MCh Vascular Surgery: Admissions, medical colleges, fees, eligibility criteria details

Published On 2023-02-18 11:33 GMT | Update On 2023-04-13 09:25 GMT

MCh Vascular Surgery or Master of Chirurgiae in Vascular Surgery also known as MCh in Vascular 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 focuses on comprehensive diagnostic and therapeutic services for patients with...

Vascular surgeons manage diseases of the veins and arteries in every part of the body except the brain and the heart.

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 Sri Jayadeva Institute of Cardiology, Bangalore, M S Ramaiah Medical College, Bangalore, Sree Chitra Thirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, and many more.

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 (Vascular Surgery) varies from college to college and may range from Rs.40,000 to Rs 1,27,000 per year in government colleges and for private colleges from Rs.2,07,000 to Rs.29,00,000 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 25 lakhs to Rs. 55 lakhs per annum.

What is MCh in Vascular Surgery?

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

Vascular Surgery is the branch of medical science dealing with the study of diseases of the vascular system or arteries, veins, and lymphatic circulation are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction.

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

The Competency-Based Postgraduate Training Programme governs the education and training of MChs in Vascular 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 Vascular Surgery would 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 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 Vascular Surgery

Name of Course	MCh in Vascular 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	Government colleges range from Rs.40,000 to Rs 1,27,000 per year Private colleges range from Rs.2,07,000 to Rs.29,00,000/- per year
Average Salary	Rs 25 lakhs to Rs.55 lakhs per annum

Eligibility Criteria

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

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

Note:

· The feeder qualification for MCh Vascular Surgery is MS/DNB (General Surgery) 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 Vascular Surgery. Candidates can view the complete admission process for MCh in Vascular 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 specialty.
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 specialty subjects shall be required to appear in the question paper of the respective group if they are willing to opt for a super specialty course in any of the super specialty courses covered in that group.
A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate specialty 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 counseling only for those super specialty subjects covered in the said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for MCh in Vascular 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 Vascular Surgery may range from Rs.40,000 to Rs 1,27,000 per year in government colleges and for private colleges from Rs.2,07,000 to Rs.29,00,000 per year.

Colleges offering MCh in Vascular Surgery

Various medical colleges across India offer courses for pursuing MCh in (Vascular Surgery).

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

Sl.No.	Course Name	Select a State	Name and Address of Medical College / Medical Institution	Annual Intake (Seats)
1	M.Ch - Vascular Surgery	Karnataka	Sri Jayadeva Institute of Cardiology, Bangalore	2
2	M.Ch - Vascular Surgery	Karnataka	M S Ramaiah Medical College, Bangalore	5
3	M.Ch - Vascular Surgery	Kerala	Sree Chitra Thirunal Institute for Medical Science and Technology, Thiruvananthapuram	1
4	M.Ch - Vascular Surgery	Tamil Nadu	Saveetha Medical College and Hospital, Kanchipuram	2
5	M.Ch - Vascular Surgery	Tamil Nadu	Sri Ramachandra Medical College & Research Institute, Chennai	2
6	M.Ch - Vascular Surgery	Tamil Nadu	Madras Medical College, Chennai	6
7	M.Ch - Vascular Surgery	Tamil Nadu	Thanjavur Medical College,Thanjavur	2
8	M.Ch - Vascular Surgery	Tamil Nadu	Madurai Medical College, Madurai	2
9	M.Ch - Vascular Surgery	Tamil Nadu	Christian Medical College, Vellore	2
10	M.Ch - Vascular Surgery	Tamil Nadu	Stanley Medical College, Chennai	2

Syllabus

An MCh in Vascular Surgery is a three years specialization course that provides training in the stream of Vascular Surgery.

The course content for MCh in Vascular 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 In Vascular Surgery

Subject-specific theoretical competencies

I. Cognitive domain

1. To impart training in theory and practices in Vascular Surgery.

2. To conduct monthly symposia on a chosen topic

3. To take part in weekly journal clubs and have interactive sessions

Postgraduate Trainee pursuing M.Ch. The vascular Surgery course is expected to have in-depth knowledge of the following subject topics under the Cognitive Domain.

A. Applied Basic Sciences

1. Embryology of the Vascular System

2. Molecular Biology

3. Physiology and pathophysiology of blood vessels

4. Hemodynamics and Atherosclerosis

5. Peptide growth factors

6. Endothelial cells

7. Vascular smooth muscle cells

8. Macrophages

9. Platelets

10. Response of the arterial wall to injury and Intimal Hyperplasia

11. Atherosclerosis: Theories of etiology and pathogenesis

12. Histopathologic features of non-arteriosclerotic diseases of the Aorta and arteries

13. Regulation of Vasomotor tone and Vasospasm

14. Venous system of the Lower extremities: Physiology and pathophysiology

15. Structure and function of the Lymphatic system

16. Diabetic vascular disease

17. Plasma Lipoproteins and Vascular disease

18. Cigarette smoking and Vascular diseases

19. Coagulation and disorders of Hemostasis

20. Blood rheology and the microcirculation

21. Drugs in Vascular disease

22. Scientific basis for Balloon Angioplasty

23. Basic principles underlying the function of Endovascular devices

24. Vascular grafts

25. Statistics for the Vascular Surgeon

B. Clinical Competencies- Knowledge of the subject

1. Aneurysmal disease a. Aneurysm involving the aortic arch

b. Descending thoracic and thoracoabdominal aorta

c. Abdominal aorta

d. Peripheral arterial

2. Peripheral vascular occlusive disease

3. Renal artery disease

4. Visceral ischemia

5. Carotid artery disease

6. Innominate, subclavian, and vertebrobasilar arterial disease

7. Thoracic outlet syndrome

8. Acute arterial occlusion

9. Complications of vascular therapy

10. Management of vascular trauma

11. Venous thrombo-embolic disease, chronic venous insufficiency

12. Diagnostic techniques

13. Vascular grafts

14. Endovascular therapy in the management of peripheral vascular disease

15. Endovascular therapy for aneurismal disease

a. Basic evaluation and concepts of Endovascular Aneurysm Repair

b. Techniques and specifications at various aortic avenues

c. Complications, long-term surveillance of Endovascular repair of Aneurysms

16. Risk stratification and risk factors

17. Coagulation disorders, anticoagulants, antiplatelets

18. Miscellaneous vasculogenic problems

19. Diagnosis and management of Non- atherosclerotic vasculogenic problems

20. Arteriovenous malformations and arteriovenous fistulae

21. Varicose vein Endovenous laser /RF ablation for varicose veins – concepts & Techniques

21. Vascular access

22. Diabetic foot problems

23. Lymphodema

24. Sympathectomy

25. Amputation

26. Tissue engineering - current status, For example, Aneurysmal disease of the Aorta exemplifies a classic prototype disease entity in vascular surgery.

A. Aetiopathogenesis

1. To describe aortic architecture and functions.

2. To describe hemodynamic changes at the major bifurcation and Laplaces law

3. To describe the role of aging and atherosclerosis in aortic enlargement

4. To describe the role of inflammation and proteases in aneurysm formation

5. To describe the differences between Marfan disease and Ehlers-Danlo syndrome

B. Diagnostic evaluation

1. To understand the incidence and prevalence of aneurysmal disease according to age

2. To understand the natural history of abdominal aortic aneurysm

3. To understand the genetic distribution of the disease

4. To understand the role of ultrasound, angiography, CT, and MRI in screening and planning surgery

C. Treatment

1. To understand the indications for surgical repair and factors that contribute to surgical decision making

2. To understand the technical aspects of aortic aneurysm repair and surgical options and alternatives 3. To describe the surgical management of complex aortic aneurysms (including horseshoe kidneys, aortocaval, and gastroduodenal fistula)

4. To know both the immediate and long-term outcomes of surgery for aortic aneurismal disease (including the symptomatic, asymptomatic, thoracoabdominal, extrarenal, and infrarenal)

5. To describe the management and prevention of surgical complications including spinal cord ischemia, distal embolization, myocardial infarction, and graft infection.

6. To understand endovascular repair-its indications, techniques, and limitations

II. Affective Domain

The student:

1. Should be able to function as a part of a team, develop an attitude of cooperation with colleagues, and interact with the patient and the clinician or other colleagues to provide the best possible diagnosis or opinion.

2. Always adopt ethical principles and maintain proper etiquette in dealings with patients, relatives, and other health personnel and respect the rights of the patient including the right to information and second opinion.

3. Develop communication skills to word reports and professional opinions as well as to interact with patients, relatives, peers, and paramedical staff, and for effective teaching.

III. Psychomotor domain - Subject-specific practical competencies

The postgraduate student should acquire the following practical competencies:

1. To expose the trainee to diagnose and work-up outpatient cases.

2. To plan and prepare inpatients for major surgical procedures.

3. To conduct interactive ward rounds and to assess the trainee about clinical skills

4. Objective in the operating room is to infuse confidence and impart surgical skills in a graded manner.

5. The first-year postgraduate student would be exposed to operate on minor surgical procedures.

6. The second and third-year postgraduate students would be trained to assist critical procedures and finally to independently operate major procedures under the supervision of the Senior Professor/faculty.

7. To recognize early signs of untoward events in clinical practice and the operating room in particular.

8. Writing research articles

9. Training in research methodology, medical ethics, and medico-legal aspects Exposure to vascular and endovascular procedures: Candidates shall be familiarized with the indexed and complex open as well as endovascular procedures performed in their parent institutions or at centers of excellence for two months during the period of their training (LATTER OPTIONAL).

Following procedures are mentioned, although, from center to center, clinical practice and case volume would vary.

1. Embolectomy

2. Femoropopliteal bypass

3. Aorto-femoral bypass

4. Femoro-distal bypass

5. Aorto-renal bypass

6. Aorto-visceral bypass

7. Repair of abdominal aortic aneurysm & thoracoabdominal aortic aneurysm

8. Repair of popliteal artery aneurysm

9. Carotid endarterectomy and surgery for Carotid diseases

10. Decompression of thoracic outlet syndrome

11. AV access surgery/transplant surgery

12. Repair of arteries and veins (Trauma)

13. Extra-anatomic bypass

14. Thrombectomy/ Re-do procedures.

15. Surgical and non-surgical management of Varicose veins

16. Angioplasty with or without stenting of FP, Iliac, aortic stenosis

17. Carotid artery stenting

18. Iliac vein stenting

19. Endovascular repair of AAA (abdominal aortic aneurysm), thoracic aortic aneurysm, peripheral aneurysms

20. Catheter Directed Thrombolysis (CDT)

Minimum number of procedures to be performed by Senior Residents in 3 years

(The numbers given below are optional and variable. Concerned teachers need to make sure that their residents perform an adequate number of procedures taking into account patient safety and the complexity of the procedure)

1. AV Fistula: 30

2. Exposure of peripheral arteries: 30

3. Embolectomy: 3

4. femoropopliteal / Aorto-Femoral graft: 5

5. Abdominal Aortic aneurysm: 3

6. Carotid Endarterectomy: 3

7. Peripheral arterial aneurysms: 2

8. Hybrid / Endovascular Aortic Aneurysm Repair: 2

9. Vascular graft anastomosis: 5

10. Thoracotomy (to facilitate exposure of 5 Descending Thoracic Aorta)

11. Saphenous vein harvest 20

12. Femoral /Aortic Cannulation 5

Career Options

After completing an MCh in Vascular 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 (Vascular Surgeon), Junior Consultant, Senior Consultant (Vascular Surgeon), Assistant Professor and Associate Professor (Vascular Surgery).

Courses After MCh in Vascular Surgery Course

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

These include:

Fellowship in Vascular and Endovascular Surgery.
Post-Doctoral Fellowship in Cerebrovascular Surgery.
Post-Doctoral Fellowship in Peripheral Vascular and Aortic Interventions.

Frequently Asked Questions (FAQs) –MCh in Vascular Surgery Course

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 Vascular Surgery?

Answer: MCh Vascular Surgery or Master of Chirurgiae in Vascular Surgery also known as MCh in Vascular Surgery is a super specialty 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 Vascular Surgery?

Answer: MCh in Vascular Surgery is a super specialty program of three years.

Question: What is the eligibility of an MCh in Vascular 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 Vascular Surgery?

Answer: MCh in Vascular Surgery offers candidates various employment opportunities and career prospects

Question: What is the average salary for an MCh in Vascular Surgery candidate?

Answer: The MCh in Vascular Surgery candidate's average salary is between Rs. 25 lakhs to Rs. 55 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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Nitisha Kalia

Nitisha is a final-year medical student. She joined Medical Dialogues in 2022. She wants to pursue healthcare management after she graduates from med school.

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MCh Vascular Surgery: Admissions, medical colleges, fees, eligibility criteria details

Admission Process

Fees Structure

Frequently Asked Questions (FAQs) –MCh in Vascular Surgery Course

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