Compulsory Rotational medical internship (CRMI )

NEW “ National Medical Commission (Compulsory Rotating Medical Internship) Regulations, 2021” if in force from
18/11/2021

High lights

1. Duration of CRMI – Twelve months

2. shall be completed within two years of passing the final MBBS or Foreign Medical Graduate
Examination (FMGE) or NExT Step-1 examination
3. Minimum period of CRMI may be extended or curtailed by competent authority
4. The duration of internship may be curtailed or temporarily suspended or even withdrawn or
cancelled at any time by the institution or University according to the prevailing rules or
regulations of the relevant authority,
I. provided–the registrant, due to any reason whatsoever, desires not to pursue CRMI; or
II. the registrant is not found to have fulfilled eligibility requirements; or
III. (iii) there are proven acts of indiscipline; or
IV. (iv) there are proven acts of professional misdemeanor or misconduct; or(v) any other acts or
actions including those violating law of the land
5. Leave
a) NORMAL LEAVE : Maximum of fifteen days(15) leave with prior permission, during the
entire period of internship , entire period of15days cannot be availed during any of the
one week or two weeks postings applicable to a single department or specialty
b) MATERNITY LEAVE: prevailing rules and regulations of the Central Government or State
Government, as may be applicable
c) PATERNITY LEAVE: Male interns may be permitted paternity leave for two weeks either in
continuation or in intervals of one week each within one year of internship
d) MEDICAL LEAVE :
 shall be included within the fifteen days of normal leave
 Any medical leave beyond this period (15 days in year)shall be recommended only by a
duly constituted Medical Board
 internship shall be extended if the leave of absence of any kind exceeds beyond this
period ie Total Leave more than exceeds 15 days)
 period of extension shall be equivalent to the period beyond permissible fifteen
days of leave
 internship shall be repeated only in the department or specialty wherein the above
extension is necessary
6. ELIGIBILITY CRITERIA FOR COMPLETION OF CRMI
7. INDIAN MEDICAL GRADUATES
1. should have successfully completed the MBBS course (recognized by the NMC)
2. Shall complete their entire period of CRMI in the institution where they have pursued and
completed their Bachelor of Medicine and Bachelor of Surgery (MBBS)
8. FOREIGN MEDICAL GRADUATES
 All Foreign Medical Graduates, as regulated by the National Medical Commission
(Foreign Medical Graduate Licentiate) Regulations, 2021, are required to undergo
internship at par with Indian Medical Graduates if they desire to seek Permanent
Registration to practice Medicine in India
CURRICULUM AND SPECIALITIES OF COMPULSORY ROTATING MEDICAL INTERNSHIP (CRMI)

1. COMMUNITY MEDICINE
Hands-on experience in the District Hospital and Primary Health Centre. The details are as under: -
(i) 12 weeks (Total): Community Medicine (compulsory residence in center)
(ii) 3 weeks: General Medicine
(iii) 3 weeks: General Surgery
(iv) 3 weeks: Obstetrics and Gynecology
(v) 3 weeks: Community Medicine

Time Distribution for Internship- An intern shall be posted by rotation as specified

in the Table below:
Sl Nature of Department Duration Remarks
no posting /Specialty
Mandatory Community 12 weeks (a) Postings should be in Community Health Centres
Exclusive Medicine (CHC)/ Rural Health Centre (RHC) with rotation of:
(i) 3 weeks- General Surgery
(ii) 3 weeks- General Medicine
(iii) 3 weeks- Obstetrics and Gynaecology
(iv) 3 weeks- Community Medicine
(b) Not more than 15 interns at any given time in one
centre
(c) As provided in the Minimum Requirements for Annual
MBBS Admissions Regulations (2020) section A.1.14
related to Community Medicine must be followed.
Mandatory General Medicine 6 Weeks Includes postings in out- patient, in-patient wards and
Exclusive admission day emergency and exposure to High
Dependency Units (HDU) and Intensive Care Units (ICU)
Mandatory Psychiatry 2 weeks Predominantly Out-patient postings with exposure to
Exclusive handling emergencies
Mandatory Pediatrics 3 weeks Includes postings in Out- patient, In-patient wards and
Exclusive Admission Day Emergency postings and exposure to
Neonatal or Pediatric High Dependency and Intensive
Care Units (HDU/NICU/PICU)
Mandatory General Surgery 6 Weeks Includes postings in Out- patient, In-patient
Exclusive wards, Admission Day Emergency and both
Minor and Major Operation Theatres and
exposure to High Dependency Units (HDUs) and Intensive
Care Units (ICUs)
Mandatory Anesthesiology and 2 weeks Includes postings in Operation Theatre,
Exclusive Critical Care Intensive Care Units, Basic Life Support (BSL)
training and additionally Pain Clinic and
Palliative Care, if available
 Mandatory Obstetrics and 7 weeks Includes postings in Out- patient, In-patient
Exclusive Gynaecology wards, Admission Day Emergency, Labour
including Family Room and Operation Theatres and exposure to
Welfare and High Dependency Units (HDU), Intensive Care
Planning Units (ICU)and Family Planning methods
Mandatory Orthopaedics 2 weeks Includes postings in Out- patient, In-patient, Admission
Exclusive including Physical Day Emergency, Plaster Room and Operation Theatres
Medicine and Postings in Physical Medicine and Rehabilitation (PM&R)
Rehabilitation may run concurrent in afternoons/mornings equivalent to
(PM&R) 4 half-days
(14% of total postings)
Mandatory Emergency/ 2 Includes postings related to Resuscitation areas,
Exclusive Trauma/ Triage, In-patient wards and Operation Theatre,
Casualty Basic Life Support as well as exposure to
medico-legal
procedures
Mandatory Forensic Medicine 1 Includes Autopsy postings
Exclusive and Toxicology
Mandatory Dermatology, 1 Predominantly Out-patient postings with
Exclusive Venereology and exposure to handling emergencies
Leprology
Mandatory Otorhinolaryngology 2 Predominantly Out-patient postings with
Exclusive exposure to handling emergencies, Minor as
well as Major Operation Theatres
Mandatory Ophthalmology 2 Predominantly Out-patient postings with
Exclusive exposure to handling emergencies, Minor as
well as Major Operation Theatres
Exclusive *Broad Specialties 4 weeks 1. Respiratory Medicine and DOTS-TB Center
Group total; 2. Radio diagnosis
Electives 2 weeks 3. Lab Medicine
minimum 4. Geriatric Medicine (Any TWO)
Electives * Indian Systems of 1 week May choose any:
Exclusive Medicine • Ayurveda
• Yoga
• Unani
• Siddha
• Homeopathy
• Sowa Rigpa

 Electives may be selected by candidates as per their choice:

 Distribution for electives:
 Major broad specialty: One minimum for 1 week
  Remaining 3 weeks- Any broad specialty or 2 weeks for broad
specialty and 1 week for AYUSH
 Indian systems of Medicine: Optional any one for 1 week. If the college does not
have facilities for Electives in AYUSH, an Memorandum of Understanding (MOU)
with any Government institution in the same town/ city / district may be
established by the college; training must be certified by the mentor with the
concurrence of college/ institution where the candidate is enrolled for MBBS

Exposure of interns is mandatory in the following relevant areas during posting

for training in clinical departments, namely:––
1. Laboratory Medicine and Clinical Biochemistry;
2. Histopathology and Cytopathology;
3. Hematology, and Transfusion Medicine / Blood Bank;
4. Microbiology (including Virology);
5. Hospital Infection Control, Biomedical Waste Management, Central
sterile Supply Units;
6. Medical Record Keeping;
7. Hospital Information Services

MENTOR- A mentor for intern shall possess postgraduate qualification in the subject
concerned and shall be duly certified as a mentor for interns by Professor and Head
of the Department concerned