**Executive Summary**
This document presents the Minister of Health and Family Welfare's response to Starred Question No. 90 in Lok Sabha, scheduled for December 5th, 2025. The question concerns the staff pattern in government medical colleges and hospitals, particularly in Kerala. The response refers to the National Medical Commission (NMC) regulations and the role of State Medical Councils in addressing related issues.
**Key Points / Main Content**
* **National Medical Commission (NMC) Regulations:**
* **Regulations in place:** The NMC has framed Minimum Standard Requirement (MSR) Regulations, 2023 and the Medical Institutions (Qualification of Faculty) Regulations, 2025 to ensure sufficient human resources in medical colleges & hospitals.
* **Faculty Requirements:** All teaching staff must be full-time, and faculty are prohibited from engaging in private practice during college functioning hours.
* **Staffing Levels:** Medical colleges and teaching hospitals must provide additional staff proportionate to workload, including non-teaching personnel. Visiting faculty can be engaged to enhance teaching quality.
* **Medical Officers:** Senior Residents, Junior Residents, and Medical Officers are to be appointed in hospitals to provide round-the-clock services.
* **Faculty Appointments:** Non-medical graduates with MSc and PhD qualifications from NMC-recognized/accredited Medical Colleges/Institutes can be appointed as faculty. Non-teaching Consultants/Specialists /Medical Officers and Diploma holders have been made eligible for Assistant Professor.
* **Kerala Specific Information:**
* The state government of Kerala informed that man power in medical colleges has been fixed as per the requirements and in compliance with NMC norms
* Health is a state subject, thus, filling vacant posts is the responsibility of the state government.
* **Negligence:**
* The National Medical Commission Act, 2019, empowers State Medical Councils (SMC) to take disciplinary action in cases of professional misconduct and negligence. No report has been sought by the Central government.
* **Annexures**
* Department-wise Details of Doctors, Staff, and Faculty Requirements in Government Medical Colleges and Hospitals as per Bed Strength and Union Government/MSR 2023 Norms is at Annexure-I.
* Total strength of faculty as per MSR, 2023 is at Annexure-II.
**Impact Analysis**
**Stakeholder: Government Medical Colleges and Hospitals in Kerala**
* **Impact:** Must adhere to NMC regulations regarding staff patterns and faculty qualifications. Must ensure adequate staffing levels in all departments, including non-teaching personnel.
* **Action Required:** Review existing staffing levels and hiring practices to ensure compliance with the MSR 2023 and Faculty Regulations, 2025. Fill vacant positions as needed.
**Stakeholder: State Government of Kerala**
* **Impact:** Responsible for ensuring sufficient human resources in medical colleges within the state. Responsible for filling vacant positions.
* **Action Required:** Assess manpower needs in medical colleges. Fill vacant posts to align with the institution’s needs and NMC standards.
**Stakeholder: Doctors, Nurses, and Other Staff**
* **Impact:** Staff must meet the updated qualification requirements for faculty positions. Teaching staff can no longer engage in private practice during college functioning hours.
* **Action Required:** Review and update qualifications as necessary. Adhere to rules regarding private practice during college hours.
**Stakeholder: National Medical Commission (NMC)**
* **Impact:** Responsible for overseeing the implementation of MSR 2023 and Faculty Regulations, 2025.
* **Action Required:** Supervise Medical colleges and their teaching hospitals' compliance with new staffing regulations.
**Stakeholder: State Medical Council (SMC)**
* **Impact:** Empowered to take disciplinary action in cases of professional misconduct and medical negligence.
* **Action Required:** Address any ethical misconduct and/or medical negligence by a registered medical practitioner in accordance with the regulations/guidelines framed under the Act.
Key Entities Referenced
National Medical Commission (NMC): Regulates medical education and medical professionals in India. It framed the Minimum Standard Requirement (MSR) Regulations, 2023, and the Medical Institutions (Qualification of Faculty) Regulations, 2025, relevant to the policy.
Minimum Standard Requirement (MSR) Regulations, 2023: Regulations framed by NMC to ensure sufficient human resources in medical colleges and hospitals.
Medical Institutions (Qualification of Faculty) Regulations, 2025: Regulations framed by NMC regarding the qualifications of faculty in medical institutions.
Kerala: The state to which the question specifically relates, concerning staff patterns in government medical colleges and hospitals.
National Medical Commission Act, 2019: The Act that empowers State Medical Councils (SMC) to take action against medical negligence.
GOVERNMENT OFINDIA
MINISTRY OFHEALTH AND FAMILYWELFARE
DEPARTMENT OF HEALTH AND FAMILYWELFARE
LOK SABHA
STARRED QUESTION NO. 90
TO BE ANSWERED ON THE 5TH DECEMBER, 2025
STAFFPATTERN IN GOVERNMENT MEDICAL COLLEGES AND
HOSPITALS
*90. SHRI N K PREMACHANDRAN:
Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to
state:
(a) whether the Government proposes to ensure a uniform staff pattern of doctors,
nurses and other staff in the Government Medical Colleges and Medical College
Hospitals in Kerala and if so, the details thereof;
(b) the details of doctors and staff of different categories in every department of each
of the said Government Medical Colleges and Hospitals in Kerala as per the bed
strength and the norms fixed by the Union Government;
(c) whether the Government has initiated any action to ensure sufficient human
resources including doctors in the said Medical Colleges and Hospitals in Kerala and
if so, the details thereof; and
(d) whether the Government has sought any report on the death of a patient due to
alleged negligence in the Thiruvananthapuram Medical College of Kerala, if so, the
details thereof?
ANSWER
THE MINISTER OFHEALTH AND FAMILYWELFARE
(SHRI JAGAT PRAKASH NADDA)
(a)to (d) AStatement is laid on the Table of the House.STATEMENT REFERRED TO IN REPLYTO LOK SABHA
STARRED QUESTION NO. 90 FOR 5TH DECEMBER, 2025
(a) to (c) The National Medical Commission (NMC) has framed Minimum Standard
Requirement (MSR) Regulations,2023 and the Medical Institutions (Qualification of
Faculty) Regulations,2025 to ensure sufficient human resources in medical colleges
& Hospitals. The key provisions are as under:
All teaching staff shall be full-time, and faculty are prohibited from
engaging in private practice during college functioning hours.
Medical colleges and their teaching hospitals must provide additional
staff proportionate to the workload, ensuring that adequate non-teaching
personnel are available in OPDs, inpatient wards, operation theatres,
intensive care units, emergency areas, and labour rooms.
Visiting faculty may be engaged to enhance the comprehensiveness and
quality of undergraduate teaching.
Senior Residents, Junior Residents, and Medical Officers shall be
appointed in various hospital areas such as wards, labour rooms,
intensive care units, emergency wards, and clinical laboratories to
provide round-the-clock services.
Non-medical graduates with MSc and PhD (relevant medical)
qualifications from NMC-recognized/accredited Medical
Colleges/Institutes can be appointed as faculty.
Non-teaching Consultants/Specialists /Medical Officers and Diploma
holders have been made eligible for Assistant Professor.
Department-wise Details of Doctors, Staff, and Faculty Requirements in Government
Medical Colleges and Hospitals as per Bed Strength and Union Government/MSR
2023 Norms is at Annexure-I and total strength of faculty as per MSR, 2023 is at
Annexure-II.
It has been informed by the State Government of Kerala that requirement of the man
power in the medical colleges has been fixed as per the requirement of the institution
and in compliance with the norms of NMC. Further, health being a state subject, the
responsibility of filling-up the vacant posts lies with the State government.
(d): National Medical Commission Act,2019 empowers State Medical Council (SMC)
to take disciplinary action in respect of any professional or ethical misconduct
including medical negligence by a registered medical practitioner in accordance with
the regulations/guidelines framed under the Act. Accordingly, no report has been
sought by the Central government.Annexure-I
Department Wise Details of Faculty Requirement for MBBS admission as per
MSR 2023
S. Department Designation 50 100 150 200 250
N seat seat seat seat seat
s s s s s
o.
1 ANATOMY Professor 1 1 1 1 1
Associate Prof. 1 1 2 2 3
Asst. Prof. 2 2 3 4 5
Tutor/Demonstra 3 4 5 6 8
tor
Senior Resident 1 2 3 4 4
2 PHYSIOLOGY Professor 1 1 1 1 1
Associate Prof. 1 1 2 2 3
Asst. Prof. 1 2 2 4 5
Tutor/Demonstra 2 3 4 5 5
tor
Senior Resident 1 2 3 4 4
3 BIOCHEMISTRY Professor 1 1 1 1 1
Associate Prof. 1 1 2 2 3
Asst. Prof. 1 2 2 3 4
Tutor/Demonstra 2 3 4 4 4
tor
Senior Resident 1 2 3 4 4
4 PHARMACOLOGY Professor 1 1 1 1 1
Associate Prof. 1 1 2 2 3
Asst. Prof. 1 2 3 4 4
Tutor/Demonstra 2 3 4 6 6
tor
Senior Resident 1 2 3 4 4
5 PATHOLOGY Professor 1 1 1 1 1
Associate Prof. 1 2 3 3 4
Asst. Prof. 1 3 3 4 5
Tutor/Demonstra 2 4 5 6 6
torSenior Resident 1 2 3 4 4
6 MICROBIOLOGY Professor 1 1 1 1 1
Associate Prof. 1 1 2 2 3
Asst. Prof. 1 2 3 3 4
Tutor/Demonstra 2 4 4 5 5
tor
Senior Resident 1 2 3 4 4
7 FORENSIC MED. Professor 1 1 1 1 1
TOXICO
Associate Prof. 1 1 1 1 2
Asst. Prof. 1 1 1 2 4
Tutor/Demonstra 1 2 3 4 4
tor
Senior Resident 1 2 3 4 4
8 COMMUNITY Professor 1 1 1 1 1
MEDICINE
Associate Prof. 1 2 2 3 3
Asst. Prof. 2 3 4 5 6
Statistician (Min. 1 1 1 1 1
A.P. level)
Tutor/Demonstra 1 2 3 4 5
tor
Senior Resident 1 2 3 4 4
9 GENERAL MEDICINE Professor 1 1 1 1 1
Associate Prof. 1 3 4 6 7
Asst. Prof. 2 4 5 7 8
Senior Resident 2 4 5 7 8
10 PEDIATRICS Professor 1 1 1 1 1
Associate Prof. 1 1 2 3 3
Asst. Prof. 1 2 3 4 5
Senior Resident 1 2 3 4 4
11 DERMATOLOGY Professor 0 0 1 1 1
Prof/ Assoc. Prof. upto Associate Prof. 1 1 1 1 1
100 seats
Asst. Prof. 1 1 1 1 1
Senior Resident 1 1 1 1 2
12 PSYCHIATRY Professor 0 0 1 1 1Prof/ Assoc. Prof. Upto Associate Prof. 1 1 1 1 1
100 Seats
Asst. Prof. 1 1 1 1 1
Senior Resident 1 1 1 1 2
Clin. 1 1 1 1 1
Psychologist
13 GENERAL SURGERY Professor 1 1 1 1 1
Associate Prof. 1 3 4 6 7
Asst. Prof. 2 4 5 7 8
Senior Resident 2 4 5 7 8
14 ORTHOPEDICS Professor 1 1 1 1 1
Associate Prof. 1 1 2 3 3
Asst. Prof. 1 2 3 4 5
Senior Resident 1 2 3 4 4
15 OTORHINOLARYNGO Professor 0 1 1 1 1
LOGY(ENT)
Prof/ Assoc.Prof. Upto Associate Prof. 1 1 1 2 2
50Seats
Asst. Prof. 1 1 2 2 3
Senior Resident 1 1 2 2 3
16 OPHTHALMOLOGY Professor 0 1 1 1 1
Prof/ Assoc.Prof. Upto Associate Prof. 1 1 1 2 2
50Seats
Asst. Prof. 1 1 2 2 3
Senior Resident 1 1 2 2 3
OBSTETRICS &
17 GYNECOLOGY Professor 1 1 1 1 1
Associate Prof. 1 1 3 4 4
Asst. Prof. 1 2 4 4 5
Senior Resident 1 2 4 4 5
18 ANESTHESIOLOGY Professor 1 1 1 1 1
Associate Prof. 1 2 3 4 5
Asst. Prof. 2 4 5 5 6
Senior Resident 2 3 4 5 5
19 RADIODIAGNOSIS Professor 0 1 1 1 1
Prof/Assoc.Prof.Upto AssociateProf. 1 1 1 1 2
50SeatsAsst.Prof. 1 1 2 3 3
Senior Resident 1 2 3 3 3
20 DENTISTRY Professor 0 0 0 1 1
Prof/ Assoc.Prof. Upto Associate Prof. 1 1 1 1 1
100Seats
Not required ifDental
collegepresentin
campus/city/town Asst.Prof. 1 1 1 1 1Annexure-II
Total Strength of Faculty as perMSR, 2023
PROF ASSOC. ASST. TOTAL TUT/DEMO SR
PROF PROF
50SEAT 14 20 25 59 15 23
100SEAT 17 27 41 85 25 40
150SEAT 19 40 55 114 32 58
200SEAT 20 51 70 142 40 73
250SEAT 20 62 86 168 43 80
****