MS General Surgery In India: Check Out Admission Process, Eligibility Criteria, Fees, Syllabus, Medical Colleges To Apply

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 S V Medical College (Tirupati), Gayathri Vidya Parishad Institute of Health Care & Medical Technology (Visakhapatnam), Kurnool Medical College (Kurnool), and more.

Admission to this course is done through the NEET PG 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 an MS in General Surgery varies from college to college. The average course fee is Rs 20K to 10 Lakh per annum.

After completion of their respective course, doctors can either join the job market or pursue a super-specialization course where MS General Surgery is a feeder qualification. Candidates can take reputed jobs as Senior residents, Junior Consultants, etc. with an approximate salary range of Rs 8 Lakh to 30 Lakh per annum.

What is MS in General Surgery?

Master of Surgery in General Surgery, also known as MS (General Surgery) is a three-year postgraduate program that candidates can pursue after completing MBBS.

General Surgery is a discipline that requires knowledge of and responsibility for the preoperative, operative, and postoperative management of patients with a broad spectrum of diseases, including those which may require nonoperative, elective, or emergency surgical treatment.

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

The Competency-Based Postgraduate Training Programme governs the education and training of MS 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 specialty.

The candidate should be a highly competent doctor 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 MS in General Surgery

Name of Course	MS 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
Admission Process / Entrance Process / Entrance Modalities	Entrance Exam (NEET PG) INI CET for various AIIMS, PGIMER Chandigarh, JIPMER Puducherry, NIMHANS Bengaluru Counseling by DGHS/MCC/State Authorities
Course Fees	Rs 20K to 10 Lakh per annum
Average Salary	Rs 8 Lakh to 30 Lakh per annum

Eligibility Criteria

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

1. Candidates must have an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (MCI).

2. 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).

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

4. 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).

Admission Process

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

1. 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 MS/MS/PG Diploma Courses.

2. The requirement of eligibility criteria for participation in counseling towards PG seat allotment conducted by the concerned counseling authority shall be instead 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

3. The following Medical institutions are not covered under centralized admissions for MS/MS seats through NEET- PG:

1. AIIMS, New Delhi, and other AIIMS

2. PGIMER, Chandigarh

3. JIPMER, Puducherry

4. NIMHANS, Bengaluru

Fees Structure

The fee structure for MS in General Surgery varies from college to college. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for MS in General Surgery is Rs 20K to 10 Lakh per annum.

Colleges offering MS in General Surgery

There are various medical colleges across India that offer courses for pursuing MS (General Surgery).

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

Syllabus

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

The course content for MS in General Surgery is given in the Competency-Based Postgraduate Training Programme released by National Medical Commission, which can be assessed on the link given below:

NMC Guidelines For Competency-Based Training Programme For MS General Surgery

Course Contents:

No limit can be fixed and no fixed number of topics can be prescribed as course contents. She/he is expected to know the subject in depth, however, emphasis should be on the diseases/health problems most prevalent in that area. Knowledge of recent advances and basic sciences as applicable to his/her specialty should get high priority. Competence in surgical skills commensurate with the specialty (actual hands - on training) must be ensured.

1. General topics:

A student should have fair knowledge of basic sciences (Anatomy, Physiology, Biochemistry, Microbiology, Pathology and Pharmacology) as applied to his specialty. Further, the student should acquire in-depth knowledge of his subject including recent advances and should be fully conversant with the bedside procedures (diagnostic and therapeutic) and having knowledge of latest diagnostics and therapeutics available.

1. History of medicine with special reference to ancient Indian texts

2. Health economics - basic terms, health insurance

3. Medical sociology, doctor-patient relationship, family adjustments in disease, organizational behavior, conflict resolution

4. Computers - record keeping, computer aided learning, virtual reality, robotics

5. Hazards in hospital and protection:

AIDS, hepatitis B, tuberculosis, radiation, psychological

6. Environment protection - bio-medical waste management

7. Surgical audit, evidence based surgical practice, quality assurance

8. Concept of essential drugs and rational use of drugs

9. Procurement of stores and material & personal management

10. Research methodology - library consultation, formulating research, selection of topic, writing thesis protocol, preparation of consent form from patients

11. Bio-medical statistics, clinical trials

12. Medical ethics

13. Consumer protection

14. Newer antibiotics

15. Problem of resistance.

16. Sepsis - SIRS

17. Nosocomial infection

18. Advances in imaging technologies

19. Disaster management, mass casualties, Triage

20. O.T. design, technologies, equipment

21. Critical care in surgical practice

22. Response to trauma

23. Wound healing

24. Fluid and electrolyte balance

25. Nutrition

26. Blood transfusion

27. Brain death

28. Cadaveric organ retrieval

1. Systemic Surgery

The student must acquire knowledge in the following important topics are but teaching should not be limited to these topics. A standard text-book may be followed, which will also identify the level of learning expected of the trainees.

• Wound healing including recent advances

• Asepsis, antisepsis, sterilization and universal precaution

• Surgical knots, sutures, drains, bandages and splints

• Surgical infections, causes of infections, prevention

• Common aerobic and anaerobic organisms and newer organisms causing infection including Helicobacter Pylori

• Tetanus, gas gangrene treatment & prevention

• Chronic specific infections TB, Filariasis

• Boils, cellulites, abscess, narcotizing fascitis and synergistic infection

• Antibiotic therapy rationale including antibiotic prophylaxis, misuse, abuse

• Hospital acquired nosocomial infection causes and prevention including MRSA etc.

• HIV, AIDS and Hepatitis B & C, Universal precautions when dealing with patients suffering from these diseases

• Fluid and electrolyte balance including acid – base disturbance, consequences,

interpretation of blood gas analysis data and management

• Rhabdomyolysis and prevention of renal failure

• Shock (septicaemic, hypovolaemic, Neurogenic, anaphylactic), etiology, pathophysiology and management

• Blood and blood components, transfusion indication, contraindication, mismatch and prevention and management of complications of massive blood transfusion

• Common preoperative preparation (detailed preoperative workup, risk assessment according to the disease and general condition of the patient as per ASA grade) and detailed postoperative complications following major and minor surgical procedures

• Surgical aspects of diabetes mellitus particularly management of diabetic foot and gangrene, preoperative control of diabetes, consequences of hypo- and hyper- glycaemia in a postoperative setting

• Consequences and management of bites and stings including snake, dog, human bites

• Mechanisms and management of missile, blast and gunshot injuries

• Organ transplantation: Basic principles including cadaver donation, related Human Organ Transplant Acts, ethical and medicolegal aspects.

• Nutritional support to surgical patients

• Common skin and subcutaneous condition

• Sinus and fistulae, pressure sores

• Acute arterial occlusion, diagnosis and initiate management

• Types of gangrene, Burger's disease and atherosclerosis

• Investigations in case of arterial obstruction, amputation, vascular injuries: basic principles and management

• Venous disorders: Varicose veins

• Diagnosis, principles of therapy, prevention of DVT: basic principles and management

• Lymphatic: Diagnosis and principles of management of lymphangitis and lymphedema

• Surgical management of Filariasis

• Burns: causes, prevention and management

• Wounds of scalp and its management

• Recognition, diagnosis and monitoring of patients with head injury, Glasgow coma scale

• Undergo advanced trauma and cardiac support course (certified) before appearing in final examination

• Recognition of acute cerebral compression, indication for referrals.

• Cleft lip and palate

• Leukoplakia, retention cysts, ulcers of tongue

• Oral malignancies

• Salivary gland neoplasms

• Branchial cyst, cystic hygroma

• Cervical lymphadenitis nonspecific and tuberculous, metastatic lymph nodes and lymphomas.

• Diagnosis and principles of management of goitre

• Thyroglossal cyst and fistula

• Thyrotoxicosis

• Thyroid neoplasms

• Management of solitary thyroid nodule

• Thoracic outlet syndrome

• Management of nipple discharge

• Breast abscess

• Clinical breast examination, breast self examination

• Screening and investigation of breast lump

• Concept of Single Stop Breast Clinic

• Cancer breast diagnosis, staging and multimodality management (common neoadjuvant and adjuvant and palliative chemotherapy protocols and indications of radiation and hormonal therapy, pathology and interpretation of Tumour Markers, breast cancer support groups and counseling)

• Recognition and treatment of pneumothorax, haemothorax

• Pulmonary embolism: Index of suspicion, prevention/recognition and treatment

• Flail chest, stove in chest

• Postoperative pulmonary complication

• Empyema thoracis

• Recognition of oesophgeal atresisa and principles of management

• Neoplasms of the lung including its prevention by tobacco control

• Cancer oesophagus: principles of management including importance of early detection and timely referral to specialist

• Achalasia cardia

• Gastro-esophageal reflux disease (GERD)

• Congenital hypertrophic pyloric stenosis

• Aetiopathogenesis, diagnosis and management of peptic ulcer including role of H. Pylori and its diagnosis and eradication

• Cancer stomach

• Signs and tests of liver dysfunction

• Amoebic liver abscess and its non-operative management

• Hydatid cyst and its medical and surgical management including laparoscopic management

• Portal hypertension, index of suspicion, symptoms and signs of liver failure and

timely referral to a specialist center

• Obstructive jaundice with emphasis on differentiating medical vs surgical Jaundice, algorithm of investigation, diagnosis and surgical treatment options

• Neoplasms of liver

• Rupture spleen

• Indications for splenectomy

• Clinical features, diagnosis, complications and principles of management of cholelithiasis and cholecystitis including laparoscopic cholecystectomy

• Management of bile duct stones including endoscopic, open and laparoscopic management

• Carcinoma gall bladder, incidental cancer gallbladder, index of suspicion and its staging and principles of management

• Choledochal cyst

• Acute pancreatitis both due to gallstones and alcohol

• Chronic pancreatitis

• Carcinoma pancreas

• Peritonitis: causes, recognition, diagnosis, complications and principles of management with knowledge of typhoid perforation, tuberculous peritonitis, postoperative peritonitis

• Abdominal pain types and causes with emphasis on diagnosing early intra- abdominal acute pathology requiring surgical intervention

• Intestinal amoebiasis and other worms manifestation (Ascariasis) and their surgical complications (Intestinal Obstruction, perforation, gastrointestinal bleeding, involvement of biliary tract)

• Abdominal tuberculosis both peritoneal and intestinal

• Intestinal obstruction

• Appendix: Diagnosis and management of acute appendicitis

• Appendicular lump and abscess

Colon

• Congenital disorders, Congenital megacolon

• Colitis infective / non infective

• Inflammatory bowel diseases

• Premalignant conditions of large bowel

• Ulcerative colitis

• Carcinoma colon

• Principles of management of types of colostomy

Rectum and Anal Canal:

• Congenital disorders, Anorectal anamolies

• Prolapse of rectum

• Carcinoma rectum

• Anal Canal: surgical anatomy, features and management of fissures, fistula - in – ano.

• Perianal and ischiorectal abscess

• Haemorrhoids – Non-operative outpatient procedures for the control of bleeding (Banding, cryotherapy, injection) operative options - open and closed haemorrhoidectomy and stapled haemorrhoidectomy

• Anal carcinoma

• Clinical features, diagnosis, complication and principles of management of inguinal hernia including laparoscopic repair

• Umbilical, femoral hernia and epigastric hernia

• Open and Laparoscopic repair of incisional/primary ventral hernia

• Urinary symptoms and investigations of urinary tract

• Diagnosis and principles of management of urolithiasis

• Lower Urinary tract symptoms or prostatism

• Benign prostatic hyperplasia; diagnosis and management

• Genital tuberculosis in male

• Phimosis and paraphimosis

• Carcinoma penis

• Diagnosis and principles of treatment of undescendecd testis

• Torsion testis

• Hydrocele, haematocele and pyocele Varicocele: Diagnosis (Medical Board for fitness)

• Varicocele: Diagnosis (Medical Board for fitness)

• Acute and chronic epididymo-orchitis

• Testicular tumours

• Principles of management of urethral injuries

• Management of soft tissue sarcoma

• Prosthetic materials used in surgical practice

• Telemedicine, teleproctoring and e-learning

• Communication skills

A student should be expert in good history taking, physical examination, providing basic life support and advanced cardiac life support, common procedures like FNAC, Biopsy, aspiration from serous cavities, lumber puncture etc. The student should be able to choose the required investigations.

Clinical cases and Symptoms-based approach to the patient with:

1. Ulcers in oral cavity

2. Solitary nodule of the thyroid

3. Lymph node in the neck

4. Suspected breast lump

5. Benign breast disease

6. Acute abdominal pain

7. Blunt Trauma Abdomen

8. Gall stone disease

9. Dysphagia

10. Chronic abdominal pain

11. Epigastric mass

12. Right hypochrondium mass

13. Right iliac fossa mass

14. Renal mass

15. Inguino-scrotal swelling

16. Scrotal swelling

17. Gastric outlet obstruction

18. Upper gastrointestinal bleeding

19. Lower gastrointestinal bleeding

20. Anorectal symptoms

21. Acute intestinal obstruction

22. Obstructive jaundice

23. Acute retention of Urine

24. Bladder outlet obstruction

25. Haematuria

26. Peripheral vascular disease

27. Varicose veins

28. New born with developmental anomalies

29. Hydronephrosis , Pyonephrosis, perinephric abscess

30. Renal tuberculosis

31. Renal tumors

32. Carcinoma prostate

33. Genital tuberculosis in male

At the end of the course, post graduate students should be able to perform independently (including perioperative management) the following:

• Start IV lines and monitor infusions

• Start and monitor blood transfusion

• Venous cut-down

• Start and manage a C.V.P. line

• Conduct CPR (Cardiopulmonary resuscitation)

• Basic/ advance life support

• Endotracheal intubation

• Insert nasogastric tube

• Proctoscopy

• Urethral catheterisation

• Surgical management of wounds

• Biopsies including image guided

• Manage pneumothorax / pleural space collections

• Infiltration, surface and digital Nerve blocks

• Incise and drain superficial abscesses

• Control external hemorrhage

• Vasectomy (Preferably non-scalpel)

• Circumcision

• Surgery for hydrocele

• Surgery for hernia

• Surgery and Injection/banding of piles

• Management of all types of shock

• Assessment and management of burns

• Hemithyroidectomy

• Excision of thyroglossal cyst

• Excision Biopsy of Cervical Lymphnode

• Excision of benign breast lump

• Modified Radical mastectomy

• Axillary Lymphnode Biopsy

• Excision of gynaecomastia

• Excision of skin and subcutaneous swellings

• Split thickness skin graft

• Management of hernias

• Laparoscopic and open cholecystectomy

• Management of Liver abscess

• appendectomy

• Management of intestinal obstruction, small bowel resection, perforation and anastomosis

• Colostomy

The student must have observed or assisted (the list is illustrative) in the following:

• Hartmann's procedure for cancer rectum

• Spleenectomy (emergency)

• Stomach perforation

• Varicose Vein surgery

• Craniotomy (Head Injury)

• Superficial parotidectomy

• Submandibular gland excision

• Soft tissue tumours including sarcoma

• Pancreaticoduodenal resection

• Hydatid cyst liver

• Pancreatic surgery

• Retroperitoneal operations

Career Options

After completing an MS 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 which include 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 MS in General Surgery course

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

Frequently Asked Question (FAQs) – MS in General Surgery

Question: What is an MS in General Surgery?

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

Question: What is the duration of an MS in General Surgery?

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

Question: What is the eligibility of an MS 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.

Question: What is the scope of an MS in General Surgery?

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

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

Answer: The MS in General Surgery candidate's average salary is Rs 8 Lakh to 30 Lakh per annum.

Question: What are the subjects in MS General Surgery?

Answer: MS General Surgery syllabus is a three-year-long postgraduate course that aims to introduce students to advance medical science, surgery, and medicine. MS General Surgery subject list includes Ortho and Traumatology, General Surgery, Anaesthesia, and more.