Under MSMER-2023, there was a defined escalation path; now, action depends on MARB assessments being initiated, completed and acted upon within a reasonable timeframe. NMC’s removal of MSMER-2023 raises questions about accountability, enforcement effectiveness, and safeguarding medical education standards. Get latest articles and stories on India at LatestLY. The National Medical Commission on Thursday clarified that the de-notification of the Maintenance of Standards of Medical Education.