Ahmedabad Municipal Corporation (AMC) administers three large general hospitals namely, VS Hospital, SCL Hospital, and LG Hospital for providing tertiary health care services to its citizens. As teaching hospitals, VS, SCL, and LG Hospitals are bound by the norms laid down by the Medical Council of India (MCI) regarding the staffing or hospital departments and the resources for teaching and patient care. These norms are based on the number of annual student admissions for MBBS and MD courses. Beginning the academic year 2000-01, AMC increased the number of fresh annual admissions to MBBS by 50 seats. The Dean of AMC medical colleges reorganized the clinical department in each hospital to comply with MCI norms for 150 annual admissions per year. The hospital superintendents are concerned about the impact of the reorganizations on patient care.