Compulsory Rotatory Residential Internship
Encyclopedia
Compulsory Rotatory Residential Internship (CRRI) refers to one-year compulsory work in the hospital attached to the medical college or in any other approved hospital as allowed in some medical colleges(also known as Teaching Hospital), for a period of one year. This is required for the award of the Bachelor of Medicine and Surgery
(MB BS) medical degree
in India
.
The intern is also given a monthly stipend
. The amount may vary from one college to another, based on ownership by State or private entity. Completion of internship is a necessary pre-requisite for award of the degree, license to practice medicine and for postgraduate studies or higher specialty training.
On passing the final MBBS examination at the end of 41/2 years, a medical student is first awarded a Provisional registration certificate by the Medical Council of India
(MCI) or the State medical council and he can start the internship. The Permanent registration certificate along with the "MCI Registration number" (i.e., the license to practice) and the final Medical degree (i.e., the MBBS degree) is given only after obtaining a CRRI completion certificate endorsing the successful and satisfactory completion of the CRRI.
ship (which may follow Internship) in the UK and many other countries, where it is not a compulsory tenure. The House Physician or the House Surgeon unlike an Intern, works in a particular department of his or her choice and is paid a monthly 'salary' for his work in the hospital (especially, in the UK). The American counterpart is simply called a "Resident" or a "Resident Doctor" (i.e., a Resident Physician or a Resident Surgeon, etc.). In some parts of the world, they are also called a "Senior House Officer
".
In comparison, in India, the Internship or the House Surgeoncy or the House Officership - all are considered to be the same. And, there is no such term in common parlance as "House Physician" in India. This is because, in India, the doctor
who is undergoing higher specialty training following Internship is called a "Post-Graduate student" (i.e., a Medicine PG student or a Surgery PG student, etc.).
This is because in India, specialty training is considered to be a period of 'learning' (and hence called a student and paid a stipend. And he pays a "tuition fee" for his education) whereas in other countries, it is considered as a period of 'training' (and hence called a resident doctor and paid a salary. And he does not pay any form of fee for this 'training'). Nevertheless, some institutions in India have begun to adopt the changing patterns in the world and have started calling their 'PG students' as 'Residents' (or as "Junior residents") but they still pay them stipend and not a salary besides collecting tuition fees.
Also note that in the United States, a first-year resident (c.f.: 1st year PG student, in India) is called an "Intern". This is because the American medical students do not undergo the Indian type of CRRI rotation in a hospital at the end of their medical school (c.f.: called a medical college, in India). It is also interesting to note that the American medical students are awarded the "M.D.
" degree at the end of 4 (four) years of medical school. So, essentially the American M.D. is equal to the Indian MBBS (despite the US-MD being 11/2 years short of the Indian-MBBS). Whereas an Indian-MBBS can practice independently, an US-MD cannot practice without completing the residency training (c.f.: called Post-graduate higher specialty training, in India).
Community Medicine: 2 months
Medicine including 15 days of Psychiatry: 2 months
Surgery including 15 days Anaesthesia: 2 months
Obst./Gynae. including Family Welfare Planning: 2 months
Paediatrics: 1 month
Orthopaedics including PMR: 1 month
ENT: 15 days
Ophthalmology: 15 days
Casualty: 15 days
Elective Posting (1x15 days:) 15 days
Subjects for Elective posting will be as follows:
Bachelor of Medicine and Surgery
Bachelor of Medicine, Bachelor of Surgery, or in Latin Medicinae Baccalaureus, Baccalaureus Chirurgiae , are the two first professional degrees awarded upon graduation from medical school in medicine and surgery by universities in various countries...
(MB BS) medical degree
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...
in India
India
India , officially the Republic of India , is a country in South Asia. It is the seventh-largest country by geographical area, the second-most populous country with over 1.2 billion people, and the most populous democracy in the world...
.
Description
An Intern (also called an Internee or a CRRI) is posted in all the clinical departments of the hospital on a rotation basis. This gives him the basic clinical experience in all the disciplines of medicine and enables him to work as a General Physician.The intern is also given a monthly stipend
Stipend
A stipend is a form of salary, such as for an internship or apprenticeship. It is often distinct from a wage or a salary because it does not necessarily represent payment for work performed, instead it represents a payment that enables somebody to be exempt partly or wholly from waged or salaried...
. The amount may vary from one college to another, based on ownership by State or private entity. Completion of internship is a necessary pre-requisite for award of the degree, license to practice medicine and for postgraduate studies or higher specialty training.
On passing the final MBBS examination at the end of 41/2 years, a medical student is first awarded a Provisional registration certificate by the Medical Council of India
Medical Council of India
The Medical Council of India was the statutory body for maintenance of uniform and high standards of medical education in India. The Council grants recognition of medical qualifications, gives accreditation to medical colleges, grants registration to medical practitioners, and monitors medical...
(MCI) or the State medical council and he can start the internship. The Permanent registration certificate along with the "MCI Registration number" (i.e., the license to practice) and the final Medical degree (i.e., the MBBS degree) is given only after obtaining a CRRI completion certificate endorsing the successful and satisfactory completion of the CRRI.
Comparison
The Internship is different from the House OfficerFoundation House Officer
A Foundation Doctor is a grade of medical practitioner in the United Kingdom undertaking the Foundation Programme - a two-year, general postgraduate medical training programme which forms the bridge between medical school and specialist/general practice training...
ship (which may follow Internship) in the UK and many other countries, where it is not a compulsory tenure. The House Physician or the House Surgeon unlike an Intern, works in a particular department of his or her choice and is paid a monthly 'salary' for his work in the hospital (especially, in the UK). The American counterpart is simply called a "Resident" or a "Resident Doctor" (i.e., a Resident Physician or a Resident Surgeon, etc.). In some parts of the world, they are also called a "Senior House Officer
Senior house officer
A senior house officer is a junior doctor undergoing training within a certain speciality in the British National Health Service or in the Republic of Ireland. SHOs are supervised by consultants and registrars, who oversee their training and are their designated clinical supervisors...
".
In comparison, in India, the Internship or the House Surgeoncy or the House Officership - all are considered to be the same. And, there is no such term in common parlance as "House Physician" in India. This is because, in India, the doctor
Physician
A physician is a health care provider who practices the profession of medicine, which is concerned with promoting, maintaining or restoring human health through the study, diagnosis, and treatment of disease, injury and other physical and mental impairments...
who is undergoing higher specialty training following Internship is called a "Post-Graduate student" (i.e., a Medicine PG student or a Surgery PG student, etc.).
This is because in India, specialty training is considered to be a period of 'learning' (and hence called a student and paid a stipend. And he pays a "tuition fee" for his education) whereas in other countries, it is considered as a period of 'training' (and hence called a resident doctor and paid a salary. And he does not pay any form of fee for this 'training'). Nevertheless, some institutions in India have begun to adopt the changing patterns in the world and have started calling their 'PG students' as 'Residents' (or as "Junior residents") but they still pay them stipend and not a salary besides collecting tuition fees.
Also note that in the United States, a first-year resident (c.f.: 1st year PG student, in India) is called an "Intern". This is because the American medical students do not undergo the Indian type of CRRI rotation in a hospital at the end of their medical school (c.f.: called a medical college, in India). It is also interesting to note that the American medical students are awarded the "M.D.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...
" degree at the end of 4 (four) years of medical school. So, essentially the American M.D. is equal to the Indian MBBS (despite the US-MD being 11/2 years short of the Indian-MBBS). Whereas an Indian-MBBS can practice independently, an US-MD cannot practice without completing the residency training (c.f.: called Post-graduate higher specialty training, in India).
Responsibilities
The Interns are entrusted with clinical responsibilities under the supervision of a Medical teacher (a Consultant/ Chief) and/ or a Resident (a PG student/ Senior medical officer). They do not work independently but can treat patients. Interns are not supposed to issue medical certificates, death certificates or medico-legal documents under their own signatures because they do not have a MCI Registration number.Clinical Rotations
INTERNSHIP- TIME DISTRIBUTION” isCommunity Medicine: 2 months
Medicine including 15 days of Psychiatry: 2 months
Surgery including 15 days Anaesthesia: 2 months
Obst./Gynae. including Family Welfare Planning: 2 months
Paediatrics: 1 month
Orthopaedics including PMR: 1 month
ENT: 15 days
Ophthalmology: 15 days
Casualty: 15 days
Elective Posting (1x15 days:) 15 days
Subjects for Elective posting will be as follows:
- Dermatology and Sexually Transmitted Diseases.
- Tuberculosis and Respiratory Diseases.
- Radio-Diagnosis
- Forensic Medicine
- Blood Bank
- Psychiatry
See also
- Bachelor of Medicine and SurgeryBachelor of Medicine and SurgeryBachelor of Medicine, Bachelor of Surgery, or in Latin Medicinae Baccalaureus, Baccalaureus Chirurgiae , are the two first professional degrees awarded upon graduation from medical school in medicine and surgery by universities in various countries...
- Medical College (India)Medical college (India)In India, Medical College refers to an educational institution that provides medical education. These institutions may vary from stand-alone colleges that train doctors to conglomerates that offer training related in all aspects of medical care...
- Medical schoolMedical schoolA medical school is a tertiary educational institution—or part of such an institution—that teaches medicine. Degree programs offered at medical schools often include Doctor of Osteopathic Medicine, Bachelor/Doctor of Medicine, Doctor of Philosophy, master's degree, or other post-secondary...
- Medical educationMedical educationMedical education is education related to the practice of being a medical practitioner, either the initial training to become a doctor or additional training thereafter ....