BMC 5114
Obstetrics And Gynaecology II
Course Description:
5 Weeks
More advanced skills in management of common Obstetrics and Gynaecology conditions.
Communication, research, ethics and customer care.
Goal of Clerkship
By the end of the course students should be able to demonstrate adequate knowledge, skills and
attitude in Obstetrics and Gynaecology as per course content.
The course is aimed at introducing students to basic clinical skills, supervised hands on practice and
theoretical knowledge about the subject.
Objectives of the training program
1. To strengthen clinical skills in especially management of Obstetric and Gynaecological conditions
2. To strengthen students knowledge of conditions in Obstetrical and gynaecological practice
3. To enhance students competence in communication skills
4. To promote critical thinking, innovation, problem solving and life long learning skills
5. To promote professionalism (ethical conduct and relationships between students and their learning
environment).
6. To emphasize the social content of obstetrics and Gynaecological conditions and practice.
Course Content
The total contact time will be at least 150 hours for the student to qualify to sit for end of clerkship
examinations.
Duration: This is calculated as 8 hours of contact per day for 5 days per week for 5 weeks
Learning Methods
(i)
Clinical seminars: 35 hours (11/2 hours per day for 5 days/week for five weeks)
Emphasis on Management
These will be classroom based, interactive and student lead. Lecturers/tutors will facilitate
them.
Clinical seminars presented in the week are related to the clinical tutorial and 2 students will
lead the discussions.
(ii)
Clinical tutorials (Comprehensive clinical teaching)
• Total of 45 hours: 3 hours three times a week for 5 weeks
• Will be ward based and will involve clinical teaching, demonstration of skills in history taking
examination, interpretation of investigations results, decision making for management and
actual management of the patients on the ward.
• Topics will be given to tutors and students prior to the teaching.
• Teaching will be preceded by a case presentation by the 2 students allocated.
• There will be a wrap up interactive seminar to resolve and discuss any outstanding issues from
the clinical tutorials and clinical seminars
• The clinical seminars presented by students are related to the clinical tutorial topics of the
week to facilitate self directed learning and the wrap up seminar
(iii)
Practicals - Conducting deliveries repairing episiotomies, pelvic examinations in Gynae,
(iv)
(v)
antenatal and labour ward
Self directed learning --+30 hours per week
“Opportunistic learning” --+ 45 Hours
This will occur during:
(a)
(b)
(c)
(d)
(e)
Theatre teachings
Teaching in outpatient clinics (Antenatal, Gynae and Family planning)
Teaching on ward rounds in the emergency wards
Teaching on the major ward round
Mini rounds, journal clubs and grand rounds
Topics for clinical seminars
Week
Date
Topic
Debriefing by Head of Department & Coordinators
Tutor
The normal labour
I
The abnormal labour
Assisted delivery and caesarean delivery
“fourth” stage of labour puerperium & lactation
STI, STDs and PID
Cervical intraepithelial neoplasms
II
Endometrial and vulval malignancy
Imaging endoscopy and laparoscopy in Obstetrics and
Gynaecology Practice
Radiotherapy and palliative care in gynaecology
Congenital malformations of genital tract
Contraception by Non hormonal methods
III
Contraception by Hormonal methods
Management of Infertile couple
Management and prevention of obstetric fistulae
Medico legal issues in obs/gyn practice
Adolescent Health issues in obs/gyn practice
IV
Maternal mortality and maternal audit
The pillars of safe motherhood
PMTCT of HIV and PMTCT plus
Menstrual disorders
Maternal morbidity and mortality
V
Neonatal resuscitation and neonatal care
Pre term labour and PROM
Coagulopathies in obs/gyn practice
Progressive examination (2.00p.m.)
Topics for comprehensive ward teaching or clinical tutorials
Week
Date
I
II
Title
Tutor
Anaemia in Pregnancy
Antepartum and postpartum haemorrhage
Cancer of the cervix
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Ovarian tumours and cancers (neoplasms)
Genital prlapse
The abdominal mass and the acute abdomen
in Gynaecology
Hypertensive disorders of pregnancy
Diabtes Mellitus, Heart disease and Urinary
tract infection
Management of intrauterine fetal death
and abortions
III
IV
V
Gestational trophoblastisc disease
Topics for comprehensive ward teaching or clinical tutorials
Week
Date
Title
Student
Anaemia in Pregnancy
Antepartum and postpartum haemorrhage
Cancer of the cervix
Ovarian tumours and cancers (neoplasms)
Genital prolapse
The abdominal mass and the acute abdomen
in Gynaecology
Hypertensive disorders of pregnancy
Diabetes Mellitus, Heart disease and Urinary
tract infection
Management of intrauterine fetal death
and abortions
Gestational trophoblastisc disease
I
II
III
IV
V
Intended learning objectives of the clinical tutorials
Topic
Title
Intended Learning Objectives
Define anaemia in pregnancy
Describe causes of anemia in pregnancy
I
Describe investigations of anaemia in pregnancy
Anaemia in Pregnancy
Describe management of anaemia in pregnancy
Describe presentation and management of
specific causes of aneamia in pregnancy
II
Antepartum haemorrhage
To define antepartum haemorrhage
To describe causes of antepartum haemorrhage
and the differential diagnosis
To describe management of specific causes of
antepartum haemorrhage
To review clinical anatomy and physiology of
the genital tract in reference to the cervix
III
Cervical Cancer
To describe clinical presentation and clinical
types cervical cancer
To discuss non surgical management of cervical
Cancer
91
Ovarian Cancers
IV
To outline embryological development and
anatomy of the ovary
To discuss origin of ovarian neoplasms
To discuss clinical presentation and management
of epithelial ovarian tumours
To discuss management of other common
non epithelial ovarian Neoplasms
Genital Prolapse
V
To outline the clinical anatomy and relationship
for the internal genitalia
To describe the clinical presentation and
differential diagnosis for genital prolapse
To discuss management of genital prolapse
To outline the common causes of abdominal
mass in gynecology (ovarian cysts, tubo ovarian
masses and fibroids)
VI
The Benign Abdominal
mass and acute abdomen in
gynaecology
To discuss investigations that assist the
differential diagnosis
To outline specific management of the
abdominal ‘mass’ in gynaecology
To define an acute abdomen in gynaecology
To outline the causes, differential diagnosis and
Management of an acute abdomen in gynaecology
VII
Hypertensive disorders
Of pregnancy
To define hypertension and pre eclampsia
Diabetes, UTI and heart
disease
To discuss identification and management of
A diabetic patient in pregnancy and labour
VIII
To discuss management of severe pre eclampsia
and eclampsia
To discuss causes and management of UTI in
Pregnancy
To discuss the causes presentation and
management of heart disease in pregnancy and
labour
Management of Abortion
and IUFD
IX
To discuss the differential diagnosis of clinical
types of abortions
To outline causes of IUFD
To discuss post abortion care principles and
Practice
X
Gestation Trophoblastic
Disease
To discuss the causes , clinical presentation and
differential diagnosis of gestational tropoblastic
disease
To discuss management of gestational
trophoblastic disease
Teaching Methods:
Facilitation of interactive discussions, Demonstration of skills, Expert Resource Lectures, Practicums
(skills supervised by tutors)
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Assessment and competences they assess:
I. Formative Assessment
(a) Progressive examination at end of rotation of five (5) weeks
(b) Feedback during “clinical contact time”
(c) Log book to assess skills acquisition
II. Summative Assessment
1. Written structured examination for knowledge, skills recall and concise writing in communication
skills
2. Short essays for knowledge, skills recall, communication, problem solving skills, innovations as
well as critical thinking
3. Clinicals
(a) OSCEs
}
(b) Long Case}for knowledge, skills and conduct
93