DrNB Surgical Gastroenterology: Admissions, Medical Colleges, Eligibility Criteria, fee details here

DrNB Surgical Gastroenterology or Doctorate of National Board in Surgical Gastroenterology also known as DrNB in Surgical Gastroenterology is a super speciality level course for doctors in India that they do after completion of their postgraduate medical degree course. The duration of this super speciality course is 3 years, and it deals with the diagnosis and treatment of diseases related to the Gastrointestinal (GI) tract.

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 include Army Hospital, (R and R) Delhi Cantt., New Delhi, Sir Ganga Ram Hospital, New Delhi and more.

Admission to this course is done through the NEET-SS 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 DrNB (Surgical Gastroenterology) varies from accredited institute/hospital to hospital and may range from Rs.1,05,000 to Rs.1,45,000 per year.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programs recognized by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants, etc. with an approximate salary range of Rs. 4 lakh to Rs. 51 lakh per annum.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialities. The list of recognized qualifications awarded by the Board in various broad and super specialities 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 inbroad-specialty qualifications and super specialty qualifications whengranted 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 correspondingpostgraduate qualification and the super-specialty qualification granted underthe Act, but in all other cases, senior residency in a medical college for anadditional period of one year shall be required for such qualification to beequivalent for the purposes of teaching also.

What is DrNB in Surgical Gastroenterology?

Doctorate of National Board in Surgical Gastroenterology, also known as DrNB (Surgical Gastroenterology) or DrNB in (SurgicalGastroenterology) is a three-year super speciality program that candidates can pursue after completing a postgraduate degree.

Surgical Gastroenterology is the branch of medical science dealing with the study of diagnosis and treatment of diseases related to the Gastrointestinal (GI) tract.

The National Board of Examinations (NBE) has released a curriculum for DrNB in SurgicalGastroenterology.

The curriculum governs the education and training of DrNB in Surgical Gastroenterology.

The postgraduate students must gain ample knowledge and experience in the diagnosis, and treatment of patients with acute, serious, and life-threatening medical and surgical diseases.

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 Surgical Gastroenterologywould help the specialist to recognize the health needs of the community. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

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 DrNB in Surgical Gastroenterology

Eligibility Criteria

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

Note:

• The prior entry qualifications shall be strictly in accordance with Post Graduate Medical Education Regulations, 2000, and its amendments notified by the NMC and any clarification issued from NMC in this regard.
• The candidate must have obtained permanent registration with any State Medical Council to be eligible for admission.
• The medical college's recognition cut-off dates for the Postgraduate Degree courses shall be as prescribed by the medical council of India (now NMC).

Admission Process

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

• The NEET-SS or National Eligibility Entrance Test for Super speciality courses is an anational-level master's level examination conducted by the NBE for admission to DM/MCh/DrNB Courses.
• Qualifying Criteria-Candidates placed at the 50th percentile or above shall be declared as qualified in the NEET-SS in their respective speciality.
• The following Medical institutions are not covered under centralized admissions for DM/MCh courses through NEET-SS:

1. AIIMS, New Delhi and other AIIMS

2. PGIMER, Chandigarh

3. JIPMER, Puducherry

4. NIMHANS, Bengaluru

• Candidates from all eligible feeder speciality subjects shall be required to appear in the question paper of the respective group if they are willing to opt for a super speciality course in any of the super speciality courses covered in that group.
• A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate speciality qualification is an eligible feeder qualification.
• By appearing in the question paper of a group and on qualifying the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those superspecialty subjects covered in the said group for which his/ her broad speciality is an eligible feeder qualification.

Fees Structure

The fee structure for DrNB in Surgical Gastroenterology 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 DrNB in Surgical Gastroenterology is around Rs.1,05,000 to Rs.1,45,000 per year.

Colleges offering DrNB in Surgical Gastroenterology

There are various accredited institutes/hospitals across India that offer courses for pursuing DrNB in Surgical Gastroenterology.

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

Syllabus

A DrNB in Surgical Gastroenterology is a three years specialization course that provides training in the stream of Surgical Gastroenterology.

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

Each candidate is expected to acquire a thorough knowledge of the organs of the GI tract as regards anatomy, physiology, pathology of various diseases congenital/ acquired/ traumatic vascular/ neoplastic and their detailed principles of management both medical and surgical. For the management of malignant diseases, the candidates are supposed to be acquainted with general oncological principles, various investigative approaches and different modalities of adjuvant treatment employed (e.g. chemotherapy, radiotherapy, immunotherapy etc.).

Approach to a Patient of Digestive Disease

Gastrointestinal Imaging

Infections and Antibiotics in Gastrointestinal Surgery

Nuclear Medicine Imaging in Gastrointestinal Diseases and GI Oncology

Radiation Therapy

Minimal Access Surgery in GI Surgery and GI Oncology

Chemotherapy Principles and Techniques for Gastrointestinal Cancers

Nutritional Support to Hospitalized Patients

Research Methodology, Data Science Management and Statistics for Surgeons

Interventional Radiology of the Gastrointestinal Tract and Hepatobiliary System

Climate change affecting surgical patients – heat wave mortality, Allergies, air pollution and surgical outcomes.

Concept of Green Operation Theatres and Green hospital environment and its impact on the Clinicians and patient health.

1. Basic Sciences and Principles of Surgical Gastroenterology and Gi Oncology

a. Anatomy - Gross and histological anatomy of the abdomen .and its contents including entire GI tract, Liver (including segmental anatomy), Biliary tract, Pancreas, spleen, portal and Hepatic venous system.

b. Physiology - Normal function of GI tract and related organs including endocrine functions of gut and pancreas. Physiological basis of various tests to study these functions

c. Pharmacology of drugs used in GI surgical disorders e.g. to control acid secretion in the management of ulcerative colitis and immunosuppressive drugs.

d. Fluid -electrolyte and acid base disturbance- general aspects, imbalance in GI surgical patient's physiological responses to volume and osmolality abnormalities, interpretation of blood gas analysis, maintenance and replacement therapy.

e. Nutritional considerations in GI surgical patients. - nutrient stores and body compositions, nutrient requirements, malnutrition, evaluation of nutritional status., nutritional therapy, enteral and parenteral therapy and complications of these.

f. Wound healing- Principles, Phases, types of healing, influencing factors on wound healing, wound dehiscence and management. • Principles and disorders of hemostasis.

g. Immunology in GI surgery. Especially in relation to organ transplantation and GI Oncology

2. Esophagus

a. Anatomical detail, physiology of swallowing, esophageal manometry, pH monitoring, endoscopic ultrasound and other diagnostic techniques, brush cytology, vital staining, contrast imaging and CT scan,

b. Congenital lesions (TOF), Zenker's diverticulum, epiphrenic diverticulum, esophageal trauma, rupture-spontaneous or iatrogenic, corrosive burn detection, evaluation and management, oesophagal motility disorders

c. Gastroesophageal reflux disease, achalasia. Barrett's oesophagus, esophageal cancer- adeno & squamous, various oesophagal operations- diverticulectomy, excision of leiomyoma, esophagostomy, myotomy, fundoplication, oesophagal resection (Ivor-Lewis, McKeown, Trans-Hiatal, thoracoscopic)

d. Cervical exploration, oesophagogastrostomy, gastric pull-up, gastric and colonic bypass, complications of oesophagectomy, management of chylothorax.

3. Stomach and Duodenum

a. Anatomical details, physiology of gastric secretions, gastroduodenal motility, diaphragmatic hernia (congenital and acquired), volvulus, pyloric stenosis in children and adults, foreign bodies (bezoars), stomach trauma,

b. H.Pylori in gastric diseases, peptic ulcer, Zollinger-Ellison syndrome, NUD

c. Gastric tumours benign and malignant, gastric surgery-vagotomy pyloric drainage gastrojejunostomy

d. Bariatric gastric tube creation, Roux-en-Y oesophagal-jejunal anastomosis, post gastrectomy syndromes and complications

4. Biliary System

a. Detailed anatomy, bile physiology, enterohepatic circulation, acute cholecystitis, chronic cholecystitis, acalculous cholecystitis, gall stones- pathogenesis and presentation

b. CBD stones CBD stricture, cholangitis, sphincter of Oddi (SOD) dysfunction and biliary dyskinesia, cholecystopathies, post-cholecystectomy syndromes, choledochal cyst, polyps of GB, carcinoma of the gall bladder, cholangiocarcinoma, parasitic infestations of the biliary tree, cholecystectomy-open and laparoscopic

c. CBD exploration and drainage, biliary bypass radical cholecystectomy, choledochal cyst excision, primary sclerosing cholangitis endoscopic biliary interventions and stenting hemobilia.

5. Liver Segmental

a. Anatomy in detail, liver function and tests, liver regeneration, liver failure diagnosis and management, liver abscess cysts, benign and malignant tumours (HOC, intrahepatic cholangiocarcinoma, hemangioma, FNH adenoma), cirrhosis, PBC, viral hepatitis, radiological imaging modalities (US, CECT, Lipiodol CT, Dynamic CT, MR imaging and radionuclide scanning), percutaneous trans hepatic biliary drainage and cholangiography.

b. Liver biopsy, portal hypertension (cirrhotic and non-cirrhotic causes), hepatic venous outflow obstruction, Shunt surgery (Proximal lienorenal shunt, cavoatrial, mesocaval, portocaval-side to side), splenectomy and devascularisation, liver resecting-anatomic and non-anatomic, liver trauma, hepaticojejunostomy, seg III bypass, Orthotropic liver transplantation, liver-related transplantation, Caroli's disease, hemobilia.

6. Liver Transplantation

a. History of Liver Transplantation

b. Liver Transplantation in India

c. Indications and Contraindications for Liver Transplantation

d. Organ Preservation in Liver Transplant

e. Anesthetic Management in Liver Transplantation

f. Immunology of Liver Transplantation

g. Pediatric Liver Transplant

h. Liver Transplantation in Acute Liver Failure

i. Deceased Donor Liver Transplantation

j. Living Related Liver Transplantation

k. Complications in Living Donor Liver Transplantation

7. Pancreas

a. Anatomy, physiology, pancreatic ductal anomalies, acute pancreatitis, chronic pancreatitis calcific, tropical and alcoholic; endocrine tumours, exocrine tumours of the pancreas, pancreatic malignancies, cystic neoplasms; pseudocysts of the pancreas, haemosuccuspancreaticus.

b. Pancreatic operations: Pancreatic nerosectomy, pseudocysto gastrostomy/jejunostomy, pylorus-preserving pancreatoduodenectomy, duodenum preserving pancreatic head resections (Frey's, Beger's), distal pancreatectomy, regional pancreatectomy, total pancreatectomy, lateral pancreaticojejunostomy, Whipple's, pancreatic transplantation.

8. Peritoneum

a. Omentum, Retroperitoneum Recesses, reflections, subdiaphragmatic spaces, peritonitis

b. Primary secondary and tertiary, tuberculosis, mesenteric cyst, pseudomyxomaperitonei, ascites (diagnosis, investigation and management), retroperitoneal tumors, inguinal hernia, ventral hernias, peritoneoscopy

9. Spleen

a. Anatomy, splenic function, haemolytic anaemias, splenomegaly hypersplenism, splenic trauma, cysts and granulomas, physiological effects of splenectomy, OPSI, splenic vein thrombosis, splenic artery aneurysms, splenectomy, splenic preservation.

10. Small Intestine

a. Mesenteric vascular anatomy, intestinal physiology, Ladd's band, malrotation, volvulus, hernia, intestinal obstruction, ileocaecal TB, lymphoma, Benign and malignant tumors of small intestine,

b. Meckel's diverticulum, intussusception, small bowel gangrene, intestinal resections, lengthening and transplantation, mesenteric ischaemia, short gut syndrome, small bowel fistulae,

c. Crohn's and other inflammatory bowel diseases enteral feeding, home/parenteral nutrition.

11. Colon, Rectum and Anal Canal

a. Anatomy, physiology. colonic motility, physiology of defecation and anal continence; Hirschsprung's disease, anorectal malformations, rectal prolapse, SRUS, pseudo-obstruction (Ogilvie syndrome), descending perineum syndrome, anismus and constipation, anal incontinence;

b. Haemorrhoids, fissure, fistulae and anal stricture; polyps and other benign tumours hereditary and familial polyposis syndrome, ulcerative colitis and Crohn's amoebic colitis, ischemic colitis, diverticulitis, lower GI haemorrhage, carcinoma of the colon, rectum, anal canal

c. Operations- APR, anterior resections, segmental colectomies, pelvic exenterations, colostomy, ureterosigmoidostomy, hemicolectomies, urinary diversions, surgery for anal incontinence, rectal prolapse and complex fistulae, restorative proctocolectomy and ileoanal pouch anastomosis

12. General Topics

a. Tumour genetics- oncogenes, tumour markers, Systemic Inflammatory Response Syndrome (SIRS), multiple organ dysfunction syndrome (MODS), immunology in relation to transplantation and rejection, intensive care and respiratory support,

b. Surgical nutrition- parenteral and enteral, iatrogenic complications of surgery like enterocutaneous fistulae, biliary strictures, intrabdominal sepsis/collections, AIDS, hepatitis and surgeons, renal failure, shock, disorders of coagulation, Surgery for morbid obesity

13. Miscellaneous

a. Variceal Upper Gastrointestinal Bleeding Management of Nonvariceal Hemorrhage

b. Approach to the Management of Lower Gastrointestinal Hemorrhage

c. Bariatric and Metabolic Surgery

d. Robotics in Gastrointestinal Surgery

e. Tumor Markers in Gastrointestinal Malignancy Chylous Ascites

f. Acute Postoperative Pain and its Management in Major Abdominal Surgeries

g. Telemedicine: Principles and the Surgery for Portal Hypertension

h. System-based approach and

i. Role of Disease Management Groups (DMG) or Multi-Disciplinary Teams (MDT) for GI Oncology and Chronic GI disorders

14. Liver Transplant Programme

Each resident is expected to be conversant with the Departmental protocols (viz. recipient selection and workup, pre-transplant evaluation, Indian brain death law, brain dead donor management - before and during retrieval, donor harvesting procedure, recipient management - operative and post-transplant care and follow-up).

a. Biostatistics, Data management, Research Methodology and Clinical Epidemiology

b. Ethics

c. Medico-legal aspects relevant to the discipline

d. Health Policy issues as may be applicable to the discipline

15. Competencies

a. Perform basic endoscopic procedures

b. Perform elective and emergency complex gastrointestinal surgery such as portosystemic shunts, pancreata-duodenectomies, esophageal resections, Gastro Intestinal Cancers etc., and have exposure to laparoscopic and minimally invasive surgery

c. Proficient preoperative workup and post-operative care of the surgical patient, including invasive monitoring

16. Ethical Principles

a. Follow-up high standards of ethical practice

b. Respect the patient's rights and privileges, his/her right to information and

c. the right to seek a second opinion.

d. Be able to work as a member of a team and also provide leadership where necessary

Career Options

After completing a DrNB in Surgical Gastroenterology, 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 which include Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Surgical Gastroenterology), Junior Consultant, Senior Consultant (Surgical Gastroenterology), etc.

Courses After DrNBin Surgical Gastroenterology Course

DrNB in Surgical Gastroenterology is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing a specialization in DrNB in Surgical Gastroenterology, a candidate could also pursue certificate courses and fellowship programs recognized by NMC and NBE, where DrNB in Surgical Gastroenterology is a feeder qualification.

Frequently Asked Questions (FAQs) – DrNB in Surgical Gastroenterology Course

Question: What is the full form of DrNB?

Answer: The full form of DrNB is a Doctorate of National Board.

Question: What is a DrNB in Surgical Gastroenterology?

Answer: DrNB Surgical Gastroenterology or Doctorate of National Board in Surgical Gastroenterology also known as DrNB in Surgical Gastroenterology is a super speciality level course for doctors in India that they do after completion of their postgraduate medical degree course.

Question: What is the duration of a DrNB in Surgical Gastroenterology?

Answer: DrNB in Surgical Gastroenterology is a super speciality program of three years.

Question: What is the eligibility of a DrNB in Surgical Gastroenterology?

Answer: The candidate must have MS/DNB in General Surgery from any college/university recognized by the Medical Council of India (Now NMC)/NBE. This feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Question: What is the scope of a DrNB in Surgical Gastroenterology?

Answer: DrNB in Surgical Gastroenterology offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DrNB in Surgical Gastroenterology candidate?

Answer: The DrNB in Surgical Gastroenterology candidate's average salary is between Rs. 4 lakh to Rs. 51 lakh per annum depending on the experience.

Question: Can you teach after completing DrNB Course?

Answer: Yes, the candidate can teach in a medical college/hospital after completing the DrNB course.

Question: What is the difference between DrNB and DNB?

Answer: As of today, DrNB is a super-specialist qualification imparted by the NBE (SS level). Whereas DNB is a specialist qualification (PG level). Earlier DrNB used to be called DNB SS but now it is called DrNB.