MCh Plastic and Reconstructive Surgery: Admissions, Medical colleges, fees, eligibility criteria details

Published On 2023-03-12 12:30 GMT | Update On 2023-12-16 10:21 GMT

MCh Plastic and Reconstructive surgery or Master of Chirurgiae in Plastic and Reconstructive surgery also known as MCh in Plastic and Reconstructive surgery is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years, and it deals with the...

The course is a full-time course pursued at various recognized medical colleges across the country. Some of the top medical colleges offering this course include All India Institute Of Medical Sciences, New Delhi, Vardhman Mahavir Medical College And Safdarjung Hospital, Delhi, and All Institute Of Medical Sciences, Raipur, Chattisgarh.

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

The fee for pursuing MCh (Plastic and Reconstructive Surgery) varies from college to college and may range from Rs.7,000 to Rs 23,00,000 per annum.

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 15 lakhs to Rs. 51 lakhs per annum.

What is MCh in Plastic and Reconstructive Surgery?

Master of Chirurgiae in Plastic and Reconstructive Surgery, also known as MCh (Plastic and Reconstructive Surgery) or MCh in (Plastic and Reconstructive Surgery) is a three-year super specialty program that candidates can pursue after completing a postgraduate degree.

Plastic and Reconstructive surgery is the branch of medical science dealing with the repair, reconstruction, or replacement of physical defects of the form or function of human body parts. Usually, plastic surgery comprises different types of surgeries such as Microsurgery and Hand surgery.

National Medical Commission (NMC), the apex medical regulator, has released a Guidelines for Competency-Based Postgraduate Training Programme for MCh in Plastic and Reconstructive Surgery.

The Competency-Based Postgraduate Training Programme governs the education and training of MCh in Plastic and Reconstructive Surgery.

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 Plastic and Reconstructive 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 specialty.

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 MCh in Plastic and Reconstructive Surgery.

Name of Course	MCh in Plastic and Reconstructive Surgery
Level	Doctorate
Duration of Course	Three years
Course Mode	Full Time
Minimum Academic Requirement	Candidates must have a postgraduate medical Degree in MS/DNB (General Surgery) obtained 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
Admission Process / Entrance Process / Entrance Modalities	Entrance Exam (NEET-SS) INI CET for various AIIMS, PGIMER Chandigarh, JIPMER Puducherry, NIMHANS Bengaluru Counseling by DGHS/MCC/State Authorities
Course Fees	Rs. 7,000 to Rs. 23,00,000 per annum
Average Salary	Rs 15 lakhs to Rs.51 lakhs per annum

Eligibility Criteria

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

Name of Super Specialty course	Course Type	Prior Eligibility Requirement
Plastic and Reconstructive Surgery	MCh	MS/DNB (General Surgery)

Note:

· The feeder qualification for MCh Plastic and Reconstructive surgery is defined by the NBE and is subject to changes by the NBE.

· The feeder qualification mentioned here is as of 2022.

· For any changes, please refer to the NBE website.

The prior entry qualifications shall be strictly by 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 MCh in Plastic and Reconstructive Surgery. Candidates can view the complete admission process for MCh in Plastic and Reconstructive Surgery mentioned below:

The NEET-SS or National Eligibility Entrance Test for Super specialty courses is a national-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 for the examination, a candidate shall be eligible to exercise his/her choices in the counselling only for those super speciality subjects covered in the said group for which his/ her broad speciality is an eligible feeder qualification.

Fees Structure

The fee structure for MCh in Plastic and Reconstructive surgery varies from college to college. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for MCh in Plastic and Reconstructive Surgery is from Rs.7,000 to Rs.23,00,000 per annum.

Colleges offering MCh in Plastic and Reconstructive Surgery

Various medical colleges across India offer courses for pursuing MCh in (Plastic and Reconstructive Surgery).

As per National Medical Commission (NMC) website, the following medical colleges are offering MCh in (Plastic and Reconstructive Surgery) courses for the academic year 2022-23.

Sl.No.	Course Name	State	Name and Address of Medical College / Medical Institution	Annual Intake (Seats)
1	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Andhra Pradesh	Rangaraya Medical College, Kakinada	1
2	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Andhra Pradesh	Andhra Medical College, Visakhapatnam	2
3	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Assam	Gauhati Medical College, Guwahati	3
4	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Bihar	Patna Medical College, Patna	8
5	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Chandigarh	Postgraduate Institute of Medical Education & Research, Chandigarh	10
6	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Chattisgarh	All India Institute of Medical Sciences, Raipur	2
7	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Delhi	Vardhman Mahavir Medical College & Safdarjung Hospital, Delhi	10
8	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Delhi	All India Institute of Medical Sciences, New Delhi	15
9	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Delhi	Atal Bihari Vajpayee Institute of Medical Sciences and Dr RML Hospital, New Delhi	4
10	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Gujarat	Medical College, Baroda	2
11	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Gujarat	B J Medical College, Ahmedabad	4
12	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Gujarat	Smt. N.H.L.Municipal Medical College, Ahmedabad	4
13	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Gujarat	MP Shah Medical College, Jamnagar	1
14	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Gujarat	SBKS Medical Instt. & Research Centre, Vadodra	1
15	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Haryana	Pt. B D Sharma Postgraduate Institute of Medical Sciences, Rohtak (Haryana)	1
16	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Jammu & Kashmir	Sher-I-Kashmir Instt. Of Medical Sciences, Srinagar	2
17	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	St. Johns Medical College, Bangalore	2
18	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	Bangalore Medical College and Research Institute, Bangalore	4
19	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	S S Institute of Medical Sciences& Research Centre, Davangere	2
20	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	Rajarajeswari Medical College & Hospital, Bangalore	2
21	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	A J Institute of Medical Sciences & Research Centre, Mangalore	4
22	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	Vydehi Institute Of Medical Sciences & Research Centre, Bangalore	2
23	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	Jawaharlal Nehru Medical College, Belgaum	4
24	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Karnataka	M S Ramaiah Medical College, Bangalore	4
25	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Kerala	Government Medical College, Kozhikode, Calicut	2
26	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Kerala	Medical College, Thiruvananthapuram	2
27	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Kerala	Government Medical College, Kottayam	2
28	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Kerala	Amrita School of Medicine, Elamkara, Kochi	2
29	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Madhya Pradesh	All India Institute of Medical Sciences, Bhopal	4
30	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Topiwala National Medical College, Mumbai	4
31	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Seth GS Medical College, and KEM Hospital, Mumbai	4
32	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Lokmanya Tilak Municipal Medical College, Sion, Mumbai	4
33	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Government Medical College, Nagpur	2
34	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	N. K. P. Salve Instt. of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur	1
35	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Armed Forces Medical College, Pune	3
36	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Padmashree Dr. D.Y.Patil Medical College, Navi Mumbai	2
37	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Grant Medical College, Mumbai	4
38	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Tata Memorial centre, Mumbai	4
39	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Maharashtra	Mahatma Gandhi Missions Medical College, Aurangabad	1
40	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Manipur	Regional Institute of Medical Sciences, Imphal	1
41	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Orissa	SCB Medical College, Cuttack	3
42	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Pondicherry	Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry	2
43	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Pondicherry	Pondicherry Institute of Medical Sciences & Research, Pondicherry	1
44	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Punjab	Dayanand Medical College & Hospital, Ludhiana	2
45	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Punjab	Government Medical College, Patiala
46	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Punjab	Christian Medical College, Ludhiana	2
47	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Rajasthan	SMS Medical College, Jaipur	8
48	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Rajasthan	Mahatma Gandhi Medical College and Hospital, Sitapur, Jaipur	4
49	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Kilpauk Medical College, Chennai	6
50	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Madurai Medical College, Madurai	4
51	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Madras Medical College, Chennai	8
52	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Stanley Medical College, Chennai	6
53	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Coimbatore Medical College, Coimbatore	2
54	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Chengalpattu Medical College, Chengalpattu	4
55	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Sri Ramachandra Medical College & Research Institute, Chennai	2
56	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Christian Medical College, Vellore	4
57	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	Thanjavur Medical College,Thanjavur	3
58	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Tamil Nadu	SRM Medical College Hospital & Research Centre, Chengalpattu	1
59	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Telangana	Gandhi Medical College, Secunderabad	4
60	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Telangana	Osmania Medical College, Hyderabad	8
61	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Telangana	Nizams Institute of Medical Sciences, Hyderabad	4
62	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Telangana	Deccan College of Medical Sciences, Hyderabad	1
63	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Uttarakhand	All India Institute of Medical Sciences, Rishikesh	18
64	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Uttar Pradesh	Institute of Medical Sciences, BHU, Varanasi	4
65	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Uttar Pradesh	King George Medical University, Lucknow	4
66	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	Uttar Pradesh	Jawaharlal Nehru Medical College, Aligarh	4
67	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	West Bengal	Institute of Postgraduate Medical Education & Research, Kolkata	8
68	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	West Bengal	Govt. Medical College, Kolkata	4
69	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	West Bengal	Nilratan Sircar Medical College, Kolkata	1
70	M.Ch - Plastic Surgery/Plastic & Reconstructive Surgery	West Bengal	RG Kar Medical College, Kolkata	4

Syllabus

MCh in Plastic and Reconstructive Surgery is a three years specialization course that provides training in the stream of Plastic and Reconstructive Surgery.

The course content for MCh in Plastic and Reconstructive Surgery is given in the Competency-Based Postgraduate Training Programme released by National Medical Commission, which can be assessed through the link mentioned below:

NMC Guidelines For Competency Based Training Programme For MCh Plastic and Reconstructive Surgery

COURSE CONTENT:

The M.Ch. Plastic and Reconstructive Surgery course will include

Aesthetic, Hand Surgery and Burn Care in its syllabus.

1. General Plastic Surgery

2. Microvascular surgery, Brachial plexus and Peripheral nerve surgery

3. Burns and postburn deformity

4. Craniofacial, Cleft and Paediatric Plastic Surgery

5. Head and Neck Surgery

6. Breast

7. Hand and Upper Extremity

8. Trunk and Lower Extremity

9. Aesthetic Surgery and medicine

10. Reconstructive Surgery of External Genitalia and intersex disorders

11. Sex reassignment

12. Peripheral vascular surgery

13. Maxillofacial surgery, trauma and reconstruction

1. General Plastic Surgery

A. General Principles

1.1 History and development of plastic surgery in India and across the world

1.2 The scope of plastic surgery

1.3 Evidence Based Medicine and research in plastic surgery

1.4 Medico legal issues in plastic surgery practice

1.5 Liability issues in plastic surgery, legal & insurance perspective

1.6 Documentation, Record keeping and consent.

1.7 Patient safety issues in plastic surgery

1.8 Psychological aspects of plastic surgery

1.9 Ethics in plastic surgery

1.10 Photography in plastic surgery.

1.11 Information technology relevant to plastic surgery.

B. Basic principles and techniques

2.1 Wound: Definition, classification and implications

2.2 Wound healing-normal and abnormal.

2.3Wound management - Mechanical and pharmacological dressing

techniques. Negative pressure wound therapy & other techniques.

2.4 Scar biology and management

2.5 Keloid, hypertrophic scars- prevention and management

2.6 Unstable scar and scar contracture.

2.7 Anatomy and functions of skin

2.8 Viscoelastic Properties of Skin

2.9 Infective conditions of skin

2.10 Benign and malignant skin and soft tissue tumours

2.11 Radiation and Radiation Injuries

2.12 Principles of tissue reconstruction

2.13 Skin grafts

2.14 Blood supply to skin, cutaneous circulation and vascular basis of

flaps.

2.15 Flaps: Classification, variations and applications

2.16 Flap pathophysiology and pharmacology

2.15 Grafts – fat, fascia, tendon, nerve, cartilage, bone, composite tissue

2.16 Principles of Cancer Management

2.17 Lymphedema: Pathophysiology and management

2.18 Principles of microvascular surgery and technique

2.19 Nosocomial infections

2.20 Principles of genetics and general approach to the management of

congenital malformations.

2.21 Vascular anomalies: Pathophysiology and management

2.22 Foetal surgery

2.23 Local anaesthesia, nerve blocks, regional anaesthesia

2.24 Principles of anaesthesia for infants, adults, hypothermia,

hypotensive anaesthesia.

2.25 Pain management

2.26 Plastic Surgical instrumentation: General principles.

C. Technology applications

3.1 Technological innovations

3.2 Laser and energy device applications

3.3 Tissue expansion- principles and application

3.4 Distraction Histogenesis

3.5 Endoscopy in Plastic Surgery

3.6 Robotics

3.7 Simulations

3.8. 3.D printing technology & applications

3.9 Suture materials, Implants and Biomaterials in plastic surgery

3.10 Transplantation biology, techniques and applications

3.11 Regenerative medicine, cell therapy & stem cells

3.12 Tissue Engineering applications in plastic surgery

3.13 Telemedicine in plastic surgery

3.14 Information and Digital Technology for Plastic surgeon

3.15 Teaching tools and methods in plastic surgery

3.16. Training modules for plastic surgery trainees.

2. Microvascular surgery, Brachial plexus and Peripheral nerve surgery

A. Microvascular surgery

1. Instrumentation in Microsurgery

2. Basic Principles of free-flap surgery

3. Fundamental principles

3.1 Fundamental Principles of microvascular surgery

3.2. Pre-operative planning for microsurgery

3.3. Factors affecting outcome of microvascular flap surgery

3.4. Anatomy of angiosomes and perforators

4. Replantation and revascularization

5. Recent advances in microsurgery

6. Terminologies in Microsurgery.

B. Peripheral Nerve surgery

1. Types of Nerve injury

2. Diagnosis and management of peripheral nerve lesions/injuries

3. Compression neuropathies- upper and lower limb

4. Topographic anatomy of various peripheral nerves.

C. Brachial plexus Surgery

1. Anatomy of the Brachial Plexus

2. Mechanism of Brachial Plexus Injury

3. Examination, Investigations and Diagnosis of Brachial Plexus Injury

4. Management of neonatal brachial plexus injury

5. Management of adult Brachial Plexus injury

6. Management of Chronic Brachial Plexus injury.

D. Microlymphatic surgery

1. Lymphedema pathophysiology

2. Assessment of lymphedema

3. Medical Management of Lymphedema

4. Surgical management of Lymphedema

5. Microlymphatic surgery.

E. Composite Tissue Allotransplantation

1. Principles and regulations of Composite Tissue Allotransplant

2. Recent developments in Hand transplant

3. Face transplant.

F. Video microsurgery

G. Robotic microsurgery

H. Tubal recanalization and Vaso-vasostomy

I. Arteriovenous Fistula

3. Burns

1 History of acute burns injuries & management

2 Multidisciplinary burn team

3 Prevention of burns

4 Burn management in disasters and humanitarian crisis

5 Pathophysiology of acute burns

6 Systemic Inflammatory Response e Syndrome (SIRS)

7 Early burn care

8 Fluid management in acute burns

9 Inhalation burns

10 Management of the burn wound

11 Skin and skin substitutes

12 Nutrition in Burns

13 Burn wound infection and treatment

14 Sepsis in burns

15 Multiorgan Dysfunction Syndrome (MODS)

16 Anaesthesia for a burned patient

17 Biomarkers in Burn care

18 Electrical burns

19 Chemical burns

20 Facial burns

20 Hand burns

21 Feet burns

22 Paediatric burns

24 Geriatric burns

25 Burns in pregnancy

26 Management of Pain in burns

27 Psychiatric and psychological considerations in burns

28 Burn rehabilitation

29 Post burns scars

29 Post burns contractures

30 Post burn facial deformities

31 Skin bank

32 Role of allografts in burns

33. Skin substitutes

34. Organizing a burn unit.

4. Craniofacial Cleft and Paediatric Plastic Surgery

1 General

1.1. Embryology and anatomy of craniofacial complex.

1.2. Growth and development changes in face, anatomy of facial skeleton.

1.3. Structure and development of teeth and Dentofacial anomalies.

1.4 Harvesting of bone grafts (including cranial bone).

2 Craniofacial anomalies

2.1. Principles of craniofacial surgery.

2.2. Craniofacial clefts. Tessier’s clefts classification.

2.3. Craniosynostosis - syndromic and non-syndromic

2.4. Hypertelorism.

2.5. Craniofacial microsomia.

2.6. Craniofacial distraction.

2.7. Hemifacial atrophy.

2.8. Treacher-Collins Syndrome.

2.9. Pierre Robin sequence.

2.10. Other craniofacial syndromes, e.g.- Binders syndrome etc.

2.11 Distraction osteogenesis

2.12 Distractors and craniofacial fixation devices.

3 Cleft Lip and Palate

3.1. Embryology of head and neck.

3.2. Embryogenesis of cleft lip and palate.

3.3. History and evolution of techniques in Cleft surgery.

3.4. Classification of Clefts

3.5. Unilateral Cleft lip

3.6. Bilateral Cleft lip

3.7. Cleft Palate

3.8. Alveolar Clefts

3.9. Secondary deformity correction in clefts

3.10. Management of palatal fistula

3.11. Flaps in clefts- Abbe flap, Tongue flap, buccal flaps, free flaps etc.

3.12. Secondary cleft nose correction

3.13. Orthodontics in Cleft lip and Palate.

3.14. Midface skeletal evaluation and corrections and Orthognathic

surgery

3.15 Distraction in Clefts.

3.16. Velopharyngeal incompetence.

3.17. Speech therapy in cleft lip and palate.

3.18. Middle ear management in Cleft palate

3.19. Antenatal diagnosis and management.

4 Maxillofacial Trauma

4.1. Dentofacial anatomy, occlusions, various terminologies.

4.2. ATLS protocols.

4.3. Management of Airway and acute care.

4.4. Evaluation of injuries, imaging, principles of treatment.

4.5. General principles of facial soft tissue injury repair.

4.6. Management of soft tissue injuries of specific regions of the face.

4.7. Facial nerve injuries and management.

4.8. Restoration of anatomical subunits of face.

4.9. Incisions to access the craniofacial skeleton.

4.10. Access osteotomies to the skull base.

4.11. Skeletal Fractures –Principles and management

4.12. Fracture Mandible and condyle fractures.

4.13. Midface fractures: maxilla, nasal bone, NOE complex

4.14. Naso-Orbito-Ethmoid injuries.

4.15. Nasal bone fractures.

4.16. Frontal bone fractures.

4.17. Zygomatic complex fractures.

4.18. Management of Panfacial injuries.

4.19. Management of dento-alveolar injuries.

4.20. Fracture reduction and different modalities of skeletal stabilization;

AO principles.

4.21. Primary and secondary bone grafting of the facial skeleton.

4.22. Avulsion injuries of face.

4.23. Gunshot injuries of face.

4.24. Paediatric Facial fractures.

4.25. Management of facial fractures in elderly and edentulous jaw.

5 Maxillofacial Disorders

5.1. Temporomandibular joint: Ankylosis, Hypermobility, dislocation.

5.2. Temporomandibular joint pain, dysfunctions.

5.3. T. M Joint Reconstruction.

5.4. Obstructive sleep apnoea – Evaluation, planning and management.

5.5. Principles of osteointegration and Implantology.

5.6. Craniofacial and Maxillofacial Prosthetics.

5.7. Craniofacial Implants and retained prosthesis.

5.8. Radiological imaging

5. Head and Neck Surgery

A Head and Neck Tumors

1 Benign and Malignant tumors of Head and Neck.

2 Tumors of oral cavity, oropharynx and Mandible.

3 Jaw tumours, lesions and cyst.

4 Principles of Reconstruction

4.1 Principles of reconstruction of Cancer of upper Aerodigestive system

4.2 Reconstruction of the Mandible and Maxilla

6 Tumors of skin

6.1 Benign skin tumours of the Head and neck

6.2 Malignant skin tumours of the Head and Neck

7 Paediatric head and neck tumours.

B Head and Neck reconstruction by region

1 Reconstruction of Scalp and Calvarium

2 Reconstruction of the Nose

3 Reconstruction of the Eyelids and Orbit

4 Reconstruction of external ear

5 Reconstruction of the Lip and commissure

6 Cheek reconstruction

7 Tongue reconstruction

8 Reconstruction of pharynx and oesophagus

C Principles Skull Base Surgery

D Vascular malformations of head and neck

E Infections of the Head & Neck

1 Infection of the Cervical spaces

2 Ludwig's angina

3 Post Hansen's deformities of the face

4 Cancrum oris/ Mucor mycosis

6. Breast

1 Diagnosis of Breast Cancer

2 Oncoplastic Surgery

3 Management of Carcinoma Breast

4 Nipple and Areola Reconstruction

5 Congenital Anomalies of The Breast

6 Tuberous Breast

7 Poland's Syndrome

8 Fat Grafting in The Breast

9 Reduction Mammoplasty

10 Mastopexy

11 Augmentation Mammoplasty and Breast Implants

12 Anaplastic Large Cell Lymphoma and Breast Implants (ALCL)

13 Gynaecomastia.

7. Hand and Upper Extremity

1 Regional anatomy and principles

1.1 Functional anatomy of hand

1.2 Biomechanics of the Hand

1.3 Regional anaesthesia in upper limb surgeries

1.4 Examination of hand and upper limb

1.5 Diagnostic imaging of hand and upper extremity

2 Traumatic disorders of the hand

2.1 Fingertip and nail injuries

2.2 Anatomy of the skeleton of the hand and fractures of the hand and wrist

2.3 Flexor tendon injuries of the Upper Limb

2.4 Extensor tendon of the Upper Limb

2.5 Mutilating injuries of the Upper extremity

2.6 Amputation and Prothesis

2.7 Thumb reconstruction

2.8 Acute nerve injuries and repair

2.9 Compartment syndrome of the Upper limb

2.10 Paediatric upper extremity trauma and reconstruction.

3 Non-traumatic disorders of upper extremities

3.1 Infections of hand

3.2 Dupytrens disease

3.3 Rheumatoid arthritis of the Hand

3.4 Compression neuropathies of upper extremity

3.5 Hand ischemia and Volkmann’s ischemic contracture

3.6 Complex Regional Pain Syndrome

3.7 Tumors of the upper limb.

4. Congenital disorders of hand and upper extremities

4.1 Embryology, classification and principles.

4.2 Common congenital hand anomalies.

4.3 Vascular anomalies of upper extremity.

5 Miscellaneous

5.1 Comprehensive management of burned hand.

5.2 Occupational hand disorders

5.3 Management of the stiff hand

5.4 Management of the Spastic hand

5.5 Management of upper extremity in tetraplegia.

5.6 Hand therapy.

8. Trunk and Lower Extremity

1 Lower Extremity

1.1 Comprehensive Lower Extremity Anatomy

1.2 Management of Lower Extremity Trauma

1.3 Lower Extremity Sarcoma Reconstruction

1.4 Reconstructive Surgery: Lower Extremity Coverage/Composite reconstruction

1.5 Diagnosis and Treatment of Painful Neuroma and of nerve compression in the lower extremity

1.6 Lower Extremity Composite Reconstruction

1.7 Foot Reconstruction.

2 Trunk Reconstruction

2.1 Comprehensive Trunk Anatomy

2.2 Reconstruction of chest

2.3 Reconstruction of the soft Tissues of the back

2.4 Abdominal Wall reconstruction.

3 Reconstruction of Genitalia

3.1 Reconstruction of Male Genitalia

3.2 Reconstruction of acquired vaginal defects

3.3 Gender identity disorders and disorders of sex development.

4 Pressure Sores

5 Perineal Reconstruction

9. Aesthetic Surgery

1. Aesthetic surgery practice

1.1. Setting up an aesthetic surgery practice

1.2. Preoperative analysis and surgical Planning in aesthetic surgery

1.3. Psychological assessment & specialist referrals

1.4. Obtaining informed consent and patient counselling

1.5. Clinical photography, documentation and record keeping

1.6. Dealing with complications and unsatisfied patients

1.7. Communication and team building

1.8. Ethics and medico-legal aspects of aesthetic surgery

1.9. Anaesthesia for aesthetic surgery: general and regional nerve blocks

1.10. Care and maintenance of instruments sterilization and infection control practices.

2. Age-related changes & rejuvenation

A. Facial ageing

2.1. Anatomy of the face relevant to aesthetic surgery and injectables

(soft tissues and skeletal)

2.2. Ageing of the face- skin, soft tissues and skeleton.

B. Facial rejuvenation

2.3. Non-surgical skin care and rejuvenation topicals and cosmeceuticals

2.4. Cutaneous resurfacing - chemical peel, surgical dermabrasion

2.5. Regenerative medicine: platelet-rich plasma, mesenchymal stem cells and their aesthetic applications

2.6. Laser: physics, tissue interactions and various clinical applications

2.7. Other energy-based devices: radio-frequency and ultrasound: their application in skin tightening and body contouring.

2.8. Forehead lift: endoscopic and surgical

2.9. Brow lift

2.10. Blepharoplasty: upper and lower

2.11. Oriental blepharoplasty

2.12. Secondary blepharoplasty

2.13. Thread lifts: science, indications, technique complications

2.14. Various facelift techniques: minimal access cranial suspension

(macs) subcutaneous lift, Smas-platysma plication, extended

Smas, subperiosteal lift

2.15. Secondary deformities from facelift surgery.

3. Aesthetic skeletal surgery

3.1. Facial skeleton: male and female. Age-related changes in the facial skeleton

3.2. Facial skeletal augmentation: bone graft and implants

3.3. Facial masculinisation and feminisation surgeries

3.4. Anthropometry, cephalometry, orthognathic surgery.

4. Soft tissue fillers

4.1. Chemical composition and application of soft tissue fillers

4.2. Temporary, semi-permanent, permanent fillers vascular and other

complications of fillers.

5. Botulinum toxin

5.1. Botulinum toxin: science, indications, techniques, complications.

6. Incisions and scars

6.1. Resting skin tension lines and their relation to incision placement

and scar revision.

6.2. Non-surgical management of incisions and scars

6.3. Surgical management of scars of the face and other regions.

7. Rhinoplasty

7.1. Nasal anatomy, physiology and assessments

7.2. Rhinoplasty: aesthetic and functional, open and closed, reduction

and augmentation

7.3. Structural and preservation rhinoplasty

7.4. Tip-plasty

7.5. The deviated/ crooked nose and cleft rhinoplasty

7.6. The septum in rhinoplasty

7.7. Secondary rhinoplasty.

8. Lip

8.1. Augmentation

8.2. Reduction

9. Fat grafting

9.1. Structural fat grafting: principles, extraction, preparation &

injection techniques. Micro, milli & nano fat grafting. indications

and complications.

9.2. Autologous fat grafting: biology, volumetric & non-volumetric

effects of fat grafts

9.3. Platelet rich plasma, platelet rich fibrin, nano- fat grafting.

10. Liposuction

10.1 Principles and composition of various wetting solutions & safety issues

10.2 preoperative planning, postoperative care

10.3. Lipo-structuring- concept, applications, 7 techniques- power assisted liposuction (PAL), ultrasound assisted liposuction (UAL), laser assisted liposuction, cryo-lipolysis

10.4. High definition lipostructuring

10.5. Face liposuction and lipolysis

10.6. Axillary contouring and axillary breast management

10.7. Gynaecomastia correction

10.8. Recent techniques- Vaser, radio frequency, j plasma skin tightening

10.9. Large volume liposuction.

11. Body contouring surgeries

11.1 Obesity & massive weight loss (MWL) and post bariatric surgery weight loss

11.2 Management of high BMI patients

11.3. Body and limb contouring procedures: Brachioplasty, belt lipectomy, lower body lift, upper body lift, thigh plasty, buttock lift: assessment, indications, techniques & complications.

12. Abdominoplasty

12.1 anatomy and blood supply

12.2. Standard abdominoplasty & variants

12.3. High tension lateral abdominoplasty, mini abdominoplasty,

extended lipo-abdominoplasty

12.4. Neo-umbilicoplasty

12.5. Correction of divaricated recti, ventral hernia, mesh repair.

13. Implants and augmentation

13.1. Implant biology

13.2. Buttock augmentation, calf augmentation.

14. Aesthetic genital surgery: male & female

14.1. Anatomy & embryology

14.2 Analysis and planning, anatomical and functional corrections

14.3 Penile, scrotal, vaginal, vulval, mons pubis surgical procedures.

15. Hair restoration

15.1 Scalp anatomy and pathology biology of the hair follicle from the

surgical perspective

15.2 Patterns of hair loss

15.3 Tools for evaluation of hair quality- TrichoScan, densitometry etc.

15.4. Management protocols for alopecia. Medical restoration

15.5. Various techniques of the restoration including strip harvest (FUT), (FUE)

15.6 Body hair transplant (non-scalp donor harvest)

15.7 Surgical correction of baldness

15.8 Eyebrow, moustache, beard hair transplantation.

16. Other aesthetic procedures

16.1. Aesthetic jewellery piercing

16.2. Cheek dimple creation

16.3. Buccal fat pad removal

16.4. Ear lobe: repair, augmentation, reduction.

Career Options

After completing an MCh in Plastic and Reconstructive 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 which include Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector, the options include Resident Doctor, Consultant, Visiting Consultant, Junior Consultant (Plastic and Reconstructive Surgery), Senior Consultant (Plastic and Reconstructive Surgery), Assistant Professor (Plastic and Reconstructive Surgery), Associate Professor (Plastic and Reconstructive Surgery).

Courses After MCh in Plastic and Reconstructive Surgery

MCh in Plastic and Reconstructive Surgery is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing a specialization in MCh in Plastic and Reconstructive Surgery, a candidate could also pursue certificate courses and Fellowship programs recognized by NMC and NBE, where MCh in Plastic and Reconstructive Surgery is a feeder qualification.

These include fellowships in:

· Fellowship in Hand and Reconstructive Microsurgery

· FNB in Hand and Microsurgery

Frequently Asked Questions (FAQs) –MCh in Plastic and Reconstructive Surgery

Question: What is the full form of an MCh?

Answer: The full form of an MCh is Master of Chirurgiae.

Question: What is an MCh in Plastic and Reconstructive Surgery?

Answer: MCh Plastic and reconstructive surgery or Master of Chirurgiae in Plastic and Reconstructive surgery also known as MCh in Plastic and Reconstructive surgery is a super speciality level course for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of an MCh in Plastic and Reconstructive Surgery?

Answer: MCh in Plastic and Reconstructive surgery is a super specialty program of three years.

Question: What is the eligibility of an MCh in Plastic and Reconstructive Surgery?

Answer: The candidate must have a postgraduate medical Degree in MS/DNB (General Surgery) obtained 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 an MCh in Plastic and Reconstructive Surgery?

Answer: MCh in Plastic and Reconstructive Surgery offers candidates various employment opportunities and career prospects.

Question: What is the average salary for an MCh in Plastic and Reconstructive surgery candidate?

Answer: The MCh in Plastic and Reconstructive surgery candidate’s average salary is between Rs. 15 lakhs to Rs. 51 lakhs per annum depending on the experience.

Question: Can you teach after completing an MCh Course?

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

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Rishika Verma

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