MD General Practice (MDGP) at Maharajgunj Medical Campus (MMC), Maharajgunj, Kathmandu, is a three-year postgraduate medical residency under the Institute of Medicine (IOM), Tribhuvan University. MMC's postgraduate academic portfolio also uses the title Doctor of Medicine (MD) in General Practice and Emergency Medicine for this program.
The residency is structured around broad-based clinical practice. Training covers medicine, paediatrics, surgery, orthopaedics, obstetrics and gynaecology, emergency medicine, anaesthesia, psychiatry, dermatology, ENT, ophthalmology, community and district-level health services, and related areas. Its objectives extend beyond clinical treatment to prevention, health-service management, training, communication, referral, and professional responsibility.
Maharajgunj Medical Campus is a constituent campus of the Institute of Medicine, Tribhuvan University under Tribhuvan University.
| Field | Details |
|---|---|
| Course | MD General Practice (MDGP) |
| Postgraduate title | MD in General Practice and Emergency Medicine |
| Level | Postgraduate medical residency |
| Institution | Maharajgunj Medical Campus |
| Location | Maharajgunj, Kathmandu, Nepal |
| Institute | Institute of Medicine |
| University | Tribhuvan University |
| Duration: | 3 years |
| Training mode | Full-time residential |
| Entrance | MECEE-PG |
| Admission framework | Medical Education Commission |
| Professional council | Nepal Medical Council |
MDGP is designed around comprehensive management of common health problems, including situations that require timely emergency, surgical, and obstetric intervention.
The program takes a broad approach to postgraduate clinical education. Rather than restricting training to one organ system or specialty, residents rotate through major medical, surgical, emergency, maternal-health, child-health, mental-health, and community-health areas.
The aim is to develop doctors who can assess patients, identify common and serious health problems, use available investigations appropriately, and provide medical or surgical management within the resources available.
The training objectives also recognize that general practice may involve responsibilities outside direct patient care. Residents are expected to develop skills in prevention, hospital administration, staff development, communication between health services, referral coordination, continuing education, and professional leadership.
The IOM approach to General Practice is framed around Nepal's healthcare needs, including work at district level and support for health facilities outside large tertiary centers.
Duration: 3 years
MDGP follows a three-year full-time residency structure. Its rotation schedule is arranged progressively, beginning with major clinical disciplines before moving through surgical and obstetric training and then into district-level health services, emergency care, anaesthesia, and additional specialties.
The residency includes examinations at different stages of training, with a final examination following completion of the third-year rotations.
The course is conducted within the IOM postgraduate system, where residents undertake full-time residential training and follow the applicable academic and administrative rules.
Postgraduate programs operate on a non-practicing basis. Residents are therefore expected to remain committed to their approved training rather than undertaking private medical practice or other private professional assignments during the residency.
The first year establishes a broad clinical base through rotations in:
This stage gives residents exposure to adult medicine, child health, skin disorders, mental health, and the additional clinical experience included through the Anandaban rotation.
An examination follows the first-year rotation period.
The second year consists of 49 weeks and focuses on major surgical and maternal-health disciplines.
Rotations include:
This stage is central to the program's objective of preparing residents to manage common surgical and obstetric problems and to respond appropriately when timely intervention is required.
An examination follows completion of the second-year rotations.
The third year consists of 57 weeks and extends training into district health services and additional clinical disciplines.
Rotations include:
The third year places the resident in a broader service-delivery context. District-level training connects clinical practice with health-service organization, referral, staff support, communication, and community needs.
The residency concludes with the final examination.
The clinical component of MDGP aims to develop the ability to manage common and serious health problems comprehensively.
Residents are expected to learn how to:
The program's clinical emphasis is therefore connected with practical decision-making across different levels of health service rather than a single specialist environment.
Preventive and community-health responsibilities form a separate part of the MDGP objectives.
Residents are expected to develop the ability to coordinate and implement health-promotion and disease-prevention activities. They are also expected to understand major health problems affecting the population in the district where they work.
The training framework includes support for health posts through clinical, administrative, promotional, and training activities. Regular visits to health posts are also included within the program objectives where required.
These responsibilities connect individual clinical practice with the wider organization of community and district health services.
MDGP includes managerial and educational responsibilities in addition to clinical work.
The managerial objectives include developing the ability to manage hospital staff and carry out administrative responsibilities effectively.
Training objectives include:
Communication is another defined area of the program. Residents are expected to establish effective referral systems and support cooperation among healthcare services, including governmental and non-governmental services.
The course therefore treats communication and coordination as practical parts of general medical service, particularly where patients move between health posts, hospitals, specialist services, and other levels of care.
Professional performance objectives include maintaining current knowledge through continuing health education and working within national healthcare objectives.
Residents are also expected to maintain professional standards consistent with responsibilities in healthcare leadership and service delivery.
The broad rotation pattern supports this role by exposing residents to several clinical disciplines instead of limiting postgraduate training to a narrow specialty.
Eligibility: Applicants require an MBBS or equivalent qualification from an institution recognized by the Government of Nepal.
The postgraduate eligibility framework includes:
The general one-year experience requirement used for several postgraduate medical programs is specifically excluded for MDGP under the stated postgraduate eligibility framework.
Admission is conducted through the Medical Education Common Entrance Examination for Postgraduate Level (MECEE-PG).
The national entrance, merit, and matching process is administered by the Medical Education Commission.
Nepalese and foreign applicants must appear in the common postgraduate entrance examination. Candidates must obtain at least 50% in the entrance examination to become eligible for the merit list.
Admission proceeds through the prevailing system of:
Seat allocation is determined within the MEC framework and may vary between admission cycles.
| Component | Details |
|---|---|
| Question type | Single best response MCQs |
| Options | Four: A, B, C, D |
| Number of questions | 200 |
| Duration | 3 hours |
| Recall : Understanding : Application | 30 : 50 : 20 |
| Minimum qualifying score | 50% |
The entrance examination covers the wider MBBS curriculum rather than General Practice alone.
Clinical subjects account for 115 marks and include Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Orthopedics, Otorhinolaryngology, Ophthalmology, Anaesthesiology, Psychiatry, Radiology, and Dermatology.
Basic Medical Sciences account for 60 marks across Anatomy, Physiology, Pathology, Pharmacology, Biochemistry, and Microbiology.
Additional areas include Community Medicine and Research Methodology, Forensic Medicine, and mandatory CPD topics such as medical ethics, rational use of drugs, infection prevention, BLS/ACLS, and communication skills.
General Practice is one of the academic departments at Maharajgunj Medical Campus.
The campus also includes departments in Emergency Medicine, Internal Medicine, General Surgery, Orthopedics, Paediatrics, Obstetrics and Gynecology, Psychiatry, Dermatology, Anaesthesiology, Ophthalmology, ENT, Forensic Medicine, and other areas directly relevant to the MDGP rotation structure.
MMC's history of postgraduate medical education began with MD General Practice, recorded as its first MD program in 1982 AD.
The residency therefore operates within a campus that conducts undergraduate medical education, MD/MS postgraduate programs, and DM/MCh higher-specialty training within the wider IOM academic-health environment.
MD General Practice is a three-year postgraduate residency program.
Yes. MMC's postgraduate medical portfolio uses the title Doctor of Medicine in General Practice and Emergency Medicine, while MD General Practice or MDGP is also used for the program.
Yes. Applicants must qualify through the Medical Education Commission's postgraduate common entrance examination and the applicable merit and matching process.
The stated postgraduate eligibility framework specifically excludes MDGP from the general one-year experience requirement.
The residency includes Medicine, Paediatrics, Dermatology, Psychiatry, Surgery, Orthopaedics, Obstetrics and Gynaecology, Family Planning, district health services, Anaesthesia, Emergency Medicine, ENT, Ophthalmology, and Dental/Forensic Medicine.
Yes. It is conducted as full-time residential postgraduate training under the IOM framework.
