Functional Area: Responsibilities of Management (ROM)
Standard 1 | Indicator 1 | Category: RED 🔴 (100% required)
The Board That Had Everything Except the One Thing That Mattered
Dr. Khalid Pervez had the largest signboard on the street.
He was proud of it, and reasonably so. It had gone up twelve years ago when he moved his practice to its current location in Saddar, Multan, a clean, well-trafficked commercial area where the morning foot traffic alone was enough to keep a clinic busy.
The board was four feet high and nearly six feet wide, mounted on the outer wall above the entrance. It was repainted every two years. The font was professional, the colours tasteful, dark blue lettering on a white background with a thin green border.
It said:
DR. KHALID PERVEZ
MBBS, FCPS (Medicine), Dip. Cardiology (London)
Ex-Assistant Professor, Nishtar Hospital, Multan
Member, Pakistan Medical Association
General Physician & Cardiologist
Consultation: Morning & Evening
Phone: 0301-XXXXXXX
Eighteen years of practice. Hundreds of patients a month. A board that was visible from fifty metres in either direction.
The PHC assessor stood in front of it for nearly a minute before she said anything.
“Doctor sahib,” she said, turning to Dr. Khalid, “your PM&DC registration number – it is not on the board.”
Dr. Khalid looked at the board. He had read it so many times over twelve years that he had stopped seeing it. He read it again now, slowly, left to right, top to bottom.
He was correct.
In twelve years, not one patient had asked for his PM&DC number. Not one colleague had mentioned its absence. Not one regulation he had previously encountered had required it to be on the board. He knew his number — he could recite it from memory — but it existed in his file inside the clinic, on his framed certificate, on his prescriptions. Not on the board.
“That is Indicator 1,” the assessor said, making a note. “It is a RED indicator. I am required to score it as not met.”
He moved on to the next item. Dr. Khalid stood for a moment longer, looking at his board — twelve years old, repainted twice, widely visible, and now a failed compliance indicator because of nine missing characters.
What Indicator 1 Actually Requires
Indicator 1 falls under Standard 1 of the Responsibilities of Management section. The standard statement is: the clinic is identifiable as an entity and easily accessible. Indicator 1 is the first and most visible test of that statement.
The indicator reads: “The clinic is identifiable by the name and PM&DC Registration number on a signboard.”
That is the complete requirement. Two pieces of information, both visible on the signboard outside your clinic:
1. The name — Clinic/Healthcare Service Provider. This must be clearly legible from the approach to the clinic, not merely visible from directly in front of it.
2. The PM&DC Registration Number — specifically in the format that makes it unambiguous. The MSDS guideline gives a clear example: “Clinic ABC — PM&DC Reg. No. 0000.” The number must be written out, identified as a PM&DC registration number, and placed on the main board where a patient approaching the clinic can see it.
The purpose is stated directly in the guidelines: a patient approaching the clinic should be able to confirm they are accessing a qualified and duly registered medical practitioner. The PM&DC number is the public-facing evidence of that registration. It is not enough that you know your number. It is not enough that it is framed; it must be framed inside. It must be outside, on the board, and readable before a patient walks in.
This is a RED indicator. The scoring is binary: either both elements — name and PM&DC registration number — are present on the signboard, or they are not.
How the Assessor Scores This Indicator
Survey Process: The assessor evaluates this indicator while approaching the clinic, not after entering. They are observing what any member of the public would see as they walk toward your door. Is the board present? Is it visible? Does it clearly display the clinic or doctor’s name? Does it display the PM&DC registration number?
Score of 10 (Fully Met): The signboard clearly identifies the clinic with both the name and the PM&DC registration number, positioned where it is visible while approaching. No missing elements.
Score of 0 (Not Met): The signboard is absent, or the name is present, but the PM&DC registration number is not displayed, or the board exists but is placed where it is not visible to someone approaching. Any non-conformity to the above = not met.
There is no partial score for this indicator. It is met, or it is not. A board with a name but no PM&DC number is an indicator of failure. A board with a PM&DC number obscured behind a tree or facing the wrong direction is a failed indicator. The assessor gives this a 10 only when both elements are present, legible, and visible on approach.
The Guidelines: What Else the MSDS Says About Your Signboard
Beyond the basic requirement of name and registration number, the MSDS provides detailed guidance on what the signboard should look like and what it may — and may not — contain. These details matter because several of them surprise clinic owners who have had boards up for years.
Size: The recommended size for the main signboard is 4 to 5 feet long and 2.5 to 3 feet high, depending on the site. A secondary signboard, when used, should be 2.5 feet long and 2 feet high. These are recommendations, not strict requirements for Indicator 1, but they inform the spirit of what a properly identifiable clinic looks like.
Placement: The board must be fixed on a wall, rooftop, or pole in compliance with local government regulations on outdoor signage. It should be placed where it is visible from the approach — not tucked beside a doorway, not obscured by a vehicle parked in front, not so high it cannot be read from the pavement.
Qualifications: Only qualifications recognised and registered by the PM&DC may appear on the signboard. If it is not a degree or diploma registered with the PM&DC, it does not belong on the board. Abbreviations must follow PM&DC conventions.
What may NOT appear on the board:
This is where many long-established clinics struggle, because over the years, doctors naturally accumulate titles, memberships, former positions, and certifications they are proud of. And they put them on the board.
The MSDS is explicit: The qualification (s) recognised by PM&DC ONLY may be displayed on the signboard in the form of permitted abbreviation (s), and past or present appointments and memberships with associations or bodies shall not be mentioned on the board. This means:
– “Ex-CMO, District Headquarters Hospital” — not permitted on the signboard.
– “Member, Pakistan Medical Association” — not permitted.
– “Consultant to XYZ Hospital” — not permitted.
Dr. Khalid’s board had two non-conformities of this type — Ex-Assistant Professor, Nishtar Hospital and Member, Pakistan Medical Association — in addition to the missing PM&DC number. His board was not just missing an element. It contained elements that are specifically not allowed.
The purpose of these restrictions is patient protection. A patient reading a board should be able to trust that everything on it represents a verified, current, PM&DC-registered qualification. Titles, memberships, and former positions cannot be verified by a patient standing at the entrance — and some of them are used by unqualified practitioners to create a false impression of credentials. The MSDS removes them entirely from the permitted field.
The Fix: What Dr. Khalid Did
The assessor’s note on Indicator 1 was a failed score, but it was one of the most straightforward deficiencies in the entire assessment.
Dr. Khalid contacted the signboard painter the same week. The revised board read:
DR. KHALID PERVEZ
MBBS, FCPS (Medicine), Dip. Cardiology
General Physician & Cardiologist
PM&DC Reg. No. XXXX-XXXXX
PHC License No. XXXXXX
Consultation Hours: 9am–1pm | 5pm–8pm
Cleaner. Shorter. Fully compliant.
One RED indicator was resolved.
He later said that removing the “Ex-Assistant Professor” line had felt strange — he had been proud of that posting. But the assessor had explained something that stayed with him: “Your PM&DC number tells a patient you are registered. Your FCPS tells them what you trained in. Everything else is background information for a CV, not a guarantee of current, verified standing.”
Before You Move On: Check Your Own Board Right Now
You do not need to wait for an assessor to tell you what Dr. Khalid learned on assessment day.
Step outside your clinic. Stand where a patient approaching from the street would stand. Look at your signboard and ask:
Is your name — or your clinic’s name — clearly visible from this position?
Is your PM&DC registration number on the board, in a format that identifies it as such?
Does the board contain any past appointments, honorary titles, or association memberships?
Does it show any qualifications that are not PM&DC-registered?
If the answer to either of the first two questions is no, that is a RED indicator failure, today, before any assessor arrives. If the answer to either of the last two is yes, that is a non-conformity that needs to be removed.
A signboard painter and an afternoon is all it takes to resolve Indicator 1. The assessor will stand in front of your clinic and look for two things. Make sure both are there.
What Comes Next
Indicator 1 is about what the assessor sees before entering your clinic. Indicator 2 is about what happens before they reach the door — specifically, whether a patient in a wheelchair, on crutches, or struggling with age-related mobility can actually get inside.
You can also connect with the writer of this blog post series to share or receive suggestions: Dr. Junaid Rashid (Founder of UPMED) at 03042397393 (WhatsApp).
List of all the posts in this journey.
