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.
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
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.
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
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)
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
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
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
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.
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
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
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.
Assessment has two components: Internal Assessment and Final Examination.
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.
The final examination has three parts:
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
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 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.
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
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.
The residency runs for four years in a full-time residential format.
JMC has 1 seat for MS Orthopaedic and Trauma Surgery.
Admission is through MECEE-PG under the Medical Education Commission.
Yes. Residents are prohibited from private practice and private assignments during the program.
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.
Yes. Thesis approval is required before a resident can sit for the final (Part III) examination.
Internal assessment includes logbook review, participation and performance tracking, and OSCE-based evaluation. It carries 20% of the theory mark.
Nepalese candidates complete one year of service at a government-assigned placement after completion, as directed by the Ministry of Health & Population.
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
