MD in General Practice - Tribhuvan University

On completion of the MD in General Practice (MDGP) Residency training programme, the graduate will be able to provide comprehensive and effective management of common health problems including timely emergency and life saving surgeical and obstetrical intervention.

Course Objectives:

On completion of the MDGP, the trainee will be able to meet objectives related to clinical, preventive/community health, managerial, training, communication and professional performance.

Objectives related to clinical performance:

The resident will be able to:

1. Demonstrate comprehensive knowledge of all common and derious health problems and manage them completely.
2. Diagnose health problems on the basis of information collected from patient, relative physical examination and available diagnostic procedures and facilities.
3. Provide effective and appropriate medical and surgical management for health problems in the context of the resources available.

Objectives related to preventive/ community health performance:

The resident will be able to:

1. Co-ordinate and implement health promotion and disease prevention activities;
2. Demonstrate a through knowledge of major health problems facing people in the district she/he is working;
3. Develop the staff of the health posts with clinical administrative and health promotional support and training.
4. Visit the health post regularly or as required.

Objectives related to managerial performance

The resident will be able to effectively manage the staff and carry out administrative responsibilities of the hospital.

Objectives related to training

The resident will be able to

1. Arrange and/or conduct appropriate in service training for hospital staff and others.
2. Provide appropriate education or training to various levels of health care students assigned to the hospital.

Objectives related to communication

The resident will be able to:

1. Establish effective referral system.
2. Develop and co-ordinate effective communication and co-operation amongst all health care services (both governmental and non governmental)
3. Develop and maintain effective support for the health posts.

Objectives related to professional Performance

The resident will:

1. Maintain current knowledge of health care problems through participation in appropriate continuing health education programmes.
2. Demonstrate knowledge of and consistently within the health care objectives of the government.
3. Maintain personal and professional standards consistent with his role as a lader in health care term.
4. These objectives attempt to address the needs of people in Nepal and may be accomplished in a number of ways. The IOM has developed the MD (GP) programme to address these objectives in a specific way using a definition of General Practice which will differ from that in other countries at other centres.

Evaluation:

The overall assessment shall be based on the combination of the on going internal assessment as well as three annual examination.

Internal Assessment

Following each rotation, a subjective evaluation will be made by the designated preceptor based on performance during the rotation, log book etc. In addition an examination may be conducted by the Dept. of General Practice and/ or respective speciality departments. These assessments will represent 20% of the final marks for theoretical and practical knowledge. Only if the residents pass the internal assessment at the end of rotation, will they be permitted to proceed to the final examination.

Final Assessment

The final assessment will be held at the end of each year. An external examiner will be engaged to ensure quality control. The assessment will be divided into theoretical and practical components.

First Year

Medical Speciality
(Medicine, Dermatology, Psychiatry, Paediatrics)
Final Internal Total
Assessment Assessment
Theory 80 20 100
Clinical
1 long case 40
2 short cases (ped+Psy)
(20×2) 40 20 100
Oral
Spottings (OSCE) 30
Log book 10 x 100
Viva 60
300

Second Year
Surgical Speciality
(Surgery, Ortho, Obs/ Gynae, FP)
Final Internal Total
Assessment Assessment
Theory 80 20 100
Clinical
4 short cases (Surg, Ortho, Obs, Gyn)
(20×4) 80 20 100
Oral
Spotting (OSCE) 30 100
Log book 10 100
Viva
300

Third Year
General Practice Speciality
(GP & Emergency, Anaesthesia, Eye, ENT, Dental, Forensic)
Final Internal Total
Assessment Assessment
Theory 80 20 100
Clinical
2 Short Case
(20 x 2) 40 20 100
Research Project 40
Oral
Spottings (OSCE) 30 100
Log book 10
Viva 60
300

Pass mark in each 50%

Eligibility Criteria to MDGP in Tribhuvan University

1. The candidate must have completed MBBS or equivalent course including internship.
2. Candidates must be registered with the Nepal Medical Council.
3. New rules or regulations formulated by Tribhuvan University, Institute of Medicine will apply to this programme as they come into effect.
4. One year experience in any government, university or charitable hospital.