The National Medical Commission (NMC) has proposed restoring the maximum duration for completing the MBBS course from nine years to 10 years, reigniting debate across medical colleges. While some see it as a student-friendly measure, others question whether it dilutes standards or simply acknowledges life realities.
Veteran Educator Calls for Focus on Support Systems
Dr. M. M. A. Faridi, a senior medical educator with decades of experience, told TOI Education that the difference between nine and ten years is not significant. He emphasized understanding why students struggle and strengthening institutional support systems. Dr. Faridi, a distinguished pediatrician and neonatologist, has served as Professor and Head of Pediatrics at University College of Medical Sciences, Delhi University, and GTB Hospital, New Delhi.
The First Professional Exam: A Critical Hurdle
Medical education is divided into four professional examinations. The First Professional examination remains the most critical checkpoint. A student must clear all subjects in the First Prof before progressing. If one subject remains uncleared, progression stops. This rigidity is unique to the first year. Once cleared, students can continue even with backlogs in later years, but backlogs must be cleared before graduation.
Four Attempts Rule: Make or Break
Dr. Faridi highlighted that the four-attempt rule for the First Professional examination is more consequential than the 10-year limit. Under current regulations, students have four attempts to clear the First Prof, giving them roughly two years. Failure means discontinuation. The proposed amendment does not alter this provision.
Why Do Students Struggle?
Dr. Faridi noted that some students enter medicine due to parental expectations rather than personal ambition. Others discover different interests after admission. Life events like loss of a parent, business collapse, illness, mental health challenges, or financial constraints can also derail progress. He stressed that institutions must understand these factors and provide mentoring and counselling.
Attendance Requirements and Flexibility
Current NMC regulations require at least 75% attendance in theory and 80% in practical/clinical sessions. Students with at least 60% attendance can attend additional classes after exams. Supplementary exams are now conducted earlier, helping students stay with their batch. Dr. Faridi noted these reforms aim to balance rigor with minimal academic disruption.
Doctors' Body Backs 10-Year Limit
Dr. Babita Sikriwal, National President of the United Doctors Front (UDF), welcomed the proposal as a balanced and humane measure. She stated that extending the period does not lower standards, as students still must clear all exams and complete internship. However, she urged the NMC to revisit the four-attempt limit for the First Professional exam, particularly for students affected by pandemic disruptions. She called for broader reforms including stronger mental health support, transparent grievance mechanisms, and structured mentoring.
Beyond the Numbers
Both Dr. Faridi and Dr. Sikriwal agree that academic standards must remain uncompromised, but institutions must do more to support struggling students. The debate is not merely about adding one year; it is about building a medical education system that is both rigorous and humane, ensuring no student is left behind due to genuine hardships.
