A growing number of doctors and medical associations across India are urging the National Medical Commission (NMC) to withdraw its onsite compensation rule for Foreign Medical Graduates (FMGs) who completed a portion of their medical education through online classes during the COVID-19 pandemic.
The issue has sparked widespread debate within the medical community, with many doctors arguing that the rule places an unfair burden on thousands of FMG students who were forced into online learning due to global restrictions during the pandemic.
Background of the NMC Rule
During the COVID-19 pandemic, many medical universities worldwide shifted to online or hybrid learning models because of travel restrictions and lockdowns. Thousands of Indian students studying MBBS abroad attended classes online while waiting to return to their respective universities.
To address concerns about clinical exposure and practical training, the NMC introduced a rule requiring FMGs to undergo onsite compensation for the period they studied online. This means that students must complete additional physical training at their foreign universities before being considered eligible for registration in India.
While the regulation was intended to ensure quality medical training, doctors and student groups believe it has created significant difficulties for FMGs.
Concerns Raised by Doctors and FMG Students
Medical professionals and student organizations have raised several concerns regarding the onsite compensation requirement.
1. Pandemic Was an Exceptional Situation
Doctors argue that students had no control over the shift to online learning. The pandemic forced universities globally to adopt virtual teaching methods, and many students could not travel due to strict international restrictions.
2. Financial and Logistical Burden
Returning abroad for additional onsite training can involve substantial expenses, including travel, accommodation, and university fees. Many students and families are already under financial strain after completing medical education abroad.
3. Delays in Career Progression
The rule may delay FMGs from appearing in licensing examinations or beginning their medical careers in India. Students fear that additional training requirements
Demand for Policy Reconsideration
Several doctor associations and student groups have appealed to the National Medical Commission to reconsider the policy and adopt a more flexible approach.
Their key demands include:
✅Withdrawal of the onsite compensation rule
✅Recognition of online classes conducted during the pandemic period
✅Alternative evaluation methods to assess clinical competency
✅Clear and consistent guidelines for FMGs
Many stakeholders believe that academic performance, clinical assessments, and licensing exams should be sufficient to evaluate the competency of foreign medical graduates.
Need for Balanced Regulation
Experts say that maintaining the quality of medical education is essential, but policies must also consider the extraordinary circumstances created by the pandemic. A balanced approach that ensures both training standards and fairness to students is crucial.
Constructive dialogue between medical authorities, universities, and student representatives could help develop a solution that protects both medical education quality and student interests.
