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National Postgraduate Medical Curriculum Internal Medicine · Malaysia
Ministry of Higher Education Malaysia

National Postgraduate Medical CurriculumInternal Medicine

A harmonised national framework for postgraduate training in Internal Medicine. Malaysia's public universities share one curriculum, common assessment standards and a commitment to excellent patient care.

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Examiners observing a postgraduate clinical examination
Structured clinical assessment under the national framework

A single national standard for specialist training

The National Postgraduate Medical Curriculum (NPMC) is a Ministry of Higher Education initiative that harmonises postgraduate medical training across all Malaysian public universities. The Internal Medicine curriculum defines a common syllabus, shared entry and exit standards, and unified assessment for every Master of Medicine (Internal Medicine) trainee in the country.

  • Jointly developed by the Conjoint Committee of all seven partner universities
  • Aligned with the Malaysian Qualifications Framework and Malaysian Medical Council requirements
  • Outcome-based education with entrustable professional activities (EPAs)
  • Common national examinations with criterion-referenced standard setting
Read the full mandate

Vision

Mission

    Committee

    Leadership of the NPMC Internal Medicine programme.

    Six competency domains, four years of structured growth

    Every trainee progresses through a spiral curriculum that integrates clinical service, supervised learning and workplace-based assessment.

    Patient Care

    Safe, compassionate and evidence-based management of acute and chronic medical conditions.

    Medical Knowledge

    Mastery of internal medicine and its subspecialties, applied to the Malaysian disease burden.

    Communication

    Effective, empathetic communication with patients, families and the healthcare team.

    Professionalism

    Integrity, accountability and ethical practice grounded in Malaysian societal values.

    Practice-Based Learning

    Lifelong learning, audit, research literacy and continuous improvement of one's practice.

    Systems-Based Practice

    Leadership, patient safety and effective work within the national healthcare system.

    A junior doctor examines a patient at the bedside while a supervisor guides him
    Year 1FoundationCore clinical postings
    Three trainees discuss a chest X-ray in a seminar room
    Year 2AdvancedSubspecialty rotations
    A trainee performs an echocardiogram while a consultant points at the screen
    Year 3AdvancedSubspecialty rotations
    A senior trainee leads a ward round with two junior doctors
    Year 4ProficientPreparing to be a specialist

    PutraCharms 360° Assessment

    PUTRA CHARMS, the Clinical Holistic Assessment and Rotation Monitoring System, is a 360° workplace-based assessment platform for MMed Internal Medicine trainees. It is not an examination. It records how a trainee performs in day-to-day clinical work across every posting, as seen by supervisors and the people they work with.

    Workplace-Based AssessmentsMini-CEX, CBD and DOPS requested by the trainee, then completed and graded by the supervisor.
    Multi-Source Feedback360° feedback on each trainee from colleagues, nurses and others in the clinical team.
    Postings & SupervisionEvery clinical rotation and its supervisor in one place, with the trainee's progress through each posting.
    Case Log & Year-End VerificationClinical case logs and a Year-End Verification build a continuous record of training.
    Supervisor completing a workplace-based assessment on a tablet

    IMQA Internal Medicine Qualifying Assessment

    IMQA is the qualifying assessment of the MMed Internal Medicine conjoint programme. It has two components: a theory component and a clinical component.

    Theory component

    Three written papers test clinical knowledge and reasoning across Internal Medicine. The OBA papers and the EMQ paper are each standard set, then combined into a final mark out of 100.

    • OBA 1One Best Answer paper
    • OBA 2One Best Answer paper
    • EMQExtended Matching Questions

    To pass: a final mark of 50 or above out of 100.

    Candidates sitting a written paper in an examination hall

    Clinical component

    Candidates are examined with patients across three parts. Every case and station is marked by two examiners, and the three parts add up to a clinical mark out of 100.

    A candidate presents a case at the bedside to two examiners
    2 cases · 45%Modified Long Case The candidate assesses a patient in depth, then presents and discusses the case with the examiners.
    A candidate examines a patient while an examiner observes
    6 stations · 45%Short Cases Cardiovascular, Respiratory, Neurology and Abdomen, plus two miscellaneous stations.
    A candidate talks with a patient's relative while an examiner observes
    2 stations · 10%Communication Skills The candidate is observed communicating with a patient or relative.

    Passing the clinical component

    A candidate passes with a clinical mark of 50 or above out of 100, provided none of the conditions listed here applies. Any one of them is a fail, whatever the total.

    1. A clinical mark below 50 out of 100.
    2. Failing both Modified Long Cases, each scoring below 25 out of 50.
    3. Failing more than three Short Cases, each scoring below 5 out of 10.
    4. Scoring below 2 out of 10 in two or more Short Cases.
    5. Failing both Communication Skills stations, each scoring below 5 out of 10.
    Consultant physicians at a Train of Trainers faculty development workshop

    Train of Trainers (TOT)

    The national TOT programme equips supervisors and examiners with the skills to teach, supervise and assess under the NPMC framework, so every trainee, in every university, is trained and judged to the same standard.

    WorkshopDateVenue
    Workshop dates are listed in Calendar & Events.
    Register for TOT

    Find a Supervisor

    Accredited TOT supervisors and trainers across Malaysia. Search by name, or narrow the list by subspeciality, state and hospital to find the trainers at your placement. Subspecialists also supervise General Internal Medicine.

      Accredited Hospitals

      Hospitals accredited for MMed Internal Medicine training, for General Internal Medicine, subspeciality training, or both. Filter by state, or open a hospital's supervisors.

      • The list of accredited hospitals has not been published yet.

      Calendar & Events

      Workshops, examinations, events and updates from the NPMC secretariat.

      1. No events have been posted yet. Please check back soon.

      News & Announcements

      No news has been posted yet.

      Seven universities, one curriculum

      Logos of the seven partner universities: UM, UKM, USM, IIUM, UPM, UiTM and UNIMAS
      Ministry of Higher Education Malaysia

      Resources

      • No documents have been posted yet.