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Quintessential : DNB General Surgery at Manipal hospital, Bangalore

Edited by Dr Varsha Ukrani

Manipal Hospital ,Bangalore is part of the third largest healthcare network in India and is serving patients since 25 years. The hospital not only offers quaternary care to its patients but also has a reputation of being one of the best at it especially in South India. Dr Siju Abraham who is pursuing his DNB in General Surgery from Manipal hospital feels the place is great balance of things when it comes to surgery. If you look at things individually, it may not look as good but when  you look at the overall picture, the place gives a perfect blend of oppurtunities like no other.  He is keen to share his experiences and answers few key questions about this place. If you still have doubts  you can contact him  on  9731652105 or E -mail: [email protected]

DISCLAIMER :  This information is for Guiding DNB /MD Aspirants only. This is not a review of Overall Patient care in These hospitals which may not be affected by what is being discussed here. The Information Provided here cannot be used for any other purpose or to asses the patient care in these hospitals. This is just a review of a postgraduate course running in the mentioned hospital and is meant for guiding medical aspirants only.

What was Your rank in DNB and your colleagues rank in DNB if any?

2643

How many consultants are there in your department in the concerned specialty ?         

4 Consultants: 1 from AIIMS ,2 from KMC Manipal - both are FRCS and our current HOD who was the first ever DNB resident in Manipal Hospital back in 1991

What are the usual working hours?

Working Hours are from 7.30AM to 6PM,However timings may go beyond the above mentioned if many cases are posted for the day.

How many emergency duties per week?            

No duties in the initial 15 days after joining in order to provide the residents with ample time to get settled in the new place and to understand how the department works. Next 1 month, 1st year are tagged with 2nd and 3rd years in order to teach them how to manage emergency cases at night and how to respond to ward calls and how to give orders for new admission.From then on 1st years get 6 duties a month while 2nd years get 3 duties. Final year residents are relieved of their night duties. Night duties are managed alone by 1 resident with senior resident on call. Night duties mainly comprises of managing patients coming to ER and admitting them if needed and admitting patients seen in the OPD who have been posted for elective surgery the next day. Usually night duties are not hectic.

What all surgeries you have performed till now?            

Being a corporate hospital chances will be less than a government hospital or medical college but still one gets enough exposure here. 1st year residents are allowed to perform most of the minor OT procedures like lipoma excision, papilloma excision, incision and drainage, sebaceous cyst excision, suturing of wounds and dressing of wounds and wound debridements after 2 to 3 months of joining. Further 1st year residents are allowed to assist all major OTs either as 1st or 2nd assistant and have to scrub for almost all cases. Major OT procedures like Fistulectomy and Perianal abscess I&D are also given to 1st year residents. 2nd year is mostly spent in peripherals where one gets a good chance to assist in super specialty cases. In 3rd year, inguinal hernia repair, hydrocelectomy, varicose vein laser surgery, amputations, skin grafts and as 1st assistant in MRM and Thyroidectomy. Both laparoscopic and open cases are performed equally and one may get a chance with Lap appendectomy and Lap Cholecystectomy also.

Are you allowed to touch the patient?

All admissions in wards are done by residents. Initial assessment and examination findings are entered by us only so definitely we are allowed to do touch patients and perform all relevant clinical examination.

How are the academics? Any case presentations done?

Academics are average .Power point presentations and Case presentations do happen but not regularly... Every month we do make a time table with regards to topics that have to be presented but due to busy OPD and OT schedule we often fail to follow it. We are trying to make it more regular and over the past few months frequency of presentations have gone up. All consultants will ask in questions pertaining to the case in OT and the more we answer the more confidence they show on us. Also they do take an effort to teach whatever minimum possible either in rounds or in OT. Ultimately post graduation is more about self study than being spoon fed.

Regular weekend classes are held in Bangalore by different DNB hospitals where most of the DNB candidates participate and do case discussions which also helps a lot in the end.

How is the pass rate? Have your seniors passed?            

All our seniors have passed. Our current final year seniors have given their theory exams and results are awaited. Seniors are relieved 1 month before theory exams.

How satisfied are you with your choice?

 Totally  Satisfied

Any other departments at your institution good for DNB?          

Neuro Surgery (6 years) ,Plastic Surgery (6 years) ,Radiodiagnosis ,Paediatrics ,Emergency Medicine

Stipend and accommodation details

No accommodation provided , mostly residents stay either in rented flats or as paying guests

Stipend:

1st Year - 30000 , 2nd Year - 35000 , 3rd Year - 40000

Any other info would you like to give ?

One thing that is really good about here is that one gets ample time to study and prepare for exams. Apart from studies one also gets enough time to pursue other activities. Its not like a medical college where one has to slog in and out doing all clerical work. Clerical work is minimal here and once when you are done with your work for the day, you are free to go to library or back home. 3 of my seniors have cleared MRCS even before passing out of DNB which tells that free time if managed well can be really fruitful. Further another thing good about this hospital is we spend upto 8 to 10 months in peripheral postings in 2nd year which includes - Surgical Oncology, Surgical Gastroenterology, Urology, Neurosurgery, CTVS, Plastic Surgery, Vascular Surgery and Paediatric Surgery. One gets adequate exposure to all superspeciality postings. Also one can get to see all latest advanced techniques like robotic surgeries, bariatric surgeries, HIPECs, all types of laparoscopic surgeries etc which may not be seen in medical colleges. Exposure wise its a very good hospital.

Why did you chose this hospital?           

1. Manipal Hospital is a brand name and extremely famous in South India.

2. I have done my MBBS from Bangalore so I was very much familiar with the city.

3. I knew that DNB hospitals in south India are much better when it comes to pass rate, academics and exposure.

Note : The information provided here may change over a period of time eg. the stipend may increase/decrease over a period of 1-2 years . Please confirm these details from a resident if the date of publishing of the blog is more than one year old 

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