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.

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.

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.