Rules of Combined Medical Services Examination, 2008
RULES
No.A.12011/1/2007/CHS-I
– The rules for a Competitive Examination – Combined Medical Services
Examination – to be held by the Union Public Service Commission in 2008 for
the purpose of filling vacancies in the following services/posts are with the
concurrence of the Ministries/ Departments concerned and the Municipal
Corporation of Delhi, published for general information.
(i)
Assistant Divisional Medical Officer in the Railways.
(ii)
Assistant Medical Officer in Indian Ordnance Factories Health Service.
(iii)
Junior Scale Posts in Central Health Service.
(iv)
Medical Officer in the Municipal Corporation of Delhi.
1.
The examination will be conducted by the Union Public Service Commission
in the manner prescribed in Appendix 1 to these Rules.
The
date(s) on which and the place(s) at which the examination will be held shall be
fixed by the Commission.
2. A candidate may
compete in respect of any one or more of the services/posts mentioned above. A
candidate who qualifies on the results of the written part of the examination
will be required to indicate clearly in the detailed application form the
services/posts for which he wishes to be considered in the order of preferences.
The candidate is advised to indicate as many preferences as he wishes to so that
having regard to his rank in order of merit due consideration can be given to
his preferences when making appointment.
N.B.
(i) Candidates for the posts of Assistant Divisional Medical Officer in
the Railways will also be required to give their option in the detailed
application form for Zonal Railways in order of preference. While making their
allocation to the various Zonal Railways these preferences shall be taken into
consideration but it does not mean that the candidate shall be allocated to one
of these Zonal Railways only. As the service is meant to cover the entire
country, a candidate is transferable to any Zone of the Indian Railways.
N.B.
(ii) No request for addition/alteration in the preferences already
indicated by a candidate in the detailed application form will be entertained by
the Commission.
3.
The examination will be conducted by the Union Public Service Commission
in the manner prescribed in Appendix I of these Rules.
The dates on which and the places at which the examination will be held
shall be fixed by the Commission.
4.
A candidate must be either:-
(i)
a citizen of India, or
(ii)
a subject of Nepal, or
(III)
a
subject of Bhutan, or
(iv)
a Tibetan refugee who came over to India, before the 1st
January, 1962 with the intention of permanently settling in India, or
(v)
a person of Indian origin who has migrated from Pakistan, Burma, Sri
Lanka, East African countries of Kenya, Uganda, the United Republic of Tanzania,
Zambia, Malawi, Zaire and Ethiopia or Vietnam with the intention of permanently
settling in India.
Provided
that a candidate belonging to categories (i), (ii), (iii), (iv) and (v) above
shall be a person in whose favour a certificate of eligibility has been issued
by the Government of India.
A
candidate in whose case a certificate of eligibility is necessary may be
admitted to the examination but the offer of appointment may be given only after
the necessary eligibility certificate has been issued to him by the Government
of India.
5
(a) A candidate for this
examination must have attained the age of 32 years as on 1st January,
2008 i.e. he must have been born not earlier than 2nd January
1976.
(b) The upper age limit is relaxable
as follows:-
(i)
Upto
a maximum of five years if a candidate belongs to a Scheduled Caste or a
Scheduled Tribe.
(ii) Upto a maximum of three
years in the case of candidates belonging to Other Backward Classes who are
eligible to reservation applicable to such candidates.
(iii) Upto a maximum of five years if a
candidate has ordinarily been domiciled in the State of Jammu and Kashmir during
the period from the 1st January, 1980 to the 31st day of
December, 1989.
(iv)
Upto a maximum of three years in the case of Defence Services Personnel
disabled in operations during hostilities with any foreign country or
in a disturbed area and release as a consequence thereof.
(v)
upto a maximum of five years in the case of Ex-servicemen including
Commissioned Officers and ECOs/SSCOs who have rendered at least five years of
Military Service as on 1st January 2008 and have been released (i) on
completion of assignment including those whose assignment is due to be completed
within one year from 1st January 2008 otherwise than by way of
dismissal of discharge on account of misconduct or inefficiency or (ii) on
account of physical disability attributable to Military Service or (iii) on
invalidment.
(vi)
upto a maximum of 5 years in the case of ECOs/SSCOs who have completed an
initial period of assignment of 5 years of Military service as on 1st
January, 2008 and whose assignment has been extended beyond 5 years and in whose
case the Ministry of Defence issues a certificate that they can apply for civil
employment and that they will be released on 3 months notice on selection from
the date of receipt of offer of appointment.
(vii)
upto a maximum of 10 years in the case of blind deaf-mute and Orthpaedically
handicapped candidates.
(viii)
The ad hoc doctors appointed after 1-10-1984 in the Ministry of Railways
will be granted relaxation in the age to the extent of the period of service
rendered by them as ad hoc doctors in railways in the light of the Supreme
Court’s orders dated the 24th September, 1987 on the Writ Petitions
(Nos. 822, 875, 180 and 200 of 1987 with Nos. 370, 298 and 73 of 1987 with Nos.
1165, 1328, 1619, 1735, 1275, 1457, 1087, 1034, 1263, 1294, 1327, 1349, 1370,
1353, 1400, 1451, 1504, 1564, 1650 and 1609 of 1986 and with No. 845 of 1986)
filed by some ad hoc doctors of the Railways. The ad hoc doctors claiming the
relaxation in upper age limit under this provision should submit their
application for admission to the examination through the Ministry of Railways
who will certify that the applicants are covered by the orders of the Supreme
Court
Note
I – Candidate belonging to the Scheduled Castes and the Scheduled Tribes and
the Other Backward Classes who are also covered under any other clauses of Rule
5(b) above. viz. those coming under the category of Ex-servicemen persons
domiciled in the state of J & K. physically handicapped etc. will be
eligible for grant of cumulative age-relaxation under both the categories.
Note
II – The term ex-servicemen will apply to the persons who are defined as
ex-servicemen in the Ex-servicemen (Re-employment in Civil Services and posts)
Rules, 1979 as amended from time to time.
Note
III – The age concession under Rule 5(b) and (vi) will not be admissible to
Ex-servicemen and Commissioned Officers including ECOs/SSCOs, who are released
on their own request.
Note
IV – Notwithstanding the provision of age-relaxation under Rule 5(b) (vii)
above, a physically handicapped candidate will be considered to be eligible for
appointment only if he/she after such physical examination as the Government or
appointing authority, as the case may be, may prescribe is found to satisfy the
requirements of physical and medical standards for the concerned services/posts
to be allocated to the physically handicapped candidates by the Government.
SAVE
AS PROVIDED ABOVE THE AGE LIMITS PRESCRIBED CAN IN NO CASE BE RELAXED:
The
date of birth accepted by the Commission is that entered in the Matriculation or
Secondary School Leaving Certificate or in a certificate recognised by an Indian
University as equivalent to Matriculation or in an extract from a Register of
Matriculates maintained by a University which must be certified by the proper
authority of the University or in the Higher Secondary or an equivalent
examination certificate.
No
other document relating to age like horoscopes, affidavits, birth extracts from
Municipal Corporation, Service records and the like will be accepted.
The expression Matriculation/Higher Secondary Examination Certificates in
this part of the instructions include the alternative certificates mentioned
above.
Note
1: Candidates should note that only
the date of birth as recorded in the Matriculation/Secondary Examination
Certificate or an equivalent certificate on the date of submission of
application will be accepted by the Commission and no subsequent request for its
change will be considered or granted.
Note
2:
Candidates should also note
that once a date of birth has been claimed by them and entered in the records of
the Commission for the purpose of admission to an examination, no change will be
allowed subsequently (or at any other Examination of the Commission) on any
ground whatsoever.
6.
A candidate must have passed the written and practical part of the final
M.B.B.S Examination.
Note
1
A candidate who has appeared/or has yet appear at the final M.B.B.S
Examination may also apply. Such candidates will be admitted to the examination
if otherwise eligible but the admission would be deemed to be provisional
subject to cancellation, if they do not produce proof of having passed the
written and practical parts of the final M.B.B.S. Examination alongwith the
detailed application form which will be required to be submitted to the
Commission by the candidates who qualify on the result of the written part of
the examination.
Note
2. A candidate who has yet to
complete the compulsory rotating internship is educationally eligible for
admission to the examination but on selection he will be appointed only after he
has completed the compulsory rotating partnership.
7.
Candidates must pay the fee prescribed in the Commission’s notice.
8.
All candidates in Government service, whether in a permanent or in
temporary capacity or as work-charged employees, other than casual or daily
rated employees, or those serving under Public Enterprises will be required to
submit an undertaking that they have informed in writing their Head of
Office/Department that they have applied for the Examination.
Candidates
should note that in case of communication is received from their employer by the
Commission withholding permission to the candidates applying for/appearing at
the examination, their application will be liable to be rejected/candidature
will be liable to the cancelled.
9.
The decision of the Commission with regard to the acceptance of the
application of a candidate for the examination and his eligibility or otherwise
for admission to the examination shall be final.
The candidates applying for the examination should ensure that they
fulfil all the eligibility conditions for admission to the Examination. Their
admission at all the stages of examination for which they are admitted by the
Commission, viz. written examination and Interview Test, will be purely
provisional, subject to their satisfying the prescribed eligibility conditions.
If on verification at any time before or after the Written Examination or
Interview Test, it is found that they do not fulfil any of eligibility
conditions, their candidature for the examination will be cancelled by the
Commission.
10.
No candidate shall be admitted to the examination unless he holds a
certificate of admission from the Commission.
11.
A candidate who is or has been declared by the Commission to be guilty
of:-
(i)
Obtaining support for his candidature by any means: or
(ii)
Impersonating: or
(iii)
procuring impersonation by any person: or
(iv)
submitting fabricated documents or documents which have been tampered
with: or
(v)
making statements which are incorrect or false, or suppressing material
information; or
(vi)
resorting to any other irregular or improper means in connection with his
candidature for the examination; or
(vii)
using unfair means during the examination; or
(viii)
writing irrelevant matter, including obscene language or pornographic
matter, in the script(s); or
(ix)
misbehaving in any other manner in the examination hall; or
(x)
harassing or doing bodily harm to the staff employed by the Commission
for the conduct of their examination; or
(xi)
being in possession of or using mobile phone, pager or any
electronic equipment or device or any other equipment capable of being used as a
communication device during the examination. or,
(xii)
violating any of the instructions issued to the candidates alongwith
their Admission Certificates permitting them to take the examination; or
(xiii)
attempting to commit or as the case may be abetting the commission of all
or any of the acts specified in the foregoing clauses; may, in addition to
rendering himself liable to criminal prosecution be liable.
(a)
to be disqualified by the Commission from the examination for which he is
a candidate; and/or
(b)
to be debarred either permanently or for a specified period -
(i)
by the Commission from any examination or selection held by them:
(ii)
by the Central Government from any employment under them; and
(c)
if he is already in
service under Government to disciplinary action under the appropriate rules;
Provided
that no penalty under this rule shall be imposed except after –
(i)
giving the candidate an opportunity of making such representation in
writing as he may wish to make in that behalf; and
(ii)
taking the representation, if any, submitted by the candidate within the
period allowed to him into consideration.
12.
Candidates who obtain such minimum qualifying marks in the written
examination as may be fixed by the Commission in their discretion shall be
summoned by them for an interview for a personality test.
Provided that candidates belonging to the
Scheduled Castes/the Scheduled Tribes or Other Backward Classes may be summoned for
an interview for a personality test by the Commission by applying relaxed
standards if the Commission is of the opinion that sufficient number of
candidates from these communities are not likely to be summoned for interview
for a personality test on the basis of the general standard in order to fill up
the vacancies reserved for them.
13
(1) After interview, the candidates
will be arranged by the Commission in the order of merit as disclosed by the
aggregate marks finally awarded to each candidate. Thereafter, the Commission
shall, for the purpose of recommending candidates against unreserved vacancies,
fix a qualifying mark (hereinafter referred to as general qualifying standard)
with reference to the number of unreserved vacancies to be filled up on the
basis of the examination. For the purpose of recommending reserved category
candidates belonging to the Scheduled Castes, the Scheduled Tribes and Other
Backward Classes against reserved vacancies, the Commission may relax the
general qualifying standard with reference to number of reserved vacancies to be
filled up in each of these categories on the basis of the examination.
Provided that the candidates belonging to the Scheduled Castes, the Scheduled
Tribes and Other Backward Classes who have not availed themselves of any of the
concessions or relaxations in the eligibility or the selection criteria at any
stage of the examination and who after taking into account the general
qualifying standards are found fit for recommendation by the Commission shall
not be recommended against the vacancies reserved for the Scheduled Caste, the
Scheduled Tribes and Other Backward Classes.
(2)
While making service allocation the candidates belonging to the Scheduled
Castes, the Scheduled Tribes or the Other Backward Classes recommended against unreserved
vacancies may be adjusted against reserved vacancies by the Government if by
this process they get a service of higher choice in the order of their
preference.
(3)
The Commission may further lower the qualifying standards to take care of
any shortfall of candidates for appointment against unreserved vacancies and any
surplus of candidates against reserved vacancies arising out of the provisions
of this rule, the Commission may make the recommendations in the manner
prescribed in sub-rules (4) and (5)
(4)
While
recommending the candidates, the Commission shall in the first instance, take
into account the total number of vacancies in all categories. This total number
of recommended candidates shall be reduced by the number of candidates belonging
to the Scheduled Castes, the Scheduled Tribes and Other Backward Classes who
acquire the merit at or above the fixed general qualifying standard without
availing themselves of any concession or relaxation in the eligibility or
selection criteria in terms of the proviso sub-rule (1). Along with this list of
recommended candidates, the commission shall also declare a consolidated
reserved list of candidates, which will include candidates from general and
reserved categories ranking in order of merit below the last recommended
candidate under each category. The number of candidates in each of these
categories will be equal to the number of reserved category candidates who were
included in the first list without availing of any relaxation or concession in
eligibility or selection criteria as per proviso to sub-rule (1). Amongst the
reserved categories, the number of candidates from each of the Scheduled Caste,
the Scheduled Tribe and Other Backward Class categories in the reserve list will
be equal to the respective number of vacancies reduced initially in each
category.
(5)
The candidates recommended in terms of the provision of sub-rule (4)
shall be allocated by the Government to the services and where certain vacancies
still remain to be filled up, the Government may forward a requisition to the
commission requesting it to recommend, in order of merit, from the reserve list,
the same number of candidates as requisitioned for the purpose of filling up the
unfilled vacancies in each category.
14.
The minimum qualifying marks as specified under rule 12 and 13 may be
relaxable at the discretion of the Commission in favour of physically
handicapped candidates in order to fill up the vacancies reserved for them.
Provided
that where a physically handicapped candidate obtains the minimum qualifying
marks in his own merit in the requisite number for General or the Scheduled
Castes or the Scheduled Tribes or the Other Backward Class Category candidates,
then, the extra physically handicapped candidates i.e. more than the number of
vacancies reserved for them shall not be recommended by the Commission on the
relaxed standards.
15.
The form and manner of communication of the result of the examination to
individual candidates shall be decided by the Commission in their discretion and
the commission will not enter into correspondence with them regarding the
result.
16.
Subject to other provisions contained in these rules, successful
candidates will be considered for appointment on the basis of the order of merit
assigned to them by the Commission and preference expressed by them for various
posts.
17.
Success in the examination confers no right to appointment unless
Government are satisfied after such enquiry as may be considered necessary that
the candidate having regard to his character and antecedents, is suitable in all
respects for appointment to the service. The appointment will be further subject
to the candidates satisfying the appointing authority of his having
satisfactorily completed the compulsory rotating internship.
18.
A candidate must be in good mental and bodily health and free from any
physical defect likely to interfere with the discharge of his duties an
officer of the service. A candidate who after such medical examination as
Government or the appointing authority, as the case may be, may prescribe, is
found not to satisfy these requirements will not be appointed.
The Regulations relating to Physical/Medical Examination of candidates
are given in Appendix – III to these Rules.
The medical examination of the candidates will be held in two parts (Part
– I and Part – II). All candidates who qualify for interview/personality
test on the basis of written part of the examination shall be required to
undergo Part – I of the medical examination normally on the next working day
immediately after the day of interview/personality test of the concerned
candidate (there shall be no medical examination on Saturdays, Sundays and
closed holidays). The candidates who are declared finally successful on the
results of the examination shall be required to undergo Part – II of the
medical examination. Arrangements for Part I of the medical examination of candidates will
be made by the Ministry of Health, New Delhi and intimation in this regard shall be given by the Ministry
to the concerned candidates. In case a candidate does not receive any intimation
about the arrangements made for his/her Medical Examination before he/she should
contact personally to the concerned authority in Ministry of Health immediately after his/her interview/personality test is over. The
concerned candidates may have to stay in Delhi until his/her Medical Examination
is over. Therefore the candidate should take care of this fact and make his/her
own arrangement for stay in Delhi for the purpose of completion of Medical
Examination formality. No extension/postponement of the date fixed for the
Medical Examination shall be allowed under any circumstances. Also no TA/DA
shall be admissible for the purpose of completion of the formality of Medical
examination of the concerned candidate.
Part II of medical examination consisting of X-Ray of chest will be got conducted after final selection/allocation by the respective cadres.
19.
For being considered against the vacancies reserved for them, the
physically disabled persons should have disability of forty percent (40%) or
more. However, such candidates shall be required to meet one or more of the
following physical requirements/abilities which may be necessary for performing
the duties in the concerned Services/Posts :-
F 1. Work performed by manipulating (with Fingers)
PP 2. Work performed by pulling & pushing.
L
3. Work performed by
lifting.
KC
4. Work performed by
kneeling and Crouching
B
5. Work performed by
bending
S
6. Work performed by
sitting (on bench or chair)
ST
7. Work performed by
standing
W
8. Work performed by
walking
SE
9. Work performed by
seeing
H
10.
Work performed by hearing/ speaking
RW
11.
Work performed by reading and writing
The
functional classification in their case shall be one or more of the following
consistent with the requirements of the concerned Services/Posts.
CODE
FUNCTIONS
BL
1. both legs affected
but not arms.
BA
2. both arms affected
(a)
impaired reach
(b) weakness of grip
BLA
3. both legs and both
arms affected.
OL
4. one leg affected (R
or L)
a)
impaired reach
b)
weakness of grip
c)
ataxic
OA
5. one arm
affected (R or L) --do—
BH
6. stiff back
and hips (cannot sit or stoop
MW
7. muscular
weakness and limited physical
endurance.
B
8. the blind.
PB
9. partially
blind
D
10. the deaf
PD
11. partially
deaf.
20.
No person:-
(a)
who has entered into or contracted a marriage with a person having a
spouse living, or
(b)
who having a spouse living has entered into or contracted a marriage with
any person shall be eligible for appointment to service.
Provided
that the Central Government may, if satisfied that such marriage is permissible
under the personal law applicable to such person and the other party to the
marriage and there are other grounds for so doing exempt any person from the
operation of this rule.
21.
Brief particulars relating to the posts to which recruitment is being
made through this examination are given in Appendix II.
APPENDIX –I
The examination shall be conducted
according to the following plan:-
Part-I
WRITTEN EXAMINATION - (500 marks)
– The candidates will take the
written examination in two Papers, each Paper carrying a maximum of 250
marks. Each Paper will be of two
hours duration.
Part-II
Personality Test carrying 100 marks
of such of the candidates who qualify on the results of the written examination.
(A) Written
Examination: The components and syllabus of two Papers and the weightage to
different components in the two papers are given below: -
Paper I (Code
No. 1)
:
Maximum Marks : 250
(a)
General Ability
-
30 questions
(b)
General Medicine
-
70 questions
(c)
Paediatrics
-
20 questions
Total questions in Paper I = 120 (30 General Ability, 70 General
Medicine and 20 Paediatrics)
(a)
General Ability
(i)
Indian Society, Heritage & Culture,
Polity, Economy, Human Development Indices and the Development Programmes;
(ii)
Natural Resources, their distribution,
exploitation, conservation and related issues;
(iii)
Basic concepts of Ecology and
Environment and their impact on health and economy;
(iv)
Impact of changing demographic trends
on health, environment and society;
(v)
Indian Agriculture, Industry, Trade,
Transportation and Service Sectors;
(vi)
Natural and man made disasters and
their management;
(vii)
Food adulteration, Food processing,
food distribution, food storage and their relevance to public health;
(viii)
Recent trends in Science and Technology
(b)
General Medicine
(General Medicine including Cardiology, Neurology,
Dermatology and Psychiatry)
(i)
Cardiology
(ii)
Respiratory diseases
(iii)
Gastro-intestinal
(iv)
Genito-Urinary
(v)
Neurology
(vi)
Hematology
(vii)
Endocrinology
(viii)
Metabolic disorders
(ix)
Infections/Communicable Diseases
a)
Virus
b)
Rickets
c)
Bacterial
d)
Spirochetal
e)
Protozoan
f)
Metazoan
g)
Fungus
(x)
Nutrition/Growth
(xi)
Diseases of the skin (Dermatology)
(xii)
Musculoskelatal System
(xiii)
Psychiatry
(xiv)
General
(c)
Paediatrics
-
Paper II (Code
No. 2)
:
Maximum Marks : 250
(a)
Surgery
-
40 questions
(b)
Gynaecology & Obstetrics
-
40 questions
(c)
Preventive & Social Medicine
-
40 questions
Total questions in Paper II = 120 (40 Surgery, 40 Gynaecology &
Obstetrics and 40 Preventive & Social Medicine)
Syllabus
of Paper - II
(a) Surgery
(Surgery including ENT, Opthalmology, Traumatology
and Orthopaedics)
I
General Surgery
i)
Wounds
ii)
Infections
iii)
Tumours
iv)
Lymphatic
v)
Blood vessels
vi)
Cysts/sinuses
vii)
Head and neck
viii)
Breast
ix)
Alimentary tract
a)
Oesophagus
b)
Stomach
c)
Intestines
d)
Anus
e)
Developmental
x)
Liver, Bile, Pancreas
xi)
Spleen
xii)
Peritoneum
xiii)
Abdominal wall
xiv)
Abdominal injuries
II
Urological Surgery
III
Neuro Surgery
IV
Otorhinolaryngology E.N.T.
V
Thoracic surgery
VI
Orthopedic surgery
VII
Ophthalmology
VIII
Anesthesiology
IX
Traumatology
(b)
GYNAECOLOGY & OBSTETRICS
I
OBSTETRICS
i)
Ante-natal conditions
ii)
Intra-natal conditions
iii)
Post-natal conditions
iv)
Management of normal labours or complicated labour
II
GYNAECOLOGY
i)
Questions on applied anatomy
ii)
Questions on applied physiology of menstruation and
fertilization
iii)
Questions on infections in genital tract
iv)
Questions on neoplasma in the genital tract
v)
Questions on displacement of the uterus
III
FAMILY PLANNING
i)
Conventional contraceptives
ii)
U.D. and oral pills
iii)
Operative procedure, sterilization and organization
of programmes in the urban and rural surroundings
iv)
Medical Termination of Pregnancy
(c)
PREVENTIVE SOCIAL AND COMMUNITY MEDICINE
I
Social and Community Medicine
II
Concept of Health, Disease and Preventive Medicine
III
Health Administration and Planning
IV
General Epidemiology
V
Demography and Health Statistics
VI
Communicable Diseases
VII
Environmental Health
VIII
Nutrition and Health
IX
Non-communicable diseases
X
Occupational Health
XI
Genetics and Health
XII
International Health
XIII
Medical Sociology and Health Education
XIV
Maternal and Child Health
XV
National Programmes
2.
The written examination in both the papers will be completely of
objective (Multiple choice answer) type. The question Papers (Test Booklets)
will be set in English only.
3.
Candidates must write the Papers in their own hand. In no circumstances
will they be allowed the help of a scribe to write answers for them.
4.
The Commission have discretion to fix qualifying marks in any or both the
papers of the examination.
5.
Penalty
for wrong answers
There will be penalty (Negative Marking) for wrong answers marked by a
candidate in the objective type question papers.
(i)
There are four alternatives for the answers to
every question. For each question for which a wrong answer has been given by the
candidate, one third (0.33) of the
marks assigned to that question will be deducted as penalty.
(ii)
If a candidate gives more than one answer, it will be treated as a wrong
answer even if one of the given answers happens to be correct and there will
be same penalty as above for that question.
(iii)
If a question is left blank i.e. no answer is given by the candidate,
there will be no penalty for that
question.
6.
Candidates are not permitted to use calculators for answering objective
type papers. They should, therefore not bring the same inside the Examination
Hall.
(B)
PERSONALITY TEST - (100 marks) – Candidates
who qualify in the written examination will be called for
Interview/Personality Test to be conducted by the Union Public Service
Commission. The Interview/Personality Test will carry 100 marks.