teaching hospitals for FMG internships. Despite the National Medical Commission (NMC) guidelines and notifications permitting non-teaching hospitals to conduct internships, TNMC continues to allot FMGs primarily to private medical colleges. This has created several problems."

He said, "Many private medical colleges charge FMGs for internship training, which is against NMC guidelines. Furthermore, most of these institutions do not provide stipends to FMG interns. As a result, many FMGs in Tamil Nadu are facing significant financial and mental stress. Some are even compelled to work as delivery personnel for companies such as Zomato and Swiggy to support themselves and their families while waiting for internship opportunities. We have repeatedly sought clarification and intervention from the Tamil Nadu Medical Council and the Health Ministry of Tamil Nadu. However, no adequate response or effective action has been taken so far."

The association has urged the Tamil Nadu Medical Council to utilize non-teaching hospitals for FMG internships and ensure the timely allotment of internships to all eligible FMGs.

Along with this, the association also requested NMC to kindly issue appropriate directions to TNMC to address this issue and ensure compliance with NMC guidelines.

Also read- 104 FMGs left out from internship allotment in WB, medicos seek CM Adhikari's intervention