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Qualifications explained

Qualifications and training in plastic surgery

Letters after a name are easy to print and hard to read. This page explains what plastic surgeon training in India actually involves, what M.Ch. and DNB mean, and how you can check any surgeon for yourself before you book a consultation.

Qualifications and training in plastic surgery
The training pathway

How a plastic surgeon qualifies in India

The short version
  • Plastic surgery in India is a superspecialty, which means it is trained after a full medical degree and further surgical training, not as a short course.
  • The two recognised qualifications are M.Ch. Plastic Surgery and DNB Plastic Surgery, and each of them marks a fully trained plastic surgeon.
  • India does not use an American style board, so the honest Indian reading of a board certified plastic surgeon is one who holds M.Ch. or DNB with a valid council registration.
  • You can verify any surgeon yourself by asking for the qualification in writing and checking the medical council register where doctors in India are listed.
  • Beyond the qualification, ask how often that surgeon performs the exact operation you need.

Board certified, in the Indian context: Board certified is an American phrase. In the United States a surgeon passes the examinations of a specialty board and is then described as board certified. India works differently. Here the recognised plastic surgery qualifications are M.Ch. Plastic Surgery, awarded by a university, and DNB Plastic Surgery, awarded by the National Board of Examinations in New Delhi. So when an Indian website says board certified plastic surgeon in India, the fair reading is that the surgeon holds one of these two qualifications and is registered with a medical council. It is reasonable to ask which one it is.

Plastic surgery in India is a superspecialty. That word matters, because it tells you the qualification sits on top of a full surgical training. It is not a short course or a weekend certification that any doctor can add to a signboard.

The pathway, step by step

It begins with MBBS, the basic medical degree, followed by an internship. A doctor who wants to become a plastic surgeon then has two recognised routes. The longer route is to complete a postgraduate qualification in general surgery first, and then compete for a superspecialty seat in plastic surgery. The direct route allows entry into a longer combined plastic surgery programme straight after MBBS at institutions that offer it. Either way, the final qualification in plastic surgery is an M.Ch. or a DNB, and the doctor must also stay registered with a medical council to practise.

Why the training runs for years

Plastic surgeon training in India covers burns, trauma, hand surgery, congenital differences, cancer reconstruction, microsurgery and cosmetic surgery. A trainee has to learn how tissue behaves when it is moved, how a flap survives on its blood supply, and how to join vessels barely a millimetre or two wide under a microscope. That range is the reason the training runs for years rather than months, and it is why the specialty is taught only in recognised teaching units with a steady case load.

What the letters after a name mean

M.Ch. Plastic Surgery and DNB Plastic Surgery are the two qualifications that mark a trained plastic surgeon in India. A fellowship is a different thing. It is added training in one narrow area, such as microsurgery or craniofacial work, and it sits on top of the main qualification rather than replacing it. If a profile lists only a fellowship, a diploma or a short course, and names no M.Ch. or DNB in plastic surgery, then the base qualification is the thing to ask about.

Side by side

M.Ch. and DNB, side by side

Patients comparing M.Ch. vs DNB plastic surgery usually want to know which one is the real qualification. Both are. They differ in who awards them and where the training is done, not in whether the surgeon is trained.

Aspect
M.Ch. Plastic Surgery
DNB Plastic Surgery
Awarding body
A university or institute, such as The Maharaja Sayajirao University of Baroda.
The National Board of Examinations, New Delhi, which is a national body rather than a single university.
Route into training
A superspecialty seat at a medical college or institute, taken up through the national entrance examination.
A training seat at an accredited teaching hospital, taken up through the national board entrance examination.
Examination
University examinations set by the awarding university, with theory papers, clinical cases and a viva.
A common national examination, with qualifying and oral certification examinations conducted by the board.
Duration
Several years of superspecialty training after a postgraduate surgical qualification, or a longer combined programme entered after MBBS.
Several years of superspecialty training at an accredited teaching hospital after a postgraduate surgical qualification.
Recognition
Recognised as a plastic surgery qualification and recorded against the doctor entry in the medical council register.
Recognised as a plastic surgery qualification and recorded in the same way, with equivalence for teaching posts subject to the conditions the national authorities set.
What it means for a patient
The surgeon completed formal superspecialty training in plastic surgery within a university programme.
The surgeon completed formal superspecialty training in plastic surgery within an accredited hospital programme.

Both are valid plastic surgery qualifications and neither one is presented here as superior to the other. Once a surgeon holds either of them, the question that matters more for your operation is how often that surgeon performs that specific operation, and what the follow up looks like afterwards.

Credentials

The credentials behind this practice

People often search for Dr. Ashutosh Shah training and fellowship details before a first visit, so the record is set out plainly here. If you are looking for a qualified reconstructive surgeon in Surat, these are the qualifications you can check. Nothing beyond this list is claimed, and the team will confirm any further detail on request.

✦
M.Ch. Plastic SurgeryAwarded by The Maharaja Sayajirao University of Baroda. This is the superspecialty qualification in plastic surgery.
✦
DNB, Diplomate of the National BoardAwarded by the National Board of Examinations, New Delhi, after the qualifying and oral certification examinations.
✦
Plastic, Reconstructive and Cosmetic SurgeonThe credential line used in practice, and it describes the scope of work honestly rather than narrowing it to one side.
✦
More than 22 years of surgical experienceExperience across the reconstructive and cosmetic sides of the specialty rather than a single narrow slice of it.
✦
Microvascular and replantation trainingTraining in joining very small vessels under a microscope, with the highest volume of replantations and microvascular procedures among his cohort in Gujarat.
✦
Cosmetic dermatology and lasers trainingAdded training on the skin and laser side, which sits alongside the surgical qualification rather than replacing it.
✦
Reconstructive and cosmetic practice togetherPractising both reconstructive and cosmetic surgery is an uncommon combination in India, where most surgeons settle on one side.
✦
More than 90 plastic surgeons and doctors trainedTaught in hands on workshops, which is a different discipline from operating, because it means the steps have to be explained and defended.
✦
Faculty and speaker at conferencesInvited as faculty and speaker at national and international conferences in the specialty.
✦
Founder of Elegance VidhyalayaA training platform for doctors, built to teach reconstructive technique in a structured way.
✦
Writes guidelines and training systemsWritten for the Indian clinical setting, where the case mix, the resources and the follow up patterns differ from Western textbooks.
Due diligence

How to verify a plastic surgeon qualification in India

This applies to every surgeon, including this one. Five steps, none of which need any medical knowledge on your part.

01
Ask for the qualification in writing

Ask which plastic surgery qualification the operating surgeon holds, M.Ch. or DNB, and from where. A qualified surgeon will state it plainly, and the same wording should appear on the prescription, the consent papers and the written estimate.

02
Check the medical council register

Every practising doctor in India is registered with a state medical council, and those registrations sit under the National Medical Commission. The register is where you confirm that a doctor is registered and see the qualifications recorded against that registration. Ask the clinic for the registration number so you can match the entry.

03
Check the National Board record for a DNB

If the qualification is a DNB, the National Board of Examinations is the awarding body. Its website is the place to read what a DNB in plastic surgery involves and how it is awarded, and the clinic should be willing to show you the certificate itself.

04
Ask which operation the surgeon does most often

A qualification tells you the training was completed. Volume tells you what the surgeon actually does week to week. Ask how often this particular operation is performed, and ask who will carry out your surgery from start to finish.

05
Ask to see how results are documented

Ask whether before and after photographs are taken in a consistent way, whether follow up notes are kept, and how complications are recorded and discussed. A team that documents its own results honestly is a team you can hold to its word.

Warning signs

Warning signs when you are checking a surgeon

None of these prove anything on their own. Two or three together are a good reason to take a second opinion before you commit.

The qualification is described in vague words such as cosmetologist or aesthetic expert, with no M.Ch. or DNB in plastic surgery named anywhere.
The clinic will not put the operating surgeon name and qualification in writing when you ask for it.
You are pushed to decide on the same day, often with a price that is said to expire that evening.
Someone promises you a specific result, or speaks about the outcome as settled before any examination has happened.
No written estimate is offered before admission, and the money is explained only in conversation.
Nobody will tell you which surgeon will actually perform the operation and who will see you afterwards.
Keep reading

Related pages

Questions patients ask

Questions about qualifications

The questions people ask most often when they are trying to work out whether a surgeon is properly trained.

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DNB stands for Diplomate of the National Board. It is a postgraduate qualification awarded by the National Board of Examinations in New Delhi, after training at an accredited teaching hospital followed by qualifying and oral certification examinations. A DNB in plastic surgery is a superspecialty qualification, so the doctor has already completed full surgical training before earning it.

Neither one is better. Both are recognised superspecialty qualifications in plastic surgery, and both take years of supervised training and formal examinations. What differs is the awarding body, a university for one and the national board for the other, and where the training is done. Once a surgeon holds either qualification, how often that surgeon performs your operation matters more.

Ask for the qualification and the registration number in writing, then look at the medical council register where doctors in India are listed. The register shows the qualifications recorded against a registration. If the qualification is a DNB, the National Board of Examinations is the awarding body, and the certificate itself should be available for you to see on request.

No. Cosmetologist is not a recognised surgical qualification in India, and the word is used very loosely. A plastic surgeon holds M.Ch. or DNB in plastic surgery, earned after full surgical training and examinations. If a clinic uses a title you do not recognise, ask plainly which plastic surgery qualification the doctor who will operate on you actually holds.

No. A fellowship is extra training in one narrow area, such as microsurgery, hand surgery or craniofacial work, and it sits on top of the main qualification rather than standing in for it. A fellowship on its own does not make somebody a plastic surgeon. Look for M.Ch. or DNB first, then read a fellowship as useful added depth.

Not on its own. A long list can reflect genuine depth, or it can be padded with short courses and memberships that need very little training. Read the list for the base plastic surgery qualification, then ask about experience with your specific operation, how often it is done in a usual month, and what the surgeon does when a complication happens.

Because the specialty covers a wide field. Training runs through burns, trauma, hand surgery, congenital differences, cancer reconstruction, microsurgery and cosmetic surgery. A trainee learns how tissue survives when it is moved, how to raise a flap on its blood supply, and how to join very small vessels under a microscope. That range cannot be taught in a short course.

Ask three things. Which plastic surgery qualification the operating surgeon holds and where it was awarded, how often that surgeon performs the operation being discussed, and who will actually be in theatre with you and who will see you afterwards. Then ask for the plan and the estimate in writing before you agree to anything.

References
Bring your reports. You will leave knowing the plan.

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