Tuesday, March 28, 2017

MCI refusing registration of MD from USA.

To
The Medical Council of India
Pocket-14, Sector-8
Dwarka Phase-I
New Delhi – 1100077

Subject: Regarding registration of international medical post graduate qualification in obstetrics and gynaecology from University of California Los Angeles in The United States of America. 

Respected Sir/ Madam 

This is to bring to your attention that I am an M.B.B.S. graduate from All India institute of medical sciences and graduated in May 2011. (Annexure 1)

Following this I pursued my post graduate training in obstetrics and gynaecology from David Geffen School of Medicine, University of California, Los Angeles, California, United States of America (UCLA) from June 2012 to June 2016. (Annexure 2)

After completing residency training from UCLA- which is a residency program and university accredited by the ACGME (Accreditation council of graduate medical education) of the United States I am qualified and permitted to practice as an independent obstetrician and gynaecologist in the United States of America. I have attached the letter from the university stating the same. (Annexure 3) 
 You may kindly contact the Obstetrics and gynaecology program, at University of California Los Angeles for any further clarification of the issue if so required.

The addendum notification in the Gazette of India dated 07.03.2008 states that: ‘all post graduate medical qualifications awarded in the United States of America and recognized for enrolment as medical practitioners in the concerned specialties in that country’ are to be added to the Part II of the 3rd schedule of the IMC act. (Annexure 4) 

There are thus two requirements for a medical qualification to be included in Part II of 3rd schedule of the IMC act: 
A) Post graduate medical qualification 
B) recognised for enrolment as medical practitioner in that field in the USA. 
As can be seen in para 2 and 3 above, my residency training at UCLA qualifies both the criteria as it is a post graduate medical qualification that is recognized for enrolment and practice as an obstetrician and gynaecologist in the United States. Therefore, by virtue of this addendum my qualification is included in the Part II of the 3rd schedule of the IMC act. 

Therefore, it is requested that my post graduate qualification be recognized and registered by the MCI so I may be able to practice and provide patient care at an appropriate level.

For further clarification, the American board of obstetrics and gynaecology (ABOG) is another independent organization that certifies obstetricians and gynaecologists in the USA. Certification by this organization is voluntary (as noted in its bulletin) (Atachment:3 pages 1-4 of Bulletin for qualifying examination conducted by ABOG; URL : https://www.abog.org/bulletins/2017%20BASIC%20Qualifying%20Examination%20Bulletin%20(final%206-17-16).pdf ) This certification is not essential to be able to practice obstetrics and gynaecology in the USA. 
Further, by graduating from an ACGME approved residency program I automatically am a 'registered graduate resident' of the ABOG as noted in their letter in attachment no. 2. Additionally, I have also passed the qualifying written examination conducted by ABOG. (Passing letter - attachment no. 1) 

After passing this qualifying examination there is an additional certification process conducted by ABOG. This process is conducted at the minimum two years after an obstetrician and gynaecologist has been practicing independently, where the case list (including out-patient, in-patient and surgical cases) of the practitioner is evaluated. This case list may be formulated by the concerned doctor practicing in any country independently as explained in the letter from ABOG in attachment no. 2. 

Therefore, my current status with ABOG is that of a 'registered graduate resident'; and two years after being able to practice independently I will be certified after assessing my case list. 

Hence, with all due respect I request the MCI to register my post graduate medical qualification in obstetrics and gynaecology from the University of California, Los Angeles, California, USA. 

I am happy to provide any further clarification regarding this matter required from me, or from the University in the United States or from the American board of obstetrics and gynaecology. 

Thanking you

Regards 
Dr Isha Wadhawan
Ph# 09650253154
Copy to Oversight Committee on MCI, Munirka New Delhi

Annexures:
1. MBBS degree 
2. Post graduate graduating certificate from UCLA
3. Letter from Department of obstetrics and gynaecology, UCLA - stating my eligibility to practice as a gynaecologist in the USA.
4. Addendum notification dated 7.3.2008 in the Gazette of India.


Attachments:
1. Passing letter for written qualifying examination - ABOG.
2. Letter from American board of obstetrics and gynaecology (ABOG).
3. ABOG bulletin for the qualifying exam.

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Annexure 1: MBBS degree




Annexure 2: UCLA Obs-Gynae residency (MD equivalent) certificate


Letter from UCLA explaining the completion of post graduate education and training in Obstetrics and Gynecology (Which in the USA is 4 years) and ability to practice independently as a obstetrician and gynaecologist



Notification in the Gazette of India dating back to 2008 which states that equivalent post graduate medical qualifications in the 5 english speaking countries are valid for registration by MCI. 




Letter from ABOG stating that I have passed the passed the qualifying examination for ABOG registration. (Two step process for certification with American Board of Obstetrics &Gynecology ABOG and practically all surgical specialities in the USA - 1st step to pass written qualifying examination. Then practice independently as an obstetrician and gynecologist. Submit the cases perfromed. Step 2 - Take the oral certifying examination at the minimum two years after graduation.
Again: You are able to practice independently after completing a residency. ABOG certification is not a mandatory requirement.)


ABOG letter explaining my status as as 'Registered graduated resident'. 


Affidavit by the UCLA residency program explaining and stating my abilities as a fully qualified obstetrician and gynecologist. 


Copy of ABOG bulletin for qualifying examination the first paragraph of which states that ABOG registration and certification is voluntary (Implying not mandatory for practice in the United States).




Response by MCI (They are clearly confused.
A. I have undertaken 4 years, NOT 3 years of training and education in Obstetrics and Gynaecology. B. I do not need 2 years of additional training, I need two years of additional PRACTICE to apply for certification by ABOG which is voluntary.
C. Additionally, regarding their specific queries - residency completion certificate is issue after examinations and tests at various levels as stated by the letter from UCLA above)