Kerala High Court Rules Foreign Medical Graduates Entitled to Stipend, Exempt from Internship Fee

In a significant ruling for foreign medical graduates, the Kerala High Court has firmly established that these doctors cannot be charged an internship fee and are entitled to a stipend during their compulsory rotatory medical internship (CRMI). Justice Bechu Kurian Thomas delivered the judgment on August 13, 2026, disposing of a writ petition filed by Murukan S, a graduate of a Russian medical university.

Case Background: A Graduate Denied Certificate Over Fee Demand

Murukan S, who passed the required screening test from the National Board of Examinations, completed his CRMI at the General Hospital, Thiruvananthapuram. Upon requesting his internship completion certificate, the hospital authorities demanded payment of an internship fee. The petitioner also alleged that he was not paid any stipend during the internship period, despite a 2022 circular from the National Medical Commission (NMC) mandating such payment for foreign medical graduates.

Legal Analysis: Reliance on Precedent and NMC Circular

The court relied heavily on its earlier decision in Sharooq Mohammed v. State of Kerala [2025 KHC Online 575], which had already examined the issue of internship fees. The court noted that the NMC's circular dated May 19, 2022, unequivocally prohibits the levy of internship fees, describing such a levy as illegal. Consequently, the government order supporting the fee was found to be legally unsustainable. The court further observed that the same circular entitles every foreign medical graduate to payment of stipend during CRMI.

Key Observations from the Judgment

The court's reasoning was clear in the judgment: "The question regarding demand and payment of internship fee has already been considered by this Court in the decision in Sharooq Mohammed v. State of Kerala . It has been held that the circular of the National Medical Commission dated 19.05.2022, unequivocally prohibits levy of internship fee and describes such levy as illegal."

On the stipend issue, the court stated: "This Court has already observed in various cases that stipend for the period of CRMI undergone by a doctor ought to be paid by the Government. Hence, the petitioner is entitled for the reliefs sought for."

Court's Decision and Directions

The court disposed of the writ petition with clear directions:

  1. The Medical Superintendent of General Hospital, Thiruvananthapuram, shall immediately issue the internship completion certificate to the petitioner without demanding any internship fee.

  2. If the petitioner applies for payment of stipend through the hospital authorities with a copy of the completion certificate, the claim must be forwarded to the competent authority without delay.

  3. The competent authority in the State Government must process the claim and disburse the eligible stipend within three months from receipt of the claim.

Implications

This ruling reinforces the NMC's authority and clarifies that state governments and hospital authorities cannot impose fees prohibited by central medical education regulators. It also affirms the right of foreign medical graduates to fair compensation during their mandatory internships, setting a clear precedent for similar cases across the state.