The MD General Practice & Emergency Medicine (MDGP) at Universal College of Medical Sciences and Teaching Hospital (UCMS), Rupandehi is a three-year postgraduate medical residency affiliated with Tribhuvan University (TU).
The program follows the postgraduate academic system of the Institute of Medicine, Tribhuvan University (TU-IOM). It prepares doctors to manage common medical problems, emergencies, selected surgical and obstetric conditions, preventive and community health activities, hospital administration, referral services, health-worker training, and communication across different levels of health care.
MDGP has a broader clinical range than a postgraduate course centered on a single organ system or specialty. Residents rotate through medicine, paediatrics, dermatology, psychiatry, surgery, orthopaedics, obstetrics and gynaecology, family planning, anaesthesia, emergency medicine, ENT, ophthalmology, dental and forensic medicine, along with district-level health services.
| Field | Details |
|---|---|
| Course | MD General Practice & Emergency Medicine (MDGP) |
| College | Universal College of Medical Sciences (UCMS) |
| Location | Bhairahawa, Rupandehi, Nepal |
| Affiliation | Tribhuvan University |
| Academic Unit | Institute of Medicine |
| Level | Postgraduate |
| Duration | 3 years |
| Training Type | Residency |
| Entrance | MECEE-PG |
| Admission Authority | Medical Education Commission |
| Prior Qualification | MBBS or equivalent |
| Professional Registration | Nepal Medical Council for Nepalese candidates |
| Experience Requirement | One-year experience excluded for MDGP |
A notable eligibility difference is that the stated one-year experience requirement applied to many clinical MD/MS programs is excluded for MDGP.
The MDGP residency is designed to prepare doctors for broad clinical responsibility rather than narrow specialty practice.
After completing the course, graduates are expected to manage common health problems comprehensively and provide timely emergency care. The program also includes preparation for life-saving surgical and obstetric intervention within the scope of the training and available resources.
The educational objectives are organized around six major areas:
This combination makes MDGP particularly broad in its academic design. Residents develop clinical skills while also learning how health services, referral systems, district-level care, health promotion, and staff development work together.
Clinical performance is a central part of MDGP training.
Residents are expected to develop a comprehensive understanding of common and serious health problems and learn to manage them appropriately.
The course prepares residents to:
The emphasis on available resources is important because the program is designed for medical practice across different levels of health services, not only in highly specialized hospitals.
Emergency medicine forms a major part of the course.
The stated aim of MDGP includes timely emergency and life-saving intervention. Emergency Medicine is also a defined third-year rotation.
Residents therefore develop knowledge and clinical ability that can be used when patients require rapid assessment and management rather than routine scheduled care.
Emergency-oriented training works alongside medicine, surgery, obstetrics and gynaecology, paediatrics, orthopaedics, anaesthesia, ENT, ophthalmology, and other areas included in the residency.
This broad exposure supports the general-practice role of assessing patients who may initially present without a confirmed specialty diagnosis.
MDGP does not focus only on treatment after illness occurs.
Residents are also expected to work with health promotion and disease prevention.
The program prepares them to:
This part of the course links clinical medicine with primary and district-level health services.
The third-year rotation specifically includes health services at the district level, giving residents direct exposure to medical work outside individual hospital specialty departments.
Management is another stated objective of the program.
MDGP residents are prepared to manage staff and carry out administrative responsibilities associated with hospital services.
For a general-practice physician working at district or other broad-service health facilities, clinical work can be closely connected with staffing, referrals, service coordination, administration, and supervision.
The course therefore treats management as part of the physician's professional role rather than separating it entirely from clinical medicine.
The program also prepares residents to teach and support other health workers.
Residents are expected to develop the ability to:
Teaching is therefore included as an explicit part of the MDGP role.
This is especially relevant to a doctor working in a hospital where junior staff, health workers, or students may depend on senior clinical guidance.
Effective referral is a specific objective of MDGP.
Residents learn to develop communication and cooperation among different health services, including governmental and non-governmental services where relevant.
The course prepares residents to:
A general-practice physician may be the first doctor to assess a patient before deciding whether the problem can be managed locally or requires specialist referral. Communication is therefore closely tied to patient safety and continuity of care.
The course also addresses continuing professional development.
Residents are expected to maintain current knowledge of health problems through appropriate continuing education and maintain professional standards consistent with their health-care responsibilities.
Professional performance includes:
These objectives complement the clinical parts of MDGP training.
Applicants must hold a recognized medical qualification and the required professional registration.
Eligibility:
The general postgraduate eligibility information specifically excludes MDGP from the one-year experience requirement applied to many other MD/MS clinical courses.
This means the stated MDGP eligibility does not require that additional one year of experience.
Admission to MDGP is conducted through the Medical Education Common Entrance Examination for Postgraduate Level (MECEE-PG).
The Medical Education Commission (MEC) manages the common entrance, merit, matching, seat allocation, fees, and postgraduate admission procedures.
The admission process can be summarized as:
Nepalese and foreign candidates must participate in the common entrance examination, with separate merit lists prepared under the stated admission provisions.
The postgraduate entrance examination consists of single-best-response multiple-choice questions.
| Entrance Detail | Requirement |
|---|---|
| Question Type | Single best response MCQ |
| Options | Four: A, B, C, D |
| Number of Questions | 200 |
| Duration | 3 hours |
| Cognitive Ratio | Recall : Understanding : Application = 30 : 50 : 20 |
| Merit Requirement | Minimum 50% |
The examination tests clinical and basic medical sciences together with research, community medicine, forensic medicine, and selected professional subjects.
| Area | Marks |
|---|---|
| Medicine | 18 |
| Surgery | 18 |
| Obstetrics and Gynecology | 12 |
| Pediatrics | 12 |
| Orthopedics | 10 |
| Otorhinolaryngology | 10 |
| Ophthalmology | 7 |
| Anaesthesiology | 7 |
| Psychiatry | 7 |
| Radiology | 7 |
| Dermatology | 7 |
| Basic Medical Sciences | 60 |
| Community Medicine + Research Methodology | 10 |
| Forensic Medicine | 5 |
| Mandatory CPD-related Areas | 10 |
| Total | 200 |
The basic sciences section includes Anatomy, Physiology, Pathology, Pharmacology, Biochemistry, and Microbiology.
Mandatory CPD-related questions include areas such as medical ethics, rational use of medicines, infection prevention, BLS/ACLS, and communication skills.
MDGP training is organized across three years, with residents rotating through several specialties before moving into district-level general practice and emergency care.
The first-year rotations include:
This stage exposes residents to major medical specialties and common health problems that a general-practice physician may encounter.
Medicine provides the broad adult clinical base, while Paediatrics develops experience in child health.
Dermatology and Psychiatry add areas that frequently require recognition and management in general medical practice.
The second year concentrates on surgical, musculoskeletal, reproductive, and family-planning care.
The rotations include:
Surgery and Orthopaedics develop skills related to surgical and injury-related presentations.
Obstetrics and Gynaecology is particularly important because the stated purpose of MDGP includes timely life-saving obstetric intervention.
Family Planning adds reproductive-health knowledge to this part of the residency.
The final year brings together district health services, emergency care, anaesthesia, and several additional clinical specialties.
The third-year rotations include:
This year reflects the broad-service role for which MDGP is designed.
District-level health service training places the resident in a setting where medical, emergency, administrative, preventive, referral, and staff-support responsibilities can overlap.
Anaesthesia and Emergency Medicine support the course's emergency-care component, while ENT, Ophthalmology, Dental, and Forensic Medicine broaden the range of problems residents are trained to recognize and manage.
Evaluation takes place throughout the three-year course.
The overall assessment combines ongoing internal assessment with annual examinations.
After each rotation, the designated preceptor evaluates the resident's performance.
Assessment can consider:
Internal assessment contributes 20% of the final marks for theoretical and practical knowledge.
Residents must pass the required internal assessment before proceeding to the relevant final examination.
The first-year examination covers medical specialties including Medicine, Dermatology, Psychiatry, and Paediatrics.
The assessment includes:
Clinical assessment includes a long case and short cases.
This combination tests both academic knowledge and practical clinical performance.
The second-year examination covers surgical specialties.
These include:
Assessment again combines theory, clinical work, OSCE or spotting, logbook evaluation, and viva.
The clinical section includes short cases across the relevant surgical and obstetric specialties.
The third-year assessment centers on General Practice and Emergency Medicine together with the related final-year rotations.
It includes:
The research project carries a defined place in the final-year assessment.
The final-year specialty group includes General Practice and Emergency Medicine, Anaesthesia, Eye, ENT, Dental, and Forensic Medicine.
The stated pass mark is 50% in each required assessment component.
Research forms part of the third-year assessment.
Rather than treating postgraduate medical training only as clinical service, the course requires residents to complete a research project.
This develops experience in structured medical inquiry and connects general-practice training with evidence-based professional learning.
Research Methodology is also included in the MECEE-PG entrance subjects, giving research an academic role from entry into postgraduate study through final-year assessment.
UCMS is a Tribhuvan University-affiliated medical and health-sciences institution in Bhairahawa.
Its associated teaching hospital is used for clinical education and training of doctors and other health professionals. Hospital services include broad medical, surgical, obstetric, paediatric, ophthalmic, ENT, orthopedic, psychiatric, diagnostic, and emergency care.
This range of services is relevant to MDGP because the course itself crosses multiple specialties rather than remaining confined to one clinical department.
The residency nevertheless follows the specific MDGP rotations, assessment requirements, and academic rules prescribed for the program.
MDGP prepares graduates for broad medical responsibilities involving both clinical and health-service work.
The stated course objectives cover:
These describe areas of specialist preparation rather than guaranteed employment positions.
MD General Practice & Emergency Medicine is also identified as an eligible prior qualification for DM Emergency Medicine or an equivalent advanced specialty pathway under the applicable TU/IOM eligibility requirements.
Admission to an advanced specialty is separate from MDGP and requires its own specialist registration, entrance examination, merit, and admission process.
Completion of MDGP therefore provides the postgraduate qualification but does not itself guarantee admission to further specialty training.
MD General Practice & Emergency Medicine is a three-year postgraduate residency.
The program is affiliated with Tribhuvan University and follows the postgraduate academic system of the Institute of Medicine.
Applicants must hold an MBBS or equivalent recognized medical qualification and the required medical council registration.
No. The stated postgraduate eligibility specifically excludes MDGP from the one-year experience requirement applied to many other clinical MD/MS programs.
Yes. Admission is conducted through the postgraduate common entrance examination administered by the Medical Education Commission.
The course covers medicine, paediatrics, dermatology, psychiatry, surgery, orthopaedics, obstetrics and gynaecology, family planning, anaesthesia, emergency medicine, ENT, ophthalmology, dental and forensic medicine, and district-level health services.
Yes. Emergency care is a central part of the program, and Emergency Medicine is specifically included in the third-year rotations.
Yes. Obstetrics and Gynaecology are included in the second year, and the stated course purpose includes preparation for timely life-saving obstetric intervention.
Yes. A research project forms part of the third-year assessment.
Assessment includes internal evaluation after rotations, annual theory and clinical examinations, OSCE or spotting, logbook assessment, viva, and a final-year research project.
No. Postgraduate seats are determined through the applicable MEC admission process and can vary between admission cycles.
MD General Practice & Emergency Medicine is identified as an eligible prior qualification for DM Emergency Medicine, subject to the separate eligibility, specialist registration, entrance, and admission requirements of that program.
