GOVERNMENT OF THE PUNJAB

SPECIALIZED HEALLTHCARE & MEDICAL EDUCATION

DEPARTMENT

NOTIFICATION
NO. S.O. (ME) 7-6 / 2016 (CIS). The Government of Punjab has devised a

Centralized Joint PG Induction System based on merit and academic performance of the
doctors desiring to seek post-graduate training. The Policy has been devised keeping in view
the needs of healthcare institutions / hospitals, improvement in standards of post-graduate
training and uniform merit-based induction criteria.

2. The Policy for the selection of PG Trainees shall be implemented at all the Healthcare
Institutions engaged in imparting PG Training, and shall be enforced immediately from
July/August, 2016 PG Induction onwards.

3. The Centralized Joint PG Induction System is outlined as under:

METHODOLOGY:

• A uniform/common Central Examination shall be conducted for entrance to

MD/MD/MDS Programs;

• There shall be no central examination / test for candidates having already passed
FCPS Part-I, and aspiring for induction as PG Trainee for FCPS –II;

• There shall be Merit Determination Formula for the candidates: (Marks 50+35=85
marks);

• A Central Board namely “Board of Post-Graduate Medical Studies (BOPGMS)”

shall be established. The BOPGMS shall have its permanent central office at KEMU,
Lahore;

• Total number of PG slots shall be splashed specialty-wise in each institute by the

Joint Admission Commission and the Specialized Healthcare & Medical Education
Department collectively as per needs / demand;

• Each institute shall forward the detail of vacant slots to the Joint Admission
Commission keeping in view the future plans of the Health Department and long-
term healthcare needs;
• After receipt of vacancy position in each specialty, a single advertisement shall be
made by the Joint Admission Commission (JAC) to seek applications for each all
available programs. The advertisement will mention the closing date and the
eligibility criteria for the post-graduate admission test;

• Application Form for the purpose of applying to post-graduate course prepared by

the Joint Admission Commission shall be made available at the website of all the
three medical universities (www.kemu.edu.pk www.uhs.edu.pk and
www.fjmu.edu.pk). A processing fee (to be determined by the Government) will be
applicable with each admission form;

• Each institution along with available specialty-wise seats shall be mentioned in

advertisement or made available at the website;

• The applicants shall fill the Application Form On-Line, and give options for
Specialty as well as the Institution;

• The domicile for the purpose shall mean domicile availed at the time of admission to
Medical / Dental Institution;

• The whole process of central induction shall be processed by PITB housed at Arfa
Karim Tower, Lahore. Technical assistance in this regard shall be provided to PITB by
the representatives of all three universities and Specialized Healthcare & Medical
Education Department;

• The criteria for merit determination and allocation of stipend positions shall be
notified and displayed prior to the last date of application submission period for a PG
Trainee Induction;
• The Initial and Final Merit Lists shall be made available for public access.

• The candidates from other provinces / foreign countries shall be admitted against
quota seats reserved by the Government @ 3% of the total allocated seats, at each
university / institution.

• DETERMINATION OF MERIT:

The Merit shall be determined as per following formula:

• JCAT for MS, MD & MDS / FCPS Part-I Examination Marks=35

• Academic and Experience Marks=50

• Entrance Test / Part-1 Examination of MS/MD/FCPS-1 Marks:

• The applicants for MD/MS and MDS shall be separately dealt, while
applicants for admission into FCPS-II shall be dealt separately;
• The marks obtained in qualifying examination for MD/MS/MDS shall
be converted to 35 marks. If marks obtained in Entrance Test=X,
 the X/250 x35 = Y, e.g. if candidate scores 200 marks out of 250,
then he shall get 200/250 x 35 = 28 marks;

• The candidates with FCPS-1 shall not undergo the entrance test
and they shall be awarded 60% marks each out of 35. i.e. 21 out
of 35 marks for all candidates;

• The candidates who secure equal marks but fall on merit, the
preference shall be given to the candidate whose age is more than
other candidate.
• Academic and Experience Marks:

It shall be calculated as under:

Academic Component Marks

Marks of all four / five Professional 15 Marks
Examinations (For 1st Division, 3 marks (Maximum)
and for 2nd Division, 2 marks)

Marks for attempts of professional 05 Marks

examination (maximum)
One mark shall be awarded for passing
each professional in first attempt.
Attempts of NEB examination of PMDC for
Foreign graduates. 1.666 marks shall be
given for passing each step in first attempt

Research Paper in an indexed /PMDC 05 Marks

recognized medical journal (if any): (Maximum)
01 Mark
As First Author
0.5 Mark
As 2nd and 3rd Author

Service in the public Sector Primary & 15 Marks

Secondary Health Facilities shall be (Maximum)
awarded 05 marks for
• One year service at Basic Health Unit
BHU) / Rural Health Center (RHC)

• Two years’ service at THQ and DHQ

Hospitals as well as Dispensaries
located in Urban Areas

(Experience less than 06 months shall not

be accepted)

Candidates of Public Sector Institutions of 05 Marks

Punjab who have completed House job at
attached hospitals of host institute
 Graduates of public sector institutions, 05 Marks
irrespective of place of house job, if opts
for post-graduate training at the attached (Total:10
hospital of parent medical institution, shall marks)
also be awarded 05 marks

TOTAL 50 Marks

• ELIGIBILITY CRITERIA:

• All the Medical / Dental Graduates must fulfil the following Eligibility Criteria of
the Government;

• Basic Medical Qualification of MBBS / BDS or equivalent medical

qualification recognized by Pakistan Medical & Dental Council (PM&DC);

• Certificate of one year's House Job experience in institutions recognized

by PMDC;
• Valid certificate of permanent registration with PMDC.

• In addition to the above, Government employees eligible and wishing to pursue

PG Training alongwith salary from the Government of Punjab are required to
complete Two Years Government Service on Credit with the Punjab Health
Departments (both Primary & Secondary Healthcare Department or/and
Specialized Healthcare & ME Department);

• The experience shall be counted from the date of joining the Government Service
till last date of submission of applications as advertised by the Joint Admission
Commission (JAC);

• ENTRY TEST:

• There will be a “Joint Centralized Admission Test (JCAT)” for MD, MS and
MDS Programs to be conducted through the “Joint Admission Commission
(JAC)/Board of PG Medical Studies (BPGMS)”;

• The Joint Admission Commission shall operate through a Board of Post-

Graduate Medical Studies (BOPGMS) comprising of Controllers of
Examinations of all three universities, a Professor to be nominated by each
university and a nominee of the Specialized Healthcare & Medical Education
Department, Government Punjab; (JAC will comprise of Vice Chancellors of all
three universities)

• The Controller of Examinations of KEMU shall act as Coordinator to the JAC and
BOPGMS;
• The Admission Test shall be conducted once a year in June / July;

• Entry examination shall be valid for one year (for two inductions only i.e. for June
/ July and December / January);
 • The JCAT shall be conducted according to the prevailing criteria of the university
programs approved by the Government.

• DECLARATION OF RESULT OF ENTRY EXAMINATION:

• Passing in JCAT / Entry Examination shall not automatically guarantee

admission to training program which will be dependent on available slots in
particular specialties and Institutions.

• ADMISSION PROCESS:

• Admissions shall be made only against the vacant PG slots out of total PG
seats allocated by the Government to each teaching institute;

• All seats will be filled on open merit including reserved / quota seats;

• The candidates selected as per admission criteria, and available PG slots;

• It's purely competitive matching program and selection for training is limited
to the slots available;

• The slots available for each program will be decided by the GOVERNMENT IN
CONSULTATION WITH Joint Admission Commission (JAC) taking into account
the service delivery needs of the institutions / departments, and future needs
of the Government;
• All candidates shall opt for a specialty and preference in each institution from
the list provided in the Application Form in order of preference;

• The candidate will be matched for a slot in the specialty and training
institution list, he/she has provided in his/her application;

• No change in preference lists will be admissible;

• The Joint Admission Commission shall determine the merit of the candidate
based on the entry test / scoring system through a Central Matching
System and allocate the institution where the candidate is to be placed for
training;

• This matching process will be carried out by the “Joint Admission

Commission (JAC)” taking into account of the available PG slots in each
training institution. Each and every program will not be available at all the
institutions. For the matching purposes, it is the responsibility of the
candidate himself to make sure that the specialty he is opting for is available
in that specific institute;
• The training slots in any specialty will be dependent upon the available
human resource, infrastructure, curriculum, track record of the program and
other parameter;
• The failure of a program as a result of poor track record will be referred to
the appropriate forum for remediation / discontinuation of the program;
• The acceptance of offer of admission by the candidate is to be submitted to
the Board of Post-Graduate Medical Studies (BOPGMS). The JAC shall
compile the list of recommended candidates indicating institution, course
name and duration, specialty / sub-specialty, and forward to the Technical
Wing of the Specialized Healthcare & Medical Education Department within 07
days for approval by the Competent Authority and issuance of orders;

• Vacant / un-occupied will go for another round of matching;

• The candidate shall report for joining at the institution within 07 days of the
receiving his / her orders of posting; at the joining institute for verification.
The admission committee in each institute will comprise of The Principal, MS
and HOD of each discipline. The committee will log into the central system of
admission and verify documents / experience certificates;

• Institution will direct the candidate to the concerned Supervisor for

acceptance / signatures on the proforma;

• Each candidate (both private and government employee) shall sign a

Contract depicting Terms and Conditions of PG Induction with the
Institution. The Institution shall forward the signed Contract (in original) to
the Government for record and implementation (Contract is attached);
• The candidate shall get the Joining Report Performa signed by the Supervisor
and submit it to the officer designate at the institution;

• A confirmation of joining will be issued by the institution mentioning the date

and time of joining of the candidate and send it to the Technical Wing of the
Specialized Healthcare & Medical Education Department and to the candidate
and to the administrator BOPGMS;

• Failure on the part of candidate to stick to the timelines will disqualify the
candidate and the seat will be declared vacant;

• In case of any grievances, appeal can be filed within three days before the
JAC for resolving. In case, the JAC could not solve the grievance of the
candidate, the matter shall be brought to the Competent Authority i.e.
Secretary to Government of the Punjab, Specialized Healthcare & Medical
Education Department for final decision. The decision so made, shall be final,
and cannot be challenged in any Court of Law / Forum;
• The Institution shall maintain a record of registration of all candidates;
• For MD/MS/MDS programs, the University will charge fee (non-refundable) for
the following components at the time of admission. The exact quantum of fee
may be decided and adjusted from time to time by the University after
approval from the Secretary to Government of the Punjab, Specialized
Healthcare & Medical Education Department:

• Registration Fee
• Four Mandatory Workshops Fee
 • Yearly Tuition Fee to be deposited according to schedule ( SOP's to be
developed by the Academic Council in consultation with the Director
Finance from time to time)
• Hostel Fee, if university accommodation is availed
• Utility charges (Electricity, Gas and water), if hostel accommodation is
availed
• After a default of more than 30 days duration for the payment of any
of the dues, the candidate will be expelled from the program except in
special circumstances where it will be endorsed by the Dean’s
Committee.

• GENERAL INSTRUCTIONS:

• The Stipendiary PG Trainee Seats allocated by the Government shall exclusively

be reserved for private candidates only. No in-service doctor (government
servant) shall be adjusted against these seats;

• NO ADMISSION ON HONORARY BASIS IN ANY CASE IS ALLOWED EXCEPT

THOSE ALLOCATED BY THE GOVERNMENT AND WIDELY ADVERTISED.
However, the candidates admitted through old scheme are allowed to complete
their remaining period of training;

• The post-graduate admissions in all the medical universities, medical and dental
colleges as well as at PGMI, Lahore shall be made through Centralized Admission
Test and Matching System;

• The in-service employees shall also apply through Central Induction System. If
selected on merit through Matching System, shall be admitted against the
deputation seats reserved at PGMI, Lahore, UHS, Lahore, and KEMU, Lahore as
per merit. At the institutions, where no deputation seats are allocated, the in-
service candidates shall be placed according to the merit as determined by the
Joint Admission Commission (JAC) through Central Matching System;

• No institution shall be allowed to grant admission to any candidate (both private

and in-service) in any post-graduate course in violation of this policy;

• Migration / Re-Registration and Induction for private institute / hospital trainees

at public sector institutions shall not be allowed at any stage. However, public
institute Trainees shall be allowed to change supervisor by the respective Head /
Principal of institution subject to fulfilment of CPSP / University requirements,
and availability of paid slot only after ONE YEAR of training. The case shall be
 presented before the Hardship Committee once a year for approval (The Hardship
Committee to be notified separately);

• Only fresh applicants shall be allowed to apply for initial induction. Applicants
already pursuing training or registered for training at any institute shall not be
eligible to apply for fresh induction at other or same institute and they may be
excluded from the merit list. If any applicant is found to have concealed earlier
registration or training at the time of induction and subsequently identified,
his/her enrolment /induction shall stand cancelled without any notice;

• The candidate shall opt for the sub-specialty at the time of submission of
application for PG Training. The trainees inducted for two years preliminary
training shall be automatically shifted to the subspecialties / departments of the
same institute for final 3 years training without any procedural formality subject
to availability of slot. No application of trainees of other public or private hospital
/institute shall be entertained for induction at subspecialty level;

• Induction of PG Trainee shall be carried out against all programs (of University
or CPSP) offered by the Government subject to accreditation and recognition by
PMDC. Neither a program shall be preferred nor any program (MS/MD/MDS)
ignored and left without induction. All the recognized programs
(MD/MS/MDS//FCPS) offered by the Government shall be included in admission
schedule. Admission and induction against unrecognized and unaccredited
programs by PMDC is not allowed. In case of induction against un-recognized
programs, the concerned head of institute shall be held responsible and shall be
proceeded under disciplinary rules;

• The authority to grant admission into under-graduate, post-graduate medical,

dental, nursing and allied health professionals is the Secretary to Government of
the Punjab, Specialized Healthcare & Medical Education Department, Government
of the Punjab only. Any reference made from any other administrative
department / office / organization directly to admission board without approval of
the Competent Authority, shall be considered illegal and violation of the approved
policy;

• The Secretary to Government of the Punjab, Specialized Healthcare & Medical

Education Department, Government of the Punjab shall be the final authority to
amend / change any of the provisions of the policy.
4. All the PG induction Policies issued prior to this notification, are hereby
repealed with immediate effect. However, the PG Induction Policy notified on 16th
June, 2015 shall be applicable for admission in post-graduate Diploma Courses only
offered by the PGMI, Lahore and IPH, Lahore till further decision of the Government

SECRETARY
TO GOVERNMENT OF THE PUNJAB
SPECIALIZED HEALTHCARE & MEDICAL EDUCATION
DEPARTMENT

NO EVEN, Dated Lahore, the 30th June, 2016.

Copy of the above is forwarded for information and necessary action to the:

• Advisor to Chief Minister, Punjab on Health.

• Parliamentary Secretary on Health.
• Chairman, Higher Education Commission, Islamabad.
• Chairman, Planning & Development Board, Punjab.
• Secretary to Chief Minister, Punjab.
• President, Pakistan Medical and Dental Council, Islamabad.
• President, College of Physicians and Surgeons of Pakistan, Karachi.
• All the Heads of Regional Offices of College of Physicians and Surgeons of
Pakistan in Punjab.
• Secretary to Government of the Punjab, Higher Education Department.
• Secretary to Government of the Punjab, Primary & Secondary Healthcare
Department.
• Secretary, Provincial Assembly of the Punjab.
• All the Administrative Secretaries to Government of the Punjab.
• Chairman, Punjab Information Technology Board (PITB), Arfa IT Tower,
Ferozpur Road, Lahore.
• Registrar, Lahore High Court, Lahore.
• Secretary, Provincial Ombudsman, Punjab, Lahore.
• Vice Chancellor, King Edward Medical University, Lahore / Chairman, Joint
Admission Commission (JAC).
• Vice Chancellor, University of Health Sciences, Lahore.
• Vice Chancellor, Fatima Jinnah Medical University, Lahore.
• Chairman & Dean, Shaikh Zayed Medical Complex, Lahore.
• All the Principals of Autonomous Medical Institutions in Punjab.
• All the Deans/Heads of Specialized Health Institutions in Punjab.
• Principal, Post-Graduate Medical Institute, Lahore.
• Dean, Institute of Public Health, Lahore.
• All the Medical Superintendents of Teaching Hospitals in Punjab.
• Additional Secretary (General) / Staff Officer to Chief Secretary, Punjab.
• Manager, Government Printing Press, Punjab, Lahore for publication in the
Weekly Official Gazette.
• Additional Secretary (Staff) to Secretary to Government of the Punjab,
Specialized Healthcare & Medical Education Department.
 • All the Additional Secretaries to Government of the Punjab, Specialized
Healthcare & Medical Education Department.
• All the Deputy Secretaries to Government of the Punjab, Specialized
Healthcare & Medical Education Department.
• Chief Planning Officer, Specialized Healthcare & Medical Education
Department.
• All the Senior Planning Officers, Planning Officers and Section Officers,
Specialized Healthcare & Medical Education Department.
• Incharge, ICT Cell, Specialized Healthcare & Medical Education
Department for posting at official website.
• P.S.O. to Additional Chief Secretary, Punjab.
• P.S.O. to Special Secretary to Government of the Punjab, Specialized
Healthcare & Medical Education Department.
• Section File.

(DR. NASIR MAHMOOD SHAKIR)

DEPUTY SECRETARY (ME)

Total Number of Specialty Programs, Beds, Faculty, and number of Residents which can be
admitted each year. (estimated)

No of
Sr No. Specialty Programs Beds Faculty Residents
1 Anesthesia 16 34 30 46
2 Cardiology 15 691 60 75
3 Community Medicine 4 0 13 17
4 Clinical Chemical Pathology 0 0 0 0
5 Clinical Hematology 0 0 2 0
6 Clinical Pharmacology & Therapeutics 0 0 0 0
7 Dermatology 10 229 26 36
8 Diagnostic Radiology 17 5 34 51
9 Family Medicine 0 0 0 0
10 Gastroenterology 5 68 10 15
11 General Surgery 26 2764 124 200
12 Medicine 22 2360 105 166
13 Nephrology 7 1088 6 13
14 Neurology 6 81 6 14
15 Neurosurgery 13 637 29 42
16 Nuclear Medicine 0 0 0 0
17 Obstetrics and Gynecology 27 2430 112 139
18 Operative Dentistry 0 0 0 0
19 Ophthalmology 15 555 33 48
20 Oral Surgery 0 0 0 0
 21 Orthodontics 0 0 0 0
22 Orthopedic Surgery 18 889 37 55
23 Otorhinolaryngology(ENT) 19 600 52 60
24 Pediatrics 10 1358 46 56
25 Pediatric Surgery 11 63 29 40
26 Physical Medicine & Rehabilitation 0 0 0 0
27 Plastic Surgery 7 116 14 21
28 Prosthodontics 0 0 0 0
29 Psychiatry 13 539 22 35
30 Pulmonology 13 420 21 34
31 Radiotherapy 3 148 5 8
32 Thoracic Surgery 2 44 3 5
33 Urology 16 660 35 51
TOTAL 283 15094 824 1185
Cardiac surgery 5 334 17 22
Histopathology 3 14 17
Endocrinology 1 1 2
291 15428 846 1226

Table shows that medical level-III programs are run in twenty three (23) specialties which are notified in
PMDC regulations which are published in “Gazette of Pakistan”. Three (3) medical education level-III
programs are also run. These are approved by PMDC, but are not still printed in the Gazette.

In twenty six (26) specialties, total of 291 programs are run under supervision of 846 faculty members
over patient load over 15428 beds. On the same bed strength, 250 Residents/PG Trainees may be admitted
per year if 25 more posts faculty/teachers are created.

Nine (9) level-4 super speciality programs are also run in Punjab. Since doctors can join these programs
after completing the level-III programs. These are not included this policy guide lines.

Policy Guide Lines to Organize Postgraduate Training/Residency in Punjab.

• Only those Degree Awarding Institutions (DAI) which have the legal charter to award Level-III
medical specialist qualifications, and are recognized by the higher education commission (HEC)
of Pakistan, and are included in the Pakistan Medical and Dental Council (PMDC) 3rd Schedule
will be allowed to offer the programs. All DAI will be required to submit their notifications from
HEC and PMDC in this regard to the secretary “Specialized Healthcare and Medical Education
Department” of government of the Punjab.
(Gazette of Pakistan, Extra, July, 2011, part-1, 2(1) e.
 • Levels of Education, their durations and corresponding qualifications as approved by PMDC and
notified in the “Gazette of Pakistan, Extra, 18 August, 2011.

a) The doctors after obtaining MBBS/equivalent qualification and completing one year
house job are given permanent registration with PMDC; and are eligible to undergo postgraduate
training and participate in providing healthcare services, and also contribute in shaping the future
of health care services.

b) Pakistan Medical and Dental council has notified medical education to take and four (4)
levels. The specialist training addressed in this document is placed at level III. For postgraduate
training at level III, PMDC has approved thirty *three (33) subjects in which postgraduate
education and training can be imparted. (Annex-II)

c) The duration of postgraduate courses shall be a minimum of one year for level-II courses
and a minimum of three years for level-III courses as tabulated below:

Learning levels with duration and corresponding qualifications

Learning Duration Clinical Medical of Basic Science

Levels Dental Qualification Qualification
Level-I 5-6 years MBBS/BDS
Level-II a 1year after level-I Diploma/MPH
Level-II b 2 years after level-I Diploma/MCPS/M.Sc. M.Phil.
Level-III Minimum of 4 years after MD/MS/FCPS/MDS FCPS/Ph.D.
level-1
Level-IV 2 years training, after level-III Sub-Specialty Post doc.
Fellowship
(Gazette of Pakistan, Extra, July, 2011, part-III, (6)

a) The doctors after undergoing training at level-III and acquiring corresponding

qualification are eligible to practice as “Specialist” and can apply for teaching position in their
relevant subject, the doctor after undergoing training at level-II and acquiring corresponding
qualification are allowed to practice as “Assistant Specialist” and are not eligible to apply for
teaching position.
• LIST OF CLINICAL SUBJECT APPROVED FOR POSTGRADUATE STUDIES

Pakistan Medical and Dental Council have approved following 33 medical specialities in which
Level-III specialist training programs can be offered.

1. Anaesthesia

2. Cardiology

3. Community Medicine

4. Clinical Chemical Pathology

5. Clinical Haematology

6. Clinical Pharmacology & Therapeutics

7. Dermatology

8. Diagnostic Radiology

9. Family Medicine

10. Gastroenterology

11. General Surgery

12. Medicine

13. Nephrology

14. Neurology

15. Neurosurgery

16. Nuclear Medicine

17. Obstetrics and Gynaecology

18. Operative Dentistry

19. Ophthalmology
20. Oral Surgery

21. Orthodontics

22. Orthopaedic Surgery

23. Otorhinolaryngology (ENT)

24. Paediatrics

25. Paediatric Surgery

26. Physical Medicine & Rehabilitation

27. Plastic Surgery

28. Prosthodontics

29. Psychiatry

30. Pulmonology

31. Radiotherapy

32. Thoracic Surgery

33. Urology

34. Any new specialty program that is approved by PMDC