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Georgia MBBS: NMC Responses Spark Confusion Over FMGE Eligibility

· Source: Amar Ujala

Conflicting responses from the National Medical Commission regarding foreign medical practice rights have raised concerns among Indian students pursuing medical degrees in Georgia. The dispute centers on whether Georgia's junior doctor status satisfies Rule 4(b) of the FMGL Regulations 2021 to sit for the FMGE.

NMC Responses and Rule 4(b) Dispute

Indian students pursuing medical education in Georgia face uncertainty over their eligibility to practice in India and appear for the Foreign Medical Graduate Examination (FMGE). Under Rule 4(b) of the FMGL Regulations 2021, a medical graduate must have the same right to practice medicine in the country where they obtained their degree as citizens of that country. In Georgia, practicing as a junior doctor is distinct from independent practice. NMC responses through the Prime Minister's Public Grievance portal have varied: on 24 September, it stated a degree is valid only if the student has a license and equal rights to practice as citizens. On 8 October, it clarified that if postgraduate qualifications are needed for independent practice, junior doctor status does not fulfill Rule 4(b). However, on 13 October, NMC stated that independent license provisions are being examined by a competent authority and expert committee.

Timeline of Major Developments

DateEvent / Announcement
18 November 2021NMC issues Foreign Medical Graduate Licentiate (FMGL) Regulations 2021.
September 2022Indian Embassy in Yerevan issues an advisory stating graduates in Georgia can work as junior doctors, but need extra qualifications for independent practice.
24 SeptemberNMC responds on grievance portal citing Rule 4(b) regarding equal rights to practice.
8 OctoberNMC clarifies that junior doctor status may not meet Rule 4(b) if independent practice requires postgraduate qualifications.
13 OctoberNMC informs an applicant that independent licensing provisions are under review by an expert committee.
14 OctoberGeorgia's NCEQE issues a 17-point clarification regarding its medical education framework.

Requirements Under FMGL Regulations 2021

The FMGL Regulations 2021 apply to students enrolled after 18 November 2021. Medical courses must meet specific criteria:

  • Minimum course duration of 54 months.
  • Compulsory 12-month internship at the same foreign institution.
  • Instruction conducted in the English medium.
  • Registration with the host country's medical regulatory body granting equivalent practice rights as local citizens.
  • Completion of a 12-month supervised internship and passing the prescribed screening or licensing examination upon returning to India.

Georgia's MD Course and Junior Doctor Rules

According to the National Center for Educational Quality Enhancement (NCEQE) of Georgia, the six-year Medical Doctor (MD) program includes at least 360 European Credit Transfer and Accumulation System (ECTS) credits, clinical training, and a mandatory final-year internship in English medium. Under Georgian law, graduates can work as junior doctors without extra exams, but only under the direction and supervision of an independently licensed doctor. Junior doctors cannot practice independently; independent practice requires passing the National Post-Diploma Qualification Examination (NPDQE), completing residency, and obtaining specialized licensing.

Current Status and Advice for Students

No final decision has disqualified all Georgian medical degree holders from FMGE. Legal experts, including Delhi High Court advocate Sachin Jain and Supreme Court Advocate on Record Ajay Kumar Singh, question treating supervised junior doctor status as an independent license and caution students against relying only on verbal assurances from education consultants. Prospective and enrolled students must verify whether their registration meets Rule 4(b) and seek written clarity and official NMC updates directly.

Questions

What is the core issue with MBBS degrees from Georgia under FMGL Regulations?

Under Rule 4(b), graduates must have the same right to practice medicine as citizens of the degree-awarding country, but Georgian MD graduates receive junior doctor status to practice under supervision rather than an independent license.

What are the requirements for independent practice in Georgia?

To practice independently in Georgia, graduates must pass the National Post-Diploma Qualification Examination (NPDQE), complete a postgraduate residency in their specialty, and obtain the necessary license.

Has the NMC declared Georgia MBBS graduates ineligible for FMGE?

No, there is currently no final decision declaring all medical graduates from Georgia ineligible for the FMGE.

What academic specifications does Georgia's MD program follow?

According to the NCEQE, Georgia's six-year MD course consists of at least 360 ECTS credits, clinical training, and a final-year mandatory internship taught in English.

Written in English by Disha Stars from the Amar Ujala report (read the original in Hindi). Check dates and links on the official website before you act.

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