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2016 Supreme(SC) 343

SUPREME COURT OF INDIA
Madan B. Lokur, N.V. Ramana, JJ.
Medical Council of India – Appellant
Versus
Kalinga Institute of Medical Sciences (KIMS) & Ors. – Respondents
Civil Appeal No. 4914 of 2016 (Arising out of S.L.P.(C) No. 9997 of 2016)
Decided On : 06-05-2016

IMPORTANT POINTS
When the expert body certifies that the facilities in a medical college are inadequate, Courts are not equipped to take a different view.
Court should not examine the report as an appellate body
Venturing into adventurist litigation must be checked by imposing exemplary cost.

Headnote:(a) Medical Council of India Establishment of Medical College Regulations, 1999 – Inspection team of MCI comprised by expert doctors of unquestionable integrity and reputation – No reason to discard the report of such an inspection. (Para 8)

       (2013) 10 SCC 60 – Referred

       (b) Medical education – Admission – Despite large number of deficiencies pointed out in MCI Inspection report, High Court directing provisional admission to the additional 50 students – Not proper. (Para 13)

       2016 (3) SCALE 184 – Referred

       (c) Constitution of India – Article 226 – High Court considering the report of the Inspection Team as if it was hearing an appeal against the report – Going into great details and minutely examining contents of the report and weighing them against the objections of KIMS – When the expert body certifies that the facilities in a medical college are inadequate, Courts are not equipped to take a different view – Court should not examine the report as an appellate body – High Court direction beyond jurisdiction under Article 226. (Para 23, 24, 26)

       (d) Administration of justice – Judicial propriety – It is better to err on the side of caution and deny admission to a student rather than have the sword of Damocles hanging over him or her – There would at least be some certainty. (Para 29)

       (e) Medical education – Admission – KIMS admitting 50 additional students despite clear restraint from MCI and Central government – Appears to be keen on giving admission somehow or the other – However, students should not suffer for deeds of KIMS – Admissions not disturbed – KIMS Imposed cost of Rs. 5 Crores – Directions given. (Para 32, 33)

       Facts of the case:

       The respondent Kalinga Institute of Medical Sciences is a recognized medical college. It is entitled to admit 100 students every year to the MBBS course.

       For the academic year 2014-15, it was granted permission to admit an additional 50 students over and above the 100 students that was already its entitlement.

       An inspection was carried out on 27th and 28th January, 2015 by an Inspection Team of the MCI. A large number of serious deficiencies were pointed out by the Inspection Team and communicated to the MCI.

       At the instance of MCI The Central Government sent a communication dated 15th June, 2015 to the Dean Principal of KIMS directing the institute NOT to admit any students in the second batch of MBBS course against the increased intake from 100 to 150 seats for the academic year 2015-16.

       The KIMS ventured into adventurist litigation.

       Ultimately, the High Court directed admission to 150 seats.

       Finding of the Court:

       High Court could not act as if sitting in appeal over MCI Inspection report.

       Result: Appeal disposed of.

       

JUDGMENT :

Madan B. Lokur, J.

1. Leave granted.

2. This appeal is yet another chapter in the sordid saga of admissions to medical colleges. Undoubtedly, there is something rotten in the state of medical colleges. Unless the concerned Ministries in the Government of India take a far more proactive role in ensuring that medical colleges have all the necessary facilities, clinical materials, teaching faculty, staff, accommodation etc. the health of the people of our country will take a hit in the coming years due to inadequately educated doctors. Quality in medical education is equally important, if not more, than quantity.

3. The respondent Kalinga Institute of Medical Sciences (for short KIMS) is a recognized medical college. It is entitled to admit 100 students every year to the MBBS course.

4. For the academic year 2014-15, it was granted permission to admit an additional 50 students over and above the 100 students that was already its entitlement.

5. KIMS was desirous of granting admission to 100 plus 50 students for the academic year 2015-16. With a view to ensure that adequate facilities were available for the increased number of students, an inspection was required to be carried out by the Medical Council of India (for short ‘the MCI’) in accordance with the Medical Council of India Establishment of Medical College Regulations, 1999.

6. Consequently, an inspection was carried out on 27th and 28th January, 2015 by an Inspection Team of the MCI which revealed quite a sorry state of affairs. A large number of serious deficiencies were pointed out by the Inspection Team and communicated to the MCI. Thereafter, in a communication sent by the MCI to the Dean Principal of KIMS on 31st January, 2015 the deficiencies were indicated and KIMS was informed that a show cause notice was proposed to be issued for withdrawal of recognition of the courses run by it. Be that as it may, the MCI took a decision recommending to the Central Government through the Ministry of Health and Family Welfare (Department of Health and Family Welfare) to deny permission to KIMS to add 50 additional seats for the MBBS for the academic year 2015-16.

7. We enquired from learned counsel for the MCI the procedure for carrying out an inspection. Our attention was drawn by learned counsel to Page ‘J’ of the appeal paper-book wherein it is stated (and not denied) that an inspection is conducted by a team of three neutral Professors. Of these, one is a coordinator and the other two are taken from an approved list of eminent medical Professors from reputed Government institutions only. Some of the institutions mentioned are the All India Institute of Medical Sciences, Post Graduate Institute, Chandigarh, Maulana Azad Medical College (Delhi), Safdarjung College (Delhi), Medical College (Kolkata), Madras Medical College (Chennai), Osmania Medical College (Hyderabad), Grant Medical College (Mumbai), G.S. Medical College (Mumbai), Bangalore Medical College (Bengaluru) etc. There is therefore no doubt that not only are the medical colleges highly reputed but it is also stated that the Professors from these colleges are eminent medical Professors randomly selected by computer software from a list of coordinators and inspectors.

8. Our attention was also drawn to the decision of this Court in Manohar Lal Sharma v. Medical Council of India, (2013) 10 SCC 60 wherein it was held that since the inspection is taken by “doctors of unquestionable integrity and reputation, who are experts in the field, there is no reason to discard the report of such an inspection.” In the present appeal, there is no allegation made by KIMS of any mala fides of the Inspection Team or any perversity in the inspection report and hence there is no question of challenging the conclusions of a neutral, randomly selected Inspection Team in its assessment.

9. As mentioned above, the inspection report and the decision of the MCI were communicated to the Central Government. On a consideration of the material made






































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