MS Orthopaedic & Trauma Surgery

MS Orthopaedic & Trauma Surgery

3 years
Fee (Tentative)NPR 2,381,760

Entrance Exams

The academic postgraduate training to be imparted for doctors is planned in two stages, MS Ortho and Fellowship. The initial MS Ortho stage of training will consist of a three years postgraduate degree course in Orthopedic Surgery and traumatology. Fellowship stage is the higher medical training for postgraduate doctors. It will be about four years of training in Orthopedics and sub-specialties. Basic principle of Fellowship stage of training is to make the candidate able to take decision & work independently as consultant, to supervise & teach MS candidates as a teacher and to undertake research & publish scientific papers.

The training will initially be started in Bir and other central and selected Regional and Zonal hospitals. Later on with increasing facilities and manpower other Regional and Zonal hospitals will be included. Number of seats for training in various programs will be decided by the facilities and faculty members available and the need in the country as a whole.

In the National Academy of Medical Sciences, consideration will be given to the candidates who have worked in remote parts of the country for MS entrance. After fulfilling the minimum criteria, as mentioned in the entrance criteria below, doctors working in the HMG can compete for the entrance examination of the NAMS. Similarly, there will be requirement to work outside Kathmandu valley for one year after MS before they become eligible for the Fellowship training program.

As the work requirements are for short period only and postgraduate education is a big motivation for doctors, they will work in different parts of the country and people all over the country will benefit. In these ways, the NAMS will be able to fulfill its two major aims. They are to make available high quality health service and to produce trained manpower with the help of high education in the field of medical sciences in the country.

Salient Features

Goals of the Program

  1. To train an orthopedic surgeon with adequate knowledge, attitude and skills in the field of orthopedic surgery and traumatology of International standard.
  2. To develop qualities of initiatives, creativity, sound judgment and logical deduction so as to provide academic leadership in the subject.
  3. To develop skills of critical analysis of scientific literature.
  4. Be conversant with recent advances in the subject.
  5. To develop skills in thesis writing.
  6. To develop skills in clinical research.
  7. To develop skills as a teacher/trainer of the health team.

Course Objectives

At the end of the course of study the candidate should be able to:

  1. Manage all emergencies of this specialty independently including Disaster, Mass causality and Polytrauma with confidence at the level of international standard.
  2. Explain the pathophysiology of diseases.
  3. Diagnose and manage all problems concerned with this specialty.
  4. Counsel individual, family and community on prevention of diseases and promotion of health.
  5. Review scientific literature, undertake critical analysis and present scientific papers.
  6. Undertake clinical research in the subject.
  7. Educate members of the team work with him/her.


  1. MBBS or equivalent from institutions recognized by the government of Nepal.
  2. Registered in Nepal Medical Council.
  3. Registered in the respective medical council of the applicant's own country for foreign candidates.
  4. One year experience (Except for MDGP and MD/MS in Basic Medical Sciences excluded).
  5. 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.
  6. Exam format

  7. Single best response type with Multiple Choice  Questions.
  8. Four options (A,B,C,D).
  9. No. of questions: 200
  10. Recall: Understanding: Application: 30:50:20
  11. Duration: 3 hours including one-time voluntary toilet break (To be allowed only after an hour).
  12. Weightage

    S.No. Subjects Marks
    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 CONTENT; Curriculum for MS Orthopedic & Trauma Surgery, NAMS

Applied Basic Sciences Include:

  1. Applied anatomy
  2. Applied Physiology
  3. Applied pathology
  4. Applied Pharmacology.
  5. Applied immunology
  6. Applied biostatistics
  7. Applied research methods
  8. Applied Molecular biology and genetics.

Principles and Practice of:

Orthopedic Surgery

General Orthopedics, Regional Orthopedics, Pediatric Orthopedics, Orthopedic Oncology, Orthopedic Neurology, Sports Medicine, Physical Medicine & Rehabilitation.

Trauma Surgery

General Principles of Trauma including Pathophysiology.

General practice of Trauma: Early management of injured, Management of Polytrauma, Disaster, Mass causality, and Management of Neglected trauma. Definite management of Musculoskeletal injuries their operative treatment and rehabilitation.

Recent Advances:

Arthroscopy, Endoscopic surgery ( spine, knee etc), Illizarov external fixator, Total joint replacement, Limb sparing surgery, Bone Banking, Laser surgery etc.

Emergencies :


Acute Osteomyelitis, Acute Septic Arthritis, Compartmental Syndrome, Cauda Equina Syndrome, Necrotizing fascitis.


All fractures and dislocations, Open wounds, Crush injuries, Hand injuries, Spinal injuries.