Suggested Books To Read During Your General Surgery Residency (Read More)
Bailey & Love's Surgery, 27th Edition Surgery Essence by Pritesh Singh (PGMEE) Sabiston's Textbook of Surgery
Farquharson's Textbook of Operative General Surgery, 10th Edition Surgery Sixer for NBE by Rajamahendran Surgery PreTest Self-Assessment and Review, Thirteenth Edition
Questions regarding MRCS for an MBBS candidate

Dear Dr. Sandeep,

I was going through your posts on MRCS. I am an MBBS doctor and planning to take MRCS. As you said that after completing the exams successfully we need to get registered by GMC after taking IELTS exam. Is there any issue in getting GMC registration for an MBBS candidate as compared to MBBS, MS candidate (I am not able to understand the difference if there is any difference in the process for MBBS and MBBS, MS for registration?).

After completing all the parts of MRCS exam when will they give General Surgery Diploma .. is it after training or on completion of the test?

What is the minimum duration of training for successfully complete MRCS?

Once a person gets registered by GMC he/she is eligible to apply in any of the training centers in UK or can the training be done in India?

One we are good to go can we practice general surgery in India when in my case I am MBBS and I will do MRCS (when I continue to work with the senior surgeon in India)?

Kindly Guide!



Dear Dr _____,

Below are the answers to your questions:

I am not able to understand the difference if there is any difference in the process for MBBS and MBBS, MS for registration for MRCS?

There is no difference in the process of registration as the proof which needs to be sent for MRCS Part A exam registration is just a Certified copy of basic medical degree certificate.
After completing all the parts of MRCS exam when will they give General Surgery Diploma .. is it after training or on completion of the test?

MRCS is just a membership which is given once you have cleared both Part A and Part B exams. Though you can use MRCS in your post nominal (eg Dr ABCD MBBS, MS, MRCS), it is not like a conventional diploma or degree. It just indicates that your basic surgical knowledge is good enough to join further surgical training in the UK. In India, we have entrance exams like NEET PG for this, which are a stepping stone for surgical training.

Once you have MRCS, then you can apply for GMC registration. Once you have GMC registration, you are eligible to apply for Non Training posts (Medical Officer) or Training posts for Specialty surgical training (General surgery is considered to be a specialty surgical training).

What is the minimum duration of training for successfully completing MRCS?

MRCS is just a set of 2 exams and they do not require you to produce any proof of surgical training. But practical things which are asked in MRCS Part B exam, can only be possibly answered if you have at least some experience in General surgery, even as a JR.

Once a person gets registered by GMC he/she is eligible to apply in any of the training centers in UK or can the training be done in India?

You are confused I guess. MRCS is given to get a surgical training/ non training post in UK. It is like USMLE which you give to get training/ non training seats in the US except that MRCS is specific for surgical streams.

One we are good to go can we practice general surgery in India when in my case I am MBBS and I will do MRCS (when I continue to work with the senior surgeon in India)

Once you have MRCS, you are just a member of royal college of surgeons and not a fellow, you are not a qualified surgeon. To be a qualified surgeon, you should qualify both steps of MRCS, get a surgical training post in the UK, give exit exam FRCS (General Surgery, Urology, Neurosurgery etc) and only then you will be a qualified surgeon in a particular specialty. So with just a MRCS post MBBS, you will not be allowed to practice surgery in India.

Hope I answered all your questions.

All the best!

Case History

A 32 year old female came with multiple lumps in her right breast which have been there from past 7 years and are increasing in size and number. Initially she was advised conservative management and observation. But the lesions were growing in size and she had started having occasional pain. So she decided to go for surgical removal.

Multiple fibroadenomas with smooth and circumscribed borders.

Discussion: What is the best incision if multiple fibroadenomas have been identified?

Having multiple fibroadenomas in a single breast is a rare occurrence.

There are various available incision approaches like: 
  • Periareolar
  • Inframammary
  • Radial
  • Curvilinear. 
Each of these having their advantages and disadvantages. Utilising the mobility of the fibroadenomas, allows them to be excised through a single cosmetic circumareolar incision in each breast. Periareolar incision is not suitable when the diameter of the tumor is >5 cm or when the distance between the tumor and the areola is >3–4 cm, since the surgery would cause significant damage to the lactiferous ducts (Zhao XY).

Traditional surgical incision often chooses radial incision or curvilinear incision on the surface of the tumor. It is very favorable for the exposure and resection of the tumor, and the treatment effect is also good, but the postoperative scar is obvious and affects the cosmesis.


References

http://journals.sagepub.com/doi/abs/10.4137/BCBCR.S9512

https://onlinelibrary.wiley.com/doi/full/10.1046/j.1524-4741.2001.007003189.x

http://file.scirp.org/Html/5-2101137_57749.htm

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103926/

Zhao XY. Application value of areola incision at the edge of the benign breast tumor resection. Zhongguo Shiyong Yiyao. 2010;5:57–58



Whatsapp Discussion on FNB (Minimal Access Surgery) - 2018
Whatsapp Discussion on FNB (Minimal Access Surgery) - 2018 


[4:33 PM, 3/5/2018] +91 98*******: Two of my junior SRs in DDU with Rank 44 andRank 110 left FNB( Minimal Access Surgery) last year after taking admission. One of senior SR rank 25 did not appear for FNB counselling. So in my view FNB stands false national board.

[4:33 PM, 3/5/2018] +91 989*******: What was the reason for leaving the course

[5:39 PM, 3/5/2018] +91 901*******: I think, the people who don’t have exposure to lap chole and appendix and haven’t done, will find fnb good, but for the senior members who have already done these in their professional life and are expecting more advanced laparoscopy will be disappointed.
I have discusses with people, and they told me that the Delhi and mumbai centres will give u exposure to advanced laparoscopy, if someone is expecting a good hands on in advanced laparoscopy with this fnb course at these centres is likely to be disappointed.

[5:52 PM, 3/5/2018] +91 903*******: Advances lap exposure is there in hinduja and max?

[5:52 PM, 3/5/2018] +91 852*******: Most accurate assessment tilll now

[12:54 PM, 3/6/2018] +91 945*******: Anybody have any idea about last year FNB (MAS) allotment till what rank ?
Kindly comment

[1:47 PM, 3/6/2018] +91 94*******: Thanks a lot😊

[9:54 PM, 3/6/2018] +91 996*******: Any news abt counselling dates

[10:18 PM, 3/6/2018] +91 987*******: Nope

[3:45 AM, 3/7/2018] +91 798*******: What's the stipend for FET??

[9:21 AM, 3/7/2018] +91 987*******: Around 40 k to 45 k in South
1 lac at delhi

[11:05 AM, 3/7/2018] +91 989*******: 1 lac with 24 hr file work only

[11:08 AM, 3/7/2018] +91 987*******: I have worked at gangaram  so i know that's not all true

[11:09 AM, 3/7/2018] +91 901*******: What is ur review about ganga ram?

[11:11 AM, 3/7/2018] +91 987*******: Yes there is kinda residency work but they give not much of  hands on. I know that it's mainly for fresher pass out people otherwise who is already doing the basic laparoscopy surgery then it is not for them

[11:14 AM, 3/7/2018] +91 901*******: I think residency work is everywhere, no one can bypass that....
The trends in the last few years have been delhi as an option for toppers,
So there must be something in delhi, that’s why I m asking.

[11:14 AM, 3/7/2018] +91 987*******: Yea there are other perks too for North indian that's definitely there apart from any degree

[11:16 AM, 3/7/2018] +91 987*******: Working at gangaram  has a benefit of making links and yeah they absorb you in the team if you want to  work as an consultant after

[11:26 AM, 3/7/2018] +91 987*******: True that's the main reason why not to go for Superspecialty course.  I think  fnb  has to be the option for those only who have no zeal  or confidence to even qualify in mch course after  they have tried hard

[11:29 AM, 3/7/2018] +91 903*******: Any benifit in salary in corporates?

[11:52 AM, 3/7/2018] +91 901*******: Surely, the salary is around a lakh or slightly more in all corporates...especially north India.
In all the less familiar places, the salary is around 35-42K

[12:14 PM, 3/7/2018] +91 903*******: I mean for example in Gujarat general surgeon get 90k... After fnb can they have more salary?

[12:14 PM, 3/7/2018] +91 903*******: Any idea?

[12:16 PM, 3/7/2018] +91 901*******: Ohhh...
No clue about that.

[12:20 PM, 3/7/2018] +91 903*******: Ohkeyyy

[12:21 PM, 3/7/2018] +91 90*******: Delhi and near by mae SR ko b at least 95-1 mil ra hai

There are new medical colleges, which are giving 1.25-1.3 to surgery SR, due to recent MCI inspection issues.

[12:28 PM, 3/7/2018] +91 903*******: All these are temporary things

[12:28 PM, 3/7/2018] +91 903*******: In order to have a long innings in corporates.... How much these 2 yrs of investment is helpful that must b evaluated

[12:29 PM, 3/7/2018] +91 903*******: I love all procedures of general surgery... Keeping general surgery as your career in mind... Does this course teach us lap hernia, lap gastric bypass

[12:29 PM, 3/7/2018] +91 903*******: Etc...

[12:31 PM, 3/7/2018] +91 989*******: In corporate only work matter. How much clinical skills u have. Degree do not matter

[12:32 PM, 3/7/2018] +91 756*******: These corporate Hospitals won't give that much of hands on , it's just a kind of observership.

[12:33 PM, 3/7/2018] +91 987*******: True.

[12:33 PM, 3/7/2018] +91 989*******: I totally agree with u

[12:34 PM, 3/7/2018] +91 756*******: So if one is considering of getting laparoscopic hands on training , it's not a good option. Yes if one wants to be a general surgeon , then inspite of being an SR better join FNB

[12:34 PM, 3/7/2018] +91 987*******: True

[12:35 PM, 3/7/2018] +91 901*******: I think if u r looking for a long stay at corporates, then fnb at Apollo n fortis kind n max ganga ram are the best, as if u have done fnb there, gradually u will have an good option to become a part of their team and then u grow further.
Ask later on u will be recognised with a better name and fame, as these people have got very good connections.

[12:35 PM, 3/7/2018] +91 756*******: Plus if one is worried about salaries and all. We all are surgeons , we will earn good money🙂 it's just about being patient and sticking to one thing

[12:36 PM, 3/7/2018] +91 903*******: ☺

[12:36 PM, 3/7/2018] +91 756*******: Eventually money will come , surgeries b karne milengi

[12:38 PM, 3/7/2018] +91 756*******: In my college I have seen and done enough of basic laparoscopy . The ones who haven't had this much experience will definitely find interesting

[12:40 PM, 3/7/2018] +91 903*******: Ohkeyyy

[12:51 PM, 3/7/2018] +91 810*******: I agree with this.. even i am working in medical college.but they ll not allow to touch to scope...they expect certificate....

[8:18 AM, 3/9/2018] +91 810*******: If u choose the seat this year...then if u left means...u have to pay fee?

[8:18 AM, 3/9/2018] +91 810*******: Can u do like that...?

[8:18 AM, 3/9/2018] +91 810*******: Opting out is there in this?

[11:09 AM, 3/9/2018] +91 901*******: No clue

[11:13 AM, 3/9/2018] +91 810*******: If any one know please share

[11:30 AM, 3/9/2018] +91 989*******: If u leave after opting a seat... U can't give fnb for 2 year

[11:49 AM, 3/9/2018] +91 993*******: Only FNB exam or any of national board exam

[12:00 PM, 3/9/2018] +91 989*******: I think fnb only

[3:30 PM, 3/21/2018] +91 989*******: Ps... who all are attending the councelling ?

[3:45 PM, 3/21/2018] +91 852*******: I am✋🏻

[4:08 PM, 3/21/2018] +91 987*******: I think I may

[4:08 PM, 3/21/2018] +91 987*******: What's your rank

[4:10 PM, 3/21/2018] +91 852*******: My rank is 49...and yours???

[4:10 PM, 3/21/2018] +91 987*******: Same

[4:10 PM, 3/21/2018] +91 987*******: Lols

[4:10 PM, 3/21/2018] +91 852*******: Ohh...

[4:10 PM, 3/21/2018] +91 852*******: 49*

[4:10 PM, 3/21/2018] +91 987*******: Don't you have dnbss

[4:11 PM, 3/21/2018] +91 987*******: Yup

[4:11 PM, 3/21/2018] +91 852*******: No....and you ...do u have a rank in dnb ss

[4:11 PM, 3/21/2018] +91 987*******: Yeah

[4:11 PM, 3/21/2018] +91 987*******: That's why

[4:11 PM, 3/21/2018] +91 987*******: I may not come to Fnb

[4:12 PM, 3/21/2018] +91 987*******: Well how many people attending this fnb counselling  this year anyways any idea

[4:24 PM, 3/21/2018] +91 989*******: So u took in dnb

[7:04 PM, 3/21/2018] +91 989*******: What were your marks at rank 49 ?

[7:04 PM, 3/21/2018] +91 989*******: And what was your rank in dnb ss ?

[7:48 PM, 3/21/2018] +91 987*******: 64

[8:08 PM, 3/21/2018] +91 987*******: 853

[8:08 PM, 3/21/2018] +91 987*******: And urs

[8:14 PM, 3/21/2018] +91 901*******: I am

[8:19 PM, 3/21/2018] +91 961*******: What can one expect at rank 65 in fmas

[8:52 PM, 3/21/2018] +91 987*******: First of all are u in for fnb?
Then what do you think you want ?
What do you think you will get

[8:53 PM, 3/21/2018] +91 987*******: I can just give an idea which I have that's it.
Then you can take whatever you like

[8:54 PM, 3/21/2018] +91 961*******: Wanted Delhi..but no way at this rank one can get Delhi

[8:54 PM, 3/21/2018] +91 961*******: So what are the other good options ?

[8:55 PM, 3/21/2018] +91 961*******: Where one can get good hands on

[8:56 PM, 3/21/2018] +91 987*******: Yea definitely

[8:57 PM, 3/21/2018] +91 987*******: Jaipur.  Madurai
Galaxy = Gem

[8:57 PM, 3/21/2018] +91 987*******: Others are all more or less okay okay

[8:58 PM, 3/21/2018] +91 987*******: Mumbai and Bangalore comes at last in hands on which on have heard

[8:59 PM, 3/21/2018] +91 852*******: Jaipur Santokhba durlabhji hospital??
Is it a new seat this year?

[8:59 PM, 3/21/2018] +91 987*******: There is 1

[9:00 PM, 3/21/2018] +91 961*******: Is there any chance of getting Galaxy/gems

[9:00 PM, 3/21/2018] +91 961*******: What is a good rank for gems /Galaxy ?

[9:00 PM, 3/21/2018] +91 987*******: Until your rank u will get Mumbai Bangalore Hyderabad according to last year counselling assumption

[9:01 PM, 3/21/2018] +91 961*******: Exactly

[9:01 PM, 3/21/2018] +91 987*******: For gem  as there is increase in seat so I am just guessing up to 50

[9:01 PM, 3/21/2018] +91 961*******: Mumbai Bangalore are not good options in terms of hands on

[9:01 PM, 3/21/2018] +91 987*******: Not at all

[9:02 PM, 3/21/2018] +91 987*******: One of my junior is there, he is regreting this

[9:05 PM, 3/21/2018] +91 987*******: Others do post your ranks please

[9:15 PM, 3/21/2018] +91 900*******: At Bangalore u get good hands on.

[10:13 PM, 3/21/2018] +91 989*******: Didnt give...fnb mein 59 and rank 111

[10:32 PM, 3/21/2018] +91 702*******: Is FNB recognised by MCI ??

[10:36 PM, 3/21/2018] +91 890*******: No

[10:37 PM, 3/21/2018] +91 890*******: No advantage in medical college..

[10:38 PM, 3/21/2018] +91 989*******: If u go to additional qualification list on mci website.... Fnb is mentioned....

[10:57 PM, 3/21/2018] +91 901*******: Which centre are u planning to take?

[11:15 PM, 3/21/2018] +91 989*******: Gem most probably....

[11:15 PM, 3/21/2018] +91 901*******: Ok!!

[11:16 PM, 3/21/2018] +91 989*******: And u

[11:16 PM, 3/21/2018] +91 901*******: My rank is way far than urs, I cannot have a choice, depends what all are left on that day.

[11:18 PM, 3/21/2018] +91 989*******: Does anyone have any idea what s the procedure if a person is unable to attend counseling and want to send someone else on his behalf

[11:19 PM, 3/21/2018] +91 987*******: What's your rank

[11:22 PM, 3/21/2018] +91 890*******: At 97 rank any possibility of getting ?

[11:23 PM, 3/21/2018] +91 987*******: Bangalore

[11:23 PM, 3/21/2018] +91 901*******: No clue, I will suggest, don’t take such risk.

[11:24 PM, 3/21/2018] +91 987*******: Yes there is in the notice of dnb too so there it's written that with authorised letter one can send the other person

[11:24 PM, 3/21/2018] +91 987*******: Read it on site

[11:30 PM, 3/21/2018] +91 989*******: No need to take any prior permission

[3:19 PM, 3/24/2018] +91 852*******: Any notification regarding FNB Rank letter, handbook and seat matrix

[3:21 PM, 3/24/2018] +91 890*******: Any charges for attending counselling

[9:26 AM, 4/2/2018] +91 996*******: Any idea from where to opt out for fnb counselling first round..

[9:28 AM, 4/2/2018] +91 890*******: Any draft to be made?

[9:29 AM, 4/2/2018] +91 942*******: Opt out option there on nbe site

[9:29 AM, 4/2/2018] +91 942*******: Left upper side

[9:30 AM, 4/2/2018] +91 942*******: U have to pay online some  amount and opt-out.....

[10:02 AM, 4/2/2018] +91 852*******: In the counselling...we can pay the counselling fee through Debit card also??

[10:05 AM, 4/2/2018] +91 942*******: Yes

[10:06 AM, 4/2/2018] +91 758*******: So is there no need to bring DD

[10:08 AM, 4/2/2018] +91 852*******: Any idea about Galaxy Pune?? Good academics and exposure..but i'm not sure about hands on.

[10:09 AM, 4/2/2018] +91 942*******: Exposure is good
Mainly onco....

[10:10 AM, 4/2/2018] +91 942*******: Someone told me they giv endoscopic thyroid....gynac malignancy etc

[10:10 AM, 4/2/2018] +91 942*******: But less no. Of routine appendix gall bladder cases....

[11:06 AM, 4/2/2018] +91 996*******: In that only dnb cet SS there..no fnb option in the scrol down menu

[11:09 AM, 4/2/2018] +91 942*******: I think it comes 1 or 2 days before counselling

[11:09 AM, 4/2/2018] +91 942*******: Or on the day

[11:09 AM, 4/2/2018] +91 942*******: M not sure

[11:12 AM, 4/2/2018] +91 989*******: It will start on the day of counseling

[11:39 AM, 4/2/2018] +91 702*******: So if you don't get anything on the day of counselling and you want to attend second counselling do we need to make double payment ??

[11:39 AM, 4/2/2018] +91 989*******: No

[11:39 AM, 4/2/2018] +91 702*******: With just single payment we r eligible for second counselling ?

[11:41 AM, 4/2/2018] +91 989*******: On the day of 2nd counseling u have to pay

[11:41 AM, 4/2/2018] +91 989*******: Another 2500

[11:50 AM, 4/2/2018] +91 702*******: Ok

[11:51 AM, 4/2/2018] +91 852*******: What proof we need to carry regarding recognized status of MS degree?

[11:52 AM, 4/2/2018] +91 852*******: MCI page showing the name of college?
Or a letter from college confirming the same

[12:02 PM, 4/2/2018] +91 989*******: Not required

[12:03 PM, 4/2/2018] +91 989*******: If your ms seat was a provisional seat when you took it then u need to take a proof that is recognized now

[12:04 PM, 4/2/2018] +91 989*******: They didn't ask me for any such certificate during dnb counseling

[12:13 PM, 4/2/2018] +91 852*******: Hmm....but they have listed it in the document list

[12:14 PM, 4/2/2018] +91 852*******: Ok thanks

[12:14 PM, 4/2/2018] +91 989*******: Then a print out from mci site

[12:15 PM, 4/2/2018] +91 852*******: I just talked to them...they said take a print of MCI page showing the name of college

[12:16 PM, 4/2/2018] +91 989*******: 👍🏻

[12:16 PM, 4/2/2018] +91 989*******: Anyone any idea about jaipur fnb

[12:17 PM, 4/2/2018] +91 901*******: I think its good.

[12:19 PM, 4/2/2018] +91 989*******: Salary cutting exposure?

[12:19 PM, 4/2/2018] +91 901*******: I had talked to Gangaram fnb guy....very very good work he is getting there...approx 10-15 surgeries per fnb guy every month.

[12:19 PM, 4/2/2018] +91 901*******: No clue of that

[12:20 PM, 4/2/2018] +91 702*******: Madurai ??

[12:23 PM, 4/2/2018] +91 901*******: I think its so so, but bit of food issues n 2-3 dnb gastro candidates over your head, I think every year 2 dnb or least 1 candidates come there.

[12:24 PM, 4/2/2018] +91 901*******: You didn’t take in dnb, um sure u would b having a good rank there too!!

[12:24 PM, 4/2/2018] +91 989*******: That issue will be in GEM too as 2dnb candidate comes every year

[12:25 PM, 4/2/2018] +91 989*******: 499....didn't get what I wanted

[12:25 PM, 4/2/2018] +91 989*******: But gem is good for fnb rather than dnb

[12:26 PM, 4/2/2018] +91 901*******: Gem has 4 fnb candidates, but work is very very properly divided their...Like every one gets equal work there...plus exposure to advanced lap is best at gem!!

[12:26 PM, 4/2/2018] +91 989*******: Yes

[12:26 PM, 4/2/2018] +91 989*******: They hv increased the seat to 4 this time

[12:36 PM, 4/2/2018] +91 702*******: What is the total number of seats

[12:37 PM, 4/2/2018] +91 852*******: 29

[12:37 PM, 4/2/2018] +91 901*******: 😮

[12:37 PM, 4/2/2018] +91 989*******: 3 seat increased this time

[12:37 PM, 4/2/2018] +91 702*******: N till what rank can we expect the counselling to go

[12:37 PM, 4/2/2018] +91 901*******: Artemis Gurgaon has come this time!!!

[12:38 PM, 4/2/2018] +91 702*******: How is the work there

[12:38 PM, 4/2/2018] +91 989*******: Hard to predict.... New entry hai

[12:39 PM, 4/2/2018] +91 702*******: Ganga Ram and Gem chodkar kahin bhi hands on nahi hai.. Ganga Ram mein bhi hands on mein sirf chole and appendix milta hai.. thoda bahut IPOM and TEP

[12:40 PM, 4/2/2018] +91 702*******: Artemis seat is not showing online

[12:41 PM, 4/2/2018] +91 901*******: Gangaram mae na basic lap fnb candidate bahut acche se karega,
Par waha advanced lap nai hota hai...
I have talked to a resident there

[12:59 PM, 4/2/2018] +91 98*******: Rajeev... Please throw some light on this

[1:16 PM, 4/2/2018] +91 702*******: Ganga Ram mein general ward mein jo admit hue woh FNB ka.. that means only lap chole/ lap appendix/ TEP/ IPOM

[1:16 PM, 4/2/2018] +91 702*******: Bariatric mein sleeve ke alava kuch nahi hota hai

[1:17 PM, 4/2/2018] +91 702*******: Similarly Max mein bhi Bariatric ke Naam par sirf Sleeve karte hain

[1:19 PM, 4/2/2018] +91 702*******: Basically if you are willing to work as a JR for the next two years take it up.. otherwise cool rehkar skill develop karo.. slow n steady.. advance lap seekh hi jaaoge..

[1:20 PM, 4/2/2018] +91 702*******: FNB will only give you edge in medical college

[1:20 PM, 4/2/2018] +91 702*******: Corporates want only skill

[1:21 PM, 4/2/2018] +91 702*******: Most places are given FNB seats just because they don't get permanent SRs and SRs are not available round the clock

[1:22 PM, 4/2/2018] +91 702*******: FNB candidate day n night available for 2 yrs

[1:22 PM, 4/2/2018] +91 702*******: N at the end of two years

[1:22 PM, 4/2/2018] +91 9891*******: Frankly speaking... Nothing stands in front of gem

[1:22 PM, 4/2/2018] +91 702*******: You ll still do Lap chole /appendix/ hernia

[1:22 PM, 4/2/2018] +91 702*******: Sleeve

[1:22 PM, 4/2/2018] +91 702*******: Bas

[1:22 PM, 4/2/2018] +91 702*******: Aur kuch nahi

[1:22 PM, 4/2/2018] +91 702*******: True

[5:24 PM, 4/3/2018] +91 890*******: FNB counselling venue

[5:25 PM, 4/3/2018] +91 890*******: N documents needed?

[5:28 PM, 4/3/2018] +91 890*******: ????

[5:30 PM, 4/3/2018] +91 852*******: NBE Office...sector 9 dwarka

[5:30 PM, 4/3/2018] +91 890*******: N documents needed

[5:30 PM, 4/3/2018] +91 890*******: ?

[10:45 AM, 4/4/2018] +91 901*******: New seats again added yesterday in the matrix!!

[11:08 AM, 4/4/2018] +91 890*******: Where it's given....not finding

[11:09 AM, 4/4/2018] +91 961*******: Any thing else to be take other than the documents? Any D/d etc ?

[11:10 AM, 4/4/2018] +91 901*******: Yes, d/d of 2500

[11:10 AM, 4/4/2018] +91 961*******: In the name of ?

[11:10 AM, 4/4/2018] +91 901*******: Or u can pay by card there directly

[11:12 AM, 4/4/2018] +91 961*******: Is that sure that we can pay by card directly ?

[11:13 AM, 4/4/2018] +91 901*******: Its written in there,

[11:13 AM, 4/4/2018] +91 961*******: Actually they r saying something about opt out facilities?

[11:13 AM, 4/4/2018] +91 901*******: N people at dnb councelling had similar orders,n they were able to pay by card there.

[11:13 AM, 4/4/2018] +91 961*******: Ok

[11:14 AM, 4/4/2018] +91 901*******: I will suggest if u r coming to counselling, take a d/d, u can be sure then.

[11:15 AM, 4/4/2018] +91 961*******: Ok

[11:15 AM, 4/4/2018] +91 961*******: Thank you

[11:23 AM, 4/4/2018] +91 890*******: Card option was there in dnb ss ..so definitely it will be there in dnb too

[11:23 AM, 4/4/2018] +91 890*******: Fnb

[3:44 PM, 4/4/2018] +91 890*******: Mentioned in rank letter also that credit and debit card accetable

[3:54 PM, 4/4/2018] +91 979*******: Any chance of Delhi at rank 30

[3:55 PM, 4/4/2018] +91 890*******: Full chance hai

[3:55 PM, 4/4/2018] +91 979*******: Max

[3:58 PM, 4/4/2018] +91 890*******: Don't know but rank is very gud ...Delhi ke toh chance hai

[4:03 PM, 4/4/2018] +91 989*******: Mamc, blkapoor

[4:03 PM, 4/4/2018] +91 989*******: Artemis gurgaon

[4:33 PM, 4/4/2018] +91 987*******: It's yet not recognised

[4:33 PM, 4/4/2018] +91 987*******: It's provisional

[4:33 PM, 4/4/2018] +91 989*******: Yes

[4:36 PM, 4/4/2018] +91 852*******: Is there anything like recognised/permitted in FNB also??

[4:37 PM, 4/4/2018] +91 989*******: Yes

[4:37 PM, 4/4/2018] +91 852*******: It may be provisional...seat may not be there in actual counselling.

[4:46 PM, 4/4/2018] +91 901*******: Can we expect surprises at the counselling venue with respect to the fnb centres?

[4:48 PM, 4/4/2018] +91 987*******: Last year similarly ils kolkata seat got cancelled in 2nd counselling and the guy has to change

[4:54 PM, 4/4/2018] +91 901*******: 😶

[5:07 PM, 4/4/2018] +91 989*******: 1 2 3 rank वाले कौन hai bhai.. Koi jaanta है unhe

[5:09 PM, 4/4/2018] +91 989*******: 1,  2,3 rank wala will not come.

[5:09 PM, 4/4/2018] +91 999*******: Why

[5:10 PM, 4/4/2018] +91 989*******: I have three year experience of FNB counseling.

[5:10 PM, 4/4/2018] +91 999*******: Okks

[5:55 PM, 4/4/2018] +91 702*******: Rank 1

[5:55 PM, 4/4/2018] +91 702*******: Opting for Gem

[5:56 PM, 4/4/2018] +91 999*******: Rank 2 not opting

[5:56 PM, 4/4/2018] +91 702*******: 3 ?

[7:40 PM, 4/4/2018] +91 858*******: Can they ask DMC certificate in original

[7:40 PM, 4/4/2018] +91 858*******: I mean DMC send certificate through email woh toh print out hi hoga

[7:50 PM, 4/4/2018] +91 989*******: That will do

[7:57 PM, 4/4/2018] +91 901*******: I just wanna ask,

In a very rare case, if someone messes up with any document and forgets that, do they give the liberty of submit that document later on?

[8:46 PM, 4/4/2018] +91 989*******: They might give u a seat provisionally without allotment letter.... Once u show them the missing document... They will give u the allotment letter

[10:56 PM, 4/4/2018] +91 901*******: Ohkkkk!!!

[9:27 PM, 4/5/2018] +91 996*******: At what rank was the last seat taken today..

[7:07 AM, 4/6/2018] +91 989*******: 198

[8:50 AM, 4/6/2018] +91 996*******: Any idea wat seats were available at 130 arnd

[8:52 AM, 4/6/2018] +91 989*******: So many candidates opt out. At 130 6 seat were available.

[8:56 AM, 4/6/2018] +91 993*******: Which college seat at 198 ???

[9:25 AM, 4/6/2018] +91 989*******: Global hospital Hyderabad.

[10:51 AM, 4/6/2018] +91 996*******: Can u pls recollect wat centers were they..? Thank you

[10:52 AM, 4/6/2018] +91 901*******: Does anyone have contact of FNB candidate working presently at LNJP??

[10:55 AM, 4/6/2018] +91 890*******: 99 rank I was offered telegena and chattisgarh

[11:12 AM, 4/6/2018] +91 901*******: I had taken idea about Raipur, and its good, though new
seat. Good number and variety of surgeries.

[11:20 AM, 4/6/2018] +91 989*******: Last year the Candidate joined the LNGP finally left.

[11:21 AM, 4/6/2018] +91 901*******: Why😐😐😐

[11:22 AM, 4/6/2018] +91 901*******: Please throw some light on it

[12:09 PM, 4/6/2018] +91 756*******: It's a good course for those who don't want to do MCh , haven't had exposure of basic laparoscopy during MS. Instead of being SR in a medical college , it's better to go for FNB.

[12:57 PM, 4/6/2018] +91 987*******: For lnjp it's true

[8:58 PM, 4/6/2018] +91 989*******: Group members can we close this group as the counseling is over..... If anyone wants to continue I will make him or her the admin

Based on recent Indian Resident Doctors Salary/Stipend Survey 2018 conducted by World Surgery Forum, below are the Resident Doctor Stipend/ Salaries in Karnataka.

-->
InstituteCitySpecialtyCourse/ Residency/ Job ProfileStipend in Rs.Review
Jawaharlal Nehru Medical College, Belagavi Belagavi General SurgeryMS/MD8000Miserable
DR.BR.AMBEDKAR MEDICAL COLLEGEBangalore General SurgeryMS/MD0Its good
Al Ameen Medical CollegeBijapurGeneral SurgeryMS/MD0Very poor,very bad staff who don't have the will to teach any operations...or pass on skills
Bangalore Medical College and Research Institute Bangalore MD Pharmacology MS/MD40000Clinical exposure - below par
Pg teaching - nil
Hands on experience - satisfactory
M S Ramiah Medical college BangaloreRadiation oncologyMS/MD30000It's okay
Al Ameen Medical CollegeBijapurGeneral SurgeryMS/MD0The clinical exposure is good and the teaching is also good. Lots of good cases and also ot chances. It's a good college for ms general surgery
Kempegowda Institute of Medical SciencesBengaluruGeneral SurgeryMS/MD6000
Mallya hospital Bangalore Orthopaedics DNB Broad Specialty35000Average exposure. No hands on
SSIMS RC DavangereDavangereMD PathologyMS/MD4000
St johns hospital, Bangalore Bangalore Plastic surgery MCh/DM50000Good chance in emergency cases. Elective only to assist. Teaching is good with 6 classes a week
BMCRI BANGALORE BANGALORE General SurgeryMS/MD35000Good
BMCRI BANGALORE BANGALORE General SurgeryMS/MD35000Good
Bangalore medical college and research institute Bangalore MD Internal Medicine MS/MD35000Good
BMCRIBangaloreGeneral surgeryMS/MD35000
Bangalore Medical CollegeBangaloreGeneral SurgeryMS/MD35000Clinical exposure excessive teaching average hands on good very hectic
BmcriBangloreOrthopaedicsMS/MD30000Okayish
BMCRI BANGLORE Banglore General SurgeryMS/MD30000Never stipend will be on time
Bangalore medical collegeBengaluruMedicineMS/MD35000Hands on experience is good..
Bangalore medical college and research instituteBengaluruPathologyMS/MD35000Have been exposed to variety of cases as it is one of the noble institute in karnataka
Institute of nephro urologyBangaloreUrologyMCh/DM40000
Bangalore Medical College and Research Institute Bengaluru AnaesthesiologyMS/MD35000
Bangalore medical college and research institute BengaluruGeneral surgeryMS/MD30000Good clinical exposure. Teaching is very less. Hands on experience is good in emergency ot. Not that good in elective ot. But main problem is cases get referred to superspeciality a lot.
BmcriBangalorePediatricsMS/MD35000Clinical experience-good..stipend 'll be delayed every month..
Vijayanagara institute of medical sciences Ballari PharmacologyMS/MD30,000Clinical exposure is less, hands on experience is yearly once workshops
Bangalore medical college and research instituteBangaloreAnaesthesiaMS/MD30000
Bangalore medical collegeBangaloreSurgical GastroenterologyMCh/DM40000Clinical exposure adequate, teaching - minimal, hands on- expect more

Read Similar Posts:

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RESIDENT DOCTORS' STIPEND/ SALARY IN MAHARASHTRA (2018)
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Large Bladder Calculus removed by Open cystolithotomy

Large Bladder Calculus removed by Open cystolithotomy

Cystolithotomy Surgical Steps

Preoperative Patient Preparation
  • Exclusion or treatment of a urinary tract infection
  • Perioperative antibiotic prophylaxis
  • Supine position with slight hyperextension of the lumbar spine
  • Disinfection and draping
  • Insert a transurethral catheter and fill the bladder with 200–300 ml

Surgical Technique
  • Lower midline incision or Pfannenstiel incision
  • Cut the linea alba
  • After blunt dissection of the retropubic space (cavum retzii), insert a wound retractor
  • Vertical cystostomy, which is secured with sutures to prevent further tearing
  • Remove bladder stones, foreign bodies or bladder tamponade, controll bleeding.
  • If necessary, perform simple prostatectomy
  • If needed, insert a suprapubic catheter
  • Close the bladder in two layers (mucosa – muscularis)
  • Drainage of retropubic space
  • Closure of the linea alba, skin closure

 Open Suprapubic Cystolithotomy Surgery Video




References 


Case History

A 22 year old female presented with complaints of abdominal pain, abdominal distension, nausea, vomiting and anorexia. On examination the abdomen was distended with diffuse tenderness. But there was no guarding, rigidity or rebound tenderness.

Abdomino-pelvic CT scan was suggestive of Intestinal obstruction and Abdominal Tuberculosis. It revealed  distended bowel loops, large amounts of ascites, symmetrical thickening of the peritoneum and mesentery, nodular thickening of greater omentum and mesenteric lymphadenopathy.

After conservative management for first 24 hours, patient showed no signs of improvement. An exploratory laparotomy was planned. Intraoperatively it was found that Multiple Adhesions between bowel loops and an omental band were causing the obstruction. Adhesiolysis was done and thorough wash was given. Omentum, peritoneum, bowel wall, uterus and adnexa were all seen studded with tubercles. Omentum was thickened and nodular, a piece of it was taken and sent for HPE. Ascitic fluid was blood stained and a sample was taken for biochemical analysis.

Postoperatively patient's condition improved and she passed flatus on 3rd POD and passed stools on 5th POD.  Patient was started on antitubercular drugs and was discharged on 8th POD.


Abdominal tuberculosis showing thickened bowel loops studded with tubercles

Abdominal tuberculosis showing thickened bowel loops  studded with tubercles

Tuberculous peritonitis: Important Points to remember 


Peritoneal tuberculosis is the sixth most common site of extrapulmonary tuberculosis. The top five are lymphatic, genitourinary, bone and joint, miliary, and meningeal. 

Only 17% of cases of peritoneal tuberculosis are associated with active pulmonary disease.  

Abdominal swelling caused by ascites formation is the most common symptom, occurring in more than 80% of cases. 

A positive tuberculin skin test response is present in most cases. But only approximately 50% of these patients will have an abnormal chest radiograph.

Abdominal imaging with ultrasound or CT may suggest the diagnosis but lacks the sensitivity and specificity to be diagnostic.

Ascitic fluid adenosine deaminase activity, in particular, appears to be highly sensitive and specific for tuberculous peritonitis.

The ascitic fluid SAAG is less than 1.1 g/dL, indicating high protein concentration in the ascitic fluid

Microscopic examination of ascitic fluid for acid-fast bacilli identifies the organism in less than 3% of cases, and culture results are positive in less than 20% of cases.


Reference

Case History

A 2 year old male child presented with this moist and pink tissue popping out of the umbilicus.  Patient complained of  minimal amounts of drainage and irritation of the surrounding skin. This swelling started appearing from 3rd month. It was initially small but started growing in size gradually. Patient was initially advised topical application of silver nitrate but it did not resolve with conservative management. It was surgically excised.

Case of Umbilical Pyogenic Granuloma


Umbilical Granuloma

The umbilical cord normally separates within 3 days to 2 months postpartum; after separation, an excess of granulation tissue may persist at the base of the umbilical stump, which may aggregate and persist, for sometimes, to form an umbilical granuloma (UG). Umbilical granuloma is the most common umbilical problem in neonates and young infants.

Differential Diagnosis of Umbilical Granuloma

  • Patent urachus
  • Omphalomesenteric duct
  • Umbilical polyps 
  • Neoplastic swellings 

Management Options

  • Chemical cauterization with silver nitrate or copper sulphate.
  • Topical application of common salt / 82% ethanol or Clobetasolpropionte.
  • Electric cauterization.
  • Cryocauterization.
  • Surgical excision.

References:

http://pedemmorsels.com/umbilical-granuloma/

https://link.springer.com/chapter/10.1007%2F978-3-319-62383-2_27

https://www.jemds.com/latest-articles.php?at_id=6697

https://emedicine.medscape.com/article/935618-treatment