MS Orthopaedic & Trauma Surgery - National Academy of Medical Sciences (NAMS)

National Academy of Medical Sciences (NAMS)

Medicine and Health Care

3 year(s)

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.

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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.
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  1. Candidates should have MBBS or equivalent degree recognized by the Nepal Medical Council.
  2. Candidates should have minimum two years of work experience in Government, University or other similar recognized hospitals after temporary registration with Medical Council.
  3. Candidates should achieve minimum 50% marks in the written MCQ type entrance examination.
  4. For selection of the candidates, 60% of the marking would be as per the markings of the written examination, and rest 40% would be given as followings:
    1. Experience in remote areas as per the classification of lines (2 scores X maximum number 10%): 20%
    2. PG diplomas from a recognized university in the concerned subject only (Diploma holder in one subject can not apply in other subject):5%
    3. MBBS or equivalent (75%: 5; ≥60%: 4; ≥50: 3): 5%
    4. I. Sc or equivalent or certificate in health sciences (≥60%: 5; ≥45%: 4; ≤45: 3): 5%
    5. SLC or equivalent (≥75%: 5; ≥60%: 4; ≥45:3; ≤45%: 2): 5%

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.