DNB General Medicine (DNB Medicine): Admissions, Medical Colleges, Fees, Eligibility Criteria details here
DNB General Medicine or Diplomate of National Board in General Medicine also known as DNB in General Medicine is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS. The duration of this postgraduate course is 3 years, and it focuses on the study of various concepts related to the field of identification and diagnosis of diseases by using the theoretical knowledge and clinical experience acquired during the period of training.
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 7 Air Force Hospital – Kanpur, Aakash Healthcare Super Specialty Hospital- Dwarka, Aditya Hospital- Dwarka, and more.
Admission to this course is done through the NEET PG Entrance exam conducted by the National Board of Examinations, followed by counselling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.
The fee for pursuing DNB (General Medicine) from accredited institutes/hospitals is Rs. 36000 to Rs 2,40,000 per year.
After completion of their respective course, doctors can either join the job market or pursue a super-specialization course where DNB General Medicine is a feeder qualification. Candidates can take reputed jobs at positions as Senior residents, Junior Consultants, Consultants, etc. with an approximate salary range of Rs. 10,00,000 to Rs. 24,00,000 per year.
DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.
The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.
What is DNB in General Medicine?
Diplomate of National Board in General Medicine, also known as DNB (General Medicine) or DNB in General Medicine is a three-year postgraduate programme that candidates can pursue after completing MBBS.
General Medicine is the branch of medical science dealing with the study of the diagnosis and treatment of diseases.
The National Board of Examinations (NBE) has released a curriculum for DNB in General Medicine.
The curriculum governs the education and training of DNB in General Medicine.
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 Medicine 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 should be a highly competent specialist in General Medicine possessing a broad range of skills that will enable her/him to practice General Medicine independently. The PG candidate should also acquire the basic skills in teaching medical/para-medical students.
The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.
Course Highlights
Here are some of the course highlights of DNB in General Medicine
| Name of Course | DNB in General Medicine |
| Level | Postgraduate |
| Duration of Course | Three years |
| Course Mode | Full Time |
| Minimum Academic Requirement | MBBS degree obtained from any college/university recognized by the Medical Council of India (now NMC) |
| Admission Process / Entrance Process / Entrance Modalities | Entrance Exam (NEET PG) |
| Course Fees | Rs. 36000 to Rs 2,40,000 per year |
| Average Salary | Rs. 10,00,000 to Rs. 24,00,000 per year |
Eligibility Criteria
The eligibility criteria for DNB in General Medicine are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which include:
- Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (MCI) now NMC.
- Candidates should have done a compulsory rotating internship of one year in a teaching institution or other institution which is recognized by the Medical Council of India (MCI) now NMC.
- The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.
- The medical college's recognition cut-off dates for the MBBS Degree courses and compulsory rotatory Internship shall be as prescribed by the Medical Council of India (now NMC).
- Candidates who have passed the final examination, leading to the award of a Post Graduate Degree (MD/MS) from an Indian University, which is duly recognized as per provisions of the National Medical Commission (NMC) Act, 2019 and the first schedule of the IMC Act can apply for the DNB Final examination in the same broad specialty.
Admission Process
The admission process contains a few steps to be followed in order by the candidates for admission to DNB in General Medicine. Candidates can view the complete admission process for DNB in General Medicine mentioned below:
- The NEET PG or National Eligibility Entrance Test for Post Graduate is a national-level master's level examination conducted by the NBE for admission to MD/MS/PG Diploma Courses.
- The requirement of eligibility criteria for participation in counselling towards PG seat allotment conducted by the concerned counselling authority shall be in lieu of the Post Graduate Medical Education Regulations (as per the latest amendment) notified by the MCI (now NMC) with prior approval of MoHFW.
| S.No. | Category | Eligibility Criteria |
| 1. | General | 50th Percentile |
| 2. | SC/ST/OBC (Including PWD of SC/ST/OBC) | 40th Percentile |
| 3. | UR PWD | 45th Percentile |
Fees Structure
The fee structure for DNB in General Medicine varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DNB in General Medicine is Rs. 36000 to Rs 2,40,000 per year.
Colleges/Hospitals offering DNB in General Medicine
There are various accredited institutes/hospitals across India that offer courses for pursuing DNB (General Medicine).
As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DNB (General Medicine) courses for the academic year 2022-23.
| Hospital/Institute | Speciality | No. of Accredited Seat(s) (Broad/Super/Fellowship) |
| 7 Air Force Hospital Nathu Singh Road, Kanpur Cantt, Kanpur Uttar Pradesh-208004 | General Medicine | 2 |
| Aakash Healthcare Super Specialty Hospital Plot, Road No. 201 Sector 3 Dwarka Delhi-110075 | General Medicine | 2 |
| Adarsha Hospital Near KSRTC Bus Stand, Udupi Taluk and District Karnataka-576102 | General Medicine | 2 |
| Aditya Diagnostics and Hospital Bordoloi Avenue, Dibrugarh Assam-786005 | General Medicine | 3 |
| Aditya Hospital 4-1-16, Adjacent Endowments Office, Tilak Road, Abids, Hyderabad Telangana-500001 | General Medicine | 2 |
| Advanced Medicare and Research Institute (AMRI) P-4 and 5, CIT Scheme 72, Block A, Gariahat Road, Kolkata West Bengal-700029 | General Medicine | 2 |
| AIG Hospital Mind Space Road, Gachibowli, Hyderabad Telangana-500032 | General Medicine | 3 |
| Alexis Multispecialty Hospital Nagpur Survey Number-232, Mankapur, Koradi Road, Nagpur, 440030, Maharashtra, India Maharashtra Maharashtra-440030 | General Medicine | 3 |
| Alliance Multispeciality Hospital LLP W.No-15, Property no .151000208, Behind Suraj Gas godown, Chandur Road, Ichalkaranji. Maharashtra-416115 | General Medicine | 2 |
| Ananthapuri Hospital and Research Institute Chacka, NH Bypass, Thiruvananthapuram Kerala-695024 | General Medicine | 3 |
| Apex Hospital Jaipur Rajasthan-302017 | General Medicine | 2 |
| Apollo Adlux Hospital ( A Unit of Adlux Medicity and Convention Centre Private Limited) Adlux Junction, Karukutty, Angamaly Ernakulam, Kerala Kerala Kerala-683576 | General Medicine | 1 |
| Apollo BGS Hospital Adichunchanagiri Road, Kuvempunagar, Mysore Karnataka-570023 | General Medicine | 2 |
| Apollo Hospital (Unit International Hospitals) Lotus Tower, G S Road, Guwahati Assam-781005 | General Medicine | 2 |
| Apollo Hospital 154/11, Opp. I.I.M., Bannerghatta Road, Bangalore Karnataka-560076 | General Medicine | 4 |
| Apollo Hospital 21, Greams lane, Off Greams Rd, Thousand Lights, Chennai. Tamil Nadu-600006 | General Medicine | 3 |
| Apollo Hospital Health City, Chinagdhili, Visakhapatnam Andhra Pradesh-530040 | General Medicine | 2 |
| Apollo Hospital Parsik Hill Road, Plot no 13, Sector 23,CBD Belapur, Navi Mumbai Maharashtra-400614 | General Medicine | 2 |
| Apollo Hospital Plot No. 251 Sainik School Road Unit-15, Bhubaneshwar Orissa-751005 | General Medicine | 2 |
| Apollo Hospital Room No. 306, Office of the Director of Medical Education Jubilee Hills, Hyderabad Telangana-500033 | General Medicine | 2 |
| Apollo Hospital Village Lingiadih, Seepat Road, Bilaspur Chhattisgarh-495006 | General Medicine | 2 |
| Apollo Hospital International Plot No. 1A, GIDC Estate Bhat, District - Gandhi Nagar Gujarat-382428 | General Medicine | 1 |
| Apollo Hospital, Adjacent to Keyes High School, St. Johns Road, Secunderabad Telangana-500003 | General Medicine | 2 |
| Apollo Hospital, PR. No. 3-5-836 to 838, Near Old MLA Quarters, Hyderguda, Telangana-500029 | General Medicine | 2 |
| Apollo Multispecialty Hospitals Limited 58, Canal Circular Road, Kolkata West Bengal-700054 | General Medicine | 6 |
| Apollo Specialty Hospital Lake View Road, K K Nagar, Madurai Tamil Nadu-625014 | General Medicine | 2 |
| Apollomedics Superspeciality Hospital Sector B, Bargawan, LDA Colony , Lucknow Uttar Pradesh Uttar Pradesh-226012 | General Medicine | 2 |
| Apple Saraswati Multispecialty Hospital (Apple Hospitals and Research Institute Ltd.) 804/2, 805/2, E Ward, Bhosalewadi, Kadamwadi Road, Kolhapur Maharashtra-416003 | General Medicine | 2 |
| Artemis Health Institute Sector 51, Gurgaon Haryana-122001 | General Medicine | 2 |
| Asansol District Hospital S B Gorai Road, PO + PS: Asansol West Bengal-713301 | General Medicine | 2 |
| Asian Institute of Medical Sciences Sector 21-A, Badhkal Flyover Road, Faridabad Haryana-121001 | General Medicine | 2 |
| Associated Hospital Government Medical College Kanthbagh Baramulla Jammu and Kashmir-193101 | General Medicine | 5 |
| Associated Hospital Government Medical College Nh1a , Kathua, Jammu and Kashmir Jammu and Kashmir-184104 | General Medicine | 2 |
| Associated Hospital Govt. Medical College Govt. Medical College Makeshift Campus Doda City Doda Jammu and Kashmir-182202 | General Medicine | 2 |
| Aster CMI Hospital #43/2, New Airport Road, NH - 7, Sahakara Nagar, Hebbal, Bangalore Karnataka-560092 | General Medicine | 2 |
| Autonomous State Medical College and Allied Pandit Ram Prasad Bismil Memorial Hospital Shahjahanpur Uttar Pradesh-242001 | General Medicine | 2 |
| Autonomous State Medical college Society and S.N.M District Hospital Rehna Rd, Bypass Rd, NH-2,Comapny Baag, Arya Nagar, Firozabad Uttar Pradesh-283203 | General Medicine | 4 |
| AUTONOMOUS STATE MEDICAL COLLEGE, AYODHYA DARSHAN NAGAR , AYODHYA (FAIZABAD) Uttar Pradesh-224123 | General Medicine | 2 |
| Ayushman Hospital and Health Services Sector 10, Elephanta Lane, Dwarka Delhi-110075 | General Medicine | 2 |
| B.R. Singh Hospital and Centre for Medical Education and Research Eastern Railway, Sealdah, KOLKATA West Bengal-700014 | General Medicine | 5 |
| Baby Memorial Hospital Indira Gandhi Road, Kozhikode Kerala-673004 | General Medicine | 5 |
| Baderia Metro Prime Multispecialty Hospital (Formerly Metro Hospital and Cancer Research Centre) Kuchaini Parisar, Damoh Naka, Jabalpur Madhya Pradesh-482002 | General Medicine | 2 |
| Balrampur Hospital Golaganj Lucknow Uttar Pradesh-226018 | General Medicine | 3 |
| Bangalore Baptist Hospital Bellary Road, Hebbal, Bangalore Karnataka-560024 | General Medicine | 4 |
| Bansal Hospital C Sector, Shahpura Bhopal Madhya Pradesh-462016 | General Medicine | 2 |
| BAPS Pramukh Swami Hospital Shri Pramukh Swami Maharaj Marg, Adajan Char Rasta, Adajan Surat Gujarat-395009 | General Medicine | 2 |
| Base Hospital Delhi Cantt., Delhi-110010 | General Medicine | 4 |
| Batra Hospital and Medical Research Centre 1, Tuglakabad Institutional Area, M.B. Road, Delhi-110062 | General Medicine | 4 |
| Bethany Hospital Pokhran Road 2, Thane West, Thane Maharashtra-400610 | General Medicine | 2 |
| Bhabha Atomic Research Centre and Hospital Anushakti Nagar, MUMBAI Maharashtra-400094 | General Medicine | 6 |
| Bhagat Phool Singh Govt. Medical College for Women Khanpur Kalan (Sonepat) Haryana-131305 | General Medicine | 2 |
| Bhagwan Mahaveer Jain Hospital Millers Road, Vasanth Nagar Bangalore Karnataka-560052 | General Medicine | 2 |
| Bhaktivedanta Hospital and Research Institute Srishti Complex, Bhaktivedanta Swami Marg, Mira Road (East), Thane Maharashtra-401107 | General Medicine | 2 |
| BharatRatna Dr. Babasaheb Ambedkar Municipal General Hospital S V Road, Parkeh Nagar, Opposite Kandivali Police Station, Kandivali (West), Mumbai Maharashtra-400067 | General Medicine | 2 |
| Bokaro General Hospital Bokaro Steel City, Sec. 4, BOKARO Jharkhand-827004 | General Medicine | 8 |
| Bombay Hospital IDA Scheme no 94/95, Ring Road, Indore Madhya Pradesh-452010 | General Medicine | 4 |
| Breach Candy Hospital 60-A, Bhulabhai Desai Road, Mumbai Maharashtra-400026 | General Medicine | 2 |
| C.S.I. Holdsworth Memorial Hospital Post Box-38 Mandi Mohalla, Mysore. Karnataka-570001 | General Medicine | 2 |
| C.S.I. Kalyani General Hospital, 15,Dr.Radhakrishnan Salai Mylapore, Chennai, Tamil Nadu-600004 | General Medicine | 1 |
| Care Hospital Exhibition Road, Nampally, Hyderabad Telangana-500001 | General Medicine | 2 |
| Care Hospital Plot No.-324(P) Prachi Enclave, Chandrasekharpur, Bhubaneswar Orissa-751016 | General Medicine | 2 |
| Care Hospital Road No. 1, Banjara Hills, Hyderabad Telangana-500034 | General Medicine | 2 |
| Care Hospital- Hi Tech City Old Mumbai Highway, Near Cyberbad Police Commisionerate, Gachibowli,Hyderabad, Telangana-500032 | General Medicine | 2 |
| Caritas Hospital Thellakom P. O Kottayam Kerala-686630 | General Medicine | 2 |
| Central Hospital Gandhinagar, Kanke Road, Ranchi Jharkhand-834008 | General Medicine | 2 |
| Central Hospital Jagjiwan Nagar, Dhanbad, Jharkhand-826003 | General Medicine | 3 |
| Central Hospital N F Railway Maligaon Guwahati Assam-781011 | General Medicine | 2 |
| Central Hospital North Western Railway Ganapti Nagar Railwaycolony, Hasanpura Road, Jaipur Rajasthan-302006 | General Medicine | 2 |
| Central Hospital, S.E.C.Railway Opposite Golf Ground, Railway Colony, Bilaspur Chhattisgarh-495004 | General Medicine | 2 |
| Chinmaya Mission Hospital 1/1, CMH Road, Indira Nagar, Bangalore Karnataka-560038 | General Medicine | 3 |
| Choithram Hospital and Research Centre Manik Bagh Road, INDORE Madhya Pradesh-452014 | General Medicine | 2 |
| Christian Fellowship Hospital Palani Main Road, Oddanchatram DINDIGUL DIST Tamil Nadu-624619 | General Medicine | 3 |
| Christian Institute of Health Sciences and Research 4th Mile Central Jail Road, Dimapur Nagaland-797115 | General Medicine | 2 |
| CITY HOSPITAL Moglaha, Medical College Road, Gorakhpur Uttar Pradesh-273013 | General Medicine | 2 |
| Civil Hospital Aizawl, Dawrpui Mizoram-796001 | General Medicine | 2 |
| College of Medicine and JNM Hospital P. O.: Kalyani District, Nadia West Bengal-741235 | General Medicine | 2 |
| Continental Hospital Plot No. 3, Road No. 2, IT and Financial District, Nanakramguda, Gachibowli, Hyderabad Telangana-500032 | General Medicine | 2 |
| Coochbehar Govt Medical College and Hospital Vivekananda Street , Kharimala Khagrabari, Pilkhana, Coochbehar West Bengal West Bengal-736101 | General Medicine | 4 |
| Cosmopolitan Hospital Murinjapalam, Pattom P O, TRIVANDRUM Kerala-695004 | General Medicine | 2 |
| Daya General Hospital Shornur Road, Near Viyyur Bridge, Thrissur Kerala-680022 | General Medicine | 2 |
| Deben Mahato (Sadar) Hospital Purulia West Bengal-0 | General Medicine | 2 |
| Deen Dayal Upadhyay Hospital Hari Nagar, New Delhi Delhi-110064 | General Medicine | 4 |
| Deenanath Mangeshkar Hospital and Research Centre. 8+13/2, Erandwane, Near Mhatre Bridge, Pune Maharashtra-411004 | General Medicine | 6 |
| Diamond Harbour Government Medical College And Hospital Harindanga, Newtown, Ward no. -04, PO and PS - Diamond Harbour, Pin - 743331, Dist - south 24 parganas West Bengal West Bengal-743331 | General Medicine | 3 |
| District Head Quarters Hospital MNCL X Roads, Karimnagar District Telangana Telangana-505001 | General Medicine | 2 |
| District Hospital 10, Biplabi Haren Ghosh Sarani, Howrah West Bengal-711101 | General Medicine | 3 |
| District Hospital 5, D L Roy Road, Krishnagar, Nadia West Bengal-741101 | General Medicine | 2 |
| District Hospital Alipurduar, Hospital Road, Alipurduar West Bengal-736121 | General Medicine | 2 |
| District Hospital B D Road, Beside DHO Office, Chitradurga Karnataka-577501 | General Medicine | 2 |
| District Hospital B H Road, Tumakuru Karnataka-0 | General Medicine | 2 |
| District Hospital Beside Bus Stand, Gollaguda, Nalgonda District Telangana-508001 | General Medicine | 2 |
| District Hospital Court Road, Palakkad Kerala-678001 | General Medicine | 2 |
| District Hospital Killa Road, Dharwad Karnataka-580008 | General Medicine | 2 |
| District Hospital Kulgam Jammu and Kashmir-192231 | General Medicine | 2 |
| District Hospital Next to Sainik School second gate Athani Road, Vijayapura Karnataka-586103 | General Medicine | 2 |
| District Hospital Oppposite To Maralu Siddeshwara Temple M G Road Chikkaballapur Karnataka-562101 | General Medicine | 2 |
| District Hospital Sector No-11, Navanagar Bagalkot Karnataka-587103 | General Medicine | 2 |
| Divisional Railway Hospital Eastern Railway, Asansol West Bengal-713301 | General Medicine | 1 |
| Down Town Hospital G S Road, Dispur GUWAHATI Assam-781006 | General Medicine | 4 |
| Dr Shyama Prasad Mukherjee (Civil) Hospital 4-A, Park Road, Hazratganj, Lucknow Uttar Pradesh-226001 | General Medicine | 2 |
| Dr. B L Kapur Memorial Hospital Pusa Road, New Delhi Delhi-110005 | General Medicine | 2 |
| Dr. B. Nanavati Hospital Vivekanand Rd., Vile Parle West, Mumbai Maharashtra-400056 | General Medicine | 4 |
| Dr. Baba Saheb Ambedkar Hospital Sector- 06 Rohini Delhi-110085 | General Medicine | 4 |
| Dr. Babasaheb Ambedkar Central Railway Hospital Opp- Jijamata Udyan, Byculla (East), Mumbai Maharashtra-400027 | General Medicine | 3 |
| Dr. Hedgewar Rugnalaya Near Gajanan Maharaj Mandir, Garkheda, Aurangabad Maharashtra-431005 | General Medicine | 2 |
| Dr. Jeyasekharan Hospital and Nursing Home K P Road, NAGERCOIL, Kanyakumari Distt. Tamil Nadu-629003 | General Medicine | 2 |
| Dr. L H Hiranandani Hospital Hillside Avenue, Hiranandani Gardens, Powai, Mumbai Maharashtra-400076 | General Medicine | 2 |
| Dr. Radhakrishnan Govt. Medical College Hamirpur Himachal Pradesh-177001 | General Medicine | 2 |
| Dr. Ramesh Cardiac and Multi Speciality Hospital D. no. 26-14-1, Nagarampalem Collector Office Road. Guntur Andhra Pradesh-522004 | General Medicine | 2 |
| Dr. Rangarajan Memorial Hospital (Sundaram Medical Foundation) Santhi Colony, Fourth Avenue, Anna Nagar, CHENNAI Tamil Nadu-600040 | General Medicine | 1 |
| Dr. TMA Pai Hospital Udupi Karnataka-576101 | General Medicine | 2 |
| Durgapur Steel Plant Hospital Durgapur West Bengal-713205 | General Medicine | 4 |
| Emergency Medical Care (EMC) Hospital Green Avenue, Amritsar Punjab-143001 | General Medicine | 1 |
| Ernakulam Medical Centre NH - Bye Pass, Palarivattom KOCHI Kerala-682028 | General Medicine | 1 |
| ESI Hospital Jhilmil Shahdara Delhi-110032 | General Medicine | 2 |
| ESIC Hospital Sri Maa Anandmayee Marg, Okhla Phase-1, Delhi-110020 | General Medicine | 2 |
| ESIC Model Hospital A3, Sector-24, Noida Uttar Pradesh-201301 | General Medicine | 2 |
| ESIC Model Hospital Laxminagar, Ajmer road, Jaipur Rajasthan-302006 | General Medicine | 2 |
| ESIC Model Hospital and Occupational Disease Centre Nanda Nagar, MR-09, Indore Madhya Pradesh-452011 | General Medicine | 4 |
| Eternal Heart Care Centre and Research Institute 3-A, jagatpura Road, Near Jawahar Circle, Jaipur Rajasthan-302017 | General Medicine | 2 |
| Fortis Escorts Hospital Jawahar Lal Nehru Marg, Malviya Nagar, Jaipur Rajasthan-302017 | General Medicine | 3 |
| Fortis Escorts Hospital Neelam Bata Road, Faridabad Haryana-121002 | General Medicine | 2 |
| Fortis Hospital 154/9, Opp. IIMB Bannerghatta Road, Bangalore Karnataka-560076 | General Medicine | 4 |
| Fortis Hospital B-22, Sector-62, Noida Uttar Pradesh-201301 | General Medicine | 2 |
| Fortis Hospital Mulund Goregaon Link Road, Mumbai Maharashtra-400078 | General Medicine | 2 |
| Fortis Hospital Mundian Kalan, Chandigarh Road, Ludhiana Punjab-141015 | General Medicine | 2 |
| Fortis Hospital Sector-62, Phase-VIII, Mohali Punjab-160062 | General Medicine | 2 |
| Fortis Memorial Research Institute Sector-44, Opposite HUDA CITY centre Metro Station, Gurgaon, Haryana-122002 | General Medicine | 2 |
| G Kuppuswamy Naidu Memorial Hospital Post Box No. 6327, Nethaji Road, Pappanaickenpalayam, Coimbatore Tamil Nadu-641037 | General Medicine | 4 |
| General Hospital 4th T Block,(Beside Rajiv Gandhi University of Health Sciences) Jayanagar, Bangaluru Karnataka-560041 | General Medicine | 2 |
| General Hospital Sector - 6, Panchkula Haryana-134109 | General Medicine | 2 |
| GG Hospital Murinjapalam Junction, Medical College Post, Trivandrum Kerala-695011 | General Medicine | 2 |
| GMERS Medical College Nr. Pathikasharam, Civil Hospital Campus, Sector-12, Gandhinagar Gujarat-382012 | General Medicine | 4 |
| GMERS Medical College and General Hospital Gotri road, Vadodara Gujarat-390021 | General Medicine | 5 |
| GMERS Medical College and General Hospital Near Government Polytechnic Hadiyol-Gadhoda Road Himmatnagar Gujarat-383001 | General Medicine | 2 |
| GMERS Medical College and Hospital Nanakwada, Valsad Gujarat-396001 | General Medicine | 2 |
| GMERS Medical College and Hospital Sola, Ahmedabad Gujarat-380060 | General Medicine | 2 |
| Government District General Hospital Ramachandraraopet, Eluru, West Godavari District Andhra Pradesh-534006 | General Medicine | 1 |
| Government General Hospital Ernakulam Road, Cochin Kerala-682011 | General Medicine | 2 |
| Government General Hospital Kunnukuzhi PO, Thycud, THIRUVANANTHAPURAM Kerala-35 | General Medicine | 2 |
| Government Head Quarters Hospital EVN Road, Erode Tamil Nadu-638009 | General Medicine | 2 |
| Government Head Quarters Hospital Nellikuppam Main Road, Cuddalore Tamil Nadu-607001 | General Medicine | 1 |
| Government Hospital Gandhi Nagar Jammu Jammu and Kashmir-180004 | General Medicine | 2 |
| Government Institute of Medical Sciences GREATER NOIDA, GAUTAMBUDDHA NAGAR Uttar Pradesh-201310 | General Medicine | 4 |
| Government Medical College and Associated Hospital Janglat Mandi, Anantnag Jammu and Kashmir-192101 | General Medicine | 4 |
| Government Medical College and Associated Hospital Kheora, Rajouri Jammu and Kashmir-185131 | General Medicine | 2 |
| Government Medical College Hospital (Formerly Government Head Quarters Hospital) Virudhunagar Tamil Nadu-626001 | General Medicine | 2 |
| Government Medical College, Ramanathapuram Lathams Bungalow Road, Ramanathapuram Tamil Nadu-623501 | General Medicine | 1 |
| Government Multi Specialty Hospital Sector-16, Chandigarh-160016 | General Medicine | 4 |
| Govt. Medical College and hospital Near Ashok Watika, Collector Office Road, Akola Maharashtra-444001 | General Medicine | 2 |
| Govt. R. D. B. P. Jaipuria Hospital (Attached with RUHS College of Medical Sciences), Milap Nagar, Tonk Road, Jaipur, Rajasthan-302018 | General Medicine | 2 |
| Haria L G Rotary Hospital Plot Number 363/1 and 364, Housing Sector, GIDC, Vapi Gujarat-396195 | General Medicine | 2 |
| Hayat Hospital Kahilipara Road, Odalbakra, Lalganesh, Guwahati Assam-781034 | General Medicine | 1 |
| HCG Hospital, 1, Maharastra Society, Mithakhali, Ellisbridge Ahmedabad Gujarat-380006 | General Medicine | 2 |
| HEALTH CITY HOSPITAL (A UNIT OF NORTH EAST PRIVATE LIMITED) NH - 37, UDAYNAGAR, KAINADHARA, KHANAPARA, GUWAHATI Assam-781022 | General Medicine | 2 |
| Healthway Hospital Plot no.132/1 (Part), Ella Village, Kadamba Plateau, Tiswadi Taluka, Old Goa- Goa-403402 | General Medicine | 2 |
| Healthworld Hospital C-49, Commercial Area,Gandhi More ,City Centre, Durgapur West Bengal-713216 | General Medicine | 2 |
| HINDU MISSION HOSPITAL 103, GST ROAD TAMBARAM WEST Tamil Nadu-600045 | General Medicine | 2 |
| Hindu Rao Hospital Subzi Mandi, Malkaganj Delhi-110007 | General Medicine | 6 |
| Hindustan Aeronautics Hospital Vimanapura PO, Bangalore Karnataka-560017 | General Medicine | 2 |
| Holy Cross Hospital Kottiyam, KOLLAM Kerala-691571 | General Medicine | 2 |
| Holy Family Hospital Okhla road New Delhi Delhi-110025 | General Medicine | 4 |
| Holy Family Hospital St. Andrew`s Road, Bandra West, Mumbai Maharashtra-400050 | General Medicine | 2 |
| Holy Spirit Hospital Mahakali Road, Andheri (East), Mumbai Maharashtra-400093 | General Medicine | 2 |
| Imambara District Hospital Akhan Bazar Road, Hooghly West Bengal-712101 | General Medicine | 2 |
| Indira Gandhi Govt. General Hospital and PG Institute No. 1, Rue Victor Simonal Street, PONDICHERRY Pondicherry-605001 | General Medicine | 3 |
| Indraprastha Apollo Hospital Delhi-Mathura Road, Sarita Vihar, New Delhi Delhi-110076 | General Medicine | 2 |
| INHS Kalyani Gandhigram, VISAKHAPATNAM Andhra Pradesh-530005 | General Medicine | 2 |
| IQRAA International Hospital and Research Centre Malaparamba, Calicut Kerala-673009 | General Medicine | 3 |
| Ispat General Hospital IGH, Sector-19, Orissa-769005 | General Medicine | 5 |
| J.L.N. Main Hospital and Research Centre Bhilai Steel Plant, Sector-9, BHILAI Chhattisgarh-490009 | General Medicine | 6 |
| Jagjivan Ram Railway Hospital Maratha Mandir Road, Mumbai Central, Mumbai Maharashtra-400008 | General Medicine | 3 |
| Jaiprakash Hospital and Research Centre Pvt. Ltd Dayanand Nagar, Dandiapali, Rourkela, Odisha Orissa-769004 | General Medicine | 2 |
| Jaipur Golden Hospital 2, Institutional Area, Sector 3, Rohini, New Delhi Delhi-110085 | General Medicine | 2 |
| Jaslok Hospital and Research Centre 15, Dr. Gopalrao Deshmukh Marg, Mumbai Maharashtra-400026 | General Medicine | 2 |
| Jehangir Hospital 32, Sassoon Road, Pune Maharashtra-411001 | General Medicine | 2 |
| JLNM Hospital Rainawari Srinagar Jammu and Kashmir-190001 | General Medicine | 2 |
| Jupiter Hospital Eastern Express Highway, Thane (West) Maharashtra-400601 | General Medicine | 2 |
| Jupiter Lifeline Hospital Sr No 142/12, And 143/1/4/5, Near Prathamesh Park, Baner, Pune Maharashtra-411045 | General Medicine | 2 |
| K B Bhabha Municipal General Hospital Bandra (West), Mumbai Maharashtra-50 | General Medicine | 2 |
| K C General Hospital #89 5th Cross Malleshwaram, Bengaluru Karnataka-560003 | General Medicine | 2 |
| K.J. Somaiya Medical College Eastern Highway, Sion, Mumbai Maharashtra-400022 | General Medicine | 4 |
| Kalpana Chawla Govt Medical College Model Town Karnal Haryana-132001 | General Medicine | 2 |
| Kalra Hospital and Shri Ram Cardiothoracic and Neuro-Sciences Centre, A-5 and 6, Kirti Nagar, Delhi-110015 | General Medicine | 2 |
| KAMAKSHI HOSPITAL KUVEMPU NAGAR, MYSURU Karnataka-570009 | General Medicine | 2 |
| Kamalnayan Bajaj Hospital (Marathwada Medical and Research Institutes) Gut No. 43, Beed Bypass Road, Satara Parisar, Aurangabad Maharashtra-431005 | General Medicine | 2 |
| Kauvery Hospital No. 199, Luz Church Road, Mylapore, Chennai Tamil Nadu-600004 | General Medicine | 2 |
| Kaveri Medical Centre and Hospital No. 1 K C Road, Tennur, Trichy Tamil Nadu-620017 | General Medicine | 2 |
| Kerala Institute of Medical Sciences P B No.1, Anayara P O, Trivandrum Kerala-695029 | General Medicine | 4 |
| KIMS Al Shifa Hospital PO Box No.26, Ooty Rd, Perintalmanna, MALAPURAM Kerala-679322 | General Medicine | 2 |
| KIMS Hospital # 1-112/86, Survey No 55/ EE, Kondapur Village, Serilingampally Mandal, Hyderabad Telangana-500084 | General Medicine | 1 |
| Kingsway Hospitals (A Unit of SPANV Medisearch Lifesciences Pvt Ltd) Kingsway Hospitals 44, Kingsway Road, Near Kasturchand Park, Nagpur. Maharashtra-440001 | General Medicine | 3 |
| KMC Hospital and Research Centre 187, Baghpat Road, Meerut Uttar Pradesh-250002 | General Medicine | 2 |
| Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute Achyutrao Patwardhan Marg, 4 Bunglows, Andheri (W), Mumbai Maharashtra-400053 | General Medicine | 2 |
| Kongunad Hospitals Private Limited 116,117, 11th Street, Tatabad, Coimbatore Tamil Nadu-641012 | General Medicine | 2 |
| Kothari Medical and Research Institute Bangla Nagar, NH15, Jaiselmer Road, Bikaner- Rajasthan-334701 | General Medicine | 1 |
| Kovai Medical Centre Post Box No. 3209, Avinashi Road, Civil Arodrom Post, COIMBATORE Tamil Nadu-641014 | General Medicine | 6 |
| Kozhikode District Co-Operative Hospital Eranhipalam Kerala-673006 | General Medicine | 2 |
| Krishna Institute of Medical Sciences 1-8-31/1, Minister Road, Secunderabad Telangana-500003 | General Medicine | 2 |
| Laddhad Hospital Wankhede Layout, Buldana Maharashtra-443001 | General Medicine | 2 |
| Lalitha Super Specialty Hospital Kothapet, Guntur Andhra Pradesh-522001 | General Medicine | 3 |
| Lilavati Hospital and Research Centre A-791, Bandra Reclaimation, Bandra West, Mumbai Maharashtra-400050 | General Medicine | 3 |
| Lisie Medical Institution P.O. Box 3053, KOCHI-18 Kerala Kerala-682018 | General Medicine | 4 |
| Little Flower Hospital and Research Centre Post Box No. 23, Angamaly, Kerala Kerala-683572 | General Medicine | 4 |
| Lourdes Hospital Pachalam, Ernakulam, Cochin Kerala-682012 | General Medicine | 4 |
| M R Bangur Hospital 241, DPS Road, Tollygunge, Kolkata West Bengal-700033 | General Medicine | 2 |
| Maharaja Agrasen Hospital Rohtak Road, West Punjabi Bagh New Delhi Delhi-110026 | General Medicine | 4 |
| Maharaja Agrasen Medical College Nh 9, Sirsa Road, Vpo - Agroha, Distt. Hisar Haryana-125047 | General Medicine | 2 |
| Mahavir Hospital and Research Centre 10-1-1, Bhagwan Mahavir Rd, A.C.Guards, Hyderabad Telangana-500004 | General Medicine | 2 |
| Malabar Institute of Medical Sciences Mini Bye Pass, Govindapuram, Calicut Kerala-673016 | General Medicine | 4 |
| Mallige Medical Centre 31/32 Crescent Road, BANGALORE Karnataka-1 | General Medicine | 3 |
| Manik Hospital and Research Center Plot no. 6 and 7, Shivneri Nagar, Beside Jawahar Nagar Police Station, Garkheda Parisar, Aurangabad Maharashtra-431005 | General Medicine | 2 |
| Manipal Hospital No. 98, Rustum Bagh, Old Airport Road, Bangalore Karnataka-560017 | General Medicine | 2 |
| Manipal Hospital Sector 5, Vidhyadhar Nagar, Sikar Road, Jaipur Rajasthan-302013 | General Medicine | 1 |
| Mata Chanan Devi Hospital, C-1 Janakpuri, Delhi-58 | General Medicine | 4 |
| Max Smart Super Specialty Hospital (Formerly Known as Saket City Hospital), Mandir Marg, Press Enclave Marg, Saket, Delhi-110017 | General Medicine | 1 |
| Max Super Specialty Hospital (A unit of Balaji Medical and Diagnostic Research Centre) 108A, Opp Sanchar Apartments, IP Extension, Patparganj,New Delhi Delhi-110092 | General Medicine | 2 |
| Max Super Specialty Hospital (Formerly- Pushpanjali Crosslay Hospital) W-3, Sector-1, Vaishali, Ghaziabad Uttar Pradesh-201012 | General Medicine | 3 |
| Max Super Specialty Hospital 1,2, Press Enclave Road, Saket, Delhi-110017 | General Medicine | 3 |
| MAXCARE Hospital Dr. No. 6-1-236, Opp: Kuda Office, Near Ashoka Hotel, Hanamkonda, Warangal Telangana-506001 | General Medicine | 2 |
| Medanta The Medicity Sector-38, Gurgaon Haryana-122001 | General Medicine | 2 |
| Medica Superspecialty Hospital 127 Mukundapur, E M Bypass, Kolkata West Bengal-700099 | General Medicine | 2 |
| Medical Trust Hospital M G Road, Kochi Kerala-682016 | General Medicine | 3 |
| Medicare Multispeciality Hospital Pusad Behind Ramdev Baba Petrol Pump Nagpur Road Pusad Dist-Yavatmal Maharashtra Maharashtra-445204 | General Medicine | 2 |
| Medicover Hospitals (Formerly MaxCure Hospital) Behind Cyber Tower, Lane next to McDonald, Hi-tech City, Madhapur, Hyderabad Telangana-500081 | General Medicine | 2 |
| Meenakshi Mission Hospital and Research Centre Lake Area, Melur Road, MADURAI Tamil Nadu-625107 | General Medicine | 3 |
| Metas Adventist Hospital P.O. Box 24, Athwalines, Surat Gujarat-395001 | General Medicine | 2 |
| Metro Heart Institute with Multispecialty Sector-16 A, Faridabad, Haryana-121002 | General Medicine | 2 |
| Metro Hospital and Heart Institute H-BLOCK, PALAM VIHAR, GURUGRAM Haryana-122017 | General Medicine | 2 |
| MGM New Bombay Hospital Plot 35, Sector 3, Vashi, Navi Mumbai Maharashtra-400703 | General Medicine | 2 |
| Mohandai Oswal Hospital GT Road, Sherpur By-Pass, Ludhiana Punjab-141009 | General Medicine | 3 |
| Moolchand Khairatiram Hospital and Ayurvedic Research Institute, Lajpat Nagar-III Delhi-24 | General Medicine | 2 |
| Mother Hospital Olari (PO) Pullazhi, THRISSUR Kerala-680012 | General Medicine | 2 |
| Mumbai Port Trust Hospital Antop Village, Nadkarni Park, Wadala (East), Mumbai Maharashtra-400037 | General Medicine | 1 |
| Narayana Hrudayalaya Hospital (NH-Narayana Health City, Bangalore) #258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore Karnataka-560099 | General Medicine | 3 |
| Narayana Superspecialty Hospital (A Unit of MMHRL) 120/1 Andul Road, Howrah West Bengal-711103 | General Medicine | 2 |
| Nazareth Hospital Laitumukhrah, Dist- East Khasi Hills, Shillong Meghalaya-793003 | General Medicine | 3 |
| NEMCARE Hospital G. S Road, Bhangagarh Guwahati Assam-781005 | General Medicine | 2 |
| Noble Hospital 153, Magarpatta City Road, Hadapsar, Pune Maharashtra-411013 | General Medicine | 5 |
| North 24 Parganas District Hospital Barasat Banamalipur, Barasat, Kolkata West Bengal-124 | General Medicine | 2 |
| Northern Railway Central Hospital, Basant Lane, Delhi-110055 | General Medicine | 6 |
| OZONE Institute of Medical Sciences Green Hills Colony, Road No. 4, Kothapet, Hyderabad Telangana-500035 | General Medicine | 2 |
| P.D. Hinduja National Hospital and Medical Research Centre Veer Savarkar Marg, Mahim, Mumbai Maharashtra-400016 | General Medicine | 3 |
| P.L. Sharma District Hospital Ahmad Road, Near Ghantaghar, Meerut City Uttar Pradesh-250002 | General Medicine | 2 |
| Paras HMRI Hospital NH - 30, Raja Bazar, Bailey Road, Patna Bihar-800014 | General Medicine | 1 |
| Paras Hospital C-1, Shushant Lok Phase-I, Gurgaon Haryana-122002 | General Medicine | 2 |
| Park Hospital Village Siwah, National Highway No1, GT Karnal Road. PANIPAT Haryana-132103 | General Medicine | 2 |
| Park Hospital, 12, Meera Enclave, Chowkhandi, Near Keshopur Bus Depot, Outer Ring Road Delhi-110018 | General Medicine | 2 |
| Peerless Hospital and B K Roy Research Centre 360, Panchasayar, KOLKATA West Bengal-700094 | General Medicine | 2 |
| Polakulath Narayanan Renai Medicity Multi Super Specialty Hospital PB No. 2259, Palarivattom (PO), Cochin Kerala-682025 | General Medicine | 1 |
| Poona Hospital and Research Centre 27 Sadashivpeth, Pune Maharashtra-411030 | General Medicine | 4 |
| Pt. Jawaharlal Nehru Govt. Medical College Chamba Himachal Pradesh Himachal Pradesh-176310 | General Medicine | 2 |
| QRG Medicare Plot No. 1, Sector-16, Faridabad Haryana-121002 | General Medicine | 2 |
| Rabindranath Tagore International Institute of Cardiac Sciences Premises No.1489, 124, Mukundapur, E M Bypass, Near Santhoshpur Connector, KOLKATA West Bengal-700099 | General Medicine | 2 |
| Raiganj Government Medical college and hospital Dr. B C Roy Sarani, PO and PS - Raiganj District Uttar Dinajpur West Bengal-733134 | General Medicine | 4 |
| Rajagiri Hospital Chunangamveli Aluva Ernakulam District Kerala-683112 | General Medicine | 2 |
| Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital Thane Belapur Road, Kalwa, Thane Maharashtra-400605 | General Medicine | 4 |
| Ramkrishna Care Hospital Aurobindo Enclave, Pachpedhi Naka, Dhamtari Road, N. H. 43, Raipur Chhattisgarh-492001 | General Medicine | 4 |
| Rampurhat Govt. Medical College and Hospital Rampurhat, Birbhum West Bengal West Bengal-731224 | General Medicine | 2 |
| Rohini Medicare (Dr. J Sudhakar Reddy) House No. 2-5-742, Subedari, Hanamkonda Warangal Andhra Pradesh-506001 | General Medicine | 2 |
| Royal Care Super Speciality Hospital 1/520, LandT Road, Neelambur, Coimbatore Tamil Nadu-641062 | General Medicine | 2 |
| Ruby General Hospital Kasba, Golpark, E M Byapass, Kolkata West Bengal-700107 | General Medicine | 2 |
| Ruby Hall Clinic 40 Sassoon Road Pune Maharashtra-411001 | General Medicine | 4 |
| S. G. L. Super Specialty Charitable Hospital Garha Road, Jalandhar, Punjab Punjab-144022 | General Medicine | 4 |
| S. K. S. Hospital No. 23, SKS Hospital Road, Alagapuram, SALEM Tamil Nadu-636004 | General Medicine | 2 |
| Sacred Heart Hospital G. T. Road Maqsudan Jalandhar Punjab-144008 | General Medicine | 2 |
| Sadhu Vaswani Missions Medical Complex (earlier known as Inlaks and Budhrani Hospital) 7-9, Koregaon Park, Pune Maharashtra-411001 | General Medicine | 4 |
| Sagar Hospital No. 44/54, 30th Cross, Tilak Nagar, Jayanagar Extn., Bangalore Karnataka-560041 | General Medicine | 2 |
| Sahyadri Narayana Multispecialty Hospital Harakere, N T Road, Shimoga Karnataka-577202 | General Medicine | 1 |
| Sahyadri Super Specialty Hospital Plot No. 30C, Erandawane, Karve Road, Pune. Maharashtra-411004 | General Medicine | 1 |
| Saideep Healthcare and Research Pvt Ltd Viraj Estate, Yashwant Colony, Tarakpur Ahmednagar Maharashtra-414003 | General Medicine | 4 |
| Saifee Hospital Post Box 3771, 15/17, Maharshi Karve Marg, Mumbai Maharashtra-400004 | General Medicine | 2 |
| Sakra World Hospital (A Unit of Takshasila Hospitals Operating Private Limited) No. 52/2, 52/3, Devarabeesanahalli, Varthur Hobli, Bangalore Karnataka-560103 | General Medicine | 2 |
| Sanjay Gandhi Memorial Hospital, Mangol Puri, S Block, Delhi-110083 | General Medicine | 2 |
| Santokbha Durlabhji Memorial Hospital Cum Medical Research Institute Bhawani Singh Marg, JAIPUR Rajasthan-302015 | General Medicine | 3 |
| Santosh Hospital No. 6/1 Promnade Road, Near Goodwills High School, Bangalore Karnataka-560005 | General Medicine | 2 |
| Sarvodaya Hospital and Research Centre YMCA Road, Sector-08, Faridabad Haryana-121006 | General Medicine | 2 |
| Satguru Partap Singh Hospital Sherpur Chowk, G T Road, Ludhiana Punjab-141003 | General Medicine | 3 |
| SBLS Civil Hospital Jail Road, Near Jyoti Chowk, Jalandhar Punjab-144001 | General Medicine | 2 |
| SDH KUPWARA Kupwara Hospital Road Main Market Jammu and Kashmir-193222 | General Medicine | 2 |
| SETH V. C. GANDHI and M. A. VORA MUNICIPAL GENERAL HOSPITAL (RAJAWADI HOSPITAL) NEAR POST OFFICE, GHATKOPAR EAST MUMBAI Maharashtra-400077 | General Medicine | 2 |
| Seven Hills Hospital D.No-11-4-4/A, Rockdale Layout, Visakhapatnam Andhra Pradesh-530002 | General Medicine | 2 |
| Shaheed Hasan Khan Mewati Government Medical College Nalhar, Nuh, Haryana-122107 | General Medicine | 2 |
| Shifa Hospitals no.82, kailasapuram middle street. Tirunelveli, Tamil Nadu-627001 | General Medicine | 2 |
| Shifaa Hospital No.- 332, Dar-us-Salam, Queens Road, Bengaluru Karnataka-560052 | General Medicine | 2 |
| Shija Hospitals and Research Institute Langol, P.O.- Lamphelpat Imphal West, Manipur Manipur-795004 | General Medicine | 4 |
| Shree Mahavir Health and Medical Relief Society Hospital (Smt. R B Shah Mahavir Super Specialty Hospital and Shri B D Mehta Mahavir Heart Institute) Shree Mahavir Health Campus, Athwagate, Ring Road, Surat Gujarat-395001 | General Medicine | 3 |
| Shree Markendey Solapur Sahakari Rugnalya and Research Centre Niyamit,Flat plot No. 19, New Pachha Peth, Solapur Maharashtra-413005 | General Medicine | 2 |
| Shri Balaji Action Medical Institute FC-34, A-4, Paschim Vihar, New Delhi Delhi-110063 | General Medicine | 4 |
| Shri Balaji Institute of Medical Sceince Ekta Chowk, Dubey Colony, Mowa,Raipur Chhattisgarh-492001 | General Medicine | 1 |
| Shri Lal Bahadur Shastri Government Medical College and Hospital Vpo - Bhangrottu, Tehsil-Balh, District-Mandi, Himachal Pradesh-175009 | General Medicine | 3 |
| Shri Vinoba Bhave Civil Hospital S.R.Delkar Marg, Saily Road, Silvassa, UT of DNH Dadar and Nagar Haveli-396230 | General Medicine | 2 |
| Sir Ganga Ram Hospital Rajinder Nagar, New Delhi Delhi-110060 | General Medicine | 6 |
| Sir Hurkisondas Nurrotumdas Hospital and Research Centre Raja Ram Mohan Roy Road, Gordhan Bapa Chowk, Prathana Samaj, Mumbai Maharashtra-40004 | General Medicine | 2 |
| South Central Railways Hospital Lallguda, Secunderabad Andhra Pradesh-500017 | General Medicine | 4 |
| South Eastern Railway Divisional Hospital South Side Railway Colony, Kharagpur, Dist:West Midnapur West Bengal-721301 | General Medicine | 4 |
| South Eastern Railways Central Hospital 11, Garden Reach Road, KOLKATA West Bengal-700043 | General Medicine | 2 |
| South Western Railway, Central Hospital Gadag Road, Hubballi Karnataka-580020 | General Medicine | 2 |
| Southern Railway Head Quarter Hospital Aynavaram, Perumbur, CHENNAI Tamil Nadu-600023 | General Medicine | 4 |
| Sparsh Super Specialty Hospital #4/1, Tumkur Road, Yeshwanthpur, Bangalore Karnataka-560022 | General Medicine | 2 |
| Sri Ramakrishna Hospital 395, Sarojini Naidu Road, Sidhapudur, COIMBATORE Tamil Nadu-641044 | General Medicine | 4 |
| St. James Hospital Old Highway, Chalakudy Thrissur District, Kerala Kerala-680307 | General Medicine | 2 |
| St. Martha`s Hospital No.5, Nrupathunga Road Bangalore Karnataka-560001 | General Medicine | 4 |
| St. Philomena`s Hospital No. 4, Campbell Road, Viveknagar PO, Bangalore Karnataka-560047 | General Medicine | 4 |
| St. Stephen`s Hospital Tees Hazari, New Delhi Delhi-110054 | General Medicine | 4 |
| St. Theresa`s Hospital Sanath Nagar, Hyderabad Telangana-500018 | General Medicine | 2 |
| Sukhda Multispeciality Hospital Delhi Road, Opposite Green Belt, Hisar Haryana-125001 | General Medicine | 2 |
| Sundram Arulrhaj Hospital 145/5B-Jayraj Road, TUTICORIN Tamil Nadu-628002 | General Medicine | 2 |
| SunShine Hospital 1-7-201 to 205 PG Road, Beside Paradise Hotel, Secunderabad Telangana-3 | General Medicine | 2 |
| Swami Dayanand Hospital Shahdara Delhi-110095 | General Medicine | 3 |
| Tagore Hospital and Heart Care Center Pvt. Ltd. Banda Bahadur Nagar, Mahavir Marg, Jalandhar Punjab-144008 | General Medicine | 2 |
| Tata Main Hospital C Road (West), Northen Town, Bistupur, JAMSHEDPUR Jharkhand-831001 | General Medicine | 6 |
| Tata Motors Hospital Telco, Jamshedpur Jharkhand-831004 | General Medicine | 3 |
| The Calcutta Medical Research Institute 7/2, Diamond Harbour Road, KOLKATA West Bengal-700027 | General Medicine | 2 |
| The Fatima Hospital 35-C, Mahanagar, Lucknow Uttar Pradesh-226006 | General Medicine | 2 |
| The Gujarat Research and Medical Institute (Rajasthan Hospitals) Camp Road, Shahibag, Ahmedabad Gujarat-380004 | General Medicine | 2 |
| Tirath Ram Shah Hospital 2-A, R.B.L. Ishwar Das Sahney Lane, Rajpur Road, Delhi-110054 | General Medicine | 2 |
| Tirumala Hospital Lower Tank Bund Road, Opp. R T C Complex, Vizianagaram Andhra Pradesh-535003 | General Medicine | 2 |
| Tiruvalla Medical Mission P B No. 74, Tiruvalla, Pathanamthitta Kerala-689101 | General Medicine | 1 |
| Ursala Horsman Memorial Hospital Bada Chuaraha Civil Lines, Kanpur Uttar Pradesh-208001 | General Medicine | 2 |
| Valluvanad Hospital Complex Limited Kanniyampuram(PO) Ottapalam Kerala-679104 | General Medicine | 2 |
| Venkateshwar Hospital Sector 18a, Dwarka, Delhi-110075 | General Medicine | 2 |
| Vijaya Hospital New No. 434, Old No. 180, N S K Salai, Vadapalani, CHENNAI Tamil Nadu-600026 | General Medicine | 2 |
| Virinchi Hospital Door No. 6-3-2,3 and 3/1 Road No 1, Banjara Hills, Virinchi Circle, Hyderabad Telangana-500034 | General Medicine | 2 |
| VishwaRaj Hospital Pune Solapur Road , Near Loni Railway Station, Loni Kalbhor, Pune, Maharashtra-412201 | General Medicine | 2 |
| Vivekananda Polyclinic and Institute of Medical Sciences Vivekananda puram, Lucknow Uttar Pradesh-226007 | General Medicine | 3 |
| Wockhardt Hospital Dr. Anand Rao Nair Marg Mumbai Central Mumbai Maharashtra-400011 | General Medicine | 2 |
| Yashoda Super Speciality Hospital H-1, 26-27, Kaushambi, Near DaburChauk, Ghaziabad, Uttar Pradesh-201010 | General Medicine | 2 |
| Yashoda Super Specialty Hospitals IIIrd M, Nehru Nagar, Ghaziabad Uttar Pradesh-201001 | General Medicine | 2 |
| ZOI HOSPITALS ATTAPUR H.No.4-8-149/4/2/1, NEAR PILLAR No. 145, ATTAPUR, HYDERABAD Telangana Telangana-500048 | General Medicine | 2 |
Syllabus
A DNB in General Medicine is a three years specialization course that provides training in the stream of General Medicine.
The course content for DNB in General Medicine is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:
DNB General Medicine in India: Check out NBE released Curriculum
1. BASIC SCIENCES
• Basics of human anatomy as relevant to clinical practice e.g. surface anatomy of various viscera, neuroanatomy, important structures/organs location in different anatomical locations in the body; common congenital anomalies. • Basic functioning of various organ-system, control of vital functions, pathophysiological alteration in diseased states, interpretation of symptoms and signs in relation to pathophysiology
• Common pathological changes in various organs associated with diseases and their correlation with clinical signs; understanding various pathogenic processes and possible therapeutic interventions possible at various levels to reverse or arrest the progress of diseases
• Knowledge about various microorganisms, their special characteristics important for their pathogenetic potential or of diagnostic help; important organisms associated with tropical diseases, their growth pattern/life-cycles, levels of therapeutic interventions possible in preventing and/or eradicating the organisms
• Knowledge about pharmacokinetics and pharmaco-dynamics of the drugs used for the management of common problems in a normal person and in patients with diseases kidneys/liver etc. which may need alteration in metabolism/excretion of the drugs; rational use of available drugs & "P" drug concept
• Knowledge about various poisons with specific reference to different geographical and clinical settings, diagnosis and management
• Knowledge about mass casualties, food poisoning, H1NI, Emergency medicine etc.
2. CARDIOLOGY
Theoretical knowledge
• Normal cardiac anatomy and physiology.
• Congenital heart disease especially in adult life and pregnancy.
• Valvular heart disease including aetiology, pathophysiology, diagnosis and management, valve surgery and prosthetic valves.
• Aetiology, diagnosis and management of pulmonary embolism, hypertension, corpulmonale, cardiomyopathy, myocarditis, endocarditis, pericardial diseases, aortic aneurysm and dissection, cardiac transplantation, cardiac changes and problems in pregnancy, heart failure.
• Cardiac arrythmias including ECG, clinical diagnosis and management of patients with brady and tachyarrythmias and syncope with use of pacing and understanding of the pharmacology and clinical applications of antiarrythmic and cardioactive drugs.
• Coronary disease including pathophysiology; risk factors and management; use of tests for diagnosis, prognostic assessment and management; management of stable and unstable angina and myocardial infarction including diagnosis, therapy, revascularization, complications, secondary prevention, rehabilitation, risk stratification etc ; understanding of indications for and principles of coronary surgery and post surgical management.
• Cardiac investigations including detailed knowledge and practical experience in standard EKGs, 24-hour EKG monitoring and stress testing; knowledge of echocardiography, indications for and interpretation of cardiac nuclear medicine scans, cardiac CT & MRI, cardiac catheterization and angiography including understanding of the procedures with complications and pre and post procedure management.
Practical skills
• Mechanics and interpretation of EKG.
• Interpretation of X-Ray Chest.
• TMT monitoring and interpretation
• Ambulatory EKG monitoring and interpretation.
• Cardiopulmonary resuscitation including BLS and ACLS. • Hollter monitoring
• Thallium Scan
• Dobitamin Stress test
• Angiography and angioplasty
• Treating dysrhythmias and conduction disturbances. External pacing and TPI • Central line insertion and CVP measurement.
• Insertion of arterial line
• Thrombolysis.
3. NEUROLOGY
Theoretical knowledge
• Normal anatomy, physiology and anatomic principles that allow localization of neurologic disease.
• Ability to diagnose and manage common neurological disorders including strokes, TIAs, SAH, SDH, epilepsy, nonepileptic seizures and other psychogenic illnesses, migraine, dementia, multiple sclerosis, Parkinson's disease, myelopathy, myopathies, neuropathies, MND, disorders of neuromuscular junction, meningitis, encephalitis, neoplasms, brain abscess, vasculitis, pyramidal and extrapyramidal disorders, disorders of sensation, hearing, vision, cerebellar disorders, autonomic nervous system disorders & sleep disorders etc.
• Knowledge of and ability to diagnose congenital disorders like Brain and Spinal cord malformations, Arnold Chiari Malformation, Meningomyelocele, Cortical malformations etc., Chromosomal abnormalities, micro and Macrocephaly, Aberrant development like Development delay, Mental retardation, Neurodegenerative diseases, developmental disorders of higher cerebral function like Mental retardation, Developmental language disorders, learning disabilities ( e.g. , dyslexia), attention deficit disorders, pervasive developmental disorders ( e.g., autism) etc.
• Recognition and early treatment with appropriate onward referral of neurological emergencies such as coma, raised intracranial pressure, status epilepticus, infection, visual failure, spinal cord compression, neuromuscular respiratory failure including GB syndrome, neoplastic disease, Wernick- Korsakoff encephalopathy and giant cell arteritis.
• Knowledge of nutritional and metabolic diseases of nervous system and manifestations of disease.
• Understanding of the assessment of the brain death and an appreciation of ethical issues associated with managing brain death, terminal motor neuron disease and the entry of patients with coma, aphasia or confusion into research studies.
• Knowledge of indications, capabilities and limitations of investigations such as lumbar puncture & CSF examination, CT and MRI of brain and spinal cord, duplex ultrasonography, spinal CT angiography, MR angiography, EEG, electromyography and nerve conduction studies, evoked potential studies, myelography and invasive digital subtraction cerebral angiography
• Some knowledge of the indications for neurosurgery.
Practical skills
• Lumbar puncture
• Muscle biopsy, EEG, EMG and Nerve Conduction Velocity test
• Taking a history and performing a complex neurologic and mental status examination, Glasgow coma scale. Using clinical knowledge to localize a lesion and to assess the acuity and prognosis of clinical problem and formulate a rational plan of further investigation and management.
4. INTENSIVE CARE MEDICINE
Theoretical knowledge
• Assessment and Medical management of trauma patients; respiratory failure and acute respiratory disorders like ARDS, COAD, pulmonary embolism, empyema, pneumothorax etc; acute cardiovascular disorders like CHF, IHD, dysrhythmias, cardiac arrest, aortic aneurysms; toxicologic emergencies, sepsis, shock, renal failure, acid base disorders; neurologic emergencies like coma, CVAs, seizure disorders, spinal cord compression, infectious and inflammatory disorders; environmental disorders like heat and cold injuries, burns, electrocution, hypersensitivity reactions etc.
• The assessment and resuscitation and ongoing acute management of critically ill and injured patients with life threatening single and multiple organ system failure.
• Indications and interpretations of diagnostic tests like EKGs, radiology imaging of acute head and cervical spine injuries, chest pathology, acute abdominal conditions, pelvis and extremity injuries.
• Recognition and understanding of the correct use of drugs and therapies within the ICU pharmacopoeia: analgesics, sedatives, muscle relaxants, inotropic agents, antidysrhythmia drugs, including digoxin, diuretics, antibiotic drugs and fluids for resuscitation.
• Physiological monitoring and clinical measurement.
• Knowledge of principles of care, medicolegal issues like informed consent, laws and liability.
Practical skills
Airway management
• Heimlich maneuver
• Optimising airway patency / bag mask ventilation
• Oral, nasotracheal esophageal- obturator, and intubations in children and adults.
• Needle thoracentesis and tube thoracostomy
• Mechanical ventilation including a range of ventilatory modes and strategies.
Hemodynamic techniques
• Arterial catheter insertion / blood gas sampling
• Central venous access (jugular, femoral, subclavian, brachial.)
• venous cut down
• renal replacement therapy
Diagnostic and therapeutic procedures
• Control of epistaxis.
• Peritoneal tap and lavage
• Lumbar puncture
• Pericardiocentesis
• Nasogastric intubation and Thoracentesis
• Understanding the principles and monitoring of plasmapheresis and desensitization.
5. RESPIRATORY MEDICINE
Theoretical knowledge
• Understanding of basic respiratory and sleep physiology.
• Assessment of respiratory symptoms and signs.
• Interpretation of CXRs, arterial blood gases, basic lung function and understanding of indications for bronchoscopy, thoracoscopy and needle biopsy.
• Handling of respiratory emergencies like severe pneumonia, pneumothorax, acute severe asthma, acute respiratory failure, pulmonary thromboembolism, acute upper respiratory obstruction
• Knowledge of aetiology, pathophysiology, differential diagnosis and management of obstructive lung diseases like asthma & COPD and restrictive lung diseases like ILD.
• Management of sleep disorders like obstructive and central sleep apnoea, neuromuscular diseases and ventilatory failure.
• Assessment and management of respiratory infections like parenchymal infections including bronchitis, bronchiectasis and pneumonia (including complications and empyema and parapneumonic effusions ); cystic fibrosis; oppurtunistic infections in the immunocompromised, spectrum of infections and noninfectious manifestations in HIV related pulmonary disease; tuberculosis, nontuberculosis mycobacterial infections and fungal diseases.
• Investigation and management of pulmonary vascular disease like pulmonary thromboembolism, pulmonary hypertension
• Staging assessment and management of primary and secondary lung cancers, mesotheliomas and mediastinal tumors.
• Pathophysiology and management of ARDS.
• Knowledge of selection of potential recipients for lung transplantation and management of post-transplant problems and survival.
• Knowledge of occupational lung diseases and pulmonary involvement in systemic diseases like sarcoidosis. Practical skills
• Aspiration of pleural effusion and biopsy.
• Insertion of intercostals drain / catheter and subsequent management of drain
• Establishment and maintenance of oropharyngeal airway.
• Endotracheal intubation
• Spirometry
• Bronchoscopy
6. NEPHROLOGY
Theoretical knowledge
Fluid, electrolyte and acid base homeostasis:
• Recognition of under and over hydration; causes, consequences and treatment.
• Electrolyte disorders associated with altered sodium, potassium, acidbase and water homeostasis. Appropriate treatment of these disorders.
• Biochemical tests of renal function; urinalysis and urine microscopy; serological testing; appropriate use of renal imaging techniques.
• The differential diagnosis and management of proteinuria, hematuria, oliguria, polyuria.
• Indications and requirements for and complications of renal biopsy.
• Immunopathogenesis and treatment options of major glomerulopathies.
• Aetiology, complications and management of nephrotic and nephritic syndromes.
• Aetiology, clinical manifestations and treatment of diabetic and analgesic nephropathy, reflux nephropathy, tubulointerstitial diseases of kidneys.
• Upper and lower urinary tract infections, nephrolithiasis and obstructive uropathy: diagnosis and management including indications for emergency nephrostomy.
• Inherited renal diseases like PKD, alport's disease.
• Renal stone disease: Incidence, aetiology, clinical manifestations, prevention, drug therapy, urologic principles.
• Incidence, natural history, diagnosis and management of hypertensive renal disease and renovascular disease.
Acute and chronic renal failure
• Defination, differentiation between prerenal, renal and post renal causes of renal failure, knowledge of common causes, clinical manifestations, assessment of severity, nondialytic therapy including principles of calcium- phosphate balance; effect of common drugs on renal function and principles of dose modification of drugs in renal failure.
• Indications, various modes and complications of Hemo Dialysis and Peritoneal Dialysis
Renal transplantation
• Screening of potential recipients and donors, immunosuppressive regimens, recognition and management of post-transplant problems, basic principles of diagnosis and management of cellular and vascular rejection.
Practical skills
• Urine microscopy
• Renal biopsy
• Hemodialysis, peritoneal dialysis, CRRT and management of all complications
• Tenckhoff catheter insertion and its further management
• Insertion of double lumen AV catheter for hemodialysis
7. ENDOCRINOLOGY AND METABOLISM
Theoretical knowledge
• Basic mechanisms of hormone action in health and disease:
• Structure and synthesis of peptide and steroid hormones.
• Transport and delivery of hormones to target organs.
• Negative feedback control of hormone secretion.
• Interaction of hormones with receptors and second messengers.
• Assessment of endocrine function
• Interpreting the results of common endocrine laboratory tests
• Assessment and management of functioning and nonfunctioning anterior pituitary tumors, hyperprolactinemia, acromegaly and posterior pituitary disorders.
• Hypopituitarism
• Diabetes insipidus and SIADH
• Aetiology, diagnosis and management of hyper and hypothyroidism with complications including thyroid storm and myxoedema coma; diagnosis and principles of management of Iodine deficiency disorders, autoimmune thyroid disorders, thyroid nodule, goitre and thyroid carcinoma.
• Diagnosis and management of syndromes of adrenocortical excess and insufficiency.
• Assessment and principles of management of hypogonadism, disorders of fertility, male impotence, use of gonadal harmone replacement, hirsutism, and androgen excess syndromes, PC OD etc.
• Diagnosis, investigations and management of hypo and hypernatremia, hypo and hyperkalemia, hypo and hypercalcemia including hyperparathyroidism and hyperparathyroidism of malignancy and hyper and hypovitaminosis.
• Aetiology, diagnosis and management of osteoporosis and fractures including post-menopausal osteoporosis and harmone replacement therapy.
• Obesity & Metabolic syndrome
• Polycystic ovarian disease & hirsutism.
• Paget's disease of bone.
• Diagnosis and management of ectopic humoral syndromes.
• Aetiology, classification, risk stratification, prevention and management of dyslipidaemia including ATP guidelines.
• Aetiology, classification, diagnosis, investigations and management of diabetes (Life style & pharmacotherapy) and its micro and macrovascular complications including
• Initial management of newly presented diabetes.
• The pathophysiological basis of Type I, Type II Diabetes and GDM
• Pathophysiology and management of hyperglycemic crisis (Diabetic Ketoacidosis & Hyperosmolar coma) and hypoglycemia.
• Management of diabetes during surgery and acute illnesses.
• Management of erectile dysfunction
• Management of neuropathies including autonomic neuropathy.
• Management of nephropathy, retinopathy, hypertension, dyslipidaemia, CAD in diabetic patients
• Principles of management of diabetes in pregnancy including gestational diabetes.
• Management of diabetic foot including prevention and treatment of diabetic foot ulceration, cellulitis and gangrene.
• Multidisciplinary approach to modern diabetes care and the importance of patient participation and patient education.
Practical skills:
• Taking detailed history & clinical evaluation of endocrine disorder
• Managing insulin and oral hypoglycemic therapy.
• Fingers prick blood glucose monitoring.
• Ophthalmoscopy
• Interpretation of BMD tests and Hormonal assay
• Assessing autonomic neuropathy
8. ALLERGY AND IMMUNOLOGY
Theoretical knowledge
• Structure and function of cellular and humoral components of immune system.
• Immune response and hypersensitivity reactions.
• The types of tissue injury mediated by cells with immune function, antibodies, immunological and inflammatory mediators such as cytokines and complement components etc.
• The mechanisms involved in the generation and control of immune responses to foreign proteins, allergens, microorganisms and autoantigens.
• Knowledge of immunogenetics especially the HLA system and its role in transplantation and disease association.
• Diagnosis and management of primary and secondary immunodeficiency disorders
• The diagnosis and management of allergic disorders including asthma, rhinitis, urticaria / angioedema,anaphylaxis, food allergy and other reactions.
• Knowledge of the mechanisms of action, pharmokinetics and indications for the use of antihistamines, bronchodilators, inhaled steroids and other anti-allergy pharmaceuticals.
• Organ specific and multisystem autoimmune diseases including rhematological disorders.
• Systemic vasculitides.
• Amyloidosis, sarcoidosis and immune complex disorders.
• Monoclonal antibodies: diagnostic & therapeutic role
Practical skills
• Skin testing: Intradermal testing
• Exercise challenge testing.
• Management of laryngeal oedema & anaphylactic shock
• Recognition & Management of hypersensitivity reactions
9. GASTROENTROLOGY AND HEPATOLOGY
Theoretical knowledge
• Assessment, investigation and management of heartburn, chest pain, dysphagia, persistent vomiting and dyspepsia.
• Diagnosis and management of oesophageal dysmotility, infections and reflux.
• Acute and chronic abdomen pain.
• Diagnosis and management of peptic ulcer including detection and treatment of H. pylori.
• Investigation, diagnosis and management of acute and chronic upper as well as lower GI bleed.
• Malabsorption syndromes including diagnosis and management of coeliac disease and tropical sprue.
• Presentation, investigation, diagnosis and management of GI malignancy including oesophageal, gastric, pancreatic and colorectal cancer.
• Diagnosis and management of inflammatory bowel diseases including their complications
• Irritable bowel syndrome and functional bowel disease.
• Aetiology, presentation, complications and management of acute and chronic pancreatitis.
• Diarrhoea, GI infection and AIDS.
• Causes, investigations and management of acute and chronic liver disease, Cirrhosis, Hepatic encephalopathy and immunologic liver disease.
• Liver Abscesses diagnosis, management and complications
• Diagnosis, prophylaxis and management of hepatitis including viral hepatitis.
• Haemochromatosis.
• Diagnosis and management of HCC and other hepatic tumors.
• Knowledge of appropriate use of endoscopy, colonoscopy, hepatobiliary imaging and radiological imaging (Ultra sound, CT, Barium studies) other diagnostic tests in gastrointestinal disease.
• Tests of malabsorption
Practical skills
• Abdominal Paracentesis.
• Upper and lower GI Endoscopy, Capsule Endoscopy
• Insertion of nasogastric tube and Sengstaken Blakemore tube.
• Liver biopsy
• Abdominal fat pad biopsy for amyloidosis.
• Endo Ultrasound and Fibroscan including FNA
10. HEMATOLOGY AND ONCOLOGY
Theoretical skills
• An understanding of haemopoesis and how the cellular elements of the blood are made.
• Mechanisms, investigations and therapy of red cell disorders like anaemias, polycythemias, thalassemias, haemoglobinopathies.
• Pathophysiology, investigation and therapy of white cell disorders like leukemias, lymphomas, myeloproliferative disorders, myeloma and other plasma cell disorders.
• Bone marrow failure disorders
• Pathophysiology, investigation and therapy of platelet disorders like thrombocytosis and thrombocytopenia.
• Diagnosis and management of acquired disorders of haemostasis like DIC as well as inherited disorders like haemophilia and VW disease and an understanding of prevalence, investigation and management of thrombophilia.
• Coagulation disorders
• Indications for transfusion of red cells, platelets, fresh frozen plasma, cryoprecipitate, albumin and immunoglobulin concentrates. The principles of cross matching and assessment of transfusion reactions.
• Principles of autologous and allogenic haemopoetic stem cell transplantation including tissue typing, high dose therapy and graftversus-host disease.
• Assessment and management of haematological emergencies like neutropenic fever, massive haemorrhage, abnormal bleeding, thromboembolism, hypercalcemia, vomiting and pain relief.
• Principles of laboratory haematology like blood counting and morphology, immunophenotyping, cytogenetic analysis, simple tests of haemostasis and blood cross matching.
• Assessment of acutely ill patients with malignancy & Management of oncological emergencies due to disease or therapy including hypercalcaemia, SVC obstruction, spinal cord compression, cardiac temponade, neutropenic infection.
• Principles of cancer staging.
• Principles of anticancer therapy including endocrine, cytotoxic, radiation and palliative; principles of monitoring of patients receiving anticancer therapy.
• Knowledge of cancers that can be cured by primary chemotherapy including testicular cancers and lymphomas; knowledge of cancers in which adjuvant or neoadjuvant chemotheapy may enhance the outcomes of local treatment including breast, head and neck, lung, colon and ovarian cancers; knowledge of common cancers that can be palliated by nonsurgical cancer therapies including breast cancer, lung cancer, colorectal cancer and prostate cancer.
• Knowledge of paraneoplastic syndromes associated with cancer.
• Mechanisms of action and toxicities of various classes of cytotoxic drugs,
• Principles of palliative therapy.
• Understanding of genetic pathophysiology of common malignancies including breast, colon, and stomach cancer and leukemias.
• Porphyrias and other RBC Disorders
• Hematolymphoid malignancies including Non-Hodgkin's Lymphoma, Hodgkin's disease and Leukemia etc.
Practical skills
• Blood transfusion and administration of blood and blood products.
• Insertion and care of central lines.
• Prescription and safe administration of intravenous chemotherapy.
• Performance of thoracentesis, ascitic tap and lumbar puncture, Bone marrow aspiration & Biopsy
• Flow Cytometry and other molecular techniques
• Discussion with patients and their relatives about the diagnosis and prognosis of malignancies.
11. IMMUNE MEDIATED INFLAMMATORY AND RHEUMATOLOGICAL DISORDERS
Theoretical knowledge: Classification, clinical features, diagnosis, lab findings, pathophysiology and management of inflammatory as well as non-inflammatory disorders including:
• Rheumatoid arthritis.
• Infectious arthritis.
• Osteoarthritis.
• Ankylosing spondylitis, reactive arthritis, psoriatic arthritis, arthritis associated with inflammatory bowel disease.
• SLE, Sjogren's syndrome, Behcet's syndrome, polymyosists, dermatomyositis, inclusion body myositis, systemic sclerosis, MCTD.
• Vasculitis including PAN, Takayasu's, temporal arteritis and polymyalgia rheumatica.
• Sarcoidosis
• Gout, pseudogout and chondrocalcinosis.
• Osteoporosis, osteomalacia and paget's disease.
• Use of anti-inflammatory, disease modifying and immunosuppressive drugs including their adverseaffects and safety monitoring procedures.
• Management of chronic progressive disorders including the appropriate use of medical therapy, role of orthopedic surgery, workings of multidisciplinary team like physiotherapy, occupational therapy and means of evaluating and addressing disability and handicap including the provision of aids.
• Management of acute rheumatological emergencies like red hot joint, temporal arteritis, acute low back pain, vasculitis and development of cervical myelopathy in rheumatoid arthritis.
Practical skills
• Examination of joints & ability to distinguish between inflammatory & non inflammatory joint diseases.
• Interpretation of Various Immunological Markers of Inflammation
• Evaluation & interpretation of radiological images of joints. • Knee joint aspiration.
• Physical Rehabilitation
• Assess various disease activity scores
• Educate the patient and family about disease, its progression and prognosis and community resources etc.
12. GERIATRIC MEDICINE
Theoretical knowledge
• The underlying physiologic normal aging changes in various body systems including diminished homeostatic abilities, altered metabolism and reduced functional reserve.
• Alteration of normal physical examination with ageing.
• The unique modes of presentation of elderly patients for care, including altered and nonspecific presentations of diseases.
• Interpretation of laboratory values in elderly.
• The hazards of drug treatment in elderly people including pharmokinetic and pharmacodynamic changes in drug handling with age and disease, risks of multiple drug prescription, iatrogenic drug induced disease.
• Management of specific syndromes encountered in old age like falls, cognitive impairment, delirium, pain, urinary and fecal incontinence, constipation, gait disorders.
• Management of specific diseases with strong age associated risk such as strokes, hypertension, hypotension, dementia, arthritis, osteoporosis, pressure ulcers, Parkinson's disease.
• The presentation and management of psychiatric illness in old age and its relationship to physical illness
• Understanding of important ethical and legal issues in caring for elderly people.
• The range of services available to promote rehabilitation or maintenance of an independent lifestyle for elderly people, increasing their ability to function as long as possible in their existing family, home and social environment.
• The risks and adverse outcomes in geriatric care of polypharmacy, iatrogenic illness, immobilization and its consequences, over dependency, inappropriate institutionalization, non-recognition of treatable illness, over treatment, inappropriate use of high technology and the unsupported family.
• Understanding the role of aids and appliances in rehabilitation of elderly disabled people.
• The use of rating scales in particular clinical situation, e.g., a mental test score, a geriatric depression scale, and scoring of activities of daily living using a recognized scale.
Practical skills:
• Administration of functional and cognitive assessment scales.
• Obtaining a comprehensive history and mental status examination.
• Communicating to the patient and the care givers the proposed investigation and treatment in such a way as to promote understanding, compliance and appropriate attitudes
• Counseling about psychologic, social and physical stresses and changes of age, dying and death.
13. ADOLESCENT HEALTH
Theoretical knowledge
• Normal anatomy and physiology associated with puberty and adolescent years.
• Stages of adolescence and psychologic growth and development in each stage.
• Adolescent health care including history taking, physical examination, screening tests and interpretation, immunizations, healthy diet, cessation of smoking and recreational drug use, safe sexual practices etc.
• Variations in physical growth and development like short and tall stature, precocious and delayed puberty, delayed menarche etc.
• Specific problems of adolescents like acne, obesity, sexual concerns, pregnancy, psychiatric issues, learning and eating disorders, infections, violence, substance abuse
• Medicolegal issues of adolescents. Practical skills
• Growth & pubertal assessment
• Taking a history and sexual history and performing a physical examination
• Providing patient education for preventive measures appropriate for adolescent health care needs
• Determining their parental relationship and dealing with adolescents in the context of their family and community.
14. PSYCHIATRY DISORDER
• Biology of Psychiatry disorders
• Mental disorders
• Alcohol and Alcoholism
• Substance abuse
15. DERMATOLOGY
Theoretical knowledge
(a) Diseases predominantly cutaneous with possible systemic associations:
• Inflammatory skin disease
• Eczema- atopic, discoid, stasis, seborrhoeic dermatitis, psoriasis, acne rosacea, urticaria, photosenstivity.
• Infection, infestation.
• Viral - warts, herpes zoster / simplex, mollscum contagiosum, HIV, exanthems.
• Bacterial - acute like streptococcus, staphylococcus, impetigo, cellulitis; chronic like TB, leprosy and syphillis.
• Fungal - Dermatophyte, candidiasis, pityriasis versicolor.
• Infestation - scabies, pediculoses.
• Immunologically mediated - pemphighus, pemphigoid, dermatitis herpetiformis, alopecia areata, vitiligo, acute and chronic cutaneous vasculitis, cutaneous lupus erythematosus.
• Drug reactions - urticaria, maculopapular eruptions, erythema multiforme, steven johnson's syndrome
• Generalized pruritis.
• Skin tumours : Benign - seborrhoeic keratoses, melanocytic naevi, dermatofibroma, hemangioma and other vascular abnormalities. Malignant
• / pre-malignant - solar keratoses, Bowen's disease, BCC, SCC, melanoma, Kaposi's sarcoma.
(b) Diseases predominantly systemic with possible cutaneous associations:
• Systemic malignancy- acanthosis nigricans,dermatomyositis, erythema nodosum, epidermolysis bullossa acquisita, pruritis.
• Metabolic diseases - diabetes, hyper or hypothyroidism, porphria, liver / renal failure, androgenisation.
• Immunologically mediated / collagen vascular disease - lupus erythematosus, dermatomyositis, RA, PAN, vasculitis.
• IBD - polyderma gangrenosum, oral mucosal disease, erythematous nodosum.
• Dermatological emergencies - disseminated herpes simplex, acute angiooedema, anaphylaxis, acute allergic contact dermatitis, erythroderma, TEN, pustular psoriasis.
Practical skills
• Skin biopsy.
• Excision of skin lesions.
• Intralesional injection of corticosteroids. • Incision and drainage.
• Nutrition counseling and routine skin care.
16. CLINICAL GENETICS
Theoretical knowledge
• Ability to collect and record pedigree information
• Understanding of genetic segregation analysis, including methods and interpretation of linkage analysis. Application to autosomal dominant and recessive, sex linked, multifactorial and mitochondrial inheritance.
• Statistical approaches to risk interpretation and explanation of inheritance patterns and calculated or empiric risk figures to families.
• Basic molecular and biochemical genetics, including understanding of the mechanism and applications of Southern and Northern blotting, polymerase chain reaction, reverse transcription, allele specific hybridisation, DNA sequencing, DNA polymorphism analysis. Major pathways involved in energy and nitrogen metabolism.
• Basic understanding of the definations and underlying processes for heterozygosity, homozygosity, polymorphism vs mutation, genetic heterogeneity, allelic heterogeneity, phenocopies, variable expressivity, age specific penetrance, new muatation, germline versus somatic mosaicism, variable penetrance, genomic imprinting, triplet repeat diseases, anticipation, epigenetic factors, somatic mutation, multifactorial inheritance, genetic control of continuous variables like height, blood pressure, intelligence.
• Teratology and developmental genetics including ability to identify individual with a personal or family history of physical or psychomotor developmental abnormalities for which genetic assessment would be appropriate.
• Cytogenetics: trisomy, monosomy, aneuploidy, deletion, inversion, duplication, reciprocal and Robertsonian translocation, florescent insitu hybridisation
• Cancer genetics including genetic mechanisms involved in acquired or inherited cancer and when to refer for a family history of cancer.
• Common adult onset conditions for which pre-symptomatic or predictive testing is available.
• Community genetics including principles and practices of screening.
• Pharmacogenetics: Psuedocholinesterase deficiency, acetylator activity, malignant hyperthermia, porphyrias, G-6PD deficiency, special anaesthetic problems encountered in myotonic and muscular dystrophies.
• Informed consent for genetic testing. Importance of privacy, autonomy, avoidance of harm, nondirectiveness, confidentiality of results and records.
Practical skills
• The use of genetic databases such as Online Mendelian Inheritance in Man to obtain current information about diagnosis and DNA analysis for known genetic conditions
• Genetic counseling.
• Chromosomal Disorders
• Practice of genetics in clinical Medicine
• Mitochondrial DNA and Heritable Traits and diseases
• The Human Microbiome
17. INFECTIOUS DISEASES
Theoretical knowledge
• Diseases caused by Gram +ve and Gram -ve bacteria • Spirochetal Diseases
• Diseases caused by Ricketesiae, Mycoplasma and Chlamydiae
• Principles and management of infection: clinical assessment of the febrile patient; the use of simple microbiological investigations; initiation of appropriate empirical and directed antimicrobial therapy.
• Evaluation and management of PUO.
• Principles of immunization and antibiotic prophylaxis.
• The mechanism of disease and host responses in infection.
• Infection in special hosts: infections in intensive care, infections associated with immunocompromised states like diabetes, alcohol abuse, chronic liver disease, old age, steroid treatment, neutropenic individuals and transplant recipients.
• Recognition and management of acute infectious emergencies including septicemia, meningitis, falciparum malaria, enteric fever, kala azar etc.
• Knowledge of clinical illness produced by bacterial, protozoal, helminthic, viral and fungal pathogens.
• Principles of hospital acquired infections.
• Principles of infection control in the community including epidemology, transmission and prevention of common infections which threaten a community.
• Evaluation of acutely ill, febrile travelers and patients from overseas.
• Recognition and management of common community acquired infection such as lower respiratory tract infection, urinary tract infection, skin and soft tissue infection, infective arthritis, enteritis, hepatitis, biliary tract infection, endocarditis.
• Recognition & management of Mycobacterial diseases
• Management of common STDs with knowledge of aetiology and investigations for management of urethral and vaginal discharge, cystitis, proctitis, prostatitis, epididymitis, and reactive arthritis.
• Aetiology, staging, clinical manifestations, complications and management of HIV patients.
• Diagnosis, evaluation and management of HIV positive and AIDS: recognition, counseling and testing; antiretroviral therapy; management of major complications and prophylaxis.
• HIV associated Tuberculosis
• Viral Diseases- Infection due to DNA Virus - Infection due to RNA Respiratory Virus
• Fungal Infections
• Protozoal and Helminthic Infections
Practical skills
• Blood cultures from peripheral and central sites.
• Tuberculin test.
• Wound culture.
• Communication skills: taking an infectious disease history; counseling for HIV testing.(including sexual)
• Evaluation and algorithm of Neutropinic Fever • Pediatric Immunization
• Adult Immunization
• Aspiration of liver abscess and guided aspiration of pus from other sites. • Post exposure prophylaxis.
18. POISONING, DRUG OVERDOSE AND ENVENOMATION
• Evaluation and Management of Common Poisoning
• Bioterrorism
• Snake Bite, Marine animal, Arthropods and Mammalian Bites
19. DISORDERS ASSOCIATED WITH ENVIRONMENTAL EXPOSURE
• Altitude illness
• Hypo thermia and frost bite
• Heat related illness
• Climate change and global warming
20. CLINICAL PHARMACOLOGY
Theoretical knowledge
Principles underlying rational drug use
• Pharmacodynamics including receptor / drug interactions, dose response, efficacy, tolerance, potency, agonists and antagonists.
• Pharmacokinetics including definition of drug clearance, half life, volume of distribution, therapeutic ratio, absolute and comparative bioavailability, drug transport and metabolism, the cytochrome family of enzymes. The importance of these concepts to choice of routes, dose, dose frequency of medications.
• Mechanisms of drug interactions and therapeutic drug monitoring.
• Systematic clinical pharmacology:
• Cardiovascular: diuretics, beta- blocking agents, ACE inhibitors, calcium channel blockers, nitrates, anticoagulants and thrombolytics, antiplatlet agents and anti- arrhythmic agents
• Respiratory: beta- agonists, and steroids.
• Endocrinology; insulin, OHAs, statins, fibrates, thyroxine, carbimazole, desmopressin, glucocorticoids / mineralocorticoids and sex steroids, dopamine agonists.
• Infections: antibiotics like penicillins, cephalosporins, aminoglycosides, acyclovir, amphotericin, ketoconazole, AZT, protease inhibitors etc.
• CNS: Antiepileptic, Anti-Depressant, Anti Psycotic Drug and TPA
• GI: Pro and Anti Motitlity agents and sulphasalazine,
• Rheumatology: NSAIDs, immunosuppresants and disease modifying drugs, biphosphonates, calcitonin.
• Oncology: anticancer drugs, cytotoxic drugs.
• Clinical toxicology including overdose, management of addiction, adverse drug reactions and management of anaphylaxis.
• IVIG and Biologically active drugs
Practical skills
• Being able to undertake a thorough medication review
• Being able to monitor drug therapy clinically and with laboratory assistance.
21. NUCLEAR MEDICINE
Theoretical knowledge
(a) Cardiovascular system
• Understanding the principles of and indications for myocardial perfusion imaging using exercise and pharmacological stress.
• Understanding the role of myocardial perfusion imaging in the post infarct patient, in patients who have undergone revascularization procedures and its use in detection of viable myocardium, stunned and hibernating myocardium.
(b) Respiratory system:
• Understanding the principles of and indications for lung ventilation and perfusion imaging.
• Understanding the role of contrast venography, compression ultrasound and pulmonary angiography in diagnosis of pulmonary embolism.
(c) Musculoskeletal system
• Understanding the principles of and clinical indications for bone scanning with particular reference to oncology and rheumatology.
• Understanding the role of bone scanning in the diagnosis of disease andintegration of bone scan findings with plain radiography, CT scanning and MRI.
• Understanding the role of therapeutic radiopharmaceuticals in palliation of pain from bone metastasis.
• Understanding the role of dual photon absorptiometry and its role in the diagnosis and management of osteoporosis.
(d) Gastrointestinal system
• Understanding the principles of and indications for oesophageal motility studies; gastric emptying scans; colon transit studies; hepatobiliary studies and gastrointestinal bleeding studies; cavernous hemangioma studies; urea breath tests and labelled white cell scans.
• Capapble of interpreting the results of these scans and integrating those results with the results of abdominal CT scanning and abdominal ultrasound.
(e) Nephrology
• Understanding the principles of and indications for renal perfusion scanning, renal cortical scanning and GFR estimation.
• Understanding the use and limitation of pharmacological intervention (diuretics, ACE inhibitors) in dynamic renal scanning.
• Understanding the role of renal perfusion imaging in the detection of renovascular hypertension.
(f) Hematology
• Understanding the principles of gallium scanning, white cell scanning, Schilling test, red blood cell volume and plasma volume estimations.
• Understanding the clinical indications for gallium scanning in the detection and monitoring of inflammation and malignancy.
• Understanding the clinical indications for white cell scanning in the detection of inflammation and infection.
• Understanding the role of therapeutic administration of Phosphorus-32 in the treatment of polycythemia rubra vera.
(g) Neurology
• Understanding the principles of and indications for cerebral perfusion imaging.
(h) Endocrinology
• Understanding the principles of and indications for thyroid and parathyroid scanning, I-131 MIBG scanning.
• Understanding the role of I-131 therapy in the treatment of thyrotoxicosis and thyroid cancer.
22. PALLIATIVE CARE
Theoretical knowledge
• Principles and philosophy of palliative care and their application in advanced disease.
• Management of emergencies in palliative care - acute confusional states, haemorrhage, acute severe pain, spinal cord compression, convulsions, SVC obstruction.
• Management of major physiologic pain syndromes like neuropathic, bone and visceral, their assessment, psychological factors, treatment and monitoring.
• Management of conditions and symptoms common in incurable and life threatening disease - Including hypercalcemia, mouth problems, anorexia, weakness, nausea and vomiting, dyspnoea, intestinal obstruction, constipation, diarrhoea, incontinence, anxiety, depression, restlessness, malignant effusion and ascites, lymphoedema.
• Pharmacology of drugs commonly used in pain control and nonpharmacological pain control measures.
• Psychosocial aspects of palliative medicine like communication with terminally ill patients, their relatives and health care professionals with respect to information transfer, therapeutic strategy; quality of life issues and their relevance in late stage disease.
• Legal and ethical issues like withholding and withdrawing life support, certification of death, procedures after death.
Practical skills
• Counseling of patients and their families on the palliative or conservative management.
• Effective use of alternative rotes of analgesia like rectal, topical, nasal and subcutaneous.
• Correct compliance with regulations pertaining to use of controlled
23. REGENERATIVE MEDICINE
• Stem cell biology
• Hematopoietic Stem cells
• Application of Stem cell Biology in Clinical Medicine
24. PRAGNANCY RELATED MEDICAL DISORDER
Theoretical knowledge & Practical skills
Diagnosis, treatment & specific management strategies for gestational diabetes mellitus, diabetes mellitus, hypertension, pregnancy induced hypertension, rheumatic heart diseases, epilepsy, eclampsia, preeclampsia, anaemia, grave's disease, hypothyroidism, hepatitis, Peripartum Cardiomyopathy, Autoimmune Disorders and bronchial asthma. Safe Drug Therapy for various disorders
25. CRITICAL CARE AND EMERGENCY MEDICINE
• Evaluation and management of acute Respiratory, Cardiac, Renal and Hepatic Failure
• Shock and Cardiac Arrest
• Neurological Critical Care
• Evaluation and management of Comotose patient
• Ventilation Strategies
• Evaluation and Management of Shock
26. NUTRITION AND METABOLISM
• Nutritional requirement Comatose or the patient on ventilator
27. Biostatistics, Research Methodology and Clinical Epidemiology
28. Ethics
29. Medico legal aspects relevant to the discipline
30. Health Policy issues as may be applicable to the discipline
IV. COMPETENCIES
• General clinical skills- Care of in-patients, out-patients, special clinics; Maintenance of case records for both in-and out-patients; Carrying out various investigative procedures ñ log book; Learning special procedures for the diagnosis/management of patients specially knowledge/skills of basic life support; Rotation ñ inter-units/sub-specialties; Special postings: ICU, Dermatology, Radiology, Psychiatry, Pathology, etc.
• Clinical skills: These are essential to practice competently in adult internal medicine and include the following
a. General verbal communication skills - These include establishment of professional relationships with patients and their relatives in order to obtain organized, relevant and complete medical histories and perform thorough physical examination.
b. General physical examination skills - This includes the ability to perform an accurate physical and mental state examination including complex medical problems and an ability to interpret physical signs.
c. General written communication skills - This includes ability to write clear, concise, and accurate medical history and clinical examination followed by a clear management plan. Also includes ability to write discharge summaries and transfer summaries.
d. Patient management skills - This includes ability to interpret and integrate history and physical findings with laboratory results to arrive at diagnosis and management by use of appropriate resources, thereby avoiding unnecessary investigations and hospitalization
• Communication skills- Case presentations; Presentation of articles from Journals; Clinical case presentations; Attending conferences, seminars, workshops etc. for CME
• Clinical Procedures - A log book to be maintained for the various procedures done by the individuals (this may include needle aspirations from serous cavities, liver-abscess, bone-marrow, biopsies, aspirations of liver/kidneys, muscles, skin, lymph ñ nodes and lumps)
• Diagnostics- Principles of methodology of various biochemical, microbiological, immunological, histo-chemical and radiological procedures; Knowledge about precise use and risks associated with various diagnostic procedures and their financial implication to the individual patient as well as health care provider
• To obtain written consent from the patient to understand the legal framework with in the healthcare
• Therapeutic and safe prescribing relevant to clinical practice
• Time management and decision making and clinical reasoning
• The patient should be the central focus of care
• To ensure patient safety in clinical practice
• Team working and patient safety
• To develop the ability to manage and control infection in patients including control of cross infection
• To know, understand and apply appropriately the principles, guidance and laws regarding medical ethics and confidentiality
• Manage long term diseases and promoting patient self-care
• Communicate effectively and accurately with patient relatives and care givers and breaking bad news
• Health promotion and healthcare
• To progressively develop the ability to perform an audit of clinical practice and death review and medical audit
Career Options
After completing a DNB in General Medicine, candidates will get employment opportunities in Government as well as in the Private sector.
In the Government sector, candidates have various options to choose from, including Registrar, Senior Resident, Demonstrator, Tutor, etc.
While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (General Medicine), Junior Consultant, Senior Consultant (General Medicine), Consultant General Medicine Specialist, etc.
Courses After DNB in General Medicine Course
DNB in General Medicine is a specialization course that can be pursued after finishing MBBS. After pursuing a specialization in DNB (General Medicine), a candidate could also pursue super specialization courses recognized by NMC, where DNB (General Medicine) is a feeder qualification.
DM Clinical Haematology, DM Nephrology, DM Medical Oncology, DM Endocrinology, DM Cardiology, DM Neurology, DM Gastroenterology, DM Hepatology, DM Clinical Immunology, DM Infectious Disease, DM Critical Care Medicine, DM Medical Genetics are the courses that require DNB (General Medicine) as a feeder qualification.
Frequently Asked Questions (FAQs) – DNB in General Medicine Course
Question: What is a DNB in General Medicine?
Answer: DNB General Medicine or Diplomate of National Board in General Medicine also known as DNB in General Medicine is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.
Question: Is DNB in General Medicine equivalent to MD in General Medicine?
Answer: DNB in General Medicine is equivalent to MD in General Medicine, the list of recognized qualifications awarded by NBE in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.
Question: What is the duration of a DNB in General Medicine?
Answer: DNB in General Medicine is a postgraduate programme of three years.
Question: What is the eligibility of a DNB in General Medicine?
Answer: Candidates must be in possession of an undergraduate MBBS degree from any college/university recognized by the Medical Council of India (now NMC).
Question: What is the scope of a DNB in General Medicine?
Answer: DNB in General Medicine offers candidates various employment opportunities and career prospects.
Question: What is the average salary for a DNB in General Medicine postgraduate candidate?
Answer: The DNB in General Medicine candidate's average salary is between Rs. 10,00,000 to Rs. 24,00,000 per year depending on the experience.
Question: Are DNB General Medicine and MD General Medicine equivalent for pursuing teaching jobs?
Answer: The Diplomate of National Board in broad-speciality qualifications and super speciality qualifications when granted in a medical institution with attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.
