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1991 INSC 115
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Case Number
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  • Indian Medical Act, 1956
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Cited by
Citation Codes
Neutral Citations
1991 INSC 115
Equivalent Citations
citation codes
Case Number
Disposition
Attorney(S)
Judges
Acts
  • Indian Medical Act, 1956
Smart Summary

Factual and Procedural Background

The dispute concerns an appointment to the post of Assistant Professor in Neurosurgery at Patna Medical College and Hospital pursuant to a Government advertisement dated 19 December 1987. A Selection Committee prepared a merit panel on 4 July 1988, placing Dr. Arun Kumar Agrawal (M.Ch., Neurosurgery) at position 1 and Dr. Chandra Mohan Jha (M.S., General Surgery) at position 4. The panel was approved by the State Government on 26 September 1988.

Dr. Jha filed a writ petition in the Patna High Court challenging the panel, alleging that the top three candidates, including Dr. Agrawal, did not meet the advertisement’s eligibility criteria. On 20 December 1990 the High Court upheld Dr. Agrawal’s eligibility but held that Dr. Jha, having secured more “points,” was entitled to preference. Both Dr. Agrawal and the State of Bihar appealed to the Supreme Court, which granted special leave to appeal.

Legal Issues Presented

  1. Whether the M.Ch. (Neurosurgery) degree awarded by Rajendra Medical College, Ranchi University, is a recognised qualification for the advertised post within the State of Bihar.
  2. How clauses 2(c), 3(c), 3(f) and 19 of the advertisement should be interpreted, particularly the distinction between parent specialities and superspecialities and the role of “points” and teaching experience.
  3. Whether Dr. Agrawal or Dr. Jha was entitled to preference for appointment as Assistant Professor in Neurosurgery.

Arguments of the Parties

Appellant — Dr. Arun Kumar Agrawal

  • Holds an M.Ch. degree in Neurosurgery, a superspeciality specifically preferred under clause 19.
  • Meets all eligibility criteria; the advertisement exempts superspeciality candidates from the three-year teaching-experience requirement.
  • The Selection Committee of Neurosurgery experts justifiably placed him first on merit.

Respondent — Dr. Chandra Mohan Jha

  • Contended that Dr. Agrawal’s M.Ch. degree lacked recognition by the Medical Council of India and was therefore invalid.
  • Argued that his own “points” tally (28) exceeded Dr. Agrawal’s (14), entitling him to appointment.
  • Maintained that the minimum eligibility criteria were not satisfied by candidates ranked above him.

State of Bihar

  • Supported Dr. Agrawal’s appointment, asserting an acute shortage of qualified neurosurgeons in Bihar.
  • Stated that the M.Ch. course started with Medical Council consent and is recognised by the State; clause 19 rightly grants preference to M.Ch. holders.
  • Confirmed issuance of appointment notification to Dr. Agrawal on 28 December 1990.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The Supreme Court first rejected the contention that the appellant’s M.Ch. degree lacked recognition. The course had begun with Medical Council consent, and the State of Bihar expressly recognised the qualification for its service posts.

Examining the advertisement, the Court highlighted:

  • Superspeciality Exception: Clause 3(c) exempts superspeciality subjects—including Neurosurgery—from the three-year teaching-experience requirement, though candidates with such experience would secure “foremost consideration.”
  • Reduced Point Threshold: Clause 3(f) lowers the minimum qualifying points from 15 to 6 for superspecialities.
  • Preference Provision: Clause 19 explicitly accords preference to candidates possessing a superspeciality degree along with research or work experience.

The High Court erred, the Supreme Court held, by (i) treating all clinical subjects alike without recognising the advertisement’s clear distinction between parent specialities and superspecialities, and (ii) giving precedence to a lower qualification (M.S. General Surgery) over a higher superspeciality qualification (M.Ch. Neurosurgery). The Selection Committee, comprised of Neurosurgery experts, and the State Government had properly applied these clauses in ranking Dr. Agrawal first. Because neither candidate possessed three years of teaching experience, the decisive factor was the superspeciality degree, which Dr. Agrawal alone held.

Holding and Implications

APPEALS ALLOWED; HIGH COURT JUDGMENT SET ASIDE; WRIT PETITION DISMISSED.

Dr. Arun Kumar Agrawal’s appointment as Assistant Professor of Neurosurgery stands confirmed. The decision affirms that, under the cited advertisement, superspeciality qualifications (such as M.Ch.) receive priority over parent-speciality degrees when neither candidate has the stipulated teaching experience. No broader precedent was articulated beyond the advertisement’s interpretation within Bihar’s medical-service context.

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    Dr. Arun Kumar Agrawal v. State Of Bihar And Others

    N.M Kasliwal, J.— Special leave granted.

    2. These appeals by Dr Arun Kumar Agrawal (appellant) and the State of Bihar are directed against the judgment of the Patna High Court dated December 20, 1990. The dispute relates to an appointment to the post of Assistant Professor in Neurosurgery in the Patna Medical College and Hospital, Patna in pursuance to an advertisement dated December 19, 1987. The Selection Committee prepared a panel on July 4, 1988 which was approved by the State Government on September 26, 1988. In the aforesaid panel the appellant was placed at No. 1, Dr Chandra Shekhar Kashyap at No. 2, Dr Shankar Bhuwan Prasad at No. 3 and Dr Chandra Mohan Jha at No. 4. Dr Chandra Mohan Jha filed a writ petition in the High Court challenging the above panel on grounds inter alia that Dr Agrawal, Dr Chandra Shekhar and Dr Shankar Bhuwan Prasad placed above him in the panel did not fulfil the minimum eligibility criteria laid down in the advertisement for appointment to the post of Assistant Professor, Neurosurgery. His contention was that he ought to have been placed at No. 1 and he alone was eligible for being appointed as Assistant Professor, Neurosurgery in terms of the advertisement. It may be mentioned at this stage that the controversy before us is between the appellant and Dr Chandra Mohan Jha, respondent 5. In order to appreciate the controversy it would be proper to reproduce the relevant provisions of the advertisement as translated in English and extracted in the judgment of the High Court:

    Clause 2 (c)

    “For the post of Assistant Professor and Registrar it will be essential for the candidate to have obtained in the same speciality for which the application is being made, MD, MS, FRCS (UK), MRCOG (UK) or American Board of speciality or any other post-graduate qualification, considered by the Medical Council of India as equivalent to the aforesaid degrees. Post-graduate qualification obtained from the UK after November 11, 1976 shall not be granted recognition.”

    Clause 3

    “For Assistant Professor: (a) Resident/Registrar in the same speciality or officers having worked on the two posts in an educational hospital, having obtained recognition from the Medical Council of India for conducting MBBS course, alone can apply. (b) Service on any other accepted/acknowledged teaching post (Jr. Surgeon/Jr. Physician) in the same subject for which the application is being made shall be considered equivalent to Registrar/Resident. (c) In addition to the other conditions Resident/Registrar in the concerned subject or medical officers having a minimum of three years experience on the two posts shall alone be eligible to apply. This, however, shall not be essential for Radiology, Skin and V.D, Anaesthesia, Neurology, Neurosurgery, Plastic Surgery or any speciality to be constituted in future, nor shall it be essential to obtain the prescribed minimum of 15 points for being posted in these subjects. In these subjects, however, in case one or more than one such candidates are available who have obtained three years' teaching experience in the concerned speciality, then in that situation, the Medical Officers having such experience shall be entitled to foremost consideration for appointment and they shall be appointed although they might have obtained less points than those candidates who do not posses three years teaching experience.”

    Clause 3(f) (Cha)

    “It is essential to obtain 15 points for appointment to the post of Assistant Professor, however, for the specialities enumerated in the aforesaid clause 3 the minimum point shall be 6. In case, candidates obtaining the aforesaid points are not available in the desired number then the government, in order to fill up the vacancies, shall have the right to relax the minimum points.”

    Clause 18

    “For the post of Registrar and Resident Doctor in the units (specialities) of Cardiology, Cardiothoracic Surgery, Neurosurgery, Gastro Enterology, Paediatric Surgery and Kidney in addition to the necessity of fulfilling the conditions, contained in clauses 4 and 6 respectively, preference shall be given for working experience in the concerned subject.”

    Clause 19

    “For appointment to the post of Assistant Professor in the aforesaid major super specialities, the degree and the teaching experience in the related basic (parent) subject as enumerated in clause 3 will be essential. However, those having degrees, research work or working experience shall be given preference.”

    3. The appellant passed his MBBS in 1977, did his internship in all subjects in 1977-78, one year's housemanship in general surgery in 1978-79 and another term of one year paid housemanship in Neurosurgery. The appellant opted for MCh five years degree course in 1980. He passed MCh Part I University Examination in General Surgery in 1982, MCh Part II University Examination is Basic Neuro Science in 1984 and MCh Part III University Examination in Clinical Neurosurgery in 1985. He entered the State Health Services in 1983 and was posted on study reserve post in the Department of Neurosurgery at Ranchi Medical College. He was posted at Hilsa block in 1985 and deputed to do full work as Resident Casualty Neurosurgeon in September 1987.

    4. Dr Chandra Mohan Jha passed his MBBS in 1974 and MS (General Surgery) in 1979. He joined Bihar Health Services through Public Service Commission on April 20, 1978 and remained in rural services up to 1983. He worked as Resident Surgical Officer (General Surgery) including Neurosurgery at DMCH Lahera Sarai from August 23, 1983 to September 26, 1986. He was then posted as Resident Surgical Officer (Neurosurgery) at Patna Medical College Hospital, Patna from September 27, 1986 till the last date of making application i.e January 31, 1988. It is not necessary to mention further postings as we are concerned only up to the date of making application.

    5. The State Government in its counter-affidavit filed in the High Court inter alia stated that the appellant had post-graduate qualification of MCh in Neurosurgery and research work and working experience in Neurosurgery and, therefore, he got preference vide clause 19 of the advertisement. Dr Chandra Mohan Jha, respondent 5 neither had post-graduate degree, nor three years teaching experience in the subject i.e Neurosurgery and, therefore, he was placed at Sl. No. 4 of the merit list. It was also stated that the course of MCh in Neurosurgery was being run only in the Rajendra Medical College, Ranchi, which the State Government recognised, and, therefore, the allegations of the writ petitioner (respondent 5) that the degree obtained by the appellant was not recognised, was baseless and incorrect.

    6. The High Court held that according to the various clauses of the advertisement the requirements for the post of Assistant Professor in Neurosurgery could be broadly classified under three heads. The first related to the group to which the applicant must belong and that was confined to the cadre of the Medical Officers of the State Health Service and Junior Teachers and Medical Officers working in the erstwhile private medical colleges. The second condition related to the academic qualification required and according to that the candidate must have a post-graduate degree in the same clinical subject, in which he had applied for the post of Assistant Professor. The High Court illustrated that a candidate for Assistant Professorship in Medicine must have a MD degree in Medicine; a candidate for Assistant Professorship in general surgery must have a MS degree in general surgery and a candidate for Assistant Professorship in Neurosurgery must have in Neurosurgery a post-graduate degree. The third condition related to experience and called for a careful consideration. The High Court came to the conclusion as per sub-clause (c) of clause 3 that with the exception of Neurosurgery and six other clinical subjects, a candidate in all other subjects had to have three years minimum teaching experience in the same clinical subject. Further, in the clinical subject of Neurosurgery and six other subjects, there was no minimum period of time attached to it but the only condition was that he ought to have been working as a Resident/Registrar in the subject of Neurosurgery or the other six, as the case may be. While construing the two provisos of sub-clauses (c) of clause 3, the High Court found that a candidate for Neurosurgery having teaching experience for three years would receive the foremost consideration and shall be offered appointment. The High Court further held that clauses 2 and 3 of the advertisement were to be understood without involving any distinction of speciality, parent speciality and superspeciality. The said clauses treated all the clinical subjects at par and the requirements contained therein applied to each subject. The High Court found the appellant eligible for the post of Assistant Professor in terms of the advertisement. However, it held that the appellant secured 14 points while respondent 5 secured 28 points only and as such the appellant was not entitled to any preference.

    7. In order to appreciate the controversy, it would be proper to explain the courses of MCh degree possessed by the appellant and the MS (General Surgery) degree possessed by respondent 5. MCh course was initiated in the Rajendra Medical College, Ranchi by the State Government. MCh Part I examination consists of General Surgery and it is held after a period of two years. Parts II and III courses of the MCh degree consist of specialisation in Neurosurgery. During the course of examination for Neurosurgery in Parts II and III a candidate has to undergo viva voce test by experts in Neurosurgery. While the MBBS is a basic degree, its classification in different branches can be labelled as parent specialities like Orthopaedics, General Surgery, Medicine etc. The parent specialities are manned by those who are recipients of post-graduate degree in that particular speciality like MS (General Surgery), MS (Orthopaedics), MD (Medicine). Further growth of medical sciences resulted into more and more superspecialities as for example Neurosurgery, Paediatrics, Surgery, Plastic Surgery, Neurology, Cardiology, etc. The candidates who complete the course of superspecialities are conferred with the degree of MCh (Master of Chirurgery) in case the superspecialities relate to surgery, and the degree of DM (Doctor of Medicine) if the same relates to medicine. Now, so far as the post-graduate degree courses in parent specialities called MS, or MD are concerned are of two years duration, whereas those for superspecialities conferring degrees like MCh and DM are of five years duration after internship. In many universities for obtaining degree of MCh in the particular superspeciality, one has to be MS in the related parent speciality and the course is of three years for such post-graduate degree holders.

    8. The Ranchi University kept the duration of MCh course of five years and it was provided that if a person having basic degree of MBBS joined such course, he would have to pass MCh Part I examination after devoting two years to General Surgery and only after passing the said MCh Part I examination in General Surgery, he would be promoted to MCh Part II and then MCh Part III course, to be completed in three years. This includes specialisation and research in basic Neuro Sciences and Clinical Neurosurgery, to qualify for appearing at the university examination of MCh Part II and Part III. The University, however, also kept the doors open for MCh (Neurosurgeon) course, having a span of three years for those who were already holders of MS degree in General Surgery/Orthopaedics Surgery and they were directly admitted for MCh Part II course and they had to study only for three years for MCh Part II and Part III course. Initially MCh courses were started by All India Institute of Medical Sciences only but later on other universities also followed the same. The Government of Bihar started MCh (Neurosurgery) five years degree course in Rajendra Medical College, Ranchi in the year 1980 and only one seat was confined for this course every year in the whole State of Bihar. Since admission to the MCh course in Neurosurgery was made only after completion of one full year as house-surgeon in Neurosurgery, the course remained of four years duration thereafter.

    9. The controversy has been raised before us that the MCh degree course in Neurosurgery awarded by Rajendra Medical College, Ranchi University is not yet recognised for the purposes of Indian Medical Act, 1956 and a letter of Medical Council of India dated February 27, 1991 has been placed on record in this regard. Learned counsel for respondent 5 has tried to contend that MCh degree obtained by the appellant was of no value as the same has not been recognised so far by the Medical Council of India. We find no force in this contention, as this course was started by the Ranchi University in 1980 with the consent of Medical Council of India and the State of Bihar has recognised such degree imparted by the Ranchi University and even before this Court learned counsel appearing for the State of Bihar has admitted this position. We are not concerned in this case about the value of such degree for places outside State of Bihar, but so far as the present case is concerned which relates to the post of Assistant Professor in Patna Medical College and Hospital, Patna which post is under the Bihar Government, no such objection can be maintained by respondent 5.

    10. Before adverting to the various clauses of the advertisement it would be worth mentioning that the Medical Council of India in its recommendations published in 1983 for the posts in the department of Neurosurgery has laid down as under:

    Post Academic Qualification Teaching/Research Experience (a) Professor MCh Neurosurgery (i) As Reader in Neurosurgery for 5 years in a medical college. (b) Reader — do — (ii) As Lecturer in Neurosurgery for 5 years in a medical college. (c) Lecturer — do — (iii) Requisite recognised post-graduate qualification in the subject. (d) Tutor/Registrar/Resident — —

    Thus for the post of Lecturer in Neurosurgery a degree of MCh in Neurosurgery is necessary. Admittedly, the post of Assistant Professor in question before us is a teaching post in the subject of Neurosurgery and it is beyond our comprehension as to how respondent 5 who is only MS (General Surgery), can teach candidates for the degree of MCh (Neurosurgery), which is a much higher degree than MS and even a person having MS degree has to further pass MCh Part II and Part III examinations before obtaining MCh degree in Neurosurgery.

    11. The appellant is holding a degree of MCh in the superspeciality of Neurosurgery itself as well as research work and working experience in the superspeciality. Respondent 5 is MS (General Surgery). None of these persons is having more than three years teaching experience in order to get an overriding preference. It is not in dispute that the Selection Committee consisting of experts in Neurosurgery considered the appellant more meritorious and he was placed at No. 1 in the panel and the State Government also approved the same.

    12. A reading of exceptions in sub-clause (c) of clause 3 goes to show that for a person having a superspeciality in the subjects mentioned therein which included Neurosurgery, it was not necessary to have experience but if there was a candidate available with such superspeciality and three years experience, then he would be given preference. Sub-clause (f) of clause 3 provided that for appointment to the post of Assistant Professor the minimum number of points required was 15 but for superspeciality, as aforesaid, the minimum required points were six only. The Government of Bihar who issued the advertisement has also put the same interpretation to the clauses of the advertisement. Though the High Court at one stage held that a candidate for Assistant Professorship in Neurosurgery must have a post-graduate degree in Neurosurgery and having held that the degree of Neurosurgery of the appellant was recognised and valid, yet committed a serious error in giving preference to respondent 5, who was having a degree of MS in General Surgery over the appellant who was holding much higher degree of MCh in the superspeciality of Neurosurgery itself. The High Court further committed an error in holding that clauses 2 and 3 of the advertisement did not evolve any distinction of speciality, parent speciality and superspeciality. A mere perusal of the said clauses would show that clauses 2(c) and 3(c) does talk of parent speciality and superspeciality and the finding of the High Court in this regard was clearly erroneous. Clause 3(c) carved out an exception in favour of superspeciality vis-a-vis experience and, therefore, clause 3 clearly speaks about superspeciality. The High Court in our view committed a further error in not appreciating clause 19 in its correct perspective. Clause 19 envisaged that preference would be given to a person who had a degree in superspeciality along with research or working experience. Thus the appellant having a degree in superspeciality and also having research work or working experience has been rightly given preference in the matter of appointment to the post of Assistant Professor in Neurosurgery over respondent 5 who did not have a degree in superspeciality.

    13. The State Government has also taken a clear stand that there was an acute shortage of qualified Neurosurgeons in the State and therefore in order to induct qualified Neurosurgeons, the government had provided certain relaxations and priorities in the criteria for appointment to junior teaching posts in various medical colleges of Bihar, so that such candidates could be appointed. The appellant had been given preference by virtue of his having MCh degree in Neurosurgery with research work and working experience. The State Government has further stated that appellant is a qualified Neurosurgeon and has been rightly appointed as Assistant Professor of Neurosurgery vide Notification No. 1144(17) dated December 28, 1990 and the appellant joined the said post on December 28, 1990 itself.

    14. Thus taking in view the entire scheme of the degree of MCh and the relevant clauses of the advertisement, we are clearly of the view that the appellant was rightly put in the Select Panel at No. 1 and the Government of Bihar rightly appointed him on the post of Assistant Professor of Neurosurgery.

    15. In the result, we allow the appeals, set aside the order of the High Court of Patna dated December 20, 1990 and dismiss the writ petition filed by Dr Chandra Mohan Jha, respondent 5.

    16. In the facts and circumstances of the case, there would be no order as to costs.

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    Dr. Arun Kumar Agrawal v. State Of Bihar And Others
    (Apr 26, 1991)