Internship in India : MBBS

MEDICAL INTERNSHIP


(1)            General
Internship is a phase of training wherein a graduate is expected to conduct actual practice of medical and health care and acquire skills under supervision so that he/she may become capable of functioning independently.

(2)             SPECIFICE OBJECTIVES
At the end of the internship training, the student shall be able to:
i.         diagnose clinical common disease conditions encountered in practice and make timely decision for referral to higher level;
ii.       use discreetly the essential drugs, infusions, blood or its substitutes and laboratory services.
iii.      Manage all type of emergencies-medical, surgical obstetric, neonatal and paediatric, by rendering first level care;
iv.     Demonstrate skills in monitoring of the National Health Programme and schemes, oriented to provide preventive and promotive health care services to the community;
v.       Develop leadership qualities to function effectively as a leader of the health team organised to deliver the health and family welfare service in existing socio-ecomic, political and cultural  environment;
vi.     Render services to chronically sick and disabled (both physical and mental) and to communicate effectively with patient and the community.

(3)                 Time allocation to each discipline is approximate and shall be guided more specifically by the actual experience obtained. Thus a student serving in a district or taluk hospital emergency room may well accumulate skill in surgery, orthopaedics, medicine, obstetrics and Gynaecology and Paediatrics during even a single night on duty. Responsible authorities from the medical college shall adjust the intern experience to maximize intern’s opportunities to practice skills in patient care in rough approximation of the time allocation suggested.
 


(4)   INTERNSHIP – TIME DISTRIBUTION  

Compulsory
Community Medicine 2 months
Medicine 2 months
Surgery including Orthopaedics 2 months
Obst./Gynae. Including Family 2 months
Welfare Planning 15 days
Paediatric One month
Ophthalmology 15 days
Otorhinolaryngology 15 days
Casualty 1 Month
Elective 15 days

 Elective Postings

Elective Subject :-

Elective posting will include Two of the following for 15 days in each subject.
i. Dermatology and Sexually Transmitted Diseases.
ii. Psychiatry
iii. Tuberculosis and Respiratory Diseases
iv. Anesthesia
v. Radio-diagnosis
vi. Physical Medicine and Rehabilitation
vii. Forensic Medicine and Toxicology
viii. Blood Bank and Transfusion Department.

(5)            OTHER DETAILS:
i)        All parts of the internship shall be done as far as possible in institutions of India. In case of any difficulties, the matter may be referred to the Medical Council of India to be considered on individual merit.
ii)       Every candidate will be required after passing the final MBBS examination to undergo compulsory rotational internship to the satisfaction of the College authorities and University concerned for a period of 12 months so as to be eligible for the award of the degree of Bachelor of Medicine and Bachelor of Surgery (MBBS) and full registration.
iii)     The University shall issue a provisional MBBS pass certificate on passing the final examination.
iv)    The State Medical Council will grant provisional registration to the candidate on production of the provisional MBBS pass certificate. The provisional registration will be for a period of one year. In the event of the shortage or unsatisfactory work, the period of provisional registration and the compulsory rotating internship may be suitably extended by the appropriate authorities.
v)      The intern shall be entrusted with clinical responsibilities under direct supervision of senior medical officer. They shall not be working independently.
vi)     Interns will not issue a medical certificate or a death certificate or a medicolegal document under their signature.
vii)   In recognition of the importance of hands-on experience, full responsibility for patient care and skill acquisition, internship should be increasingly scheduled to utilize clinical facilities available in District Hospital, Taluka Hospital, Community Health Centre and Primary Health Centre, in addition to Teaching Hospital. A critical element of internship will be the acquisition of  specific experiences and skill as listed in major areas:
Provided that where an intern is posted to District/Sub Divisional Hospital for training, there shall be a committee consisting of representatives of the college/university, the State Government and the District administration, who shall regulate the training of such trainee.
           Provided further that for such trainee a certificate of satisfactory completion of training shall be obtained from the relevant administrative authorities which shall be countersigned by the Principal/Dean of College;
viii)  Adjustment to enable a candidate to obtain training in elective clinical subjects may be made.
ix)     Each medical college shall establish links with one entire district extending out-reach activities. Similarly, Re-orientation of Medical Education (ROME) scheme may be suitably modified to assure teaching activities at each level of District health system which will be coordinated by Dean of the medical college;
x)      Out of one year, 6 months shall be devoted to learning tertiary care being rendered in teaching hospital/district hospital suitably staffed with well qualified staff, 3 months of secondary care in a small District or Taluka Hospital/Community Health Centre and 3 months in Primary Health care out of which 2 months should be in Primary Health Programme at the Community level. One month of primary care training may be in the form of preceptorship with a practicing family physician or voluntary agency or other primary health care provider.
xi)     One year’s approved service in the Armed Forces Medical Services, after passing the final MBBS examination shall be considered as equivalent to the pre-registration training detailed above; such training shall, as far as possible, be at the Base/General Hospital.