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NBE clarifies on requirements of Post MBBS Diploma courses in 8 specialities

Medical Dialogues BureauWritten by Medical Dialogues Bureau   |  
NBE clarifies on requirements of Post MBBS Diploma courses in 8 specialities
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New Delhi: Through a recent notification, the National Board of Examinations (NBE) has clarified on the requirements for Post MBBS Diploma courses in 8 specialities which were recently launched by the authority.

Medical Dialogues had earlier reported about the introduction of these 8 Post MBBS two-year Diploma courses. The above qualifications have been included in the First Schedule of IMC Act, 1956 as per The Gazette of India notification dated 06-08-2020.

Post MBBS Diploma Courses

S. No.

Specialty

Name of the Qualification

1

Anesthesiology

DA (NBE)

2

Obstetrics & Gynaecology

DGO (NBE)

3

Paediatrics

DCH (NBE)

4

Family Medicine

D Fam. Med. (NBE)

5

Ophthalmology

DO (NBE)

6

ENT

DLO (NBE)

7

Radio Diagnosis

DMRD (NBE)

8

Tuberculosis & Chest Disease

DTCD (NBE)

Accordingly, the NBE had invited applications from all the eligible hospitals for the accreditation of the 8 courses last month.
Now, issuing a clarification on the requirements of these courses, the NBE has released a recent notice on its official website stating the following:

It is hereby clarified that:

· There is no requirement of a MoU for teaching basic sciences to the Diploma trainees. The concerned faculty for the Diploma courses shall teach the trainee in the basic sciences as applicable to the concerned specialty as per availability of local resources in the hospitals.

· MCI courses and DNB Diploma course cannot be run concurrently in the same specialty as they share same beds, resource and faculty.

· The admission to Diploma courses shall be through NEET PG only.

· Hospitals running three years DNB courses, in any of the 8 specialties for which diploma courses have been started, can also apply for Diploma courses with the same infrastructure and faculty.

· The allotment of diploma seats against faculty shall be as under:

Faculty

Maximum Diploma Seats*

1 Senior Consultant

2

2 Junior Consultants

2

* The decision of NBE shall be final in this regard.

· For any query/clarification please write to NBE at e-mail ID: accr@natboard.edu.in

To view official notice, click on the following link:

https://medicaldialogues.in/pdf_upload/pdf_upload-134530.pdf

For more details, log on to the official website of NBE:

https://nbe.edu.in/

Earlier, for all those hospitals seeking accreditation for 8 Post MBBS 2 Years NBE Diploma courses, the National Board of Examinations (NBE) invited applications along with releasing the mandatory requirements to be met for the same.

The Hospitals having a minimum of 100 operational beds are eligible to seek accreditation with NBE for Diploma courses. The last date for submitting applications is 30th September.

Please refer to the following details updated from the Information Bulletin regarding filling up of the application form, accreditation fee and minimum accreditation criteria.

The application forms have to be submitted only in online mode through Online Accreditation Application Portal (OAAP) which can be accessed through NBE website www.natboard.edu.in

Accreditation Fee
Applicant hospital/institute seeking fresh accreditation or renewal of accreditation in any specialty are required to pay an accreditation fee of Rs. 2,00,000/- Plus GST @18% for each specialty. The online application form fee for each specialty is Rs. 3,000/- Plus GST @5%.
The application fee to be paid for each application form is tabulated below:

Accreditation Fee for each Specialty

Rs 2,00,000/-*

GST @ 18% on Accreditation fee

Rs. 36,000/-

Application Form Fee

Rs. 3,000/-

GST @ 5% on Accreditation fee

Rs. 150/-

Total fee to be paid per specialty

Rs. 2,39,150/-

*Defence Institutions are exempted from submitting Accreditation Fees of Rs. 2,00,000/-. However, the Application Form Fees of Rs. 3,000/- + GST @ 5% shall be required to be paid.
Applicant hospital/institute shall be able to pay the above-mentioned fee only through Online Payment Portal of NBE. Payment made through any other portal shall not be accepted.
The application form shall only be considered as successfully submitted only if the accreditation fees has been paid successfully to NBE. NBE shall not be responsible for any transaction failure or delay in processing of transaction.
Partial refund of Accreditation Fee is admissible under following conditions:

Refund of Accreditation Fee admissible*

Terms & Conditions

90% of total fee#

· If the application is withdrawn by the applicant hospital/institute within 4 weeks of the last date of online application submission to NBE.

· Incomplete application which is summarily rejected without subjecting it to a detailed "Pre-assessment processing".

50% of total fee#

· If the application is withdrawn by the applicant hospital / institute after 4 weeks of the last date for online application submission to NBE but before the assessment of the applicant department by NBE appointed assessor.

· If the application is rejected at pre- assessment level (prior to assessment of the department by NBE appointed assessor) due to non-fulfilment of minimum accreditation criteria and/or the hospital fails to submit definite compliance within stipulated time (if so required) to the Pre - Assessment deficiencies communicated to the hospital by NBE.

No refund shall be admissible

· Once the assessment of the applicant department has been conducted by NBE

* Application Form Fee of Rs. 3,000/- + GST @ 5% on Application Form Fee (i.e. a total of Rs. 3150/-) is non-refundable under any circumstance.

# GST paid by the hospital shall be refunded proportionately. For Example:

Refundable Fee

Amount

GST Refundable

Total

Refund

90% of

Accreditation fees

Rs.1,80,000/-

Rs.32,400/-

Rs.2,12,400/-

50% of Accreditation fees

Rs.1,00,000/-

Rs.18,000/-

Rs.1,18,000/-

The fees for accreditation will not be carried forward to a future date and/or for another application.

Application form submitted to NBE without payment of Accreditation Fees including GST shall not be processed.

Grossly incomplete applications or applications not fulfilling the minimum accreditation criteria shall be closed at Pre assessment level i.e. without undertaking any physical assessment/ inspection of the applicant hospital.
Compliance submission to Pre - Assessment Deficiencies: The applicant hospital shall be permitted to submit to NBE the compliance to deficiencies noted in pre-assessment processing of the applications.
Assessment of the applicant hospital: NBE shall be appointing an assessor to undertake the physical assessment /inspection of the hospital with regards to infrastructure, facilities, faculty, patient load and other related information. The assessment schedule will be intimated to the applicant hospital 2 weeks in advance. The exact date of physical assessment along with the details of NBE appointed assessor shall be informed to the applicant hospital 1-2 days prior to the date of assessment/inspection.
Post Assessment Processing: Application form and the documents submitted by the hospital along with the assessment report of NBE appointed assessor shall be placed before the NBE Accreditation Committee for deciding the matter.
The decision of the Accreditation Committee shall be communicated to the hospital after it is approved by the Governing Body of NBE.
Minimum Accreditation Criteria
(I). The Applicant Hospital
A. Clinical establishment:
The applicant Hospital/Institute should be a clinical establishment having requisite infrastructure of minimum prescribed beds providing comprehensive OPD and IPD based medical services in a single campus. Any clubbing of infrastructure, facilities and faculty of multiple hospitals/units of the applicant, hospital is not permitted for seeking accreditation in the name of the applicant hospital.
The applicant hospital should have a minimum of 02 years of standing in the clinical establishment before it can be considered for the commencement of NBE Diploma courses. However, the hospital can apply for seeking accreditation with NBE after completing 01 year in clinical operations. Years in clinical operation should be substantiated with supportive documents such as a certificate of registration of the applicant hospital under applicable acts & rules. Failure to substantiate the minimum required period in clinical operations (i.e. at least 01 year by the last date of application submission) with supportive documents shall invite closure of the application.
Mandatory regulatory / licensing approvals and all statutory requirements / clearances should have been obtained from appropriate administrative authorities / State Government / Central Government / Pollution Control Board Certificate / Municipal corporations and various councils. It shall be the responsibility of the hospital to obtain the necessary clearances and NBE shall not be responsible if the hospital fails to obtain or comply with any required mandatory certifications such as, but not limited to:
• Certificate of Registration of the hospital under applicable Acts and Rules*
• Pollution Control Board Certificate issued by State Government for Biomedical waste Management*
• Valid Fire Safety Certificate from State Fire Department
• Building Complex Occupancy Certificate
• Certificate of Incorporation of Parent Company/ Certificate of Registrar of Society (if applicable)
• AERB approval for operations of Medical Diagnostic Equipments (X-rays, CT Scan, MRI, PET Scan, Linear Accelerator etc.)
• Certificate issued by State Government to the agency which is authorised for Bio-Medical waste management of the applicant hospital
• Other regulatory approvals which may be specific to the specialty applied for seeking accreditation
Bed strength of the applicant hospital
Hospitals having a minimum of 100 operational beds are eligible to seek accreditation with NBE for Diploma courses.
The total number of operational beds in the hospital (as claimed to be authorized for commissioning) has to be certified with supportive documents such as "Consent to Operate" authorization from State Pollution Control Board (SPCB).
The consent to operate for claimed total beds should have been granted by SPCB before the last date of application submission. Applications submitted to SPCB for seeking consent for the expansion of beds or consent granted by SPCB for expansion shall not be considered in lieu of consent to operate certificate issued by SPCB. Failure to substantiate the claimed number of total operational beds in the hospital with supportive documents shall invite closure of the application.
(II). Requirements in applicant departments
A. Beds in the applicant department/specialty of the hospital:
The requirement of beds in the specialty/department for each of the eight NBE diploma courses is tabulated below:
Beds & other Infrastructural requirement for NBE Diploma courses

Departments

Minimum Beds required in the department

• Obstetrics & Gynaecology

20 Beds

• Tuberculosis & Chest Disease

20 Beds

• Paediatrics

20 beds

Departments

Minimum Beds required in the department

• Family Medicine

40 Beds

·10 beds each in General Medicine, General Surgery, Obstetrics & Gynaecology, and Paediatrics.

·Beds for Family Medicine Diploma courses may overlap with other specialties. For example: 150 bedded hospital with 20 beds each in General Medicine, General Surgery, Paediatrics and Obstetrics & Gynaecology may seek accreditation for diploma courses in all the respective specialties and also in Family Medicine.

·The Paediatrics or General Medicine Department shall be the nodal department for Family Medicine.

• Anaesthesiology

• Ophthalmology

• Radio Diagnosis

Reference is made to optimal case load in clinical disciplines and associated labs and facilities.

Essential equipments and specialty specific modalities required should be available. In certain disciplines, access to IPD services and operative infrastructure shall be assessed.

For NBE Diploma in Radio Diagnosis, the department of Radio Diagnosis should be an integral part of the hospital and must have the following imaging modalities:

· CR/DR

· Ultrasound including colour Doppler

· Spiral / multi slice CT

The department of Radio Diagnosis should be in possession of all regulatory clearances namely AERB / Bio-medical radioactive waste management / radiation physics and radiology workstation.

· ENT

10 Beds

Faculty in the applicant department/specialty
The applicant hospital should have minimum required faculty in each applicant department.
The applicant department should have 01 Senior Consultant or 02 Junior Consultants for being considered eligible for Diploma courses.
• Sr. Consultant: Should have a minimum of 5 years of experience after qualifying MD / MS/ DNB or equivalent in the specialty concerned.
• Jr. Consultant: Should have a minimum of 2 years of experience after qualifying MD/ MS/ DNB or equivalent in the specialty concerned.
• The qualification in the specialty should be a recognized qualification as per the provisions of IMC Act.
The minimum eligible qualifications & experience to qualify as Senior or Junior consultants for different NBE Diploma courses is tabulated as below:

Minimum Eligible Qualification & Experience of Faculty for Diploma courses

Specialty

Minimum Eligible Qualification(s)

Minimum Experience after PG in Minimum Eligible Qualification

Senior Consultant

Junior Consultant

Anaesthesiology

DNB/MD (Anaesthesiology) or equivalent

5 Years

2 Years

Obstetrics & Gynaecology

DNB/MS/MD (Obstetrics & Gynaecology) or equivalent

5 Years

2 Years

Ophthalmology

DNB/MS/MD (Ophthalmology) or equivalent

5 Years

2 Years

ENT

DNB/MS (ENT) or equivalent

5 Years

2 Years

Paediatrics

DNB/MD (Paediatrics) or equivalent

5 Years

2 Years

Radio Diagnosis

DNB/MD (Radio Diagnosis) or equivalent

5 Years

2 Years

Minimum Eligible Qualification & Experience of Faculty for Diploma courses

Specialty

Minimum Eligible Qualification(s)

Minimum Experience after PG in Minimum Eligible Qualification

Senior Consultant

Junior Consultant

Tuberculosis & Chest Disease

DNB/MD (Tuberculosis & Respiratory Diseases

/Respiratory Diseases/ Pulmonary Medicine) or equivalent

5 Years

2 Years

Family Medicine

DNB / MD / MS (Family Medicine, General Medicine, Paediatrics, General Surgery or Obstetrics & Gynaecology) or equivalent

5 Years

2 Years

All the applicant hospitals/Institutes for Family Medicine Diploma course shall have at-least one faculty each in General Medicine, General Surgery, Paediatrics and Obstetrics & Gynecology. Faculty with MD/DNB –Family Medicine may replace one of the faculty of General Medicine or Paediatrics.
Facility counted for the purpose of accreditation in Family Medicine, shall also be counted for as faculty for accreditation in their respective specialties also. Overlapping of faculty is allowed for Family Medicine Diploma courses. For eg: The faculty counted for the purpose of General Medicine Diploma the course shall also be eligible as faculty for Family Medicine Diploma Course.
Proposed faculty in the applicant department shall be required to submit a declaration form in the prescribed format while submitting an application to NBE. The format of the declaration form can be seen at Annexure - 2. The duly filled declaration form has to be uploaded at the time of online submission of the application form.
The applicant hospital shall be required to verify the correctness and veracity of each content of faculty declaration forms and endorse the same as true and correct. The applicant hospital shall be equally responsible besides the faculty himself/herself for any misdeclaration or misstatement, in the event of declaration turning out to be either incorrect or any part of this declaration subsequently turning out be incorrect of false
Full time status of Faculty: As per NBE criteria, the applicant hospital shall be the principal place of working of the consultant who is proposed as part of the faculty for the programme. Every faculty member should declare that he is working 'full time' in the applicant hospital and the same has to be confirmed in the faculty declaration form.
Part time and visiting consultant shall not be considered as a faculty for Diploma courses and shall not be counted towards minimum required faculty for the purpose of accreditation of the applicant department.
NBE shall verify the full-time status of faculty in the hospital concerned through a set of documents including but not limited to, declaration form of the faculty, Form-16/16A, Form-26AS of faculty, Salary/Bank statements, HIS data or any other document as deemed fit by NBE.
Changes in Faculty Status: The applicant department once accredited with NBE is required to maintain the minimum required faculty position at all times. However, under extreme circumstances if the Faculty present at the time of accreditation is to be replaced, the same has to be carried out within 3 months, under intimation to the NBE.
In case of any change in faculty during the accredited period, it shall be required to induct only eligible faculty as a replacement of faculty who has left. Lack of faculty due to any reason would be communicated to NBE within 15 days. Failure to appoint alternative faculty shall lead to the withdrawal of accreditation and relocation of the ongoing trainees. This situation would also 'red flag' the hospital/institute for further accreditations.
Newly introduced faculty in the accredited department shall be required to submit his/her declaration form in the prescribed format with supportive documents such as Additional Qualification Registration Certificate (AQRC), Form 26AS, letter of appointment issued by the accredited hospital and relieving letter from the last employer, if any.
The applicant hospital shall maintain details of its full-time faculty for NBE Diploma courses on its official website indicating their designations and time period of availability in the hospital.
Patient Load in the applicant department/specialty
The applicant department should have minimum required patient load in OPD registrations and/or IPD admissions as tabulated below. The hospital shall be required to furnish the total patient load in the department for last 02 years in the application form.
In surgical disciplines, details of surgical case load shall be required for the last 02 years in terms of major and minor surgeries performed by the department, as mentioned in the application form for the concerned specialty. Spectrum of clinical/surgical diagnosis available in the department for the last 02 years shall be required to be furnished in the application form.
NBE may verify the patient load data furnished in the application submitted with supportive documents such as HIS records, OT registers etc.
Patient Load requirements for Diploma courses:

Departments

Minimum Patient Load per year

•Paediatrics

•Tuberculosis & Chest Disease

• ENT

•Obstetrics & Gynaecology

· Total OPD: 2500

· Total IPD: 500

· Total OPD: 2500

· Total IPD: 500

· A total of 500 procedures (Major and Minor combined) per annum should be performed in the applicant department. Out of 500 procedures, obstetrical component shall be 300 per year & gynecological component shall be 200 per year.

· The applicant department shall have minimum of 150 normal vaginal deliveries per annum.

Departments

Minimum Patient Load per year

•Ophthalmology

· Total OPD: 2500

· IPD: Primarily Day Care/ Consultation based Specialty; Department should have adequate surgical case load and spectrum of diagnosis to support PG teaching & training.

· The applicant department shall perform minimum of 500 major surgeries per year.

•Family Medicine

· Total OPD: 5000

· Total IPD: 1000

(This is inclusive of OPD & IPD load in General Medicine, General Surgery, Paediatrics and Obstetrics & Gynecology)

•Anaesthesiology

· The department shall have adequate number of operation theatres.

· The following departments shall be available In-house:

1. Obstetrics & Gynaecology

2. General Surgery/Orthopaedics (Any one)

3. ICU – Minimum 10 beds ICU inclusive of all specialties

4. Ophthalmology/ENT (Desirable)

5. Pain clinic (Desirable)

· Departments should have adequate case load and case mix (spectrum of diagnosis) in all essential modalities to support PG teaching &training.

•Radio Diagnosis

The department of Radio Diagnosis should be an integral part of the hospital and must have the following imaging modalities:

· CR/DR

· Ultrasound including colour Doppler

· Spiral / multi slice CT

Physical Facilities & Supportive Services
Out Patient Department: The applicant hospital should possess adequate space for: • Registration of patients along with facilities for centralized & computerized record keeping with proper indexing (such as HIS data etc.) • Adequate number of rooms for examining the patients in privacy. • Case conference room/teaching room in OPD area
In-Patient Department: The hospital should possess adequate space for doctor's duty room with adequate facilities for the toilet, adequate space for each bed and in between, for side laboratory, for clinical investigations and separate room for the clinical conference (ward teaching) etc.
Emergency Medical/ Critical Care: The applicant hospital should have 24 hours emergency and critical care services having an adequate number of beds with supportive facilities for resuscitation and good medical cover, including Emergency Surgery O.T., ICU etc.
OT Complex: Hospitals seeking accreditation with NBE in surgical specialties should have:
• Adequate number of operation theatres: Modular/Major/Minor
• Essential Surgical & Anaesthesia equipments in OT, Post Op Care area and Intensive Care units
• Anesthesiologists both for the hospital service and training of candidates • Other Allied Health/Para medical staff
• Intensive Care Unit for surgical emergencies/critical care of patients
• Post-operative ward/Recovery Area.
• Simulation/Skill Lab based hands-on training provisions for training of NBE trainees
Supportive Services: The applicant hospital should have provisions for necessary supportive services for patient care as well as for training of NBE Diploma trainees such as:
• Radiology & Essential Imaging modalities
• Clinical Biochemistry
• Clinical Haematology
• Clinical Microbiology
• Surgical Pathology/Histopathology, Cytology
• Blood Bank/Storage
• Dietetics department with a qualified dietician
• CSSD
• Medical Record Department
• Any special diagnostic or therapeutic support service required for the applicant department
Guidelines for Accredited Hospital
A. Fee to be paid by the Trainee:
1. The fee shall be collected annually and has to be paid by the trainee at the start of each academic year.
2. In any circumstances the fee shall be non-refundable to the candidates, if he/she leaves Diploma training after joining the course.
3. The accredited hospital cannot charge any other fees like capitation fees, security deposit, security bond, and caution bond in the form of cash, fixed deposit, bank guarantee, and agreement by any instrument whatsoever. However, State Govt. owned District Hospitals applying under NBE Diploma course can implement a service bond as per the applicable state government directives, with prior approval of NBE.
4. It is not mandatory or binding on the hospital to charge maximum fees or any part thereof from the trainee resident doctors.
5. The accredited hospital cannot charge any fees or an amount in any form, over and above the ceiling amounts prescribed by NBE.
6. The maximum fee that can be collected from a Trainee annually is tabulated below:

Heads

Charges * (in INR) per year

Academic fee

75,000/-

Library fee

15,000/-

Annual Appraisal fee

15,000/-

Accommodation Charges

20,000/-

Total

1,25,000/-

B. Stipend Guidelines
Paying stipend to the Diploma Trainees is compulsory.
According to the NBE stipend policy, the hospital shall have to pay the Diploma Trainee a basic stipend prescribed by NBE or basic stipend according to State Government policy (whichever is higher):
Minimum stipend prescribed by NBE for Post MBBS Diploma:

Year of DNB Training Stipend (in INR) per month

First Year

35,000/-

Second Year

37,000/-

The phrase "basic stipend according to state government policy" in para 5.8 should be interpreted for different states as tabulated below:

Categories of States

The phrase "basic stipend according to state government policy" in NBE stipend guidelines should be interpreted as under:

For NBE Diploma courses

States where the stipend to MD/MS and DM/MCh trainees of State Govt Medical Colleges is paid as a consolidated sum (without any break-up of basic pay and allowances)

The consolidated sum paid to MD/MS trainees of State Govt Medical Colleges

States where the stipend paid to MD/MS and DM/MCh trainees of State Govt Medical Colleges is structured as a "Basic pay plus various allowances" and paid as per recommendations of 7 th CPC

Pay level 10 of 7th CPC*

The 1 st & 2 nd Year Diploma Trainees should be treated at par with the 1 st & 2 nd Year DNB Trainees for the purpose of Trainees.

Cell 1 & 2 of pay level 10 in Pay matrix of 7 th CPC correspond to 1 st & 2 nd year of training respectively.

* This does not include any kind of allowances as may be paid to MD/MS candidates in respective states. It is at liberty to the accredited hospitals to pay any allowances over and above the minimum sum prescribed by NBE.
Parity with the basic stipend paid by respective State Government should be maintained and rates of the stipend may be periodically revised.
NBE accredited hospitals are at liberty to pay Diploma trainees a monthly stipend more than the minimum stipend prescribed by NBE.
It is also desirable that the hospital provides accommodation to their trainees in addition to their stipend. However, the hospital shall not reduce the stipend of the trainees in lieu of providing accommodations.
C. Functionaries of the applicant hospital
The applicant hospital shall designate the following authorities from its staff for diploma courses:
Head of the Institute/ Chief Medical Superintendent / Medical Superintendent / CMO In-charge /Civil Surgeon/ Director: Nodal officer for compliance of the rules and guidelines governing the programme as prescribed by NBE.
NBE Programme Co-ordinator (Single Point of Contact- SPoC): He/She shall be the resource person either from the management or academic staff who shall communicate with NBE pertaining to the smooth running of the Diploma courses. The communication from NBE shall be sent to SPoC. SPoC shall be responsible for filling up of the application form for accreditation with NBE in consultation with the hospital functionaries indicated at 5.14 and 5.16
Head of the Department / Senior Faculty/ In-charge: Designated head of the applicant department/Senior faculty/In-charge shall be responsible for all administrative formalities (such as verifying faculty declaration forms, signing applications/ various documents on behalf of the applicant department etc.) with NBE related to NBE Diploma courses. He/She shall be deciding the academic & duty/posting roster of NBE trainees.
It is mandatory that the applicant hospital nominates the aforesaid functionaries for the NBE Diploma courses and indicate the same prominently with contact telephone no, mobile no and email-ID at the hospital's Notice Board for the benefit of NBE trainees.

For any query/clarification please write to NBE at e-mail ID: accr@natboard.edu.in

For more details, log on to the official website of NBE: https://www.nbe.edu.in/

To view official information bulletin, click on the following link:

Read also: Wanting To Start Post MBBS 2 Years NBE Diploma Courses At Your Hospital, Here Is What You Need To Know


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