Compulsory Rotatory Residential Internship
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The Compulsory Rotating Medical Internship (CRMI) refers to one year of compulsory work in hospitals attached to a medical college or in any other approved teaching hospital before becoming qualified to practice as an independent doctor or dentist. As stipulated by the
National Medical Commission The National Medical Commission (NMC) is a statutory body in India that regulates medical education, medical professionals, institutes, and research. Established on 25 September 2020, it replaced the Medical Council of India. The Commission gra ...
, the CRMI is essential for the award of the
MBBS A Bachelor of Medicine, Bachelor of Surgery (; MBBS, also abbreviated as BM BS, MB ChB, MB BCh, or MB BChir) is a medical degree granted by medical schools or universities in countries that adhere to the United Kingdom's higher education tradi ...
degree and full NMC registration as a physician. For dentists, the CRMI is regulated by the Dental Council of India.


Description

An intern (also called an Internee or CRMI) is posted in all the clinical departments of the hospital on a rotational basis. This gives them the basic clinical exposure to all the specialties. For CRMI completion, interns are assigned a list of procedures that they must perform and observe. The intern is given a monthly stipend. The amount is dependent on university and state policies. Completion of an internship is a necessary prerequisite for acquiring a license to practice medicine, postgraduate studies, and higher specialty training. On passing the final MBBS/BDS examination at the end of 4.5 years, a medical/dental student is first awarded a Provisional Registration certificate by the
National Medical Commission The National Medical Commission (NMC) is a statutory body in India that regulates medical education, medical professionals, institutes, and research. Established on 25 September 2020, it replaced the Medical Council of India. The Commission gra ...
or Dental Council of India. Permanent Registration certificate along with the "NMC/DCI Registration number" and the final medical/dental degree is given only after obtaining a CRMI Completion Certificate endorsing the successful and satisfactory completion of CRMI requirements.


Comparison

This internship is different from the United Kingdom's system of foundation doctors, in which the transition period from medical school to general practice is not required. Unlike a house physician/surgeon, interns are provided a stipend based on university and state policies, as opposed to monthly salaries. The American counterpart is conducted within a specific medical specialty and is called a "
resident Resident may refer to: People and functions * Resident minister, a representative of a government in a foreign country * Resident (medicine), a stage of postgraduate medical training * Resident (pharmacy), a stage of postgraduate pharmaceut ...
" or a "resident doctor" (i.e., a ''resident physician'' or a ''resident surgeon'', etc.). In some countries, they are also called a "
senior house officer A senior house officer (SHO) is a non-consultant hospital doctor in Ireland and many Commonwealth countries. SHOs usually have a minimum of 1 year post medical school training. SHOs are supervised in their work by consultants and registrars. In tr ...
". Post-internship, a MBBS graduate can practice medicine independently in India. The
National Medical Commission The National Medical Commission (NMC) is a statutory body in India that regulates medical education, medical professionals, institutes, and research. Established on 25 September 2020, it replaced the Medical Council of India. The Commission gra ...
and
National Board of Examinations National Board of Examinations in Medical Sciences (NBEMS) is an autonomous body under the Ministry of Health and Family Welfare, Government of India, and established in 1975 at New Delhi as a Society under Delhi Society registration act, to sta ...
(NBE) approves MD, MS, DM, MCh, and DNB post-graduate degrees. In comparison, MD graduates in the US must pursue a residency to be able to practice independently, which can range from 1-3 years in order to get a license.


Responsibilities

Interns are entrusted with clinical responsibilities under the supervision of an experienced clinician. They do not work independently but can treat patients. Interns cannot issue medical certificates, death certificates, or medico-legal documents under their own signatures since they lack a MCI registration number. MBBS graduates that studied abroad in institutions affected by the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
and
2022 Russian invasion of Ukraine On 24 February 2022, , starting the largest and deadliest war in Europe since World War II, in a major escalation of the Russo-Ukrainian War, conflict between the two countries which began in 2014. The fighting has caused hundreds of thou ...
are required to undergo two years of CRMI to ensure full clinical exposure.


See also

*
Bachelor of Medicine and Surgery A Bachelor of Medicine, Bachelor of Surgery (; MBBS, also abbreviated as BM BS, MB ChB, MB BCh, or MB BChir) is a medical degree granted by medical schools or universities in countries that adhere to the United Kingdom's higher education tradi ...
*
Bachelor of Dental Surgery Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of ...
*
Medical College (India) In India, a medical college is an educational institution that provides medical education. These institutions may vary from stand-alone colleges that train doctors to conglomerates that offer training related in all aspects of medical care. The ...
*
List of dental colleges in India This is a list of dental colleges in India. Assam # Dibrugarh Dental College # Regional Dental College, Guwahati # Government Dental College, Silchar Jharkhand # Hazaribag College of Dental Sciences and Hospital, Hazaribagh # Dental Inst ...
*
Medical school A medical school is a tertiary educational institution, professional school, or forms a part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, ...
*
Medical education Medical education is vocational education, education related to the practice of being a medical practitioner, including the initial training to become a physician (i.e., medical school and internship (medical), internship) and additional trainin ...


References

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External links


National Medical Commission

FAQ on Compulsory Rotating Medical Internship Regulations

Educational Commission for Foreign Medical Graduates
Medical education in India