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MS IN OTORHINOLARYNGOLOGY & HEAD AND NECK SURGERY

The goal of the programme is to train higher specialist doctors in the field of Otorhinolaryngology (ORL) and Head and Neck Surgery having sufficient knowledge, skill and attitude toward the management and prevention of ORL and Head and Neck diseases. The MS graduate will possess relevant knowledge of basic science, pathology and allied subjects in order to achieve the goal of the programme. The MS graduate will possess proper attitude towards his/her work, colleagues and patients, be creative, be conversant with recent advances and be able to contribute to the scientific knowledge of ORL and Head and Neck speciality. The MS graduate will be able to recognize his/her limitations, limitations of equipment and support services at the place of work. Accordingly the MS graduate will be able to identify when, where and to whom to turn for information and guidance and be able to refer as appropriate.

Course Objectives
At the end of the course the specialist should be able to:

  • Gather clinical information, diagnose and manage ORL and Head and Neck diseases;
  • Perform common surgical procedure of ORL and Head and Neck diseases;
  • Recognize and manage ORL and Head and Neck emergencies;
  • Conduct and supervise clinical research in the field of ORL and Head and Neck Surgery;
  • Recognize preventable diseases in ORL and Head and Neck Surgery, appraise society and concerned authorities regarding preventive measures;
  • Organize community effectively as a member of ORL and Head and Neck diseases and conduct mobile camps;
  • Function effectively as a member of ORL and Head and Neck surgery team, communicate with other co-workers and organize ORL and Head and Neck Services in a hospital set up;
  • Communicate effectively with colleagues of different medical specialties and build an effective inter-disciplinary relationship;
  • Communicate effectively with patients, relatives and attendants, provide counselling and explain prognosis of the disease
  • Encourage self-directed learning.

Eligibility Criteria

  • The candidate must be a medical graduate having the MBBS degree or its equivalent from a university recognized by the Nepal Medical Council and must have completed one year of compulsory rotary internship. Must have worked a minimum of one year at a recognized health institution.
  • Must have full registration with the Nepal Medical Council.
  • Must take the entrance examination and quality.
  • Must secure a minimum of 50% marks separately in each paper in order to qualify and to get placement in the merit list of successful candidates.
  • The candidates will be selected entirely on the basis of merit according to the number of available seats.
  • The candidate once selected must sign a contract to stay on the entire duration of the course. However, the candidate’s admission to the course will be provisional for a period of six months. At the end of six months, the candidates will have to appear at an examination. The candidate will be expelled from the course if s/he fails to qualify in this examination. The candidate can be expelled during this period on disciplinary grounds also.
  • Candidates registered for the course will not be allowed to enter other postgraduate programmes till the completion of the course.

Prerequisites for MS Programme

  • Anatomy of ear, nose and paranasal sinuses, pharynx, larynx, oral cavity, traceho-bronchial tree, oesophagus, orbit, head and neck, related neuro-anatomy including cranial nerves.
  • Physiology of olfaction, hearing and equilibrium, swallowing and cranial nerves.
  • Function of nose and paranasal sinuses and larynx.
  • Developmental anatomy of bronchial arches.
  • Blood grouping and transfusion of whole blood and blood products.
  • Shock.
  • Mechanism of haemostasis.
  • Fluid and electrolyte imbalance.
  • Basic pathology, biochemistry and immunology.
  • Maintenance or airway and tracheostomy.
  • Common ORL and Head and Neck condiditons;
  • ASOM and CSOM – clinical features, complications and management; wax in the ear, senory-neural hearing loss-causes; allergic thinitis-clinical features and management, epistaxis-causes and non-surgical management; tonsillitis-clinical features and management, laryngitis clinical features and management; foreign body in oespohagus and tracheobronchial tree clinical features and management; lymph node in the neck causes.

Duration of the Course
The training period for leading to MS in Otolaryngology, Head and Neck Surgery will be of three years.

Academic Regulations
The post graduate residents will go through a 3-year full-time residential training.

  • The residents during the period of their training will not be allowed to indulge in private practice.
  • The residents must be regular in their duties.
  • A minimum of 80% attendance is required to be eligible to appear at the final examination.

Training Sites
The following hospitals and institutes will be used for training the PG residents:

  • The respective departments of Institute of Medicine for:
    • Anatomy
    • Physiology
    • Biochemistry
    • Pathology
    • Pharmacology
    • Community medicine
      • Tribhuvan University Teaching Hospital Otorhinolarynglogy and Head and Neck Surgery, Department of Radiology.
      • Bir Hospital:
    • Otorhinolaryngology and Head and Neck Surgery.
    • Radiotherapy and Nuclear Medicine.
      • In addition other institutions within Nepal will also be utilized for the training purpose.

Learning Experience

  • Self directed learning
  • Smal group discussion
  • Journal clubs
  • Seminar
  • Problem solving exercises
  • Clerking, case presentation and discussions.
  • Demonstration of examination methods
  • Demonstration of diseases and signs
  • Development of surgical skills under supervision both in hospital set up and mobile camps.
  • Video and Audio presentation.
  • Slide presentation.
  • Demonstration of models, charts, still photographs, radiological films.

Methodology

  •  Knowledge and through understanding; multiple choice questions, short structured questions, essays and oral examination.
  • Clinical skills through long. case presentation, short case presentation and objectively structured clinical examination.
  • Technical skills through models log book.
  • Medical problem solving through patient management questions.
  • Self directed learning, through seminars and journal clubs.
  • Log book maintenance for clinical skills.
  • Medical audit for clinical skills.
  • Thesis review.

Evaluation

  • The candidates progress will be monitored regularly by the subject committee.

Final Examination
This will consist of three parts:

Part I : Basic Science
Part II: Thesis/ Dissertation Writing
Part III: Final examination

Part I : Basic Sciences:
Part examination will conducted by the end of first year and carry a total weight of 100%. A maximum of three attempts will be allowed. Candidates failing in the third attempt will be dropped from the course.
a. Theory Part I Full Marks Pass Marks
Clinical Otorhinolaryngology 100 50
And Head and Neck Surgery
b. Theory Part II
Clinical Otorhinolaryngology
And Head and Neck Surgery
And recent advances in
Otorhinolaryngology and
Head and Neck Surgery 100 50
c. Clinical long and short cases
(One long case and three short cases) 100 75
d. Oral including Viva Voce 100 25
400 200

Degree
Tribhuvan University will award a degree of MASTER OF SURGERY (M.S.) in Clinical Otorhinolaryngology and Head and Neck Surgery to the candidate who pass the final examination successfully a teaching experience certificate will also be awarede to the successful candidate.