MBBS is the basic medical degree for all specialties. Institute of Medicine was the first institute to start undergraduate medical program in Nepal. More than 1500 students have graduated since first batch had enrolled in 1978. Apart from Nepal, there were students from India, Sri Lanka, Maldives, Bhutan, Thailand, Europe, Australia and USA.
General Surgery in MBBS
General surgery is a major component of MBBS curriculum. General surgery comprised of more than 4 months of ward postings, 150 theory lecture classes, learning in fields. Exams marks weight age is 12.2% of total marks.
After completion of MBBS, the qualified doctor is expected to diagnose, manage, perform common minor surgical procedures independently and refer timely to higher centers for emergencies management of life-threatening conditions. So General Surgery Department carries a major role in shaping MBBS students. MBBS students have rotational posting in General Surgery department throughout the course except in fourth year. Brief outline of posting and role of department is as follows:
1. First phase of course (First and second year)
There is provision of early exposure in General surgery in the form of communication skills and history taking in the first phase. All first-year students are divided into 4 groups and posted in 4 major departments on rotation of 3 months. Each student will come in General surgery department once in a week for 3 months. They are expected to learn communication skills and history taking. Similar posting will occur in second year also and students are expected to learn history taking and basic physical examination. One dedicated teacher is deputed to guide the students.
The topics for communication skills are
- Principles of communication skills
- Process of feedback
- Initiating the session and building relationship
- Gathering information and providing structure
- Explanntion and planning
- Closing the session
2. Third Year
Third year remains the main duration of teaching learning of MBBS students. There are 4 theory classes (4 hours) per week. Each student comes to the department for bedside teaching for 3 months in group (Daily for 3 hours). This portion of teaching is the most important part of practical teaching. One teacher is deputed daily to guide the students.
Theory classes 4/ week for 1 year. The schedule for theory class is Tuesday at 2:00-3:00 pm; Wednesday at 2:00-3:00 pm and 3:00-4:00 pm; Thursday at 2:00-3:00 pm.
The topic of class on particular date and the concerned teacher are published well in advance. The topics are grouped as basic surgical topics, surgical oncology, surgical gastroenterology, urology, neurosurgery, plastic surgery, cardiovascular and thoracic surgery, pediatric surgery and breast and thyroid.
Bedside teaching for 3 months (everyday 9:00-12:00)
This portion of teaching is the most important part of practical teaching. All students were divided into 3 groups and posted in Medicine, Pediatric and Surgery by rotation. Each group consists of about 25 students and posted in surgery for 3 working months (except for vacation)
Each group of 25 students are divided into 2 groups (one in GI and general surgery and other in other surgical departments) and rotated for 6 weeks
Example of a typical bed side teaching
- Students will take a case (with consultation to the teacher pre-designated to the particular day) at 9:00 am for one hour.
- At 10:00 am, student present case and discussion follows till 11:45 am. It is tried to cover all types of cases according to curriculum.
Evening Teaching with Residents
4:15 – 5:00 pm (5 day/week for 3 months)
This portion of teaching is focused to teach clinical examination of patient.
3. Fourth Year
Learning in Field according to posting in different District/Zonal Hospital
4. Fifth Year
Ward posting as junior interns for 1 month
- A junior intern is expected to take part the full time activity of the concerned unit
(e.g.morning round, OPD, OT, unit presentations, evening round etc.)
- Each junior intern has to do 24 hour night emergency duty (2-3/ month).
- Following the night duty, he/she will present one case in next morning conference.
- An examination is held at the end of ward posting.
Theory examination consists of 2 papers of 100 marks each
Practical examination consists of 160 of 200 marks for Surgery.
General surgery 160 + Anesthesia 20 + Dental surgery 20
GUIDELINES FOR GOING TO THE OPERATION THEATER
GUIDELINES FOR GOING TO WARDS AND OPD
General Surgery comprised of 2 months of compulsory internship. Interns are expected to learn all aspect of general surgery under guidance from seniors and junior faculties.
We are accepting Interns; Foreign nationals, Ayurveda Hospital (TU), Nutrition (Dharan) –Putting an effort to serve country in all aspects of surgery.