[1] Instruction began in two abandoned buildings of Pabna Mental Hospital in November of that year.

[5] In June 2014, students boycotted classes and barricaded Principal Mohammed Ali in his office for hours to protest against a shortage of teachers; for opening of a library; for transport services to and from Pabna General Hospital; and for adequate security in student housing.

[3][6] Although the principal had in March requested from the Directorate General of Health Services the appointment of 30 lecturers on an emergency basis,[7] according to students, there were as yet no teachers of physiology, pathology, microbiology, radiology and imaging, or otorhinolaryngology, and there remained a shortage of teachers of other subjects.

Under the 2002 "carry on" system, students could continue taking classes in the next academic session while preparing to retake an exam.

The Bangladesh Medical and Dental Council eliminated "carry on" in 2013, after which students who failed a professional exam were not allowed to continue classes until they had passed it, causing them to lose up to a year in the process.

[15][16] Admission for Bangladeshis to the MBBS course at all medical colleges in Bangladesh is controlled centrally by the Directorate General of Health Services (DGHS).

It administers an annual, written, multiple choice question admission exam simultaneously across the country.

DGHS has varied the admission rules over the years, but historically candidates have been admitted based primarily on their score on this test.

[18][19] DGHS also admits candidates to fill quotas: freedom fighters' descendants, tribal, foreign, and others.