MD Obstetrics and Gynaecology

Three-year, full-time residency program under Tribhuvan University designed to produce specialists in obstetrics, gynaecology, and family planning, with the core aim of reducing maternal and perinatal morbidity and mortality through advanced clinical, surgical, academic, and public-health competencies.
Program integrates obstetric and gynaecological clinical care, reproductive health, prenatal and postnatal management, emergency obstetrics, operative gynaecology, fetal–maternal medicine, infertility evaluation, oncology screening, family planning, epidemiology, and women’s health services. Training follows a rigorous hospital-based residency model with rotations, supervised procedures, ward management, labour-room duties, outpatient care, surgical exposure, and academic activities. Structure includes phased examinations, thesis development, log-book–based competencies, OSCE-based evaluations, and active participation in teaching, research, and reproductive-health program planning.

Curricular structure (training and evaluation overview)

Training Structure

• Three-year full residency program
• Clinical rotations in obstetrics, gynaecology, family planning, emergency services, and subspecialties
• Labour-room duties, OT exposure, inpatient and outpatient responsibilities
• Case presentations, seminars, journal clubs, CME activities
• Log-book maintained and evaluated
• Thesis research, writing, and defense (Phase II requirement)

Examination Structure

Phase I – Applied Basic Sciences

• Theory: Anatomy, Physiology, Biophysics, Biostatistics, Pathology, Pharmacology, Biochemistry
• 200 marks (Paper I + Paper II)
• Internal assessment: 20% of theory marks
• Practical: OSCE (10 stations × 10 marks)
• Must pass both theory and practical; failures require re-attempt of both components

Phase II – Thesis

• Thesis must be approved 6 months before final exams
• Defense in early third year

Phase III – Final Examination

• Theory: 200 marks (MCQs + short answers)
• Clinical/Practical: 200 marks (OSCE-based)
• Internal assessment: 20% of theory marks
• Pass mark: 50% in theory and 50% in practical independently
• Failure in either component requires re-sitting both after 6 months

Features

• Focus on maternal health, reproductive health, and newborn care
• High-intensity clinical residency model
• Emphasis on surgical obstetrics and operative gynaecology
• Integration of epidemiology, public-health planning, and reproductive services
• Log-book–based continuous evaluation
• OSCE-centered practical assessments
• Thesis requirement to strengthen research competency
• Training across major TU-affiliated teaching hospitals

Eligibility

• MBBS or equivalent from a recognized institution
• Registered with Nepal Medical Council
• For foreign applicants: Registration in home-country medical council
• One-year clinical experience (exceptions for MDGP and basic medical sciences)
• Minimum 50% score in MECEE-PG entrance examination

Entrance examination (MECEE-PG)

• MCQ, single best response
• 200 questions
• 3 hours duration
• Recall:Understanding:Application = 30:50:20
• One voluntary toilet break after 1 hour
• No negative marking

Weightage Distribution

Clinical Sciences (115 marks)
Medicine 18
Surgery 18
Obstetrics & Gynaecology 12
Pediatrics 12
Orthopedics 10
ENT 10
Ophthalmology 7
Anaesthesiology 7
Psychiatry 7
Radiology 7
Dermatology 7

Basic Sciences (60 marks)
Anatomy 12
Physiology 12
Pathology 10
Pharmacology 10
Biochemistry 8
Microbiology 8

Other Subjects (25 marks)
Community Medicine + Research Methodology: 10
Forensic Medicine: 5
Medical ethics, rational drug use, infection prevention, BLS/ACLS, communication skills: 10

Total = 200 marks

Fee (tentative)
NPR 2,381,760

Job prospects

• Obstetrician–gynaecologist (hospital-based practice)
• Consultant in maternity and reproductive-health units
• Specialist in labour-room management and emergency obstetrics
• Gynaecologic surgeon
• Infertility, family planning, and reproductive-health services
• Academic positions in medical colleges
• Government and private hospital specialist roles
• Opportunities for subspecialty training (fetal medicine, oncology, uro-gynaecology, infertility, etc.)