NBE Diploma In Otorhinolaryngology: Admissions, medical colleges, fees, eligibility criteria details

The course is a full-time course pursued at various recognized medical colleges across the country. Some of the top medical colleges offering this course include Dr Ram Manohar Lohia Institute of Medical Sciences Vibhuti Khand, Lucknow, Uttar Pradesh, Government Multi Specialty Hospital Sector-16, Chandigarh and more.

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

The fee for pursuing NBEMS Diploma in Otorhinolaryngology (DLO) is Rs.1,25,000 per year.

After completion of their respective course, doctors can either join the job market or pursue higher degree courses like master’s degrees and research degree courses recognized by NBEMS, where NBEMS Diploma in Otorhinolaryngology (DLO) is a feeder qualification. Candidates can take reputed jobs positions such as Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector, the options include Resident Doctor, Consultant, Visiting Consultant (Otolaryngologist), Junior Consultant, Senior Consultant (Otolaryngologist), ENT surgeon, Medical Professor, etc. with an approximate salary range of Rs. 7,00,000 to Rs. 15,00,000 per year.

What is NBEMS Diploma in Otorhinolaryngology?

NBEMS Diploma in Otorhinolaryngology also known as the National Board of Examinations in Medical Sciences Diploma in Otorhinolaryngology (DLO NBEMS) is a two-year postgraduate programme that candidates can pursue after completing MBBS.

Otorhinolaryngology is the branch of medical science that focuses on the research of diseases affecting the ear, nose, sinuses, larynx, mouth, throat, and structure of the neck and face, as well as their diagnosis, treatment, and management.

The National Board of Examinations in Medical Sciences (NBEMS) has released a Guidelines for Competency-Based Postgraduate Training Programme for NBEMS Diploma in Otorhinolaryngology.

The Competency-Based Postgraduate Training Programme governs the education and training of the NBEMS Diploma in Otorhinolaryngology (ENT).

The diploma 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 Otorhinolaryngology 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 Otolaryngologist possessing a broad range of skills that will enable her/him to practice Otorhinolaryngology independently.

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 the NBEMS Diploma in Otorhinolaryngology

Eligibility Criteria

• The eligibility criteria for NBEMS Diploma in Otorhinolaryngology are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which includes:
• Candidates in possession of an MBBS degree or Provisional MBBS Pass Certificate recognized as per the provisions of the NBEMS Act, 2019 and the repealed Indian Medical Council Act 1956 and possessing a permanent or provisional registration certificate of MBBS qualification issued by the NBEMS/ the erstwhile Medical Council of India or State Medical Council and have completed one year of internship.
• The candidate must have obtained permanent registration with any State Medical Council to be eligible for admission.
• The medical college’s recognition cut-off dates for the MBBS Degree courses and compulsory rotatory Internship shall be as prescribed by the Medical Council of India (now NBEMS).

Admission Process

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

• The Post MBBS trainees get admission to 2 years Diploma course after successfully qualifying for the NEET-PG examination which is conducted by NBEMS. NEET-PG is conducted annually as per the prescribed schedule.
• The merit-based counseling for admissions to 2 years Post MBBS Diploma Programme after the conduct of NEET-PG is administered by the Medical Counseling Committee of DGHS, MoHFW, Govt of India along with the counseling for admissions to various MD/MS/PG Diploma courses.
• Registration as NBEMS Diploma Trainee: After opting for an NBEMS Diploma seat for the 2-year diploma courses, the trainee is registered with NBEMS for Diploma training in respective courses.

Fee Structure

The fee structure for NBEMS Diploma in Otorhinolaryngology (DLO) is generally less for Government Institutes and more for private institutes. The average fee structure for NBEMS Diploma in Otorhinolaryngology is Rs.1,25,000 per year.

Colleges offering NBEMS Diploma in Otorhinolaryngology

There are various medical colleges across India that offer courses for pursuing NBEMS Diploma (ENT).

As per the NBEMS website, the following medical colleges are offering NBEMS Diploma (ENT) courses for the academic year 2022-23:

NBEMS Diploma in Otorhinolaryngology is a two years post-graduation course that provides training in the stream of ENT.

The course content for NBEMS Diploma in Otorhinolaryngology is given in the Competency-Based Postgraduate Training Programme released by the National Board of Examinations in Medical Sciences, which can be assessed through the link mentioned below:

Diploma in ENT: Check out NBE released Curriculum

THEORY:

1. Ear:

• Anatomy embryology and ultrastructure of the human ear.
• Physiology of hearing.
• Assessment of hearing.
• Hearing loss.
• Physiology of equilibrium and its application to the dizzy patient.
• Assessment of vestibular function
• Eustachian tube anatomy and physiology
• Facial nerve
• Temporal bone

2. Audiology:

• Audiometry and masking.
• Tympanometry
• BERA

3. Nose and Paranasal Sinuses:

• Anatomy and Embryology.
• Physiology.
• Pathophysiology of the ears and nasal sinuses in flight and diving.
• Nasal Septum.
• Evaluation of the nasal airway (Rhinomanometry)

4. Oral cavity:

• The embryology /anatomy of the mouth and related faciomaxillary structure
• Embryology/anatomy and physiology of salivary glands

5. Pharynx and Esophagus:

• Anatomy, embryogenesis and physiology of the pharynx
• Anatomy and embryogenesis of oesophagus and its relations
• Physiology of deglutination

6. Larynx and Tracheobronchial Tree:

• Anatomy and embryology
• Physiology of respiration
• Physiology of phonation

7. Skull Base:

• Surgical anatomy
• Clinical neuroanatomy

8. Neck:

• Facial spaces of the head and neck
• Lymph nodes of the head and neck
• Thyroid gland

9. Imaging and Radiology: Image taking and interpretation of ultrasound, angiography, dacrocystography, x-rays, CT, MRI, barium studies, contrast studies etc. with respect to ENT.

• Basic Immunology
• Microbiology as related to ENT
• Wound healing principle
• Intensive care in ENT patients
• Anesthesia in ENT
• Biomaterials used in ENT
• Medical negligence in otolaryngology
• Principle of chemotherapy
• Principle of radiotherapy
• Principle and use of nuclear medicine
• Principle of laser surgery

DISORDERS: THEIR MEDICAL/SURGICAL MANAGEMENT

1. Ear: Etiology and management of the inflammatory condition of the external and middle ear.

• Pathology of cochlea
• Pathology of the vestibular ear
• Diseases of the external ear
• Diseases of Eustachian tube
• Ear trauma
• Management of CSOM and cholesteatoma.
• Complications of CSOM and their management
• Otosclerosis etiopathogenesis and management
• Menier’s disease etiopathogenesis and management
• Sensorineural hearing loss causes and management✦ Vertigo
• Otalgia causes and management
• Tinnitus causes and management
• Ototoxicity
• Acoustic neuroma
• Epithelial tumours of EAC and middle ear
• Glomous tumour of the ear
• Facial nerve disorder, etiopathogenesis and management
• Cochlear implants
• Rehabilitation of hearing impaired
• Reconstruction of ear

2. Nose and Pns:

• Conditions of the external nose
• Abnormalities of smell
• Mechanism and treatment of allergic rhinitis
• Food allergy and rhinitis
• Infective rhinitis and sinusitis
• Complications of sinusitis
• Intrinsic rhinitis
• Nasal polyps
• CSF rhinorrhea
• Fracture of the facial skeleton
• Rhinoplasty
• Epistaxis
• Snoring and sleep apnea
• Non-healing granulomas of the nose
• Facial pain and headache
• Aspects of dental surgery for ENT
• Trans sphenoidal hypophysectomy
• The orbit with relation to the nose
• Cysts, granulomas and tumours of jaws, nose and sinuses
• Deviated septum and septoplasty
• Neoplasm of the nasal cavity
• Neoplasm of PNS
• 3. Oral Cavity and Salivary Gland:
• A common disorder of the oral cavity
• Tumours of the oral cavity
• Non-neoplastic disorder of the oral cavity

• Neoplasm of salivary gland

   Benign

   Malignant

  4. Pharynx and Esophagus:

• Acute and chronic infection of the pharynx
• Neurological affective of the pharynx
• Pharyngeal pouches
• Abscesses in relation to the pharynx
• Angiofibroma
• Nasopharyngeal malignancy
• Tumours of the oropharynx and lymphomas of the head and neck
• Tumours of hypopharynx
• The oesophagus in otolaryngology.
• Dysphagia
• Foreign bodies of food passage

5. Larynx:

• Acute and chronic laryngitis
• Disorders of voice
• Management of obstructive airway and tracheostomy
• Trauma and stenosis of the larynx
• Neurological affections of larynx
• Tumours of the larynx (benign & malignant)
• Congenital lesion of larynx and stridor

6. Neck /Face:

• The benign disease of the neck
• Metastatic neck disease
• The thyroid gland benign/malignant disorders
• Tumours of infratemporal fossa and parapharyngeal space
• Facial plastic surgery.
• Plastic and reconstructive surgery of the head and neck

7. Paediatrics Otolaryngology:

• Genetic factors and deafness
• Causes of deafness
• Testing hearing in children
• Screening and surveillance for hearing impairment in preschool children
• Otitis media with effusion
• Acute and chronic suppurative otitis media in children
• Surgery of congenital absence of external /middle ear
• Management of hearing-impaired child.
• Cochlear implantation in children
• Vestibular disorder in children
• Speech and language development
• Foreign body in ear and nose
• Congenital anomalies in the nose
• Craniofacial anomalies
• Nasal obstruction, rhinorrhea in infants and children
• Tonsils and adenoids
• Dental development, orthodontics, cleft lip and palate
• Sleep apnea
• Stertor and stridor
• Acute laryngeal infections
• Home care of tracheostomized children
• Branchial cleft anomalies, thyroglossal cyst and fistula.
• Tumours of the head and neck in children
• The drooling child
• Recurrent respiratory papillomatosis
• Paediatrics anaesthesia

PRACTICAL:

1. History and examination: History taking pertaining to Otolaryngology and examination like anterior and posterior rhinoscopy, oral cavity examination, indirect laryngoscopy, otoscopy, neuro-otology testing, tuning fork testing, audiometry, impedance and vestibular function testing, examination of Eustachian tube, functional examination of the nose, transillumination test. Neck examination, examination of cranial nerves & cervical lymph nodes. Nasal endoscopy, flexible fiberoptic laryngoscopy, and micro-ear examination (according to the facilities available in the department).

2. Monitoring skills: Temperature recording, post-op patient monitoring and management accordingly, tracheostomy care, airway management, management of bedside emergencies like Epistaxis, tracheostomy, cricothyroidotomy, vertigo etc.

3. Therapeutic skills: Tracheostomy, anterior/posterior nasal packing, ear packing, syringing, foreign body removal from ear/nose/throat, airway management, nasogastric feeding, endotracheal intubation, cardiopulmonary resuscitation, administration of oxygen, venipuncture and establishment of vascular access, administration of fluids, blood, blood components, parenteral nutrition, common dressings, abscess drainage and basic principles of rehabilitation.

4. Diagnostic skills: Interpretation of X-rays/CT/MRI of Head, nose and paranasal sinuses, sear, neck & chest. Understanding of audiograms, ENG. BERA, ultrasonographic abnormalities.

5. Surgical skills: The first-year resident observes the general layout and working of the OT, understands the importance of maintaining the sanctity of the OT, scrubbing, working and sterilization of all the OT instruments, and know-how of endoscopes, microscopes and laryngoscopes. He /She is responsible for shifting OT patients, participating in the surgery as a second assistant and for post-op management of the patient in recovery and in the ward. He should be able to manage the foreign bodies in aerodigestive tract.

6. The residents are provided with the facilities for temporal bone and cadaveric dissection which are checked periodically.

Career Options

After completing an NBEMS Diploma in Otorhinolaryngology (DLO), candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from which include Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector, the options include Resident Doctor (Otorhinolaryngology), Consultant (Otorhinolaryngology), Visiting Consultant (Otorhinolaryngology), Junior Consultant (Otorhinolaryngology), Senior Consultant (Otorhinolaryngology ), Ent Surgeon, Medical Professor, etc.

Courses After NBEMS Diploma in Otorhinolaryngology Course

NBEMS Diploma in Otorhinolaryngology (DLO) is a post-graduation course that can be pursued after finishing MBBS. After pursuing a specialization in NBEMS Diploma in Otorhinolaryngology, a candidate could also pursue higher degree courses like a master’s degree and research degree courses recognized by NBEMS, where NBEMS Diploma in Otorhinolaryngology (DLO) is a feeder qualification.

Candidates possessing NBEMS diploma qualifications can also appear in the DNB PDCET examination conducted by the National Board of Examinations for admission to Post Diploma DNB Broad specialty Courses.

Frequently Asked Questions (FAQs)–NBEMS Diploma in Otorhinolaryngology (DLO)

• Question: What is the full form of the NBEMS diploma?

Answer: The full form of NBEMS is the National Board of Examination in Medical Sciences.

• Question: What is an NBEMS Diploma in Otorhinolaryngology?

Answer: NBEMS Diploma in Otorhinolaryngology also known as National Board of Examination in Medical Sciences Diploma in Otorhinolaryngology (DLO) is a Postgraduate level course for doctors in India that is done by them after completion of their MBBS.

• Question: What is the duration of an NBEMS Diploma in Otorhinolaryngology?

Answer: NBEMS Diploma in Otorhinolaryngology is a postgraduate program of two years.

• Question: What is the eligibility for an NBEMS Diploma in Otorhinolaryngology?

Answer: The candidate must have successfully completed an MBBS degree obtained from any college/university recognized by the Medical Council of India (MCI) now NMC and should have completed one year of Internship.

• Question: What is the average salary for an NBEMS Diploma in Otorhinolaryngology postgraduate candidate?

Answer: The NBEMS Diploma in Otorhinolaryngology candidate’s average salary is between Rs. 7,00,000 to Rs. 15,00,000 per annum depending on the experience.

• Question: What is the scope of the NBEMS diploma in Otorhinolaryngology?

Answer: Graduates of the programme may pursue careers as otolaryngologists, ENT surgeons, medical professors, etc. after completing the programme. Government hospitals, speciality hospitals, private hospitals, nursing homes, multi-speciality hospitals, etc. are all places where they can find employment.