DNB Broad Specialty Courses

An Overview:

NBEMS administers DNB Broad Specialty Courses in 29 disciplines of modern medicine through its accredited institutions. The duration of the course for Post MBBS candidates is for 3 years. Candidates who have already completed a recognized PG Diploma programme of 2 years in a particular specialty can undergo a 2 years Post Diploma DNB Programme in the same specialty. NBEMS administers such Post Diploma DNB Courses in 14 broad specialty disciplines as listed below.

Admission and Counseling:

The Post MBBS trainees get admission to 3 years DNB course after successfully qualifying the NEET-PG examination which is conducted by NBEMS. The entry to 2 years Post Diploma DNB Programme is through DNB-PDCET which is also conducted by NBEMS. Both these examinations are conducted annually as per prescribed schedule.
The merit-based counselling for admissions to 3 years Post MBBS DNB Programme after conduct of NEET-PG is administered by the Medical Counseling Committee of DGHS, MoHFW, Govt of India along with the counseling for admissions to various MD/MS/PG Diploma courses. The counseling for admissions to 2 years Post Diploma DNB Programme is administered by NBEMS after conduct of DNB-PDCET.

Registration as DNB Trainee:

Registration as DNB Trainee: After opting for a DNB seat for the 3 year or 2-year DNB courses, the trainee is registered with NBEMS for DNB training in respective course. Whereas Post MBBS trainees entering through NEET-PG are registered for the 3-year programme, Post Diploma DNB trainees entering through DNB-PDCET are registered for the 2-year programme. Customarily, they are being called Primary DNB and Secondary DNB trainees respectively.
The eligibility of the trainee for DNB programme is determined on the basis of prescribed criteria in the information bulletin for respective entrance examination. On successfully meeting the criteria and submission of required application with prescribed documents to NBEMS, the trainee gets registered with NBEMS. A letter to this effect in form of a “Letter of Provisional Registration” is communicated to the trainee and his/her training institution.

NBEMS Leave Rules and Stipend:

The training of the DNB trainees is governed by a set of NBEMS leave rules. All DNB trainees are advised to be thoroughly acquainted with the prescribed rule for availing leave during their DNB course because excess leave availed by them over and above the prescribed leave shall lead to extension of their training. This extension might even affect the eligibility of the trainee for DNB Final Examination in case the extended training goes beyond the prescribed cut-off date for completion of training. Excess leave beyond a prescribed limit may even cancel the registration of trainees for the course.
All DNB trainees are paid a minimum stipend as per guidelines prescribed by NBEMS. The trainees are paid stipend for the entire duration of training including their eligible leave as per NBEMS leave guidelines. However, they shall not be paid stipend for a period more than 36 months (for a 3-year programme) or 24 months (for the 2-year Programme) if in case their training gets extended due to excess leave availed by them.

Curriculum and Training:

During the DNB training, the trainees are posted to different areas of the specialty concerned as per the guidelines prescribed in the curriculum for that specialty. Detailed course structure, training areas to be covered, posting schedules, syllabus of examination etc are published in DNB Programme specific curricula.
All DNB trainees are provided with the training by the respective training institute as per prescribed curriculum. The training institution shall conduct the academic teaching and training including the bed side teaching, if applicable, as per prescribed guidelines of NBEMS. The trainees are required to maintain an e-log of cases observed/attended; Journal Clubs/Seminars attended/presented etc as per the format specified in their e-Doctor Log book. A regular review of the said e-logbook by the mentor/guide of the trainee is a mandatory requisite.

Thesis Protocol and Thesis:

All DNB trainees are required to write and submit the synopsis/protocol of their proposed theses work well within the timelines prescribed by NBEMS. The said thesis protocols are evaluated by the Institutional Ethics Committee (IEC) and the Scientific Research Committee (SRC) of the training institutes. The trainees start working on their theses after their theses protocols after approved by IEC and SRC of their training institutions.
NBEMS does not evaluate and convey any approval for the theses protocols. However, it is mandatory for the trainee and his/her training institute to convey the approval of the IEC and SRC for the thesis protocol of the trainee to NBEMS as per prescribed proforma well within the timelines specified. A delay in preparing the protocol and/or its approval by the institutional IEC/SRC and/or in conveying the said approval to NBEMS may have an adverse impact on trainee’s eligibility for DNB Final Examinations.
After successful completion of the thesis research work and writing, the DNB trainees are required to submit their theses to NBEMS for assessment well within the timelines prescribed. Any delay in submission of thesis to NBEMS for assessment shall impact the eligibility of the DNB trainees for DNB Final Examinations.
Theses of DNB trainees are assessed by subject experts of NBEMS and the outcome is communicated. In case the thesis of a DNB trainee is not accepted in the form presented, he/she is asked to modify the same within the timelines prescribed. A trainee is required to do the necessary modifications and to resubmit the modified thesis through his/her thesis guide to NBEMS for re-assessment. The modified thesis may get accepted or may be advised re-modifications depending upon the corrections incorporated by the trainees and/or its acceptance by the thesis assessor.
Once the thesis of a trainee gets accepted by NBEMS, same is communicated to the trainee in form of an acceptance letter called as Thesis Acceptance Letter (TAC).

Formative Assessment:

The trainees are subjected to both Formative and Summative Assessment during their DNB training. The Formative Assessment in the form of a Centralized Formative Assessment Test (FAT), is conducted by NBEMS during the 2nd Year (for 3-year course) or 1st year (for 2-year course) of DNB training. FAT comprises of a theory examination followed by work place-based assessment. During rest of the years of training, the training institute conducts Internal Assessments on lines almost similar to the FAT. Whereas the assessment outcome of FAT/Internal Assessments guides a trainee towards the progress made in the DNB training and the course corrections required, if any, the marks/grades of FAT/Internal Assessment are not added to the Summative Assessment. It is mandatory for all DNB trainees to attend the minimum number of FAT/Internal Assessments during their DNB training.
All DNB trainees are required to attend the final examination leading to the award of DNB qualification. National Board of Examinations in Medical Sciences conduct DNB Final Examination usually in June and December every year.

Summative Assessment:

DNB Final is a two-stage examination comprising of theory and practical examination. A DNB trainee registered with NBEMS on obtaining requisite period of training as prescribed by NBEMS & fulfilling other eligibility criteria as stated in the Information Bulletin may appear for the DNB final examination. The trainees are required to complete their DNB training by a prescribed cut-off date to be eligible for a particular session of DNB Final Examination.
DNB trainee who has qualified the theory examination is permitted to appear in the practical examination. Those who fail to qualify the theory examination are required to reappear in the theory examination.

Convocation and award of DNB Qualification:

DNB trainees who have qualified both DNB Final Theory & Practical Examinations, and whose theses have been accepted by National Board of Examinations in Medical Sciences, shall be conferred with DNB qualification in the specialty concerned on enrolment for the NBEMS convocation.