MS in Orthopaedic and Trauma Surgery - Tribhuvan University


This is a four-year residency programme that was started in 1998. This course is designed to produce specialist in orthopaedic and trauma surgery, who will have adequate knowledge and skills in orthopaedic & trauma surgery and can recognize and deal safely with a wide range of orthopaedic and trauma problems as consultants.

After passing part III examination the candidate will be conferred the degree of MS in Orthopaedic & Trauma Surgery.

Course Objectives:

At the end of the four-year training, the students should be able to:

  1. Demonstrate broad understanding of fundamental principles of orthopeadic & trauma surgery;
  2. Posses adequate knowledge of relevant basic sciences and paraclinical subjects;
  3. Diagnose common clinical problems in orthopaedic & trauma surgery.
  4. Carry out pre-operate work-up and post operative management of orthopaedic & trauma problems (elective & emergency);
  5. Perform resuscitation and related emergency procedures in orthopaedic & trauma surgery patients;
  6. Provide first line surgical intervention in all types of othopedic & trauma surgery;
  7. Perform independently different surgical procedures in orthopaedic & trauma surgery;
  8. Provide training to undergraduate and mid level health workers in orthopaedic & trauma surgical procedures;
  9. Carry out research activities in orthopaedic & trauma surgery problems and publish.
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Salient features

Examinations:

It will consist of two components:
1. Internal assessment
2. Final Examination

1. Internal Assessment

  • Log-book of day to day activities, participation and performances & OSCE. It will be regularly reviewed and signed by preceptor/tutor.
  • After completion of each rotation, designated teacher will test the knowledge and performances of the candidate and comment on it. If found unsatisfactory, the candidate will have to repeat the posting.
  • Internal assessment will carry a weight of 20% of the theory mark.

2. Final Examination

This will consist of three parts:
Part- I (Basic Science)

Theory Paper I Full Marks Pass Marks Theory Paper II Full Marks Pass Marks
Anatomy 100 50 Pathology 100 50
Physiology Microbiology
Biochemistry Pharmacology
Genetics Biostatistics
Clinical Epidemiology
Medical Ethics
Oral & Practicals 200 100

Part I examination will be conducted by the end of 1st year. A maximum of three attempts will be allowed. Candidates failing in the third attempt will be dropped from the course.

Part II - Thesis Writing
Thesis subject will be chosen and approved by the end of the 1st year and should be submitted by the end of third year and will be examined by one external and one Internal examiner. The candidate will not be allowed to sit for final examination without acceptance of thesis.

Part III

Theory Paper I Full Marks Pass Marks Theory Paper II Full Marks Pass Marks
Principle of Orthopaedic & Trauma 100 50 Surgical Pathology & Surgical Management
(MCQ of Short Essay of combined questions)
100 50
Surgery & Operative Surgery
(MCQ or Short Essay or Combined questions)
Clinical-Long cases 100 50
Short cases 100 50
Practical (OSCE)+ Viva 100 50

Part III examination will be conducted after 4 years on completion of course of study and after passing part I examination and approval of thesis.

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Eligibility

Eligibility Criteria:

  1. The candidate must have passed MBBS or its equivalent from recognized university, must have completed compulsory rotating internship and one year of housemanship in any discipline at a recognized hospital.
  2. Must be fully registered with the Nepal Medical Council.
  3. Must pass PG entrance examination, conduct by IOM.

Curricular structure

Method of Training:

  1. The post graduate student will go through four years of full time residential training.
  2. Postgraduate residents will be encouraged to become self-directed learners. Teachers. Preceptors will function as guide only.
  3. Postgraduate resident will be the first person on duty in Unit/dept. twice a week.
  4. Private practice is not permitted.
  5. Take responsibility in OPD & inpatients as full time resident.
  6. Take primary responsibility for the investigation and pre and post operative care.
  7. Regularly assist in major surgical operations and gradually move from minor to major operations under supervision.
  8. They will actively participate in all departmental and unit academic activities.
  9. Guidance will provided in basic science subjects by the teachers of basic science departments of Institute of Medicine and designated preceptor and teacher in related subject. One preceptor will take only one PG student in one year.

The academic activities will be as follows:

  1. Demonstrations & guidance in basic science, (Clinical epidemiology and medical ethics First Year
  2. Presentation of assigned topic Once a week
  3. Journal club Once a week
  4. Group discussions Once a week
  5. Beside clinical teaching Twice a week
  6. Clinico-pathological conference Once a week
  7. Radiological demonstration Once a week
  8. Case presentation Daily 8-9 AM