In exercise of powers conferred by Section 57 of the National medical Commission Act

## Policy Analysis Report: Amendment to Minimum Requirements for Annual MBBS Admission Regulations, 2020 **1. Executive Summary:** This report analyzes an amendment to the National Medical Commission's (NMC) Minimum Requirements for Annual MBBS Admission Regulations, 2020, specifically concerning the Department of Emergency Medicine. The amendment, effective June 8th, 2021, mandates that all Medical College hospitals have a dedicated Pressure Swing Adsorption (PSA) or Vacuum Swing Adsorption (VSA) technology produced oxygen supply in addition to piped oxygen supply, operational within six months. This change aims to bolster oxygen availability in emergency medicine departments, addressing potential shortages and improving patient care. **2. Introduction:** This report provides an overview and analysis of an amendment to the National Medical Commission's (NMC) Minimum Requirements for Annual MBBS Admission Regulations, 2020, as it pertains to the Department of Emergency Medicine. The analysis is based solely on the provided policy text. **3. Policy Overview:** * **Amendment to:** Minimum Requirements for Annual MBBS Admission Regulations, 2020 (Notification No. NMCMCI 35198med. ii 123627 dated 28th Oct 2020). * **Core Objective(s):** Based on the provided text, the core objective of this amendment is to enhance oxygen supply infrastructure specifically within the Department of Emergency Medicine in Medical College Hospitals. This is inferred from the mandate for additional oxygen generation technology. **4. Background and Rationale:** This amendment likely addresses a perceived inadequacy or vulnerability in existing oxygen supply systems within emergency medicine departments. The requirement for an additional, independent oxygen source (PSA/VSA technology) suggests a concern about potential disruptions or limitations in the primary piped oxygen supply, especially in critical situations. This could be due to increased demand, supply chain issues, or infrastructure limitations. The amendment aims to create a more resilient and reliable oxygen supply system. **5. Key Provisions / Changes:** This amendment directly alters S.No.3 under the heading "10.2 Department of Emergency Medicine of Clause10 Clinical Departments in SCHEDULE III EQUIPMENT for various departments in the College and Hospitals". * **Specific Part Changed:** Requirements for Central Oxygen and Suction points (S.No. 3 within the Department of Emergency Medicine equipment requirements). * **New Rule/Provision:** In addition to piped oxygen supply, all Medical College hospitals are required to have a dedicated PSA (Pressure Swing Adsorption) or VSA (Vacuum Swing Adsorption) technology produced oxygen supply. This system must be installed and made operational within six months of the notification date (June 8th, 2021). This applies irrespective of the existing requirements for the Department of Emergency Medicine mandated from 2022 onwards. * **Difference/Effect of the Change:** The original policy only mandated piped oxygen supply to beds. This amendment now *adds* the requirement for an *additional*, independently generated oxygen supply (PSA/VSA). This increases redundancy and potentially addresses shortfalls in the piped oxygen supply during peak demand or system failures. The addition is regardless of future stipulations regarding Emergency medicine department requirements. **6. Target Audience and Stakeholders:** The primary target audience consists of: * Medical College hospitals, particularly their administration and emergency medicine departments. * Manufacturers and suppliers of PSA and VSA oxygen generation systems. * The Under Graduate Medical Education Board of the National Medical Commission. **7. Implementation Aspects (Inferred):** * **Responsible agency/bodies:** The National Medical Commission (NMC) and its Under Graduate Medical Education Board are responsible for implementing and enforcing this amendment. Medical College hospitals are responsible for procuring, installing, and operationalizing the required oxygen generation systems. * **Timelines:** Medical College hospitals have six months from the notification date (June 8th, 2021) to install and operationalize the PSA/VSA oxygen supply. * The policy stipulates the requirement regardless of future mandates regarding Emergency medicine department requirements. **8. Expected Outcomes / Impact of Changes:** The intended outcome of this amendment is to improve the reliability and availability of oxygen within emergency medicine departments of Medical College hospitals. The likely impact includes: * Enhanced patient care in emergency situations through a more secure oxygen supply. * Increased preparedness for surges in oxygen demand. * Potential increased costs for Medical College hospitals due to equipment procurement and installation. * Increased demand for PSA/VSA oxygen generation systems. **9. Conclusion:** The amendment to the Minimum Requirements for Annual MBBS Admission Regulations, 2020, mandating additional oxygen generation systems in Medical College hospitals' emergency medicine departments, represents a significant step towards improving oxygen supply resilience and patient care. The six-month implementation timeline requires swift action from affected institutions and stakeholders. The policy’s effect regardless of further changes to requirements of the Emergency medicine department shows its importance to patient care.

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