BY MAIL/ SPEED POST

No.U.7z0tz / 48 /?077 -ME-t (Pt.lvJ IFTS.31s48s0]Government of India

Ministry of Health & Family Welfare(Department of Health& Family WelfareJ

Nirman Bhawan, New Delhi-11Dated the 31st May, 2018.

Subject: Compliance Verification Assessment of the physical and the other teachingfacilities available for 100 MBBS seats (Show CauseJ at Subharti MedicalCollege, Meerut under Swami Vivekanand Subharti University, Meerut./Disapproval for admission of fresh batch [100-150 seats) in MBBS Course atSubharti Medical College, Meerut for the academic year 2018-19 - reg.

Whereas the Medical Council of India vide letter dated 07.05.2018 recommendedto the Ministry of Health & Family Welfare to direct the college not to admit fresh batch(100-150 seats) in MBBS course at Subharti Medical College, Meerut for the academicyear Z07B-19 informing as under:-

The Executive Committee of the Council considered the compliance verificationossessment report (23.04.2018) along with previous assessment reports(11.10.2017 & 12.10.2017) and noted the following:-

I. Shortoge of Residents is 19.40 o/o as detailed in the reportIL On verification, it was observed thot about 500k of Senior Residents were not

residing in their hostels. , ssessors waited in Residents' hostel for more than 7tthour for Residents to come and show their rooms. They were repeatedly called byrespective wardens. Some, whose names are shown below, were found to be notresiding in hostel as evidenced by videographic evidence ofno clothes in cupboards,no toiletories in bathrooms, no ligh* in rooms, unusable toilets, etc:-

1. Dr. Ravinder Singh, SR Ortho, Room No. 5092. Dr. Dhyanesh SR in Medicine, Room No. 3123. Dr. Dhutiman, SR in Medicine, Room No. 6014. Dr. Naveen Ilagi, SR in DVL, Room No. 3095. Dr. Priyanko Tiwari, SR in Surgery, Room No. 46. Dr. Akansha, SR in Opthal., Room No.77. Dr. Himani Goyal, SR in OBGY, Room No.12

IIL Deficiency offaculty is 5.38 0/o as detailed in the reportIV. OPD: Several patients were enrolled in more than one departmenL E.g. Patient

named Sorab s/o Bhupendra Singh was enrolled with OPD No. 180413300361 inPaediatric OPD & with No. 1804230322 in Medicine OPD, implying duplication ofdata & inflated numbers.

V. Bed Occupancy at 10 a,m, on day of assessment ofgenuine patients was 450/6.

VI. On random verification, it was obseryed that about 40 %o of the patien* did notmerit admission and seemed non-genuine.

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VII. Patients: Bed occupancy grossly was obsen,ed to be 850/o (computed for 570 beds)as signed by nursing stoff. However, on random verification of patients in all wards,itwas seen that about 400/o ofpatients did not merit admission and seemed nongenuine, Hence actuol net bed occupanry wos 45% on the doy of assessmenL

Examples of few such cases which were randomly veriJied are mentioned below:

o Patient named Ramgopal in Ophthalmology Ward IP No. 180420047 in the cose

sheet, it was mentioned as operated. But on verification it was found that nosurgery was done.. Patient named Hazra IP No. 1804417047 admi*ed with fibroid uterus on 77thApril but till now no USG was done.o Hemsingh lP No. 18040401451 with fracture Rt leg was odmitted in SurgicalWard, it was noticed that in Male Surgical ward 3 most of the patients wereOrthopedic cases.

o Poonam 0BGY ward IP No. 18041900690 admitted with P2 L2 with post abortalsepsis but on verificotion patient had normal delivery and claims to be admitted 10days back whereas date of admission on case record mentions 79th April.. In ENT wards patients with trivial complain* like earache and uncomplicatedCS)M and vertigvo have been admitted for more than 7 week,. ln Gynae ward most of case sheets have been written as being admitted witheither threatened abortion, irregular menses or PID but on verification no suchsymptoms were mentioned by the patients and the patients were asymptomatic.. ln certain wards like ENT and Gynecology patients were allowed to go on leavethereby suggesting thot patients were coming in the morning and going home inevening.o In Medicine ward patient named Rajaram IP No. 180422020 was admitted forpeptic ulcer disease and OA knee but on asking the patient he just comploined ofmild rt leg pain.o In Medicine ward, patient Ashok with IP No. 180422018 was admitted for?Pulmonary Kochs with history of blood stained sputum and fever for 7 month. Thepatient on asking repeatedly complained of only dry cough for 2 to 3 days only.. ln Medicine ward patient nomed Bhupender IP No. 180422015 admitted with C/Oghabrahat and backache. On verifying he had complain of mild occasionalbackpain. .ln Skin ward patient Mr. Bablu IP No. 180417017 was admitted withTinea for the past 7 week such a case does not merit admission,o In Skin ward patient Sachin IP No. 18041601547 odmitted with scabies for morethan one week and no complainB.. Patient Jagdish IP No. 18042200074 admitted with complaints of burningmicturition, diagnosis of UTI, patient had no such complaints.o In Medicine female ward patient Jyotimaa Singh was admitted with oll orthopediccomplaints.. ln Pediatric ward many patients were admitted for trivial illness.. Patient Shalini IP No. 180418012 admitted in pediatric ward since 6 days withcomplainB of Abdominal pain. However, no USG or other investigations done. Onasking resident it was told that investigations were not done as she did not havemoney to pay. In female medicine ward patient Aruna was lying on bed had nocomplaints and case papers were not found. Many such cases were seen in otherwards also.

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VIll. ln spite of repeated requests, data of births sent to the Government for registrationof births was not provided to tfte assessors.

X Workload of Antenotal USG as verifed by assessors was only 3 till 1:30 p.m. 53X Samples of only 177 patients were received in Central Laboratory till 2 p.m. on day

of assessmenLXl. O.T.: Defibrillator was not availoble.XIL ICUs: The patienB admitted in ICCU did not meit admission in ICCU. E.g. Patient

named Gopal (lP # 180420100) was shown as having implanted coronary stent butno such notes/ongiography report was seen in case sheeL

Xlll. MRD: There is gross mismatch between computerized & manual data as detailed inthe report

The Executive Committee noted that as the college had foiled to comply withthe stipulation/directives of the Supreme Court Mandated Oversight Committee,the Executive Committee had earlier recommended that the college should bedebarred from admitting students in the above course for a period of two academicyears i.e . 2017-18 & 2018-19 as even after giving an undertaking that they hadfulfilled the entire infrastructure for recognition/approval of Subharti MedicalCollege, Meerut for the award of MBBS degree granted by Swami VivekanandSubharti University, Meerut against increased intake i.e. from 100 to 150 seats u/s11(2) ofthe IMC Act, 1956, the college was found to be grossly deficient.Thereafter,the Central Govemment vide its letter dated 31.05.2017 had directed the collegeauthorities not to qdmit ony student in the academic years 2077-18 & 2018-19 inMBBS course against increase intake from 100 to 750 seats.

The Executive Committee of the Council further decided to continue theapplication of clause A@@@) of Establishment of Medical College Regulation(Amendment), 2010 (Part II) dated 16th April,2070 and amended on 18.03.2016 inview of the above mentioned deficiencies and also decided that the institute beasked to submit the compliance afier rectification of the same within one month,

The Committee also decided to issue a show cause notice as to why therecommendations for invoking clause 8(3)(1)(d) of Establishment of MedicalCollege Regulation (Amendment), 2010 (Part II), dated 16e April,2010 be notmade in view of the fake information provided by the college outhorities to theCouncil Assessors. The said clause reads as under:-

ap)@(d):

(d) Colleges which are found to have employed teachers with faked /forged documents:

If it is obserued that any institute is found to have employed a teacher withfaked / forged documents and have submitted the Declaration Form of such ateacher, such an institute will not be considered for renewal of permission /rccognition for award of M.B.B.S. degree / processing. the applications forpostgraduate courses for two Academic Years - i,e. that Academic Year and thenext Academic Year a(so........."

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The Executive Commiuee of the Council further decided to rekr the matterto the Ethics Commiftee of the Council and directed the college not to admit freshbatch of students for two academic years i.e. 2077-2018 and 2018-2019.

The above decision ofthe Executive Committee has been approved by theOversight Committee on 04.05.2018.

2. Whereas, u/s 10 A (al of IMC, Act, 1956, the Ministry afforded an opportunity ofhearing to the college before a Hearing Committee constituted for the purpose on15.05.2018 and the Hearing Committee, after considering the submissions/ compliancefurnished by the Institute, observed as under:-

"The Committee would first note that the approach of Dr Atul Krishna, thecollege representative to the hearing was negative and offensive from thebeginning of hearing. He wanted personal introduction ol Committeemembers which was politely declined since it is appointed by the Ministryand not obligated to disclose their identity to the colleges appearing forhearing. Hearing Committees for medical courses comprise of lrlinistryolficials and senior medical experts oI CHS cadre from Cental Governmentinstitutions. When the college did not start to respond to the deficienciespointed out in MCI assessment, it was conveyed that the representativeshould try to be relevant and to the poinL The entire hearing in which thecollege made no oral submission on deficiencies conveyed vide MCI letterdated 07,05,2078 losted lor about 45 minutes.

The only contention of the college was that whether the hearing was forconsideration of increased intake from 700 to 750 or the entire 750 seats Iorthe year 2078-79.

It was brought to the notice of hearing committee that in response to theletter dated 77,05,2078 of the college, the Ministry vide mail dated77.05.2078 had clarified to the college that the hearing is being granted onthe recommendation of MCI for disapproval for fresh batch of increasedintake from 7OO-150 for 2078-79.

It is seen from MCI letter of 07,05.2078 that the college was debarred by theCentral Government lrom making admission against the increased intake oI700-750 for two academic years Le, 2077-78 and 2078-79,

The college has also brought to notice the order dated 08.09.2077 of Hon'bleSupreme CourL The Court had directed MCI to conduct inspection within 3months. The college shall then report compliance whereafier it will be opento the MCI to verw the position and process lurther as per law.

The college was inspected by MCI on 77-72.72.2017. The compliancesubmitted by the college on the deficiencies pointed out in this ossessmentwere verifred by MCI on 23.04.2078, The letter dated 07.05.2078 of MCI isbased on the deficiencies as noted in the inspection dated 23.04,2078.

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-f-However, as noted above the college made no oral submission regarding thedeficiencies despite full opportunity provided to it" The written compliancesubmitted by the college was perused,

The deficiency of faculty is marginal and can be condoned but high deficiencyof Residena and bed occupanq/ has been pointed out, The assessors havenoted many instances of doubtful practices. The submission of the collegethat the assessors comments are irrelevant since he/she was fiom preclinicalsubject (p/342-344) cannot be accepted and is objectionable.

In view of the nature of the deficiencies and no satisfactory compliance, theCommittee recommends that the recommendation of MCI that the collegemay not be allowed admission against increased intake of 700-750 for 2078-19 may be accepted. "

A copy ofthe Hearing Committee report containing their observation is enclosed.

3. Now therefore, considering the recommendations ofthe Medical Council oflndiaand observation/recommendation of the Hearing Committee, the Central Governmenthas decided not to grant the permission for admission of Fresh Batch of 100 to 150MBBS students at Subharti Medical College, Meerut for the academic year 2018-19. Thecollege is accordingly directed not to admit any student in MBBS course for theacademic session 20\8-79 against increased intake i.e. from 100-150.

(D V K Rao)

Under Secretary to the Gow. of IndiaTel: 011-23062959

The Dean/Principal,Subharti Medical College,

Subharati Puram, Delhi-Hardwar bypass Road, Meerut-250002, Uttar Pradesh

Copy to

1. The Secretary, Medical Council of India, Pocket-14, Sector-8, Dwarka, New Delhi-77.

2. Principal Secretary [Health & FWJ,Department of Health & Family Welfare,Government of Uttar Pradesh, Sth floor, Room No. 516, Vikas Bhawan, fanpathMarket, Vidhan Sabha Road,Hazrat Ganj Lucknow - 226 00l,UP

3. The Director, Medical Education & Training, 6th-Floor, Jawahar Bhawan, AshokMarg, Lucknow (U.P.)

4. The ADG [ME], Dte.GHS, Nirman Bhawan, New Delhi

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