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.
| 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 |
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: Candidates must hold one of the specified postgraduate medical qualifications:
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.
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.
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.
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 contributes 20 questions.
The subjects include:
These subjects assess the biomedical foundation required for higher-specialty critical-care training.
The General Subjects section carries 60 questions.
It includes:
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.
Critical-care principles form a major component of the 90-question subspecialty section.
The syllabus includes:
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.
The subspecialty section also covers critical care arising within major branches of Internal Medicine.
These include:
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.
Thirty questions are assigned to the miscellaneous section.
The areas include:
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 is an established academic department at Maharajgunj Medical Campus.
The campus also has several closely related departments, including:
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.
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: 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.
DM Critical Care Medicine is a higher-specialty Doctorate of Medicine program offered at Maharajgunj Medical Campus under the Institute of Medicine, Tribhuvan University.
The stated entry qualifications are MD Anesthesiology or equivalent, MD Internal Medicine or equivalent, or MD Critical Care Medicine.
Yes. Candidates require specialty registration with the Nepal Medical Council or the respective medical council of their country.
The examination contains 200 single-best-response multiple-choice questions.
No. The stated DM Critical Care Medicine entrance format specifies no negative marking.
The examination carries 200 marks, with 100 marks required to pass under the stated format.
Subspecialty Subjects carry 90 questions, making this the largest section of the entrance examination.
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.