List of performance and attendance at practical training in Obstetrics, Gynaecology and Reproduction Academic year: Name and surname: Explanation of proficiency levels in the required skills and/or practical expertise 1st level student has acquired adequate theoretical knowledge of the skill (student’s theoretical knowledge of the skill is verified by his/her mentor during training) 2nd level student has acquired adequate theoretical knowledge of the skill that has been demonstrated to him/her during training (student’s theoretical knowledge of the skill is verified by his/her mentor, giving the student at least once the possibility of viewing a demonstration of relevant skill) 3rd level student has acquired adequate theoretical knowledge of the skill and has several times performed it under supervision (student’s theoretical knowledge of the skill is verified by his/her mentor during training, where the student himself/herself has at least twice performed the skill under mentor’s supervision) 4th level Student has acquired adequate theoretical knowledge of the skill and is capable of performing the skill as a routine (student’s theoretical knowledge of the skill is verified by his/her mentor during training, where the student himself/herself has at least three times autonomously performed the relevant skill) Skill Expected level of knowledge List on performance and attendance at practical training in obstetrics General and focused obstetric history and acquaintance with maternity booklet Obstetric examination of a pregnant woman and general physical status (inspection, exterior obstetric examination, auscultation of the fetal heart beat, pelvimetry) 4 Ultrasound examination of a pregnant woman 2 Examinations in pregnancy (blood pressure measurements, hemogram interpretation, urine examinations, biochemical and serologica examinations) 3 CTG performance and interpretation Clinical examination of a newborn Apgar score Assisting and monitoring the mother (measurement of lochia, palpation of position of fundus) Advice on breast-feeding and puerperium Vaginal examination of the parturient, amniotomy Manual placenta removal Notes: 3 3 3 3 3 2 1 Mentor's signature Skill General and focused medical history Pelvic examination and general physical status (examination of external genitalia, vaginal and speculum examination, bimanual pelvic examination) Extended gynaecological examination (rectal examination, lymph nodes examination) Inspection and description of genital discharge (smell, colour, consistency, source, pH) and smear taking (vaginal, cervical) Abdominal and vaginal ultrasound examination Laparoscopy Diagnostic hysteroscopy Procedures of cervical pathology Abdominal gynaecological operation Vaginal gynaecological operation Advice on contraception Termination of pregnancy Notes: Expected level of knowledge List on performance and attendance at practical training in gynaecology and reproduction 4 3 2 2 2 2 2 2 2 2 3 2 Mentor's signature 1. Clinical case:...................................................... Date: Mentor: Signature: 1. Clinical case:...................................................... Date: Mentor: Signature: Attendance Labour – video presentation Interactive learning/simulation – gynaecology Interactive learning – reproduction Interactive learning/simulation – obstetrics Interactive learning – genetics Gynecologic pathology Training in labour room clinical practice with mentor – obstetrics clinical practice with mentor – obstetrics clinical practice with mentor – obstetrics clinical practice with mentor – gynaecology clinical practice with mentor – gynaecology clinical practice with mentor – gynaecology clinical practice with mentor – reproduction clinical practice with mentor – reproduction clinical practice with mentor – reproduction Mentor/Signature PRACTICAL EXAM – GYNECOLOGY Date: Mark (6-10): Mentor: Signature: PRACTICAL EXAM – OBSTETRICS Date: Mark (6-10): Mentor: Signature: