Bir Hospital has been the center for the training of FRCS, MRCP, MRCOG, and FCPS (Pakistan) candidates too. About two decades before, MBBS programme of Institute of Medicine, TU Teaching Hospital first started here with its building, patients and manpower. Later it got shifted to Institute of Medicine along with many of the doctors working in Bir Hospital. MBBS students from Nepal Medical College are posted here for clinical training. Pre-intern, Intern and elective students from within and outside the country also come here for training. About two decades ago, Post- Graduate Medical Education Coordination Committee (PGMECC) started postgraduate clinical MD/MS programme in many subjects with cooperation between Bir Hospital and Institute of Medicine and other hospitals like Maternity Hospital and Kanti Children Hospital. Now Bir Hospital has been formally developed into the National Academy of Medical Sciences as a deemed university.