- Fee:NPR 2,381,760
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:
- Demonstrate comprehensive knowledge of all common and derious health problems and manage them completely.
- Diagnose health problems on the basis of information collected from patient, relative physical examination and available diagnostic procedures and facilities.
- 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:
- Co-ordinate and implement health promotion and disease prevention activities;
- Demonstrate a through knowledge of major health problems facing people in the district she/he is working;
- Develop the staff of the health posts with clinical administrative and health promotional support and training.
- 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
- Arrange and/or conduct appropriate in service training for hospital staff and others.
- 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:
- Establish effective referral system.
- Develop and co-ordinate effective communication and co-operation amongst all health care services (both governmental and non governmental)
- Develop and maintain effective support for the health posts.
Objectives related to professional Performance
The resident will:
- Maintain current knowledge of health care problems through participation in appropriate continuing health education programmes.
- Demonstrate knowledge of and consistently within the health care objectives of the government.
- Maintain personal and professional standards consistent with his role as a lader in health care term.
- 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.
Salient Features
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 TotalAssessment AssessmentTheory 80 20 100Clinical1 long case 402 short cases (ped+Psy)(20×2) 40 20 100OralSpottings (OSCE) 30Log book 10 x 100Viva 60300
Second YearSurgical Speciality(Surgery, Ortho, Obs/ Gynae, FP)Final Internal TotalAssessment AssessmentTheory 80 20 100Clinical4 short cases (Surg, Ortho, Obs, Gyn)(20×4) 80 20 100OralSpotting (OSCE) 30 100Log book 10 100Viva300
Third YearGeneral Practice Speciality(GP & Emergency, Anaesthesia, Eye, ENT, Dental, Forensic)Final Internal TotalAssessment AssessmentTheory 80 20 100Clinical2 Short Case(20 x 2) 40 20 100Research Project 40OralSpottings (OSCE) 30 100Log book 10Viva 60300
Pass mark in each 50%
Eligibility
- MBBS or equivalent from institutions recognized by the government of Nepal.
- Registered in Nepal Medical Council.
- Registered in the respective medical council of the applicant's own country for foreign candidates.
- Candidates should score a minimum of 50% (Pass marks) in the Entrance Examination conducted by Medical Education Commission for being eligible to be on the merit list.
Exam format
- Single best response type with Multiple Choice Questions.
- Four options (A,B,C,D).
- No. of questions: 200
- Recall: Understanding: Application: 30:50:20
- Duration: 3 hours including one-time voluntary toilet break (To be allowed only after an hour).
Weightage
| S.No. | Subjects | Marks |
| Clinical | ||
| 1 | Medicine | 18 |
| 2 | Surgery | 18 |
| 3 | Obstetrics and Gynecology | 12 |
| 4 | Pediatrics | 12 |
| 5 | Orthopedics | 10 |
| 6 | Otorhinolaryngology | 10 |
| 7 | Opthalmology | 7 |
| 8 | Anaesthesiology | 7 |
| 9 | Psychiatry | 7 |
| 10 | Radiology | 7 |
| 11 | Dermatology | 7 |
| Sub-Total | 115 | |
| Basic Medical Sciences | ||
| 12 | Anatomy | 12 |
| 13 | Physiology | 12 |
| 14 | Pathology | 10 |
| 15 | Pharmacology | 10 |
| 16 | Biochemistry | 8 |
| 17 | Microbiology | 8 |
| Sub-Total | 60 | |
| 18 | Community Medicine + Research Methodology (6+4) | 10 |
| 19 | Forensic Medicine | 5 |
| 20 | Questions related to mandatory CPD (Medical ethics, rational use of drugs, infection prevention, BLS/ACLS, communication skills) | 10 |
| Total | 200 | |
Curricular Structure
Course Outline:
This rotation schedule attempts to provide trainers with experience in fundamental areas of knowledge as skill development prior to becoming involved in work experiences outside the Kathmandu valley.
First Year Rotation
- Medicine
- Paediatrics
- Dermatology
- Psychiatry
- Anandaban
- Exam
Second Year (49 weeks)
- Surgery + Orthopaedics
- Obstetrics & Gynaecology + Family Planning
- Exam
Third Year (57 weeks)
- Health services at the district level
- Anaesthesia
- Emergency Medicine
- ENT
- Ophthalmology
- Dental/forensic Medicine
- Final Exam