Foreign Medical Graduates with Multi-College Degrees Barred from FMGE: Delhi High Court

The Delhi High Court has dismissed a petition by Indian citizens who obtained medical degrees from multiple foreign institutions, upholding the National Medical Commission 's decision to bar them from appearing in the Foreign Medical Graduate Examination ( FMGE ). The division bench of Chief Justice Devendra Kumar Upadhyaya and Justice Tejas Karia ruled that allowing fragmented education across different foreign colleges would "compromise the quality of medical professionals in the country."

The Challenge

The petitioners, who studied at institutions including Micronesia Medical College and later at Belize Medical University, challenged Regulation 4(1) of the Screening Test Regulations, 2002, which requires foreign medical degrees to be confirmed by the Indian Embassy. They also contested Clause 2.14 of the FMGE Information Bulletin, mandating attestation or apostillation of foreign degrees. The petitioners argued that these requirements exceeded the powers granted under the Indian Medical Council Act, 1956 and were arbitrary.

Arguments Presented

Senior Advocate Dr. Manish Singhvi, representing the petitioners, contended that the 2009 amendment to Regulation 4(1) arbitrarily excluded institutions listed in the World Health Organization's World Directory of Medical Schools. He further argued that Section 13(4A) of the IMC Act does not prescribe attestation by the Indian Embassy, making Clause 2.14 ultra vires. The petitioners claimed that Belize Medical University had validated their Micronesia degrees under a Memorandum of Understanding, thus satisfying eligibility requirements.

Respondents, including the National Medical Commission and the National Board of Examination , countered that authentication was necessary to prevent fake qualifications. They highlighted that the Indian Embassy in Manila had found Micronesia Medical College to have "grossly inadequate infrastructure," including a "namesake laboratory" and absence of proper faculty. The Commission argued that fragmented education produces " half-baked professionals " who cannot be allowed to "play with the health of the people."

Court's Analysis

The Court rejected the challenge to Regulation 4(1), observing that the expert body's decision to exclude unverified foreign institutions was based on relevant considerations and warranted no judicial interference under Article 226. On Clause 2.14, the bench held that attestation or apostillation is a mere authentication process causing no prejudice to candidates and is necessary to exclude those relying on fake qualifications.

The Court distinguished the earlier judgment in Rohit Naresh Agarwal v. Union of India , noting that the earlier case dealt with an eligibility criteria, whereas the present provisions only require authentication. Crucially, the bench relied on the Supreme Court's decision in Yash Ahuja v. Medical Council of India , which emphasized that screening tests prevent "half-baked knowledge" from endangering patients.

Key Observations

The Court made significant remarks on fragmented medical education, stating: "Any medical qualification based on a fragmented study in different medical colleges... if treated as an eligible PMQ, the same will not be in public interest as it will certainly amount to compromising the quality of medical professionals in the country."

On the authentication requirement, the bench observed: " Authentication of a document submitted by any candidate claiming his eligibility on the basis of said document... is necessary so as to enable the examination conducting body to be in a position to exclude those candidates from appearing in the examination who seek their appearance on the basis of fake or false educational qualifications."

The Verdict

Dismissing the writ petition along with pending applications, the Court held that the petitioners' fragmented education across multiple institutions could not be considered a valid primary medical qualification. The decision reinforces the NMC's authority to enforce strict eligibility criteria for foreign medical graduates, ensuring that only candidates with genuine, continuous education from verified institutions can appear for the FMGE and ultimately practice medicine in India. No order as to costs was made.