MS Orthopaedic and Trauma Surgery

MS Orthopaedic and Trauma Surgery at Janaki Medical College (JMC)

MS Orthopaedic and Trauma Surgery at Janaki Medical College (JMC), Janakpurdham is a postgraduate residency pathway under Tribhuvan University affiliation. The residency runs for four years in a full-time residential format and prepares doctors to manage orthopaedic and trauma cases safely across elective and emergency settings.

Training emphasizes structured clinical responsibility, progressive operative exposure under supervision, disciplined documentation, and competency tracking through logbook review and OSCE-based evaluation. The degree is awarded after successful completion of the Part III examination, following clearance of Part I and acceptance of the thesis.

MS Orthopaedic and Trauma Surgery at Janaki Medical College (JMC), Janakpurdham is a 4-year full-time residential residency under Tribhuvan University affiliation. Learn eligibility, MECEE-PG format, internal assessment, Part I–III exam structure, thesis rules, and residency standards.

Quick Highlights

• Course Name: MS Orthopaedic and Trauma Surgery

• College: Janaki Medical College (JMC)

• Location: Ramadiya Bhawadi, Janakpurdham, Dhanusa, Nepal

• Affiliation: Tribhuvan University

• Program Level: Postgraduate Residency (Masters)

• Duration: 4 years (full-time residential training)

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

• Seat Intake at JMC: 1 seat

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

• Leave (Clinical PG): 2 weeks per year

• Community-Based Teaching–Learning: 3 months (clinical PG requirement)

• Service Requirement (Nepalese candidates): 1 year at a government-assigned placement after completion (as per Ministry of Health & Population directives)

• Clinical Learning Platform: Teaching hospitals at Ramdaiya and the city centre

Course Overview at Janaki Medical College (JMC)

This residency develops an orthopaedic and trauma surgery specialist capable of recognizing, evaluating, and managing a wide range of musculoskeletal and trauma-related problems at consultant level. Residents build competence in pre-operative work-up, operative planning, post-operative management, emergency resuscitation, and first-line surgical interventions for orthopaedic and trauma cases.

A key expectation is safe practice under supervision while progressing toward independent performance of procedures appropriate to the training stage. Residents also develop teaching capability to support undergraduate learners and mid-level health workers and strengthen research habits through a structured thesis requirement.

Curriculum Details

Core Subject Areas

The residency is structured to build strong fundamentals, then move into advanced clinical and operative competence:

• Fundamental principles of orthopaedic and trauma surgery

• Relevant basic sciences and para-clinical subjects

• Diagnosis and management of common orthopaedic and trauma conditions

• Elective and emergency perioperative care

• Emergency resuscitation and urgent orthopaedic procedures

• Operative surgery skill development with increasing responsibility

• Teaching and training skills for junior learners

• Research engagement and publication-oriented practice

Practical and Clinical Components

Clinical learning runs throughout the four years and includes:

• Primary responsibility for patient assessment, investigations, and perioperative planning under supervision

• Responsibility in OPD and inpatient services as a full-time resident

• Regular assisting in major surgical operations, with staged progression from minor to major procedures under supervision

• Structured academic participation within the department and unit activities

• Duty responsibilities as the first person on duty in the unit/department twice a week (as part of training expectations)

Course Objectives

By the end of the four-year training, residents are prepared to:

• Demonstrate a broad understanding of orthopaedic and trauma surgery principles

• Apply relevant basic science and para-clinical knowledge in clinical decisions

• Diagnose common orthopaedic and trauma conditions accurately

• Manage pre-operative work-up and post-operative care for elective and emergency cases

• Perform resuscitation and related emergency procedures for orthopaedic trauma patients

• Provide first-line surgical intervention for orthopaedic and trauma presentations

• Perform different orthopaedic and trauma surgical procedures independently at the appropriate competency level

• Train undergraduate learners and mid-level health workers in orthopaedic and trauma procedures

• Conduct research activities in orthopaedic and trauma problems and work toward publication

Learning Outcomes

Graduates of the residency typically demonstrate:

• Consistent clinical reasoning in trauma and orthopaedic case evaluation

• Safe perioperative decision-making and complication recognition

• Effective communication with patients, attendants, and healthcare teams

• Competence in emergency triage, stabilization, and escalation pathways

• Discipline in documentation, logbook maintenance, and clinical governance habits

• Readiness for specialist responsibilities in orthopaedic and trauma services

Skill Development Areas

Residents build specialist-level skills across:

• Clinical assessment: history, examination, imaging-oriented decision pathways

• Emergency readiness: resuscitation, urgent stabilization, first-line interventions

• Operative competence: procedure selection, surgical workflow, safe technique progression

• Perioperative care: pre-op planning, post-op monitoring, rehabilitation-oriented planning

• Professional practice: ethics, teamwork, accountability, and patient safety habits

• Teaching: bedside guidance, practical skill demonstration, structured feedback

• Research: topic selection, methodology discipline, thesis writing and defense readiness

Teaching Methodology and Learning Support

Training follows a self-directed learning model supported by faculty guidance and preceptor supervision. Teachers and preceptors function as guides while residents build independence through supervised responsibility. Basic science guidance is supported through the Institute of Medicine structure and designated preceptors/teachers. A focused supervision model is followed where one preceptor takes one postgraduate student in one year.

Admission Requirements and Process

Eligibility

Applicants must meet these requirements:

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

• Registered with Nepal Medical Council

• Foreign candidates: registered with the medical council of their own country

• One-year experience requirement: applicable to clinical postgraduate programs (exceptions applied nationally for MDGP and MD/MS in Basic Medical Sciences)

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

Entrance Examination: MECEE-PG

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 a one-time voluntary toilet break allowed only after one hour)

Subject weightage (Total: 200)

• Clinical (115): Medicine (18), Surgery (18), Obstetrics & 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) including medical ethics, rational use of drugs, infection prevention, BLS/ACLS, communication skills

Selection

• Nepalese and foreign candidates sit the common entrance examination.

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

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

Exam and Result Process

Assessment has two components: Internal Assessment and Final Examination.

Internal Assessment

Internal assessment includes:

• Logbook of day-to-day activities

• Participation and performance tracking

• OSCE-based evaluation

• Regular review and signature by preceptor/tutor

After each rotation, a designated teacher assesses knowledge and performance and records feedback. Unsatisfactory performance requires repeating the posting. Internal assessment carries 20% of the theory mark.

Final Examination Structure

The final examination has three parts:

Part I: Basic Science (End of 1st Year)

• Conducted by the end of the first year

• Maximum three attempts are allowed

• Failure in the third attempt results in removal from the course

Theory papers and pass marks

• Paper I: Anatomy — Full Marks 100 | Pass Marks 50

• Paper II: Pathology — Full Marks 100 | Pass Marks 50
  (Associated areas include Physiology, Biochemistry, Genetics, Microbiology, Pharmacology, Biostatistics, Clinical Epidemiology, and Medical Ethics as part of the basic science coverage.)

Oral & Practicals

• Full Marks 200 | Pass Marks 100

Part II: Thesis Writing

• Thesis subject chosen and approved by the end of the first year

• Thesis submitted by the end of the third year

• Evaluated by one external and one internal examiner

• Final examination is not permitted without acceptance of the thesis

Part III: Final (After 4 Years)

Part III is conducted after four years on completion of the course of study, after passing Part I and approval of the thesis.

Theory

• Paper I: Principles of Orthopaedic & Trauma — Full Marks 100 | Pass Marks 50

• Paper II: Surgical Pathology & Surgical Management (MCQ/short essay/combined) — Full Marks 100 | Pass Marks 50

Clinical and Practical

• Clinical (Long cases) — Full Marks 100 | Pass Marks 50

• Clinical (Short cases) — Full Marks 100 | Pass Marks 50

• Practical (OSCE) + Viva — Full Marks 100 | Pass Marks 50

After passing Part III, the candidate is conferred the degree of MS in Orthopedic and Trauma Surgery.

Residency Rules and Professional Standards

Postgraduate residents follow these standards:

• Full-time residential training

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

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

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

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

• One-year service after completion at a government-assigned placement applies to Nepalese candidates, as directed by the Ministry of Health & Population

Career Opportunities and Further Study Options

Graduates typically move into specialist responsibilities in orthopaedic and trauma services, including hospital-based inpatient and outpatient care, emergency trauma response teams, perioperative service roles, and academic or training-linked clinical positions. Career progression depends on licensing, service requirements where applicable, and individual professional goals.

Frequently Asked Questions

1) How long is MS Orthopaedic and Trauma Surgery at Janaki Medical College?

The residency runs for four years in a full-time residential format.

2) How many seats are available at JMC for this program?

JMC has 1 seat for MS Orthopaedic and Trauma Surgery.

3) Which entrance exam is required for admission?

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

4) Is the residency non-practicing?

Yes. Residents are prohibited from private practice and private assignments during the program.

5) What happens if a resident fails Part I repeatedly?

Part I is held by the end of the first year. A maximum of three attempts is allowed, and failure in the third attempt results in removal from the course.

6) Is a thesis mandatory for the final examination?

Yes. Thesis approval is required before a resident can sit for the final (Part III) examination.

7) What does internal assessment include?

Internal assessment includes logbook review, participation and performance tracking, and OSCE-based evaluation. It carries 20% of the theory mark.

8) Is there a service requirement after completing the program?

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

Information to Verify

• Current-year fees and payment schedule

• Resident stipend, duty roster policy, and on-call structure

• Rotation calendar and unit posting sequence across four years

• Counseling dates, intake timeline, and admission deadlines for the intended year