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DM Critical Care Medicine

  • Doctorate
  • DM
  • Tribhuvan University (TU)
Maharajgunj Medical Campus Maharajgunj, Kathmandu
  • Duration3 Years
  • Total FeeRs. 2,590,000
  • Total Seats2
  • Study ModeFull Time
  • MediumEnglish

About DM Critical Care Medicine

DM Critical Care Medicine at Maharajgunj Medical Campus (MMC), Maharajgunj, Kathmandu, is a higher-specialty Doctorate of Medicine program under the Institute of Medicine (IOM), Tribhuvan University. The program is intended for doctors who have already completed the specified MD-level qualification and hold specialty registration with the relevant medical council.

MMC includes DM Critical Care Medicine among its higher-specialty and doctorate medical programs. Critical Care Medicine is also an established academic department of the campus, alongside departments such as Anesthesiology, Emergency Medicine, Cardiology, Internal Medicine, Pulmonology & Critical Care, Nephrology, Neurology, and other specialties connected with the care of critically ill patients.

Maharajgunj Medical Campus is a constituent campus of the Institute of Medicine, Tribhuvan University under Tribhuvan University.

DM Critical Care Medicine Course Highlights

Field Details
Course DM Critical Care Medicine
Degree Doctorate of Medicine
Level Higher-specialty / Doctorate
Institution Maharajgunj Medical Campus
Location Maharajgunj, Kathmandu, Nepal
Institute Institute of Medicine
University Tribhuvan University
Department Critical Care Medicine
Entry qualifications MD Anesthesiology, MD Internal Medicine, MD Critical Care Medicine, or stated equivalent
Professional registration Specialty registration with Nepal Medical Council or respective medical council
Entrance DM/MCh higher-specialty entrance examination
Examination questions 200
Pass marks 100 out of 200
Negative marking No

Course Overview

DM Critical Care Medicine is positioned above the standard MD/MS postgraduate level and requires prior specialist medical training.

The accepted entry routes reflect the multidisciplinary nature of critical care. Candidates may enter from Anesthesiology, Internal Medicine, or Critical Care Medicine through the specified MD or equivalent qualifications.

The entrance syllabus also demonstrates this multidisciplinary structure. It combines applied basic medical sciences, broad medical knowledge, core principles of critical care, critical illness across medical subspecialties, research, medical ethics, communication, and medicolegal issues.

The largest portion of the entrance examination is devoted to critical-care and related subspecialty topics.

Eligibility for DM Critical Care Medicine

Eligibility: Candidates must hold one of the specified postgraduate medical qualifications:

  • MD Anesthesiology or equivalent;
  • MD Internal Medicine or equivalent; or
  • MD Critical Care Medicine.

Applicants must also hold specialty registration with the Nepal Medical Council or, for candidates from another country, the respective medical council.

This means DM Critical Care Medicine is not a direct-entry course after MBBS. Candidates enter after completing the required specialist postgraduate medical qualification and professional registration.

Higher-Specialty Entrance and Admission

Admission requires qualification through the entrance process applicable to DM/MCh higher-specialty programs.

The entrance examination evaluates both broad postgraduate medical knowledge and specialty-specific preparation in critical care.

The Medical Education Commission governs the prevailing medical education admission framework, including entrance and institutional allocation procedures applicable to higher-specialty medical education.

Seat allocation is intake-specific and can change between admission cycles, so a fixed seat number is not treated as a permanent characteristic of the course.

Entrance Examination Format

The DM Critical Care Medicine entrance examination uses single-best-response multiple-choice questions.

Component Details
Question type Single best response MCQs
Options Four: A, B, C, D
Number of questions 200
Full marks 200
Pass marks 100
Examination duration 3 hours
Negative marking No

The examination therefore requires a minimum of 100 marks out of 200 under the stated format.

Entrance Examination Weightage

The examination is divided into four major sections.

Area Questions
Applied Basic Medical Science 20
General Subjects 60
Subspecialty Subjects 90
Miscellaneous 30
Total 200

The Subspecialty Subjects section carries 90 questions, making it the largest part of the examination.

General Subjects contribute 60 questions, while Applied Basic Medical Science contributes 20. The remaining 30 questions cover research and professional areas.

Applied Basic Medical Science

Applied Basic Medical Science contributes 20 questions.

The subjects include:

  • Anatomy;
  • Biochemistry;
  • Microbiology;
  • Pathology;
  • Pharmacology and Toxicology; and
  • Physiology.

These subjects assess the biomedical foundation required for higher-specialty critical-care training.

General Subjects

The General Subjects section carries 60 questions.

It includes:

  • Emergency Medicine;
  • Infectious Diseases;
  • Rheumatology and Connective Tissue Disorders;
  • Fluid, Electrolyte and Acid-Base Balance;
  • Allergy and Clinical Immunology;
  • Nutrition;
  • Preventive Medicine;
  • Mental Health;
  • Molecular and Genetic Diseases; and
  • Palliative Care.

This section assesses medical knowledge relevant to critically ill patients across a broad range of clinical problems.

Fluid, electrolyte, and acid-base disorders are particularly relevant to the intensive-care environment, but the entrance framework does not isolate critical care from wider medical knowledge. Candidates are expected to retain competence across emergency, infectious, immunological, nutritional, preventive, and palliative medicine.

General Principles of Critical Care

Critical-care principles form a major component of the 90-question subspecialty section.

The syllabus includes:

  • airway management;
  • ventilation and oxygen therapy;
  • sepsis;
  • shock;
  • acute respiratory distress syndrome;
  • ventilator-associated pneumonia;
  • hospital-acquired infections;
  • transfusion;
  • drugs used in critical care;
  • sedation and analgesia;
  • peri-operative management; and
  • trauma.

Trauma-related areas include polytrauma, spinal injury, and head injury.

This section places emphasis on clinical problems encountered in the management of critically ill and injured patients.

Critical Care Across Medical Subspecialties

The subspecialty section also covers critical care arising within major branches of Internal Medicine.

These include:

  • Cardiology;
  • Endocrinology;
  • Gastroenterology;
  • Haematology;
  • Hepatology;
  • Nephrology;
  • Neurology;
  • Oncology; and
  • Pulmonology.

The entrance structure therefore requires candidates to understand critical illness across organ systems rather than preparing only for general intensive-care topics.

This is consistent with the multiple MD pathways accepted for admission, particularly Internal Medicine and Anesthesiology.

Research and Professional Topics

Thirty questions are assigned to the miscellaneous section.

The areas include:

  • Research and Biostatistics;
  • Medical Ethics and Good Medical Practice;
  • Medical Education;
  • Communication Skills; and
  • Medicolegal Issues.

Research and biostatistics introduce the academic component expected at doctorate and higher-specialty level.

Medical ethics, communication, and medicolegal issues address professional responsibilities that accompany advanced clinical decision-making.

Medical education is also included, reflecting the academic responsibilities associated with higher-specialty medical training.

Critical Care Medicine at Maharajgunj Medical Campus

Critical Care Medicine is an established academic department at Maharajgunj Medical Campus.

The campus also has several closely related departments, including:

  • Anesthesiology;
  • Cardiology;
  • Emergency Medicine;
  • Internal Medicine;
  • Nephrology;
  • Neurology;
  • Pulmonology & Critical Care;
  • Radiology;
  • General Surgery; and
  • Cardiothoracic & Vascular Surgery.

This departmental structure places Critical Care Medicine within a multidisciplinary medical teaching environment involving both medical and surgical specialties.

MMC's higher-specialty portfolio also includes DM programs in Cardiology, Emergency Medicine, Medical Gastroenterology, Nephrology, and Neurology, together with MCh programs in several surgical specialties.

DM Critical Care Medicine and Prior MD Training

The accepted entry qualifications show that critical care is approached as a higher-specialty discipline built on previous postgraduate medical training.

An MD-qualified doctor entering from Anesthesiology brings prior training connected with airway management, ventilation, peri-operative care, and physiological monitoring.

An MD Internal Medicine pathway provides a broad medical foundation across organ systems and medical emergencies.

The eligibility framework also recognizes MD Critical Care Medicine as a direct qualifying postgraduate background.

Regardless of entry route, applicants must meet the specialty-registration requirement and qualify through the higher-specialty entrance process.

Professional Registration

Professional Registration: Specialty registration with the relevant medical council is required.

For candidates in Nepal, this means specialty registration with the Nepal Medical Council. Candidates from another country must hold registration with the corresponding medical council.

Professional registration and university admission are separate requirements. Holding an eligible MD qualification does not by itself complete the admission process.

Frequently Asked Questions

What is DM Critical Care Medicine at Maharajgunj Medical Campus?

DM Critical Care Medicine is a higher-specialty Doctorate of Medicine program offered at Maharajgunj Medical Campus under the Institute of Medicine, Tribhuvan University.

What qualifications are accepted for admission?

The stated entry qualifications are MD Anesthesiology or equivalent, MD Internal Medicine or equivalent, or MD Critical Care Medicine.

Is specialty registration required?

Yes. Candidates require specialty registration with the Nepal Medical Council or the respective medical council of their country.

How many questions are in the entrance examination?

The examination contains 200 single-best-response multiple-choice questions.

Is there negative marking?

No. The stated DM Critical Care Medicine entrance format specifies no negative marking.

What are the pass marks?

The examination carries 200 marks, with 100 marks required to pass under the stated format.

Which entrance section carries the highest weightage?

Subspecialty Subjects carry 90 questions, making this the largest section of the entrance examination.

What critical-care topics are included?

The syllabus includes airway management, ventilation and oxygen therapy, sepsis, shock, ARDS, ventilator-associated pneumonia, hospital-acquired infections, transfusion, drugs, sedation and analgesia, peri-operative management, trauma, and critical care related to major medical subspecialties.

Course Details

Total Fee Rs. 2,590,000 As published by Maharajgunj Medical Campus — confirm before applying.
  • Course TypeDM
  • LevelDoctorate
  • Duration3 Years
  • Affiliated To Tribhuvan University (TU)
  • Study ModeFull Time
  • Total Seats2
  • MediumEnglish
  • RecognitionNepal Medical Council (NMC)
  • Offered At Maharajgunj Medical Campus
    Maharajgunj, Kathmandu

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