NMC plans to tighten norms to make MBBS colleges fully ready before admissions

NMC plans to tighten norms to make MBBS colleges fully ready before admissions 

EDUCATION TIMES 06.08.2026

Regulations require complete academic and teaching hospital facilities before permissions are granted, abolishing the State-issued Essentiality Certificate

 Divyansh Kumar | Posted August 03, 2026 01:00 PM

First-year MBBS students may no longer have to study in colleges with half-built anatomy halls, under-equipped labs, or temporary teaching hospitals. To strengthen the quality of medical education, the National Medical Commission (NMC) has proposed draft amendments that would require aspiring medical colleges to complete all academic and hospital infrastructure before applying for regulatory approval, effectively ending the practice of admitting students while facilities are still under construction.

Medical educators have welcomed the proposed ‘zero-tolerance’ approach to incomplete infrastructure, saying it could substantially improve the learning experience from the very first day of medical training. However, questions remain over whether the reforms could slow down the expansion of medical colleges and lead to a greater concentration of institutions in urban centres.

The proposed draft amendments to the Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses & Assessment & Rating Regulations, 2023 represent one of the most significant overhauls of the approval framework since the NMC replaced the erstwhile Medical Council of India (MCI). Besides mandating 100% infrastructure readiness, the draft proposes abolishing the State-issued Essentiality Certificate, introducing a mandatory institutional corpus fund, requiring solvency certificates verified by CAs, expanding the list of eligible applicants, and prescribing stricter penalties for incomplete applications or attempts to influence the approval process.

Explaining the rationale behind the changes, an NMC official tells Education Times that the objective is to make the approval mechanism more objective, transparent and quality-oriented. “The amendments are intended to further strengthen the regulatory framework for establishment of new medical colleges by making the approval process more objective, transparent and quality-oriented. The emphasis is on ensuring that essential infrastructure and institutional readiness are in place before applications are considered, thereby reducing avoidable deficiencies and facilitating a more efficient assessment process,” the official says.

Infrastructure Gap

For faculty members, the proposal directly addresses a longstanding concern that students often bear the consequences of infrastructure deficiencies during the crucial first year of training. “The first year lays the foundation for the entire medical career as students require well-equipped anatomy dissection halls, physiology and biochemistry laboratories, libraries, skills laboratories and digital learning facilities from the very first day,” says Dr Roy R Chandran, professor, Physical Medicine and Rehabilitation, Government Medical College, Kozhikode. He adds that when infrastructure is incomplete, practical teaching suffers, faculty spend valuable time overcoming logistical challenges instead of focusing on academics, and students lose confidence in the quality of their training.

Welcoming the proposal to prohibit temporary hospital arrangements during inspections, stressing that medical education is fundamentally patient-centred, Dr Chandran says, “A teaching hospital develops its academic culture over time. It has established departments, multidisciplinary teams, standard treatment protocols, adequate patient load and regular academic activities. Temporary hospitals created merely to satisfy inspection requirements cannot replicate this environment. If we expect to produce competent doctors, the teaching hospital must be fully functional from the very beginning, not just on the day of inspection.”

State Stake

One of the most debated proposals remains the abolition of the State-issued Essentiality Certificate, a mandate that historically allowed state governments to assess the requirement of a new medical college in a particular region. While the NMC argues that removing the certificate will simplify approvals, experts caution that it could encourage private investment to concentrate in already developed urban markets. “Dispensing with the Essentiality Certificate is intended to simplify the regulatory process while retaining the Commission’s focus on academic, clinical and infrastructural standards,” says the NMC official.

Clinical learning depends on adequate patient exposure, and if more medical colleges are clustered in the same city, they compete for the same patient population. “This can reduce the diversity and volume of clinical cases available to each student. Expansion should be guided by regional healthcare needs rather than simply increasing the number of colleges, rather than adding that strengthening existing government hospitals may often deliver greater benefits than opening new institutions,” adds Dr Chandran.