Medical & Health Sciences
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MCh
14 Colleges
MCh Syllabus 2026
The MCh (MCh) syllabus covers a structured programme designed to build both foundational knowledge and specialised expertise. The curriculum varies by specialisation, with 6 specialisations available including Cardiothoracic & Vascular Surgery, Neurosurgery, Paediatric Surgery. Below is the detailed semester-wise subject breakdown and programme structure.
MCh Semester-wise Subjects
MCh Specialisations
MCh programmes train super-specialist surgeons in specific surgical disciplines. Each branch involves intensive hands-on operative training, advanced techniques, and independent management of the most complex surgical cases.
| MCh Branch | Core Surgical Focus | Key Procedures |
|---|---|---|
| CTVS (Cardiothoracic & Vascular Surgery) | Heart, lung, and major blood vessel surgery | CABG, valve replacement, aortic surgery, thoracotomy, ECMO management |
| Neurosurgery | Brain, spine, and peripheral nerve surgery | Craniotomy, tumour excision, spine fixation, VP shunt, aneurysm clipping |
| Plastic & Reconstructive Surgery | Reconstructive, cosmetic, burn, and hand surgery | Free-flap reconstruction, microsurgery, cleft repair, burn excision, cosmetic procedures |
| Urology | Urinary tract and male reproductive system surgery | Kidney transplant, PCNL, TURP, radical prostatectomy, robotic surgery |
| Paediatric Surgery | Surgical conditions in neonates, infants, and children | Neonatal surgery (TEF, anorectal malformation), paediatric urology, laparoscopic paediatric surgery |
| Surgical Oncology | Cancer surgery across organ systems | Radical mastectomy, Whipple procedure, radical hysterectomy, head & neck excision |
| Surgical Gastroenterology | GI tract and hepato-biliary-pancreatic surgery | Liver resection, Whipple, bariatric surgery, advanced laparoscopic GI surgery |
| Endocrine Surgery | Thyroid, parathyroid, adrenal, and pancreatic endocrine surgery | Thyroidectomy, parathyroidectomy, adrenalectomy, insulinoma excision |
| Vascular Surgery | Peripheral vascular, aortic, and venous surgery | Bypass grafting, aneurysm repair, endovascular stenting, AV fistula creation |
MCh Programme Structure & Credit Distribution
MCh Year-Wise Curriculum
Year 1 - Specialty Surgical Foundation
| Component | Details |
|---|---|
| Surgical Anatomy | Detailed subspecialty surgical anatomy, cadaveric dissection workshops, imaging anatomy |
| Assisted Surgeries | Assisting in complex super-specialty surgeries, learning operative steps and decision-making |
| ICU Management | Post-operative critical care, ventilator management, hemodynamic monitoring specific to surgical patients |
| Research | Thesis topic selection, protocol development, Ethics Committee approval |
Year 2 - Advanced Operative Training
| Component | Details |
|---|---|
| Complex Procedures | Performing intermediate-to-complex procedures with supervision, developing specialty surgical proficiency |
| Advanced Techniques | Robotic surgery basics, advanced laparoscopic/endoscopic techniques, microsurgery (where applicable) |
| Research | Data collection, analysis, thesis writing, publication |
| Conferences | Presenting at national/international surgical conferences, workshops |
Year 3 - Lead Surgeon Training
| Component | Details |
|---|---|
| Independent Surgeries | Operating as lead surgeon, managing the entire surgical team, handling complications independently |
| Teaching | Teaching MS residents surgical techniques, guiding junior trainees in the OT |
| Thesis | Thesis submission, viva voce defence |
| Final Assessment | Theory + operative/clinical exam + viva; NMC exit assessment |
Skills Developed in MCh
Skills Developed During MCh
Advanced Surgical Techniques
- Complex open surgery: Mastery of the most demanding surgical procedures in the super-specialty (CABG, craniotomy, free-flap microsurgery, etc.)
- Minimally invasive surgery: Advanced laparoscopic, thoracoscopic, and endoscopic techniques specific to the super-specialty
- Robotic surgery basics: Exposure to robotic-assisted surgery (Da Vinci, Versius) at equipped institutions
- Microsurgery: Fine suturing under magnification for vascular anastomoses, nerve repair, and free tissue transfer (Plastic Surgery, Neurosurgery)
Critical Care & Perioperative Management
- Post-operative ICU management specific to complex surgical patients
- Management of surgical complications and re-exploration decision-making
- Hemodynamic management during and after major surgery
- Pain management and enhanced recovery protocols
Leadership & Academic Skills
- Surgical team leadership in the operating theatre
- Teaching MS residents and surgical trainees
- Research methodology, surgical outcomes analysis, publication in peer-reviewed journals
- Multidisciplinary team coordination (with anaesthesia, radiology, oncology, etc.)
MCh Specialisations
The syllabus and curriculum differ by specialisation. Explore all 6 available specialisations:
Cardiothoracic & Vascular Surgery
Neurosurgery
Paediatric Surgery
Plastic & Reconstructive Surgery
Surgical Oncology
Urology
View All Specialisations