MD General Practice (MDGP)

MD General Practice and Emergency Medicine (MDGP) at Janaki Medical College (JMC): Course Details, Eligibility, Admission, and Assessment

MD General Practice and Emergency Medicine (MDGP) at Janaki Medical College (JMC), Janakpurdham is a three-year postgraduate residency under Tribhuvan University affiliation. The program prepares doctors to manage common health problems comprehensively and to provide timely emergency, life-saving surgical, and obstetrical interventions.

Training follows a full-time residential, non-practicing structure and includes supervised rotations, logbook-based performance monitoring, structured academic activities, and annual examinations. A designated preceptor supports each resident’s learning, while residents build independence through guided self-learning, bedside practice, and clinical responsibility.

MD General Practice and Emergency Medicine (MDGP) at Janaki Medical College (JMC), Janakpurdham is a 3-year Tribhuvan University–affiliated residency. Learn eligibility, MECEE-PG format, subject weightage, annual assessment structure, internal assessment rules, and residency standards.

Quick Highlights

• Course Name: MD General Practice and Emergency Medicine (MDGP)

• College: Janaki Medical College (JMC)

• Location: Ramadiya Bhawadi, Janakpurdham, Dhanusa, Nepal

• Affiliation: Tribhuvan University

• Program Level: Masters (Postgraduate Residency)

• Duration: 3 years

• Entrance Exam: MECEE-PG (Medical Education Commission)

• Seat Intake at JMC: 2 seats

• Study Mode: Full-time residential; non-practicing

• Key Training Focus: Comprehensive care, emergency readiness, referral coordination, district-level health system support

• Clinical Learning Environment: JMC teaching hospitals at Ramdaiya and the city centre

Overview

MDGP is built for doctors who want broad competence across adult medicine, child health, maternal health, emergency care, and essential procedures required in general practice settings. The residency develops clinical decision-making under resource constraints, strengthens emergency response readiness, and builds the leadership skills needed to support district-level health services.

Residents learn to coordinate prevention and health promotion activities, manage clinical and administrative responsibilities, and build effective referral systems. Communication and teamwork across governmental and non-governmental health services remain central to day-to-day practice throughout the three years.

Course Overview at Janaki Medical College

Residents train through progressive rotations that cover medical specialties, surgical specialties, and general practice specialties. Each rotation is monitored by internal assessment and logbook review. A preceptor is assigned for each resident, and learning emphasizes self-directed study supported by faculty guidance. Formal lectures are kept limited, while continuing medical education (CME), clinical presentations, and journal club sessions form a regular academic routine.

The program aims to develop a physician who can handle both routine and urgent clinical workloads safely, coordinate services across levels of care, and maintain professional standards expected from a clinical leader in general practice.

Curriculum and Training Structure

Rotation Groups Across Three Years

The residency is organized around three annual specialty clusters:

First Year: Medical Specialties

• Medicine

• Dermatology

• Psychiatry

• Paediatrics

Second Year: Surgical Specialties

• Surgery

• Orthopaedics

• Obstetrics and Gynaecology

• Family Planning

Third Year: General Practice Specialties

• General Practice and Emergency

• Anaesthesia

• Eye

• ENT

• Dental

• Forensic

The rotation structure builds core clinical knowledge and practical competence before residents take on broader general practice and emergency responsibilities.

Course Objectives

By completion of MDGP, residents achieve objectives across six areas:

Clinical Performance

Residents develop the ability to:

• manage common and serious health problems comprehensively

• diagnose health problems using patient history, physical examination, and available diagnostic facilities

• provide appropriate medical and surgical management within available resources

Preventive and Community Health Performance

Residents develop the ability to:

• coordinate and implement health promotion and disease prevention activities

• maintain strong knowledge of major district health problems

• support and develop health post staff through clinical, administrative, and health promotion guidance

• visit health posts regularly or as required

Managerial Performance

Residents develop the ability to manage staff and carry out hospital administrative responsibilities effectively.

Training Role

Residents develop the ability to:

• arrange and conduct in-service training for hospital staff and others

• provide education or training to different levels of health care students assigned to the hospital

Communication

Residents develop the ability to:

• establish effective referral systems

• coordinate communication and cooperation among healthcare services (governmental and non-governmental)

• maintain effective support for health posts

Professional Performance

Residents develop the habit of:

• maintaining current clinical knowledge through continuing health education

• working in line with government health care objectives

• maintaining personal and professional standards consistent with a leadership role in healthcare teams

Admission Requirements and Process

Eligibility

Applicants must meet these requirements:

• MBBS or equivalent from institutions recognized by the Government of Nepal

• Registration in Nepal Medical Council

• Foreign candidates: registration in the medical council of the applicant’s own country

• Entrance requirement: minimum 50% (pass marks) in the Medical Education Commission entrance examination to be eligible for the merit list

• Experience requirement: one-year experience applies to clinical postgraduate programs, except for MDGP and MD/MS in Basic Medical Sciences

Entrance Examination

Admission is through MECEE-PG under the Medical Education Commission.

Exam format

• Single best response MCQ (four options: A, B, C, D)

• 200 questions

• Recall : Understanding : Application = 30 : 50 : 20

• Duration: 3 hours (includes one-time voluntary toilet break, allowed only after one hour)

Subject weightage (Total: 200 marks)

Clinical (115)

• Medicine 18, Surgery 18, Obstetrics and Gynecology 12, Pediatrics 12

• Orthopedics 10, ENT 10

• Ophthalmology 7, Anaesthesiology 7, Psychiatry 7, Radiology 7, Dermatology 7

Basic Medical Sciences (60)

• Anatomy 12, Physiology 12

• Pathology 10, Pharmacology 10

• Biochemistry 8, Microbiology 8

Community Medicine and professional components (25)

• Community Medicine + Research Methodology 10

• Forensic Medicine 5

• Mandatory CPD-related topics 10 (medical ethics, rational use of drugs, infection prevention, BLS/ACLS, communication skills)

Selection

• Nepalese and foreign candidates appear in the common entrance examination.

• Merit lists for Nepalese and foreign candidates are published separately.

• Admission follows merit basis through open house counseling wherever applicable.

Assessment and Evaluation

MDGP uses a combined evaluation approach: internal assessment plus annual final assessment.

Internal Assessment (20%)

• Conducted after each rotation by the designated preceptor

• Based on performance during the rotation, logbook, and related academic work

• An examination may also be conducted by the Department of General Practice and/or the respective specialty departments

• Passing internal assessment at the end of rotation is required to proceed to the final examination

Final Assessment (Annual)

• Held at the end of each year

• Includes theoretical and practical components

• External examiner participation supports quality control

• Pass mark: 50% in each component

First Year Assessment (Medical Specialties)

• Theory: 80 (final) + 20 (internal) = 100

• Clinical: 1 long case (40) + 2 short cases (20×2 = 40) + internal (20) = 100

• Oral: OSCE spottings (30), logbook (10), viva (60)

Second Year Assessment (Surgical Specialties)

• Theory: 80 (final) + 20 (internal) = 100

• Clinical: 4 short cases (20×4 = 80) + internal (20) = 100

• Oral: OSCE spottings (30), logbook (10), viva (as per annual oral structure)

Third Year Assessment (General Practice Specialties)

• Theory: 80 (final) + 20 (internal) = 100

• Clinical: 2 short cases (20×2 = 40) + internal (20) = 100

• Research project: 40

• Oral: OSCE spottings (30), logbook (10), viva (60)

Residency Rules and Professional Standards

Residents follow these postgraduate clinical training standards:

• Full-time residential training

• Compliance with Institute of Medicine (IoM) rules and regulations

• Two weeks leave permitted per year in hospital-based clinical/para-clinical postgraduate programs

• Non-practicing residency: private practice and private assignments are prohibited

• Three months community-based teaching–learning in clinical postgraduate programs

• One-year service obligation after completion at a government-assigned placement applies to Nepalese candidates, as per Ministry of Health & Population directives

Career Path and Scope

MDGP graduates are prepared for clinical roles that require broad competence and strong emergency readiness. The training supports work in:

• general practice services and emergency care settings

• district hospitals and health systems needing comprehensive case management

• referral coordination roles linking health posts and higher-level care

• academic and training support roles for junior healthcare staff and students

Career outcomes depend on licensing, service obligations where applicable, and individual professional decisions.

Frequently Asked Questions

1) How long is the MDGP program at Janaki Medical College?

MDGP is a three-year postgraduate residency program.

2) Which entrance exam is required for MDGP admission?

Admission is through MECEE-PG under the Medical Education Commission.

3) How many MDGP seats are available at JMC?

MDGP intake at JMC is 2 seats.

4) Is one-year experience required to apply for MDGP?

The one-year experience requirement applies to clinical postgraduate programs, except for MDGP and MD/MS in Basic Medical Sciences.

5) Is private practice allowed during MDGP residency?

No. Postgraduate residents follow a non-practicing rule and are not permitted to undertake private practice or private assignments.

6) How is MDGP assessed across the three years?

Assessment combines internal assessment after each rotation (20%) and annual final assessment with theoretical and practical components. Passing internal assessment is required to sit the final examination.

7) Is there a community-based teaching–learning requirement?

Yes. Clinical postgraduate programs include three months of community-based teaching–learning.

8) Is there a service obligation after completion?

Nepalese candidates complete one year of service at a government-assigned placement after course completion, as directed by the Ministry of Health & Population.