Policies & Decisions

Students who had graduated prior to January 2021 from a Foreign College contained in List B of colleges shall be processed for Licensing on the following basis;
  1. Shall be required to show License Eligibility in the country from where they graduated if they have not acquired a license from such country.
  2. Qualify the NLE
  3. On qualification of NLE they shall be granted Provisional License
  4. Shall be required to then complete a House job in Pakistan.
  5. On completion of house job they shall be granted a Full License
Provided all persons having graduated from a List B college and who have been granted provisional licenses earlier based on the Green List shall be required to appear in the first NLE and qualify the same to retain the validity of their provisional license. If such person fails to qualify the first NLE, the provisional license shall be suspended till such time as they qualify the NLE.

Further provided any person who falls in the above category and a graduate from their college was granted a provisional license on the basis of the Green List previously, shall be granted a Provisional License to start.
Council has approved the following assessment criteria to be applied to all foreign medical and dental colleges and programs for purposes of placement in different categories enabling graduates to follow licensing pathways to obtain licenses in Pakistan.

The inclusion of an institution’s name in any one of these A, B or C categories simply shows its verification status and the lists are dynamic. The purpose of these categorized lists is to provide pathways to foreign medical graduates for obtaining a Pakistani license to practice in Pakistan.

Many colleges in Category B or C may be under process of being inspected and accredited by an independent agency or a tier 1 international regulator. Therefore, an institution will be shifted from list B to A once it receives the two-tier verification. The same policy is applicable to institutions in list C, i.e. they need to obtain at least a 1- tier verification in order to be shifted to list B.
Category A
Represents colleges and qualifications offered by these colleges that have been assessed and accredited at two levels, i.e. pursuant to a physical inspection by an independent internationally recognized accreditation agency which is duly recognized by WFME and is further recognized by a tier 1 international regulator (ECFMG, GMC, AMC) in addition to recognition by the national regulator enabling graduates to be licensed in the home country.
Category B
Represents colleges and qualifications that are recognized by either by a tier 1 international regulator (ECFMG, GMC, AMC) or pursuant to a physical inspection by one of the independent internationally recognized accreditation agency which is duly recognized by WFME, in addition to recognition by the national regulator enabling graduates to be licensed in the home country; hence, these colleges possess only a single tier verification.
Category C
Represents colleges and qualifications that possess recognition by the national regulator enabling graduates to be licensed in the home country but do not possess either of the two tiered independent verification by a tier 1 international regulator (ECFMG, GMC, AMC) or pursuant to a physical inspection by one of the independent internationally recognized accreditation agency which is duly recognized by WFME.
The Council has considered the terms Postgraduate, Additional and Alterative Qualifications as referred to under the PMC Act, 2020 and defined the same along with defining relevant terms to recognition of such qualifications.

The process of recognition of qualifications and CME’s shall be prescribed under regulations to be duly framed by the Council.
POSTGRADUATE QUALIFICATION
Postgraduate Qualification shall mean a qualification acquired after certification of completion of a structured training program under direct supervision of a designated supervisor encompassing all competencies required by a licensed doctor to qualify for inclusion in the Specialist Register.
Pakistani Postgraduate Qualification (u/s 22 of the PMC Act, 2020)
A Postgraduate Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by the College of Physicians and Surgeons Pakistan; and
  2. Training undertaken at a Medical Institution recognized by the Council for training or grant of a Post Graduate program under section 23(2) of the PMC Act, 2020.
Foreign Postgraduate Qualification (u/s 24 of the PMC Act, 2020)
A Foreign Postgraduate Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by a Foreign Postgraduate Institution recognized as the Postgraduate Institution by the regulatory authority in the relevant country for grant of Post Graduate Qualifications and recognized by the Council under section 25 of the PMC Act, 2020;
  2. Obtained after formal, objective assessment with a certification after either a period of training or acquiring of minimum competencies equivalent to the comparable qualification granted by CPSP.
ADDITIONAL QUALIFICATION
Additional Qualification shall mean a qualification acquired in addition to a Postgraduate Qualification after completion of a structured training program under direct supervision to develop specific competencies after completion of a Post Graduate qualification which qualifies a licensed doctor to represent as a specialist in the specified area of specialization in addition to the subject of the Postgraduate Qualification.

An Additional Qualification shall not grant a right to be included in the Specialist Register if a Post Graduate or Alternative Qualification has not been obtained by the Licensee.

An Additional Qualification may be considered by an institution for credentialing of a general practitioner who does not possess a Post Graduate Qualification or Alternative Qualification subject to such licensed doctor at no time being represented as a Specialist.
Pakistani Additional Qualification (u/s 22 of the PMC Act, 2020)
An Additional Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by a Pakistani Medical Institution recognized by the Council for grant of Additional Qualifications under Section 23(2) of the PMC Act, 2020;
  2. In a subject which is part of a broader specialty in which the Council has recognized a Pakistani or Foreign Postgraduate Qualification.
Foreign Additional Qualification (u/s 24 of the PMC Act, 2020)
A Foreign Additional Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by a Foreign Medical Institution recognized by the regulatory authority in the relevant country for grant of an Additional Qualification and recognized by the Councilunder section 25 of the PMC Act, 2020;
  2. In a subject which is part of a broader specialty in which the Council has recognized a Pakistani or Foreign Postgraduate Qualification.
ALTERNATIVE QUALIFICATION
Alternative Qualification shall mean a qualification recognized by the Council as an Alternative to a Postgraduate Qualification recognized by the Councilhaving been acquired after certification of completion of a structured training program under direct supervision of a designated supervisor encompassing all competencies required by a licensed doctor to qualify for inclusion in the Specialist Register .
Pakistani Alternative Qualification (u/s 22 of the PMC Act, 2020)
An Alternative Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by a Pakistani Medical Institution Institution recognized by the Council for grant of Alternative Qualifications under section 23 of the PMC Act, 2020;
  2. Training undertaken at a Medical Institution recognized by the Council for training or grant of a Post Graduate program under section 23(2) of the PMC Act, 2020;
  3. Obtained after formal, objective assessment with a certification after either a period of training or acquiring of minimum competencies equivalent to the comparable qualification granted by CPSP;
Foreign Alternative Qualification (u/s 24 of the PMC Act, 2020)
An Alternative Foreign Qualification shall be recognized by the Council subject to fulfillment of the following conditions;
  1. Granted by a Foreign Medical Institution recognized by the as an institution for grant of post graduate or alterative qualifications by the regulatory authority in the relevant country and recognized by the Council under Section 25 of the PMC Act, 2020;
  2. Obtained after for bmal, objective assessment with a certification after either a period of training or acquiring of minimum competencies equivalent to the comparable qualification granted by CPSP;
CONTINUING PROFESSIONAL EDUCATION (CPE)
Continuing Professional Education (CPE) shall mean any learning in addition to and outside of undergraduate education or postgraduate training that helps a licensed medical practitioner maintain their competence and acquire knowledge of new developments and improve their performance and covers the development of knowledge, skills, attitudes and behaviours across all areas of professional practice and includes both formal and informal learning activities.

A CPE activity shall be recognized by the Council subject to the fulfilment of the following conditions;
  1. Granted by an Institution recognized by the Council for grant of a CPE qualification/ certification; and
  2. Is within the domains of knowledge of relevant discipline and has clearly stated learning outcomes, instructional and assessment strategies where learning outcomes build on existing knowledge, skills and behaviours; and
  3. A program or opportunity which updates what a practitioner learnt at medical school and during postgraduate training, to reflect changes in practice, changes in the needs of patients and the service, and changes in society’s expectations of the way doctors work; or
  4. A program or opportunity which maintains and improves the quality of care a practitioner gives patients and the public and improves the ability to anticipate and respond to the changing demands of professional standards of the teams and services expected in healthcare.
CREDENTIALING
Credentialing shall be the process of reviewing a licensees qualifications and certifications, training, experience or demonstrated ability and practice history to determine what clinical privileges the licensee shall be entitled to at a hospital or medical institution.

Credentialing shall further include the process of identifying which Additional Qualifications if acquired in addition to a Postgraduate or Alterative Qualification may be considered for additional privileges to the licensee.
SPECIALIST REGISTER
The Specialist Register shall mean the Register maintained by the Commission containing the names of licensed professionals who have acquired either a Postgraduate Qualification or Alterative Qualification entitling them to the status of a Specialist or Consultant.
For Foreign Graduates the following Licensing Pathways shall be available;
Licensing Pathways 1
  1. Graduate of a foreign college holding a qualification which is recognized by PMC under List A of Colleges.
  2. Holder of a qualification from a foreign college in List B of Colleges AND a Foreign License issued by a foreign regulatory body or country under List I of Countries. as recognized by PMC but have not completed a recognized House Job from a country in List I of Countries.
  3. Graduate of a foreign college having qualified NEB Step III prior to 24th September 2020
  1. Such persons as listed above shall be granted a Provisional License on verification of foreign undergraduate qualification from granting university, and if applicable foreign license from the issuing authority
  2. Upon completion of House Job in Pakistan, the person shall be required to qualify the NLE (for Foreign Graduates) prior to grant of Full License except persons falling under Item No.3 (NEB qualified prior to 24th September 2020).
Licensing Pathways 2
  1. Holder of a qualification from a foreign college in List A of Colleges. AND a Foreign License issued by a foreign regulatory body or country in List I of Countries AND having completed their House Job in a foreign institution recognized by the regulatory authority of the relevant country.
Such persons as mentioned above shall be exempted from doing House Job in Pakistan and may obtain Full License upon qualifying the NLE (for Foreign Graduates).
Licensing Pathways 3
  1. Persons holding a foreign license issued by a foreign regulatory body or country in List I or List II of Countries AND in addition holds a foreign Post Graduate or Alternative to Post Graduate qualification recognized by the PMC.
Such persons as mentioned above shall be granted a Full License on verification of their Foreign License from the issuing authority and verification of Post Graduate or Alternative qualification from the granting authority.
Licensing Pathways 4
  1. Graduate of a foreign college holding a qualification which is recognized by PMC under List B of Colleges.
  2. Holder of a Foreign License issued by a foreign regulatory body or country in List II of Countries.
  1. Such persons shall be granted a Provisional License upon having;
    1. obtained a Foreign License in a country in List II of Countries; and
    2. completed a house job in the foreign country.
  2. Upon completion of House Job in Pakistan, the person shall be required to qualify the NLE (for Foreign Graduates) prior to grant of Full License.
Licensing Pathways 5
  1. Graduate of a foreign college or holding a foreign qualification which is not recognized by PMC or is still under process of recognition and is listed in List C of Colleges.
  1. Such persons shall be granted a Provisional License after having;
    1. obtained a Foreign License in a country in List I or II of Countries; and
    2. completed a house job in the foreign country; and
    3. having qualified the NLE (for Foreign Graduates) after completion of steps (i) and (ii) and prior to grant of Provisional License.
  2. On completion of the House Job in Pakistan the person shall be granted a Full License.
STUDENTS IN A FOREIGN COLLEGE
  1. Students enrolled in a foreign college in List C may transfer, subject to rules applicable to transfer in the relevant country / foreign university, to any other foreign college in List A or List B in any other foreign country.
  2. Students enrolled in a foreign college in List C may transfer to a Pakistani College in the 1st or 2nd year ONLY subject to;
    1. Qualifying the MDCAT exam,
    2. Having more than 65% marks in their FSs or HSSC, and
    3. Qualifying the requisite NEB exam for the 2nd Year transfer from a foreign college.
This exemption is available one time till 31st December 2021.
Numerous clinical Alterative to Post Graduate Programs and clinical Additional to Post Graduate Programs have been initiated by Universities which have not been inspected or recognized by Pakistan Medical Commission or the erstwhile PM&DC. Some of these programs have been meanwhile inspected and recognized by Universities as university programs.

The Council has decided that all such clinical programs and teaching hospitals where such clinical training is being conducted shall be inspected in due course after the criteria for teaching hospitals is framed by the Medical & Dental Academic Board and approved by the Council.

Until such time as these programs and teaching hospitals are inspected and recognized by the Pakistan Medical Commission, the Universities may provisionally continue with such programs as university recognized programs subject to the following terms;
  1. If a program and its teaching hospital is recognized by the Pakistan Medical Commission post inspection, qualifications awarded to trainees of such programs irrespective of their induction or qualification, shall be recognized for purposes of licensing.
  2. If a program or its teaching hospital is not recognized by the Pakistan Medical Commission post inspection, persons having qualified from such programs shall be required to undertake a minimum further training as per terms prescribed by the Commission and duly certified by the supervisor at a recognized equivalent program and teaching hospital to have their qualification recognized.
  3. Trainees at a program which is not recognized by the Pakistan Medical Commission post inspection shall be allowed to shift to any other recognized equivalent program subject to a further training period as per terms prescribed by the Commission, to be undertaken to obtain the requisite qualification.
Policy For Future Programs
All clinical Post Graduate, Additional or Alterative programs must be initiated at a teaching hospital recognized by Pakistan Medical Commission. Any university / institution seeking to initiate any new programs henceforth shall be required to intimate the Pakistan Medical Commission at the time of initiating such programs and the program and the teaching hospital shall be inspected at any time within 6 months of the program having been initiated by the Pakistan Medical Commission. During such period, any student registered in such program shall be at the risk and cost of the university / institution and shall not be eligible for any benefit of the period of training if the program is not recognized.

Pakistan Medical Commission shall inspect both the Program and the Teaching Hospital for purposes of recognition.
In response to requests received from Overseas Pakistani’s on the issue of the fee structure applicable on ‘Foreign Students’ the Council considered the issue and has determined as follows;
Background
  1. A ‘Foreign Student’ for purposes of admission is defined as a student who has completed their HSSC from outside Pakistan.
  2. The term ‘Foreign Student’ can include a student who may be an Overseas Pakistani’s having only Pakistani Nationality, Dual Nationals or Foreign Nationals.
  3. A student admitted to medical college in Pakistan as a ‘Foreign Student’ is required to pay the fee in USD notified for ‘Foreign Students’. The Foreign Student Fee is divided in two categories; Cat A: Foreign Nationals (higher fee) and Cat B: Overseas Pakistani’s including Dual Nationals (lower fee).
Decision
If the parent/guardian of an Overseas Pakistani student admitted as a ‘Foreign National’ moves back to Pakistan at any time after the student having been admitted to medical college, the student shall be required to pay the fee applicable to Pakistani Students in Pakistan Rupees. The conversion to the fee applicable to Pakistani Students shall apply to the immediately next fee payable as per the schedule of the college from the date the parent/guardian has moved back to Pakistan.

The Admission Regulations(Amended) 2020-2021 shall be further amended accordingly.
The Council considered requests from some A Level students who gave their exams in October and their results are due on 11th Jan 2021 and in some cases 19th January 2021.

The students have requested for following options;
  1. Extend the date of closure of admission applications to 25th February to allow IBCC certificates to be issued for the re sit exam results.
  2. Allow use of computer generated result for applying for admissions and formation of merit subject to IBCC certificate being produced at the time of finalization of admission by colleges.
Background
There are two category of students;
  1. Those who elected to give the offered re sit exam to improve their scores already given in the assessment based marking done in A due to Covid-19 restrictions. These students have their previously issued A Level results which they can use to apply for admission and therefore, wont be ousted from applying for admission if their result or IBCC equivalence is not available by the notified closing date of admissions for Public or Private Colleges.
  2. Those who did not take their equivalence subjects of Pak Studies, Islamiyat and Urdu in their school programs, and hence they gave these in October as assessed marking could not be given for subjects not opted for in school programs. Their results are expected on 19th January 2021. Without these results they will not obtain an equivalence from IBCC hence they will not be eligible for admission to medical colleges.
IBCC meanwhile has indicated that its process for grant of equivalence requires availability of the original certificate which takes approximately 3-4 weeks after announcement of result. The certificates therefore, will become available in 2nd week February and hence IBCC equivalence will become available at the earliest sometime in 3rd week February.

Currently admissions in Public Colleges have to be completed by 22nd January 2021. Whereas application submission for Private Colleges shuts down on 19th January and the merit lists will be issued on 24th January 2021. Admissions in private colleges have to be completed by 22nd February 2021.
Decision
The Council after having considered all the relevant facts and taking into consideration the interests of all students as well as the impact on admissions and the new school year has determined as follows;
  1. These students elected to take a re sit of their own choice and which was not a mandatory requirement. Many students have applied based on their assessed exam results as available to all A Level students. Students having taken the re sit exam in essence are hoping to improve on their scores achieved in the assessed results already issued for A Level students. These students would not be adversely affected as they will have the right to apply for admissions like all other A Level students who did not sit the re sit exams using their existing results. These students will also have the right to use their re sit results, if better than their assessed results for admissions next year.
  2. Students who in their O Levels or A Levels elected not to take the mandatory subjects required by IBCC for equivalence have taken these now at a later stage because they have now decided to try for admission to medical colleges. There is no reason for them to be treated differently to those who elected to take all the requisite subjects within the requisite time as this requirement for admission to medical college has at all times been publicly known. Granting any exemption would in fact prejudice those students who did take all the mandatory subjects and are now applying for admission. Furthermore, these students can also use their results for seeking admission next year.
  3. IBCC is the national authority mandated to issue an equivalence of any foreign board exam with the recognized higher secondary education exams of Pakistan. Neither can Pakistan Medical Commission nor any college usurp the authority of the IBCC and undertake equivalence on its own. Any such equivalence done by the student, college or PMC without certification of IBCC would be further prejudicial to those students who have obtained IBCC equivalence as well as the FSc students in terms of formation of merit.
  4. The admissions schedule for medical colleges in Pakistan is based on the larger requirement of completing admissions latest by February 2021 to enable classes to begin for the 1st year and ensure students are able to complete the mandatory curriculum which includes a minimum number of class hours. This will not be possible if admissions are delayed beyond February 2021 and will cause severe prejudice to and adverse impact upon over 19,000 students who are admitted to medical colleges.
  5. Schedules of foreign examining bodies are their independent domain and cannot be the determining factor in the admission schedules for colleges in Pakistan set by PMC which involves multiple considerations. Even otherwise as all the A Level students already have a uniform result issued for their A Levels no one shall be restricted from applying for admission at this time or deprived of the right to admission to medical college. Seeking to improve one’s result in an HSSC exam cannot be therefore, the ground to delay admissions and adversely impact thousands of other students.
For the reasons stated the Council has determined that the Admission Schedule as already announced shall not be altered and no exemption is to be granted for equivalence or in terms of time for A Level students who have opted to take the A Level re sit exam in an attempt to improve their announced result or complete the mandatory subjects for equivalence.

It is clarified that students can use their re sit results or their later attempted mandatory subjects for seeking admission next year in medical college.