“23. This brings us to the import of the proviso to Regulation 11.1 (d), which was introduced with effect from 17th November, 2009. The proviso serves two purposes. It states that conferment of nomenclature of designation/status of post-graduate medical teachers shall be only to that number of consultants so as to fulfil the minimum requirements of imparting post-graduate medical education to the sanctioned intake. Therefore, conferment of nomenclature under clause (d) to Regulation 11.1 would be restricted and limited to the number of Specialists and Consultants in the concerned hospital or institution as required to fulfil the minimum requirement of the PGME Regulations, 2000. Excessive designations would thus be impermissible under the proviso. Secondly, the proviso itself would indicate and establish that the designation under clause (d) to Regulation 11.1 was not a onetime exercise. The clear intent to this effect can be inferred contextually as well as from the language of the proviso. A post-graduate medical course in a hospital not affiliated with any medical college at the initial stage and subsequently affiliated with a medical college, could still face shortage of teaching sub-cadre at the post graduate level. It would take time to have requisite number of Professors, Associate Professors or even Assistant Professors in the specific specialities of the post-graduate courses. Promotions in the teaching sub-cadre depend upon years of experience in the posts lower in the hierarchy. Therefore, the contention of the petitioner that clause (d) to Regulation 11.1 mandates only one time exercise is not correct and has to be rejected as it would nullify the intent and purpose of incorporating the said clause and would also run counter to the proviso. As elucidated above, the expression “not attached to any medical college” is with reference to the Specialists and Consultants, and