Pakistan Medical Commission Ord 2019
Pakistan Medical Commission Ord 2019
Pakistan Medical Commission Ord 2019
PART I
COVERNMENT OF PAKISTAN
AN
ORDINANCE
AND WHEREAS, the Senate and the National Assembly are not in session
and the President of Islamic Republic of Paksitan is satisfied that circumstances
exist which render it necessary to take immediate action;
(ii) "Board" means the National Medical and Dental Academic Board
constituted under this Ordinance;
(iii) "Chairman" means the Chairman of the Board elected under section
I l(3);
(vi) "Council" means the Medical and Dental Council constituted under
this Ordinance;
(2) The Commission shall be a body corporate by the name ofthe Pakistan
Medical Commission having perpetual succession and acommon seal, with power,
subject to the provision ofthis Ordinance, to hold and dispose of property, to enter
into contracts and shall in the said name sue and be sued.
(b) three members being licensed medical practitioners \.vith at least twenry
years e4rrience ofoutstanding merit and not being the vice-chancellor,
dean, principai or administrator or owner or shareholders ofa medical
or dental university, college or hospital, nominated by the
Prime Minister;
(c) one member being a licensed dentist with at least twenty years
experience ofoutstanding merit and not being the vice-chancellor, dean,
principal, administrator or owner or shareholders ofa mediial ordental
university, college or hospital, nominated by the Prime Minister of
Pakistan;
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(2) Afterthe notification ofthe members ofthe Council, the Division shall
forthwith and not laterthan fifteen days ofthe issuance ofnotification, call the first
meeting ofthe newly constituted CounciI for the purposes ofelecting the president
and Vice-President ofthe Council. A minimum ofseven members ofthe Council,
shall constihrte a quorum for the purposes ofthe first meeting ofthe Council or any
other meeting wherein an election is to be undertaken.
(3)
The President shall be elected from amongst the members of the
Council appointed underclauses (b) and (c) ofsub-section (l ) and the Vice-president
shall be elected from amongst the members ofthe Council appointed under clause
(a) ofsub-section (l ).
(4)
No member shall enter upon office ofthe member ofthe Council until
he signs and submits a declaration ofno conflict ofinterest.
(6) Subjectto sub-section (5), no act done by the Council shall be invalid on
the ground mefely ofexistence ofany vacancy in or any defect in the constitution of
the Council.
(2) The term of a member nominated to the Council shall be three years
unless earlierwithdrawn by the Prirne Ministerfor reasons to be dislcosed. Amember
ofthe Council shall be eligible for re-appointment to the Council for a second term,
but shall not be eligible for a third term.
(3) Ifa member fails to attend $ree consecutive meetings ofthe Council
without any valid reason or remains out ofPakistan for a continuous period exceeding
one year, he shall cease to be tle mernber ofthe Council.
(4) Amember including the President and tlre Vice-president ofthe Council
shall be removed by the Division, if-
(d) they are convicted for a criminal offence involving moral turpitude,
including un-professional and unethical conduct as provided for under
this Ordinance; or
(6) Where the said term ofthree years is about to expire in respect ofany
member, their successor may be nominated or elected at any time within three
months before the expiry of said term, but the successor shall not assume office
untilthe expiry ofthe said term.
(7) An elected office-bearer or nom inated member may, at any time, resign
his membership by writing under his hand addressed to the Presidentand the seat of
such member shall be deemed to have fallen vacant from the date ofacceptance of
his resignation by the President.
(8) A vacancy in the Council shall be filled through the prescribed process
of nomination under Section 4 and the person nominated to fill1he vacancy shall hold
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office forthe remaining term of the vacancy. Any nomination required to fill a
vacancy shall be submitted within fifteen days of such vacancy having occurred.
(2)
A minimum of six members ofthe Council shall form a quorum, except
ofthe Council shall be decided by a majority
an elective meeting, and all of the acts
of the members present and voting.
(2)
Without prejudice to the generality of the foregoing powers and
notwithstanding anything contained in any other law forthe time being in force, the
Council shall have the following functions and powers, namely:-
(b) approve the proposed annual plan of work including key performance
indicators, the annual and revised budgets, the annual report and the
annual statement of account;
(p) to fix the salaries, remuneration and benefits of the officers and
employees of the Commission;
(u) to hear appeals against any order, act or decision ofthe Authority or
the National Medical and Dental Academic Board.
(3) The Council may, of its own motion or otherwise, call for and examitte
the record of any proceedings in which an order has been passed by any officer,
committee or authority of the Commission for the purpose of satisffing itself as to
the correctness, legality or propriety of any finding or order and may pass such
orders as it may deem fit:
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Provided that no such order shall be passed unless the person to be affected
thercby is afforded an opportunity ofbeing heard.
(b) Vice-President.'
(2) The President shall be the head ofthe Council and chair its meetings.
In his absence, the Vice-President shall chair lhe Council meeting and perform the
functions ofthe President for tlrat meeting.
(d) ole vice-chancellor or dean ofthe medicat faculty ofa private university
or college nominated by each Provincial Govemment from amongst
the universities located in the respective province;
(h) two mernbers ofthe basic sciences faculty ofa public or private medical
college with at least fifteen years experience as a licensed practitioner
or ten years ofexperience as facu lty nominated by the Prime Minister
of Pakistary and
(2) After the notification ofthe members ofthe Boanl, the Council shall
forthwith and not later than fifteen days from the issuance ofnotification call the
first meeting ofthe newly constituted Board.
(3) The members ofthe Board at the first meeting shall elect from amongst
themselves a Chairman of the Board.
(4) No member shall enter upon oflice ofthe member ofthe Board until
he signs and submits a declaration ofno conflict ofinterest.
(5) No act done by the Board shall be invalid on the ground merely of
existence ofany vacancy in or any defect in the constitution ofthe Board.
(2) Ifa member nominted to the Board under clause (c), (d), (e), (g), (h)
or (i) ofsub-section (l) of section I I fails to attend three consecutive meetings of
the Board without any valid reason or reinains out of Pakistan for a continuous
period exceeding one year, he shall cease to be the member ofthe Council and the
nominating authority shall be required to nominate a nerv member in accordance
with section 1l .
(c) his is mnvicted ofa criminal offence involving moral turpitude, including
un-professional and un-ethical conduct under this Ordinance; or
(5) Where the said term ofthree years is about to expire in respect ofany
member, his successor may be nominated at bny time within three months before
the expiry ofsaid term, but the successor shall not assume office until the expiry of
the said term.
(7) A vacancy in the Board shall be filled through the prescribed process
of nomination under section 11, and the person nominated to fill the vacancy shall
hold ofiice for the remaining term ofthe vacancy. Any nomination required to fill a
vacancy shall be submitted within fifteen days ofsuch vacancy having occurred.
13. Meeting of the Board.{l) The Board shall meet at least once in
three months at the offices ofthe Commission on such date and at such time as may
be decided bythe Chairman. Anotice ofthe meeting shall be issued at least fourteen
days prior to the meeting.
(2) A meeting of the Board for a specific purpose may be called by the
Council at a date and time to be determined by the President of the Council in
consultation with the Chairman of the Board.
14. Powers and functions of the Board.{l) The Board shall have the
following functions and powers namely:-
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(c) to formulate the examination structure and standards for the MDCAI
for approval ofthe Corrncil;
(d) to formulate the examination structure and standards of the NLE for
grant of provisional medical and dental practice licenses upon
completion of under-graduate training and to set up and authorize a
committee ofnot less than three persons to fonnulate the examination
papers ofNLE for approval ofthe Council;
(e) to formulate the examination structure and standards for the NEB
examinations ofdifferent levels and to setup and authorize a committee
ofnot less than three persons to formulate the NEB examination papers
for approval ofthe Council;
(f) to formulate and recommend to the Council for its approval the
standards, scope and structure ofthe licence re-validation standards
(LRS) and to formulate the necessary procedures for re-validation of
licences.
(2) The Secretary shall be appointed for a term offour years. No person
shall be appointed as Secretary for more than two tenns.
(3) The Secretary shall maintain all records ofthe Council and the Board
including recording and issuing the minutes ofall meetings ofthe Council and the
458 THE GAZETTE OF PAKISTAN, EXTRA., OCT, 21, 2OI9 [Penr I
Board in real time and as approved at the relevant meeting and shall under his
signatures issue all notifications and decisions ofthe Council and the Board as and
when necessary,
(4) The Secretary shall be the custodian of the common seal of the
Comission.
(5) The Secretary shall cause all minutes ofthe meetings ofthe Council
and the Board as approved, audited accounts ofthe Commission and all notifications
and decisions ofthe Council and the Board to be displayed on the website of the
Commission and communicated to theAuthority.
(b) MemberExaminarions;
(g) MernberAdministration.
(2) The Council shall appoint the members through a transparent process
on merit for a term of four years. No Member shall be appointed for more than two
terms as a member-
(3) The Council shall from amongst the members Iisted in Clauses (a) to
(c), of sub-section( I ), appoint one member as the executive member who shall act
as the executive and administrative head ofthe Authori$/ to exercise such functions
in accordance with regulations as made by the Council.
(7) A member of the Authority may resign from his office by writing
under his hand addressed to the President of the Council, or may be rernoved from
his office if, on an inquiry by the Council, he is found unable to perform the functions
of his office because of mental or physical disability or on account of misconduc!
including comrption and dis-honesty or having been convicted of a criminal offence.
(b) to reccimmend the annual budget of the Commission to the Council for
approval;
(d) to prepare and maintain the accounts of the Commission and ensure
the funds ofthe Commission are expended on the purposes as approved
by the Council;
(k) maintain any other register or record for public consumption as may
be directed by the Council.
18. Committees of the Council.-The Council and the Board shall have
the power to constitute necessary committees for undertaking the functions ofthe
Council or to advise and assist the Council and the Board in exercise of its powers.
Provided that such requirement shall be mandatory for all students who
have been enrolled in medical or dental under-graduate programs in 2019 and
thereafter.
college subject to any conditions imposed by the relevant university to which such
college is affiliated:
Provided that for the purposes of admission it shall be the discretion ofthe
Provincial Govemments in Sespect of public colleges, and of each of the private
colleges, as per their declared policy to give weightdge to the marks obtained by a
student in the MDCAT conducted by the Authority.
(2)
All universities shall ensure that all affiliated or constituent colleges
conduct programs ofstudy for grant ofunder-graduate medical or dental degrees as
per the curriculum and scqpe of under-graduate medical education prescribed by
the Board and approved by the Council.
(6)
Any violation by a medical or dental college shall be actionable by the
accrediting university in accordance witl regulations as may be prescribed by the
Higher Education Commission.
shall seek, demand or receive from a student or a students family, directly or indirectly,
any donation or other paynent prior to or at the time of admission or thereafter
during the period of the students continuing enrollment at the college whether as
consideration for grant of admission or otherwise
'. , ' Provided there shall be no limit on the number of times a person may attempt
theNLE:
Provided further that Pakistan Armed Forces cadets who upon successful
cornpletion oftheir under-graduate degree program and pre-requisite military training
are commissioned in the Pakistan Armed Forces shall be granted an Armed Forces
provisional licence and shall qualify their NLE during service as regulated by the
girvice head quarters prior to grant of full licence.
' Provided that the mandatory requirement of NLE shall be applicable for
students gradqting after March, 2020:
(3) Any medical or dental practitioner who has obtained a licence to practice
in a country or qualified from a foreign institution not recognized by the Commission
and in addition does not hold a postgraduate qualification which is recognized by the
Council, shall be required to qualify the NLE for grant of a licence to practice in
Pakistan:
(2) Any student who has been enrolled in a medical or dental institution or
college outside Pakistan and has completed more than two years ofthe program
mai seek transfer and admission to a medical or dental college in Pakistan subject
to qualifuing the relevant standard of the NEB for the prescribed period ofeach
program ofstudy pursuantto which the student shall be qualified to obtain admission
in the immediately subsequent year.
(3) A student shall be required to take the NEB within twelve months of
having left his program ofstudy outside Pakistan in order to be eligible foradmission
to a medical or dental college in Pakistan.
(2) The Council may where necessary seek professional advice or the
opinion ofthe relevant faculty ofthe College of Physicians and Surgeons, or ofa
university, to assess a recommendation for approval ofa post graduatg additional or
alterative qualifi cation.
24,
Recognition of medical institulions for grant of post graduate,
additional or alterative qualifications.{l ) The Council shall recognize
postgraduate medical and dental qualifications or diplomas given by the College of
Physicians and Surgeons of Pakistan:
(2) The Council may where necessary seek the opinion of the relevant
faculty ofthe College ofPhysicians and Surgeons, orofa university, and in addition
there to the opinion ofthe foreign authority ofthe country where such foreign institution
is located to assess a recommendation for approval ofa post graduate, additional or
alterative qualifi cation.
(3) The Authority shall assess for purposes of recommendation any foreign
qualification either on the application ofa foreign institution or upon an application
by a person having acquired a previously unrecognized qualification. The Authority
shall conduct and complete its assessment within three months ofan application
being made.
(2) The Authority shall assess for purposes of recommendation any foreign
institution either on the application ofsuch foreign institution or upon an application
by a person having acquired a recognized qualification fiom a previously un-recognized
foreign institution. TheAuthorip shall conduct and complete its assessment within
three months ofan application being made.
Provided further that in the event the housejob is provided ata non affiliated
teaching hospital, the medical or dental college shall be responsible to re-imburse
such non affiliated teaching hospital the amount paid as stipend or salary to their
graduate undertaking the house job.
(4) The teaching hospital shall issue on the conclusion ofthe housejob a
certificate confirm ing that the prov isional I icence holder has satisfactori [y completed
the mandatory housejob modules for grant offull licence.
(2) Upon the grant ofapproval for recognition by the Council the hospital
or institution shall be entitled to train for housejob or intemshlp or foundation year
after the date ofnotification ofapproval.
(3) The Council shall recognize any foreign teaching hospital or institution
recognized by the regulatory authority of such country for purposes of imparting
housejob, internship, foundation year or clinical traning by whatever name called.
(3) The Authority shall cause for the registration of a recognized post
graduate, alterative or additional qualification on the licence of amedioal or dental
practitioner where such qualification permits the medical or dental practitioner to
represent and practice such speciality in consonance to such qualification.
(6) The Authority shall cause for the registration and issuance of a licence
under sub-sections (l), (3) and (a) to be completed within fourteen days of the
applicant having submitted his application or reject the same for reasons to be stated.
advice shall be considered valid unless obtained from a medical ordental practitioner
having a valid provisional or full Licence.
Provided that a person licensed under any other law to practice some other
form ofmedicine may prescribe medicine permissible under such law commensurate
with the scope of his qualifications and training.
(I 3) No registered
licensee shall use or publish in any manner whatsoever
any title, description or symbol indicating or intended to lead persons to infer that he
possesses any additional or other professional qualification unless the same has
been duly recognized and registered on his licence by the Commission.
3I .
Inspection.{ 1 ) The Authority shall appoint inspectors in accordance
with terms and qualifications prescribed by the Council to inspect facilities for training
available at the medical or dental institutions for grant of recognition to provide
house job, intemship or foundation year training or post-graduate training:
' Provided that an institution recognized for naining by the College of Physicians
and Surgeons of Pakistan shall be recognized by the Council for purposes of
post- graduate train in g.
(2)
Inspectors shall immediately upon completion ofthe inspection compile
a comprehensive report on the prescribed format on the standard of the inspected
facilities and on the courses of study and facilities for teaching provided by the
medical or dental institution inspected and shall submit it to the Authoriry.
(3)
The Authority shall forward a copy of such report to the medical or
dental institution concerned for any response prior to placing the report along-with
its recommendation before the Council.
- (4)
The Authority may conduct inspections of recognized facilities on a
periodical basis, with or without prioi notice to the institution provided that every
institution shall be re-inspected at least once in every five years.
(2) The licence of a practitioner which has expired or who has not
successfully revalidated within the time prescribed shall be deemed to be suspended
until such time as it is re-validated in the prescribed manner.
Provided that a show cause notice shall be issued within fifteen days of
receipt ofthe complaintto tlre person stating the allegations and providing a plriod
of at least thirty days to respond and a right to be heard befoie the aisciptinary
committee.
(5) The Authority shall select at least one licensed practioner as an expert
with aminimum fifteen years standing in the speciality to which the complaint relates
to assist the disciplinary committee at the hearing. The written opinion ofthe expert
shall be appended with the decision ofthe disciplinary committee and shall form part
of the record-
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(7)
For the purpose ofan inquiry or a disciplinary hearing the Council or
a committee ofthe Council shall exercise all the powers ofa civil court under the
Code of Civil Procedure, 1908 (Act V of 1908) for summoning the witnesses, for
compelling the production ofdocuments and for issuing tominissions.
(2)The Authority shall cause for the updated list of all duly recognized
medical practitioners and dental practitioners to be published on its website available
for public access.
(5) Whoever aids or abets any person to falsely register with the Council
as a registered medical practitioner withsut having reeognized medical or dental
qualifications shall be guilty of an offence punishable with imprisonment for a term
which mayextend to two years or with fine which may extend to ten million Rupees
but shall not be less than five million Rupees or with both.
(8) The term for which the Medical Tribunal directs the offender to be
imprisoned in default of payment of a fine shall not exceed one-fourth of the term of
imprisonmentwhich is the maximum term fixed forthe offence.
(10) All offences under this Ordinance shall be non-cognizable and triable
by the Medical Tribunal.
Provided that in the case ofa company as defined under the Companies
Acg 2017 (XIX of20l7), only the chiefexecutive shall be liable underthis section.
(2) An appeal to the Medical Tribunal shall be in such form, contain such
particulars and be accompanied by such fees as may be prescribed'
(e) terms and conditions ofservice for all employees ofthe Council;
(e) any matter for which underthis Ordinance provision may be made by
regulations.
(2) The Division may publish, in such manner as it may think fi! any
reporg and copy, abstract or other information furnished to it under this section or
under section 43.
grant'
Provided that delegation ofsuch power shall not include the power to
its financial
revoke or cancel recognition ofa medical or dental institution or any of
powers including the power to approve the annual budget'
(2) Upon the cessation ofthe employment ofthe employees and officers,
they shall be paid their end ofservice benefits as accrued uptoihe
date ofcessation
of employment subject to verification as to their validity, Iegality
and audit by the
Auditor General of Pakistan or Accountant General pakista'n Revenues
(ACPR),
and_ subject to having worked for more than twelve
months and shall be paid in
addition compensation equal to six months basic pay as per the
last basic pay applicable
upon verification by rhe AGpR.
(2)
Notwithstanding the repeal of the rbpealed or anything contrary
contained herein, alldecisions taken, regulations made oramended and disciplinary
action taken by the Comcil, Ad'hoc Council, Executive Committee or any Committee
or authority ofthe dissolved Pakistan Medical and Dental Council pursuant to the
repealed and the Pakistan Medical and Dental Council Ordinance, 2019 shall be
deemed to have been validlY made:
Provided that all regulations made and promulgated pursuantto the repealed
Ordinance, or the Pakistan Medical and Dental Council Ordinance, 2019 stand
repealed and shall not be enforceable subject to sub-section (7)'
(4) All assets, rights, moveable and immoveable properties, records, cash,
bank accounts, deposits etc., ofthe dissolved Pakistan Medical and f)ental council
under the repealed ordinance shall stand transferred to the commission and shall
be deemed to be the assets, rights, properties, records, cash, bank accounts,
deposits
etc., of the Commission.
(7)All admission processes for medical and dental colleges initiated prior
or amended
to the promulgation ofthis Ordinance pursuant to regulations framed
und",th"."pol"dandasamendedbytheCouncilnotifedunderthePakistanMedical
andDentalCouncilOrdinance,20lg,shallbecompletedpursuanttosuchrepealed
admining
regulations subject to medical and dental colleges publicly informing all
students in advance ofthe five year fee plan applicable to them'
MUHAMMAD KHASHIH-UR.REHMAN,
t
Secretry.