DNB General surgery: Admissions, Medical Colleges, Fees, Eligibility Criteria details here

DNB General Surgery or Diplomate of National Board in General Surgery also known as DNB in General Surgery is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS. The duration of this postgraduate course is 3 years, and it focuses on the study of various concepts related to the field of management of disease or injury by operative procedures. It basically deals with the surgical treatment of abdominal organs.

The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course are VCSG Govt Institute of Medical Science and Research and HNB Base Teaching Hospital- Uttarakhand, 166 Military Hospital- Jammu and Kashmir, 7 Air Force Hospital- Uttar Pradesh, and more.

Admission to this course is done through the NEET PG Entrance exam conducted by the National Board of Examinations, followed by counselling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

The fee for pursuing DNB (General Surgery) from accredited institutes/hospitals is Rs.36000 to Rs. 2,40,000 per year.

After completion of their respective course, doctors can either join the job market or pursue a super-specialization course where DNB General Surgery is a feeder qualification. Candidates can take reputed jobs at positions as Senior residents, Junior Consultants, Consultants, etc. with an approximate salary range of Rs. 10,00,000 - Rs. 30,00,000 per year.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-specialty qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.

What is DNB in General Surgery?

Diplomate of National Board in General Surgery, also known as DNB (General Surgery) or DNB in General Surgery is a three-year postgraduate programme that candidates can pursue after completing MBBS.

General Surgery is the branch of medical science dealing with management of disease or injury by operative procedures. It basically deals with the surgical treatment of abdominal organs including the esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder and bile ducts, and often the thyroid gland.

The National Board of Examinations (NBE) has released a curriculum for DNB in General Surgery.

The curriculum governs the education and training of DNB in General Surgery.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of General Surgery would help the specialist recognize the community's health needs. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

The candidate should be a highly competent specialist in General Surgery possessing a broad range of skills that will enable her/him to practice General Surgery independently. The PG candidate should also acquire the basic skills in teaching medical/para-medical students.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DNB in General Surgery

Name of Course	DNB in General Surgery
Level	Postgraduate
Duration of Course	Three years
Course Mode	Full Time
Minimum Academic Requirement	MBBS degree obtained from any college/university recognized by the Medical Council of India (now NMC)
Admission Process / Entrance Process / Entrance Modalities	Entrance Exam (NEET PG)
Course Fees	Rs.36000 to Rs. 2,40,000 per year
Average Salary	Rs. 10,00,000 - Rs. 30,00,000 per year

Eligibility Criteria

The eligibility criteria for DNB in General Surgery are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which include:

• Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (MCI) now NMC.

• Candidates should have done a compulsory rotating internship of one year in a teaching institution or other institution which is recognized by the Medical Council of India (MCI) now NMC.

• The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.

• The medical college's recognition cut-off dates for the MBBS Degree courses and compulsory rotatory Internship shall be as prescribed by the Medical Council of India (now NMC).

• Candidates who have passed the final examination, leading to the award of a Post Graduate Degree (MD/MS) from an Indian University, which is duly recognized as per provisions of the National Medical Commission (NMC) Act, 2019 and the first schedule of the IMC Act can apply for the DNB Final examination in the same broad specialty.

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DNB in General Surgery. Candidates can view the complete admission process for DNB in General Surgery mentioned below:

• The NEET PG or National Eligibility Entrance Test for Post Graduate is a national-level master's level examination conducted by the NBE for admission to MD/MS/PG Diploma Courses.
• The requirement of eligibility criteria for participation in counselling towards PG seat allotment conducted by the concerned counselling authority shall be in lieu of the Post Graduate Medical Education Regulations (as per the latest amendment) notified by the MCI (now NMC) with prior approval of MoHFW.

S.No.	Category	Eligibility Criteria
1.	General	50th Percentile
2.	SC/ST/OBC (Including PWD of SC/ST/OBC)	40th Percentile
3.	UR PWD	45th Percentile

Fees Structure

The fee structure for DNB in General Surgery varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DNB in General Surgery is Rs.36000 to Rs. 2,40,000 per year.

Colleges offering DNB in General Surgery

Various accredited institutes/hospitals across India offer courses for pursuing DNB (General Surgery).

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DNB (General Surgery) courses for the academic year 2022-23.

Syllabus

A DNB in General Surgery is a three years specialization course that provides training in the stream of General Surgery.

The course content for DNB in General Surgery is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

The following pages comprise schedules of knowledge and operative skills, which provide a syllabus for training in general surgery and its sub-specialties. The knowledge required includes the basic science relevant to each topic. There is no intention to limit knowledge and operative experience. Trainees, as part of their general surgical training, must acquire competence in the scheduled operations but will also have experience of other procedures from the sub- specialty departments. Knowledge: The Postgraduates are required to acquire sound knowledge of the below listed topics. The list includes topics found in most standard surgical textbooks. The candidates should also be familiar with recent advances and current controversies.

1. Applied Basic Sciences include applied anatomy, physiology, biochemistry, microbiology, pharmacology and pathology.

2. General Surgical Topics include the following:

• History of Surgery

• Molecular and Cell Biology

• Mediators of Inflammatory Response

• Regenerative Medicine

• Fluids and Electrolyte balance/ Acid - Base metabolism

• Wound Healing and Wound Management

• Pathophysiology and Management of Shock

• Principles of Operative Surgery: Asepsis, Sterilization and Antiseptics

• Surgical Infections and Antibiotics

• Nutrition and Metabolism

• Principles of Burn Management

• Principles of Oncology

• Principles of Laparoscopy, Endoscopy and Robotics

• Hemostasis, Blood Transfusion

• Trauma: Assessment of polytrauma, triage, basic and advanced trauma

• Basic Principles of Anesthesia

• Informed Consent and Medico legal Issues

• Pediatric Surgery

• Organ Transplantation

• Molecular Biology and Genetics

• Hernias: Types of hernias, repair techniques

• Breast Diseases: Benign breast disorders, investigations, screening, genetics, Breast Cancer

• Thyroid Disorders: Solitary nodule, investigations, multinodular goiter, Graves disease malignancies

• GIT Diseases

• Urogenital disease

• Cardio thoracic disease

• Hepatobilary disease

• Surgery in CNS disorder

• Diabetes and Renal failure in Surgery

• HIV AIDS in Surgery (Universal Safety precautions)

3. Imaging modalities in Surgery

• X-ray and Angiography

• MRI, Ultrasound, CT, PET, Etc.

• Image guided interventional procedures

PRE-OPERATIVE MANAGEMENT

Pre-operative Management

• Assessment of fitness for anesthesia and surgery.

• Tests of respiratory, cardiac and renal function.

• Management of associated medical conditions, e.g.: diabetes; respiratory disease, cardiovascular disease; malnutrition; anemia; steroid, anticoagulant,Immunosuppressant and other drug therapy.

• Nutritional Management

Infection

• Pathophysiology of the body's response to infection.

• The sources of surgical infection - prevention and control.

• Surgically important micro-organisms.

• Principles of asepsis and antisepsis.

• Surgical sepsis and its prevention.

• Aseptic techniques.

• Skin preparation.

• Antibiotic prophylaxis.

• Sterilisation.

• HIV

Investigative and Operative Procedures

• Excision of cysts and benign tumours of skin and subcutaneous tissue.

• Principles of techniques of biopsy.

• Suture and ligature materials.

• Drainage of superficial abscesses.

• Basic principles of bowel anastomosis.

Anesthesia

• Principles of anesthesia.

• Pre-medication and sedation.

• Local and regional anesthesia.

• Care and monitoring of the anaesthetized patient.

Theatre Problems

• Surgical technique and technology.

• Diathermy - principles and precautions.

• Lasers - principles and precautions.

• Explosion hazards relating to general anesthesia and endoscopic Surgery.

• Tourniquets - uses and precautions.

• Prevention of nerve and other injuries in the anaesthetized patient.

• Surgery in hepatitis and HIV carriers (special precautions).

• Disorders of coagulation and haemostasis (prophylaxis of thromboembolic disease).

PRE-OPERATIVE MANAGEMENT

Skin and Wounds

• Pathophysiology of wound healing.

• Classification of surgical wounds.

• Principles of wound healing.

• Incisions and their closure.

• Suture and ligature materials.

• Scars and contracture.

• Wound dehiscence.

• Dressings.

Fluid Balance

• Assessment and maintenance of fluid and electrolyte balance.

• Techniques of venous access.

• Nutritional support - indications, techniques, total parenteral nutrition.

Blood

• Disorders of coagulation and haemostasis.

• Blood transfusion - indications, hazards, complications, plasma substitutes.

• Haemolytic disorders of surgical importance.

• Haemorrhagic disorders; disorders of coagulation.

Post-operative Complications

• Post-operative complications - prevention, monitoring, recognition, management.

• Ventilatory support - indications.

Post-operative Sequelae

• Pain control

• Immune response to trauma, infections and tissue transplantation.

• Pathophysiology of the body's response to trauma.

• Surgery in the immuno-compromised patient.

TRAUMA

Initial Assessment and Resuscitation after Trauma

• Clinical assessment of the injured patient.

• Maintenance of airway and ventilation.

• Hemorrhage and shock. BLS,

• ATLS

Chest, Abdomen and Pelvis

• Cardio respiratory physiology as applied to trauma.

• Penetrating chest injuries and pneumothorax.

• Rib fractures and flail chest.

• Abdominal and pelvic injuries.

Central Nervous System Trauma

• Central nervous system: anatomy and physiology relevant to clinical examination of the central nervous system; understanding of its functional disorders particularly those caused by cranial or spinal trauma; and interpretation of special investigations.

• Intracranial hemorrhage.

• Head injuries, general principles of management.

• Surgical aspects of meningitis.

• Spinal cord injury and compression.

• Paraplegia and quadriplegia - principles of management.

Special Problems

• Pre-hospital care.

• Triage.

• Trauma scoring systems.

• Traumatic wounds - principles of management.

• Gunshot and blast wounds.

• Skin loss - grafts and flaps.

• Burns.

• Facial and orbital injuries.

Principles of Limb Injury

• Peripheral nervous system - anatomy and physiology.

• Fractures - pathophysiology of fracture healing.

• Non-union delayed union, complications.

• Principles of bone grafting.

• Traumatic edema, compartment and crush syndromes, fat embolism.

• Brachial plexus injury.

INTENSIVE CARE

Cardiovascular

• The surgical anatomy and applied physiology of the heart relevant to clinical cases.

• Physiology and pharmacological control of cardiac output, blood flow, blood pressure, and coronary circulation.

• Cardiac arrest, resuscitation.

• Monitoring of cardiac function in the critically ill patient, central venous pressure, pulmonary wedge pressure, tamponade, cardiac O/P measurements.

• The interpretation of special investigations.

• The management of hemorrhage and shock.

• Pulmonary edema.

• Cardiopulmonary bypass - general principles, cardiac support.

Respiratory

• The surgical anatomy of the airways, chest wall, diaphragm and thoracic viscera.

• The mechanics and control of respiration.

• The interpretation of special investigations; lung function tests, arterial blood gases, radiology.

• The understanding of disorders of respiratory function caused by trauma, acute surgical illness and surgical intervention.

• Respiratory failure.

• Complications of thoracic operations.

• Adult respiratory distress syndrome.

• Endotracheal intubation, laryngotomy, tracheostomy.

• Artificial ventilation.

Multisystem Failure

• Multisystem failure.

• Renal failure - diagnosis of renal failure, complications of renal failure.

• GI tract and hepatic failure.

• Nutrition.

Problems in Intensive Care

• Sepsis, predisposing factors, organisms causing septicemia.

• Complications of thoracic operations.

• Localized sepsis, pneumonia, lung abscess, bronchiectasis, empyema, mediastinitis.

Principles of ICU

• Indications for admission.

• Organization and staffing.

• Scoring.

• Costs.

NEOPLASIA: TECHNIQUES AND OUTCOME OF SURGERY Principles of Oncology

• Epidemiology of common neoplasms and tumour-like conditions; role of cancer registries.

• Clinico-pathological staging of cancer.

• Pathology, clinical features, diagnosis and principles of management of common cancers in each of the surgical specialties.

• Principles of cancer treatment by surgery, radiotherapy, chemotherapy, immunotherapy and hormone therapy.

• The principles of carcinogenesis and the pathogenesis of cancer relevant to the clinical features, special investigations,staging and the principles of treatment of the common cancers.

• Principles of molecular biology of cancer, carcinogenesis; genetic factors; mechanisms of metastasis.

• Tumor Biology and Tumor Markers

Cancer Screening and Treatment

• The surgical anatomy and applied physiology of the breast relevant to clinical examinations, the interpretation of special investigations, the understanding of disordered function and the principles of the surgical treatment of common disorders of the breast.

• The breast: acute infections; benign breast disorders; nipple discharge; mastalgia, Carcinoma of breast; mammography; investigation and treatment.

• Screening program

Techniques of Management

• Terminal care of cancer patients; pain relief.

• Rehabilitation.

• Psychological effects of surgery and bereavement.

Ethics and the Law

• Medical/legal ethics and medico-legal aspects of surgery.

• Communication with patients, relatives and colleagues.

Outcome of Surgery

• The evaluation of surgery and general topics.

• Decision-making in surgery.

• Clinical audit.

• Statistics and computing in surgery.

• Principles of research and design and analysis of clinical trials.

• Critical evaluation of innovations - technical and pharmaceutical.

• Health service management and economic aspects of surgical care.

LOCOMOTOR SYSTEM

Musculo-skeletal anatomy and physiology relevant to clinical examination of the locomotor system and to the understanding of disordered locomotor function, with emphasis on the effects of acute musculoskeletal trauma.

Effects of Trauma and Lower Limb

• Effects of acute musculo-skeletal trauma.

• Common fractures and joint injuries.

• Degenerative and rheumatoid arthritis (including principles of joint replacement).

• Common disorders of the lower limb

• Amputations and prosthesis.

Infections and Upper Limb

• Common soft tissue injuries and disorders.

• Infections of bones and joints (including implants and prostheses).

• Pain in the neck, shoulder and arm.

• Common disorders of the hand, including hand injuries and infections.

Bone Disease and Spine

• Common disorders of infancy and childhood.

• Low back pain and sciatica.

• Metabolic bone disease (osteoporosis, osteomalacia).

• Surgical aspects of paralytic disorders and nerve injuries.

VASCULAR

The surgical anatomy and applied physiology of blood vessels relevant to clinical examination, the interpretation of special investigations and the understanding of the role of surgery in the management of cardiovascular disease

Arterial Diseases

• Chronic obliterative arterial disease.

• Amputations.

• Aneurysms.

• Carotid disease.

• Special techniques used in the investigation of vascular disease.

• Limb ischaemia: acute and chronic; clinical features; gangrene; amputations for vascular disease.

• Principles of reconstructive arterial surgery.

• Atherosclerosis

• Principles of Angioplasty/stenting

• Amputations and prosthesis.

Infections and Upper Limb

• Common soft tissue injuries and disorders.

• Infections of bones and joints (including implants and prostheses).

• Pain in the neck, shoulder and arm.

• Common disorders of the hand, including hand injuries and infections.

Bone Disease and Spine

• Common disorders of infancy and childhood.

• Low back pain and sciatica.

• Metabolic bone disease (osteoporosis, osteomalacia).

• Surgical aspects of paralytic disorders and nerve injuries.

VASCULAR

The surgical anatomy and applied physiology of blood vessels relevant to clinical examination, the interpretation of special investigations and the understanding of the role of surgery in the management of cardiovascular disease

Arterial Diseases

• Chronic obliterative arterial disease.

• Amputations.

• Aneurysms.

• Carotid disease.

• Special techniques used in the investigation of vascular disease.

• Limb ischaemia: acute and chronic; clinical features; gangrene; amputations for vascular disease.

• Principles of reconstructive arterial surgery.

• Atherosclerosis

• Principles of Angioplasty/stenting

• Surgical aspects of auto-immune disease.

• The anatomy and physiology of the haemopoeitic and lymphoreticular systems.

• Surgical aspects of disordered haemopoiesis.

HEAD, NECK and ENDOCRINE

The surgical anatomy and applied physiology of the head and neck relevant to clinical examination, the interpretation of special investigations, the understanding of disorders of function, and the treatment of disease and injury involving the head and neck.

The Head

• Laryngeal disease; maintenance of airway; tracheostomy.

• Acute and chronic inflammatory disorders of the ear, nose, sinuses and throat.

• Intracranial complications.

• Foreign bodies in ear, nose and throat.

• Epistaxis.

• Salivary gland disease.

• The eye - trauma, common infections.

Neck and Endocrine Glands

The surgical anatomy and applied physiology of the endocrine glands relevant to clinical examination, the interpretation of special investigations, the understanding of disordered function and the principles of the surgical treatment of common disorders of the endocrine glands.

• Common neck swellings.

• Thyroid: role of surgery in diseases of the thyroid; complications of thyroidectomy; and the solitary thyroid nodule.

• Parathyroid; hyperparathyroidism; hypercalcaemia.

• Secondary hypertension.

• Pituitary Gland

• Adrenal cortex

• Adrenal medulla

• Gut as endocrine organ

• Endocrine pancreas and the management of:-

• Thyrotoxicosis

• Adrenal insufficiency

• Hyper/hypo thyroidism

• Carcinoid syndrome

• Counselling and screening in familial disease

• Anaesthetic and pharma-cological problems

• Radio-immuno assays

• Imaging techniques

• Histo/cyto pathology

Skin in Surgical Disorders

• Skin and Subcutaneous Tissue / soft tissue Paediatric Surgical Disorders

• Neonatal physiology: the special problems of anaesthesia and surgery in the newborn; and the principles of neonatal fluid and electrolyte balance.

• Correctable congenital abnormalities.

• Common paediatric surgical disorders: cleft lip and palate; pyloric stenosis; intussusception; hernia; maldescent of testis; torsion; and diseases of the foreskin.

• RIF pain

• Testicular pain

• Paediatric trauma

• Burns

• Intussusception

• Pyloric stenosis

• Hirschprung's disease

• Ano-rectal anomalies

• Tracheo-oesophageal fistula

• Spina bifida

• Congenital small bowel obstruction

• Intestinal malrotation

• Associated anomalies

• Paediatric oncology

• Management of less complex abdominal trauma

• Hydrocephalus

ABDOMEN

The surgical anatomy of the abdomen and its viscera and the applied physiology of the alimentary system relevant to clinical examination, the interpretation of common special investigations, the understanding of disorders of function, and the treatment of abdominal disease and injury.

Abdominal Wall

• Anatomy of the groin, groin and other ventral hernias, acute and elective; clinical features of hernias; complications of hernias.

• Anterior abdominal wall, anatomy, incisions, laparoscopic access.

Acute Abdominal Conditions

• Peritonitis; intra-abdominal abscesses.

• Common acute abdominal emergencies.

• Intestinal obstruction; paralytic ileus.

• Intestinal fistulae.

• Investigation of abdominal pain.

• Investigation of abdominal masses.

• Gynaecological causes of acute abdominal pain.

• Pelvic inflammatory disease.

• Assessment of the acute abdomen

• Appendicitis and right iliac fossa pain

• Peritonitis

• Acute intestinal obstruction

• Intestinal pseudo-obstruction

• Biliary tract emergencies

• Acute pancreatitis

• Strangulated hernia

• Intestinal ischaemia

• Swallowed foreign bodies

• Gastrointestinal bleeding

• Toxic megacolon

• Superficial sepsis and abscesses

• Acute ano-rectal sepsis

• Ruptured aortic aneurysm

• Acute presentations of urological disease

• Acute presentations of gynaecological disease

• Sub-total colectomy

• Diagnostic laparoscopy

• Gastrectomy for bleeding

• Endoscopy for upper GI obstruction

• Laparotomy for perforated colon

• Suture of bleeding peptic ulcer

• Emergency cholecystectomy

• Exploration of scrotum for torsion

• Emergency hernia repair

• Laparotomy for abdominal

• Reduction of paraphimosis

• Laparotomy for small bowel injury

• Diagnostic peritoneal lavage

• Intestinal obstruction

• Splenic repair

• Hartmann's operation

• Operation for ruptured liver

• Pancreatic debridement

• Median sternotomy

Reconstructive Surgery

• Myocutaneous flaps

• Tissue expanders

• Breast reduction

Colorectal

• Therapeutic Endoscopy, colonoscopy

• Anterior resection of rectum

• AP resection of rectum

• Ileorectal anastomosis

• Panproctocolectomy

• Closure of Hartmann's

• Prolapse surgery

• Incontinence surgery

• Sphincter repair

• Recto-vaginal fistula

• Ileo-anal and colonic pouch

• Colo-anal anastomosis

• Operation for intestinal fistula

• Complex fistula-in-ano

• Posterior approach to rectum

• Block dissection of groin

• Operative cholangiography

• Laparoscopic suturing and knotting

• Nephrectomy

• Pyelo and ureterolithotomy

• Pyeloplasty

• Open prostatectomy

Laparotomy for acute abdomen

• Splenectomy

• Oesophageal dilatation

• Operations for upper GI bleeding

• Exploration of common bile duct

• Biliary bypass

• Formation of Roux-en-Y loop

• Oesophagectomy/total gastrectomy

• Pancreatectomy

• Liver resection

• Oesophagectomy

• Total and subtotal gastrectomy

• Heller's myotomy

• Long oesophageal myotomy

• Pharyngeal pouch

• Repair of biliary stricture

• Whipple's procedure

• Pancreatectomy (distal and total)

• Drainage of infected pancreatitis

• Drainage of pancreatic pseudo-cyst

• Liver injuries

• Hydatid disease

• Porto-systemic shunt

• Vascular suture/anastomosis

• Control of venous bleeding

• Balloon thrombo-embolectomy

• Fasciotomy

• Artenal injuries

• Vascular access for dialysis

Abdominal injury

• Assessment of the multiply injured patient

• Triage (major accidents)

• Battle triage and Field hospitals

• Initial management of head injuries.

• Closed abdominal injuries, especially splenic, hepatic and pancreatic injuries

• Closed chest injuries

• Stab and gunshot wounds

• Arterial injuries

• Injuries of the urinary tract

• Initial management of head injuries and interpretation of CT scans

• Initial management of severe burns

SMALL BOWEL AND COLORECTAL DISORDERS

• Neoplasms of large bowel

• Inflammatory bowel disease (inc.medical management)

• Diverticular disease

• Irritable bowel syndrome

• Haemorrhoids

• Anal fissure

• Rectal prolapse

• Acute appendicitis/RIF pain

• Intestinal obstruction

• Intestinal pseudo-obstruction

• Intestinal ischaemia

• Peritonitis

• Large bowel and rectal injuries

• Anal tumours

• Pelvic autonomic nerves

• Screening for colorectal cancer

• Genetics of colorectal cancer

• Place of radiotherapy and chemotherapy in treatment

• Anorectal physiology

• Anorectal ultrasound

• Faecal incontinence

• Chronic constipation

• Intestinal fistulae

• Colonic bleeding

• Radiation enterocolitis

• Other small bowel conditions

• Colonic obstruction

• Colonic perforation

• The use of staplers

LAPAROSCOPIC SURGERY AND MINIMAL ACCESS SURGERY

• Laparoscopic anatomy of the abdomen

• Diagnostic laparoscopy

• Physiology of pneumo-peritoneum Dangers of pneumoperitoneum

• Principles of diathermy

• Informed consent for laparo-scopic procedures

• Pre and post operative management of laparoscopic cases

• Port complications

• Technology of video imaging, cameras, insufflator etc.

• The methods of manipulation of images

• Laparoscopic instruments, clips, staplers and port types

• Management of equipment failure

• Ultrasound interpretation, internal and external techniques

• Recognition and management of laparoscopic complications

• Use and dangers of diathermy

• Anaesthetic problems in laparoscopic surgery

• Medico-legal implications of video-endoscopic surgery

• Theory and pracice of choledocho-scopy

• Theory of different forms of diathermy

• Laparoscopic ultrasound

• Advanced instrumentation and equipment

• Endoscopic suturing devices

• Theory, uses and dangers of lasers and other energy sources e.g. harmonic scalpel

• Creation and maintenance of new endoscopic spaces

• Use of assistance robots and robotic instruments

TRANSPLANTATION with special reference to RENAL AND HEPATIC DISEASE

• Pathology of renal and hepatic disease

• Patho-physiology of renal and hepatic failure

• Peritoneal- and haemo-dialysis

• Management of fluid and electrolyte disorders

• Selection of patients for transplantation

• Post-operative management

• Immuno-pathology of rejection

• Management of rejection

• Immunosuppression

• Opportunist infections

• Immunosuppression and cancer

• Transmission of viral and fungal diseases

• Tissue typing

• The HLA system

• Bladder dysfunction

HEPATOPANCREATOBILIARY SURGERY

• Gallstones and complications

• Biliary stricture

• Obstructive Jaundice

• Neoplasms of the Liver, Biliary Tract and Pancreas

• Pancreatitis, acute and chronic, complications

• Liver injuries

• Portal Hypertension

• Hydatid disease

• ESRD and Liver transplatation

UPPER GI TRACT

• Neoplasms of the upper GI tract

• Management of perforations of the upper GI tract

• Management of intestinal obstruction

• Management of GI bleeding

• Oesophageal motility disorders

• Oesophageal Strictures

• Gastro-oesophageal reflux and its complications

• Peptic ulceration and its complications

• Radiation enteritis

• Abdominal trauma

• Principles of screening for cancer

• The use and limitations of multimodality treatment for upper GI cancer

• Oesophageal motility disorders

• Other small bowel conditions

• Principles of Small bowel resection

• Sutured and stapled anastomoses

• Genito Urinary Tract

• Urinary tract infection.

• Urinary Tract Obstruction

• Haematuria.

• Trauma to the urinary tract.

• Urinary calculi.

• Retention of urine.

• Urinary tract Neoplasm

• Disorders of prostate.

• Pain and swelling in the scrotum.

• Other Scrotal Lesions

• Testicular Neoplasm

NEUROSURGERY

• Cranial, spinal and peripheral nerve tumors

• Head Injury

• Spinal and peripheral nerve injuries

• Hydrocephalus

• Cerebrovascular Accidents

• Infections

• Recent advances

CARDIAC AND THORASIC SURGERY

• Myocardial revascularization

• Valvular Disorders

• Peripheral vascular disease

• Reno vascular disease

• Secondary Hypertension

• Inflammatory Lung Disease

• Chest Wall lesions

• Thoracic Neoplastic Disease

• Chest Trauma

• Pleural Diseases

ORTHOPEDICS

• Principles of Orthopedic Trauma

• Casts and braces

• Nerve injuries

• Hand Infections

• Principles of Traction

• Amputations

• Principles of Rehabilitation

• Congenital Lesions

• Bone and Joint Infections

OTHER AREAS

• Biostatistics, Research Methodology and Clinical Epidemiology

• Ethics

• Medico legal aspects relevant to the discipline

• Health Policy issues as may be applicable to the discipline

CLINICAL POSTINGS

1. Surgical Posting: Each candidate is posted in different surgical units soon after joining the course

2. Rotations in Specialty Departments are for a period of minimum 3-6 months & a maximum of one year. This is done after candidate has spent at least 1 year in learning basic ward work and surgical skills in the surgical unit.

The postgraduate student rotates through all the clinical units in the department. In addition, following special rotations are also undertaken:

Mandatory Postings

• Accident & Trauma: 1 month

• ICU: 1 month

Rotational Postings (Optional)

• Cardiothoracic Surgery/Thoracic Surgery: 6 weeks

• Neurosurgery: 6 weeks

• Surgical Gastroenterology: 6 weeks

• Surgical Oncology: 6 weeks

• Paediatric Surgery: 6 weeks

• Plastic Surgery: 6 weeks

• Genitourinary Surgery: 6 weeks

If the institution does not have these departments, they should have a local tie-up with a suitable hospital for imparting this training.

Career Options

After completing a DNB in General Surgery, candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from, including Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (General Surgery), Junior Consultant, Senior Consultant (General Surgery), Consultant General Surgery Specialist, etc.

Courses After DNB in General Surgery Course

DNB in General Surgery is a specialization course that can be pursued after finishing MBBS. After pursuing a specialization in DNB (General Surgery), a candidate could also pursue super specialization courses recognized by NMC, where DNB (General Surgery) is a feeder qualification.

MCh Plastic & Reconstructive Surgery, MCh Hepatopancreato Biliary Surgery, MCh SurgicalGastroenterology (GI Surgery), MCh Urology(Genito-Urinary Surgery), MCh Vascular Surgery/Cardio Vascular And Thoracic Surgery/Thoracic Surgery/Paediatric Cardio Thoracic Vascular Surgery, MCh Neuro Surgery, MCh Endocrine Surgery, MCh Paediatric Surgery, MCh Surgical Oncology, MCh Head And Neck Surgery, MCh Hand Surgery are the courses that require DNB (General Surgery) as a feeder qualification.

Frequently Asked Questions (FAQs) – DNB in General Surgery Course

Question: What is a DNB in General Surgery?

Answer: DNB General Surgery or Diplomate of National Board in General Surgery also known as DNB in General Surgery is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.

Question: Is DNB in General Surgery equivalent to MD in General Surgery?

Answer: DNB in General Surgery is equivalent to MD in General Surgery, the list of recognized qualifications awarded by NBE in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

Question: What is the duration of a DNB in General Surgery?

Answer: DNB in General Surgery is a postgraduate programme of three years.

Question: What is the eligibility of a DNB in General Surgery?

Answer: Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (now NMC).

Question: What is the scope of a DNB in General Surgery?

Answer: DNB in General Surgery offers candidates various employment opportunities and career prospects.

Question: What is the average salary for an DNB in General Surgery postgraduate candidate?

Answer: The DNB in General Surgery candidate's average salary is between Rs. 10,00,000 - Rs. 30,00,000 per year depending on the experience.

Question: Are DNB General Surgery and MD General Surgery equivalent for pursuing teaching jobs?

Answer: The Diplomate of National Board in broad-speciality qualifications and super speciality qualifications when granted in a medical institution with attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.