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The Medical Education Commission (MEC) of Nepal serves as the apex body responsible for regulating and guiding all aspects of medical education in the country. Established in 2014, it plays a crucial role in ensuring the quality of medical professionals and shaping the future of healthcare in Nepal.
Let us here discus about Medical Education Commission of Nepal 2024-25
According to the National Medical Education Act of 2075, the Medical Education Commission Nepal or MEC Nepal is responsible for conducting Common Entrance Examinations at the undergraduate, postgraduate, and doctoral levels. The commission decided it was necessary to prepare a common syllabus in cooperation with specialists from various institutions that have experience with DM/MCh entrance tests in order to administer the DM/MCh common entrance examination working under the name of Nepal MEC.
According to the National Medical Education Act of 2075 B.S., in the context of the essence and spirit of the commission’s reports, At various times, a task committee was organized to improve medical education-
The Medical Education Commission was founded to-
- Boost the government’s investment in medical education;
- Develop medical education to meet Nepal’s national needs; and
- Organize and control medical education in a coordinated and efficient manner.
- Plan and organize the tasks involved in the establishment and operation of medical facilities,
- Ensure that all students, particularly those from disadvantaged backgrounds, have equal access to medical education by maintaining quality, professionalism, institutional responsibility, geographic balance, and social justice.
MEC.GOV.NP
Quality education facilitates learning among any religion, creed, caste, region and groups. It is perhaps the only thing that helps us acknowledge awareness, values, moral habits and skills. In order to maintain a social and economical status throughout the life, one needs to give importance to education and achieving knowledge more than anything else.
Keeping the above facts in priority the Government of Nepal has been taking necessary steps to improve the education level in the country. And that is why they decided to conduct Common Entrance Exam in Nepal.
In the journey of developing the education system in the country, the government has included Medical Education in Nepal. Since the last decade, the number of medical colleges and universities has been in abundance in Nepal which clearly shows the interest level of the students within the country.
Key Functions and Responsibilities:
- Regulation and Accreditation: The MEC sets standards for medical and paramedical education, establishes accreditation procedures for medical institutions, and monitors their compliance with regulations.
- Entrance Examinations: It conducts nationwide common entrance examinations (MECEE) for various medical and paramedical programs, ensuring fair and merit-based selection of students.
- Curriculum Development: The commission works with experts to develop and update curricula for medical education, keeping them aligned with international standards and Nepal’s healthcare needs.
- Faculty Development: The MEC promotes faculty development programs to enhance the skills and knowledge of medical educators, thereby improving the quality of teaching and learning.
- Scholarship and Research: It offers scholarships to deserving students and supports research initiatives in the field of medical education.
- Information Dissemination: The commission publishes academic journals, provides information and updates on its website, and conducts awareness campaigns to promote medical education.
Recent Activities and Developments:
- In 2023, the MEC Nepal implemented a new quota system for medical and dental colleges, aiming to increase access for students from marginalized communities.
- The commission is currently conducting the MECEE-BL 2024 for undergraduate medical and paramedical programs, receiving a record number of applications.
- It is actively involved in developing new guidelines and standards for various medical specialties in accordance with international best practices.
Challenges and Opportunities:
- Ensuring equitable access to quality medical education across all regions of Nepal remains a challenge.
- The commission needs to keep pace with the evolving global healthcare landscape and technological advancements.
- Strengthening research and innovation in medical education is crucial for the long-term development of the sector.
Overall, the MEC Nepal plays a vital role in shaping the future of healthcare in the country. By fulfilling its responsibilities effectively and addressing the existing challenges, the MEC Nepal can ensure that Nepal produces well-trained and competent medical professionals who can serve the needs of its population.
Syllabus for DM/MCh Level Entrance Examination (2024)
Introduction:
After the founding of the Institute of Medicine under Tribhuvan University in 1972, health professional mec in Nepal began with the training of middle-level human resources for health. The Institute of Medicine began offering bachelor’s degree programmers in 1978, and postgraduate studies in 1982. Similarly, the BP Koirala Institute of Health Sciences was founded in eastern Nepal in 1993, and the Manipal Academy of Health Sciences was founded in 1993 as a Kathmandu University affiliated private university. In 2001, the Kathmandu University School of Medical Sciences began offering an MBBS admission in Nepal as a constituent campus. The National Academy of Medical Sciences was established at that time in 2002 and Patan Academy of Health Sciences in 2008.
Throughout the country, multiple private medical institutions have been built since the late 1990s to support the teaching and learning of various bachelor and postgraduate level medical admission in Nepal.
In line with worldwide trends and developments in the field of medical education, Nepalese universities saw the necessity to begin higher level specialized courses. Kathmandu University began the DM/ MCh program in Nepal in Bir Hospital in 1999. In 2004, the National Academy of Medical Sciences (NAMS) took over the DM/MCh programme, beginning with MCh programmes. Similarly, the Institute of Medicine began offering a DM/ MCh degree in 2008 (beginning with MCh programmes), and the BP Koirala Institute of Health Sciences began offering it in 2013.
Foreign students interested in studying at government medical colleges such as BP Koirala, Patan Academy of Health Science, Institute of Medicine, Katmandu University School of Medicine, Nepalese Army, and Karnali Academy of Health Science must take the MEC Entrance Examination. To take the Nepal MEC CEE (Common Entrance Examination), students must fill out an application form and pay the prescribed application fee. Objectives:
Creating a single syllabus for particular academic program for the DM/MCh common entrance test
To reach a consensus and fit the existing DM/MCh MEC Nepal entrancesyllabuses in use at various medical institutions rationally.
To determine the scope of improvements/innovations in the currently existing DM/MCh entrance examination Process, institutions that conduct DM/MCh entrance examinations were formally invited to send the current DM/MCh programmes they are conducting, as well as the entrance test syllabus.
Various institutions’ syllabuses for related fields were constructed.
With the use of existing collated documents, a team of specialists in related areas representing multiple institutions developed a unified syllabus.
1. DM (Medical Specialties) / NBMS (National Board of Medical Specialties) (Medical Subspecialties)
Eligibility
MD internal medicine or a similar degree – Candidates who hold an MD in a specialty subject (for example, MD Cardiology or MD Nephrology) are only eligible for the DM programme in that field.
Specialty Registration in Nepal Medical Council (or Medical Council of the respective country)
Examination Format
- Question type: Single best response type of multiple-choice questions
- Option: Four options (A, B, C, D)
- Number of questions: 200 (no negative marking)
- Full marks: 200
- Pass Marks: 100
- Duration: 3 hours
Weightage:
| S. No. | Area | Content/Domain | No. of Questions |
| 1 | Applied Basic Medical Science | Anatomy, Physiology, Pharmacology and Toxicology, Pathology, Biochemistry, Microbiology. | 20 |
| 2 | General Medicine | Emergency and critical care, Infectious diseases, Rheumatology and connective tissue disorders, Fluid, electrolyte and acid-base balance, Allergy and clinical immunology, Nutrition, Preventive medicine, Mental health, Molecular and genetic diseases, Palliative care. | 60 |
| 3 | Subspecialty subjects | Cardiology, Endocrinology and metabolism, Gastroenterology, Haematology, Hepatology, Nephrology, Neurology, Oncology, | 90 |
| Pulmonology | |||
| 4 | Miscellaneous | Research and Biostatistics, Medical Ethics and Good medical practice, Medical Education, Communication skills, Medicolegal issues. | 30 |
| Total | 200 |
2.DM Critical Care Medicine/ NBMS Subspecialty
Eligibility
- MD Anesthesiology or equivalent
- OR
- MD Internal Medicine or equivalent OR
- MD Critical Care Medicine.
- Specialty Registration in Nepal Medical Council (or Medical Council of the respective country)
Examination Format
- Question type: Single best response type of multiple-choice questions
- Option: Four options (A, B, C, D)
- Number of questions: 200 (no negative marking)
- Full marks: 200
- Pass Marks: 100
- Duration: 3 hours
Weightage
| S. No. | Area | Content/Domain | No. of Questions |
| 1 | Applied Basic Medical Science | Anatomy, Biochemistry, Microbiology Pathology, Pharmacology and Toxicology, Physiology. | 20 |
| 2 | General subject | Emergency Medicine, Infectious diseases, Rheumatology and connective tissue disorders, Fluid, electrolyte and acid-base balance, Allergy and clinical immunology, Nutrition, Preventive medicine, Mental health, Molecular and genetic diseases, Palliative care. | 60 |
| 3 | Subspecialty subjects | General principles of Critical Care: oAirway, Ventilation and oxygen therapy Sepsis, Shock, ARDS, Ventilator associated pneumonia Hospital Acquired Infections, oTransfusion, oDrugs, Sedation and analgesia, oPeri-operative management, oTrauma – polytrauma, spine injury, head injury Critical care under subspecialties of internal medicine: oCardiology, oEndocrinology, oGastroenterology, oHaematologyoHepatology, oNephrology, oNeurology, oOncology, oPulmonology. | 90 |
| 4 | Miscellaneous | Research and Biostatistics, Medical Ethics and Good medical practice, Medical Education, Communication skills, Medicolegal issues. | 30 |
| Total | 200 |
3.DM Emergency Medicine
Eligibility
- MD General Practice & Emergency Medicine or equivalent
- OR
- MD Emergency Medicine
- Specialty Registration in Nepal Medical Council (or Medical Council of the respective country)
Examination Format
- Question type: Single best response type of multiple-choice questions
- Option: Four options (A, B, C, D)
- Number of questions: 200 (no negative marking)
- Full marks: 200
- Pass Marks: 100
- Duration: 3 hours
Weightage
| S. No. | Area | Content/Domain | No. of Questions |
| 1 | Applied Basic Medical Science | Anatomy, Biochemistry, Microbiology, Pathology, Pharmacology and toxicology, Physiology. | 20 |
| 2 | General Subjects | Anaesthesia, Dermatology, General Surgery, Internal Medicine, Obstetrics and Gynaecology, Ophthalmology, Orthopaedics and trauma, Otorhinolaryngology, Paediatrics, Psychiatry. | 60 |
| 3 | Subspecialty subjects | Pre-hospital care, Transport of emergency patient, Triage system, Evaluation of emergency patient, Acute medical emergencies: (For example – Shock, Acute chest pain, Acute shortness of breath, Seizure, Altered sensorium, Neurological deficits, Acute febrile illnesses, Bites and stings, Poisoning, drug overdose, alcohol intoxication, Acute surgical emergencies: (For example – Acute abdomen, Polytrauma, Burns Environmental emergencies (For example- hypothermia, hyperthermia) Basic life support, ATLS, ACLS, Disaster situations and management, Management of epidemics and pandemics | 90 |
| 4 | Miscellaneous | Research and Biostatistics, Medical Ethics and Good medical practice, Medical Education, Communication skills, Medicolegalissues. | 30 |
| Total | 200 |
4.DM Neonatology
Eligibility
- MD Pediatrics or equivalent
- OR
- MD Neonatology
- Specialty Registration in Nepal Medical Council (or Medical Council of the respective country)
Examination Format
- Question type: Single best response type of multiple-choice questions
- Option: Four options (A, B, C, D)
- Number of questions: 200 (no negative marking)
- Full marks: 200
- Pass Marks: 100
- Duration: 3 hours
Weightage
| S. No. | Area | Content/Domain | No. of Questions | |
| 1 | Applied Basic Medical Science | Anatomy, Physiology, Pharmacology and toxicology, Pathology, Biochemistry, Microbiology | 20 | |
| 2 | General Paediatrics | Community paediatrics, Nutrition, Growth and development, National programs, Infectious diseases, Immunization, Emergency paediatrics, Paediatric critical care, | 60 | |
| 3 | Subspecialty subjects | 1.Systemic disorders: Respiratory, Cardiovascular, GI & liver, renal, CNS, endocrine, genetics, eye, ENT, haematology, oncology, skin, orthopedics, Pediatric psychiatric and behavioral disorder | 90 | |
| 2.Neonatology: Fetal growth and development and related disorder, Neonatal critical care, Neonatal interventions, procedures and equipment, Neonatal surgery, Neonatal respiratory, cardiovascular, GI and liver, neurology, nephrology, genetics and inborn errors, metabolic, immunological, infectious & haematology disorders, Birth defects, Feeding & nutrition, | ||||
| 4 | Miscellaneous | Research and Biostatistics, Medical Ethics and Good medical practice, Medical Education, Communication skills, Medicolegal issues. | 30 | |
| Total | 200 |
5.MCh (Surgical Specialties)/NBMS (Surgical Subspecialties)
Eligibility
- MS General Surgery or equivalent – Candidate with MS (For example: MS Urology, MS Neurosurgery etc.) shall be eligible only in MCh program in the respective subject.
- Specialty Registration in Nepal Medical Council (or Medical Council of the respective country)
Examination Format
- Question type: Single best response type of multiple-choice questions
- Option: Four options (A, B, C, D)
- Number of questions: 200 (no negative marking)
- Full marks: 200
- Pass Marks: 100
- Duration: 3 hours
Weightage
| S. No. | Area | Content/Domain | No. of Questions |
| 1 | Applied Basic Medical Science | Anatomy, Biochemistry, Microbiology, Pathology, Pharmacology and toxicology, Physiology. | 20 |
| 2 | General Surgery | General Surgical Principles: | 60 |
| Fluid, electrolyte and acid-base balance Wound, sepsis, Shock, Systemic response to injuries, Trauma, Surgical emergencies, Pre and post operative management, Pain management Transfusion Applied Surgical Anatomy, Genetics and Embryology, Nutrition, Palliative care. | |||
| 3 | Subspecialty subjects | Urology, Neurosurgery, Cardiothoracic and Vascular Surgery, Plastic Surgery, GI Surgery, Paediatric surgery. | 90 |
| 4 | Miscellaneous | Research and Biostatistics, Medical Ethics and Good medical practice, Medical Education, Communication skills, Medicolegal issues. | 30 |
| Total | 200 |
1. FORMATION – http://mec.gov.np/en/pages/formation
In the above page, you can get information about the positions and the designated persons who are in-charge of the medical education system of Nepal. The Prime Minister of Nepal is the Chairperson of the board. I have shared a screenshot of the same below-
2. MEMBER OF COMMISSION – http://mec.gov.np/en/pages/organization-member
In this page you can know about the name of the Members of the commission. Like, Prime Minister – Rt. Hon. KP Sharma Oli is the Chairperson of the commission. I have shared a screenshot of the same below-
3. EXECUTIVE COMMITTE – http://mec.gov.np/en/staff/executive
This page holds the photographs of the executive committee and also the links for The Ministry of Health and Population and Ministry of Education, Science and Technology.
4. STANDARDS AND ACCREDITATION – http://mec.gov.np/en/pages/standards-and-accreditation
Here in this page, you can get detailed information on the standards and accreditation according to the National Medical Education Act 2075.
5. PLANNING, COORDINATION AND ACADEMIC UPGRADATION – http://mec.gov.np/en/pages/planning-coordination-and-academic-upgradation
Here in this page, you can get detailed information on the planning, coordination and academic up gradation. I have shared the screenshot below-
6. EXAMINATION DIRECTORATE – http://mec.gov.np/en/pages/examination-directorate
Here you can get detailed information about the features of the entrance examination conducted by Medical Education Commission (MEC). You can check it out from the above link.
7. NATIONAL BOARD OF MEDICAL SPECIALTIES – http://mec.gov.np/en/pages/national-board-of-medical-specialties
In the above page, you will know about the National Board of Medical Specialties established by Medical Education Commission Act. I have shared the link above.
Additional Resources:
- Official Website: https://mec.gov.np/en
- Entrance Examination Portal: https://entrance.mec.gov.np/
- Notice and News: https://mec.gov.np/en/category/notice
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